This form may take you 5-10 minutes to complete. THE BUILDING CONTROL ACT (CAP 29) [SECTION 8(1)(a) or 11(1)(d)(i)] NOTIFICATION OF APPOINTMENT OF QUALIFIED PERSON AND PROJECT REFERENCE NUMBER AND TITLE Commissioner of Building Control Building & Construction Authority 52 Jurong Gateway Road #11-01 Singapore 608550 Website: http://www.bca.gov.sg/ INSTRUCTIONS: (1) This notification shall be submitted before any pre-consultation or submission of building plans to the Commissioner of Building Control . (2) The registered Project Reference Number and Title is valid for a period of two years from date of acknowledgement by the Commissioner of Building Control. (3) * Delete where not applicable. (4) One copy of this form is to be submitted and two copies of Appendix 1 to be submitted (5) This form need not be submitted for simplified A/A submission for conventional residential houses. (6) This form is to be filled in BLACK INK only. SECTION A - APPOINTMENT OF QUALIFIED PERSON BY *DEVELOPER /BUILDER (For Design & Build Project) As required under section 8(1)(a) or 11(1)(d)(i) of the Building Control Act, I hereby appoint _______________________________ as the qualified person in respect of the building works herein described: UEN (if a company) and Name and Address of * Developer /Builder Mr/Mrs/Ms UEN (if a company) and Name & Signature of * Developer/Builder (In the case of a Company include the designation of the authorised Signatory) Tel No.: NRIC No./Passport No.: SECTION B - ACCEPTANCE OF APPOINTMENT BY QUALIFIED PERSON Date: (1) I confirm that I have been appointed as the qualified person in respect of the building works herein described. (2) For the purpose of project initiation, I hereby notify you of the following project:(a) Project Title: Description of building works: _______________________________________________________ ________________________________________________________________________________ *Lot/Plot: _______________________________________ *TS/MK ________________________ Address/Road: ____________________________________________________________________ (b) Project Reference Number issued by me: ________________________________________________________________________________ Address of Qualified Person Tel No.: BPD_QP01 [Ver1.1_Dec_2014] Name & Signature of Qualified Person Fax No.: Regn No. (*Arch/PE): Date Page 1 of 2 Date: Name & Address of Qualified Person: ____________________________________________ ____________________________________________ ____________________________________________ Singapore ( ) BUILDING PLAN & MANAGEMENT GROUP BUILDING & CONSTRUCTION AUTHORITY 52 JURONG GATEWAY ROAD #11-01 SINGAPORE 608550 Tel : 680 __ Fax : 63344031 QP’s Fax No: _____________________________ Dear Sir/Madam ACKNOWLEDGEMENT OF NOTIFICATION OF PROJECT REFERENCE NUMBER AND TITLE PROPOSED _________________________________________________________________________________ _____________________________________________________________________________________________ _____________________________________________________________________________________________ 1 This is to acknowledge that the abovementioned project has been classified by this Division as a *Major/Minor Project under the following project reference number issued by you:- Project Reference Number : __________________________________________ 2 Please attach a copy of this acknowledgement letter and print “*Major/Minor Project” and the project reference number on the top right hand corner of the plans in your direct submissions to the relevant technical departments/authorities. You are also advised to quote this reference number in all the documents and correspondence during the pre-submission consultation stage. Yours faithfully BUILDING PLAN & MANAGEMENT GROUP for COMMISSIONER OF BUILDING CONTROL FOOTNOTE: This form is to be self-addressed and the project title and project reference number to be completed by the qualified person. Please refer to the guidelines PC.04:1999 for the classification of projects. BPD_QP01_Appendix 1 [Ver1.1_Dec_2014] Page 2 of 2