Annex A

FOR PILING AND EXCAVATION WORKS ( to be submitted together with permit application form) To : Commissioner of Building Control 5 Maxwell Road, #05-00 Tower Block MN Com!lex "inga!ore 0#$%%0 &ax : #'(5)*+( : ....................................... : .......................................

,ro-ect Title ,ro-ect Reference No Pre-construction Surve / confirm t0at

1a2 / will gi3e a co!4 of t0e !re-construction sur3e4 to eac0 owner of neig05ouring !ro!erties w0en it is read4, 5ut 5efore work commences on site6 7ac0 owner will 5e gi3en t0e !ortion of t0e sur3e4 w0ic0 is rele3ant to 0is !ro!ert46 152 8 com!lete set of t0e sur3e4 will 5e ke!t at site6
Noti!ic"tion to #CA o! co$$ence$ent o! %i&in' ( exc"v"tion )or*s

/ would like to inform t0at !iling 9 exca3ation: works will commence at site on .......... 6 1 ate2

..........................
Builder;s Name < "ignature

.....................
Builder;s Com!an4 "tam!

.............. ate cc : =, for structural works : # =, for geotec0nical as!ects : ........................... ...........................

: ,lease delete accordingl46 /f t0ere are exca3ation works followed 54 !iling works, BC8 s0ould also 5e notified on commencement of exca3ation works6 # >nl4 a!!lica5le for geotec0nical 5uilding works6

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Annex #
T+E #,ILDING CONTROL ACT -C"% ./0 CERTIFICATION OF S,PERVISION ON PILE LOAD TEST
1Re'u&"tion .2 o! T3e #ui&4in' Contro& Re'u&"tions5
Commissioner of Building Control Building and Construction 8ut0orit4 5 Maxwell Road #05-00 Tower Block, MN Com!lex "inga!ore 0#$%%0 ,articulars of "tructural Aorks to w0ic0 t0is Certificate relates ,ro-ect ref6 no6: ..............................................."T ............................. 8ddress9Road : ............................................................................................ Building Name 1if an42 : ..................................................................................... ,ro-ect Title : ............................................................................................. .............................................................................................. ,ile load test ref6 no6 : ................ Met0od of testing : ...................... ate of test : .................. /N"TR@CT/>N" % : elete accordingl4

,art 8: To 5e com!leted 54 t0e =ualified ,erson for "tructural Aorks 9 =ualified ,erson for Beotec0nical 8s!ects I confirm that: (a) I have reviewed the *static pile load test procedure and it is in accordance to CP4:200 ! (b) I have inspected the test e"uipment! e#g# load cell! pressure and dial gauges! and the$ are properl$ calibrated b$ %P&I'( and not fault$! (c) I have implemented the measure to prevent manipulation of load test result! (d) )ll recordings of load and settlement readings are witnessed b$ me or the site supervisor! (e) I have e*amined the test records for the *static pile load test and I am satisfied that the load test result is valid and accurate! (f) +he test pile is loaded to a ma*imum of ,,, times wor-ing load and it has *passed.failed the load/test criterion specified! and (g) I am satisfied with the pile load test results! the load test together with the site records confirmed the design assumptions and parameters made in the pile design# "ignature < Name of =ualified ,erson for "tructural Aorks "ignature < Name of =ualified ,erson for Beotec0nical 8s!ects 1T0is 5ox is onl4 a!!lica5le for geotec0nical 5uilding works2

ate : ,art B: To 5e com!leted 54 t0e Builder

ate :

I certif$
I confirm that: (a) I ha (a) I have carried out the *static pile load test in accordance to CP4:200 ! (b) +here is no preloading of test pile or tampering of test e"uipment! e#g# load cell! pressure and dial gauges before and during the load test! and (c) )ll recordings of load and settlement readings are witnessed b$ the "ualified person or the site supervisor# "ignature < Name of Builder Name < 8ddress of Builder &irm

ate : ,art C: To 5e com!leted 54 t0e "ite "u!er3isor 1s2 I confirm that I have witnessed the recording of load and settlement readings for the load test# "ignature < Name of "ite "u!er3isor 1s2

ate :

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Annex #6 7Impact Assessment Report

Regulation 33, Building Control Regulations

Project Title __________________________________________________________ __________________________________________________________ Project Reference No: _________________________ Name of PE: _________________________ Part I Basic Information 1. List of properties that may e affected during construction is sho!n elo!"
I confirm that pre-construction survey will be carried out before commencement of wor !

#$% " # etc etc

Address

Brief description of the property

&. #ite o ser'ation

I have identified the presence and assessed the stability of retainin$ wall% slope or boundary wall at site! &ite photo$raphs are attached in the report!

Location &lope 'oundary wall ("!) m hi$h Retainin$ wall 3. (ype of e*ca'ation !or+ to e carried out
Please tic *+ the appropriate bo,es

(ype -

)eight

Basement construction Pile caps$,ootings (rench for drain, se!er Pond$s!imming pool
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Part II - Chec+list on Impact Assessment Report

The report shall consist of recommendations on the preventive measures to be ta en in connection with% but not limitin$ to the followin$ types of construction wor : -Please tic *+ the appropriate bo,es.

.*ca'ation !or+ .*cessi'e ground settlement /ea+ening of oundary !all$retaining !all /ea+ening of slope Piling !or+ .*cessi'e 'i ration generated Crac+ing of non-suspended sla , tiles, !alls and structure 0emolition !or+ .*cessi'e 'i ration generated /ater seepage into a utting property

)ac+ing !or+ )ac+ing of common continuous eams !here the structural ade1uacy of the remaining continuous eams is affected 2e.g. reconstruction of a unit of a pair of semi-detached house3 Remo'al of common roof canopy or car porch roof !here the sta ility of the remaining canopy or porch is affected )ac+ing of common footing 2shared y t!o properties3

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Part III 0eclaration

I confirm that I have identified the types of construction wor in Part II% with a view to determinin$ appropriate preventive measures to be ta en so as to prevent any settlement or movement which may impair the stability of or cause dama$e to the whole or part of any premises or buildin$ adjacent or in otherwise close pro,imity to the buildin$ wor s are attached!

&i$nature / stamp of PE:

_____________________

0ate: ______________

# >nl4 a!!lica5le for Canded Douses

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Annex C
T+E #,ILDING CONTROL ACT -C"% ./0 INTERI8 CERTIFICATE OF S,PERVISION ON PILING WORKS
1Re'u&"tion .9-60 o! T3e #ui&4in' Contro& Re'u&"tions5
Commissioner of Building Control Building and Construction 8ut0orit4 5 Maxwell Road #05-00 Tower Block, MN Com!lex "inga!ore 0#$%%0 ,articulars of "tructural Aorks to w0ic0 t0is Certificate relates ,ro-ect ref6 no6: ................................................"T ................................. 8ddress9Road : ......................................................................................... Building Name 1if an42 : ................................................................................. ,ro-ect Title : .......................................................................................... .......................................................................................... ,art 8: To 5e com!leted 54 t0e =ualified ,erson for "tructural Aorks 9 =ualified ,erson for Beotec0nical 8s!ects I! the 0ualified Person appointed under * %ection 1(2)(b) . %ection 1(2)(d(ii) . %ection 22(2)(d)(ii) . %ection 22(2)(d)(iii) of the building Control )ct for structural wor-s certif$ that *(304.2004) piling wor-s have been completed on ,,,,,,,,,,,,,,,, ,,,,,,,,,,,,, (date) and that the same has been carried out and completed under m$ supervision in accordance with the set of piling plans.calculations approved under the 5uilding Control )ct# I further confirm that all the piles had been installed to founding depths which had been determined b$ me# "ignature < Name of =ualified ,erson for "tructural Aorks "ignature < Name of =ualified ,erson for Beotec0nical 8s!ects 1T0is 5ox is onl4 a!!lica5le for geotec0nical 5uilding works2 /N"TR@CT/>N" % : elete accordingl4

ate : ,art B: To 5e com!leted 54 t0e Builder

ate :

I confirm that I have sought the "ualified person(s)6s approval for the founding depths of all the piles installed and the$ are constructed in accordance with the approved set of plan provided b$ the "ualified person(s)# "ignature < Name of Builder Name < 8ddress of Builder &irm

ate : ,art C: To 5e com!leted 54 t0e "ite "u!er3isor 1s2 I confirm that I have sought the "ualified person(s) 6s confirmation on the founding depths of all the piles installed# "ignature < Name of "ite "u!er3isor 1s2

ate :

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Annex D
T+E #,ILDING CONTROL ACT -C"% ./0
CERTIFICATE OF 8ONITORING #,ILDING SETTLE8ENT 1Re'u&"tion 92 o! T3e #ui&4in' Contro& Re'u&"tions5
Commissioner of Building Control Building and Construction 8ut0orit4 5 Maxwell Road #05-00 Tower Block, MN Com!lex "inga!ore 0#$%%0 ,articulars of "tructural Aorks and 5uilding to w0ic0 t0is Certificate relates ,ro-ect ref6 no6: ........................................... "T ................................. 8ddress 9 Road : .......................................................................................... Name 9 5lock num5er of 5uilding : ............................................................................ ,ro-ect Title : ............................................................................................. .............................................................................................

To 5e com!leted 54 t0e =ualified ,erson for "tructural Aorks 9 =ualified ,erson for Beotec0nical 8s!ects I confirm that the above building has reached ,,,,,,,,,,,, store$s on ,,,,,,,,,,,,,,,,,,, (date) under m$ supervision# I further confirm that I have personall$ determined and I am satisfied that building settlement monitoring results so far for the above building do not e*ceed the design limits in accordance with the approved set of structural plans.calculations# 7a*imum measured building settlement is ,,,,,, mm! and ma*imum measured differential building settlement is ,,,,, mm or 2:,,,,,# 7a*imum allowable building settlement is ,,,,,, mm! and ma*imum allowable differential building settlement is ,,,,, mm or 2: ,,,,#

"ignature < Name of =ualified ,erson for "tructural Aorks

"ignature < Name of =ualified ,erson for Beotec0nical 8s!ects 1T0is 5ox is onl4 a!!lica5le for geotec0nical 5uilding works2

.............................................. ate :

.............................................. ate :

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