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1 UNIFORM BUILDING BY-LAWS 1984 FORM G 1 STAGE CERTIFICATION : EARTHWORKS [by-law 25 or 27] Project Title: ……………………………………………………………………... *1. We certify that we have supervised and/or carried out the construction and completion of the earthworks and that to the best of our knowledge and belief such works are in accordance with the Approved Earthwork Plans Ref. No.: ……………………….. and that we accept full responsibility for the same. Name (Individual) #Registration No. Signature (a) Contractor ________________ _____________ ___________ (Construction Industry (Date: ) Development Board) (b) Submitting person ________________ _____________ ____________ (Board of Engineers (Date: ) Malaysia) OR *2. I certify that this form is not applicable. _________________________________ (Principal submitting person) # I.C. No., if there is no relevant body in respect of registration * Delete whichever is not applicable. _____________________________________________________________________

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Page 1: Borang G1-G21

1

UNIFORM BUILDING BY-LAWS 1984

FORM G 1

STAGE CERTIFICATION : EARTHWORKS

[by-law 25 or 27]

Project Title: ……………………………………………………………………...

*1. We certify that we have supervised and/or carried out the construction and completion of the earthworks and that to the best of our knowledge and belief such works are in accordance with the Approved Earthwork Plans Ref. No.: ……………………….. and that we accept full responsibility for the same.

Name (Individual) #Registration No. Signature

(a) Contractor ________________ _____________ ___________ (Construction Industry (Date: )

Development Board)

(b) Submitting person ________________ _____________ ____________ (Board of Engineers (Date: )

Malaysia) OR

*2. I certify that this form is not applicable.

_________________________________

(Principal submitting person) # I.C. No., if there is no relevant body in respect of registration * Delete whichever is not applicable. _____________________________________________________________________

Page 2: Borang G1-G21

2

UNIFORM BUILDING BY-LAWS 1984

FORM G 2

STAGE CERTIFICATION : SETTING OUT

[by-law 25 or 27]

Project Title: ……………………………………………………………………...

*1. We certify that we have supervised and/or carried out the setting out of the building and that to the best of our knowledge and belief such works are in accordance with the approved plans Ref. No. : ……………………….. and that we accept full responsibility for the same.

Name (Individual) #Registration No. Signature

(a) Contractor ________________ _____________ __________ (Construction Industry (Date: )

Development Board)

(b) Licensed ________________ _____________ ___________ Land Surveyor (Land Surveyors Board) (Date: )

Malaysia)

(c) Principal ________________ _____________ __________ submitting person (*Board of Architects (Date: ) Malaysia /Board of Engineers Malaysia) OR

*2. I certify that this form is not applicable.

_________________________________

(Principal submitting person)

# I.C. No., if there is no relevant body in respect of registration * Delete whichever is not applicable. _____________________________________________________________________

Page 3: Borang G1-G21

3

UNIFORM BUILDING BY-LAWS 1984

FORM G 3

STAGE CERTIFICATION : FOUNDATIONS

[by-law 25 or 27]

Project Title: ……………………………………………………………………...

*1. We certify that we have supervised and/or carried out the erection and completion of the foundation works and that to the best of our knowledge and belief such works are in accordance with the Deposited Plans Ref. No. : ……………………….. and that we accept full responsibility for the same.

Name (Individual) #Registration No. Signature

(a) Contractor ________________ _____________ ___________ (Construction Industry (Date: )

Development Board)

(b) Submitting ________________ _____________ ___________ Person (Board of Engineers (Date: )

Malaysia) OR

*2. I certify that this form is not applicable.

_________________________________

( Principal submitting person)

# I.C. No., if there is no relevant body in respect of registration * Delete whichever is not applicable. _____________________________________________________________________

Page 4: Borang G1-G21

4

UNIFORM BUILDING BY-LAWS 1984

FORM G 4

STAGE CERTIFICATION : STRUCTURAL

[by-law 25 or 27]

Project Title: ……………………………………………………………………...

*1. We certify that we have supervised and/or carried out the erection and completion of the structural works and that to the best of our knowledge and belief such works are in accordance with the Deposited Structural Plans Ref. No.: ……………………….. and that we accept full responsibility for the same.

Name (Individual) #Registration No. Signature

(a) Contractor ________________ _____________ ___________ (Construction Industry (Date: )

Development Board)

(b) Submitting ________________ _____________ ____________ Person (Board of Engineers (Date: )

Malaysia)

OR

*2. I certify that this form is not applicable.

_________________________________

(Principal submitting person)

# I.C. No., if there is no relevant body in respect of registration

* Delete whichever is not applicable. _____________________________________________________________________

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5

UNIFORM BUILDING BY-LAWS 1984

FORM G 5

STAGE CERTIFICATION : INTERNAL WATER PLUMBING

[by-law 25 or 27]

Project Title: ……………………………………………………………………...

*1. We certify that we have supervised and/or carried out the erection and completion of the internal water plumbing works and that to the best of our knowledge and belief such works are in accordance with the *approved plans/Deposited Plans Ref. No. : ……………………….. and that we accept full responsibility for the same.

Name (Individual) #Registration No. Signature

(a) Trade ________________ _____________ ___________ contractor + ( ) (Date: ) (Licensed plumber)

(b) Submitting ________________ _____________ ___________ person (*Board of Architects Malaysia/ (Date: ) Board of Engineers Malaysia)

OR

*2. I certify that this form is not applicable.

_________________________________

(Principal submitting person)

+ Relevant regulatory body # I.C. No., if there is no relevant body in respect of registration * Delete whichever is not applicable. ____________________________________________________________________________________________

Page 6: Borang G1-G21

6

UNIFORM BUILDING BY-LAWS 1984

FORM G 6

STAGE CERTIFICATION : INTERNAL SANITARY PLUMBING

[by-law 25 or 27]

Project Title: ……………………………………………………………………...

*1. We certify that we have supervised and/or carried out the erection and completion of the internal sanitary plumbing works and that to the best of our knowledge and belief such works are in accordance with the *approved plans/Deposited Plans Ref. No. : ……………………….. and that we accept full responsibility for the same.

Name (Individual) #Registration No. Signature

(a) Trade ________________ _____________ ____________ contractor + ( ) (Date: ) (Licensed plumber)

(b) Submitting ________________ _____________ ____________ person (*Board of Architects Malaysia/ (Date: ) Board of Engineers Malaysia) OR

*2. I certify that this form is not applicable.

________________________________

( Principal submitting person )

+ Relevant regulatory body # I.C. No., if there is no relevant body in respect of registration * Delete whichever is not applicable. _____________________________________________________________________

Page 7: Borang G1-G21

7

UNIFORM BUILDING BY-LAWS 1984

FORM G 7

STAGE CERTIFICATION : INTERNAL ELECTRICAL

[by-law 25 or 27]

Project Title: ……………………………………………………………………...

*1. We certify that we have supervised and/or carried out the erection and completion of the internal electrical works and that to the best of our knowledge and belief such works are in accordance with the submitting person’s Endorsed Plans and that we accept full responsibility for the same.

Name (Individual) #Registration No. Signature

(a) Trade ________________ _____________ _____________ Contractor (Energy Commission) (Date: ) (Competent person)

(b) Submitting ________________ _____________ _____________ person (Board of Engineers Malaysia) (Date: ) OR

*2. I certify that this form is not applicable.

_________________________________

( Principal submitting person ) # I.C. No., if there is no relevant body in respect of registration * Delete whichever is not applicable. _____________________________________________________________________

Page 8: Borang G1-G21

8

UNIFORM BUILDING BY-LAWS 1984

FORM G 8

STAGE CERTIFICATION : FIRE-FIGHTING (PASSIVE)

[by-law 25 or 27]

Project Title: ……………………………………………………………………...

*1. We certify that we have supervised and/or carried out the erection and completion of the fire-fighting (passive) works and that to the best of our knowledge and belief such works are in accordance with the *approved plans/Deposited Plans Ref. No. : ……………………….. and that we accept full responsibility for the same.

Name (Individual) #Registration No. Signature

(a) Contractor ________________ _____________ ____________ (Construction Industry (Date: )

Development Board)

(b) **Principal ________________ _____________ _____________ submitting (*Board of Architects Malaysia/ (Date: ) person Board of Engineers Malaysia) OR

*2. I certify that this form is not applicable.

________________________________

( Principal submitting person)

# I.C. No., if there is no relevant body in respect of registration ** Letter of Clearance from the Fire Department Malaysia (except for residential buildings not exceeding 18

metres height) shall be attached * Delete whichever is not applicable.

__________________________________________________________________

Page 9: Borang G1-G21

9

UNIFORM BUILDING BY-LAWS 1984

FORM G 9

STAGE CERTIFICATION : FIRE-FIGHTING (ACTIVE)

[by-law 25 or 27]

Project Title: ……………………………………………………………………...

*1. We certify that we have supervised and/or carried out the erection and completion of the fire-fighting (active) works and that to the best of our knowledge and belief such works are in accordance with the *approved plans/Deposited Plans Ref. No. : ……………………….. and that we accept full responsibility for the same.

Name (Individual) #Registration No. Signature

(a) Trade ________________ _____________ _____________ contractor +( ) (Date: ) (b)** Submitting ________________ _______________ _____________ person (Board of Engineers Malaysia) (Date: ) OR

*2. I certify that this form is not applicable.

_____________________________

(Principal submitting person)

+ Relevant regulatory body # I.C. No., if there is no relevant body in respect of registration ** Letter of Clearance from the Fire Department Malaysia (except for residential buildings not exceeding 18

metres height) shall be attached

* Delete whichever is not applicable.

__________________________________________________________________

Page 10: Borang G1-G21

10

UNIFORM BUILDING BY-LAWS 1984

FORM G 10

STAGE CERTIFICATION : MECHANICAL VENTILATION

[by-law 25 or 27]

Project Title: ……………………………………………………………………...

*1. We certify that we have supervised and/or carried out the erection and completion of the mechanical ventilation works and that to the best of our knowledge and belief such works are in accordance with the submitting person’s Endorsed Plans and that we accept full responsibility for the same.

Name (Individual) #Registration No. Signature

(a) Trade ________________ _____________ ____________ contractor +( ) (Date: )

(b) Submitting ________________ _____________ ___________ person (Board of Engineers Malaysia) (Date: ) OR

*2. I certify that this form is not applicable.

_________________________________

(Principal submitting person) + Relevant regulatory body # I.C. No., if there is no relevant body in respect of registration

* Delete whichever is not applicable. _____________________________________________________________________

Page 11: Borang G1-G21

11

UNIFORM BUILDING BY-LAWS 1984

FORM G 11

STAGE CERTIFICATION : LIFT/ESCALATOR INSTALLATION

[by-law 25 or 27]

Project Title: ……………………………………………………………………...

*1. We certify that we have supervised and/or carried out the erection and completion of the lift/escalator installation works and that to the best of our knowledge and belief such works are in accordance with the submitting person’s Endorsed Plans and that we accept full responsibility for the same.

Name (Individual) #Registration No. Signature

(a) Trade ________________ _____________ ____________ contractor +( ) (Date: )

(b) **Submitting ________________ _____________ ____________ Person (Board of Engineers Malaysia) (Date: ) OR

*2. I certify that this form is not applicable.

_____________________________

( Principal submitting person) + Relevant regulatory body # I.C. No., if there is no relevant body in respect of registration ** Certificate of Fitness from the Department of Occupational Safety and Health shall be attached * Delete whichever is not applicable. _____________________________________________________________________

Page 12: Borang G1-G21

12

UNIFORM BUILDING BY-LAWS 1984

FORM G 12

STAGE CERTIFICATION : BUILDING

[by-law 25 or 27]

Project Title: ……………………………………………………………………...

*1. We certify that we have supervised and/or carried out the erection and completion of the building works and that to the best of our knowledge and belief such works are in accordance with the approved plans Ref. No. : ……………………….. and that we accept full responsibility for the same.

Name (Individual) #Registration No. Signature

(a) Contractor ________________ ____________ _________ (Construction Industry (Date: )

Development Board)

(b) Principal ________________ _____________ ___________ submitting (*Board of Architects Malaysia/ (Date: ) person Board of Engineers Malaysia) OR

*2. I certify that this form is not applicable.

_____________________________

(Principal submitting person) # I.C. No., if there is no relevant body in respect of registration * Delete whichever is not applicable.

__________________________________________________________________

Page 13: Borang G1-G21

13

UNIFORM BUILDING BY-LAWS 1984

FORM G 13

STAGE CERTIFICATION : EXTERNAL WATER SUPPLY SYSTEM

[by-law 25 or 27]

Project Title: ……………………………………………………………………...

*1. We certify that we have supervised and/or carried out the erection and completion of the external water supply system and that to the best of our knowledge and belief such works are in accordance with the approved plans Ref. No. : ……………………….. and that we accept full responsibility for the same.

Name (Individual) #Registration No. Signature

(a) Trade ________________ _____________ _________ contractor +( ) (Date: )

(b) **Submitting ________________ _____________ __________ person (Board of Engineers Malaysia) (Date: ) OR

*2. I certify that this form is not applicable.

_____________________________

(Principal submitting person) + Relevant regulatory body # I.C. No., if there is no relevant body in respect of registration ** Letter of Confirmation from the Water Authority that the water supply is ready for connection shall be

attached * Delete whichever is not applicable.

__________________________________________________________________

Page 14: Borang G1-G21

14

UNIFORM BUILDING BY-LAWS 1984

FORM G 14

STAGE CERTIFICATION : SEWERAGE RETICULATION

[by-law 25 or 27]

Project Title: ……………………………………………………………………...

*1. We certify that we have supervised and/or carried out the erection and completion of the sewerage reticulation works and that to the best of our knowledge and belief such works are in accordance with the approved plans Ref. No. : ……………………….. and that we accept full responsibility for the same.

Name (Individual) #Registration No. Signature

(a) Trade ________________ _____________ __________ contractor +( ) (Date: )

(b) **Submitting ________________ _____________ _________ person (Board of Engineers Malaysia) (Date: ) OR

*2. I certify that this form is not applicable.

_____________________________

( Principal submitting person) + Relevant regulatory body # I.C. No., if there is no relevant body in respect of registration ** Letter of Clearance from the* Department of Sewerage Services / Indah Water Consortium shall be attached * Delete whichever is not applicable.

________________________________________________________________

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15

UNIFORM BUILDING BY-LAWS 1984

FORM G 15

STAGE CERTIFICATION : SEWERAGE TREATMENT PLANT

[by-law 25 or 27]

Project Title: ……………………………………………………………………...

*1. We certify that we have supervised and/or carried out the erection and completion of the sewerage treatment plant works and that to the best of our knowledge and belief such works are in accordance with the approved plans Ref. No. : ……………………….. and that we accept full responsibility for the same.

Name (Individual) #Registration No. Signature

(a) Trade ________________ _____________ ________ contractor +( ) (Date: )

(b)**Submitting ________________ _____________ _________ person (Board of Engineers Malaysia) (Date: ) OR

*2. I certify that this form is not applicable.

_____________________________

( Principal submitting person ) + Relevant regulatory body # I.C. No., if there is no relevant body in respect of registration ** Letter of Clearance from the *Department of Sewerage Services /Indah Water Consortium shall be attached * Delete whichever is not applicable.

____________________________________________________________________

Page 16: Borang G1-G21

16

UNIFORM BUILDING BY-LAWS 1984

FORM G 16

STAGE CERTIFICATION : EXTERNAL ELECTRICAL SUPPLY SYSTEM

[by-law 25 or 27]

Project Title: ……………………………………………………………………...

*1. We certify that we have supervised and/or carried out the erection and completion of the external electrical supply system and that to the best of our knowledge and belief such works are in accordance with the approved plans Ref. No. : ……………………….. and that we accept full responsibility for the same.

Name (Individual) #Registration No. Signature

(a) ^Trade ________________ _____________ ___________ contractor (Energy Commission) (Date: ) (Competent person)

(b) **Submitting ________________ _____________ ____________ person (Board of Engineers Malaysia) (Date: ) OR

*2. I certify that this form is not applicable.

_____________________________

( Principal submitting person ) # I.C. No., if there is no relevant body in respect of registration ^ Not applicable if works are carried out by Tenaga Nasional Berhad ** Letter of Confirmation from Tenaga Nasional Berhad that the electrical power supply is ready for connection

shall be attached * Delete whichever is not applicable.

_____________________________________________________________________

Page 17: Borang G1-G21

17

UNIFORM BUILDING BY-LAWS 1984

FORM G 17

STAGE CERTIFICATION : ROAD AND DRAIN

[by-law 25 or 27]

Project Title: ……………………………………………………………………...

*1. We certify that we have supervised and/or carried out the erection and completion of the road and drain works and that to the best of our knowledge and belief such works are in accordance with the *approved plans/Deposited Plans Ref. No. : ……………………….. and that we accept full responsibility for the same.

Name (Individual) #Registration No. Signature

(a) Contractor ________________ _____________ __________ (Construction Industry (Date: )

Development Board)

(b) +Submitting ________________ _____________ __________ person (Board of Engineers Malaysia) (Date: )

OR

*2. I certify that this form is not applicable.

_____________________________

(Principal submitting person)

# I.C. No., if there is no relevant body in respect of registration + Letter of Confirmation from the *relevant local authority/ Public Works Department shall be attached. If the

submitting person does not receive the Letter of Confirmation within 14 days from the date of application, the Letter of Confirmation shall be deemed to have been given.

* Delete whichever is not applicable. ____________________________________________________________________

Page 18: Borang G1-G21

18

UNIFORM BUILDING BY-LAWS 1984

FORM G 18

STAGE CERTIFICATION : STREET LIGHTING

[by-law 25 or 27]

Project Title: ……………………………………………………………………...

*1. We certify that we have supervised and/or carried out the erection and completion of the street lighting works and that to the best of our knowledge and belief such works are in accordance with the *approved plans/Deposited Plans Ref. No. : ……………………….. and that we accept full responsibility for the same.

Name (Individual) #Registration No. Signature

(a) Trade ________________ _____________ _______ contractor (Energy Commission) (Date: ) (Competent person)

(b) *Submitting ________________ _____________ ________ person (Board of Engineers (Date: )

Malaysia)

OR

*2. I certify that this form is not applicable.

___________________________

(Principal submitting person)

# I.C. No., if there is no relevant body in respect of registration * Delete whichever is not applicable. _____________________________________________________________________

Page 19: Borang G1-G21

19

UNIFORM BUILDING BY-LAWS 1984

FORM G 19

STAGE CERTIFICATION : EXTERNAL MAIN DRAIN

[by-law 25 or 27]

Project Title: ……………………………………………………………………...

*1. We certify that we have supervised and/or carried out the erection and completion of the external main drain works and that to the best of our knowledge and belief such works are in accordance with the approved plans Ref. No. : ……………………….. and that we accept full responsibility for the same.

Name (Individual) #Registration No. Signature

(a) Contractor ________________ _____________ _________ (Construction Industry (Date: )

Development Board)

(b) *Submitting ________________ _____________ __________ person (Board of Engineers (Date: )

Malaysia) OR

*2. I certify that this form is not applicable.

_____________________________

(Principal submitting person) # I.C. No., if there is no relevant body in respect of registration * Delete whichever is not applicable. _____________________________________________________________________

Page 20: Borang G1-G21

20

UNIFORM BUILDING BY-LAWS 1984

FORM G 20

STAGE CERTIFICATION : TELECOMMUNICATIONS

[by-law 25 or 27]

Project Title: ……………………………………………………………………...

*1. We certify that we have supervised and/or carried out the erection and completion of the telecommunication works and that to the best of our knowledge and belief such works are in accordance with the *approved plans/Deposited Plans Ref. No. : ……………………….. and that we accept full responsibility for the same.

Name (Individual) #Registration No. Signature

(a) Trade ________________ _____________ __________ contractor +( ) (Date: )

(b)*Submitting ________________ ________________ __________ person (Board of Engineers (Date: )

Malaysia) OR

*2. I certify that this form is not applicable.

_____________________________

( Principal submitting person)

+ Relevant regulatory body # I.C. No., if there is no relevant body in respect of registration * Delete whichever is not applicable. _____________________________________________________________________

Page 21: Borang G1-G21

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UNIFORM BUILDING BY-LAWS 1984

FORM G 21

STAGE CERTIFICATION : LANDSCAPE

[by-law 25 or 27]

Project Title: ……………………………………………………………………...

*1. We certify that we have supervised and/or carried out the construction and completion of the landscape works and that to the best of our knowledge and belief such works are in accordance with the approved plans Ref. No. : ……………………….. and that we accept full responsibility for the same.

Name (Individual) #Registration No. Signature

(a) Trade ________________ _____________ _________ contractor +( ) (Date: )

(b) *Architect/ ________________ _____________ _________ Landscape +( ) (Date: ) Architect OR

*2. I certify that this form is not applicable.

_____________________________

(Principal submitting person ) + Relevant regulatory body # I.C. No., if there is no relevant body in respect of registration * Delete whichever is not applicable. ___________________________________________________________________”.