Application For Modification/Waiver of Fire Safety Requirements (Section 27 of The Fire Safety Act (CHAPTER 109A) )
Application For Modification/Waiver of Fire Safety Requirements (Section 27 of The Fire Safety Act (CHAPTER 109A) )
Instructions
1. When submission of plan is done by a Qualified Person, it is advisable to have
this application form completed, digitally signed and submitted by the Qualified
Person as the applicant.
2. For particulars of the waiver items, the applicant should state with regard to
the modification/waiver sought, why he considers the endorsement of the
provisions of the requirements unreasonable relative to the circumstances
of the case.
Particulars Of Project
Project Reference Number* A1631-00096-2015
Particulars Of Application
Full Proposal Title* PROPOSED ADDITIONS AND ALTERATIONS TO
Note: This ‘ Full Proposal Title’ will
EXISTING UNITS AT LEVEL 2, 3, 4, 5, 6, 7, 12, 13,
be reflected as ‘Proposal’ title in 14, 17, AND 18 INNOVIS BUILDING ON LOT
the Waiver Decision Letter issued 04506N MK03, AT NO 2 FUSIONOPOLIS WAY
by SCDF subsequently.
SINGAPORE 138634.
FSSD BP or
ME Plan Ref No (if Any)
State whether
Pre-submission
Consultation Ref No: Yes No
PREVIOUS-WAIVER CASE
REF NO (IF ANY) Yes No
a) connected to
the fire alarm
system
c) provided with
break glass
5. Visitors who
arrives to the
STAFF
LOUNGE/LOBBY
are through
appointments only
and accompanied
by APPLE staff at
all time.
7. In time of
emergency , the
visitors will guided
by APPLE staffs to
the EXIT protected
staircases.
8. In addition
Client has agreed
to installed
INTERCOM
system within the
STAFF
LOUNGE/LOBBY
AREA similar
clause 2.3.9(k)(3).
This is in the
cases when the
secured doors
does not open.
Add Delete
Payment Mode
Total Plan Fee Payable $ 160.00
Indicate payment mode:-
For Giro, please ensure that there are sufficient funds in your bank account. We will
deduct the application fees from your bank account through GIRO within 7 working days.
When payment is successful, a receipt will be given. Please do not make another
payment through the SCDF e-services.
Please note that payment is to be made at the customer service centre at HQSCDF
Cash Card/Credit
Card/NETS/EZ-Link
NOTE: Kindly make payment within 4 weeks from the date of the acknowledgement letter otherwise your
application shall be rejected by the system.
Applications will be processed only after full payment has been made.
NRIC No / Passport No NA
Designation
UEN
Telephone No.
Extension No.
Fax No.
Registration No 1631
UEN
Extension No