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NATIONAL BUILDING REGULATIONS AND

BUILDING STANDARDS ACT, 1977 (Act No. 103 of 1977)

DECLARATION BY PERSON RESPONSIBLE FOR PREPARING AN

FORM 1 APPLICATION FOR APPROVAL OF THE ERECTION OF THE
BUILDING IN TERMS OF SECTION 4 OF THE ACT
(To be completed and submitted for all applications prepared in accordance with the provisions of Regulation A2)

To: . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . (Name of Local Authority)

Erf/Holding/Portion No.: . . . . . . . .
Township/Agricultural Holding/Farm name: . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .
Street address: . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . ... . . . . . .
...............................................................
Nature of project: . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .
(Insert proposed new building(s), or building alteration, building addition, re-erection of building, refurbishment
or building or structural repair to existing building, as relevant.)

SECTION 1: DECLARATION BY OWNER

I / We . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . (Name of owner)
of . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .
. . . . . . . .. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . (Address)
Tel. No.: . . . . . . . . . . . . . . . . . .

hereby confirm that I / We have appointed

............................................................................
(Name of person registered in a professional category of registration in terms of the one of the councils for the
professions identified in the Council for the Built Environment Act, 2000 (Act No. 43 of 2000))

Registration number: . . . . . . . . . . . . . . . . . . . . . . . .

Category of registration: . . . . . . . . . . . . . . . . . . . . . . . . . . . . .
(Insert Professional Architect / Professional Senior Architectural Technologist /Professional Architectural
Technologist / Professional Architectural Draughtsperson / Professional Engineer, etc.)

to declare in terms of Regulation A2(1)(g) how the applicable functional regulations are to be satisfied,
and I / we understand and accept that the onus is on me / us to:-

i) inform the above-named professional when the work is due to start on site and if any changes are
made as to how the functional regulations are to be satisfied or any changes in the appointment of
competent persons are made before the completion of the building; and

ii) extend the above appointment to meet the requirements of Regulations A19(8) and A19(9) where
applicable.

Signature of owner . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . Date: . . . . . . . . . . . . . . . .

SECTION 2: DECLARATION BY APPOINTED PROFESSIONAL PERSON
I, . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . (Name)

Address . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .

. . . . . . . .. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .

Tel. No.: . . . . . . . . . . . . . . . . . . . . . . . . . . . Fax. No.: . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .

Email: . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .

of . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .
(If representing a partnership, association, company or incorporated body, the name thereof)

accept the appointment made in section 1 and declare to the best of my knowledge that the functional
regulations are to be satisfied as set out in Schedule A, with the assistance of the competent persons,
if any, named in Schedule B, and undertake to update this schedule whenever a change in approach
to satisfying these regulations arises.

I confirm the following:

a) Occupancy / Building Classification……………….. (See Regulation A20)

b) Site sensitivity level

b
Tick the row
a which best
Classification
describes
project
Low sensitivity site
A site that is neither identified as, nor exhibits, any evidence of
environmental or heritage significance and does not require Environmental
Impact Assessment (EIA), Heritage Impact Assessment (HIA) or Social
Impact Assessment (SIA) studies to be undertaken before development.
Low sensitivity sites are normally, but not exclusively, within already
developed urban areas.
Medium sensitivity site
A site which exhibits some evidence of environmental or heritage
significance for which EIA, HIA or SIA studies are not required by the
government agencies involved.
High sensitivity site
A site identified as of special environmental or heritage significance and
which will require EIA, HIA or SIA studies to be undertaken to define the
parameters for development, for example, declared protected areas and
urban conservation areas.
a
The inherent importance of the site in environmental or heritage terms, as defined by the
National Heritage Resources Act, 1999 (Act No. 25 of 1999), the National Environmental
Management Act, 1998 (Act No. 107 of 1998) and the Local Government: Municipal Systems
Act, 2000 (Act No. 32 of 2000).
b
Tick one row only
Signature of professional person . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . Date: . . . . . . . . . . . . . .

Registration number: . . . . . . . . . . . . . . . . . . . . . . . .

Category of registration: . . . . . . . . . . . . . . . . . . . .
(Insert Professional Architect/Professional Senior Architectural Technologist/Professional Architectural
Technologist/Professional Architectural Draughtsperson/Professional Engineer, etc.)
SCHEDULE A: MEANS BY WHICH REGULATION AZ4 IS TO BE SATISFIED
Occupancy/Building classification . . . . . . . . . (see Regulation A20)

1 2 3 4 5
Applicability to Means of satisfying requirements of functional regulations
application (tick relevant boxes in columns 4 or 5)
(tick column 2 or 3)
Deemed to satisfy requirements contained in the relevant parts Regulation
Regulation Yes No
of SANS 10400 AZ4(1)(b)(ii)
B: Structural The structural system of the building
design
complies with the requirements of parts H, J, K, L, M or N of
SANS 10400, or in the case of timber buildings with the
requirements of SANS 10082
is the subject of a rational design or a rational assessment
is the subject of an Agrément certificate;
or
The following competent persons are to be appointed:

competent person (structures) to design and inspect the

structures
competent person (civil engineering) to design and
inspect the services in dolomite land
competent person (dolomite land) to categorize dolomite
land
C: The dimensions of any room or space are in accordance
Dimensions with the detailed requirements of SANS 10400C
D: Public A change in level, the design of ramps and driveways, or
safety access to swimming pools and swimming baths is in
accordance with the detailed requirements of
SANS10400-D
F: Site The provision of sanitary facilities is in accordance with the
operations detailed requirements of SANS 10400-D
G: The excavation relating to a building
Excavations
is less than 3,0 m deep and is in accordance with the
detailed requirements of SANS 10400-G
is the subject of a rational design or a rational assessment
(or both)
H: A geotechnical investigation in accordance with the rules
Foundations
is to be carried out
has been carried out and is available for use
The foundations for the building are in accordance with

SANS 10400-B
the detailed requirements of SANS 10400-H
The foundations to the extension / addition to an existing
building are the same as the existing which have performed
satisfactorily
The following competent persons are to be appointed:

competent person (civil engineering) in respect of deep

footings, soil rafts, compaction of in-situ soil or sub-surface
drainage
competent person (geotechnical) in respect of
geotechnical solutions or soil improvements that are
required
 1 2 3 4 5
Applicability to application Means of satisfying requirements of functional regulations
(tick column 2 or 3) (tick relevant boxes in columns 4 or 5)
Deemed to satisfy requirements contained in the relevant Regulation
Regulation Yes No
parts of SANS 10400 AZ4(1)(b)(ii)
J: Floors Floors in any laundry, kitchen, shower room, bathroom
or room containing a toilet pan or urinal are in
accordance with the detailed requirements of SANS
10400-J
Suspended floors are in accordance with

the requirements of SANS 10400-B and SANS 10400-T

the requirements of SANS 10082
the detailed requirements of SANS 10400-J
Slabs supported on the ground are in accordance with:

SANS 10400-B
SANS 10400-H
the detailed requirements of SANS 10400-J
or a competent person (civil engineer) is to be appointed
in respect of the slabs or fills
K: Walls The structural strength and stability of a wall is in accordance
with
SANS 10400-B and SANS 10400-T
the detailed requirements of SANS 10400-K
The roof fixing is in accordance with

SANS 10400-B
the detailed requirements of SANS 10400-K
The water penetration through a wall is in accordance
with the detailed requirements of SANS 10400-K
L: Roofs Roof coverings and waterproofing systems are in
accordance with the detailed requirements of SANS
10400-L
Flat roofs or related gutters are

in accordance with the detailed requirements of SANS

10400-L; or
the subject of a rational design or rational assessment
(or both)
The roof assembly and any ceiling assembly, in addition to
complying with the requirements of SANS 10400-C, are

in accordance with the requirements of the detailed

requirements of SANS 10400-L and the roof assembly
is supported on walls that comply with the requirements
of SANS 10400-K
in accordance with SANS 10400-B and SANS 10400-L
Gutters and down pipes, if any, are sized in accordance
with the requirements of SANS 10400-R
The fire resistance and combustibility of the roof assembly or
any ceiling assembly are in accordance with

the detailed requirements of SANS 10400-L

SANS 10400-T
 1 2 3 4 5
Applicability to application Means of satisfying requirements of functional regulations
(tick column 2 or 3) (tick relevant boxes in columns 4 or 5)
Deemed to satisfy requirements contained in the relevant parts of Regulation
Regulation Yes No
SANS 10400 AZ4(1)(b)(ii)
M: Stairways Stairways are in accordance with

SANS 10400-B and SANS 10400-T

the detailed requirements of SANS 10400-M
Walls, screens, railings or balustrades to such stairway are in
accordance with the requirements of

SANS 10400-B and SANS 10400-T

SANS 10400-K and SANS 10400-T
N: Glazing The type and fixing of glazing is in accordance with

SANS 10400-B
the detailed requirements of SANS 10400-N
The selection of the glazing is in accordance with the rules
O: Lighting and The lighting in a habitable room, bathroom, shower room and
ventilation room containing a toilet pan complies with the requirements
of SANS 10400-T and the detailed requirements of SANS
10400-O
The ventilation is in accordance with the requirements of SANS 10400-T
and

is in accordance with the detailed requirements of SANS 10400-

O
is the subject of a rational design
P: Drainage The design of the drainage system is

in accordance with the detailed requirements of SANS 10400-P

the subject of a rational design or rational assessment (or both)
the subject of an Agrément certificate
Q: Non-water- The means of sewage disposal where water-borne sewerage
borne means of disposal is not available
sanitary
disposal is in accordance with the detailed requirements of SANS 10400-Q
is the subject of a rational design or rational assessment
is the subject of an Agrément certificate
comprises pail closets which are emptied by or on behalf of a
local authority.
R: Storm water The means for the control and disposal of storm water is
disposal
in accordance with the detailed requirements of SANS 10400-R
the subject of a rational design
The means for the control and disposal of storm water in
interconnected complexes is the subject of a rational design
S: People with The means for providing facilities for people with disabilities is in
disabilities accordance

with the detailed requirements of SANS 10400-S

the subject of a rational design
T: Fire The fire protection measures provided are in accordance with
protection
the detailed requirements of SANS 10400-T
the subject of a rational design or rational assessment
V: Space The provision of space heating is in accordance with the rules
heating
W: Fire The fire installations comply with the rules
installation The supply of water is in accordance with

the detailed requirements of SANS 10400-W

the subject of a rational design
 2 3 4 5
Applicability to application Means of satisfying requirements of functional regulations
(tick column 2 or 3) (tick relevant boxes in columns 4 or 5)
Deemed to satisfy requirements contained in the relevant parts of Regulation
Regulation Yes No
SANS 10400 AZ4(1)(b)(ii)
XA: Energy The design of the building envelope is in accordance with
Efficiency
The detailed requirements of SANS10400 XA
or
is the subject of a rational design
SCHEDULE B: APPROVED COMPETENT PERSON APPOINTMENTS

(Attach duly completed Form 2 to this Form. Schedule B is to be completed before plan approval.)

1 2 3
Category of
competent Nature of duties Name of person
person
Competent person registered as a professional architect or professional engineer
Competent Duty 1: Demonstrating compliance with the
person requirements of the National Building Regulations in
terms of Regulation AZ4(1)(b)(ii)
Competent person satisfying the definitions provided in SANS 10400 in relation to the duties
that are to be performed in terms of a specific part of SANS 10400
Competent Duty 2: Rational design and rational assessment of
person (built flat roofs and related gutters
environment)
Competent Duty 3: Design and inspection of services in
person (civil dolomite land in terms of SANS 10400-B
engineering) Duty 4: Specify and inspect, as relevant, deep
footings, soil rafts, compaction of in-situ soil or sub-
surface drains in terms of SANS 10400-H
Duty 5: Design and inspect slabs and fills in terms
of SANS 10400-J
Duty 6: Rational design of control and disposal of
storm water in terms of SANS 10400-R or
Regulation R(3)
Duty 7: Rational design of control and disposal of
storm water in interconnected complexes in terms of
SANS 10400-R
Competent Duty 8: Categorization of dolomite land in terms of
person (dolomite SANS 10400-B or Regulation F3
land)
Competent Duty 9: Rational design or assessment of
person excavations in terms of SANS 10400-G or
(engineering Regulation G1(3)
geology) or
Competent
person (civil
engineering)
Competent Duty 10: Rational design or rational assessment of
person (fire fire protection system in terms of SANS 10400-P or
protection) Regulation T1(2)
Competent Duty 11: Undertake geotechnical investigation in
person accordance with the requirements of SANS 10400-H
(geotechnical) or Regulation F3
Duty 12: Design and inspect geotechnical solutions
or soil improvement in terms of SANS 10400-H
Competent Duty 13: Rational design of ventilation system in
person terms of SANS 10400-O and Regulation O4
(mechanical
engineer)
Competent Duty 14: Rational design or rational assessment of
person drainage system in terms of SANS 10400-P or
(sanitation) Regulation P2(2
Duty 15: Rational design or rational assessment of
sewage disposal in terms of SANS 10400-Q or
Regulation Q3
 1 2 3
Category of
Nature of duties Name of person
competent person
Competent person Duty 16: Rational design or rational assessment of
(structures) structural system in terms of SANS 10400-B taking
account of parts H, J, K, L, M, N of SANS 10400 or
Regulations A(1)(3) and A23(4)
Duty 17: Rational design of roof in terms of parts B and L
of SANS 10400 where the foundations, floors and walls
are in accordance with the rules provided in parts H, J and
K of SANS 10400
Competent person Duty 18: Rational design of supply of water to fire
(wet services) installations in terms of SANS 10400-W or Regulation W4.
Competent person not satisfying the definitions provided in SANS 10400 in relation to the duties that are
to be performed in terms of a specific part of SANS 10400*

* Insert data in columns 1 to 3, state duty number and attach more pages, if necessary.