Approval Services Unit

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Construction Management Plan

Pro-Forma –

Commercial Properties

Please complete the enclosed form and return

to:-

By Mail:

Approval Services Unit

City of Perth

Council

House

27 St

Georges

Terrace

PERTH WA 6839

Or:

GPO Box C120, Perth WA 6839

In Person: To the Customer Service Centre

located on the Ground Floor of

Council House, 27 St Georges

Terrace, Perth

For Assistance: Further information is available

from the Building Section on

9461

3355

City of Perth Council House 27 St George's Terrace PERTH WA 6000 Facsimile: (08) 9461 3082

Email:info.city@cityofperth.wa.gov.au Current July 2010

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Construction Management Plan – Pro Forma for

Commercial Properties

Company Details

Organisation/Company/Name and Address

Contact Person

Applicant Contact Details

Business Phone No:

Mobile

E-Mail

Fax No.

Building Licence Application No:

Site Details

Address:

Site Contact Person:

PLEASE NOTE - IMPORTANT

INFORMATION: -

The Local Government Act and the City

of Perth Local Laws do not permit

obstructions, materials, the erection of

any structures or hoardings on

footpaths, road reserve, City Parks and

Reserves; or any interference with or

alteration to any fittings or facilities

located thereon; unless the approval of

the City is first obtained. In this regard,

applicants seeking the City’s approval

for any activities in the road reserve,

associated with a construction site, are

required to submit a Construction

Management Plan.

The builder is requested to instruct truck

drivers making deliveries to site to avoid

routes which involve roundabouts or

other obstructions to minimise damage

to the road reserve and associated

infrastructure.

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Please complete the following information – If more space is required, additional sheets may be attached. (Provide drawings or sketches where required - refer to attached typical example – relevant application forms can be found on the City of Perth website at www.perth.wa.gov.au)

Office Use Only

Road or Footpath Closures:-

(Assessment by Technical Officer)

Will the footpath, road, laneway or verge be obstructed by workmen, materials, trucks, cranes or the like, for any period during the works?

Yes No

If yes, an application is required for a road/footpath obstruction permit.

Office Use Only

Pedestrian and Vehicular Access:-

Subject to the satisfaction of the City,

adequate measures shall be taken by the

applicant to maintain pedestrian and vehicular

access to the road reserve and to ensure the

City’s facilities are safeguarded.

Office Use Only

Storage of Materials and Equipment

On-Site:–

Will any materials be stored off site? If yes you will need to apply to the City for a hoarding and/or gantry licence.

Yes No

Indicate on a site plan where materials are to be stored and extent of any hoardings, gantries or scaffolding.

Office Use Only

Provisions for Parking:-.

Provide details of parking arrangements for worksite personal. Note: any illegal parking on verges, footpaths or in restricted areas will incur a penalty.

Provide details of parking arrangements.

Office Use Only

Workzones:-.

Is it anticipated that parking bays or other areas in the road reserve will be required for the exclusive use of the worksite during the construction?

Yes No

If yes, an application is required for a Workzone Permit.

Office Use Only

Conditions of Footpath and Road

Reserve:-.

The builder is responsible for the condition of the road reserve, including footpaths, kerbs, stormwater grates and landscaping, during the works. A works bond deposit fee must be paid on application for a building licence. The applicant will be responsible for any costs relating to reinstatement of the footpath and road reserve. The deposit fee is an estimate only and actual costs will be charged. Once the works bond has been paid contact the City’s Construction Supervisor (on 0417 978 682), prior to the works commencing, if you consider that a pre works inspection of the existing condition of the road reserve needs to be recorded for future reference at completion of the works.

If the City is not notified it will be assumed that the footpath and road reserve are in an acceptable condition for the purposes of refund of works bond.

Office Use Only

Dewatering:-.

Is it proposed to dewater the site?

Yes No

If yes, a site assessment and investigation is required to determine whether or not Acid Sulfate Soils (ASS) are present. Details of the investigation will need to be attached along with the application for disposal of ground water. Where ASS is present appropriate management measures will need to be approved by the City and the Department of Environmental Protection Water and Rivers Commission.

NOTE: Ground water table monitoring will be required for all major de-watering operations.

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Office Use Only

Tower Crane

(

Assessment by Technical Officer)

Is it proposed to use a tower crane on site Yes No

If yes, the builder must notify the Civil Aviation Safety Authority (CASA) and comply with their requirements in relation to crane lighting.

CASA Contact

Aerodrome Inspector

Telephone: (08) 9366 2871 Fax: (08) 9366 2810 Email: bill.deuchar@casa.gov.au

CASA contacted (www.casa.gov.au) Yes No

Office Use Only

Wash down Areas for Trucks:-.

(Assessment by Environmental Health Officer)

Where will excess concrete or other materials be washed down out of delivery trucks? Has a place been allocated on site?

Yes No

It is NOT permissible to wash down into the stormwater system. Provide details of wash down area in space provided below.

Office Use Only

Storage & Disposal of Rubbish:-

How is rubbish and waste to be contained on site and removed from site?

Note:- Allowing litter, sand and other materials to

spread from the site is an offence. Provide

details on the site plan.

Office Use Only

Control of Sand and Dust;-

What methods are proposed to control the drift of sand and dust from the site?

Provide details of proposed methods for controlling sand & dust.

Office Use Only

Noise Management:-

Work out of Hours

Is it anticipated that there will be any requirement to work outside the permitted work hours of 7am, or to 7pm Monday to Saturday?

Yes No

Day Time Works

Notwithstanding the requirement for a Noise Management Plan (NMP) to address after hours work, large scale demolition and construction projects/sites are also required to submit a NMP for works conducted during the hours of 7am to 7pm. A NMP should be provided for demolition work and for potentially noisy building construction activities such as piling, compacting and concrete pouring processes.

Is it anticipated that construction noise may cause nuisance or disturbance to any noise sensitive premises in the close proximity to the development?

Yes No

If yes to either questions, a Noise Management Plan will need to be submitted to the Council for approval at least seven (7) days prior to the construction work commencing.

Please refer to the attached Information Sheet on Noise Management Plans

Details of works hours and noise management

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Office Use Only

Access to site:-

(Assessment by Planning Section)

Will access to site be required through any other properties , ROW’s or reserves or will any other properties be used for storage of materials or other associated construction uses?

Yes No

If yes provide details and written authorisation from the affected parties and other landowners. ROW’s shall be kept clear of any obstructions and be maintained trafficable at all times. If the property does not already have an adequate cross over then a temporary crossover will need to be constructed to the City’s specification. An application is required for approval of a temporary crossover.

Details of access to site: - Indicate access on site plan & attach written authorisation from affected property owners.

Office Use Only

Signs on hoardings, scaffolding

workstructures:-

(Assessment by Planning Section)

Is it proposed to display any signs, other than OH&S signs or the builder’s site board, on the street frontages or within view of public areas?

Yes No

If yes provide details of any proposed signs which exceed 1m² in area and will be in position for longer than 3 months.

Some signs may require a separate planning application for approval.

Underpinning and Ground

Office Use Only

Anchors:-

(Assessment by Building Section)

Is there going to be a need to underpin or insert ground anchors under adjacent buildings or under the road reserve.

Provide details and written consent of the neighbours for approval.

Show details of underpinning on attached sketch and include written consent from adjoining owners.

Office Use Only

Vibrations and Dilapidation Survey:-

(Assessment by Building Section)

Will any building operations or earthworks involve the use of equipment that could possibly cause damage by vibration or settlement to the property of an adjoining owner?

Yes No

So that any damage arising from the works can be clearly identified the City requires the builder to arrange for a dilapidation survey to be conducted on all adjacent buildings which may be deleteriously affected by the works.

Details of any equipment, which may cause excessive vibrations. Attach dilapidation surveys.

APPLICATION FOR PERMITS AND

OTHER APPROVALS

The Construction Management Plan is a

requirement of Planning and Building

approval BUT DOES NOT NEGATE the

requirement for separate applications and

approvals for such items as:-



Road and footpath closures

/obstructions;

 Workzones;

 Gantry and hoardings;

 Worksbond

inspection

request;

 Use of parking bays;

 Disposal of water from dewatering

operations;

 Noise Management Plan;

 Signs.

INDEMNIFICATION

Upon submission of the Construction Management Plan, the applicant undertakes to hold the City of Perth indemnified against all claims which may be made against them for damages or otherwise, in respect of any loss, damage, death or injury caused by, or in the course of or arising out of the use of the road reserve and the property of the City of Perth, during all periods when the reserves are in use.

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PLEASE ATTACH SITE PLAN AND INDICATE THE FOLLOWING:-

 Where materials will be unloaded;  Where materials will be stored;  Location of waste disposal bins;  Location of materials hoist;

 Location of any required workzones etc;  Location of concrete mixer;

 Location of any hoarding or gantry’s;  Location of scaffolding;

 Location of crossovers or other access points;  Wash down areas for trucks;

 Parking arrangements for worksite personal movement;

 Provision for pedestrian;

 Parking for concrete and delivery trucks.

DECLARATION

I have read and understood the above information and I accept responsibility for ensuring compliance with the Local Laws, Statutes and conditions pertaining to use of the Road Reserve and City Property on behalf of the afore named organisation.

Name (Please print name)

Organisation (Please print name)

Signature and Date

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