Application Schedule 1: Designer Information (City of Toronto Building Permit Application) Instructions

Enter the full printed name of the person certifying the designer declaration.

Enter the date the person signed or certified this declaration.

Enter the full printed name of the person making this declaration.

Check this box when you are declaring that you review and take responsibility for the design work on behalf of a firm that is registered under subsection 3.2.4 of Division C of the Building Code, and that you are qualified and the firm is registered in the appropriate classes/categories.

Enter the individual's Building Code Identification Number (BCIN) for the designer who is taking responsibility on behalf of the registered firm. Fill only if 'Declaration Option 1 (Firm Registered) — I review and take responsibility for the design work on behalf of a firm' is 'Yes'.

Enter the registered firm's Building Code Identification Number (BCIN) corresponding to the firm on whose behalf the designer is declaring responsibility. Fill only if 'Declaration Option 1 (Firm Registered) — I review and take responsibility for the design work on behalf of a firm' is 'Yes'.

Enter the individual BCIN (Building Code Identification Number) of the other designer taking responsibility for the design work. Fill only if 'Check Box1' is 'Yes'.

Provide the reason or legal basis explaining why this designer is exempt from registration (brief explanatory text). Fill only if 'Check Box1' is 'Yes'.

Check this box if you review and take responsibility for the design and are qualified in the appropriate category as an "other designer" under subsection 3.2.5 of Division C of the Building Code.

Enter the specific basis, reason or exemption code that explains why the design work is exempt from the Building Code registration and qualification requirements. Fill only if 'Check Box2' is 'Yes'.

Check this box when the design work is exempt from the registration and qualification requirements of the Building Code and you will provide the basis for the exemption in the space provided.

Provide a clear, concise description of the design work the named designer will perform for this project, including scope, tasks, systems or components designed, and any relevant limits or qualifications.

Check this box if the designer will undertake design activities for a house.

Check this box if the designer will provide HVAC (heating, ventilation, air conditioning) design for a house.

Check this box if the designer will perform structural design for the building.

Check this box if the designer will undertake design activities for small buildings.

Check this box if the designer will provide building services design (e.g., mechanical, electrical, plumbing systems) for the project.

Check this box if the designer will provide plumbing design for a house.

Check this box if the designer will undertake design activities for large buildings.

Check this box if the designer will provide design for detection systems, lighting, and power.

Check this box if the designer will provide plumbing design for all building types covered by the application.

Check this box if the designer will undertake design activities for complex buildings.

Check this box if the designer will provide fire protection system design.

Check this box if the designer will design on-site sewage systems (e.g., septic systems).

Enter the street number portion of the designer's mailing address (include any letters or unit prefixes as applicable).

Enter the street name for the designer's mailing address.

Enter the unit, suite or apartment number for the mailing address, if applicable; leave blank if none.

Enter the lot or concession identifier for the property, if applicable.

Enter the municipality, city or town for the designer's mailing address.

Enter the province or state for the designer's mailing address.

Enter the postal code or ZIP code for the designer's mailing address.

Enter the designer's given (first) name as it should appear on the application.

Enter the designer's family (last) name or surname as it should appear on the application.

Enter the full name of the firm or company the designer represents.

Enter the designer's primary telephone number for contact, including country and area code and extension if applicable.

Enter the designer's mobile (cell) phone number for direct contact, including country and area code if applicable.

Enter the designer's e-mail address used for project correspondence.

Enter the designer's fax number for document transmission, including country and area code if applicable.

Enter the property's street or building number as it appears in the address.

Enter the full name of the street for the property location (e.g., Main St, Queen Ave).

Enter the unit, apartment or suite number for the property if applicable, or leave blank if none.

Enter the lot or concession identifier associated with the property, if applicable.

Enter the name of the city, town or municipality where the property is located.

Enter the property's postal code.

Enter the plan number or other descriptive reference that identifies the property (e.g., registered plan or legal description).