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REPUBLIC OF THE PHILIPPINES APPENDIX B

OFFICE OF THE CITY/MUNICIPAL MAYOR DO NOT FILL UP (NSO USE ONLY)

CITY/MUNICIPALITY
APPLICATION NO. PERMIT NO.

BUILDING PERMIT
DATE OF APPLICATION DATE ISSUED
ORIGINAL RENEWAL
BOX 1 (TO BE ACCOMPLISHED BY DESIGNING ARCHITECT/CIVIL ENGINEER IN PRINT
OWNER LAST NAME FIRST NAME M.I TAX ACCT. NO.

FOR CONSTRUCTION OWNED FORM OF OWNERSHIP MAIN ECONOMIC ACTIVITY/KIND OF BUSINESS


BY AN ENTERPRISE
ADDRESS TEL NO.

LOCATION OF CONSTRUCTION

SCOPE OF WORK: 1 NEW CONSTRUCTION OTHERS (SPECIFY)


2 ADDITION OF 6 OF
3 REPAIR OF 7 OF
4 RENOVATION OF
5 DEMOLITION OF NUMBER OF UNITS
USE OR TYPE OF OCCUPANCY
RESIDENTIAL INDUSTRIAL
11 SINGLE 31 FACTORY/PLANT
31 FACTORY/PLANT
12 DUPLEX 32 REPAIR SHOP, MACHINE SHOP
13 ROWHOUSE/ACCESSORIA 33 REFINERY
10 OTHERS (SPECIFY) 34 PRINTING PRESS
COMMERCIAL 35 WAREHOUSE
21 BANK 36 OTHERS (SPECIFY)
22 STORE INSTITUTIONAL
23 HOTEL/MOTEL, ETC. 41 SCHOOL
24 OFFICE CONDOMINIUM/BUSINESS,OFFICE BUILDING 42 CHURCH AND OTHER RELIGIOUS STRUCTURES
25 RESTAURANT, ETC. 43 HOSPITAL OR SIMILAR STRUCTURES
26 SHOP (e.g. DRESS SHOP, TAILORING SHOP, BARBER SHOP, ETC.) 44 WELFARE AND CHARITABLE STRUCTURES
27 GASOLINE STATION 45 THEATER, AUDITORIUM, GYMNASIUM, COURT
28 MARKET 46 OTHERS (SPECIFY)
29 DORMITORY OR OTHER LODGING HOUSE AGRICULTURAL
30 OTHERS (SPECIFY) 51 BARN(S) POULTRY HOUSE(S), ETC.
OTHER TYPE OF OCCUPANCY 52 GRAIN MILL
60 SPECIFY 53 OTHERS (SPECIFY)
STREET FURNITURE, LANDSCAPING & SIGNBOARDS
71 PARKS, PLAZAS, MONUMENTS, POOLS, PLANT BOXES, ETC.
72 SIDEWALKS, PROMENADES, TERRACES, LAMPOSTS, ELECTRIC POLES, TELEPHONE POLES, ETC.
73 OUTDOOR ADS, SIGNBOARDS, ETC.
74 FENCE ENCLOSURE
BOX 2 (TO BE ACCOMPLISHED BY THE RECEIVING & RECORDING SECTION
BUILDING DOCUMENTS (FIVE SETS EACH)
SITE DEVELOPMENT AND LOCATION PLAN MECHANICAL PLANS & SPECIFICATIONS
ARCHITECTURAL PLAN & SPECIFICATIONS LOGBOOK (1 COPY)
STRUCTURAL DESIGN & COMPUTATIONS OTHERS (SPECIFY)
SANITARY/PLUMBING PLANS & SPECIFICATIONS
ELECTRICAL PLANS & SPECIFICATIONS
BOX 3 (TO BE ACCOMPLISHED BY THE BUILDING OFFICIAL)
ACTION TAKEN
PERMIT IS HEREBY GRANTED SUBJECT TO THE FOLLOWING CONDITIONS:
1. THAT THE PROPOSED CONSTRUCTION/ADDITION/REPAIR/RENO-
VATION/DEMOLITION/INSTALLATION ETC. SHALL BE IN CONFORMITY WITH
THE NATIONAL BUILDING CODE (P.D. 1096) AND ITS CORRESPONDING
IMPLEMENTING RULES AND REGULATIONS.
2. THAT A DULY LICENSED ARCHITECT/CIVIL ENGINEER HAS BEEN ENGAGED
TO PREPARE PLANS AND SPECIFICATIONS AND TO UNDERTAKE THE
SUPERVISION/INSPECTION OF THE CONSTRUCTION OF THE PROJECT.
3. THAT A CERTIFICATE OF COMPLETION DULY SIGNED AND SEALED BY THE
DESIGNING ARCHITECT/ENGINEER AND THE ARCHITECT/ENGINEER IN-
CHARGE OF CONSTRUCTION SHALL BE SUBMITTED NOT LATER THAN
SEVEN (7) DAYS AFTER COMPLETION OF THE CONSTRUCTION OF THE
PROJECT.
4. THAT A "CERTIFICATE OF OCCUPANCY" SHALL BE SECURED PRIOR TO
ACTUAL OCCUPANCY OF THE BUILDING.
NOTE:
THIS PERMIT MAY BE CANCELLED OR REVOKED PURSUANT TO SECTIONS 305 & 306 OF THE "NATIONAL BUILDING CODE".
To be accomplished in five copies, one each for: applicant(original), Assessor, National Statistics Office, Building Official, Fire Department.
BOX 3A (TO BE ACCOMPLISHED BY DESIGNING ARCHITECT/CIVIL ENGINEER IN PRINT)
TOTAL ESTIMATED COST COST OF NUMBER OF STOREYS____________ DO NOT FILL (NSO USE ONLY)
EQUIPMENT
BUILDING P INSTALLED TOTAL FLOOR AREA _____________
ELECTRICAL P
P _______ PROPOSED DATE
MECHANICAL P OF CONSTRUCTION______________
P _______
PLUMBING P EXPECTED DATE
P _______ OF COMPLETION________________
OTHERS P
MATERIAL OF CONST.____________
TOTAL COST P (WOOD,CONC.,STEEL,MIXED)

BOX 4 (TO BE ACCOMPLISHED BY THE DIVISION/SECTION CONCERNED)


ASSESSED FEES

AMOUNT DUE ASSESSED BY O.R. NUMBER DATE PAID


LAND USE/ZONING
LINE and GRADE
BUILDING
PLUMBING
ELECTRICAL
MECHANICAL
OTHERS REVIEWED:

TOTAL CHIEF PROCESSING DIVISION/SECTION


BOX 5 (TO BE ACCOMPLISHED BY THE DIVISION/SECTION CONCERNED)
PROGRESS FLOW
NOTED: IN OUT ACTION PROCESSED
CHIEF, PROCESSING DIVISION/SECTION TIME DATE TIME DATE REMARKS BY
RECEIVING and RECORDING
LAND USE and ZONING
GEODETIC (LINE and GRADE)
ARCHITECTURAL
STRUCTURAL
SANITARY/PLUMBING
ELECTRICAL
MECHANICAL
WE HEREBY AFFIX OUR HANDS SIGNIFYING OUR CONFORMITY TO THE INFORMATION HEREIN ABOVE SETFORTH.
BOX 6 BOX 8
ARCHITECT/CIVIL ENGINEER PRC REG. NO. SIGNATURE
SIGNED AND SEALED PLANS & SPECIFICATIONS

PRINT NAME
APPLICANT
ADDRESS
COMMUNITY TAX CERT DATE ISSUED PLACE ISSUED
PTR NO.

SIGNATURE:

WITH MY CONSENT
BOX 7 BOX 9 (TO BE ACCOMPLISHED BY LOT OWNER)
ARCHITECT/CIVIL ENGINEER PRC REG. NO. TCT/OCT NO.
SIGNED AND SEALED PLANS & SPECIFICATIONS
PRINT NAME PRINT NAME OF LOT OWNER

ADDRESS ADDRESS

PTR NO. DATE ISSUED PLACE ISSUED COMMUNITY TAX CERT.

SIGNATURE: TAN SIGNATURE:


FORM NO. A - 03
REPUBLIC OF THE PHILIPPINES
City/Municipality of ________________
Province of _________________________________

OFFICE OF THE BUILDING OFFICIAL

ELECTRICAL PERMIT
APPLICATION NO. EP NO. BUILDING PERMIT NO.

BOX 1 (TO BE ACCOMPLISHED IN PRINT BY THE OWNER/APPLICANT)


OWNER/APPLICANT LAST NAME FIRST NAME M.I. TIN

FOR CONSTRUCTION OWNED FORM OF OWNERSHIP USE OR CHARACTER OF OCCUPANCY

BY AN ENTERPRISE
ADDRESS: NO. STREET, BARANGAY, CITY/MUNICIPALITY ZIP CODE TELEPHONE NO.

SCOPE OF WORK
NEW INSTALLATION RECONNECTION OF SERVICE ENTRANCE RELOCATION OF SERVICE ENTRANCE
ANNUAL INSPECTION SEPARATION OF SERVICE ENTRANCE OTHERS (Specify)
TEMPORARY UPGRADING OF SERVICE ENTRANCE

SUMMARY OF ELECTRICAL LOAD/CAPACITIES APPLIED FOR

TOTAL CONNECTED LOAD TOTAL TRANSFORMER CAPACITY TOTAL GENERATOR/UPS CAPACITY


kVA kVA kVA

BOX 2 (TO BE ACCOMPLISHED IN PRINT BY THE DESIGN PROFESSIONAL)


DESIGN PROFESSIONAL, PLANS AND SPECIFICATIONS

Address

Date PRC. No. Validity

PROFESSIONAL ELECTRICAL ENGINEER PTR. No. Date Issued


(Signed and Sealed Over Printed Name)
Issued at TIN

BOX 3
SUPERVISOR / IN-CHARGE OF ELECTRICAL WORKS

PROFESSIONAL ELECTRICAL ENGINEER REGISTERED ENGINEER REGISTERED MASTER ELECTRICIAN

Date
(Signed and Sealed Over Printed Name)

PRC. No. Validity


PTR. No. Date Issued
Issued No. TIN
Address
BOX 4

BUILDING OWNER WITH MY CONSENT: LOT OWNER

Date Date
(Signature Over Printed Name) (Signature Over Printed Name)

Address Address
C.T.C. No. Date Issued Place Issued C.T.C. No. Date Issued Place Issued
TO BE ACCOMPLISHED BY THE PROCESSING & EVALUATION DIVISION

BOX 6
RECEIVED BY RECEIVED BY
FIVE (5) SETS OF ELECTRICAL DOCUMENTS
ELECTRICAL PLANS AND SPECIFICATIONS EXPECTED DATE OF COMPLETION/INSTALLATION/CONSTRUCTION
SPECIAL FIXTURES AND EQUIPMENT
PROPOSED STARTING DATE OF INSTALLATION/CONSTRUCTION OTHERS (Specify)

BOX 7
PROGRESS FLOW
IN OUT PROCESSED BY:

DATE TIME DATE TIME


ELECTRICAL ENGINEER
ELECTRICAL (Signature Over Printed Name)

OTHERS (Specify) PRC Reg. No.: ____________________


Validity: _________________________

BOX 8
ACTION TAKEN

PERMIT IS HEREBY ISSUED SUBJECT TO THE FOLLOWING:

1. That is proposed electrical works shall be in accordance with the electrical plans filled with this Office and in conformity with the
provisions of the latest Philippine Electrical Codes, the National Building Code and its IRR.
2. That prior to any electrical installation, the Owner/Permittee shall submit a duly accomplished prescribed Notice of
Construction to the Office of the Building Official.
3. That for installed electrical capacity of 200 amperes and above 230 volts nominal and above, a specialty electrical contractor
duly licensed by the Philippine Contractors Accreditation Board (PCAB) shall be required.
4. That a duly licensed electrical practitioner shall be in-charge of the installation, and that upon completion of the electrical works,
he shall submit the entry of the logbook duly signed and sealed to the OBO including as-built plans and the other documents. He
shall also accomplish the Certificate of Completion starting that the electrical works conform to the provisions of the Philippine
Electrical Codes, the National Building Code and its IRR.
5. That this permit is null and void unless accomplished by the building permit except for projects involving purely electrical
works in which case only the building permit under of the existing building/structure shall be required.
6. That a Certificate of Final Electrical Inspection (CFEI) shall be secured prior to the actual occupancy of the building.
7. That this permit shall be posted at the door or site of work.

PERMIT ISSUED BY:

_________________________________________
BUILDING OFFICIAL
(Signature Over Printed Name)
Date ______________________________
REPUBLIC OF THE PHILIPPINES
OFFICE OF THE BUILDING OFFICIAL
BATANGAS CITY

APPLICATION NO. DISTRICT / CITY/ MUNICIPALITY PERMIT NO.


AREA CODE _______________

MECHANICAL PERMIT
DATE OF APPLICATION DATE ISSUED

BOX 1 (TO BE ACCOMPLISHED BY PROFESSIONAL MECHANICAL ENGINEER IN PRINT)


NAME OF OWNER/APPLICANT LAST NAME, FIRST NAME M.I. TAX ACCOUNT NO.

ADDRESS NO., STREET, BARANGAY, CITY/MUNICIPALITY TELEPHONE NO.

LOCATION OF INSTALLATION NO., STREET, BARANGAY, CITY/MUNICIPALITY

SCOPE OF WORK
NEW INSTALLATION ADDITION OF BUILDING PERMIT No.
REMOVAL OF
OTHERS (SPECIFY) CERTIFICATE OF OCCUPANCY No.

USE OR TYPE OF OCCUPANCY


RESIDENTIAL AGRICULTURAL
COMMERCIAL LANDSCAPING
INDUSTRIAL OTHERS (SPECIFY)
INSTITUTIONAL
USE OR TYPE OF OCCUPANCY
BOILER CENTRAL AIR-CONDITIONING DUMBWAITER
PRESSURE VESSELS MECHANICAL VENTILATION PUMPS
INTERNAL COMBUSTION ENGINE ESCALATOR COMPRESSED AIR, VACUUM
REFRIGERATION & ICE MAKING MOVING SIDEWALK INSTITUTIONAL and/or INDUSTRIAL
WINDOW TYPE AIRCONDITION FREIGHT ELEVATOR GAS
PACKAGE AIR-CONDITIONING UNIT PASSENGER ELEVATOR PNUEMATIC TUBES, CONVEYORS
and/or MONORAILS
OTHERS (SPECIFY)

PROPOSED DATE EXPECTED DATE


OF INSTALLATION OF COMPLETION

TOTAL INSTALLATION COST PREPARED BY

ACTION TAKEN:

PERMIT IS HEREBY GRANTED TO INSTALL THE MECHANICAL EQUIPMENT


ENUMERATED HEREIN SUBJECT TO THE FOLLOWING CONDITIONS:

1. THAT THE PROPOSED INSTALLATION SHALL BE IN ACCORDANCE WITH


APPROVED PLANS FILED WITH THIS OFFICE AND IN CONFORMITY WITH
THE NATIONAL BUILDING CODE.
2. THAT A DULY LICENSED PROFESSIONAL MECHANICAL ENGINEER, BE
ENGAGED TO UNDERTAKE THE INSTALLATION/CONSTRUCTION.
3. THAT A CERTIFICATE OF COMPLETION DULY SIGNED BY A PROFESSIONAL
MECHANICAL ENGINEER IN CHARGE OF INSTALLATION SHALL BE
SUBMITTED NOT LATER THAN SEVEN (7) DAYS AFTER COMPLETION OF BUILDING OFFICIAL
THE INSTALLATION.
4. THAT A CERTIFICATE OF FINAL INSPECTION AND A CERTIFICATE OF
OCCUPANCY BE SECURED PRIOR TO THE ACTUAL OCCUPANCY OF THE DATE
BUILDING
5. THAT AN ANNUAL CERTIFICATE OF INSPECTION SHALL BE SECURED FOR
THE CONTINUOUS OPERATION OF THE MECHANICAL EQUIPMENT INSTALLED

NOTE:
THIS PERMIT MAY BE CANCELLED OR REVOKED PURSUANT TO SECTION 305&306 OF THE "NATIONAL BUILDING CODE"
BOX 3 (TO BE ACCOMPLISHED BY THE RECEIVING & RECORDING SECTION)

BUILDING DOCUMENTS
(FIVE (5) SETS EACH)

MECHANICAL PLANS & SPECIFICATIONS BILL OF MATERIALS

COST OF ESTIMATES OTHERS (SPECIFY)

BOX 4 (TO BE ACCOMPLISHED BY DIVISION/SECTION CONCERNED)

ASSESSED FEES

AMOUNT DUE ASSESSED BY O.R. NUMBER DATE PAID

MECHANICAL

REVIEWED:

CHIEF, PROCESSING DIV./SEC/


BOX 5 (TO BE ACCOMPLISHED BY DIVISION/SECTION CONCERNED)

PROGRESS FLOW

NOTED: IN OUT

CHIEF, PROCESSING DIVISION/SECTION TIME DATE TIME DATE ACTION/REMARKS PROCESSED BY

RECEIVING AND RECORDING

SANITARY
WE HEREBY AFFIX OUR HANDS SIGNIFYING OUR CONFORMITY TO THE INFORMATION HEREIN ABOVESETFORTH.

BOX 6 BOX 6

PROF. MECH. ENGINEER P.R.C. REG. No. SIGNATURE


SIGNED AND SEALED PLANS & SPECIFICATION

PRINT NAME
APPLICANT
ADDRESS
RES. CERT NO. DATE ISSUED PLACE ISSUED
P.T.R. No. DATE ISSUED PLACE ISSUED

SIGNATURE TIN

BOX 7

PROF. MECH. ENGINEER P.R.C. REG. No.


IN-CHARGE OF INSTALLATION

PRINT NAME

ADDRESS

P.T.R. No. DATE ISSUED PLACE ISSUED

SIGNATURE TIN
REPUBLIC OF THE PHILIPPINES

OFFICE OF THE BUILDING OFFICIAL


BATANGAS CITY

APPLICATION NO. PERMIT NO.

SANITARY/PLUMBING PERMIT
DATE OF APPLICANT DATE ISSUED

BOX 1 (TO BE ACCOMPLISHED BY SANITARY ENGINEERING/MASTER PLUMBER, IN PRINT)


NAME OF OWNER/APPLICANT LAST NAME, FIRST NAME M.I TAX ACCT. NO.

ADDRESS NO., STREET, BARANGAY, CITY/MUNICIPALITY TELEPHONE NO.

LOCATION OF INSTALLATION NO., STREET, BARANGAY, CITY/MUNICIPALITY

SCOPE OF WORK
NEW INSTALLATION ADDITION OF OTHERS (SPECIFY)
REPAIR OF OF
REMOVAL OF OF

USE OR TYPE OF OCCUPANCY


RESIDENTIAL AGRICULTURAL
COMMERCIAL PARKS, PLAZA, MONUMENTS
INDUSTRIAL RECREATIONAL
INSTITUTIONAL OTHERS(SPECIFY)
FIXTURES TO BE INSTALLED
NEW EXISTING KIND OF NEW EXISTING KIND OF
QTY. FIXTURES FIXTURES FIXTURES QTY. FIXTURES
FIXTURES FIXTURES
WATER CLOSET BIDETTE
FLOOR DRAIN LAUNDRY TRAYS
LAVATORIES DENTAL CUSPIDOR
KITCHEN SINK GAS HEATER
FAUCET ELECTRIC HEATER
SHOWER HEAD WATER BOILER
WATER METER DRINKING FOUNTAIN
GREASE TRAP BAR SINK
BATH TUBS SODA FOUNTAIN SINK
SLOP SINK LABORATORY SINK
URINAL STERILIZER
AIR CONDITIONING UNIT SWIMMING POOL
WATER TANK/RESERVIOR OTHERS(SPECIFY)
TOTAL TOTAL
WATER DISTRIBUTION SYSTEM SANITARY SEWER SYSTEM STORM DRAINAGE SYSYTEM
WATER SUPPLY: SYSTEM OF DISPOSAL
SHALLOW WELL WASTE WATER TREAT PLANT SURFACE DRAINAGE
DEEP WELL& PUMP SET SEPTIC VAUL/IMHOFF TANK STREET CANAL
CITY/MUNICIPAL WATER SYSTEM SANITARY SEWER CONNECTION WATER COURSE
OTHERS SUB-SURFACE SAND FILTER

NUMBER OF STOREYS OF BUILDING TOTAL AREA OF BUILDING/SUBDIVISION


SQ. M.
PROPOSED DATE
START OF INSTALLATION TOTAL COST
EXPECTED DATE OF INSTALLATION P
OF COMPLETION PREPARED BY:

BOX 2 (TO BE ACCOMPLISHED BY BUILDING OFFICIAL)


ACTION TAKEN
PERMIT IS HEREBY GRANTED TO INSTALL THE SANITARY/PLUMBING FIXTURE
ENUMERATED HEREIN SUBJECT TO THE FOLLOWING CONDITIONS:

1. THAT THE PROPOSED INSTALLATION SHALL BE IN ACCORDANCE WITH


APPROVED PLANS FILED WITH THIS OFFICE AND IN CONFORMITY WITH
THE NATIONAL BUILDING CODE.
2. THAT A DULY LICENSED SANITARY ENGINEER, MASTER PLUMBER BE
ENGAGED TO UNDERTAKE THE INSTALLATION/CONSTRUCTION.
3. THAT A CERTIFICATE OF COMPLETION DULY SIGNED BY A SANITARY BUILDING OFFICIAL
ENGINEER/MASTER PLUMBER IN CHARGE OF INSTALLATION SHALL BE
SUBMITTED NOT LATER THAN SEVEN (7) DAYS AFTER COMPLETION OF
THE INSTALLATION. DATE
4. THAT A CERTIFICATE OF FINAL INSPECTION AND A CERTIFICATE OF
OCCUPANCY BE SECURED PRIOR TO THE ACTUAL OCCUPANCY OF THE
BUILDING

NOTE:
THIS PERMIT MAY BE CANCELLED OR REVOKED PURSUANT TO SECTION 305&306 OF THE "NATIONAL BUILDING CODE"
BOX 3 (TO BE ACCOMPLISHED BY THE RECEIVING & RECORDING SECTION)

BUILDING DOCUMENTS
SANITARY PLUMBING PLANS & SPECIFICATIONS COST ESTIMATES

BILL OF MATERIALS OTHERS (SPECIFY)

BOX 4 (TO BE ACCOMPLISHED BY DIVISION/SECTION CONCERNED)

ASSESSED FEES

AMOUNT DUE ASSESSED BY O.R. NUMBER DATE PAID

BOX 5 (TO BE ACCOMPLISHED BY DIVISION/SECTION CONCERNED)

PROGRESS FLOW

NOTED: IN OUT
CHIEF, PROCESSING DIVISION/SECTION TIME DATE TIME DATE ACTION/REMARKS PROCESSED BY

RECEIVING AND RECORDING

SANITARY

WE HEREBY AFFIX OUR HANDS SIGNIFYING OUR CONFORMITY TO THE INFORMATION HEREIN ABOVESETFORTH.

BOX 6 BOX 6

SANITARY ENGINEER/MASTER PLUMBER P.R.C. REG. No. SIGNATURE


SIGNED AND SEALED PLANS & SPECIFICATION
PRINT NAME
APPLICANT
ADDRESS
RES. CERT NO. DATE ISSUED PLACE ISSUED
P.T.R. No. DATE ISSUED PLACE ISSUED

SIGNATURE TIN

BOX 7

SANITARY ENGINEER/MASTER PLUMBER P.R.C. REG. No.


IN-CHARGE OF INSTALLATION

PRINT NAME

ADDRESS

P.T.R. No. DATE ISSUED PLACE ISSUED

SIGNATURE TIN