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    10 views8 pages

    Fire Prevention Forms PDF

    Uploaded by

    Lhennedy Sabugal Tamaray

    Copyright:

    © All Rights Reserved
    Download as PDF or read online from Scribd
    Flag for inappropriate content
    of 8
    Republic of the Philippines Department of interior and Local Government BUREAU OF FIRE PROTECTION (Region) (OistrictProvincial Office) (STATION) (Station Address) Number: (Pre-Numbered) FIRE SAFETY EVALUATION CLEARANCE Date TO WHOM IT MAY CONCERN: By virtue of the provisions of RA 95 4othenwise known as the Fire Code of the Philippines of 2008 the application for FIRE SAFETY EVALUATION CLEARANCE for the. (Wame of Buiding/Siructare/Faciity) to be ~—constructedirenovated/elteredimodifiedichange of-—=«=soccupancy located» at owned by (Adress) (Name of Owner/Representative) is hereby granted FIRE SAFETY EVALUATION CLEARANCE after said building plans and other documents have been duly evaluated with the recommendations in the Fire Safety Checklist (FSC) be adopted in compliance with the requirements of the Fire Code of the Philippines of 2008 (RA 9514) and its Implementing Rules and Regulations. ‘This clearance is issued on condition that afl Fre Code provisions now adopted, or shall thereafter be adopted, shall continue to be complied with untii competion of construction. Violation of Fire Code provisions shal ipso facto cause this clearance null and void, and shall hold the ‘owner of the building liable to the penatties provided for by the said Fire Code (RA 9514), Fire Code Fees: RECOMMEND APPROVAL: ‘Amount Paid ‘OR. Number: Oate: CHIEF, FSES APPROVED: CITYIMUNICIPAL FIRE MARSHAL NOTE: This Clearance is acoompanied by Fire Safely Checklist and does not take the place of any license required by law and is not transferable. Any change or alteration in the design and specification during construction shail require a new clearance. “FIRE SAFETY IS OUR MAIN CONCERN” | Original (AppcanvOwners copy) Duplicate (BOIBPLO copy) Triplicate (BFP copy) Republic of the Philippines Department of Interior and Local Government BUREAU OF FIRE PROTECTION (Region) (District/Provincial Office) (STATION) (Station Address) Number: (Pre-Numbered) FIRE SAFETY INSPECTION CERTIFICATE Date ‘TO WHOM IT MAY CONCERN: By virtue of the provisions of RA 9574 otherwise known as the Fire Code of the Philippines of 2008 the application for FIRE SAFETY INSPECTION CERTIFICATE of, (Name of Establishment) ‘owned and managed by with postal address at ‘(Name of OuneriRepresentative) - fs hereby granted this FIRE SAFETY INSPECTION CERTIFICATE afer said building or occupancy has been duly inspected for fire safety with the finding that it has ‘Substantially complied with the fre safety and protection requirements of the Fire Code of the Philippines of 2008 ‘and its implementing Rules and Regulations. ‘This certificate is issued on condition that all Fire Code provisions now adopled, or shail thereafter be adopted, shall continue to be complied with, This certification is valid for (State if for application of Occupancy Permit or Business Permit) Violation of Fire Code provisions shail ipso facto cause this certificate null and void, and shall hold the ‘owner of the building liable to the penatties proviced for by the said Fire Code. Fire Code Fees ‘Amount Paid: RECOMMEND APPROVAL: ‘OR. Number: Date: CHIEF, FSES APPROVED: CITYIMUNICIPAL FIRE MARSHAL NOTE: This Certificate does not take the place of any license required by law and is nol transferable. Any change in the use of occupancy of the premises shel require @ new certificate. “FIRE SAFETY IS OUR MAIN CONCERN” | Original (AppicentOwner’s copy) | Duplicate (BOIBPLO copy) | Treat (FP copy) _| BFP FLOWCHART FOR FIRE SAFETY INSPECTION CERTIFICATE (FSIC) FOR OCCUPANCY PERMIT /BUSINESS PERMIT Tonnay’ | “snow mre ACTIVITIES panctrerwtd | cusromen | rats | smesastry | ome, curur | rime Feame| oy | eee | eaamon | asseson | PRESARTY | 8% | can T Scare FIC Ropiaton Form whe nt aes af vapvenes fee Cores Raabe secneane | often) TSubmitdalyaccmpNihed opleaon erm wit complete remirements tothe | (a A.check application and requirements and ted St | ae Sniuel nae eaae ual AMner eee eaee a ere rm Apptaton trcrm 2. ses Fee Code Fees (FC) and hse Order of Payment (0P) to the appcent fees ts} fd rata apaton ith complete tine Mae eeuments oO T WaT ore whens of Ordeal Payment (08) ) 4 Pay FF to Government Serdcing Bank |g Da Callec FoF and Machine Vaated eee | Tes ap Phase OR : scot | dnc nm ‘5. Present Machine Validated OP/OR as basis. ¥ frauen of atm Stab rs + 3 cord the I Applian Yo Togbook : ae OW, Payment Dat of CF, hove im fens Stub and endove to GS, — TRecelve Applicaton and RetTeve SEC and Dating Pens th we Safety Cheaot, (Fsq) or latter Inspection Report le (AR), the eve maybe from the Loca rewctin | Tat) Br Recs and stat the appaton ‘sign TS Wespece/s end” Prepare inspection Onder (0) (te__) Ly 5. Approve/ Sign 10 61 oe, Record and Raawe 10 To oolened FS Tien 5) ae af fine Tone Fra Satay apecion (Ny Twa Prevoe_ and Submit ter hapeton ion epor(a taste | Recive and Falta AR ond Suppor Docent date te faut fRecommendaon/Acton the AIR and - vate Sign oo alfi2% 1 98 apstion of inal Aton nthe AR mene 10rrepare vee _@) copies of = a a Flere bsed on the Fa con ve ttthean > 1 sign x /aTepaTer

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