SuSD.1.F.014 Rev. 00, 22 Feb. 2010 OFFICE OF THE BUILDING OFFICIAL CERTIFICATE OF COMPLETIO: (Blectronics Works) ‘The Building Official: ‘This is to certify that the electronics installations/works of the building covered by the Electronics Permit No. Issued on ___ has been completed in accordance with the approved pians and specifications on file with the Office of the Building Official and the "National Building Code" (P.D. 1096). That the said installations/ works is ready for final inspection. Namie of Owner: Project Title: (as stated in plang) Address of Owner: Location of Construction: Use/Type of Occupancy: Date of Start of Construction: Date of Actual Completion: ‘Total Number of Outlets and Equipment Installed: Detectors: Servers: ‘Telecomm Outlets: DDC: Speakers: ‘Access Controls COTY, Audio-Visual Systems: Digital Signages Data Service KB Others (specify) ae Signing Engineers must seal this cortification. In-Charge of the Construction: Designer: ( must be Prof. Electronics Engr.) "The same PECE who signed the Electronics Permit Application (Printed Namie & Signature of ECE or ECT) (Printed Name and Sigaatare) PIR No. PIR No. Date lssued Date Issued PRC Reg. No PRC Reg, No, Date Issued Date Issued TIN. Adaresss PIR No. Address IECEP No. IECEPN CONFORME: If construction is uneditaken by contract: (Piste Nowe ad Signatur of Owner] Applicant Pred Name mel Signature of Ovnes/ Appa) Designation)