Nac FoRUND.A-1 Republic of the Philippines City of Legazpi Province of Albay OFFICE OF THE BUILDING OFFICIAL ARCHITECTURAL PERMIT APPLICATION NO. AP NO. BUILDING PERMIT NO. [ Ty I BOX 1 (TO BE ACCOMPLISHED IN PRINT BY THE OWNERIAPPLICANT) OWNERIAPPLICANT LAST NAME FIRST NANE TN ML FOR CONSTRUCTION OWNED | FORM OF OWNERSHP USE OR CHARACTER OF OCCUPANCY BY AN ENTERPRISE, ‘ADDRESS NO. ‘STREET BARANGAY —_CITYIMUNICIPALITY ZIP] TELEPHONE NO. | cove |_| LOCATION OF CONSTRUCTION: LOTNO. BLK NO. TCT NO. TAXDEC. NO. STREET BARANGAY CCITYIMUNICIPALITY OF. ‘SCOPE OF WORK oO NEW RENOVATION. 3 RAISING. ‘CONSTRUCTION CONVERSION ACCESSORY BUILDINGISTRUCTURE ERECTION REPAIR OTHER (specify) @ ADDITION @ MOVING a @_ALTERATION BOX 2 (TO BE ACCOMPLISHED BY THE DESIGN PROFESSIONAL) ARCHITECTURAL FACILITIES AND OTHER FEATURES PURSUANT TO BATAS PAMBANSA BILANG 344, REQUIRING CERTAIN BUILDINGS, INSTITUTIONS, ESTABLISHMENTS AND PUBLIC UTILITIES TO INSTALL FACILITIES AND OTHER DEVICES, a STARS WASH ROOM AND a SWITCHES, DRINKING FOUNTANS =| |o WaALKWays TOLETS CONTROLS, BUZZERS PUBLIC TELEPHONES. @ CORRIDORS a UIFTIELEVATORS HANDRAILS SEATING ACCOMODATIONS DOORS, a RAMPS @ THRESHOLDS OTHERS (Secty_ ENTRANCES & PARKING AREAS a FLOOR FINISHES THRESHOLDS 2. PERCENTAGE OF SITE OCCUPANCY 3. CONFORMANCE TO FIRE CODE OF THE PHILIPPINES (P.. 1185) PERCENTAGE OF BUILDING FOOTPRINT a NUNBER AND WIDTH OF EXIT FIREWALLS % DOORS FIRE FIGHTING AND SAFETY PERCENTAGE OF IMPERVIOUS SURFACE AREA | a WIDTH OF CORRIDORS FACILITIES % DISTANCE TO FIRE EXIT SMOKE DETECTORS PERCENTAGE OF UNPAVED SURFACE AREA ‘ACCESS TO PUBLIC STREET EMERGENCY LIGHTS % OTHERS (Specity) OTHERS (Speciy) BOK3 BOX4 DESIGN PROFESSIONAL, PLANS AND SPECIFICATIONS. 'SUPERVISOR /IN-CHARGE OF ARCHITECTURAL WORKS ] | ee Date | "ARCHITECT ARCHITECT (Signed and Sealed Over Printed Name) (Signed and Sealed Over Printed Name) Ades ‘adress = PRC No. Valty PRC No. wate TAPOA Na OR No: Date Tsved TAPOANo. OR No Date issued