REPUBLIC OF THF PHILIPPINES APPENDIX B DEPARTMENT OF PUBLIC WORKS AND HIGHWAYS OFFICE OF THE: a SING TOSTINORA rareDO NOT SI-PAINRQUREDNIN) x0 a 320 024%) UF na Fares | 00 _ nagnory— eal eekly) | es — Cate RY en 0) ued pgp | ie-t7 24a APBLIGA aor roenee cert or PEBMIENGES | a = ick j3 MUTI al BE HIE toto a | Tt “oda enewat—— 0 bi ms (EO BY HESIGHINE AiTCHnECT/CWICENEINEER wr eT OWNER) tt Ff ASE NAME IH = f = ct ro ime cd feel neh nd mek nmnd ' afen|a i | FO} ‘CONSTAUCTION a PSY ACCENTERPRISE | | —| Pan Ser st Lt 5 pewouit l [HUMBER OF UNITSE USE OF TYPE OF OCCUPANCY ———h dere iOS TRIAL 11 SINGLE so FAGTORYIPU 12. pueLex ERE on aca son 13 ROWHOU SOrREFINERY, BosaacnoNaiea 30. OTHERS (SPECIFY) 34 PRINTING PRE’ F-cowenciat--—— — ASWAREHOUSE DSBANRORS | UIGITOR ‘SO OTHERS (SPECI 22 STORE| zune a AGL state, ee al 24 OFFICE CONDOWINIUM/BUSMIESS OFFICE BUILDING 42 CHURCH AND OTHER RELIGIOUS STRUCTURE -25-RESTAURANT EFC “43° HOSPITAL OR SIMMILARSTRUCTURES 26 SHOP (2.9. ORESS SHOF 44 WELFARE, \BLE STRUCTURES... ZT-SRSOLINE STATION" 45-THeaTER.auororiuul jonas 28 MARKET, 8 .heRS rec 25" OORMTORY OW OTHER LODqiNG HOUSE 20 “OTHERS {SFECIFY “oTHER————t- 60 SPECIFY. F STREET FURAITURE, EEE TSGRETTS .74_ PARKS, PLAZAS, MONUMENT, POOLS, PLANT-BOKES, E7G-—-— 72 SIDEWALKS JPROMENADES, TERRACES, LAMPOSTS, ELECTRIO 7 73 OUTDOOR ADS- SIGNBQARI os, FIs: 74 FENCE ENCLOSURE“ oe [80x {TO NE ACCOMPLISHED BY THE RECEIVING & RECORDING SECTION BUILDING DOCUMENTS: (FIVE SETS | SEG SITE DEVELOPMENT AND LOCATION PLAN ARCHITECTURAL PLAN & SPECIFICATIONS STRUCTURAL DESIGN & COMPUTATIONS SANITARY/PLOMBING'PLANS & SPECIFICAT "ELECTRICAL PLANS-3 SPECIFICATIONS HSE ACOMESHEY FY THE BLN FFE) "ACTION TAKEN: PERMIT IS HEREBY GRANTED TO THE roluowe CONDITIONS: 4. THAT THE PROPOSED CONSTRUCTION/ADDITION/REPAIR/REPAIR/RENOVATION BULDING CODE afEa ANTE CORMESRONDIG TUMENETIVGRULESAND iL i iN |_ BUILDING CODE (20.9086) ANDATSCORRESEONDING (MPLEMEN 2. THAT ADULY LIGENSED ARCHITECT/CIVIL ENGINEER HAS 6 PLANS AND SPECIFICATIONS AND TO UNDE SUPERVISE | ~OF THE CONSTRUCTION OF THE $3. THATA CERTIFICATE OF COMPLETION DULY SIGNED AND seit ty THEDESIGNING -ARGHITECHENGINEER-AND-FHE-ANCHITEC/ENGINEER W-GHARGE OFCOM. ‘STRUCTION SHALL BE SUBMITTED NOT LATER ah EVEN) (7) DAYS; AFTER GouPl T10W OF THe CONSTRUCTION OF THE PROJECT | THAT A"CERTIFICATE OF OCCUPANCY” SHALL BE SECURED:PR! ea |ACTUF gah OF me Bun LOGBOOK (1 coPY) OTHERS (SPECIFY econ: poms & SPECIFICATIONS avn This PERMIT MAY B CANGELLED OR REVOKED PURSUIT iat TIONS: 0b 4308 Ty {._OF THE NATIONAL BUILOING CODE: i ‘Tobe accomplished in five copies, one each for, applicant (original), Assessor, i ‘Staistics Office, Building Oficial, Fre Department,‘BOX 3A (TC BE ACCOMPLISHED BY DESIGNING ARCHITECT/CIVIL ENGINEER IN PRINT) TOTAL ESTIMATE COST cost oF EQUIPMENT INSTALLED BUILDING ‘TOTAL FLOOR AREA. ELECTRICAL P PROPOSED DATE (OF CONSTRUCTION MECHANICAL P. PLUMBING P. EXPECTED DATE OF COMPLETION, OTHERS -____ TOTAL COST P. NUMBER OF STOREYS. 'DONOT FILL (NSO USE ONLY) ‘MATERIAL cogT const__| (WOOD, CONC., STEEL, MIXED) ‘BOX 4 (FO BE ACCOMPLISHED BY THE DIVISION/SECTION CONCERNED) ASSESSED FEES ‘AMOUNT DUE _[ ASSESSED BY | 0.A. NUMBER DATE PAID, LAND USE/ZONING LINE AND GRADE BUILDING PLUMBING ELECTRICAL | es ese MECHANICAL OTHERS TOTAL, REVIEWED BY: CHIEF, PROCESSING DIVISION/SECTION ‘BOX 5 (70 BE ACCOMPLISHED BY THE DIVISIOW/SECTION CONCERNED) PROGRESS FLOW NOTED: Ww our aciow | pRocesseo CHIEF, PROCESSING DIVISIONVSECTION TIME DATE TIME DATE REMARKS By RECEIVING and RECORDING LAND USE AND ZONING (GEODETIC (LINE and GRADE) ‘ARCHITECTURAL STRUCTURAL SANITARY/PLUMBING ELECTRICAL MECHANICAL BOX 6 ‘WE HEREBY AFFIX OUR HANDS SIGNIFYING OUR CONFORMITY TO THE INFORMATION HEREIN ABOVE SETFORTH, BOX "ARCHITECT/OIVIL ENGINEER SIGNED AND SEALED PLANS/SPECIFICATIONS PRINT NAME [PRC REG. NO. “ADDRESS PIANO, SIGNATURE ‘SIGNATURE ‘APPLICANT DATE ISSUED (COMMUNITY TAX CERT. | PLACE ISSUED BOx7 WITH MAY CONSENT. SOX9 (TOBE ACCOMPLIBNED RY LOT OWNER) "ARCHITECT/CIVIL ENGINEER IN-CHARGE OF CONSTRUCTION PRINT NAME, PRC REG. NO. TCT/OCT NO. T [arn tse : “ "ADDRESS “ADDRESS a PIANO, DATE ISSUED | PLACE ISSUED ‘COMMUNITY TAX CERT. ‘SIGNATURE TW | ‘SIGNATURE