SuSD.1.F.

007
Rev.02, 31 July 2019

Page 1 of 2

PHILIPPINE ECONOMIC ZONE AUTHORITY

OFFICE OF THE BUILDING OFFICIAL (OBO)

PEZA Enterprise :
Location / Zone :
Application Type : Mechanical Permit (MP) Mechanical Permit-to-Operate (MPTO)
Project Title :
Contractor : ` PCAB Lic.#: Category:

MECHANICAL DATA SHEET

CAPACITY / RATING
QUANTITY EQUIPMENT DESCRIPTION
Numeric Unit Numeric Unit
A. Refrigerating, Air Conditioning and Ventilating Systems TR BTU per hr
Industrial Refrigerating Unit Industrial Cold Storage Chiller TR BTU per hr
Industrial Refrigerating Unit Industrial Cold Storage Chiller TR BTU per hr
Air-Cooled, Water-Cooled, Centralized Aircon or Chiller TR BTU per hr
Air-Cooled, Water-Cooled, Centralized Aircon or Chiller TR BTU per hr
Air-Cooled, Water-Cooled, Centralized Aircon or Chiller TR BTU per hr
Split Type Packaged Type, Air Conditioning Unit TR BTU per hr
Split Type Packaged Type, Air Conditioning Unit TR BTU per hr
Split Type Packaged Type, Air Conditioning Unit TR BTU per hr
Split Type Packaged Type, Air Conditioning Unit TR BTU per hr
Split Type Packaged Type, Air Conditioning Unit TR BTU per hr
Split Type Packaged Type, Air Conditioning Unit TR BTU per hr
Split Type Packaged Type, Air Conditioning Unit TR BTU per hr
Split Type Packaged Type, Air Conditioning Unit TR BTU per hr
2.5 Hp Window Type Room Aircon 2.0 Hp Window Type Room Aircon HP BTU per hr
1.5 Hp Window Type Room Aircon 1.0 Hp or below Window Type AC HP BTU per hr
Mechanical Ventilation, Fans or Blowers such as the following: KW CFM
Room Exhaust Process Exhaust Utility Exhaust KW CFM
Room Exhaust Process Exhaust Utility Exhaust KW CFM
Room Supply Process Supply Utility Supply KW CFM
Room Supply Process Supply Utility Supply KW CFM
B. Escalators, Moving Walks and Funiculars Length, meter KW
Escalator Moving Walk Funicular Length, meter KW
Escalator Moving Walk Funicular Length, meter KW
C. Elevators, Lifts and Motor-Driven Dumbwaiters Kg. capacity Stops / Floors
Passenger Freight Car Elevator Dumbwaiter Kg. capacity Stops / Floors
Passenger Freight Construction Dumbwaiter Kg. capacity Stops / Floors
Boiler Heating
D. Boilers KW Surface Area
Boiler Heating
Fire-Tube Boiler Water-Tube Boiler Hot Water Boiler KW Surface Area
Boiler Heating
Fire-Tube Boiler Water-Tube Boiler Hot Water Boiler KW Surface Area
E. Pressure Vessels cubic meter psi gauge
Air N2 O2 CO2 H2 Ar Fire Protection Tank cubic meter psi gauge
Air LPG Ammonia Alcohol Chemical Water 15 psig cubic meter psi gauge
Air LPG Bulk Gas/Fuel Processing Other, 15 psig up cubic meter psi gauge
F. Pressurized Water Heater psi degree C

PME Designer: Noted by the enterprise owner/applicant:

Name, Signature and Official Seal of Professional Mechanical Engineer (PME) Name and Signature of Owner or Representative
PRC Reg. No.:__________ Valid Until:_______________ T.I.N._______________________
PTR No.:_______________ Issued on:_______________ Issued at:____________________ Designation
 SuSD.1.F.007
Rev.02, 31 July 2019

Page 2 of 2

CAPACITY / RATING
QUANTITY EQUIPMENT DESCRIPTION
Numeric Unit Numeric Unit
G. Pumps KW GPM
Fire Pump Jockey Water Fuel Sewage Pump KW GPM
Fire Pump Jockey Water Fuel Sewage Pump KW GPM
Chemicals Sump Oil Vacuum Submersible Pump KW GPM
H. Automatic Fire Sprinkler System (i.e. Water, Foamwater & Clean Agent Gases) psi Location or Floor
Sprinkler Head Foam-Water Clean Agent Sprinkler psi Location or Floor
Sprinkler Head Deluge Sprinkler Clean Agent Nozzle psi Location or Floor
I. Power Plant, i.e. Internal Combustion Engine (I.C.E.), Turbine, Solar, etc. KW Make & Model
Diesel I.C.E. Solar Hydro or Wind Steam/Gas Turbine KW Make & Model
Diesel I.C.E. Solar Hydro or Wind Steam/Gas Turbine KW Make & Model
J. Other Internal Combustion Engines or Heavy Equipment not registered with LTO KW Make & Model
Forklift Pump Compressor Crane Cement Mixer KW Make & Model
Loader Grader Bulldozer Hauler Reach Stacker KW Make & Model
Backhoe Paver Compactor Pipelayer Pile Diver KW Make & Model
K. Power Piping for Steam, Gases, Air, Water, Oil, etc. Length, meter Diameter
Steam Gases Air Oil Fuel Ind.Water Other_____ Length, meter Diameter
Steam Gases Air Oil Fuel Ind.Water Other_____ Length, meter Diameter
L Outlets for Compressed Air, Vacuum, Gases, etc. psi Diameter
Air N2 O2 CO2 H2 Ar Mix Gases Vacuum psi Diameter
Air N2 O2 CO2 H2 Ar Other____ Other____ psi Diameter
M. Pneumatic Tubes, Conveyors, Monorails, Air Ducts and the like Length, meter Width or Dia.
Pneumatic Tube Conveyor Crane Rail Monorail Other Length, meter Width or Dia.
Process Duct AC Duct Vent. Duct Air Duct Other Length, meter Width or Dia.
N. Gas/Fuel Meters with Proved/Tested and Calibrated Pressure Gauges Gas used Width or Dia.
O. Weighing Scale Structure Kg. capacity Width & Length
P. Other Facilities/Utilities Equipment not elsewhere specified KW Kg.Gross Wt.
P.1. KW Kg.Gross Wt.
P.2. KW Kg.Gross Wt.
P.3. KW Kg.Gross Wt.
P.4. KW Kg.Gross Wt.
P.5. KW Kg.Gross Wt.
P.6. KW Kg.Gross Wt.
P.7. KW Kg.Gross Wt.
P.8. KW Kg.Gross Wt.
P.9. KW Kg.Gross Wt.
P.10. KW Kg.Gross Wt.
Q. Other Production/Manufacturing Equipment not elsewhere specified KW Kg.Gross Wt.
Q.1. KW Kg.Gross Wt.
Q.2. KW Kg.Gross Wt.
Q.3. KW Kg.Gross Wt.
Q.4. KW Kg.Gross Wt.
Q.5. KW Kg.Gross Wt.
Q.6. KW Kg.Gross Wt.
Q.7. KW Kg.Gross Wt.
Q.8. KW Kg.Gross Wt.
Q.9. KW Kg.Gross Wt.
Q.10. KW Kg.Gross Wt.

Prepared by: Noted by the enterprise owner/applicant:

Name, Signature and Official Seal of Professional Mechanical Engineer (PME) Name and Signature of Owner or Representative
PRC Reg. No.:__________ Valid Until:_______________ T.I.N._______________________
PTR No.:_______________ Issued on:_______________ Issued at:____________________ Designation

IMPORTANT REMINDERS:
1. All mechanical equipment to be installed/operated on must be listed in these sheets, add similar sheets if necessary.
2. All pages must be signed and sealed by a Professional Mechanical Engineer (PME).
3. Incomplete requirements will not be received by this office and would delay the processing of permit application.