NBC Form No.

B - 14
Republic of the Philippines
City/Municipality of _____________________
Submitted the following as required Province of __________________________________

Date Submitted
Office of the Building Official
Certificate of Completion As-built plans/Specifications
Daily construction works logbook (Specify) _________________________
Certificate of Use
A Certificate of Completion submitted by _____________________________ No.
(Name) Fee Paid
a duly licensed ___________________________________ hired by the owner who
(Professional) Official Receipt No.
undertook the full time inspection and supervision of construction Date Paid
works in accordance with Section 308, Chapter 3 of the National
Building Code (PD 1096), and that the construction/erection of sign Date Issued
structure is in order.
This Certificate of Use is issued/granted pursuant to Section 309 of the National
Verified and complied as to the following requirements Building Code (PD 1096).

Owner/Lessee
Locational/Zoning Line and Grade Architectural Name of Project
of land Use (Geodetic)
Use or Character of Occupancy

Civil/Structural Mechanical
Located/Erected at/along
Electrical

The owner/lessee shall properly maintain the building/sign structure to enhance

Sanitary Plumbing Electronics
architectural well-being, structural stability, electrical, mechanical, sanitation, plumbing,
electronics, interior design and fire-protective properties and shall not be occupied or used
Interior Design Accessibility Fire Safety
for purposes other than its intended use as stated above.
No change in existing character of occupancy classification of a building/sign structure
Others (Specify)
or portion thereof shall be made until the building official has issued a Certificate of Use
therefor as provided in the National Building Code (PD 1096).
The construction/erection of the building/sign structure covered
The building/sign structure shall be subject annual inspection and issuance of a
by Building Permit No.___________________Sign Permit No. ___________________
Certificate of Use for a period of one (1) year from the date of issuance of said certificate
issued on__________________________has been found to be substantially
and yearly thereafter.
complied and therefore the “Certificate of Use” is hereby
A certified copy hereof shall be posted within the premises of the building/structure and
recommended for issuance. shall not be removed without authority from the building official

Chief Chief Building Official

Inspection and Enforcement Division Processing and Evaluation Division (Signature Over Printed Name)
(Signature Over Printed Name) (Signature Over Printed Name) Date______________________
Date______________________ Date______________________