Republic of the Philippines

Quezon City
DEPARTMENT OF THE BUILDING OFFICIAL

CERTIFICATE OF COMPLETION
(ELECTRICAL WORKS)

This is to certify that the electrical installation/works of the building covered by Building Permit No. __________
issued on _____________ has been completed in accordance with the approved plans and specifications on file with the
Department of the Building Official in accordance with Philippine Electrical Code Provisions, the National Building Code
(P.D. 1096) and its implementing rules and regulations, and that the said installation/works is ready for final inspection.

NAME OF OWNER:
PROJECT TITLE:
LOCATION OF CONSTRUCTION:

USE OR CHARACTER OF OCCUPANCY:

TOTAL LOAD CONNECTED: KVA.
TOTAL TRANSFORMER CAPACITY: KVA.
TOTAL GENERATOR/UPS CAPACITY: KVA.
TYPE OF INSTALLATION: TEMPORARY NEW REMODEL/ALTERATION
SEPARATION OF METER OTHERS (SPECIFY): _____________________________
TYPE/S OF WIRING: OPEN WIRING CONDUIT CABLE ARMORED CABLE
RACEWAY OTHERS (SPECIFY): _____________________________
VOLTAGE: PHASE:
NO. & SIZE OF WIRE/PHASE:
SIZE OF GROUNDING WIRE:
RATING OF MAIN CIRCUIT BREAKER:
NO. OF METER/S: NO. OF SUB METER/S:

CONFORME:

Affiant (PEE/REE/RME) Owner / Applicant

PRC NO. or Authorized Representative
(Print Name and Signed Above)
PTR NO.
Issued on:
Issued at
TIN

SUBSCRIBED AND SWORN to before me this ________ day of _________________20_______

at________________, with the affiants exhibiting to me their respective identification cards above stated as proof of their
personal identities.

Doc. No. __________

Book No. __________
Page No. __________
Series No. __________
Notary Public