NBC FORME NO. A-03 Republic of the Philippines Department of Public Works & Highways City of Mandaluyong Metro Manila ENGINEERING AND BUILDING OFFICIAL DEPARTMENT ELECTRICAL PERMIT APPLICATION NO. EP No. BUILDING PERMIT NO, BOX (TO BE ACCOMPLISHED IN PRINT BY THE OWNER/APPLICANT) COMNERAESLGANT TASTNANE "PRSTHANE wT FOR CONSTRUCTION OANED FORIOF OWNERSAE SE OR CHARACTER OF GOCUPANGT BY AV ENTERERISE WOORESS NO, STREET, BARANGAY, ‘cAYAMUNIIPRLTY ZPCODE | TELEPHONENO LOCATION OF CONSTRUCTION: — LOTWO.____———BLKNO._—_ ToTNO. TAXDECNO STREET, BARANGAY CITYINNIIPRLITY oF ‘SCOPE OF WORK sew nstavanon D1 reconecTon oF service eiTRANCE {1 reLocamow oF SERVICE ENTRANCE Ey ust. mseec0n 1D separation oF service enrmance Di otves isc 1 weorry Di uporioine oF seevice eTRANCE SUMMARY OF ELECTRICAL LOADSICAPAGITIES APPLIED FOR TOTALCONNECTEDLOAD TOTAL TRANSFORNER CAPACITY ‘TOTAL GENERATORIUPS CAPACITY wa ea wa EOX2 (TO BE ACCOMPLISHED IN PRINT BY THE DESIGN PROFESSIONAL) DDESIGN PROFESSIONAL, PLANS AND SPECIFICATIONS aires aay FRG Ne Veiaiy ‘PROFESSIONAL ELECTRICAL ENGINEER. PTR Neo ate ved (Signed ar Seale Over Pred Nae) Tevet ™ BOKS SUPERVISOR /IN-GHARGE OF ELECTRICAL WORKS 1 PROFESSIONAL ELECTRICAL ENGINEER C7 ReoisteRen ELECTRICAL ENGINEER (C1 REGISTERED MASTER ELECTRICIAN Dae (Tied ai Sal Cer Para a) PRONE Vai TR. No Date lsied Issued at TW ass BOX4 BOXS: ‘BUILDING OWNER WITH MY CONSENT: LOT OWNER ate Bijatre Ove Ftied Waray Giana Ove Pra aay oy ies crete Dae aed Po esed CT.Ne, ase as Pace ed‘TO BE ACCOMPLISHED BY THE PROCESSING & EVALUATION DIVISION 0x6 rep cea OFFICAL REGEPTNO. DATEPAD. DATE ISSUED BOX7 % RECENED BY OE Me FIVE (5) SETS OF ELECTRICAL DOCUMENTS 1 SLecTRCAL PLANS 0 SPOICATIONS 11 piccre ante oF courLeTIoNWSTALATIONGONSTRUCTIN srecu Forrunes AND EQUPMENT a 11. prorosen sta OATE OF NSTALLATIONCONSTRUCIION a Boxe PROGRESS FLOW w out SALADS REVERED LEONE Bae] TNE ae ELECTRICAL OTHERS (ped ——— Coe) ELECTRICAL NGPECTOR | ENGR. RONALDO R CERRUDO {Gorm Onrhiecnann) | Chl let Dvsion BOX ACTION TAKEN: PERMIT IS HEREBY ISSUED SUBJECT TO THE FOLLOWING: 4, That the proposed electrical works shall be in accordance with the electrical plans filed with this Ofice and in conformity with the provisions of the latest Phlipine Electrical Codes, the National Building Code and its IRR. 2. That prior to any elecical installation, the Owner'Permittee shall submit a duly accomplished prescribed Notice of onstruction to the Office of the Building Offical. 3, That for installed electrical capacity of 200 amperes and above at 230 volts nominal and above, a specialty elecrical contractor duly licensed by the Philippine Contractors Accreditation Board (PCAB) shall be required. 4. That a duly censed electrical precitioner shal be in-charge of the instalation, and that upon completion ofthe electrical works, he shall submit the entry of the logbook duly signed and sealed to the OBO including as-built plans and other documents. He shall also accomplish the Certificate of Completion stating that the electrical works conform to the provisions ofthe Philippine Electrical Codes, the National Buiding Code and its IRR. 5, That tis permit is null and void unless accompanied by the buliding permit except for projects involving purely electrical works in which case only the building permit number ofthe existing bulding/structure shall be required. 6. That a Certificate of Final Electrical Inspection (CFE!) shall be secured prior lo the actual occupancy of the building. 7. That this permit shal be posted at the door or ste of work. PERMIT ISSUED BY: ENGR. CRISANTO W. ROXAS City Government Dept. Head I Date.