NBCFORM NO.

E - 06 Republic of the Philippines

City/Municipality of _____________________
Certificate of Annual Province of __________________________________
Electrical Inspection
OFFICE OF THE BUILDING OFFICIAL
Name of Owner/Lessee

Certificate of Annual
Located at/along
Electrical Inspection
Use or Character of Occupancy Group
No.
Fee Paid
A certificate was submitted by _________________________________________ Official Receipt No.
(Name) Date Paid
a duly licensed (): ( ) professional electrical engineer/ ( ) registered
electrical engineer/ ( ) registered master electrician hired by the Date Issued
owner who undertook the electrical inspection and that the
This Certificate of Annual Electrical Inspection is issued/granted pursuant to
installation is in order.
pertinent provision of the latest Philippine Electrical Code, the National Building Code and its
PRC License No.__________, Issued____________ with validity_____________
Date Date Implementing rules and Regulations.
Verified as to the following
Total connected Load______________________________________________kVA Name of Owner/Lessee______________________________________________________________________
Total Transformer capacity________________________________________kVA
Located at/along ___________________________________________________________________________
Total Generator/UPS Capacity____________________________________kVA
Voltage:________________________ Phase__________________________________ Total connected Load ____________________________________________________________ kVA
Service entrance/Grounding Wire_____________________________________
Total Transformer capacity ______________________________________________________ kVA
Total Generator/UPS Capacity __________________________________________________ kVA
The above described electrical installation covered by Certificate
of Occupancy No. ________________________ issued on ____________________has Voltage:______________________________________ Phase __________________________________
been found substantially satisfactory complied, therefore the Service entrance/Grounding Wire ____________________________________________________
“Certificate of Annual electrical Inspection” is hereby
recommended for issuance. The owner/lessee shall properly maintain the electrical equipment/machinery to ensure
its safe operation.
No change, addition or upgrading/alteration deviating from the original electrical plans
shall be made without appropriate permit.
The owner/lessee of the building/structure shall notify in writing the office of the
building official for the granting/issuance of a Certificate of Annual electrical
Electrical Inspector Chief, Electrical Section Inspection for a period of one (1) year from the date of issuance of this certificate and
(Signature Over Printed Name) (Signature Over Printed Name) yearly thereafter.
Date________________________ Date________________________ A certified copy hereof shall be posted within the premises of the building and shall
_________________ _________________ _________________ _________________
not be removed without authority from the building official.
PRC REG. NO. VALIDITY PRC REG. NO. VALIDITY

Building Official
Chief, (Signature Over Printed Name)
Inspection and Enforcement Division Date_______________________
(Signature Over Printed name)
Date_________________________