DBO 1/12/23, 2:37 PM

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 speciScations on Sle with the Department of the Building OfScial 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 Snal inspection.

NAME OF   
OWNER:
PROJECT Application for Occupancy Permit
TITLE:
LOCATION OF
CONSTRUCTION/INSTALLATION:
USE OR CHARACTER OF
OCCUPANCY:
TOTAL LOAD
CONNECTED:
TOTAL TRANSFORMER CAPACITY:
TOTAL GENERATOR/UPS
CAPACITY:
TYPE OF INSTALLATION:  TEMPORARY  NEW  REMODEL
 SEPARATION OF METER  OTHERS/SPECIFY

TYPE OF WIRING:  OPEN WIRING  CONDUIT  CABLE  ARMORED CABLE

 RACEWAY 

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:

    
AfSant (PEE/REE/RME) Owner/Applicant
or Authorized Representative
Owner/Applicant
PRC No.:

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DBO 1/12/23, 2:37 PM

PTR No.:
Issued on:
Issued at:

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