NBC FORM NO.

A-01

Republic of the Philippines

City of Cagayan de Oro
OFFICE OF THE BUILDING OFFICIAL

BUILDING PERMIT UNDER BP 220

BUILDING PERMIT No. ISSUED ON:

OWNER/APPLICANT (Last Name, First Name, MI)

ADDRESS AND TEL NO.

RIGHT OVER LAND PROJECT LOCATION

SCOPE OF WORK PROJECT CLASSIFICATION

New Construction Addition Single Attached/Semi-Detached/Duplex

Repair/Renovation Others Single Detached Rowhouse/Multi-Family Dwelling

LOT AND BLOCK NOS.

NO. OF UNITS FLOOR AREA PER UNIT (m²) TOTAL FLOOR AREA (M2) TOTAL ESTIMATED COST

FULL TIME INSPECTOR AND SUPERVISOR OF CONSTRUCTION WORKS (REPRESENTING THE OWNER)

ARCHITECT or CIVIL ENGINEER Professional Electrical Engineer

(Signed and Sealed Over Printed Name) (Signed and Sealed Over Printed Name)

PRC NO. Validity PRC NO. Validity

PTR NO. Date Issued PTR NO. Date Issued
ISSUED AT TIN ISSUED AT TIN
CTC NO./ Issued on /at: CTC NO./ Issued on /at:
LOT OWNER CONSENT

SANITARY ENGINEER
(Signed and Sealed Over Printed Name) (Owner/Applicant)

PRC NO. Validity (Signature Over Printed Name) (Signature Over Printed Name)

PTR NO. Date Issued CTC No. CTC No.

ISSUED AT TIN Issued On: Issued On:
CTC NO./ Issued on /at: Issued at: Issued at:

BASIS DECISION:
In conformity with EO 71, Section 1, paragraph b, series BUILDING PERMIT GRANTED
of 1993; Rule II, Sec 6 of the Revised Implementing Rules and
Regulations for BP220

Conditions:
(x) All conditions stipulated herein form part of the decision and are subject to monitoring.
(x) That the proposed construction shall be in conformity with the provisions of BP220 and its Implementing standards, rules and regulations.
(x) That the source of a duly licensed architect /civil engineer has been engaged to prepare plans and specifications and to undertake the
supervision/inspection of the construction of the project.
(x) That the proposed electrical installation shall be in accordance with the approved plans and in conformity with the provisions of the Philippine
Electrical Code and that a duly licensed electrical practitioner be in charged of the Installation / construction.
(x) That a Certificate of Occupancy shall be secured prior to actual occupancy of the building.
(x) This permit covers: (x) Sanitary/Plumbing Permit (x) Electrical Permit

Paid Under OR No.:

Amount Paid:
Date:

APPROVED:

ENGR. JENITO M. ASEQUIA, MPA

CITY BUILDING OFFICIAL