NBC FORM NO. A-06
Republic of the Philippines
‘Municipality of General Luna
Province of Surigao del Norte
OFFICE OF THE BUILDING OFFICIAL
PLUMBING PERMIT
[APPLICATION NO. PP NO. [BULDING PERMIT NO.
BOX 1 (TO BE ACCOMPLISHED IN PRINT BY THE OWNERIAPPLICANT)
[OWNER / APPLICANT: TST AE FST RE TEENA
[FSR CONSTRUCTION OWED SV AVERTERPRISE__—FORIIGF OWNERS [IRE GR CHARACTER OF GOCUPANGY
[ADDRRESS! Vo SREY SARA TTYNCPATY TECH TELEPTORENS
[LOCATION OF CONSTRUCTION:
sree BAANCAY, (GENERAL LUNA. SURIGAO DEL NORTE
[SCOPE OF woRK
1 NEW CONSTRUCTION 1 ADDITION 0 REPAR
REMOVAL OTHERS (Speci
‘BOX. (TO BE ACCOMPLISHED BY THE DESIGN PROFESSIONAL)
[FIXTURES TO BE INSTALLED
QTY, NEW EXISTING KIND OF FDXTURES QTY, NEW EXISTING KIND OF F>XTURES
Ng UA HelegorneteEy WATER CLOSET [] WATER TANKIRESERVOR:
Seas FLOOR ORAN Hac ) BIOETTE
Oo 0 GtavaToRES 8 Beamon trays
Le KITCHEN SINK E i. DENTAL CUSPIOOR
1 Drawer Gp BRINKING FOUNTAIN
1D SHOWERHEAD [1 BAR SINK
] WATER METER [1 SODAFOUNTAN SINK
GREASE TRAP tc [D LABORATORY SINK
1 ) aATH TUB Sang c STERILIZER
1 ‘SLOP SINK Bote OTHERS (Speci)
1 URINAL
el [AIR-CONDITIONING UNIT
9] WATER DISTRIBUTION SYSTEM 0 SEWAGE sySTEM (0 Seer TANK ‘STORM DRAINAGE SYSTEM
PREPARED BY: as
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[DESIGN PROFESSIONAL, PLANS AND SPECIFICATIONS.
[SUPERVISOR /IN-CHARGE OF PLUMBING WORKS
MASTER PLUMBER
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‘WASTER PLUMBER
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[auLoWG OWNER [itn iv CONSENT: LOT OWNER
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oe co eaeTO BE ACCOMPLISHE BY THE PROCESSING AND EVALUATION DIVISION
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IREGENED EY: pre
"FOUR (4) SETS OF PLUMBING DOCUMENTS
PLUMBING PLANS AND SPECIFICATIONS COST ESTIMATES
BLL OF MATERIALS | OTHERS (Specty)_
PROGRESS FLOW
PROCESSED BY:
THe ‘DATE
IREGENING AND RECORDING
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ACTION TAKEN:
PERMIT IS HEREBY ISSUED SUBJECT TO THE FOLLOWING:
4. That the proposed plumbing works shall be in accordance with the sanitary plans filed with this Office and in conformity
with the Revised Plumbing Code of the Philippines, the National Building Code and its Implementing Rules and
Regulations.
2. That prior to any plumbing works, a duly accomplished prescribed "NOTICE OF CONSTRUCTION" shall be submitted
to the Office of the Building Official
3 That upon completion of the plumbing works, the licensed fulltime inspector and supervisoriin-charge of construction
‘works shall submit the entry to the logbook duly signed and sealed to the Building Official including As-Built plans and
other documents, and shall also accomplish the Certificate of Completion stating that the plumbing works of the
building conform to the provisions of the Revised Plumbing Code of the Philippines, the National Building Code and its
Implementing Rules and Regulations.
4. That this permit is null and void unless accompanied by the Building Permit.
PERMIT ISSUED BY:
ENGR, JERSON E. GALVEZ
BUILDING OFFICIAL
(Sionatire over Printed Nama)
NOTE: THIS PERMIT MAY BE CANCELLED OR REVOKED PURSUANT TO SECTIONS 306 AND 306 OF THE "NATIONAL BUILDING CODE”