Unified Commercial/Institutional/Industrial/Agricultural

Application

1. Checklist for Building Permit Application (1 copy)

[Front Page Only]

2. Application Letter (1 copy)

[Front Page Only]

3. Application for Location Clearance (1 copy)

[Front Page Only]

4. City / Municipality Fire Marshall Endorsement (2 copies)

[Front Page Only]

5. Unified Application for Building Permit (5 copies)

[Front and Back pages, please print back-to-back]

6. Application for Plumbing Permit (3 copies)

[Front and Back pages, please print back-to-back]

7. Application for Electrical Permit (3 copies)

[Front and Back pages, please print back-to-back]

8. Application for Mechanical Permit (3 copies)

[Front and Back pages, please print back-to-back]

9. Application for Electronics Permit (2 copies)

[Front and Back pages, please print back-to-back]

10. Application for Sanitary Permit (2 copies)

[Front and Back pages, please print back-to-back]
 Republic of the Philippines
OFFICE OF THE CITY BUILDING OFFICIAL
City of Davao

Name of Applicant:
Address:
Use or Type of Occupancy:
Project location:
Name of Authorized Representative:
Contact Numbers of the Authorized Representative:

CHECKLIST OF GENERAL REQUIREMENTS FOR BUILDING APPLICATIONS

A. PRE-REQUISITE DOCUMENTS:

A.1 Clearances/Certificates (from other Offices)- original with photo copy Community Association: (for residential buildings)
1) Notarized Zoning Location clearance (CPDO) [sec.302.12.a] Association Board resolution
Additional Requirements for Locational Clearance () Applicants Certificate of membership in that community
Submit Certificate of Height Clearance from Air Transportation Office for Tall association
Structure
City Housing Clearance (if Gov't housing project)
Submit Permit from National Water Resource Board if project has groundwater
extraction a. if City; Box9 should be signed by the City Administrator
Submit Drainage Impact Statement if project is Major Devt b. If NHA: Box9 should be signed by the regional manager
Submit Socio-Economic Impact Statement if project has Large Employment Subdivision
requirement Approved Development permit (from SP/HLURB)
Submit initial Environmental Examination (EE) signed by licensed Environmental
Planner and According to DENR specified format for light industrial project uses Building plans should be stamped approved by subdivision
Submit Water Management plan if project is a heavy water-using facility
7) other Legal Requirements
Submit Traffic Impact Assessment if Project is a potential Traffic Generating Devt
Photo copy of Owners/Applicants valid I.D with three (3)
Submit Notarized Cartificate of No Objection from affected neighbors if project specimen signatures.
has Firewall/Abutment on any side of the property
Photocopy of PRC IDs and current PTR and TIN of all the Signing
2) BFP Fire Safey Evaluation Certificate (FSEC) [Sec.303.10] professionals [NBC MC No.01, 2005; Item 4]
3) CSHP (DOLE) D.O. No. 13, 1998; NBC MC no. 02, 2011. B] Technical Documents (by Owner and Hired Professionals)
> up to 2-storey residential or minor repair works: stamped 1) Notarized Application letter [Sec. 302]
receive by DOLE
2) Notarized Unified Building Permit Form (5 copies) with 5
> construction of commercial bldg.: should be dule sets of Civil/Architectural Plans duly signed and sealed by a
licensed Civil Engineer/Architect [Sec. 302.3.b-c, Sec. 302.4-5]
Approved by DOLE
3) Electrical Permit Form (3 copies ) with 5 sets Electrical Plans Duly
4) Others (as deemed applicable) - original with photo copy signed and sealed by a licensed (Registered Professional) Electrical
DPWH clearance (if along National Highway) [Sec.302.12.b.i] Engineer/Electronic Engineer [Sec.302.3.d, Sec.302.6]
CAAP (ATO) clearance (if applicable) [Sec. 302.12.b.ii] 4) Plumbing Permit Form (3 copies) with 5 sets Plumbing plans duly
signed and sealed by licensed Sanitary Engineer/Master Plumber
DENR ECC for Environmentally Critical Project [Sec. 302.12.b.vi] [Sec.302.3.g, Sec.302.9]
Drainage Clearance (from DPWH/CEO) if required in the ECC and if 5) Sanitary Permit Form (3 copies) with 5 sets Plumbing plans duly
there is existing drainage/waterway affected signed and sealed bt licensed Sanitary Engineer/Master Plumber
[Sec.302.3.g, Sec.302.9]
Traffic Impact Assessment (TIA) for major Development such as,Malls,
Convention Centers, Sports Complex, etc. duly approved by the Traffic 6) Mechanical permit form (2 copies) with 5 sets mechanical plans
Management and Control Board (TMCB) signed and sealed by a licensed mechanical engineer.
7) Electronics permit form (2 copies) with 5 sets mechanical plans
> Submit approved Site Development plan and parking lay- signed and sealed by a licensed mechanical engineer.
out and tabulation signed by technical working group.
8) Sketch/lot plan with vicinity map drawn to scale signed and sealed
CEO RROW Clearance (if along City/Brgy/Subd Road) by a licensed geodetic engineer (Sec.302.3.a,Sec.32.11) and relocation
survey plan and reports. (4 copies)
A.2] Legal Documents (original with photo copy) 9) Project Technical Specification (signed and sealed)[Sec.302] (2 copies)
1) Certified True Copy of Land Title (from the Land Registration Authority)
[section 302.a.2.ii] 10) Bill of materials and cost estimates (signed and sealed)[Sec.302] (4 copies)

2) Certified True Copy of Tax Declaration of the property (from the City 11) Boring and plate load test result/report by licensed civil/geotechnical
Assessor's Office) [Sec.302.a.2.ii] engineer (for Building three storeys and above) [Sec.302.5];
if extending building for additional storey; submit affidavit that the
3) Certified True Copy of Current Real Property Tax Reciept (from the City foundation can carry the proposed additional floors. (2 copies)
Treasurer's Office) [Sec.302.2.a.iii] 12) Structural Design analysis for all building with design analysis based
on NSCP 2015(except one storey building and single detached structure
4) Barangay clearance of NO SITE CONFLICT with total floor area of 20sq.m or less) [Sec.302.5.c] (2 copies)
5) If Applicant is not the registered owner of the lot (whichever is 13) Seismic analysis [Sec.302.5.3]
applicable) [Sec.302.2.b]
Notarized Deed of Absolute Sale 14) Picture on Site with landmarks
Notarized Contract of Lease
Notarized Contract of Sale NOTE: ONLY CHECKED BOXES ARE REQUIRED AND SUBMITTED
Notarized Authority to Construct from the Lot Owner DOCUMENTS, VACANT BOXES ARE NOT APPLICABLE.
6) Authorized person who will sign for and in behalf of the applicant Received/pre-evaluated as to checklist by:
Notarized Special Power of Attorney (SPA)
Name/Position:
Notarized Secretary Certificate for company owned application
Date/Time:

Signature:
 APPLICATION LETTER

Date
ENGR. CIRINIA GRACE L. CATUBIG
Officer-In-Charge
Davao City

Dear Ma’am,

I
(First Name) (Middle Name) (Family Name)

would like to apply for for my

located at

I also authorize
(Authorized Representative of the Company)

to transact the application with your Office in my behalf.

I/We hereby certify that the documents submitted herein are all true and correct,
therefore falsification on the supporting document in any way will cause disapproval of the
permit application without prejudice further action that may be undertaken pursuant to Article
171 & 172 of R.A 3815, otherwise known as the Revised Penal Code of the Philippines.

(Signature over Printed Name of Owner) (Signature over Printed Name of Authorized Representative)

Address Address

Contact Number Contact Number

OCBO @ 2021
 NBC Form No. B-17

Republic of the Philippines

Davao City
Davao Del Sur

OFFICE OF THE BUILDING OFFICIAL

TO : CITY / MUNICIPAL FIRE MARSHALL
Bureau of Fire Protection, DILG

SUBJECT : APPLICATION FOR BUILDING PERMIT

Pursuant to the provision of Section 303.10 of the Revised Implementing Rules and
Regulations of PD 1096, I have the honor to endorse to your three (3) sets of plan and
specification for the ___________________________________ building to be constructed at
___________________________________________________ for your evaluation, review
and/or recommendation with respect to Fire Safety and Control Requirements.

Quoted hereunder is the pertinent provision of Section 303.10 of the Revised

Implementing Rules and Regulations of PD 1096:

“The Building Official shall refer three (3) sets of plans and specifications to the
City/Municipality Fire Marshal (C/MFM), Bureau of Fire Protection (BFP), for his review and
recommendations with respect to Fire Safety and Control Requirements. The C/MFM shall
submit his report and recommendations to the Building Official within five (5) working days
from the date referral. Failure of the C/MFM to act within said period shall mean that the
plans and specifications of non-issuance, suspension or revocation of the said requirements
by the C/MFM, he shall so state in writing the reasons of grounds therefor.”

ENGR. CIRINIA GRACE L. CATUBIG

Officer-In-Charge

Date referred to C/MFM Date returned to Building Official

Date referred by C/MFM Date returned by Building Official

OCBO @ 2021
NBC FORM 8-01
Republic of the Philippines
Davao City
Province of Davao Del Sur
OFFICE OF THE BUILDING OFFICIAL
UNIFIED APPLICATION FOR BUILDING PERMIT
NEW RENEWAL AMENDATORY
APPLICATION NO. AREA NO.

DATE OF APPLICATION DATE ISSUED

BOX 1 (TO BE ACCOMPLISHED IN PRINT BY THE APPLICANT) DO NOT FILL-UP (NSO USE ONLY)

OWNER’S LASTNAME FIRSTNAME M.I TAX ACCOUNT NO.

FOR CONSTRUCTION OWNED BY ENTERPRISE FORM OF OWNERSHIP

ADDRESS : NO. STREET BARANGAY CITY/MUNICIPALITY ZIP CODE TELEPHONE NO.

LOCATION OF CONSTRUCTION : TCT NO.

SCOPE OF WORK: NEW CONSTRUCTION RENOVATION RAISING

ERECTION CONVERSION ACCESSORY BUILDING STRUCTURE
ADDITION REPAIR OTHERS (SPECIFY)
ALTERATION MOVING

USE OR OCCUPANCY OF BUILDING / STRUCTURE :

RESIDENTIAL COMMERCIAL OTHERS (SPECIFY)
INDUSTRIAL INSTITUTIONAL
AGRICULTURAL

USE OR CHARACTER OF OCCUPANCY :

GROUP A – RESIDENTIAL DWELLING GROUP F – INDUSTRIAL
GROUP B – RESIDENTIAL HOTEL APARTMENT GROUP G – INDUSTRIAL STORAGE AND HAZARDOUS
GROUP C – EDUCATIONAL RECREATIONAL GROUP H – RECREATIONAL ASSEMBLY OCCUPANT LOAD LESS THAN 1000
GROUP D – INSTITUTIONAL GROUP I – RECREATIONAL ASSEMBLY OCCUPANT LOAD 1000 OR MORE
GROUP E – BUSINESS AND MERCANTILE GROUP J – AGRICULTURAL ACCESSORY

OTHERS (SPECIFY)

OCCUPANCY CLASSIFIED : TOTAL ESTIMATED COST :

NUMBER OF UNITS : PROPOSED DATE OF CONSTRUCION :
TOTAL FLOOR AREA : PROPOSED DATE OF COMPLETION :

BOX 2 (FULL-TIME INSPECTOR AND SUPERVISOR OF CONSTRUCTION WORKS (REPRESENTING THE OWNER))
ADDRESS :

PRC NO. : VALIDITY :

ARCHITECT OR CIVIL ENGINEER
(SIGNED AND SEALED OVER PRINTED NAME)

PTR NO. : DATE ISSUED:

PLACE ISSUED : TIN :

DATE

BOX 3 BOX 4
NAME OF APPLICANT : WITH CONSENT : LOT OWNER
DATE : DATE :
(SIGNATURE OVER PRINTED NAME) (SIGNATURE OVER PRINTED NAME)

ADDRESS : ADDRESS :

CTO NO.: DATE ISSUED: PLACE ISSUED: CTO NO.: DATE ISSUED: PLACE ISSUED:

BOX 5
REPUBLIC OF THE PHILIPPINES )
CITY/MUNICIPALITY OF )

BEFORE ME, at the City/Municipality of on personally appeared

APPLICANT NAME C.T.C NO. DATE ISSUED PLACE ISSUED

LICENSED ARCHITECT / CIVIL ENGINEER C.T.C NO. DATE ISSUED PLACE ISSUED
(FULL TIME INSPECTOR AND SUPERVISOR OF CONSTUCTION)

whose signature appear herein above known to me to be the same persons who executed this standard prescribed form and acknowledged to me
that the same is their free and voluntary act and deed
WITNESS MY HAND AND SEAL on the date and place above written

Doc. No.
Page No.
Book No.
NOTARY PUBLIC (until December ______ )
Series No.
BOX 6 (TO BE ACCOMPLISHED BY THE BUILDING OFFICIAL)
ASSESSED FEE ASSESSED BY AMOUNT DUE DATE PAID O.R. NUMBER NSO

LOCATIONAL/ZONING OF LAND USE

LINE AND GRADE (Geodetic)

FILING FEE

BUILDING FEE

ELECTRICAL FEE

MECHANICAL FEE

SANITARY/PLUMBING FEE

ELECTRONICS FEE

(1/2) OF FIRE SERVICE FUND (FSF)

OTHERS (SPECIFY)

TOTAL :

BOX 7(TO BE ACCOMPLISHED BY THE DIVISION / SECTION CONCERNED)

PROGRESS FLOW
NOTED IN OUT
ACTION / REMARKS PROCESSED BY
TIME DATE TIME DATE
CHIEF,PROCESSING, DIVISION/SECTION
RECEIVING and RECORDING

LAND USE and ZONING

GEODETIC (Line and Grade)

ARCHITECTURAL

STRUCTURAL

SANITARY / PLUMBING

ELECTRICAL

MECHANICAL

WE HEREBY AFFIX OUR HANDS SIGNIFYING OUR CONFORMITY TO THE INFORMATION HEREIN ABOVE SETFORTH

BOX 8 (TO BE ACCOMPLISHED BY THE BUILDING OFFICIAL)

BUILDING PERMIT NO. : OFFICIAL RECIEPT NO.
BUILDING PERMIT
DATE ISSUED : DATE PAID :

M M D D Y Y M M D D Y Y

Permit is issued to for the proposed under

(Owner/Applicant) (Type of Project)
, of Group , located at
subject of the following :
1) THAT UNDER ARTICLE 1723 OF THE CIVIL CODE OF THE PHILIPPINES, THE ENGINEER OR ARCHITECT WHO DREW UP THE PLANS AND SPECIFICATIONS FOR A
BUILDING/STRUCTURE IS LIABLE FOR DAMAGES IF WITHIN FIFTEEN (15) YEARS FROM THE COMPLETION OF THE BUILDING/STRUCTURE, THE SAME SHOULD COLLAPSE DUE TO
DEFECT IN THE PLANS OR SPECIFICATIONS OF DEFECTS IN THE GROUND. THE ENGINEER OR ARCHITECT WHO SUPERVISES THE CONSTRUCTION SHALL BE SOLIDARILY LIABLE
WITH THE CONTRACTOR SHOULD THE EDIFICE COLLAPSE DUE TO DEFECT IN THE CONSTRUCTION OR THE USE OF INFERIOR MATERIALS.

2) THIS PERMIT ACCOMPANIED BY THE VARIOU S APPLICABLE ANCILLARY AND ACCESSORY PERMITS,PLANS AND SPECIFICATIONS SIGNED AND SEALED BY THE CORRESPONDING
DESIGN PROFESSIONALS WHO SHALL BE RESPONSIBLE FOR THE COMPREHENSIVE AND CORRECTNESS OF THE PLANS IN COMPLIANCE TO THE CODE AND ITS IRR AND TO ALL
APPLICABLE REFERAL CODES AND PROFESSIONAL REGULATORY LAWS.
3) THAT THE PROPOSED CONSTRUCTION/ERECTION/ADDITION/ALTERATION/RENOVATION/CONVERSION/REPAIR/MOVING/DEMOLITION, ETC. SHALL BE IN CONFORMITY WITH THE
PROVISIONS OF THE NATIONAL BUILDING CODE AND ITS IRR.
A. THAT PRIOR TO COMMENCEMENT OF THE PROPOSED PROJECTS AND CONSTRUCTIONS AN ACTUAL RELOCATION SURVEY SHALL BE CONDUCTED BY A DULY LICENSED
GEODETIC ENGINEER.
B. THAT BEFORE COMMENCING THE EXCAVATION THE PERSON MAKING OR CAUSING THE EXCAVATION TO BE MADE SHALL NOTIFY IN WRITING TO THE OWNER OF
ADJOINING PROPERTY . NOT LESS THAN TEN (10) DAYS BEFORE SUCH EXCAVATION IS TO BE MADE AND SHOW THE ADJOINING PROPERTY SHOULD BE PROTECTED.
C. THAT NO PERSON SHALL USE OR OCCUPY A STREET ALLEY OR PUBLIC SIDEWALK FOR THE PERFORMANCE OF WORK COVERED BY A BUILDING PERMIT.
D. THAT NO PERSON SHALL PERFORM ANY WORK ON ANY BUILDING OR STRUCTURE ADJACENT TO A PUBLIC WAY IN GENERAL USE FOR PEDESTRIAN TRAVEL, UNLESS THE
PEDESTRIANS ARE PROTECTED.
E. THAT THE SUPERVISING ARCHITECT/CIVIL ENGINEER SHALL KEEP THE JOBSITE AT ALL TIMES A LOGBOOK OF DAILY CONSTRUCTION ACTIVITIES WHEREIN THE ACTUAL
DAILY PROGRESS OF CONSTRUCTION INCLUDING TEST CONDUCTED, WEATHER CONDITION AND OTHER PERTINENT DATE ARE TO INSPECTION PURSUANT TO SECTION 207
OF THE NATIONAL BUILDING CODE.
F. THAT UPON COMPLETION OF THE CONSTRUCTION, THE SAID LICENSED SUPERVISING ARCHITECT/CIVIL ENGINEER SHALL SUBMIT TO THE BUILDING OFFICIAL DULY
SIGNED AND SEALED LOGBOOK, AS-BUILT PLANS AND OTHER DOCUMENTS AND SHALL ALSO PREPARE AND SUBMIT A CERTIFICATE OF COMPLETION OF THE PROJECT
STATING THAT THE CONSTRUCTION OF THE BUILDING/STRUCTURE CONFORM TO THE PROVISION OF THE CODE, ITS IRR AS WELL AS THE PLANS AND SPECIFICATIONS.
G. ALL SUCH CHANGES,MODIFICATIONS AND ALTERATIONS SHALL LIKEWIS E BE SUBMITTED TO THE BUILDING OFFICIAL AND THE SUBSEQUENT AMENDATORY PERMIT
THEREFORE ISSUED BEFORE ANY WORK ON SAID CHANGES,MODIFICATIONS AND ALTERATIONS SHALL BE STARTED. THE AS-BUILT PLANS AND SPECIFICATIONS MAYBE
JUST AN ORDERLY AND COMPREHENSIVE COMPILATION OF ALL DOCUMENTS WHICH INCLUDE THE ORIGINALLY SUBMITTED PLANS AND SPECIFICATIONS OF ALL
AMMENDMENTS THERETO AS ACTUALLY BUILT OR THEY MAY BE AN ENTIRELY NEW SET OF PLANS AND SPECIFICATIONS ACCURATELY DESCRIBING AND/OR REFLECTING
THEREIN THE BUILDING AS ACTUALLY BUILT.
4) THAT NO BUILDING/STRUCTURE SHALL BE USED UNTIL THE BUILDING OFFICIAL HAS ISSUED A CERTIFICATE OF OCCUPANCY THEREFORE AS PROVIDED IN THE CODE. HOWEVER,
A PARTIAL CERTIFICATE OF OCCUPANCY MAY BE ISSUED FOR USE/OCCUPANCY OF A PORTION(S) OF A BUILDING/STRUCTURE PRIOR TO THECOMPLETION OF THE ENTIRE
BUILDING/STRUCTURE.

5) THAT THIS PERMIT SHALL NOT SERVE AS AN EXEMPTION FROM SECURING WRITTEN CLEARANCES FROM VARIOUS GOVERNMENT AUTHORITIES EXERCISING REGULATORY
FUNCTION AFFECTING BUILDING/STRUCTURES.
6) WHEN THE CONSTRUCTION IS UNDERTAKEN BY CONTRACT, THE WORK SHALL BE DONE BY DULY LICENSED AND REGISTERED CONTRACTOR PURSUANT TO THE PROVISIONS OF
THE CONTRACTORS LICENSE LAW (RA 4566).
7) THE OWNER/PERMITTEE SHALL SUBMIT A DULY ACCOMPLISHED PRESCRIBED 'NOTICE OF CONSTRUCTION' TO THE OFFICE OF THE BUILDING OFFICIAL PRIOR TO ANY
CONSTRUCTION ACTIVITY.
8) THE OWNER/PERMITTEE SHALL PUT A BUILDING PERMIT SIGN WICH COMPLIES WITH THE PRESCRIBED DIMENSIONS AND INFORMATION, WHICH SHALL REMAIN POSTED ON THE
CONSTRUCTION SITE FOR THE DURATION OF THE CONSTRUCTION.

PERMIT ISSUED BY:

ENGR. CIRINIA GRACE L. CATUBIG

Officer-In-Charge

Date:
 NBC FORM NO. A-06
Republic of the Philippines
DEPARTMENT OF PUBLIC WORKS & HIGHWAYS
OFFICE OF THE BUILDING OFFICIAL

MUNICIPALITY

PLUMBING PERMIT
APPLICATION NO. PP NO. PERMIT NO.

DATE OF APPLICATION DATE ISSUED

BOX 1 (TO BE ACCOMPLISHED BY SANITARY ENGINEER/MASTER PLUMBER, IN PRINT)
NAME OF OWNER/APPLICANT LAST NAME, FIRST NAME, M.I. TAX ACCT. NO.

ADDRESS No., Street, Barangay, City/Municipality TELEPHONE NO.

Location of Installation No., Street, Barangay, City/Municipality

SCOPE OF WORK
NEW CONSTRUCTION RENOVATION RISING
ERECTION CONVERSION DEMOLITION
ADDITION REPAIR ACCESSORY BUILDING/STRUCTURE
ALTERATION MOVING OTHERS (specify)

USE OR TYPE OF OCCUPANCY

Residential Agricultural
Commercial Parks, Plazas, Monuments
Industrial Recreational
Institutional Others (Specify)

BOX 2 (TO BE ACCOMPLISHED BY THE DESIGNING PROFESSIONAL)

FIXTURES TO BE INSTALLED
NEW EXISTING KIND OF NEW EXISTING KIND OF
QTY. FIXTURES FIXTURES FIXTURES QTY. FIXTURES FIXTURES FIXTURES
Water Closet Bidet
Floor Drain Laundry Trays
Lavatories Dental Cuspidator
Kitchen Sink Gas Heater
Faucet Electric Heater
Shower Head Water Boiler
Water Meter Drinking Fountain
Grease Trap Bar Sink
Bath Tubs Soda Fountain Sink
Slop Sink Laboratory Sink
Urinal Sterilizer
Airconditioning Unit Swimming Pool
Water Tank/reservoir R.C.S. volume
TOTAL TOTAL Others (Specify)
Water Distribution Sanitary Sewer System Storage Drainage System

BOX 3 BOX 4
DESIGN PROFESSIONAL, PLANS AND SPECIFICATIONS SUPERVISOR/IN-CHARGE OF PLUMBING WORKS

MASTER PLUMBER Date MASTER PLUMBER Date

(signed and sealed over printed name) (signed and sealed over printed name)
Address Address
PRC NO. VALIDITY PRC NO. VALIDITY
PTR NO. DATE ISSUED PTR NO. DATE ISSUED
ISSUED AT TIN ISSUED AT TIN

BOX 5 BOX 6
BUILDING OWNER WITH MY CONSENT : LOT OWNER

(SIGNATURE OVER PRINTED NAME) (SIGNATURE OVER PRINTED NAME)

Address Address
CTC No. Date Issued Place Issued CTC No. Date Issued Place Issued
 BOX 7 (TO BE ACCOMPLISHED BY THE RECEIVING & RECORDING SECTION )
RECEIVED BY: DATE:
THREE (3) SETS OF PLUMBING DOCUMENTS
Plumbing Plans & Specifications Cost Estimates
Bill of Materials Others (Specify)

BOX 8 (TO BE ACCOMPLISHED BY THE DIVISION / SECTION CONCERNED)

ASSESSED FEES
AMOUNT DUE ASSESSED BY O.R. NUMBER DATE PAID

BOX 9 (TO BE ACCOMPLISHED BY THE DIVISION / SECTION CONCERNED)

PROGRESS FLOW
IN OUT
NOTE ACTION/REMARKS PROCESSED BY
TIME DATE TIME DATE
Chief, Processing Division/Section
Receiving and Recording
Geodetic (Line and Grade)
Plumbing
BOX 10

ACTION TAKEN

PERMIT IS HEREBY ISSUED SUBJECT TO THE FOLLOWING ;

1 That the proposed Plumbing works shall be in accordance with the plumbing plans filed
with this office and in conformity with the revised Plumbing Code of the Philippines, the
National Building Code and its IRR.

2 That prior to any commencement of 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 supervisor/in-charge 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 provision of the revised
Plumbing Code, the National Building Code and its IRR

4 That this permit is null and void unless accompanied by the building permit

PERMIT ISSUED BY :

ENGR. CIRINIA GRACE L. CATUBIG

Officer-In-Charge

THIS PERMIT MAY BE CANCELLED OR REVOKED PERSUANT TO SECTION. 305 & 306 OF THE "NATIONAL BUILDING CODE".
 DPWH FORM NO. 96-001-E
Republic of the Philippines
DEPARTMENT OF PUBLIC WORKS AND HIGHWAYS
OFFICE OF THE LOCAL BUILDING OFFICIAL

DISTRICT/CITY/MUNICIPALITY
AREA CODE._________

APPLICATION NO. DATE FILED

Date of Proposed start of Installation Expected Date of Completion

APPLICATION FOR ELECTRICAL PERMIT

( Accomplished in print and in Duplicate)

BOX 1 ( TO BE ACCOMPLISHED BY DULY QUALIFIED ELECTRICAL PRACTITIONER)

NAME OF LAST NAME FIRST NAME MIDDLE NAME TIN
OWNER/APPLICANT
NO. STREET BARANGAY CITY/MUNICIPALITY TEL./FAX NO.
ADDRESS

LOCATION OF NO. STREET BARANGAY CITY/MUNICIPALITY

INSTALLATION
SCOPE OF WORK
( ) NEW INSTALLATION ( ) ADDITION OF __________ ( ) OTHERS (Specify)
( ) ANNUAL INSPECTION ( ) REPAIR OF _____________
( ) REMOVAL _____________
TYPE OF OCCUPANCY OR USE:
( ) A. RESIDENTIAL DWELLING ( )
E. BUSINESS & MERCANTILE ( ) I. ASSEMBLY OCCUPANT LOAD 100 OR MORE
( ) B. RESIDENTIAL HOTEL APARTMENT ( )
F. INDUSTRIAL ( ) J. ACCESSORY
( ) C. EDUCATION AND RECREATION ( )
G. STORAGE & HAZARDOUS ( ) K. OTHERS (Specify)
( ) D. INSTITUTIONAL ( )
H. ASSEMBLY OTHER THAN GROUP I
NUMBER OF OUTLETS NUMBER OF EQUIPMENT/WIRING DEVICES
LIGHT SPO COOKING UNIT TOGGLE SWITCH FIRE ALARM/SMOKE DETECTORS
CONVINIENCE/RECEPTACLE SPO. COOKING HEATER BELLS BUZZER OTHERS (See attached List)
SPO. AIRCON SPO WATER PUMP PUSH BOTTON

BOX 2 ( PROFESSIONAL ELECTRICAL ENGINEER WHO SIGNED AND SEALED THE PLANS & SPECIFICATION)
NAME PRC REG. NO. VALIDITY
ADDRESS TEL/FAX NO.
PTR NO. DATE ISSUED PLACE ISSUED
SIGNATURE DATE ISSUED TIN
BOX 3 ( ELECTRICAL CONTRACTOR 200-AMPERE MAIN AND ABOVE
NAME PCAB LIC. NO. (SPECIALTY - ELECTRICAL)
VALIDITY
ADDRESS TEL./FAX NO.
BOX 4 (PERSON IN-CHARGE OF INSTALLATION)
( ) PROFESIONAL ENGINEER ( ) REGISTERED ELECTRICAL ENGINEER ( ) REGISTERED MASTER ELECTRICIAN
(not exceeding 600 volts and 500 KVA)
NAME PRC REG. NO. VALIDITY
ADDRESS TEL/FAX NO.
PTR NO. DATE ISSUED PLACE ISSUED
SIGNATURE DATE ISSUED TIN
BOX 5 (OWNER/AUTHORIZED REPRESENTATIVE)
NAME SIGNATURE TIN CTC NO.
DATE ISSUED
PLACE ISSUED
BOX 6 ( TO BE RECEIVED BY RECEIVING/RECORDING SECTION)
RECEIVED BY:

ELECTRICAL PLANS & SPECIFICATIONS (5 SETS)

Signature over printed Name
DATE RECEIVED:
NBC FORM NO. A-04
Republic of the Philippines
DEPARTMENT OF PUBLIC WORKS AND HIGWAYS
OFFICE OF THE BUILDING OFFICIAL

MECHANICAL PERMIT
APPLICATION NO. MP NO. PERMIT NO.

DATE OF APPLICATION DATE ISSUED

BOX 1 (TO BE ACCOMPLISHED IN PRINT BY THE OWNER/APPLICANT)
NAME OF OWNER/APPLICANT LAST NAME, FIRST NAME, M.I. TAX I.D. NO.

FOR CONSTRUCTION OWNED FORM OF OWNERSHIP USE OF CHARACTER OF OCCUPANCY

BY AN ENTERPRISE
ADDRESS NO., STREET, BARANGAY, CITY/MUNICIPALITY/ ZIP CODE TELEPHONE NO.

LOCATION OF INSTALLATION NO., STREET, BARANGAY, CITY/MUNICIPALITY

SCOPE OF WORK :
NEW CONSTRUCTION RENOVATION RAISING

ERECTION CONVERSION DEMOLITION

ADDITION REPAIR ACCESSORY BUILDING/STRUCTURE

ALTERATION MOVING OTHERS (specify)

USE OR TYPE OF OCCUPANCY

RESIDENTIAL AGRICULTURAL
COMMERCIAL LANDSCAPING
INDUSTRIAL OTHERS (SPECIFY)
INSTITUTIONAL

BOX 2 (TO BE ACCOMPLISHED BY THE DESIGN PROFESSIONAL)

INSTALLATION AND OPERATION OF

BOILER CENTRAL AIR-CONDITIONING DUMB WAITER
PRESSURE VESSELS MECHANICAL VENTILLATION PUMPS
INTERNAL COMBUSTION ENGINE ESCALATOR COMPRESSED AIR, VACUUM, INSTITUTIONAL
REFRIGERATION & ICE-MAKING MOVING SIDEWALK AND/OR INDUSTRIAL GAS
WINDOW TYPE AIR-CONDITIONING FREIGHT ELEVATOR PHEUMATIC TUBES, CONVEYORS AND /OR
PACKAGE AIR-CONDITION UINT PASSENGER ELEVATOR MONORAILS
OTHERS (SPECIFY) CABLE CAR FUNICULAR

PREPARED BY :

BOX 3 BOX 4
DESIGN PROFESSIONAL, PLANS AND SPECIFICATIONS SUPERVISOR / IN-CHARGE OF MECHANICAL WORKS
PROFESSIONAL MECHANICAL ENGINEER MECHANICAL ENGINEER

PROFESSIONAL MECHANICAL ENGINEER PROFESSIONAL MECHANICAL ENGINEER

(signed and sealed over printed name) (signed and sealed over printed name)
Date___________________ Date___________________

Address Address
PRC NO. VALIDITY PRC NO. VALIDITY
PTR NO. DATE ISSUED PTR NO. DATE ISSUED
ISSUED AT TIN ISSUED AT TIN

BOX 5 BOX 6
BUILDING OWNER WITH CONSENT : LOT OWNER

(signature over printed name) (signature over printed name)

Date_______________ Date_______________
Adress Adress
CTC No. Date Issued Place Issued CTC No. Date Issued Place Issued
BOX 7 (TO BE ACCOMPLISHED BY THE PROCESSING AND EVALUATION DIVISION)

RECEIVED BY : DATE :
THREE (3) SETS OF MECHANICAL DOCUMENTS

MECHANICAL PLANS AND SPECIFICATION BUILDING DOCUMENTS BILL OF MATERIALS

COST ESTIMATES (FIVE (5) SETS EACH) OTHERS (SPECIFY)

BOX 8
ASSESSED FEES
AMOUNT DUE ASSESSED BY O.R. NUMBER DATE PAID
MECHANICAL

REVIEWED
CHIEF, PROCESSING DIV./SEC.
BOX 9
PROGRESS FLOW
NOTE: IN OUT
CHIEF. PROCESSING DIVISION/SECTION Time Date Time Date ACTION/REMARKS PROCESSED BY
RECEIVING AND RECORDING
MECHANICAL
BOX 10
ACTION TAKEN:

PERMIT IS HEREBY ISSUED SUBJECT TO THE FOLLOWING :

1 That the proposed mechanical works shall be in accordance with the mechanical plans filed with this Office in conformity
with the latest Philippine Mechanical Code, the National Building Code and its IRR.

2 That prior to any mechanical installation, a duly accomplished prescribed "NOTICE OF CONSTRUCTION" shall be
submitted to the Office of the Building Official.

3 That upon completion of the mechanical works, the licensed supervisor/in-charge shall submit the entry to the logbook duly
singned and sealed to the building official including as-built plans and other documents and shall also accomplish the
certifiate of completion stating that the mechanical works conform to the provision of Philippine Mechanical Code, the
National Building Code and its IRR

4 That this permit is null and void unless accompanied by the building permit

5 That a Certificate of Operation shall be issued for the continuous use of mechanical installations.

PERMIT ISSUED BY:

ENGR. CIRINIA GRACE L. CATUBIG

Officer-In-Charge

DATE

NOTE:
THIS PERMIT MAY BE CANCELLED OR REVOKED PURSUANT TO SECTION 305 AND 306 OF THE "NATIONAL BUILDING CODE".

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NBC FORM NO.A-07

Republic of the Philippines

OFFICE OF THE BUILDING OFFICIAL
Davao City

ELECTRONICS PERMIT
APPLICATION NO. ELP NO. BUILDING PERMIT NO.

BOX 1 (TO BE ACCOMPLISHED BY THE OWNER/APPLICANT)

OWNER /APPLICANT LAST NAME FIRST NAME M.I. TIN

FOR CONSTRUCTION OWNED FORM OF OWNERSHIP USE OR CHARACTER OF OCCUPANCY

BY AN ENTERPRISE

ADDRESS NO. STREET BARANGAY CITY/MUNICIPALITY ZIP CODE TEL.NO.

LOCATION OF CONSTRUCTION

SCOPE OF WORKS
NEW INSTALLATION ANNUAL INSPECTION OTHERS (Specify)

BOX 2 (TO BE ACCOMPLISHED BY THE DESIGN PROFESSIONAL)

NATURE OF INSTALLATION WORKS/EQUIPMENT SYSTEM:

TELECOMMUNICATION SYSTEM ELECTRONICS FIRE ALARM SYSTEM ELECTONICS COMPUTERIZED PROCESS CONTROLS
BROADCASTING SYSTEM SOUND COMMUNICATION SYSTEM AUTOMATION SYSTEM

TELEVISION SYSTEM CENTRALIZED CLOCK SYSTEM BUILDING AUTOMATION MANAGEMENT & CONTOL
SYSTEM
INFORMATION TECHNOLOGY SYSTEM SOUND SYSTEM
SECURITY AND ALARM SYSTEM ELECTRONICS CONTROL AND CONVEYOR SYSTEM
ANY OTHER ELECTRONICS AND I.T. SYSTEMS, EQUIPMENT, APPARATUS, DEVICE AND/OR COMPONENT (SPECIFY)

PREPARED BY:

BOX 3 (DESIGN PROFESSIONAL PLANS AND SPECIFICATIONS) BOX 4 (SUPERVISOR/IN-CHARGE OF ELECTRONIC WORKS)

DATE DATE
PROFESSIONAL ELECTRONICS ENGINEER PROFESSIONAL ELECTRONICS ENGINEER
(Signature Over Printed Name) (Signature Over Printed Name)

ADDRESS: ADDRESS:

PRC NO. VALIDITY PRC NO. VALIDITY

PTR NO. DATE ISSUED PTR NO. DATE ISSUED

PLACE ISSUED TIN PLACE ISSUED TIN

BOX 5 BOX 6
BUILDING OWNER WITH MY CONCENT: LOT OWNER

DATE DATE
APPLICANT NAME BUILDING OWNER
(Signature Over Printed Name) (Signature Over Printed Name)

ADDRESS: ADDRESS:

CTC NO. DATE ISSUED PLACE ISSUED CTC NO. DATE ISSUED PLACE ISSUED
 BOX 7 ( TO BE ACCOMPLISHED BY THE DESIGN PROFFESIONAL)
THREE (3) SETS OF ELETRONICS DOCUMENTS

ELECTRONICS PLANS AND SPECIFICATIONS COST ESTIMATES

BILL OF MATERIALS OTHERS (SPECIFY)

BOX 8
PROGRESS FLOW
IN OUT
PROCESSED BY;
TIME DATE TIME DATE

ELECTRONICS

OTHERS SPECIFIY

BOX 9
ASSESSMENT
AMOUNT ASSESSED BY: O.R. NUMBER DATE PAID

BOX 10 (TO BE ACCOMPLISHED BY THE BUILDING OFFICIAL)

ACTION TAKEN

PERMIT IS HEREBY ISSUED SUBJECT TO THE FOLLOWING CONDITIONS:

1 That the proposed electronics works shall be in accordance with the electronics plans filed with this office and in
conformity with the latest Electronics Code of the Philippines, the National Building Code and its IRR.

2 That prior to any electronics installation, a duly accomplished prescribed "Notice of Construction" shall be submitted
to the Office of the Building Official

3 That upon completion of the electronics works, the licensed supervision/in-charge 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 electronic works conform to the provision of the Electronics Code of the
Philippines, the National Building Code and its IRR.

4 That this permit is null and void unless accompanied by the Building permit.

PERMIT ISSUED BY:

ENGR. CIRINIA GRACE L. CATUBIG

Officer-In-Charge

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 NBC FORM NO. A-06
Republic of the Philippines
DEPARTMENT OF PUBLIC WORKS & HIGHWAYS
OFFICE OF THE BUILDING OFFICIAL

MUNICIPALITY

SANITARY PERMIT
APPLICATION NO. SP NO. PERMIT NO.

DATE OF APPLICATION DATE ISSUED

BOX 1 (TO BE ACCOMPLISHED BY SANITARY ENGINEER/MASTER PLUMBER, IN PRINT)

NAME OF OWNER/APPLICANT LAST NAME, FIRST NAME, M.I. TAX ACCT. NO.

ADDRESS No., Street, Barangay, City/Municipality TELEPHONE NO.

Location of Installation No., Street, Barangay, City/Municipality

SCOPE OF WORK
NEW CONSTRUCTION RENOVATION RISING
ERECTION CONVERSION DEMOLITION
ADDITION REPAIR ACCESSORY BUILDING/STRUCTURE
ALTERATION MOVING OTHERS (specify)

USE OR TYPE OF OCCUPANCY

Residential Agricultural
Commercial Parks, Plazas, Monuments
Industrial Recreational
Institutional Others (Specify)
BOX 2 (TO BE ACCOMPLISH BY THE DESIGNING PROFESSIONAL)
INSTALLATION AND OPERATION

WATER SUPPLY SYSTEM OF DISPOSAL:

SHALLOW WELL WASTE WATER TREATMENT PLANT SURFACE DRAINAGE
DEEP WELL AND PUMP SET IMHOFF TANK STREET CANAL
CITY/MUNICIPAL WATER SYSTEM SANITARY SEWER CONNECTION WATER COURSE
OTHERS (specify) SUB-SURFACE AND FILTER OTHER (specify)

PREPARED BY :

BOX 3 BOX 4
DESIGN PROFESSIONAL, PLANS AND SPECIFICATIONS SUPERVISOR/IN-CHARGE OF SANITARY WORKS

SANITARY ENGINEER Date SANITARY ENGINEER Date

(signed and sealed over printed name) (signed and sealed over printed name)
Address Address
PRC NO. VALIDITY PRC NO. VALIDITY
PTR NO. DATE ISSUED PTR NO. DATE ISSUED
ISSUED AT TIN ISSUED AT TIN

BOX 5 BOX 6
BUILDING OWNER WITH MY CONSENT : LOT OWNER

(SIGNATURE OVER PRINTED NAME) (SIGNATURE OVER PRINTED NAME)

Address Address
CTC No. Date Issued Place Issued CTC No. Date Issued Place Issued
 BOX 7 (TO BE ACCOMPLISHED BY THE RECEIVING & RECORDING SECTION )
RECEIVED BY: DATE:
THREE (3) SETS OF SANITARY DOCUMENTS

Sanitary Plans & Specifications Cost Estimates

Bill of Materials Others (Specify)

BOX 8 (TO BE ACCOMPLISHED BY THE DIVISION / SECTION CONCERNED)

ASSESSED FEES
AMOUNT DUE ASSESSED BY O.R. NUMBER DATE PAID

BOX 9 (TO BE ACCOMPLISHED BY THE DIVISION / SECTION CONCERNED)

PROGRESS FLOW
IN OUT
NOTE ACTION/REMARKS PROCESSED BY
TIME DATE TIME DATE
Chief, Processing Division/Section
Receiving and Recording
Geodetic (Line and Grade)
Sanitary
BOX 10

ACTION TAKEN

PERMIT IS HEREBY ISSUED SUBJECT TO THE FOLLOWING ;

1 That the proposed sanitary works shall be in accordance with the sanitary plans filed
with this office and in conformity with the latest Code of Sanitation of the Philippines, the
National Building Code and its IRR.

2 That prior to any commencement of sanitary works, a duly accomplished prescribed

Notice of Construction" shall be submitted to the Office of the Building Official.

3 That upon completion of the sanitary works the licensed supervisor/in-charge 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 sanitary works conform to the provision of the Code on Sanitation, the
National Building Code and its IRR

4 That this permit is null and void unless accompanied by the building permit

PERMIT ISSUED BY :

ENGR. CIRINIA GRACE L. CATUBIG

Officer-In-Charge

THIS PERMIT MAY BE CANCELLED OR REVOKED PERSUANT TO SECTION. 305 & 306 OF THE "NATIONAL BUILDING CODE".
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DPWH FORM NO. 96-002-E

REPUBLIC OF THE PHILIPPINES

DEPARTMENT OF PUBLIC WORKS AND HIGHWAYS
OFFICE OF THE LOCAL BUILDING OFFICIALS

DISTRICT/CITY MUNICIPALITY
AREA CODE

PERMIT NO. APPLICATION NO.

DATE ISSUED ___________________ DATE FILED __________________

UNDER O.R. NO.
AMOUNT
DATE
ELECTRICAL PERMIT
(To be Accomplished by the Office Concerned)
BOX 1
NAME OF OWNER/APPLICANT: LAST NAME, FIRST NAME, MIDDLE NAME TIN

ADDRESS: NO., STREET, BARANGAY, CITY/MUNICIPALITY TEL/FAX. NO.

LOCATION OF INSTALLATION: NO., STREET, BARANGAY, CITY/MUNICIPALITY

BOX 2
ASSESSED FEES

AMOUNT DUE ASSESSED BY O.R. NUMBER DATE PAID

REVIEWED
__________________________
CHIEF, PROCESSING DIV. I SEC

BOX 3

PERMIT IS HEREBY GRANTED TO INSTALL THE ELECTRICAL WIRING, DEVICES AND EQUIPMENT ENUMERATED IN THE APPLICATION SUBJECT
TO THE FOLLOWING CONDITIONS:

1. THAT THE PROPOSED INSTALLATION BE IN ACCORDANCE WITH THE APPROVED PLANS FILED WITH THIS OFFICE AND IN
COMFORMITY WITH THE PROVISIONS OF THE LATEST EDITION OF THE PHILIPPINE ELECTRICAL CODE.

2. THAT A DULY LICENSED ELECTRICAL PRACTITIONER BE INCHARGE OF THE INSTALLATION/CONSTRUCTION.

3. THAT A CERTIFICATE OF COMPLETION DULY SIGNED BY THE ELECTRICAL PRACTITIONER INCHARGE OF THE INSTALLATION BE
SUBMITTED NOT LATER THAN SEVEN (7) DAYS AFTER COMPLETION OF THE INSTALLATION.

4. THAT A CERTIFICATE OF FINAL ELECTRICAL INSPECTION BE SECURED PRIOR TO THE ACTUAL OCCUPANCY OF THE BUILDING.

5. THIS PERMIT SHALL BE POSTED AT THE DOOR OR SITE OF WORK.

APPROVED:

ELECTRICAL ENGINEER OF THE BUILDING OFFICE DATE

(Signature Over Printed Name)

PRC REG. NO. & VALIDITY

NOTED:

BUILDING OFFICIAL DATE

(Signature Over Printed Name)

NOTE 1: This permit may be cancelled or revoked pursuant to sections 305 and 306 of the National Building Code
NOTE 2: Alterations on this form are not allowed.