Republic of the Philippines

OFFICE OF THE BUILDING OFFICIAL

Davao City
Tel No./Mobile No.: 291-6695 / 09254972251
E-mail Address: [email protected] & [email protected]

CHECKLIST FOR PERMIT APPLICATION

SIGNBOARD
NEW RENEWAL (applicable to ALL kinds of Sign Permit application)
Notarized Application Letter (1 copy)
Filled up Sign Permit form,signed by the required signatories (2 pcs) Notarized Application Letter (1 copy)
Filled up Electrical Permit form (for lighted/signed & sealed by the Filled up Sign Permit Form, signed by the required signatories-2
appropriate professional-2pcs) PTR/PRC license of the signing professional (with 3 specimen
PTR / PRC license of the assigned professional (with 3 specimen signatures)
signatures)
Lease of Contract / Certified True Copy of Title/Certification
Lease of Contract/ Certification-2copies) [for Lease of Contract / Certification (2 copies)]
[for TCT (1 true copy and 1 machine copy)] [for Title (1 true copy and 1 machine copy)]
Signage Plan with Dimension and Elevation (3 copies)
[signed & sealed by a duly licensed Architect / Civil Engineer] Approved Sign Permit with official receipt (1 photocopy)
Electrical Plan [if lighted](3 copies)- signed & sealed by a REE/PEE Actual Pictures of the existing signage
Sketch Plan showing Site Development, Vicinity& Locational Map (2 Sketch Plan showing Site Development, Vicinity &Locational
copies)- signed &sealed by the appropriate professional Map (2 copies)-signed & sealed by the appropriate professional
DPWH Clearance [if along highway] (1 original and 1 machine copy)

PYLON
Notarized Application Letter (1 copy) Certified Copy of Title (1 original & 1 photocopy)
Filled up Sign Permit form, signed by the required signatories-2 Signage Plan with Dimension and Elevation (3 copies)
[if with post/support must be signed & sealed by a CE]
Filled up Electrical Permit form (for lighted /signed & sealed by
the appropriate professional-2pcs) Electrical Plan [if lighted](3 copies)
[signed and sealed by the appropriate professional]
Sketch Plan showing Site Development, Vicinity &Locational DPWH Clearance (1 original and 1 machine copy)
Map (2 copies)- signed & sealed by the appropriate
professional

TARPAULIN, BANNERS, STREAMER, ETC.

Forms
Notarized Application Letter (1 pc) Sketch Plan showing Site Development, Vicinity & Locational
Filled up Sign Permit form, signed by the required Map (2 copies)-signed & sealed by the appropriate professional
signatories -2pcs List of private establishment where the signage’’s will be
placed, with signature over printed name of the owner (2 copies)
Signage Layout with complete & clear dimensions (2copies)

DIRECTIONAL SIGN
Notarized Application Letter (1 copy)
Sketch Plan showing Site Development,Vicinity&Sketch/
Filled up Sign Permit Form, signed by the the required Locational Map (2 copies)-signed & sealed by the appropriate
signatories (2pcs) professional
List of private establishment where the signage’’s will be placed
p

Signage Plan with complete/clear dimension & elevations

(3 copies)-[if with post/support must be signed & sealed by a CE ] with signature over printed name of the owner (2 copies)

MOBILE SIGN (NEW / RENEWAL)

Official Receipt and Certification of LTO Registrationper unit

3

Notarized Application Letter (1 copy)

(1 original and 1 photocopy)
Filled up Sign Permit form,signed by the required signatories -2
Notarized MOA between unit owner and advertiser (2 copies)
Signage Plan with complete/clear dimensions & elevations (3
copies) [if with post/support must be signed & sealed by a licensed CE] Actual pictures (if existing)

(to be filled up the personal of the Office of the City Building Official)

Received / Pre-evaluated as to checklist by: Re-entry of Application :

Name/Position : Name/Position :
Date/Time : Date/Time :
Signature : Signature :

FIELD INSPECTORS COMMENTS

Name/Position :
Date/Time :
Signature :
 Republic of the Philippines
OFFICE OF THE BUILDING OFFICIAL
Davao City
Tel No./Mobile No.: 291-6695 / 09254972251
E-mail Address: [email protected] & [email protected]

CHECKLIST FOR BILLBOARD PERMIT APPLICATION

Name of Applicant :
Address :
Project Location :
Contract Numbers :
Name of Authorized Representative :

NEW
Notarized Application Letter (1 copy) ATO/CAAP Clearance (1 true copy and 1 machine copy)
Filled up Sign Permit form,signed by the required [if the structure is located along National Highway]
signatories (2 pcs) Locational Clearance (1 true copy and 1 machine copy)
Filled up Electrical Permit form (for lighted/signed & Lease of Contract / Certified True Copy of Title
sealed by the appropriate professional-2pcs) [for Lease of Contract (2 copies)]
[for Title (1 true copy and 1 machine copy)]
Structural Plan with Complete Details
[signed and sealed by a licensed Professional Tax Declaration (3 copies)
Civil Engineer or Structural Engineer] (3 copies) Sketch Plan showing Site Development, Vicinity and
Electrical Plan [if lighted] (3 copies) Locational Map (2 copies)
[signed and sealed by licensed Professional [signed and sealed by the licensed Geodetic Engineer]
Electrical Engineer] Insurance Coverage Policy (2 copies)
Project Technical Specification (2 copies) Building and Occupancy Permits for existing building
[signed and sealed by the Designing Engineer] [if root mounted] (1 copy)
Structural Design Analysis (2 copies) [must be approved by OCBO]
[signed and sealed by a licensed Civil/Structural Certificate of Structural Stability (1 copy)
Engineer] [issued by a licensed Civil/Structural Engineer]
[if root mounted]
DPWH Clearance [if along highway](1 original and 1 machine
copy)

RENEWAL

Notarized Application Letter (1 copy) Sketch Plan showing Site Development, Vicinity and
Filled up Sign Permit form,signed by the required Locational Map (2 copies)
signatories (2 pcs) [signed and sealed by the licensed Geodetic Engineer]
Filled up Electrical Permit form (for lighted/signed & Lease of Contract / Certified True Copy of Title
sealed by the appropriate professional-2pcs) [for Lease of Contract (2 copies)]
[for Title (1 true copy and 1 machine copy)]
Previous Signage Permit & attachments (1 copy)
[include Official Receipt of payment] Actual Pictures at site (whole view)
Certifate of Structural Stability (1 copy) DPWH Clearance [if along highway]
[issued by a licensed Civil/Structural Engineer] (1 original and 1 machine copy)
[if root mounted]
Insurance Coverage Policy (2 copies)
Certificate of Use (2 copies)

(to be filled up the personal of the Office of the City Building Official)

Received / Pre-evaluated as to checklist by: Re-entry of Application :

Name/Position : Name/Position :
Date/Time : Date/Time :
Signature : Signature :

FIELD INSPECTORS COMMENTS

Name/Position :
Date/Time :
Signature :
 CITY GOVERNMENT OF DAVAO
OFFICE OF THE BUILDING OFFICIAL
City of Davao

APPLICATION NO.: PERMIT NO.:

DATE:
Billboard Signboard Streamer Pylon Direction Sign Moblie Sign

SIGN PERMIT
Permit is hereby granted to
with postal address at

to install/attach/paint

with the wordings "

at the premises of

as per attached sketch plan or location plan to pertinent provisions of the National Building Code (P.D. 1096),
City Ordinance No. 092, series of 2000 and its implementing Rules and Regulations and to the following
Conditions :
1 The sign shall be installed in conformity with Rule XX of the implementing Rules and Regulations of
P.D. 1096 and the City Ordinance No. 092, Series of 2000
2 In case of Electric or neon signs the corresponding Electrical Permit therefore shall be secured.
3 This Permit must be kept in the premises of the establishment wherein the sign is installed for
inspection purposes. It may be cancelled or revoked pursuant to sections 305 and 306 of the
National Building Code (P.D. 1096), The City Ordinance No. 092, Series of 2000 and when public
interest so demands.
New Renewal
S.P. No.
Date Issued:
With sketch of location : Recommending
Approval:
Fee :
O.R. No. :
Date Paid : ARCH. KHASHAYAR L. TOGHYANI
Valid Until : Officer-In-Charge

Approved :

SEBASTIAN Z. DUTERTE
Architect/Civil Engineer City Mayor
(In-Charge of Construction)
PRC Reg. :
PTR No. : By :
Date Issued :
Place Issued :
City Administrator

Applicant Building/Lot Owner

NOTE : REMINDER :
STREAMERS ACROSS THE STREET ARE NOT RENEWAL OF SIGN PERMIT SHOULD BE FILED
ALLOWED, PERMIT NUMBER MUST BE POSTED IN THIS OFFICE ON OR BEFORE THE DUE DATE
ON BILLBOARDS/SIGNBOARDS AND STREAMERS TO AVOID PENALTIES AND SURCHARGE

ALL SIGNBOARDS/BILLBOARDS SHOULD BE

ANNUALLY INSPECTED EVERY 1ST WEEK OF
JANUARY FOR PAYMENTS OF ANNUAL
INSPECTION FEES.

VR12 – 2022 (THIS FORM IS NOT FOR SALE)

 APPLICATION LETTER

Date :

ARCH. KHASHAYAR L. TOGHYANI

Officer-In-Charge
Davao City

Sir/Maam:

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

would like to aplply for for my

located at
(Complete Address)

I also authorize to
(Authorized Representative of the Company)

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 t further action that may be undertaken pursuant to Articles 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:

loymi_lapuz_2000
 DPWH FORM NO. 96-002-E
Republic of the Philippines
DEPARTMENT OF PUBLIC WORKS AND HIGHWAYS
OFFICE OF THE LOCAL BUILDING OFFICIAL

DISTRICT/CITY/MUNICIPALITY
AREA CODE._________

PERMIT NO. APPLICATION NO.

DATE ISSUED : DATE FILED :

PAID UNDER O.R. NO. :
AMOUNT :
DATE ISSUED :
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
ASSESSMENT
AMOUNT DUE ASSESSED BY O.R. NUMBER DATE PAID

REVIEWED BY

CHIEF OF PROCESSING DIV.SEC.

BOX 3
PERMIT IS HEREBY GRANTED TO INSTALL THE ELECTRICAL WIRING, DEVICES AND EQUIPMENT ENUMERATED IN THIS
APPLICATION SUBJECT TO THE FOLLOWING CONDITIONS :
1 THAT THE PROPOSED INSTALLATION BE IN ACCORDANCE WITH THE APPROVED PLANS FILED WITH THIS OFFICE AND IN
CONFORMITY 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 CERTIFICATE OF COMPLETION DULY SINGED 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 OCCURRED 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. AND VALIDITY

NOTED :

ARCH. KHASHAYAR L. TOGHYANI DATE

OFFICER-IN-CHARGE
loymi_lapuz_2000
Note 1: This permit maybe cancelled or revoked pursuant to Section 305-306 of the National Buildind Code.
Note 2 : Alteration on this form are not allwed
 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: