Republic of the Philippines
OFFICE OF THE CITY BUILDING OFFICIAL
BAGUIO CITY
APPLICATION NO.
APPENDIX B
DO NOT FILL UP (NSO USE ONLY)
PERMIT NO.
BUILDING PERMIT
Date of Application
ORIGINAL
Date Issued
RENEWAL
BOX 1(TO BE ACCOMPLISHED BY DESIGNING ARCHITECT /CIVIL ENGINEER IN PRINT)
OWNER/APPLICANT LAST NAME
FIRST NAME
M.I.
TIN
USE OR TYPE OF OCCUPANCY
RESIDENTIAL
INDUSTRIAL
11
SINGLE
31 FACTORY/PLANT
FOR CONSTRUCTION OWNED
FORM OF OWNERSHIP
MAIN
ECONOMIC ACTIVITY/KIND OF BUSINESS
12AN
DUPLEX
32 REPAIR SHOP/MACHINE SHOP
BY
ENTERPISE
13 ROWHOUSE/ACCESORIA
33 REFINERY
ADDRESS:
10 OTHER (SPECIFY )
34 PRINTING SHOPTELEPHONE NO.
35 WAREHOUSE
LOCATION OF CONSTRUCTION:
30 OTHER ( SPECIFY)
COMMERCIAL
INSTITUTIONAL
SCOPE
OF WORK
21 BANK
41 SCHOOL
1. NEW CONSTRUCTION
OTHER
( SPECIFY)
22 STORE
42 CHURCH
AND OTHER RELIGIOUS STRUCTURE
2. ADDITION
6. _____________________
OF STRUCTURES
__________________
23 HOTEL/MOTEL,ETC.
42 HOSPITAL OR SIMILAR
3. REPAIR OFFICE
OF
7. _____________________
OF __________________
24 OFFICE/CONDOMINIUM
BUILDING
44 WELFARE AND CHARITABLE
STRUCTURES
4.RENOVATION OF
25 RESTAURANT,ETC
45 THEATER, AUDITORIUM, GYMNASIUM, COURT
5. DEMOLITION
OF
NUMBER
OF(SPECIFY)
UNITS ______________________
26 SHOP (e.g. DRESS
SHOP, TAILORING,BARBER
SHOP, etc.
40 OTHER
27 GASOLINE STATION
28 MARKET
AGRICULTURAL
29 DORMITORY OR OTHER LODGING HOUSE
51 BARN(S), POULTRY HOUSE(S), ETC.
20 OTHERS (SPECIFY)
52 GRAIN MILL
50 OTHER (SPECIFY)
OTHER TYPE OF OCCUPANCY
60 SPECIFY
STREET FURNITURE, LANDSCAPING & SIGNBOARDS
71 PARKS, PLAZAS, MONUMENT, POOLS, PLANT BOXES,ETC
72 SIDEWALKS, PROMENADES, TERRACES, LAMPOST, ELECTRIC POLES, TELEPHONE POLES,ETC.
73 OUTDOOR ADS, SIGNBOARDS, ETC.
74 FENCE ENCLOSURE
BOX 2 (TO BE ASSESSED BY THE RECEIVING AND RECORDING SECTION)
BUILDING DOCUMENT (FIVE SETS EACH)
SITE DEVELOPMENT AND LOCATION PLAN
MECHANICAL PLANS & SPECIFICATION
ARCHITECTURE PLAN AND SPECIFICATIONS
LOGBOOK ( 1 COPY)
STRUCTURAL DESIGN & COMPUTATIONS
OTHERS (SPECIFY)
______________________________________
SANITARY/PLUMBING & SPECIFICATIONS
____________________________________________________________
ELECTRICAL PLAN & SPECIFICATIONS
BOX (TO BE ACCOMPLSHED BY THE BUILDING OFFICIAL)
ACTION TAKEN
PERMIT IS HEREBY GRANTED SUBJECT OF THE FOLLOWING CONDITIONS:
1
THAT THE PROPOSED CONSTRUCTION/ADDITION/REPAIR/
RENOVATION/DEMOLITION /INSTALLATION, ETC. SHALL BE IN
CONFORMITY WITH THE NATIONAL BUILDING CODE (P.D. 1096)
AND ITS CORRESPONDING IMPLEMENTING RULES AND REGULATIONS
2
THAT A DULY LICENSED ARCHITECTURE/CIVIL ENGINEER HAS BEEN
ENGAGED TO PREPARE PLANS AND SPECIFICATION AND TO
UNDERTAKE THE SUPERVISION/INSPECTION OF THE CONSTRUCTION
OF THE PROJECT.
3
THAT A CERTIFICATION OF COMPLETION DULY SIGNED AND SEALED
BY THE DESIGNING ARCHITECT/ENGINEER AND THE ARCHITECT/
ENGINEER IN-CHARGEOF CONTRUCTION SHALL BE SUMBITTED
NOT LATER THAT SEVEN (7) DAYS AFTER COMPLETION OF THE
CONSTRUCTION OF THE PROJECT.
4
THAT A “CERTIFICATE OF OCCUPANCY” SHALL BE SECURED
PRIOR TO ACTUAL OCCUPANCY OF THE BUILDING.
______________________________
Building Official
Date: ______________
NOTE:
THIS PERMIT MAY BE CANCELLED OR REVOKED PURSUANT TO SECTION 305 & 306 OF THE “NATIONAL BUILDING CODE”.
To be accomplished in five (5) copies, one each for: applicant (original), Assessor, National Statistics Office, Building Official, Fire Department
BOX 3A (TO BE ACCOMPLISHED BY DESIGNING ARCHITECT/CIVIL ENGINEER IN PRINT
TOTAL ESTIMATED COST
COST OF
NO. OF STOREYS
EQUIPMENT
TOTAL FLOOR
BUILDING
P
INSTALLED
AREA
ELECTRICAL
P
P
PROPOSED DATE
MECHANICAL P
P
OF CONSTRUCTION
PLUMBING
P
P
MATERIALS OF CONST.
OTHER
P
(WOOD ,CONC,STEEL,MIXED)
TOTAL COST
P
BOX 4 (TO ACCOMPLISHED BY THE DIVISION/SECTION CONCERNED)
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ASSESSED FEES
AMOUNT DUE
ASSESSED BY
O.R NUMBER
https://www.coursehero.com/file/65644538/Building-Permit-Application-Formdocx/
DATE PAID
DO NOT FILL (NSO USE ONLY)
LINE & GRADE
BUILDING
PLUMBING
ELECTRICAL
MECHANICAL
ELECTRONICS
SIGN
FENCING
DEMOLITION
EXCAVATION
Inspection Fee
Admin Fine
Surcharge
REVIEWED BY:
CHIEF, PROCESSING DIVISION/SECTION
TOTAL
WE HEREBY AFFIX OUR HANDS SIGNIFYING OUR CONFORMITY TO THE INFORMATION HEREIN ABOVE SETFORTH.
BOX 8
BOX 6
BOX 5 (TO BE ACCOMPLISHED BY THE DIVISION/SECTION CONCERNED)
PROGRESS FLOW
NOTED:
IN
OUT
CHIEF ,PROCESSING DIVISION
TIME
DATE
TIME
DATE
ACTION/ REMARKS
PROCESSED BY
RECEIVING and RECORDING
LAND USE and ZONING
GEODETIC (LINE &GRADE)
ARCHITECTURAL
STRUCTURAL
SANITARY/PLUMBING
ELECTRICAL
MECHANICAL
ARCHITECT/CIVIL ENGINEER
SIGNED AND SEALED PLANS &
SPECIFICATION
PRC REG. NO.
PRINT NAME
ADDRESS
SIGNATURE
BOX 7
ARCHITECT/CIVIL ENGINEER
IN-CHARGE OF CONSTRUCTION
PRC REG.NO.
TCT/OCT NO.
PRINT NAME
SIGNATURE
PRINT
NAME OF LOT OWNER
ADDRESS
ADDRESS
APPLICANT
PTR NO.
DATE ISSUED
WITH MY CONSENT
SINATURE
PALCE ISSUED
TIN
COMMUNITY TAX CERT.
COMMUNITY TAX CERT
SIGNATURE
BOX 9 (TO BE ACCOMPLISHED BY LOT OWNER)
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DATE ISSUED
PLACED ISSUED