Republic of the Philippines
Province of Masbate
City of Masbate
ENFORCEMENT DIVISION
_______________________
Date
CERTIFICATION OF SUPERVISING ARCHITECT AND ENGINEER
This is to certify that in connection with the application for ________________________
in the name of _____________________________under____________________ permit number
___________________dated_________________and in pursuance to Section 308 of PD 1096.
Requiring the service of a duly licensed Architect or Engineer to undertake full time inspection
and supervision of the construction or installation work, and the following professional will
undertake the supervision of
NAME
PROFESSION
PRC REG. NO.
SCOPE OF WORK
1.
2.
3.
4.
5.
That upon completion of the construction or installation, the above professional will submit
their respective LOGBOOK duly accomplished signed and sealed by them together with the
CERTIFICATION OF COMPLETION not later that seven (7) days after completion of the
NAME
PROFESSION
SIGNATURE
construction project.
By:_____________________
NOTED:
ENGR. MANUEL D. DU, SR.
City Building Official