REPUBLIC OF THE PHILIPPINES DO NOT FILL UP (NSO USE ONLY)
MUNICIPALITY OF CALATAGAN
PROVINCE OF BATANGAS
OFFICE OF THE MUNICIPAL ENGINEER
APPLICATION NO. PERMIT NO.
______
BUILDING PERMIT ______
DATE ISSUED
ORIGINAL RENEWAL
BOX1 (TO BE ACCOMPLISHED BY DESIGNING ARCHITECT- ENGINEER IN PRINT)
OWNER LAST NAME FIRST NAME M .I. / TAX ACCT. NO.FOR CONSTRUCTION OWNED BY ANENTERPRISE / FORM OF OWNERSHIP / MAIN ECONOMIC ACTIVITY/KIND OF BUSINESS
ADDRESS / TEL. .NO.
LOCATION OF CONSTRUCTION
SCOPE OF WORK 1. NEW CONSTRUCTION OTHERS (SPECIFY )
2. ADDITION OF ______6. ______OF ______
3. REPAIR OF ______7.______OF ______
4. RENOVATION OF ______
5. DEMOLITION OF ______NUMBER OF UNITS ______
USE OR TYPE OF OCCUPANCY
RESIDENTIAL INDUSTRIAL
11 SINGLE 31 FACTORY/PLANT
12 DUPLEX 32 REPAIR SHOP
13 ROWHOUSE/ACCESSORIA MACHINE SHOP
10 OTHERS (SPECIFY)______33 REFINERY
34 PRINTING PRESS
COMMERCIAL 35 WARE HOUSE
11 BANK 30 OTHERS (SPECIFY) ______
22 STORE
23 HOTEL /MOTEL .ETC INSTITUTIONAL
24 OFFICE CONDOMINIUN/BUSINESS OFFICE BUILDING 41 SCHOOL
25 RESTAURANT, ETC. 42 CHURCH AND OTHER RELIGIOUS STRUCTURES
26 SHOP (e.g. DRESS SHOP TAILORING SHOP, BARBER SHOP. ETC.) 43 HOSPITAL OR SIMILAR STRUCTURES
27 GASOLINE STATION 44 WELFARE AND CHARITABLE STRUCTURES
28 MARKET 45 THEATER, AUDITORIUM, GYMNASIUM, COURT
29 DORMITORY OR OTHER LODGING HOUSE 40 OTHERS SPECIFY______
30 OTHERS (SPECIFY)______
AGRICULTURE
OTHER CONSTRUCTION 51 BARN (S) POULTRY HOUSE (S). ETC
60 SPECIFY______52 GRAIN MILL
50 OTHERS (SPECIFY)______
STREET FURNITURE, LANDSCAPING & SIGNBORDING
71PARKS, PLAZAS, MONUMENT, POOLS PLANT BOXES, ETC.
72 SIDEWALKS, PROMENADES, TERRACES, LAMPOSTS, ELECTRIC POLES, TELEPHONE POLES, ETC.
73 OUTDOOR ADS, SIGNBOARDS, ETC
74 FENCE ENCLOSURE
BOX 2 ( TO BE ACCOMPLISHED BY THE RECEIVING & RECORDING SECTION )BUILDING DOCUMENTS (FIVE SETS EACH)
SITE DEVELOPMENT AND LOCATION PLAN MECHANICAL PLANS & SPECIFICATIONS
ARCHITECTURAL PLAN & SPECIFICATION LOGBOOK (1 COPY)
STRUCTURAL DESIGN & COMPUTATIONS ______
SANITARY /PLUMBING PLANS & SPECIFICATIONS ______
ELECTRICAL PLANS & SPECIFICATIONS ______
BOX 3 ( TO BE ACCOMPLISHED BY THE BUILDING OFFICIAL )ACTION TAKEN
PERMIT IS HEREBY GRANTED SUBJECT TO FOLLOWING CONDITIONS.
1. THAT THE PROPOSED CONSRUCTION / ADDITION / REPAIR RENO-
VATION / 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 ARCHETECT/CIVIL ENGENEERS HAS BEEN
BEEN ENGAGED TO PREPARE PLANS SPECIFICATIONS AND TO
UNDERTAKE SUPERVISION /INSPECTION OF THE
CONSTRUCTION OF THE PROJECT.
3. THAT A CERTIFICATE OF COMPLETION DULY SIGNED AND
SEALED BY THE DESIGNING ARCHETECT/ENGINEER AND ALEXANDER B. MANALO
THE ARCHETECT/ENGINEER Building official
IN CHARGE OF CONSTRUCTION SHALL BE SUBMITTED NOT LATER
THAN 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. DATE
NOTE:
“THIS PERMIT MAY CANCELLED OR REVOKED PURSUANT TO SECTIONS 305 & 306 OF THE NATIONAL BUILDING CODE.”
TO BE ACCOMPLISHED IN FIVE COPIES, ONE EACH FOR APPLICANT (ORIGINAL), ASSESOR, NATIONAL STATISTICS OFFICE, BUILDING OFFICIAL FIRE DEPARTMENT.
BOX 3A ( TO BE ACCOMPLISHED BY DESIGNING ARCHITECT / CIVIL ENGINEER IN PRINT )
DO NOT FILL ( NSO USE ONLY )
TOTAL ESTIMATED COST COST OF NUMBER OF STOREYS ______
EQUIPMENT
BUILDING P...... INSTALLED TOTAL FLOOR AREA ______
ELECTRICAL P………...... P ……………...... PROPOSED DATE OF
CONSTRUCTION ______
MECHANICAL P………...... P ………………..
EXPECTED DATE
PLUMBING P………………...... P ……………….. OF COMPLETION ______
OTHERS P…………………… MATERIAL OF CONST. ______
(WOOD, CONC, STEEL MIXED)
TOTAL COST P………………......
BOX 4 (TO BE ACCOMPLISHED BY THE DIVISION / SECTION CONCERNED )ASSESSED FEES
AMOUNT DUE / ASSESSED BY / O.R NUMBER / DATE PAIDLAND USED/ZONNING
LINE & GRADE
BUILDING
PLUMBING
ELECTRICAL
MECHANICAL
OTHERS
TOTAL / REVIEWED
CHIEF, PROCESSING DIVISION/SECTION
BOX 5 ( TO BE ACCOMPLISHED BY THE DIVISION CONCERNING )
PROGRESS FLOW
NOTED : IN OUT ACTION / PROCESSED
CHIEF, PROCESSING REMARKS BY
RECEIVING and RECORDINGLAND USE and ZONING
GEODETIC (LINE and GRADE)
ARCHITECTURAL
STRUCTURAL
SANITARY
ELECTRICAL
MECHANICAL
DIVISION / SECTION TIME DATE TIME DATE
WE HEREBY AFFIX OUR HAND SIGNIFYING OUR CONFORMITY TO THE INFORMATION HEREIN ABOVE SETFORTH..
ARCHITECT/CIVIL ENGINEERSIGNED AND SEALED PLANS & SPECIFICATION / PRC REG. NO
PRINT NAME
ADDRESS
PTR NO.
SIGNATURE
BOX 7
ARCHITECT/CIVIL ENGINEER
IN-CHARGE OF CONSTRUCTION / PRC REG.NO.
PRINT NAME
ADDRESS
PTR.NO. / DATE ISSUED / PLACED ISSUED
SIGNATURE / TAN
BOX 6 BOX 8
SIGNATURE/
APPLICANT
COMMUNITY TAX CERT. / DATE ISSUED / PLACE ISSUED
WITH MY CONCENT:
BOX 9(TO BE ACCOMPLISHED BY OWNER)
TCT/OCT NO
.
PRINT NAME OF LOT OWNER
ADDRESS
COMMUNITY TAX CERT
SIGNATURE