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 PAID
LAND 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 RECORDING
LAND 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 ENGINEER
SIGNED 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