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 FORM OF OWNERSHIP MAIN ECONOMIC ACTIVITY/KIND OF

BY ANENTERPRISE 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..

BOX 6 BOX 8
SIGNATURE
ARCHITECT/CIVIL ENGINEER PRC REG. NO
SIGNED AND SEALED PLANS & SPECIFICATION

PRINT NAME

ADDRESS APPLICANT

COMMUNITY TAX CERT. DATE ISSUED PLACE ISSUED

PTR NO.

SIGNATURE

WITH MY CONCENT:
BOX 79(TO BE ACCOMPLISHED BY OWNER)

TCT/OCT NO PRC REG.NO.

ARCHITECT/CIVIL
. ENGINEER
IN-CHARGE OF CONSTRUCTION
PRINT NAME OF LOT OWNER

ADDRESS

PTR.NO. DATE ISSUED PLACED ISSUED

SIGNATURE TAN
ADDRESS

COMMUNITY TAX CERT

SIGNATURE