OCBO Form No. 6 CEO.OCBO.F.006 REV.

00 24JUN2022
Series of 2022
Republic of the Philippines
Davao City
Province of Davao Del Sur
OFFICE OF THE BUILDING OFFICIAL

Name of Application: __________________________________________________________________________

Project Location: ______________________________________________________________________________
Use of Type of Occupancy: _____________________________________________________________________
Contact Person: ________________________________________________________________________________
Phone No.: ____________________________________________________________________________________
Email Address: _________________________________________________________________________________

CHECKLIST OF REQUIREMENTS
CERTIFICATE OF OCCUPANCY
(ALL FORMS SHOULD BE FILLED-UP)

1. Application Letter; Photocopy of owner’s ID with three (3) specimen signatures;

authorization letter.

2. Zoning Validated Certificate of Occupancy for 1,500 m 2

and below (Fill-up Location of
Clearance for as-built)

3. Accomplished Certificate of Completion for:

- Building Construction (5 copies)
- Sanitary / Plumbing Installation (3 copies)
- Electrical Installation (3 copies)
- Mechanical Installation (3 copies)
- Electronics Installation (3 copies)

4. Fire Safety Inspection Certificate

5. Picture/s of the subject showing four (4) elevations (3 copies sets each)

6. Photocopy of approved permits (1 copy each including back)

- Building Construction
- Sanitary / Plumbing Installation
- Electrical Installation
- Mechanical Installation
- Electronics Installation

7. Copy of Approved Building Plans (1 set)

8. Waiver from the previous professional in-charge, if project is assigned to other

professional in-charge.

9. Stuctures with CAAP clearance (submit structural survey for the actual bldg. height)
signed and sealed by Geodetic Engineer

NOTE: Please print legibly / avoid erasures. (Use BLACK Ink only)

Evaluated by: __________________________________________________________________________

Date : _________________________________________________________________________________
OCBO Form No. 3 CEO.OCBO.F.003 REV.00 24JUN2022
Series of 2022

APPLICATION LETTER

Date
ARCH. KHASHAYAR L. TOGHYANI
Officer-In-Charge
Davao City

Dear Ma’am,

I
(First Name) (Middle Name) (Family Name)

would like to apply for for my

located at

I also authorize
(Authorized Representative of the Company)

to transact the application with your Office in my behalf.

I/We hereby certify that the documents submitted herein are all true and correct,
therefore falsification on the supporting document in any way will cause disapproval of the
permit application without prejudice further action that may be undertaken pursuant to Article
171 & 172 of R.A 3815, otherwise known as the Revised Penal Code of the Philippines.

(Signature over Printed Name of Owner) (Signature over Printed Name of Authorized Representative)

Address Address

Contact Number Contact Number

OCBO @ 2021
NBC FORM NO. B - 11

Republic of the Philippines

City/Municipality of ________________
Province of _________________________
OFFICE OF THE BUILDING OFFICIAL

APPLICATION FOR CERTIFICATE OF OCCUPANCY

FULL PARTIAL

Building Permit No.:________________

Date Issued :________________

__________________________
(Date)

Name of Owner/Applicant:______________________________________________________________
(Last Name) (Given Name) (Middle Initial)

Address of Owner/Applicant:_______________________________________ ZIP Code:____________

______________________________________________________________ Tel. No.: _____________

Requirements submitted:

As-Built Plans and Specifications, duly signed and Others: (Specifiy)_________________

sealed by respective professional discipline
Daily Construction Works Logbook
Certificate of Completion, duly notarized

Name of Project: _____________________________________________________________________

Location: ___________________________________________________________________________
(Lot No.) (Blk. No.) (Street) (Barangay) (City/Municipality)

Use/Character of Occupancy: _________________________________

No. of Storeys: ____________________________________________
No. of Units: _______________________________________________
Total Floor Area (Square Meters): ________________________________
Date of Completion: _________________________________________

Submitted by:

__________________________________
OWNER / APPLICANT
(Signature Over Printed Name)

Community Tax Certificate No. ________________

Date Issued:_______________________________
Place Issued: ______________________________
 NBC Form No. B-18

Republic of the Philippines

City Municipality ____________________
Province of _____________________________

OFFICE OF THE BUILDING OFFICIAL

TO : CITY / MUNICIPAL FIRE MARSHALL
Bureau of Fire Protection, DILG

SUBJECT : COMPLETION OF CONSTRUCTION

Pursuant to the provision of Section 309.2 of the Revised Implementing Rules and
Regulations of PD 1096, please conduct a final inspection of the building owned by
_______________________________ located at ___________________________________
for fire safety and control requirements.

“A notification to conduct final inspection shall be endorse by the Office of the

Building Official to the City/Municipality Fire Marshall (C/MFM), Bureau of Fire Protection
(BFP), who shall issue a fire safety inspection Certificate within five (5) working days if the
fire safety requirement shall have been complied. If after the prescribed period no action
taken by the C/MFM, the Building Official may issue the Certificate of Occupancy with the
condition that the Fire Safety requirements shall be complied with, within the prescribed
period set forth in the Fire Code of the Philippines (PD 9514).”

ARCH. KHASHAYAR L. TOGHYANI

Officer-In-Charge

Date referred to C/MFM Date returned to Building Official

Date referred by C/MFM Date returned by Building Official

OCBO @ 2021
 BUREAU OF FIRE PROTECTION
(Region)
(District/Provincial Office)
(Station)
(Station Address) (Station Number) (Station Email)
FSIC
APPLICATION NUMBER

FIRE SAFETY INSPECTION CERTIFICATE APPLICATION FORM

CHECK BOX OF CERTIFICATE APPLIED FOR

NAME OF OWNER
BUILDING/FACILITY/STRUCTURE/BUSINESS/
ESTABLISHMENT NAME
EXACT ADDRESS
AUTHORIZED REPRESENTATIVE
TYPE OF OCCUPANCY/ BUSINESS NATURE
TOTAL FLOOR AREA (M2) : NO. OF STOREY:

CONTACT NUMBER : EMAIL ADDRESS:

ATTACHED DOCUMENTARY REQUIREMENTS
FSIC FOR CERTIFICATE OF OCCUPANCY
[ ] ENDORSEMENT FROM OFFICE OF THE BUILDING OFFICIAL (OBO)
[ ] CERTIFICATE OF COMPLETION
[ ] CERTIFIED TRUE COPY OF ASSESSMENT FEE FOR SECURING CERTIFICATE OF OCCUPANCY FROM OBO
[ ] AS-BUILT PLAN (IF NECESSARY)
[ ] ONE (1) SET OF FIRE SAFETY COMPLIANCE AND COMMISSIONING REPORT (FSCCR) (IF NECESSARY)
FSIC FOR BUSINESS PERMIT
FOR NEW BUSINESS FOR RENEWAL OF BUSINESS
[ ] CERTIFIED TRUE COPY OF VALID CERTIFICATE OF OCCUPANCY [ ] ASSESSMENT OF THE BUSINESS PERMIT FEE/TAX
[ ] ASSESSMENT OF BUSINESS PERMIT FEE/ TAX ASSESSMENT BILL FROM BPLO
ASSESSMENT BILL FROM BPLO [ ] COPY OF FIRE INSURANCE (IF NECESSARY)
[ ] AFFIDAVIT OF UNDERTAKING THAT THERE WAS NO [ ] ONE (1) SET OF FIRE SAFETY MAINTENANCE REPORT
(FSMR) (IF NECESSARY)
SUBSTANTIAL CHANGES MADE ON
[ ] FIRE SAFETY CLEARANCE FOR WELDING, CUTTING
BUILDING/ESTABLISHMENT AND OTHER HOT WORK OPERATIONS (IF REQUIRED)
[ ] COPY OF FIRE INSURANCE (IF NECESSARY)

NOTE: Incomplete documentary requirements will be returned to the applicant.

I hereby certify the correctness of the information provided above and the completeness of the attached documents.

______________________________________________________________ ________________
OWNER/AUTHORIZED REPRESENTATIVE’S SIGNATURE OVER PRINTED NAME DATE

_______/__________
VERIFIED BY BFP-CRO: _____________________________ DATE/TIME
FSIC MONITORING (TO BE FILLED-UP BY BFP PERSONNEL ONLY)
CRO FCA FCCA C,FSES FSI C,FSES CFM/MFM CRO
DATE: DATE: DATE: DATE: DATE: DATE: DATE: DATE:
IN OUT IN OUT IN OUT IN OUT IN OUT IN OUT IN OUT IN OUT

PAALALA: “MAHIGPIT NA IPINAGBABAWAL NG PAMUNUAN NG BUREAU OF FIRE PROTECTION SA MGA KAWANI NITO ANG MAGBENTA O
MAGREKOMENDA NG ANUMANG BRAND NG FIRE EXTINGUISHER”
“FIRE SAFETY IS OUR MAIN CONCERN”
BFP-QSF-FSED-002 REV.02 (08.24.20)

BUREAU OF FIRE PROTECTION

(Region)
(District/Provincial Office)
(Station)
(Station Address) (Station Number) (Station Email)
FSICAPPLICATION NUMBER

CLAIM STUB
CERTIFIED BY:

_______________________ ___________________
CUSTOMER RELATION OFFICER
DATE
NOTE: AUTHORIZED REPRESENTATIVE MUST PRESENT AN AUTHORIZATION LETTER AND COPY OF OWNER’S IDENTIFICATION CARD
PAALALA: “MAHIGPIT NA IPINAGBABAWAL NG PAMUNUAN NG BUREAU OF FIRE PROTECTION SA MGA KAWANI NITO ANG MAGBENTA O
MAGREKOMENDA NG ANUMANG BRAND NG FIRE EXTINGUISHER”
“FIRE SAFETY IS OUR MAIN CONCERN”
BFP-QSF-FSED-002 REV.02 (08.24.20)
OCBO Form No. 8 CEO.OCBO.F.008 REV.00 24JUN2022
Series of 2022

REPUBLIC OF THE PHILIPPINES

Certificate of Final Inspection OFFICE OF THE BUILDING OFFICIAL
CITY OF DAVAO
Certificate of Completion Number

AREA CODE
Date Submitted Date Issued

Owner / Applicant CERTIFICATE OF OCCUPANCY

Building Permit No. Date Issued Number

Location of Construction

Use or Type of Occupancy Date Issued

Date of Completion Cost as Built This certifies that the building structure which has been designed and
Inspected as to the following requirements: constructed as a ____________________________________________ under
As-Built Plan Construction Logbook Building Permit No. __________________ dated ________________ issued under the
name of ____________________________________________ has been inspected
and found to be in conformity with the approved plans and specifications on the file in
ARCH. KHASHAYAR L. TOGHYANI
________________________ ENGR. REY DHANNEL O. RIOS
____________________
Architectural / Accessibility Line and Grade this office and the provisions of the National Building Code (P.D. 1096) and its
implementing rules and regulations and therefore the building / structure may now be
occupied or used.
ENGR. DINDO C. CORDA ENGR. REY S. ABIERA
Electrical / Electronics Sanitary / Plumbing The owner shall properly maintain this building structure to enhance its
architectural well-being, structural stability, sanitation, and fire-protection property and
ENGR. GILBERT G. BRIGOLI shall not be occupied or used for purposes other than its intended use as stated above.
Head Mechanical Permit Section
The construction of the building descibed above was found to be in order and This certificate is issued in accordance with Section 309, Chapter 3 of
therefore the “Certificate of Occupancy” is hereby recommended for approval. P.D. 1096.

ENGR. RAUL P. MIGUE

Civil / Structural ARCH. KHASHAYAR L. TOGHYANI
Chief, Inspection and Enforcement Division Officer-in-Charge
FILING FEE :
CERTIFICATE OF OCCUPANCY :
ELECTRICAL INSPECTION FEE : NOTE:
PLUMBING INSPECTION FEE : A certified copy herof shall be posted within the premises of the building and shall not be removed
FIRE SAFETY INSPECTION FEE : without authority from the Building Official
 lSSuED ON HAS BEEN COMPLETED IN
ACCORDANCE WITH THE APPROVED PLANS AND SPECIFICATIONS ON FILE WITH THE OFFICE OF THE

OF THE "CERTIFICATE OF OCCUPANCY".NAMEOFOWNER

(IAST NAME) (GIVEN NAME) (MlOD|E NAME)ADDRESSOFOWNER

LOCATION OF CONSTRUCTION
USE OR TYPE OF OCCUPATIONDATEOFSTARTOFCONSTRUCTION :

PROPOSED ACTUAL
DATE OF COMPLETION:

EXPECTED ACTUAL
TOTAL FLOOR AREA (sq. meters) /
ESTIMATED ACTUAL
NO. OF STOREYS ACTUAL HEIGHT
ESTIMATED COST P
ACTUAL COST P (For statistical purposes Only)

a. MATERIALS (TOTAL COST) P

1. CEMENT (bags)
2. LUMBER (cubic meter)3.REINFORCINGBARS(kg.)4.NO.OFG.I.SHEETS

5. PRE-FAB STRUCTURAL STEEL (kg)

b. DIRRECT LABOR (TOTAL COST) P

This include compensation whether by salary or contract for project Architect/Engineers down to laborers.

c. RENTAL EQUIPMENT (lF ANY)

D. OTHER COST P

THIS INCLuDES PF(OFESSIONALSERVICES FEES, PERMITS AND OTHER FEES,

lF CONSTRUCTION IS UNDERTAKEN BY CONTRACT.At{LHlIECl/LIVILENGINttH |uN I I(All ur(

(lN{HARGE OF CONSTRUCTION)

CONFORME: PRC RES. NO. CLASS

TIN RES. CERT.

ADDRESS
OCBO Form No. 9 CEO.OCBO.F.009 REV.00 24JUN2022
Series of 2022

REPUBLIC OF "E PHILIPPINES

OFFICE OF THE BUILDING OFFICIAl-
DAVAO Crrv
OCBO Form No. 10 CEO.OCBO.F.010 REV.00 24JUN2022
Series of 2022
REPUBLIC OF THE PHILIPPINES
DEPARTMENT OF PUBLIC WORKS AND HIGHWAYS
OFFICE OF THE CITY BUILDING OFFICIAL
Davao City

CERTIFICATE OF FINAL ELECTRICAL INSPECTION / COMPLETION

THIS IS TO CERTIFY THAT FINAL INSPECTION OF THE ELECTRICAL INSTALLATION HAD BEEN CONDUCTED ON BUILDING AND/OR
PREMISES CONVERED BY THE BUILDING PERMIT NO. _________________ ISSUED ON ________________ AND THE SAME WERE FOUND
COMPLETED IN ACCORDANCE WITH THE APPROVED PLANS AND SPECIFICATIONS AND FILE WITH THE BUILDING OFFICIAL, AND IN
ACCORDANCE WITH THE ELECTRICAL CODE OF THE PHILIPPINES.
NAME OF OWNER / APPLICANT : LASTNAME FIRSTNAME MIDDLE NAME

ADDRESS : NO STREET BARANGAY CITY / MUNICIPALITY

LOCATION OF INSTALLATION : NO STREET BARANGAY CITY / MUNICIPALITY

TYPE OF OCCUPANCY OR USE :

RESIDENTIAL DWELLING BUSINESS AND MERCANTILE ASSEMBLY OCCUPANT LOAD 1000 OR MORE

RESIDENTIAL HOTEL APARTMENT INDUSTRIAL ACCESSORY

EDUCATION AND RECREATION STORAGE AND HAZARDOUS OTHERS (SPECIFY)

INSTITUTIONAL ASSEMBLY OTHER THAN GROUP 1

START OF INSTALLATION : DATE OF COMPLETION :

OUTLET/S | DEVICES EQUIPMENT

NUMBER OF OUTLETS :

LIGHT SPO. COOKING UNIT TOGGLE SWITCH FE DETECTORS

CONVINIENCE / RECEPTACLE SPO. WATER HEATER BELLS / BUZZER OTHERS (SPECIFY)
SPO. AIRCON SPO. WATER PUMP PUSH BUTTONS

PERSON INCHARGE OF INSTALLATION

PROFESSIONAL ELECTRICAL ENGINEER REGISTERED ELECTRICAL ENGINEER REGISTERED MASTER ELECTRICIAN

(not exceeding 600 volts and 600 kVA)
NAME :

SIGNATURE :

ADDRESS :

PTR NO. : DATE ISSUED : PLACE ISSUED :

CTC NO. : DATE ISSUED : TIN :

ELECTRICAL CONTRACTOR ( 200 AMPERE MAIN AND ABOVE )

NAME :

PCAB LICENSE NO. : (SPECIFICALLY ELECTRICAL) VALIDITY :

ADDRESS : TEL. / FAX NO. :

TYPE OF INSTALLATION :
TEMPORARY NEW REMODEL / ALTERATION

TYPE OF WIRING :

OPEN WIRING CONDUITS CABLE ARMORED CABLE RACEWAYS

OTHERS (SPECIFY) :

INSPECTED BY : APPROVED BY : NOTED BY :

ARCH. KHASHAYAR L. TOGHYANI

ELECTRICAL INSPECTOR CHIEF, ELECTRICAL SECTION Officer-In-Charge
(Signature over Printed Name) (Signature over Printed Name)

PRC REG. NO VALIDITY PRC REG. NO VALIDITY

₱
AMOUNT PAID O.R. NO. DATE
OCBO Form No. 11 CEO.OCBO.F.011 REV.00 24JUN2022
Series of 2022

Republic of the Philippines

OFFICE OF THE BUILDING OFFICIAL
City of Davao

Date:

The Resident Manager

Davao u'ght & Power Company
DavaoCity

Sir/Maam:

Pursuant to the provision of pD IO96 otherwise known as the National Building

Code of the Philippines and its Ancillary, the Electrical Code of the PhilI.PPineS, you are
hereby authorized to supply kilowatt-hour meter and service connection/s to Mr./Mrs.

(Given Name) (Middle Name) (Family Name)

a resident of
after they had been issued Building and Electrical Permit, as well as its Cerificate of
Final Inspection and Occupancy of his/her building located at,

(House /Bldg./Purok No.) (Street Name) (Barangav)

this City, his/her Electrical Installation is found to be in accordance with the EIectrical Code
of the Philippines and its lmplementing Rules and Regulations.

Your favorable action on this matter is highly appreciated.

LONGITUDE : Very truly yours,

LATITUDE
ARCH. KHASHAYAR L. TOGHYANI
__________________________________

C-|n-
Officer-in-Charge
ENGR:
ENGR. CIRINIA GRACEI.I CATUBIG
CIRINIA GRACE CATUBIG
Officer -In-Charge

Alpha Numeric

Date Issued
OCBO Form No. 12 CEO.OCBO.F.012 REV.00 24JUN2022
Series of 2022

Republic of the philippines

OFFICE OF THE BUILDING OFFICIAL
City of Davao
(ELECTRICAL DIVISION)

REQUEST FOR INSPECTION

DATE :

NAME OF APPuCANT :
ADDRESS :

LOCATION OF INSTALLATION :

TOTAL NUMBER OF OuTLErs AND EQUIPMENT INSTALLED

LIGHTS: swlTCHES: CONVINIENCE OUTLET: MAIN SWITCH:

BELL SYSTEM: ELECTRIC RANGE: K.W.: WATEFi HEATER: K.W. :
AIRCONDITIONING SYSTEM: H.P.: TELEPHONE: MOTORS: H.P. :
OTHERS (SPECIFY):

NATURE OF WORKS:

P.E.E/R.E.E/R.M,I.

OWNER/APPLICANT SIGNATuRE PRC REG.#

P_T.R.#
RES.CERT,#
ISSUED AT:
DATE ISSUED:
T.I_N.#

lNSPECTION REPORT

REMARKS:

INSPECTOR DATE..

TIME :
OCBO Form No. 16 CEO.OCBO.F.016 REV.00 24JUN2022
Series of 2022