Republic of the Philippines

Quezon City
DEPARTMENT OF THE BUILDING OFFICIAL
APPLICATION FOR BUILDING PERMIT

APPLICATION NO. DATE OF APPLICATION:

BOX 1 (TO BE ACCOMPLISHED IN PRINT BY THE OWNER/APPLICANT AND BY THE DESIGN PROFESSIONAL
OWNER/APPLICANT LAST NAME FIRST NAME M.I.

FORM OF OWNERSHIP TELEPHONE NO.

ADDRESS NO. STREET BARANGAY CITY/MUNICIPALITY ZIP CODE

LOCATION OF CONSTRUCTION:

SCOPE OF WORK:
NEW CONSTRUCTION RENOVATION DEMOLITION
INSTALLATION CONVERSION ACCESSORY BUILDING STRUC.
ADDITION REPAIR OTHERS (Specify)
ALTERATION MOVING

NUMBER OF UNITS
TOTAL FLOOR AREA
TOTAL ESTIMATED COST
BOX 2 BOX 3
DESIGN PROFESSIONAL, PLANS AND SPECIFICATIONS FULL TIME INSPECTOR AND SUPERVISOR OF CONSTRUCTIVE WORKS

ARCHITECT OR CIVIL ENGINEER ARCHITECT OR CIVIL ENGINEER

(Signed and Sealed Over Printed Name) (Signed and Sealed Over Printed Name)

Date Date

ADDRESS ADDRESS

PRC NO. VALIDITY PRC NO. VALIDITY

PTR NO. DATE ISSUED PTR NO. DATE ISSUED

Issued at: TIN Issued at: TIN

BOX 4 BOX 5
APPLICANT: WITH CONSENT: LOT OWNER

(Signed and Sealed Over Printed Name) (Signed and Sealed Over Printed Name)
Date Date

ADDRESS ADDRESS

CTC No. Date Issued: Place Issued: CTC No. Date Issued: Place Issued:

BOX 6
REPUBLIC OF THE PHILIPPINES
CITY/MUNICIPALITY OF

BEFORE ME, at the City/Municiplity of on personally

append the following:

APPLICANT: CTC NO. DATE ISSUED PLACE ISSUED

LICENSED ARCHITECT OR CIVIL CTC NO. DATE ISSUED PLACE ISSUED

ENGINEER
(Full Time Inspector and Supervisor of Construction Work)

Whose signature appear hereinabove, known to me, to be the same peron who executed this standard prescribed form and acknowledged to that the same is
theirand voluntary act and deed.
free
WITNESS MY HAND AND SEAL on the date and place above written.

Doc. No.

Page. No.

Book No.
NOTARY PUBLIC (Until December ______________________ )
Series of.
 Republic of the Philippines
Quezon City
DEPARTMENT OF THE BUILDING OFFICIAL
APPLICATION FOR ELECTRICAL PERMIT

APPLICATION NO. DATE OF APPLICATION:

BOX 1 (TO BE ACCOMPLISHED IN PRINT BY THE OWNER/APPLICANT AND BY THE DESIGN PROFESSIONAL
OWNER/APPLICANT LAST NAME FIRST NAME M.I.

FORM OF OWNERSHIP TELEPHONE NO.

ADDRESS NO. STREET BARANGAY CITY/MUNICIPALITY ZIP CODE

LOCATION OF CONSTRUCTION:

SCOPE OF WORK:
NEW CONSTRUCTION RENOVATION RAISING
ERECTION CONVERSION DEMOLITION
ADDITION REPAIR ACCESSORY BUILDING STRUC.
ALTERATION MOVING OTHERS (Specify)

SUMMARY OF ELECTRICAL LOAD/CAPACITIES APPLIED FOR

TOTAL CONNECTED LOAD TOTAL TRANSFORMER CAPACITY TOTAL GENERATOR CAPACITY

kVA kVA kVA

BOX 2 (TO BE ACCOMPLISHED IN PRINT BY THE DESIGN PROFESSIONAL

PROFESSIONAL ELECTRICAL ENGINEER WHO SIGNED AND SEALED PLANS AND SPECIFICATIONS
ADDRESS

PRC NO. VALIDITY

PROFESSIONAL ELECTRICAL ENGINEER Date PTR NO. DATE ISSUED

(Signed and Sealed Over Printed Name) TIN
Issued at:
BOX 3

SUPERVISOR IN-CHARGE OF INSTALLATION

PROFESSIONAL ELECTRICAL ENGINEER REGISTERED ELECTRICAL ENGINEER REGISTERED MASTER ELECTRICIAN

Not Exceeding 600 V & 500k VA

(Signed and Sealed Over Printed Name) Date

PRC NO. VALIDITY

PTR NO. DATE ISSUED

Issued at: TIN

ADDRESS
BOX 4 BOX 5
APPLICANT: WITH CONSENT: LOT OWNER

(Signed and Sealed Over Printed Name) (Signed and Sealed Over Printed Name)
Date Date

ADDRESS ADDRESS

CTC No. Date Issued: Place Issued: CTC No. Date Issued: Place Issued:
BOX 6
REPUBLIC OF THE PHILIPPINES
CITY/MUNICIPALITY OF

BEFORE ME, at the City/Municiplity of on personally

append the following:

APPLICANT: CTC NO. DATE ISSUED PLACE ISSUED

LICENSED ARCHITECT OR CIVIL CTC NO. DATE ISSUED PLACE ISSUED

ENGINEER
(Full Time Inspector and Supervisor of Construction Work)

Whose signature appear hereinabove, known to me, to be the same peron who executed this standard prescribed form and acknowledged to that the same is
theirand voluntary act and deed.
free
WITNESS MY HAND AND SEAL on the date and place above written.

Doc. No.

Page. No.

Book No.
NOTARY PUBLIC (Until December ______________________ )
Series of.
 Republic of the Philippines
Quezon City
DEPARTMENT OF THE BUILDING OFFICIAL
APPLICATION FOR SANITARY/PLUMBING PERMIT

APPLICATION NO. DATE OF APPLICATION:

BOX 1 (TO BE ACCOMPLISHED IN PRINT BY THE OWNER/APPLICANT AND BY THE DESIGN PROFESSIONAL

OWNER/APPLICANT LAST NAME FIRST NAME M.I.

FORM OF OWNERSHIP TELEPHONE NO.

ADDRESS NO. STREET BARANGAY CITY/MUNICIPALITY ZIP CODE

LOCATION OF CONSTRUCTION:

SCOPE OF WORK:
NEW CONSTRUCTION RENOVATION RAISING
ERECTION CONVERSION DEMOLITION
ADDITION REPAIR ACCESSORY BUILDING STRUC.
ALTERATION MOVING OTHERS (Specify)

BOX 2 BOX 3
DESIGN PROFESSIONAL, PLANS AND SPECIFICATIONS SUPERVISOR IN-CHARGE OF INSTALLATION

Date Date

SANITARY ENGINEER/MASTER PLUMBER SANITARY ENGINEER/MASTER PLUMBER

(Signed and Sealed Over Printed Name) (Signed and Sealed Over Printed Name)

ADDRESS ADDRESS

PRC NO. VALIDITY PRC NO. VALIDITY

PTR NO. DATE ISSUED PTR NO. DATE ISSUED

Issued at: TIN Issued at: TIN

BOX 4 BOX 5
APPLICANT: WITH CONSENT: LOT OWNER

(Signed and Sealed Over Printed Name) (Signed and Sealed Over Printed Name)
Date Date

ADDRESS ADDRESS

CTC No. Date Issued: Place Issued: CTC No. Date Issued: Place Issued:

BOX 6
REPUBLIC OF THE PHILIPPINES
CITY/MUNICIPALITY OF

BEFORE ME, at the City/Municiplity of on personally

append the following:

APPLICANT: CTC NO. DATE ISSUED PLACE ISSUED

LICENSED ARCHITECT OR CIVIL CTC NO. DATE ISSUED PLACE ISSUED

ENGINEER
(Full Time Inspector and Supervisor of Construction Work)

Whose signature appear hereinabove, known to me, to be the same peron who executed this standard prescribed form and acknowledged to that the same is
theirand voluntary act and deed.
free
WITNESS MY HAND AND SEAL on the date and place above written.

Doc. No.

Page. No.

Book No.
NOTARY PUBLIC (Until December ______________________ )
Series of.
 Republic of the Philippines
Quezon City
CITY PLANNING AND DEVELOPMENT OFFICE
ZONING ADMINISTRATION UNIT
4th floor, civic Center Bldg. D, Quezon City Hall Compound, Quezon City
Telephone: 988-4242 loc. 1014 & 1005
APPLICATION FOR LOCATIONAL CLEARANCE
FOR CONSTRUCTION
PLEASE FILL-UP COMPLETELY IN PRINT
A. BUSINESS NAME / TRADE NAME

PROJECT ACTIVITY RESIDENTIAL COMMERCIAL INDUSTRIAL INSTITUTIONAL OTHERS

B. PROJECT OWNER / APPLICANT:

NAME:

ADDRESS:

AUTHORIZED REPRESENTATIVE:

CONTACT NUMBER:

C. LOCATION:

LOT NO. BLK. NO. NO. STREET SUBDIVISION BARANGAY DISTRICT

D. NATURE OF APPLICATION E. PROJECT TYPE

New Application New Application

Reconstruction Reconstruction

Others Addtional / Extension / Expansion

Others

F. PROJECT DESCRIPTION

No. of Units H. Is there a pending criminal / administrative case and / or

No. of Storey / Floors complaint relative to the project activity?
If yes, state the nature of case and / or complaint:
Lot Area

Total Floor Area of Building

G. RIGHT OVER LAND I HEREBY DECLARE UNDER THE PENALTIES OF PERJURY

THAT THE INFORMATION HAS BEEN FURNISHED IN GOOD
Owner FAITH, VERIFIED BY ME AND TO THE BEST OF MY KNOWLEDGE
AND BELIEF IS TRUE AND CORRECT.
Lease

Others
SIGNATURE OF THE OWNER / APPLICANT OVER PRINTED NAME

INSTRUCTIONS / REMINDERS
I C - Z -
1. Application form must be duly ACCOMPLISHED and SIGNED by the owner
/ authorized representative.
2. Keep a duplicate copy of the application form duly received by the Zoning
Checked and
Administration Unit (ZAU). Received by:
3. Present the documents together with your ID Card during transactions. Pay
application fees upon submission of the application form. Pay processing fee
before release of locational clearance. Submit a photocopy of the Official
Receipts.
4. Only REGISTERED / RIGHTFUL OWNER or his DESIGNATED Date: DD/MM/YYYY
REPRESENTATIVE with notarized authorization letter will be entertained.
5. FOLLOW-UP AND FIXING BY EMPLOYEES OF QUEZON CITY
GOVERNMENT IS PROHIBITED.
 BUREAU OF FIRE PROTECTION

FSEC
National Capital Region
District V
Quezon City fire District
City Hall Compound, Diliman, Quezon City
APPLICATION NUMBER
FIRE SAFETY EVALUATON CLEARANCE APPLICATION FORM
PROJECT OWNER
PROJECT TITLE
PROJECT LOCATION
OWNER ADDRESS
NAME OF CONTRACTOR /
GENERAL CONTRACTOR
AUTHORIZED REPRESENTATIVE
(if applicant is not the owner)
CONTACT NUMBER: EMAIL ADDRESS TOTAL FLOOR AREA (sq.m.) NO. OF STOREY

ATTACHED DOCUMENTARY REQUIREMENTS

[ ] APPLICATION FORM FOR BUILDING PERMIT FROM THE OFFICE OF THE BUILDING OFFICIAL THREE (3)
COMPLETE SETS OF THE FOLLOWING DOCUMENTS:
[ ] ARCHITECTURAL DOCUMENTS [ ] PLUMBING DOCUMENTS
[ ] CIVIL/STRUCTURAL DOCUMENTS [ ] ELECTRONICS DOCUMENTS
[ ] ELECTRICAL DOCUMENTS [ ] SANITARY DOCUMENTS
[ ] MECHANICAL DOCUMENTS [ ] FIRE PROTECTION PLAN
[ ] PHOTOCOPIES OF VALID LICENCES OF
INVOLVED PROFESSIONAL
[ ] 1 SET OF ESTIMATED COST OF THE BUILDING TO BE CONSTRUCTED/RENOVATED/MODIFIED AS REFLECTED
IN THE BILL OF MATERIALS INCLUDING LABOR COST SIGNED AND SEALED BY THE DESIGNER/CONTRACTOR
AND DULY NOTARIZED

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

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

OWNER/AUTHORIZED REPRESENTATIVE'S SIGNATURE OVER PRINTED PRINTED NAME DATE

VERIFIED BY BFP-CRO:
DATE/TIME
FSEC MONITORING (To be filled-up by BFP Personnel only)
CRO FCA FCCA C,FSES BPE C,FSES CMF/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 PROTECTION SA MGA KAWANI NITO ANG MAGBENTA O
MAGREKOMENDA NG ANUMANG BRAND NG FIRE EXTINGUISHER"
"FIRE SAFETY IS OUR MAIN CONCERN"
BFP-QSF-FSED-001 REV.01 (07.05.19)

FSEC
BUREAU OF FIRE PROTECTION
National Capital Region
District V
Quezon City fire District
City Hall Compound, Diliman, Quezon City APPLICATION NUMBER

CLAIM STUB
CERTIFIED BY:

CUSTOMER RELATION OFFICER DATE

NOTE: Authorized Representative must present as Authorization Letter and Copy of Owner's Identification Card
PAALALA: "MAHIGPIT NA IPINAGBABAWAL NG PAMUNUAN NG BUREAU OF PROTECTION SA MGA KAWANI NITO ANG MAGBENTA O
MAGREKOMENDA NG ANUMANG BRAND NG FIRE EXTINGUISHER"
"FIRE SAFETY IS OUR MAIN CONCERN"

BFP-QSF-FSED-001 REV.01 (07.05.19)

 Republic of the Philippines
Quezon City
DEPARTMENT OF THE BUILDING OFFICIAL
APPLICATION FOR MECHANICAL PERMIT

APPLICATION NO. DATE OF APPLICATION:

BOX 1 (TO BE ACCOMPLISHED IN PRINT BY THE OWNER/APPLICANT AND BY THE DESIGN PROFESSIONAL

OWNER/APPLICANT LAST NAME FIRST NAME M.I.

FORM OF OWNERSHIP TELEPHONE NO.

ADDRESS NO. STREET BARANGAY CITY/MUNICIPALITY ZIP CODE

LOCATION OF CONSTRUCTION: LOT NO: BLK NO: TCT NO: TAX DEC. NO.:

LOT NO: BARANGAY QUEZON CITY

SCOPE OF WORK:
NEW CONSTRUCTION RENOVATION RAISING
ERECTION CONVERSION DEMOLITION
ADDITION REPAIR ACCESSORY BUILDING STRUC.
ALTERATION MOVING OTHERS (Specify)

BOX 2 BOX 3
DESIGN PROFESSIONAL, PLANS AND SPECIFICATIONS SUPERVISOR IN-CHARGE OF MECHANICAL WORKS
PROFESSIONAL MECHANICAL ENGINEER MECHANICAL ENGINEER

PROFESSIONAL MECHANICAL ENGINEER (Signed and Sealed Over Printed Name)

(Signed and Sealed Over Printed Name) Date
Date

ADDRESS ADDRESS

PRC NO. VALIDITY PRC NO. VALIDITY

PTR NO. DATE ISSUED PTR NO. DATE ISSUED

Issued at: TIN Issued at: TIN

BOX 4 BOX 5
APPLICANT: WITH CONSENT: LOT OWNER

(Signed and Sealed Over Printed Name) (Signed and Sealed Over Printed Name)
Date Date

ADDRESS ADDRESS

CTC No. Date Issued: Place Issued: CTC No. Date Issued: Place Issued:

BOX 6
REPUBLIC OF THE PHILIPPINES
CITY/MUNICIPALITY OF

BEFORE ME, at the City/Municiplity of on personally

append the following:

APPLICANT: CTC NO. DATE ISSUED PLACE ISSUED

LICENSED ARCHITECT OR CIVIL CTC NO. DATE ISSUED PLACE ISSUED

ENGINEER
(Full Time Inspector and Supervisor of Construction Work)

Whose signature appear hereinabove, known to me, to be the same peron who executed this standard prescribed form and acknowledged to that the same is
theirand voluntary act and deed.
free
WITNESS MY HAND AND SEAL on the date and place above written.

Doc. No.

Page. No.

Book No.
NOTARY PUBLIC (Until December ______________________ )
Series of.
 Republic of the Philippines
Quezon City
DEPARTMENT OF THE BUILDING OFFICIAL
APPLICATION FOR DEMOLITION PERMIT

APPLICATION NO. DATE OF APPLICATION:

BOX 1 (TO BE ACCOMPLISHED IN PRINT BY THE OWNER/APPLICANT AND BY THE DESIGN PROFESSIONAL

OWNER/APPLICANT LAST NAME FIRST NAME M.I.

FORM OF OWNERSHIP TELEPHONE NO.

ADDRESS NO. STREET BARANGAY CITY/MUNICIPALITY ZIP CODE

LOCATION OF CONSTRUCTION: LOT NO: BLK NO: TCT NO: TAX DEC. NO.:

LOT NO: BARANGAY QUEZON CITY

SCOPE OF WORK:
DEMOLITION: OTHERS (Specify)

TOTAL FLOOR AREA TO BE DEMOLISHED Sq. m. DEMOLITION COST: Php

BOX 2
FULL TIME INSPECTOR AND SUPERVISOR OF DEMOLITION WORKS
ADDRESS TEL. NO.

PRC NO. VALIDITY

ARCHITECT OR CIVIL ENGINEER Date PTR NO. DATE ISSUED

(Signed and Sealed Over Printed Name)
Issued at: TIN

BOX 3 (TO BE ACCOMPLISHED BY THE APPLICANT)

OWNER/APPLICANT: WITH CONSENT: LOT OWNER

(Signed and Sealed Over Printed Name) (Signed and Sealed Over Printed Name)
Date Date

ADDRESS ADDRESS

CTC No. Date Issued: Place Issued: CTC No. Date Issued: Place Issued:

BOX 4
REPUBLIC OF THE PHILIPPINES
CITY/MUNICIPALITY OF

BEFORE ME, at the City/Municiplity of on personally

append the following:

APPLICANT: CTC NO. DATE ISSUED PLACE ISSUED

LICENSED ARCHITECT OR CIVIL CTC NO. DATE ISSUED PLACE ISSUED

ENGINEER
(Full Time Inspector and Supervisor of Construction Work)

Whose signature appear hereinabove, known to me, to be the same peron who executed this standard prescribed form and acknowledged to that the same is
theirand voluntary act and deed.
free
WITNESS MY HAND AND SEAL on the date and place above written.

Doc. No.

Page. No.

Book No.
NOTARY PUBLIC (Until December ______________________ )
Series of.

Whose signature appear hereinabove, known to me, to be the same peron who executed this standard prescribed form and acknowledged to that the same is
their
free and voluntary act and deed.
WITNESS MY HAND AND SEAL on the date and place above written.

Doc. No.
Page. No.
Book No.
NOTARY PUBLIC (Until December ______________________ )
Series of.
 Republic of the Philippines
Quezon City
DEPARTMENT OF THE BUILDING OFFICIAL
APPLICATION FOR ELECTRONICS PERMIT

APPLICATION NO. ELP NO. BUILDING PERMIT NO.

BOX 1 (TO BE ACCOMPLISHED IN PRINT BY THE OWNER/APPLICANT

OWNER/APPLICANT LAST NAME FIRST NAME M.I.

FORM OF OWNERSHIP TELEPHONE NO.

ADDRESS NO. STREET BARANGAY CITY/MUNICIPALITY ZIP CODE

LOCATION OF CONSTRUCTION: LOT NO: BLK NO: TCT NO: TAX DEC. NO.:

LOT NO: BARANGAY QUEZON CITY

SCOPE OF WORK:
NEW INSTALLATION ANNUAL INSPECTION OTHERS (Specify)

BOX 2 (TO BE ACCOMPLISHED BY THE DESIGN PROFESSIONAL)

NATURE OF INSTALLATION WORKS/EQUIPMENT

TELECOMMUNICATION SYSTEM ELECTRONICS ALARM SYSTEM ELECTRONICS COMPUTERIZED

PROCESS CONTROLS AUTOMATION
BROADCASTING SYSTEM PABX / TELEPHONE SYSTEM SYSTEM
CABLE TELEVISION SYSTEM CENTRALIZED CLOCK SYSTEM BUILDING AUTOMATION
ICT SYSTEM A/V SYSTEM MANAGEMENT AND CONTROL
SYSTEM
SECURITY AND ALARM SYSTEM ELECTRONICS CONTROL AND
CONVEYOR SYSTEM INSIDE / OUTSIDE PLANT UTILIZING
ANY OTHER ELECTRONICS AND I.T. SYSTEMS, EQUIPMENT, APPARATUS, COPPER CABLE, FIBER OPTIC CABLE,
DEVICE AND/OR COMPONENT (Specify) ____________________________ OR OTHER MEDIAL ELECTRONICS
SYSTEM

PROJECT COST

PREPARED BY:

BOX 3 BOX 4
DESIGN PROFESSIONAL, PLANS AND SPECIFICATIONS SUPERVISOR IN-CHARGE OF ELECTRONICS WORKS

PROFESSIONAL ELECTRONICS ENGINEER PROFESSIONAL ELECTRONICS ENGINEER

(Signed and Sealed Over Printed Name) (Signed and Sealed Over Printed Name)
Date Date

ADDRESS ADDRESS

PRC NO. VALIDITY PRC NO. VALIDITY

PTR NO. DATE ISSUED PTR NO. DATE ISSUED

Issued at: TIN Issued at: TIN

BOX 5 BOX 6
BUILDING OWNER/APPLICANT: WITH CONSENT: LOT OWNER

(Signed and Sealed Over Printed Name) (Signed and Sealed Over Printed Name)
Date Date

ADDRESS ADDRESS

CTC No. Date Issued: Place Issued: CTC No. Date Issued: Place Issued:
Whose signature appear hereinabove, known to me, to be the same peron who executed this standard prescribed form and acknowledged to that the same is
theirand voluntary act and deed.
free
WITNESS MY HAND AND SEAL on the date and place above written.

Doc. No.

Page. No.

Book No.
NOTARY PUBLIC (Until December ______________________ )
Series of.
 REPUBLIC OF THE PHILIPPINES
QUEZON CITY

DEPARTMENT OF THE BUILDING OFFICIAL

CERTIFICATE OF COMPLETION
This is to certify that the building/structure covered by Building Permit No. _______________ issued on ________________ has been constructed and
completed under our supervision, conforms with the plans and specifications submitted and on file with the Department of the Building Official, and
complies with the provisions of the National Building Code and Accessibility Law (BP Bldg. 344).

NAME OF OWNER:

ADDRESS OF OWNER: ZIP CODE TEL. NO.

LOCATION OF CONSTRUCTION:

LOT NO: BLK NO: STREET BARANGAY QUEZON CITY

USE OR CHARACTER OF OCCUPANCY GROUP

PLANNED ACTUAL
DATE OF START OF CONSTRUCTION
DATE OF COMPLETION
TOTAL FLOOR AREA (SQUARE METER)
NO. OF STOREY(S)
NO. OF UNITS

SUMMARY OF COSTS
1. TOTAL COST OF MATERIALS P

1.1. CEMENT (bags) _____________________

1.2. LUMBER (bd. ft.) _____________________
1.3. REINFORCING BARS (kg.) _____________
_____________________
1.4. G.I. SHEETS (sheets __________________
1.5. PREFAB STRUCTURAL STEEL (kg) _______
1.6. Other materials (sheets __________________
2. TOTAL COST OF DIRECT LABOR: P
This includes compensation whether by salary or contract for project architect/engineer down to laborers.

3. TOTAL COST OF EQUIPMENT UTILIZATION P

4. OTHER COSTS: P
This includes professional services fees, permits and other fees.

TOTAL COST OF BUILDING/STRUCTURE P

FULL-TIME SUPERVISOR OR INSPECTOR OF THE CONSTRUCTION IF CONSTRUCTION WAS UNDERTAKEN BY CONTRACT

Contructor: PCAB LIC. NO.

Validity:
AUTHORIZED MANAGING OFFICER TIN
(Signature Over Printed Name) Address: Tel. No.
DATE: ___________________
PRC NO.: Validity:
PTR NO.: Date Issued:
AUTHORIZED MANAGING OFFICER
Issued at: TIN
(Signature Over Printed Name)
CTC NO.: Date Issued: Issued at:
CTC NO.: Date Issued: Place Issued:
CTC NO.:
AUTHORIZED MANAGING OFFICER
Date Issued:
(Signature Over Printed Name)
Place Issued:
REPUBLIC OF THE PHILIPPINES )
S.S
CITY / MUNICIPALITY OF ___________________________________)

BEFORE ME, at the City/municipality of ____________________________, on _______________ personally appeared the person whose
signature Appear herein on this page, known to me to be the same person who executed this standard prescribed from and acknowledged to me that
the same is there free and voluntary act and deed.

WITNESS MY HAND AND SEAL on the date and place above written

DOC NO: _____________________

PAGE NO: _____________________
BOOK NO: _____________________
SERIES OF: _____________________ NOTARY PUBLIC (until December _______________________)

QCG-DBO-FPA03-V01
 REPUBLIC OF THE PHILIPPINES
QUEZON CITY

DEPARTMENT OF THE BUILDING OFFICIAL

W.P. No. ____________________________ CEI. No. ____________________________
Date . _____________________________ Date . _____________________________

CERTIFICATE OF FINAL ELECTRICAL INSPECTION/COMPLETION

This is to certify that the final inspection of the Electrical Installation had been conducted on the Building and/or premises covered by Building
Permit No. ______________, issued on ______________ and the same were found completed in accordance with the approved plans and
specification on file with the Department of the Building Official in accordance with Philippine Electrical Code Provisions.
OWNER/APPLICANT: LAST NAME, FIRST NAME, MIDDLE NAME

Address: No: Street: Barangay: City/Municipality

Location of Installation No: Street: Barangay: City/Municipality

Type of Occupancy or Use

A. Residential Dwelling E. Business & Merchantile I. Assembly Occupant Load 100 or more
B. Residential, Hotel, Apartment F. Industrial F. Industrial
C. Education & Recreation G. Storage & Hazardous G. Storage & Hazardous
D. Institutional H. Assembly other than group

START OF INSTALLATION ______________________________ START OF COMPLETION ______________________________

OUTLETS/DEVICES EQUIPMENT
NUMBER OF OUTLETS: NUMBER OF EQUIPMENTS/WIRING DEVICES:
_____LIGHTS _____SPO COOKING UNIT _____TOGGLE SWITCH _____FA DETECTORS
_____CONVENIENCE/RECEPTACLE _____WATER HEATER _____BELLS, BUZZER _____OTHERS
SEE ATTACHED
_____SPO AIRCON _____WATER PUMP _____PUSH BUTTON FILES

PERSON IN-CHARGE OF INSTALLATION

PROFESSIONAL ELECTRICAL ENGINEER REGISTERED ELECTRICAL ENGINEER REGISTERED MASTER ELECTRICIAN
(Not Exceeding 600 Volts & 500 KVA)

NAME:

SIGNATURE:

ADDRESS:

PTR NO:

CTC NO:

ELECTRICAL CONTRACTOR (200 AMPERE MAIN AND ABOVE)

NAME: PCAB LIC NO: (SPECIALTY ELECTRICAL)
VALIDITY:
ADDRESS: TEL/FAX NO.

TYPE OF INSTALLATION

TEMPORARY NEW REMODEL/ALTERATION

TYPE OF WIRING

OPEN WIRING CONDUCT CABLE ARMORED CABLE RACEWAYS

OTHERS: _____________________________________________________________________________________________________

INSPECTED: APPROVED: NOTED:

MICHAEL B. MACTAL REE

ENGINEER III
ELECTRICAL INSPECTOR Electrical Engineer of the Building Official Local Building Official

PRC REG NO. & VALIDITY DATE:

AMOUNT PAID: __________________ O.R. NO.___________________________

QCG-DBO-FPA03-V01
 REPUBLIC OF THE PHILIPPINES
QUEZON CITY
DEPARTMENT OF THE BUILDING OFFICIAL
1st-3rd Floor Building Regulatory Office (Civic Center D)
QC Hall Compound, Quezon City

CERTIFICATE OF COMPLETION
(SANITARY/PLUMBING INSTALLATION)
This to certify that the sanitary/plumbing installation/s of the subject building/structure hereunder stated with
Sanitary/Plumbing Permit No. __________________ issued on _____________________, has been completed through the actual
supervision by the undersigned in accordance with the provisions of the National Building Code of the Philippines (PD 1096) and
to its latest referral codes as provided in the Plumbing and Sanitary Engineering Codes, Sanitation Code of the Philippines (PD
856), QC Green Building Code and other related codes and directives.

PROJECT :______________________________________________________________________________________
LOCATION :______________________________________________________________________________________
OWNER :______________________________________________________________________________________

NOTE: Please fill-up the following.

SOURCE OF WATER : ____________________

SEWAGE SYSTEM : ____________________

STORM DRAINAGE : ____________________

SUPERVISION/IN-CHARGE OF INSTALLATION: CONFORME:

Registered Sanitary Engineer/Master Plumber Owner / Applicant

(Signed and Sealed Over Printed Name) or Authorized Representative
(Print Name/Signed Above)

Date : _____________________________
PRC No : _____________________________
PTR No : _____________________________
Issued at : _____________________________
Date Issued : _____________________________
TIN : _____________________________

SUBSCRIBED AND SWORN to before me this ________________ day of _____________________________, 2019 at

______________________________, with the affiant/s exhibiting ot me their respective identification cards above stated as proof
of their personal identities.

Doc No. : ____________________

Book No. : ____________________
Page No. : ____________________
Series No. : ____________________ Notary Public
 REPUBLIC OF THE PHILIPPINES
QUEZON CITY

DEPARTMENT OF THE BUILDING OFFICIAL

Control No: _______________________ Control No: _______________________

CERTIFICATE OF COMPLETION

THIS CERTIFIES THAT the mechanical installations project owned by ________________________________________

located at ________________________________________________________________________________________________
entitled ____________________________________________________________________________________________________
and covered by Mechanical Permit No. __________________________________________ Issued on _______________________
has been completed in accordance with the approved plans and specifications, and provisions of the National Building Code of the
Philipines ( P.D. 1096), Its Implementing Rules and Regulation (IRR), and the Philippine Mechanical Engineering Code.

That the total cost of the mechanical project is _________________________

That the installation is ready for final inspection, and for issuance of Certificate of Operation
Issued this ______________ day of __________________ in Quezon City.

P.M.E. Signed and Sealed Plans P.M.E. In-Charge of Installation CONTRUCTOR

PRC Reg. No. ___________________________ PRC Reg. No. ___________________________ License No. _____________________________
PTR No. _______________________________ PTR No. _______________________________ T.I.N. _________________________________
Date Issued: ____________________________ Date Issued: ____________________________
Placed Issued: ___________________________ Placed Issued: ___________________________
T.I.N. __________________________________ T.I.N. __________________________________

REQUEST is herein submitted for Final Inspection of the above installation. Following are contact details and information for your perusal.

Owner/Representative: ____________________________ Contact No.: ____________________________

Contractor/Representative: _________________________ Contact No.: ____________________________

Scheduled Test Details:

Hydrotest: __________________________
Load test: ___________________________
Other : ___________________________

Submitted by: ______________________________________________

Owner / Authorized Representative
( Signature over printed name)

RECEIVED BY: _____________________________________

DATE: _____________________________________

QCG-DBO-FPA02-V01
 Republic of the Philippines
Department of the Interior and Local Government
BUREAU OF FIRE PROTECTION
National Capital Region
QUEZON CITY FIRE DISTRICT
City Hall Compound Diliman, Quezon City

09/14/2020
APPLICATION FORM Date
FIRE SAFETY INSPECTION CERTIFICATE FOR OCCUPANCY PERMIT

Instructions: Accomplish the data needed. Write legibly. Application with incomplete requirements will not be accepted.

NAME OF APPLICANT:
PROJECT TITLE:
LOCATION OF PROJECT:
BASE BUILDING:
TYPE OF OCCUPANCY:
TOTAL FLOOR AREA:
SCOPE OF WORK:
BUILDING PERMIT NUMBER:
CONTACT NUMBER:

AMOUNT OFFICIAL RECEIPT NO. DATE

FIRE INSPECTION FEE

SALES TAX
OTHERS

1. Certificate of Completion

One (1) Certified true copy & one (1) photocopy of Assessment Fee for
2. securing occupancy permit from Building Permit.

3. Copy of Fire Safety Evaluation Clearance (FSEC) with Fire Safety Checklist.

4. Copy of Building Permit.

5. Copy of Approved Plans.

6. Authorization letter and copy of government issued ID (if not the owner)
Requirements to be submitted: (To be checked/filled on by the Customer Relation Officer)

REMARKS:

PROCESSED BY: I hereby certify that all information stated above are true
and crrect to the best of my knowledge.

CRO/Assesor Name and Signature of Applicant