Republic of the Philippines
CITY OF TABACO
Province of Albay
OFFICE OF THE LOCAL BUILDING OFFICIAL
CERTIFICATE OF FINAL ELECTRICAL INSPECTION/ COMPLETION
THIS IS TO CERTIFY THAT FINAL INSPECTION OF THE ELECTRICAL INSTALLATION HAD BEEN CONDUCTED ON THE BUILDING
AND/ OR PREMISES COVERED BY ELECTRICAL PERMIT NO. _________________ ISSUED ON _________________AND THE SAME
WERE FOUND COMPLETED IN ACCORDANCE WITH THE APPROVED PLANS AND SPECIFICATIONS ON FILE WITH THE OFFICE OF THE
BUILDING OFFICIAL AND IN ACCORDANCE WITH PHILIPPINE ELECTRICAL CODE PROVISIONS.
NAME OF OWNER/ APPLICANT: LAST NAME FIRST NAME MIDDLE NAME
BOTASLAC ROSEMARY
ADDRESS NO. STREET BARANGAY CITY/ MUNICIPALITY
LOCATION OF INSTALLATION NO. STREET BARANGAY CITY/ MUNICIPALITY
P-3 COBO, TABACO CITY
TYPE OF OCCUPANCY OR USE:
✘ A. RESIDENTIAL DWELLING
G. STORAGE AND HAZARDOUS
B. RESIDENTIALS, HOTELS AND APARTMENTS H. ASSEMBLY OTHER THAN GROUP 1
C. EDUCATIONAL AND RECREATION I. ASSEMBLY OCCUPANT LOAD 1000 OR MORE
D. INSTITUTIONAL J. ACCESSORY
E. BUSINESS AND MERCANTILE K. OTHERS (SPECIFY)
F. INDUSTRIAL
START OF INSTALLATION: ___________________________ DATE OF COMPLETION: ________________________________
OUTLET/ DEVICES/ EQUIPMENT
NUMBER OF OUTLETS: NUMBER OF EQUIPMENT/ WIRING/ DEVICES
6_ LIGHT ___ SPO, COOKING UNIT _4_ TOGGLE/ SWITCH ___ FA DETECTORS
_5_ CONVENIENCE/ RECEPTACLE ___ SPO, WATER HEATER ___ BELLS/ BUZZERS _ _ OTHERS (See attached list)
_ _ SPO, AIRCON ___ SPO, WATER PUMP ___ PUSH BUTTONS _ _
PERSON IN-CHARGED OF INSTALLATION
PROFESSIONAL ELECTRICAL ✘ REGISTERED ELECTRICAL REGISTERED MASTER ELECTRICIAN
ENGINEER ENGINEER (Not exceeding 600 volts & 500 KVA)
NAME
REVAN MICHAEL C. BONAVENTE PRC REG NO. 74573
SIGNATURE VALIDITY 07-23-2025
ADDRESS TABACO CITY, ALBAY
PTR NO. 3237606 DATE ISSUED 01-02-2024 PLACE ISSUED CTO- TABACO
CTC. NO. DATE ISSUED TIN
ELECTRICAL CONTRACTOR (200 AMPERE MAIN AND ABOVE)
NAME PCAB LIC NO. (SPECIFY ELECTRICAL)
VALIDITY
SIGNATURE TEL/ FAX NO.
TYPE OF INSTALLATION:
TEMPORARY ✘ NEW REMODEL/ ALTERATION
TYPES OF WIRING:
OPEN WIRING CONDUITS CABLE ARMORED CABLE RACEWAYS
OTHERS _______________
INSPECTED BY: RECOMMENDING APPROVAL: APPROVED BY:
ENGR. GIO C. BORDONADA ENGR. PEDERITO B. BORLAGDAN ARCH. FRANCO B. BITE
ELECTRICAL INSPECTOR ELECT’L ENGR. OF THE BUILDING OFFICE LOCAL BUILDING OFFICIAL
74076 21754
PRC REG. NO. AND VALIDITY PRC REG. NO. AND VALIDITY
AMOUNT PAID P_____________ OR NO. ___________________ DATE _________________
NUMBER OF STOREYS ______________________________________________________________________________________
ESTIMATED COST __________________________________________________________________________________________
ACTUAL COST
a) Materials (Total Cost) P
1. Electrical Wires ___________________________________________________________________
2. Lighting Outlets ___________________________________________________________________
3. Convenience Outlets _______________________________________________________________
4. Switches _________________________________________________________________________
Others (Specify) (Panel Board, Breakers, and other Electrical
Accessories)
____________________________________________________ ___________________________
b) Other Costs
__________________________________________________________________________________
This includes professional fees, permits and other fees.
NUMBER OF OUTLETS: NUMBER OF EQUIPMENT/ WIRING/ DEVICES
6_ LIGHT ___ SPO, COOKING UNIT _4_ TOGGLE/ SWITCH ___ FA DETECTORS
_5_ CONVENIENCE/ RECEPTACLE ___ SPO, WATER HEATER ___ BELLS/ BUZZERS _ OTHERS (See attached list)
_ _ SPO, AIRCON ___ SPO, WATER PUMP ___ PUSH BUTTONS _ _
2.Nature of Works __________________________________________________________________________________________
3. Remarks ________________________________________________________________________________________________
________________________________________________________________________________________________
I hereby certify that the above data and information are true and correct to the best of my knowledge and belief.
ELECTRICAL FEES PEE/REE/RME
Fee __________________________________________ ADDRESS TABACO CITY, ALBAY
Surcharge __________________________________________ PRC REG. NO. 74573 VALIDITY 07-23-2025
Total __________________________________________ PTR NO. 3237606 TIN
CTC NO.
Computed by: REVAN MICHAEL C. BONAVENTE
Signature Over Printed Name DATE ISSUED
PLACE ISSUED
LOAD
Nature of Works:
Inspector ___________________________________________
Fee: _______________________________________________ Contractor __________________________________________
Paid Under OR No. ___________________________________
Date: ______________________________________________ Owner/ Occupant ROSEMARY BOTASLAC
RECOMMENDING APPROVAL: APPROVED BY:
ENGR. PEDERITO B. BORLAGDAN ARCH. FRANCO B. BITE
ELECT’L ENGR. OF THE BUILDING OFFICE LOCAL BUILDING OFFICIAL
21754
PRC REG. NO. AND VALIDITY
NOTE: Renewals or extensions of this permit and/ or final certification of the electrical installation are subject to
inspection and payment of corresponding fees in conformity with pertinent provisions of the “National Building
Code” (PD 1096) and its implementing rules and regulations.
