Republic of the Philippines
Province of Negros Oriental
Municipality of Vallehermoso
OFFICE OF THE BUILDING OFFICIAL
CERTIFICATION 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 CONVERED BY BUILDING PERMIT NO.______________ISSUED ON _______________20__ A
THE SAME WERE FOUND COMPLETED IN ACCORDANCE WITH THE APPROVED PLANS AND SPECIFICATION ON FILE WITH THE
SAME OFFICE OF THE BUILDING OFFICIAL AND NAN ACCORDANCE WITH THE PHILIPPINE ELECTRICAL CODE PROVISION.
NAME OF OWNER/APPLICATION LAST NAME FIRST NAME MIDDLE NAME
FIL PRODUCTS SERVICE TELEVISION, INC.
ADDRESS NO. STREET BARANGAY CITY/MUNICIPALITY
NORTH NATIONAL HIGHWAY, BANTAYAN, DUMAGUETE CITY
LOCATION OF INSTALLATION: NO. STREET BARANGAY CITY/MUNICIPALITY
POBLACION VALLEHERMOSO, NEGROS ORIENTAL
TYPE OF OCCUPANCY OR USE:
( ) A. Residential Dwelling ( ) E. Business & Mercantile ( )I. Assembly Occupant Load100 or more
( ) B. Residential Hotel Apartment ( ) F. Industrial ( ) J. Accessory
( ) C. Educational & Recreation ( ) G. Storage & Hazardous ( ) K. Other (specify) CATV POWER
( ) D. Institutional ( ) H. Assembly other than group I SUPPLY
START OF INSTALLATION DATE OF COMPLETION
OUTLETS/DEVICE/EQUIPMENT
NUMBER OF OUTLETS NUMBER OF EQUIPMENTS/WIRING DEVICE
lights Toggle Switch
Convenience Outlet/Receptacles Bells/Buzzer
SPO, Cooking Unit Push Buttoms
SPO, Water Heater FA Detectors
SPO, Water Pump 6 AMPS. POWER SUPPLY Others (See Attached List
PERSON IN-CHARGE OR INSTALLATION
(X) Professional Electrical Engineer ( ) Registered Electrical Engineer ( ) Registered Master Electrician
(Not Exceeding 600 Volts & 500 V A)
NAME: ENGR. PORFIRIO V. LOO PRC. REG. NO
SIGNATURE: VALIDITY:
ADDRESS: SILLIMAN AVENUE, DUMAGUETE CITY
PTR NO. 3537224 DATE ISSUED: JANUARY 19,2023 PLACE ISSUED: DUMAGUETE CITY
PRC NO. PEE-371 DATE ISSUED: 1962 T.I.N. 113840452
ELECTRICAL CONSTACTOR (200-AMPERE MAIN AND ABOVE)
NAME PCAB LIC. NO. (SPECIALLY
ELECTRICAL)
VALIDITY
ADDRESS TEL/FAX NO.
TYPES OF INSTALLATION
( ) TEMPORARY ( X ) NEW ( )
REMODEL/ALTERATION
TYPES OF WIRING
( ) OPEN WIRING ( X ) CONDUITS ( ) CABLE ( ) ARMORED CABLE ( )
RACEWAY
( )
OTHERS ________________________________________________________________________________________
INSPECTED BY: RECOMMENDING APPROVAL APPROVED BY:
RODRIGO P. DUPIO ENGR. MARK LESTER G. BENLOT
ELECTRICAL INSPECTOR ELECTRICAL ENGINEER OF THE BUILDING OFFICE Building Official
PRC. REG. NO. & VALIDITY PRC. REG. NO. & VALIDITY
AMOUNT PAID: P O.R. NO. DATE:
