NBC Form No.

96006-E

Republic of the Philippines

Municipality/City of Naga
Province of Camarines Sur
OFFICE OF THE BUILDING OFFICIAL

CERTIFICATE OF FINAL ELECTRICAL INSPECTION/COMPLETION

THIS IS TO CERTIFY THAT FINAL ELECTRICAL INSTALLATION HAS 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 SPECIFICATIONS ON FILE WITH THE OFFICE OF THE BUILDING
OFFICIAL AND IN ACCORDANCE WITH PHILIPPINE ELECTRICAL CODE PROVISIONS.
NAME OF 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 & MERCANTILE I.ASSEMBLY OCCUPANT LOAD 1000 OR MORE
B. RESIDENTIAL, HOTEL,APARTMENT F.INDUSTRIAL J.ACCESSORY
C.EDUCATION & RECREATION G.STORAGE & HAZARDOUS K.OTHERS (SPECIFY)____________________
D.INSTITUTIONAL H.ASSEMBLY OTHER THAN GROUP I
START OF INSTALLATION______________________________DATE OF COMPLETION__________________________

OUTLETS/DEVICES/EQUIPMENTS
NUMBER OF OUTLETS NO. OF EQUIPMENT/WIRING DEVICES:
______LIGHT ______SPO.COOKING UNIT _______TOGGLE SWITCH ________FA DETECTORS
_____CONVENIENCE/RECEPTCLE ______SPO.WATER HEATER _______BELLS/BUZZLES _______OTHERS(See attached list)
_____SPO. AIRCON ______SPO. WATER PUMP _______PUSH BUTTONS _________________________

PERSONS IN CHARGE OF INSTALLATION

PROFESSIONAL. ELECTRICAL ENGINEER REGISTERD ELECTRICAL ENGINEER REGISTERED MASTER ELECTRICIAN
(Not exceeding 600 Volts & 500 kVA)
NAME: PRC REG. NO.
SIGNATURE: VALIDITY
ADDRESS:
PTR NO. DATE ISSUED PLACE ISSUED
CTC NO. DATE OF ISSUED TIN

ELECTRICAL CONTRACTOR (200 AMPERE MAIN AND ABOVE)

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

TYPES OF INSTALLATION
TEMPORARY NEW REMODEL/ALTERATION
TYPES OF WIRING
OPEN WIRING CONDUITS CABLE ARMORED CABLE RACEWAYS
OTHERS:__________________________________________________________________________________________

INSPECTED BY: RECOMMENDING APPROVAL: APPROVED BY:

GREGORY DL. MORENO ALEXANDER N. CANING

ELECTRICAL INSPECTOR ELECTRICAL ENGINEER OF THE BUILDING OFFICE ACTING BUILDING OFFICIAL

__________________________________ __________________________________
PRC. REG. NO. & VALIDITY PRC. REG. NO. & VALIDITY

AMOUNT PAID Php __________________ O. R No. ____________________________________ DATE__________________________

 NUMBER OF STORIES
ESTIMATED COST
ACTUAL
COST__________________________________________________________________________________________________________
a.) Materials (Total Cost) P
1. Electrical wires_________________________________________________________________________________
2. Lighting outlets_________________________________________________________________________________
3. Convenience outlets_____________________________________________________________________________
4. Switches______________________________________________________________________________________
Others (specify)_________________________________________________________________________
b.) Other
Cost________________________________________________________________________________________________________
This includes professional fees, permits and other fees.

1. Loads to be Connected:
______LIGHT _______SPO, COOKING UNIT ______TOOGLE SWITCH _______FA DETECTORS
______CONVENIENCE/RECEPTACE _______SPO, WATER HEATER ______BELLS/BUZZERS _______OTHERS (See attached List)
______SPO, AIRCON _______SPO, WATER PUMP ______PUSH BUTTONS ____________________________

2. Nature of works____________________________________________________________________________________________________
Type of Service: Voltage___________________________ Size of Wires_____________________Phase______________________
4.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
ADDRESS
Fee P___________________________
Surcharge P___________________________ PRC REG. NO. VALIDITY
Total P___________________________
PTR NO. TIN
CTC NO.________________________________________
Computed by:_________________________________ DATE ISSUED____________________________________
Signature Over Printed Name PLACE ISUED____________________________________

LOAD

NATURE OF WORK
Inspector_____________________________________________ Contractor____________________________________________
Fee: P________________________________________________
Paid Under Official Receipt No.____________________________
Owner/Occupant_______________________________________
Date_________________________________________________

RECOMMENDING APPROVAL: APPROVED BY:

GREGORY DL. MORENO ALEXANDER N. CANING

ELECTRICAL ENGINEER OF THE BUILDING OFFICE ACTING BUILDING OFFICAL
(Signature Over Printed Name) (Signature Over Printed Name)

_____________________________________________
PRC. REG. NO. & VALIDITY

NOTE: Renewals or extension 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.