REPUBLIC OF THE PHILIPPINES
CITY OF ILOILO
OFFICE OF THE BUILDING OFFICIAL
APPLICATION NO. PERMIT NO.
DISTRICT/ CITY/ MUNICIPALITY
AREA CODE_____033_____
___________________________ BUILDING PERMIT
DATE OF APPLICATION 1. ORIGINAL 2. RENEWAL DATE ISSUED
BOX 1 (TO BE ACCOMPLISHED BY DESIGNING ARCHITECT/ CIVIL ENGINEER IN PRINT)
NAME OF OWNER/ APPLICANT TAX ACCT. NO.
FOR CONSTRUCTION OWNED FORM OF OWNERSHIP MAIN ECONOMIC ACTIVITY/ KIND OF BUSINESS
BY AN ENTERPRISE
ADDRESS NO. STREET, BARANGAY, CITY/ MUNICIPALITY TELEPHONE NO.
LOCATION OF CONSTRUCTION NO. STREET, BARANGAY, CITY/ MUNICIPALITY
SCOPE OF WORK 2 ADDITION OF OTHERS ( SPECIFY)
3
4 REPAIR OF
1 NEW CONSTRUCTION 4 RENOVATION OF 6 OF
5 DEMOLITION OF 7 OF
USE OR TYPE OF OCCUPANCY
RESIDENTIAL
11 SINGLE INDUSTRIAL 30 OTHERS ( SPECIFY)
12 DUPLEX
13 ROWHOUSE/ ACCESORIA 31 FACTORY/ PLANT
14 OTHERS ( SPECIFY) 32 REPAIR SHOP, MACHINE SHOP
33 REFINERY
34 PRINTING PRESS
35 WAREHOUSE
21 BANK
22 STORE INSTITUTIONAL
23 HOTEL, MOTEL, ETC. 41 SCHOOL
24 OFFICE CONDOMINIUM/ BUSINESS OFFICE BUILDING 42 CHURCH AND OTHER RELIGIOUS STRUCTURES
25 RESTAURANT, ETC. 43 HOSPITAL OR SIMILAR STRUCTURES
26 SHOP (e.g. DRESS SHOP, TAILORING SHOP, BARBER SHOP, ETC. 44 WELFARE AND CHARITABLE STRUCTURES
27 GASOLINE STATION 45 THEATER, AUDITIRIUM, GYMNASIUM, COURT
28 MARKET
29 DORMITORY or OTHER LODGING HOUSE 40 OTHERS ( SPECIFY)__________________________
30 OTHERS ( SPECIFY)
AGRICULTURAL `
OTHER CONSTRUCTION
51 BARN (S), POULTRY HOUSE (S), ETC.
60 (SPECIFY)__________________________
52 GRAIN MILL
STREET FURNITURE, LANDSCAPING & SIGNBOARDS 53 OTHERS (SPECIFY)__________________________
71 PARKS, PLAZAS, MONUMENTS, POOLS, PLANT BOXWS ETC.
72 SIDEWALKS, PROMENADES, TERRACES, LAMP POSTS, ELECTRIC
POLES, TELEPHONE POLES, ETC.
73 OUTDOOR ADS, SIGNBOARDS, ETC.
74 FENCE ENCLOSURE
BOX 2 (TO BE ACCOMPLISHED BY THE RECEIVING & RECORDING SECTION)
BUILDING DOCUMENTS (FIVE SETS EACH)
SITE DEVELOPMENT PLAN & LOCATION PLAN MECHANICAL PLANS & SPECIFICATIONS
ARCHITECTURAL PLAN & SPECIFICATIONS
STRUCTURAL DESIGNS & COMPUTATION LOGBOOK (1 COPY)
SANITARY/ PLUMBING PLANS & SPECIFICATIONS OTHERS (SPECIFY)________________________________________
ELECTRICAL PLANS & SPECIFICATIONS
BOX 3 (TO BE ACCOMPLISHED BY THE BUILDING OFFICIAL)
ACTION TAKEN
PERMIT IS HEREBY GRANTED TO THE FOLLOWING CONDITIONS
1 THAT THE PROPOSED CONSTRUCTION ADDITION/ REPAIR/ RENOVATION
DEMOLITION/ INSTALLATION, ETC., SHALL BE IN CONFORMITY WITH
THE " NATIONAL BUILDING CODE" (PD 1098) AND ITS CORRESPONDING
IMPLEMENTATING RULES & REGULATIONS.
2 THAT A DULY LICENSED ARCHITECT/ CIVIL ENGINEER HAS BEEN
ENGAGED TO PREPARE PLANS & SPECIFICATIONS AND TO UNDERTAKE
THE SUPERVISION/ INSPECTION OF THE CONSTRUCTION OF THE PROJECT
3 THAT A CERTIFICATE OF COMPLETION SIGNED BY THE ARCHITECT/
CIVIL ENGINEER IN -CHARGED OF CONSTRUCTION AND THE
CONTRACTOR IN CASE THE CONSTRUCTION IS UNDERTAKEN BY CONTRACT ENGR. MAVI J. GUSTILO
TO BE CONFIRMED BY THE OWNER SHALL BE SUBMITTED NOT LATER CITY BUILDING OFFICIAL
THAN SEVEN (7) DAYS AFTER COMPLETION OF THE CONSTRUCTION OF
THE PROJECT.
4 THAT A " CERTIFICATE OF OCCUPANCY" SHALL BE SECURED PRIOR TO
THE ACTUAL OCCURRENCE OF THE BUILDING DATE
NOTE:
PERMIT CANCELLED OR REMOVED PURSUANT TO SEC. 305; 306 OF THE NATIONAL BUILDING CODE"
BOX 3 ( TO BE ACCOMPLISHED OF DESIGNING ARCHITECT/ CIVIL ENGINEER IN PRINT)
TOTAL ESTIMATED COST COST OF
EQUIPMENT
INSTALLED NUMBER OF STOREYS________________________________________
BUILDING_______________________________________________________________
TOTAL FLOOR AREA__________________________________________
ELECTRICAL______________________________________________________________
PROPOSED DATE
MECHANICAL_____________________________
________________________________ OF CONSTRUCTION__________________________________________
PLUMBING_______________________________
________________________________ EXPECTED DATE
OF COMPLETION____________________________________________
OTHERS__________________________________
________________________________
TOTAL MATERIAL OF CONSTRUCTION
CONSTRUCTION (WOODEN, CONCRETE STEEL, MIXED)____________________________
COST_______________________________________________________________
BOX 4 ( TO BE ACCOMPLISHED BY THE DIVISION/ SECTION CONCERNED)
ASSESSED FEES
AMOUNT DUE ASSESSED BY O.R. NUMBER DATE PAID
LAND USE/ ZONING
LINE AND GRADE
BUILDING
PLUMBING
ELECTRICAL
MECHANICAL
ELECTRONICS
OTHERS
TOTAL REVIEWED CHIEF PROCESSING DIVISION/ SECTION
BOX 5 ( TO BE ACCOMPLISHED BY THE DIVISION/ SECTION CONCERNED)
PROGRESS FLOW
NOTED IN OUT ACTION/
PROCESSED BY
CHIEF PROCESSING DIVISION/ SECTION TIME DATE TIME DATE REGULATION
RECEIVING and RECORDING
LAND USE AND ZONING
GEODETIC ( LINE & GRADE)
ARCHITECTURAL
STRUCTURAL
SANITARY
ELECTRICAL
MECHANICAL
ELECTRONICS
WE HERBY AFFIX OUR HANDS SIGNIFYING OUR CONFORMITY TO THE INFORMATION HERIN ABOVE SETFORTH
BOX 6
ARCHITECT/ ENGINEER P.R.C. REG. NO. SIGNATURE
SIGNED AND SEALED PLANS & SPECIFICATIONS
FIRST NAME A P P L I C A N T
ADDRESS RES. CERT. NO. DATE ISSUED PLACE ISSUED
P.T.R. NO. DATE ISSUED PLACE ISSUED
SIGNATURE TIN
BOX 7 WITH MY CONSENT
BOX 9 (TO BE ACCOMPLISHED BY LOT OWNER)
ARCHITECT/ CIVIL ENGINEER P.R.C. REG. NO. TCT/ CCT NO. TAX DECLARATION NO.
IN- CHARGE OF CONSTRUCTION
FIRST NAME PRINT NAME/ LOT OWNER
ADDRESS ADDRESS
P.T.R. NO. DATE ISSUED PLACE ISSUED P.T.R. NO. DATE ISSUED PLACE ISSUED
SIGNATURE SIGNATURE TIN
TIN
