Scribd
Upload
74 views1 page

Structural Permit 1 - Front

This document is a Civil/Structural Permit application form from the Office of the Building Official in Kidapawan City, Cotabato, Philippines. It requires information from the owner/applicant, including personal details, construction scope, and design professional details. The form must be completed by both the applicant and the supervising civil/structural engineer, including signatures and relevant identification numbers.

Uploaded by

advance.estimates
Copyright
© © All Rights Reserved
We take content rights seriously. If you suspect this is your content, claim it here.
Available Formats
Download as PDF, TXT or read online on Scribd
74 views1 page

Structural Permit 1 - Front

This document is a Civil/Structural Permit application form from the Office of the Building Official in Kidapawan City, Cotabato, Philippines. It requires information from the owner/applicant, including personal details, construction scope, and design professional details. The form must be completed by both the applicant and the supervising civil/structural engineer, including signatures and relevant identification numbers.

Uploaded by

advance.estimates
Copyright
© © All Rights Reserved
We take content rights seriously. If you suspect this is your content, claim it here.
Available Formats
Download as PDF, TXT or read online on Scribd

NBC FORM NO.

A-02

Republic of the Philippines


Province of Cotabato
City of Kidapawan
OFFICE OF THE BUILDING OFFICIAL

CIVIL/STRUCTURAL PERMIT
APPLICATION NO. C/SP NO. BUILDING PERMIT NO.

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


OWNER LAST NAME FIRST NAME M.I. TIN

FOR CONSTRUCTION FORM OF OWNERSHIP USE OR CHARACTER OF OCCUPANCY


OWNED BY AN ENTERPRISE
ADDRESS NO. STREET BARANGAY CITY/MUNICIPALITY ZIP CODE TELEPHONE NO.
9400

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

STREET BARANGAY CITY/MUNICIPALITY

SCOPE OF WORK
NEW CONSTRUCTION RENOVATION RASING
m m mDEMOLITION
ERECTION CONVERSION
m m m
ADDITION REPAIR ACCESSORY BUILDING/STRUCTURE
m m m
TEMPORARY MOVING OTHERS (Specify)
m m m
BOX 2 (TO BE ACCOMPLISHED IN PRINT BY THE DESIGN PROFESSIONAL)

NATURE OF CIVIL/STRUCTURAL WORKS:


STAKING ERECTION/LIFTING PRESTRESS WORKS
mEXCAVATION mCONCRETE FRAMING mMATERIAL TESTING
mSOIL STABILIZATION mSTRUCTURAL STEEL FRAMING mSTEEL TOWERS
mPILING WORKS mSLABS mTANKS
mFOUNDATION mWALLS mOTHERS (Specify)
m m m
PREPARED BY

BOX 3 BOX 4
DESIGN PROFESSIONAL, PLANS AND SPECIFICATIONS SUPERVISOR/IN-CHARGE OF CIVIL/STRUCTURAL WORKS

CIVIL/STRUCTURAL ENGINEER CIVIL/STRUCTURAL 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 APPLICANT WITH MY CONSENT: LOT OWNER

(Signature Over Printed Name) (Signature Over Printed Name)


DATE DATE

Address: Address:
C.T.C. No. Date Issued Place Issued C.T.C. No. Date Issued Place Issued

You might also like