DPWH FORM NO.
2003 – 006 - E
Republic of the Philippines
Department of Public Works and Highways
Municipality of Panukulan
Province of Quezon
Office of the Building Official
INSPECTION AND ENFORCEMENT DIVISION
Electrical Section
CONTROL NO.
C.F.E.I. NO
CERTIFICATE OF FINAL ELECTRICAL INSPECTION (CFEI)
THIS IS TO CERTIFY THAT FINAL INSPECTION OF THE ELECTRICAL INSTALLATION HAD BEEN CONDUCTED ON THE BUILDING AND OR
PREMISSES COVERED BY THE BUILDING PERMIT NO. ______________________ ISSUED ON ___________________________ AND THE SAME WERE
FOUND COMPLETED IN ACCORDANCE WITH THE ELECTRICAL PLANS AND SPECIFICATIONS ON FILE WITH THE OFFICE OF THE BUILDING
OFFICIAL AND IN ACCORDANCE WITH PHILIPPINE ELECTRICAL CODE PROVISION AND THE NEW EE LAW (RA 7920).
OWNER/APPLICANT LAST NAME FIRST NAME TIN
MIDDLE NAME PRUDENTE MARY GRACE AZUL
LOCATION OF INSTALLATION: NO. STREET BARANGAY TEL. NO.
CITY/MUNICIPALITYR. MAGSAYSAY SAN JUAN .) PANUKULAN
USE OR CHARACTER OF OCCUPANCY
✘ GROUP A: OWNED RESIDENTIAL DWELLING GROUP G: STORAGE AND
HAZARDOUS
GROUP B: RENTED RESIDENTIAL, HOTEL, APARTMENT GROUP H: ASSEMBLY
OCCUPANT LOAD LESS THAN 1000
GROUP C: EDUCATIONAL RECREATIONAL GROUP I: ASSEMBLY
OCCUPANT LOAD 1000 OR MORE
GROUP D: INSTITUTIONAL GROUP J: ACCESSORY
GROUP E: BUSINESS MERCANTILE OTHERS (Specify)
_________________________________
GROUP F: INDUSTRIAL, AGRICULTURAL
START OF INSTALLATION __________________________________________________ DATE OF COMPLETION
_____________________________________
SUMMARY OF ELECTRICAL LOADS/CAPACITIES
TOTAL CONNECTED LOAD TOTAL TRANSFORMER CAPACITY TOTAL GENERATOR/UPS CAPACITY
___________________kVA ___________________kVA ___________________kVA
PROFESSIONAL ELECTRICAL WHO SIGNED & SEALED AS-BUILT PLANS (Per Art. IV, Sec. 31/34, RA 7920 – New EE Law)
PRC. No.: 0002757 Validity: MAY 17, 2027 TIN:
ENGR. PASCUAL P. FERRER
_______________________________________________ 119-076-713
(Signed and Sealed Over Printed Name) PTR. No.: 8824642 Date Issued: JANUARY 04, 2021
Issued at: PAKIL, LAGUNA
Address: PAKIL, LAGUNA
SUPERVISOR OF ELECTRICAL WORKS (Per Art. IV, Sec. 31/34, RA 7920 – New EE Law)
✘ PROFESSIONAL ELECTRICAL ENGINEER REGISTERED ELECTRICAL ENGINEER
LICENSED MASTER ELECTRICIAN
ENGR. PASCUAL P. FERRER
_______________________________________________
(Signed and Sealed Over Printed Name)
PRC. No.: 0002757 Validity: MAY 17, 2023
PTR. No.: 8824642 Date Issued: JANUARY 04, 2021
Issued at: PAKIL, LAGUNA TIN: 119-076-713
Address: PAKIL, LAGUNA
ELECTRICAL CONTRACTOR (INSTALLED CAPACITY OF 200 AMPERES MAIN AT 230 VOLTS NOMINAL AND ABOVE
COMPANY NAME: PCAB LIC. NO. ______________________ CLASSIFICATION:
SPECIALTY ELECTRICAL
LICENSE VALIDITY:
AUTHORIZED MANAGING OFFICER: TIN:
ADDRESS: TEL./FAX:
TYPE OF INSTALLATION:
✘ NEW ALTERATION OTHERS (Specify)
____________________________________
TYPE OF WIRING:
ALTERATION CONDUITS ARMORED CABLE RACEWAYS
OTHERS _________________
TYPE OF SERVICE:
VOLTAGE __________________ NO. & SIZE OF WIRES/PHASE _______________ NO. & SIZE OF GROUNDING WIRES
________________ PHASE __________
RECOMMENDING ISSUANCE OF
CFEI:
ENGR. RONALD A. VILLANUEVA
CHIEF, INSPECTION AND ENFORCEMENT
DIVISION
(Signature Over Printed Name)
Date: ___________________ _______________________________
_______________________________ CHIEF, ELECTRICAL SECTION
(Signature Over Printed Name)
DPWH FORM NO. 2003 – 006 - E
ELECTRICAL Date: ___________________
INSPECTOR
(Signature Over Printed Name)
Date: ____________________ ENGR. RICHARD C. GUCILATAR
BUILDING OFFICIAL
(Signature Over Printed Name)
Date: ___________________
NOTE: RENEWALS OR EXTENSION OF THIS CERTIFICATE OF FINAL ELECTRICAL INSPECTION (CFEI) ARE SUBJECT TO INSPECTION AND
PAYMENT OF CORRESPONDING FEES
IN CONFORMITY WITH PERTINENT PROVISIONS OF THE NATIONAL BUILDING CODE* (P.D. 1096) AND ITS IMPLEMENTING
RULES AND REGULATIONS.
