Republic of the Philippines APPENDIX B

OFFICE OF THE CITY BUILDING OFFICIAL DO NOT FILL UP (NSO USE ONLY)
BAGUIO CITY

APPLICATION NO. PERMIT NO.

BUILDING PERMIT
Date of Application Date Issued

ORIGINAL RENEWAL
BOX 1(TO BE ACCOMPLISHED BY DESIGNING ARCHITECT /CIVIL ENGINEER IN PRINT)
OWNER/APPLICANT LAST NAME FIRST NAME M.I. TIN

FOR CONSTRUCTION OWNED FORM OF OWNERSHIP MAIN ECONOMIC ACTIVITY/KIND OF BUSINESS

BY AN ENTERPISE
ADDRESS: TELEPHONE NO.

LOCATION OF CONSTRUCTION:

SCOPE OF WORK
1. NEW CONSTRUCTION OTHER ( SPECIFY)
2. ADDITION 6. _____________________ OF __________________
3. REPAIR OF 7. _____________________ OF __________________
4.RENOVATION OF
5. DEMOLITION OF NUMBER OF UNITS ______________________

USE OR TYPE OF OCCUPANCY

RESIDENTIAL INDUSTRIAL
11 SINGLE 31 FACTORY/PLANT
12 DUPLEX 32 REPAIR SHOP/MACHINE SHOP
13 ROWHOUSE/ACCESORIA 33 REFINERY
10 OTHER (SPECIFY ) 34 PRINTING SHOP
35 WAREHOUSE
30 OTHER ( SPECIFY)
COMMERCIAL INSTITUTIONAL
21 BANK 41 SCHOOL
22 STORE 42 CHURCH AND OTHER RELIGIOUS STRUCTURE
23 HOTEL/MOTEL,ETC. 42 HOSPITAL OR SIMILAR STRUCTURES
24 OFFICE/CONDOMINIUM OFFICE BUILDING 44 WELFARE AND CHARITABLE STRUCTURES
25 RESTAURANT,ETC 45 THEATER, AUDITORIUM, GYMNASIUM, COURT
26 SHOP (e.g. DRESS SHOP, TAILORING,BARBER SHOP, etc. 40 OTHER (SPECIFY)
27 GASOLINE STATION
28 MARKET AGRICULTURAL
29 DORMITORY OR OTHER LODGING HOUSE 51 BARN(S), POULTRY HOUSE(S), ETC.
20 OTHERS (SPECIFY) 52 GRAIN MILL
50 OTHER (SPECIFY)
OTHER TYPE OF OCCUPANCY
60 SPECIFY
STREET FURNITURE, LANDSCAPING & SIGNBOARDS
71 PARKS, PLAZAS, MONUMENT, POOLS, PLANT BOXES,ETC
72 SIDEWALKS, PROMENADES, TERRACES, LAMPOST, ELECTRIC POLES, TELEPHONE POLES,ETC.
73 OUTDOOR ADS, SIGNBOARDS, ETC.
74 FENCE ENCLOSURE
BOX 2 (TO BE ASSESSED BY THE RECEIVING AND RECORDING SECTION)
BUILDING DOCUMENT (FIVE SETS EACH)
SITE DEVELOPMENT AND LOCATION PLAN MECHANICAL PLANS & SPECIFICATION
ARCHITECTURE PLAN AND SPECIFICATIONS LOGBOOK ( 1 COPY)
STRUCTURAL DESIGN & COMPUTATIONS OTHERS (SPECIFY) ______________________________________
SANITARY/PLUMBING & SPECIFICATIONS ____________________________________________________________
ELECTRICAL PLAN & SPECIFICATIONS

BOX (TO BE ACCOMPLSHED BY THE BUILDING OFFICIAL)

ACTION TAKEN
PERMIT IS HEREBY GRANTED SUBJECT OF THE FOLLOWING CONDITIONS:
1 THAT THE PROPOSED CONSTRUCTION/ADDITION/REPAIR/
RENOVATION/DEMOLITION /INSTALLATION, ETC. SHALL BE IN
CONFORMITY WITH THE NATIONAL BUILDING CODE (P.D. 1096)
AND ITS CORRESPONDING IMPLEMENTING RULES AND REGULATIONS
2 THAT A DULY LICENSED ARCHITECTURE/CIVIL ENGINEER HAS BEEN
ENGAGED TO PREPARE PLANS AND SPECIFICATION AND TO
UNDERTAKE THE SUPERVISION/INSPECTION OF THE CONSTRUCTION
OF THE PROJECT.
3 THAT A CERTIFICATION OF COMPLETION DULY SIGNED AND SEALED
BY THE DESIGNING ARCHITECT/ENGINEER AND THE ARCHITECT/
ENGINEER IN-CHARGEOF CONTRUCTION SHALL BE SUMBITTED ______________________________
NOT LATER THAT SEVEN (7) DAYS AFTER COMPLETION OF THE Building Official
CONSTRUCTION OF THE PROJECT.
4 THAT A “CERTIFICATE OF OCCUPANCY” SHALL BE SECURED Date: ______________
PRIOR TO ACTUAL OCCUPANCY OF THE BUILDING.

NOTE:
 THIS PERMIT MAY BE CANCELLED OR REVOKED PURSUANT TO SECTION 305 & 306 OF THE “NATIONAL BUILDING CODE”.
To be accomplished in five (5) copies, one each for: applicant (original), Assessor, National Statistics Office, Building Official, Fire Department

BOX 3A (TO BE ACCOMPLISHED BY DESIGNING ARCHITECT/CIVIL ENGINEER IN PRINT

TOTAL ESTIMATED COST COST OF NO. OF STOREYS DO NOT FILL (NSO USE ONLY)
EQUIPMENT TOTAL FLOOR
BUILDING P INSTALLED AREA
ELECTRICAL P P PROPOSED DATE
MECHANICAL P P OF CONSTRUCTION
PLUMBING P P MATERIALS OF CONST.
OTHER P (WOOD ,CONC,STEEL,MIXED)

TOTAL COST P

BOX 4 (TO ACCOMPLISHED BY THE DIVISION/SECTION CONCERNED)

ASSESSED FEES
AMOUNT DUE ASSESSED BY O.R NUMBER DATE PAID
LINE & GRADE
BUILDING
PLUMBING
ELECTRICAL
MECHANICAL
ELECTRONICS
SIGN
FENCING
DEMOLITION
EXCAVATION
Inspection Fee
Admin Fine
Surcharge REVIEWED BY:
TOTAL CHIEF, PROCESSING DIVISION/SECTION
WE HEREBY AFFIX OUR HANDS SIGNIFYING OUR CONFORMITY TO THE INFORMATION HEREIN ABOVE SETFORTH.

BOX 6 BOX 8
BOX 5 (TO BE ACCOMPLISHED BY THE DIVISION/SECTION CONCERNED)
PROGRESS FLOW
NOTED: IN OUT
CHIEF ,PROCESSING DIVISION TIME DATE TIME DATE ACTION/ REMARKS PROCESSED BY

RECEIVING and RECORDING

LAND USE and ZONING
GEODETIC (LINE &GRADE)
ARCHITECTURAL
STRUCTURAL
SANITARY/PLUMBING
ELECTRICAL
MECHANICAL SIGNATURE
ARCHITECT/CIVIL ENGINEER PRC REG. NO.
SIGNED AND SEALED PLANS &
SPECIFICATION
APPLICANT
PRINT NAME
COMMUNITY TAX CERT DATE ISSUED PLACED ISSUED

ADDRESS WITH MY CONSENT

SIGNATURE BOX 9 (TO BE ACCOMPLISHED BY LOT OWNER)

BOX 7

ARCHITECT/CIVIL ENGINEER PRC REG.NO. TCT/OCT NO.

IN-CHARGE OF CONSTRUCTION

PRINT NAME PRINT NAME OF LOT OWNER

ADDRESS ADDRESS

PTR NO. DATE ISSUED PALCE ISSUED COMMUNITY TAX CERT.

SINATURE TIN SIGNATURE