Building Permit: WWW - Quezoncity.gov - PH Office of The Building Official

REPUBLIC OF THE PHILIPPINES OFFICE OF THE CITY MAYOR
QUEZON CITY (BUILDING OFFICIAL)

DO NOT FILL UP (NSO USE ONLY)
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 LASTNAME FIRSTNAME FORM OF OWNERSHIP M.I. TAX ACCT. NO.
FOR CONSTRUCTION OWNED BY AN ENTERPRISE ADDRESS LOCATION OF CONSTRUCTION SCOPE OF WORK:
MAIN ECONOMIC ACTIVITY OF BUSINESS TEL. NO.
1. NEW CONSTRUCTION 2. ADDITION OF _____________________ 3. REPAIR OF ________________________ 4. RENOVATION OF __________________ 5. DEMOLITION OF ___________________
OTHERS (SPECIFY) 6. __________OF______________ 7. __________OF______________
USE OR TYPE OF OCCUPANCY RESIDENTIAL 11 SINGLE 12 DUPLEX 13 ROWHOUSE / ACCESSORIA 10 OTHERS (SPECIFY)____________________ COMMERCIAL 21 BANK 22 STORE 23 HOTEL / MOTEL, ETC. 24 OFFICE CONDOMINIUM / BUSINESS OFFICE BUILDING. 25 RESTAURANT, ETC.. 26 SHOP (e.g. DRESS SHOP, TAILORING SHOP, BARBER SHOP, ETC. 27 GASOLINE STATION 28 MARKET 29 DORMITORY OR OTHER LODGING HOUSE 30 OTHERS (SPECIFY)____________________
INDUSTRIAL 31 FACTORY (PLANT) 32 REPAIR SHOP, MACHINE SHOP 33 REFINERY 34 PRINTING PRESS 35 WAREHOUSE 30 OTHERS (SPECIFY)____________________ INSTITUTIONAL 41 SCHOOL 42 CHURCH OR OTHER RELIGIOUS STRUCTURES 43 HOSPITAL OR SIMILAR STRUCTURES 44 WELFARE & CHARITABLE STRUCTURES 45 THEATER, AUDITORIUM. GYMNASIUM, COURT 40 OTHERS (SPECIFY)____________________ AGRICULTURAL 41 BRAN(S), POULTRY HOUSE(S), ETC. 42 GRAIN MILL 40 OTHERS (SPECIFY)____________________
OTHER CONSTRUCTION 60 (SPECIFY)____________________
STREET FURNITURE, LANDSCAPING & SIGNBOARDS 71 PARK, PLAZAS, MONUMENT, POOLS, PLANT BOXES, ETC. 72 SIDEWALKS, PREMONADES, TERRACES, LAMPPOSTS, ELECTRIC POLES, TELEPHONE POLES, ETC. 73 OUTDOOR ADS, SIGNBOARDS, ETC. 74 FENCE ENCLOSURE
www.quezoncity.gov.ph OFFICE OF THE BUILDING OFFICIAL
BOX 2 (TO BE ACCOMPLISHED BY RECEIVING & RECORDING SECTION)

BUILDING DOCUMENTS (FIVE SETS EACH) SITE DEVELOPMENT & LOCATION PLAN ARCHITECTURAL PLAN & SPECIFICATIONS STRUCTURAL DESIGN & COMPUTATIONS SANITARY/PLUMBING PLANS & SPECIFICATIONS ELECTRICAL PLANS & SPECIFICATION MECHANICAL PLANS & SPECIFICATIONS LOGBOOK (1COPY) OTHERS (SPECIFY)
BOX 3 (TO BE ACCOMPLISHED BY THE BUILDING OFFICIAL)

ACTION TO BE TAKEN: PERMIT IS HEREBY GRANTED SUBJECT 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 1096) AND ITS CORRESPONDING IMPLEMENTING RULES AND REGULATIONS 2. THAT A DULY LICENSED ARCHITECT/CIVIL ENGINEER HAS BEEN ENGAGED TO PLANS AND SPECIFICATIONS AND TO UNDERTAKE THE SUPERVISION/INSPECTION OF THE CONSTRUCTION OF THE PROJECT 3. THAT A CERTIFICATE OF COMPLETION DULY SIGNED AND SEALED BY THE DESIGNING ARCHITECT / ENGINEER IN-CHARGE OF CONSTRUCTION SHALL BE SUBMITTED NOT LATER THAN SEVEN (7) DAYS AFTER COMPLETION OF THE CONSTRUCTION OF THE PROJECT 4. THAT A CERTIFICATE OF OCCUPANCY SHALL BE SECURED PRIOR TO ACTUAL OCCUPANCY OF THE BUILDING. NOTE: THIS PERMIT MAY BE CANCELLED OR REVOKED PURSUANT TO SECTIONS 305 & 306 OF THE NATIONAL BUILDING CODE.
ENGR. ISAGANI R. VERZOSA JR.

LOCAL BUILDING OFFICIAL
DATE
BOX 3A (TO BE ACCOMPLISHED BY THE DESIGNING ARCHITECT/CIVIL ENGINEER IN PRINT TOTAL ESTIMATED COST BUILDING ELECTRICAL MECHANICAL PLUMBING OTHERS TOTAL COST P_____________ P_____________ P_____________ P_____________ P_____________ P_____________ P____________ COST OF EQUIPMENT INSTALLED P____________ P____________ NUMBER OF STOREYS___________ TOTAL FLOOR AREA____________ PROPOSED DATE OF CONSTRUCTION _____________ EXPECTED DATE OF COMPLETION _______________ MATERIAL OF CONST. ____________ (WOOD, CONC, STEEL, MIXED) DO NOT FILL (NSO USE ONLY)
BOX 4 (TO BE ACCOMPLISHED BY THE DIVISION CONCERNED

ASSESED FEES
AMOUNT DUE LAND USE / ZONING LINE and GRADE BUILDING PLUMBING ELECTRICAL MECHANICAL OTHERS
ASSESSED BY
O.R. NUMBER
DATE PAID
REVIEWED: TOTAL CHIEF, PROCESSING DIVISION SECTION
BOX 5 (TO BE ACCOMPLISHED BY THE DIVISION CONCERNED

PROGRESS FLOW
NOTED: CHIEF, PROCESSING DIVISION

RECEIVING and RECORDING LAND USE and ZONING GEODETIC (LINE and GRADE) ARCHITECTURAL STRUCTURAL SANITARY ELECTRICAL MECHANICAL
IN TIME DATE TIME
OUT DATE ACTION / REMARKS PROCESSED BY:
WE HEREBY AFFIX OUR HANDS SIGNIFYING OUR CONFORMITY TO THE INFORMATION HEREIN ABOVE SETFORTH BOX 6 BOX 8 www.quezoncity.gov.ph SIGNATURE OFFICE OF THE BUILDING OFFICIAL
ARCHITECT / CIVIL ENGINEER PRC REG. NO. SIGNED AND SEALED PLANS & SPECIFICATIONS PRINT NAME ADDRESS
COMMUNITY TAX CERT. PTR NO. SIGNATURE PTR NO. PLACE ISSUED
PTR NO.
PLACE ISSUED
BOX 7
ARCHITECT / CIVIL ENGINEER IN CHARGE OF CONSTRUCTION PRINT NAME ADDRESS PTR NO. SIGNATURE PTR NO. PLACE ISSUED PRC REG. NO.
WITH MY CONSENT: BOX 9 (TO BE ACCOMPLISHED BY LOT OWNER)

TCT / OCT NO. PRINT NAME OF LOT OWNER ADDRESS COMMUNITY TAX RECEIPT DATE ISSUED SIGNATURE PLACE ISSUED

Building Permit: WWW - Quezoncity.gov - PH Office of The Building Official

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Building Permit: WWW - Quezoncity.gov - PH Office of The Building Official

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REPUBLIC OF THE PHILIPPINES OFFICE OF THE CITY MAYOR

QUEZON CITY (BUILDING OFFICIAL)

FOR CONSTRUCTION OWNED BY AN ENTERPRISE ADDRESS LOCATION OF CONSTRUCTION SCOPE OF WORK:

MAIN ECONOMIC ACTIVITY OF BUSINESS TEL. NO.

OTHERS (SPECIFY) 6. OF 7. OF________

OTHER CONSTRUCTION 60 (SPECIFY)____________________

www.quezoncity.gov.ph OFFICE OF THE BUILDING OFFICIAL

BOX 2 (TO BE ACCOMPLISHED BY RECEIVING & RECORDING SECTION)

BOX 3 (TO BE ACCOMPLISHED BY THE BUILDING OFFICIAL)

ENGR. ISAGANI R. VERZOSA JR.

BOX 4 (TO BE ACCOMPLISHED BY THE DIVISION CONCERNED

REVIEWED: TOTAL CHIEF, PROCESSING DIVISION SECTION

BOX 5 (TO BE ACCOMPLISHED BY THE DIVISION CONCERNED

NOTED: CHIEF, PROCESSING DIVISION

IN TIME DATE TIME

OUT DATE ACTION / REMARKS PROCESSED BY:

WITH MY CONSENT: BOX 9 (TO BE ACCOMPLISHED BY LOT OWNER)

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