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    Sanitary Permit PDF

    Uploaded by

    Rebecca Leyson
    This document is a sanitary permit application form from the Office of the Building Official of a Philippine city or municipality. It contains boxes to be filled out providing details of the construction project such as the owner/applicant information, location, scope of work, water and waste disposal systems, and signatures of the design professional, supervisor, and owners. It also includes boxes for processing the application, noting receipt of documents, and the building official's decision to approve or deny the permit with conditions if approved.

    Copyright:

    © All Rights Reserved
    Download as PDF, TXT or read online from Scribd

    Sanitary Permit PDF

    Uploaded by

    Rebecca Leyson
    2K views2 pages
    This document is a sanitary permit application form from the Office of the Building Official of a Philippine city or municipality. It contains boxes to be filled out providing details of the construction project such as the owner/applicant information, location, scope of work, water and waste disposal systems, and signatures of the design professional, supervisor, and owners. It also includes boxes for processing the application, noting receipt of documents, and the building official's decision to approve or deny the permit with conditions if approved.

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    Sanitary-Permit.pdf

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    This document is a sanitary permit application form from the Office of the Building Official of a Philippine city or municipality. It contains boxes to be filled out providing details of the construction project such as the owner/applicant information, location, scope of work, water and waste disposal systems, and signatures of the design professional, supervisor, and owners. It also includes boxes for processing the application, noting receipt of documents, and the building official's decision to approve or deny the permit with conditions if approved.

    Copyright:

    © All Rights Reserved
    Download as PDF, TXT or read online from Scribd
    Download as pdf or txt
    2K views2 pages

    Sanitary Permit PDF

    Uploaded by

    Rebecca Leyson
    This document is a sanitary permit application form from the Office of the Building Official of a Philippine city or municipality. It contains boxes to be filled out providing details of the construction project such as the owner/applicant information, location, scope of work, water and waste disposal systems, and signatures of the design professional, supervisor, and owners. It also includes boxes for processing the application, noting receipt of documents, and the building official's decision to approve or deny the permit with conditions if approved.

    Copyright:

    © All Rights Reserved
    Download as PDF, TXT or read online from Scribd
    Download as pdf or txt
    of 2

    NBC FORM NO.

    A- 05

    Republic of the Philippines


    City/Municipality of ________________
    Province of _________________________

    OFFICE OF THE BUILDING OFFICIAL

    SANITARY PERMIT
    APPLICATION NO. SP NO BUILDING PERMIT NO.

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


    OWNER/APPLICANT LAST NAME FIRST NAME M.I. TIN

    FOR CONSTRUCTION OWNED FORM OF OWNERSHIP USE OR CHARACTER OF OCCUPANCY


    BY AN ENTERPRISE
    ADDRESS: NO., STREET, BARANGAY, CITY/MUNICIPALITY ZIP CODE TELEPHONE NO

    LOCATION OF CONSTRUCTION: LOT NO. _______________ BLK NO. _________________ TCT NO. _____________________ TAX DEC. NO. ____________________
    STREET___________________ BARANGAY _________________________________________ CITY/ MUNICIPALITY OF ___________________________________________

    SCOPE OF WORK
    NEW CONSTRUCTION RENOVATION ________________________ RAISING________________________________________
    ERECTION CONVERSION ________________________ DEMOLITION ____________________________________
    ADDITION REPAIR _____________________________ ACCESSORY BUILDING/STRUCTURE________________
    ALTERATION MOVING _____________________________ OTHERS (Specify)_________________________________

    BOX 2 (TO BE ACCOMPLISHED BY THE DESIGN PROFESSIONAL)

    INSTALLATION AND OPERATION OF:

    WATER SUPPLY: SYSTEM OF DISPOSAL:

    SHALLOW WELL WASTE WATER TREATMENT PLANT SURFACE DRAINAGE

    DEEP WELL & PUMP SET IMHOFF TANK STREET CANAL

    CITY/MUNICIPAL WATER SYSTEM SANITARY SEWER CONNECTION WATER COURSE

    OTHERS (Specify) ______________ SUB-SURFACE SAND FILTER OTHERS (Specify) ________________

    PREPARED BY: ______________________________________________________________________________________________________________________________

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

    Date_____________ Date_____________
    SANITARY ENGINEER SANITARY ENGINEER
    (Signed and Sealed Over Printed Name) (Signed and Sealed Over Printed Name)
    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 OWNER 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
    TO BE ACCOMPLISHED BY THE PROCESSING AND EVALUATION DIVISION

    BOX 7

    RECEIVED BY: DATE:

    FIVE (5) SETS OF SANITARY DOCUMENTS

    SANITARY PLANS AND SPECIFICATIONS COST ESTIMATES

    BILL OF MATERIALS OTHERS (Specify) ______________________________

    BOX 8

    PROGRESS FLOW
    IN OUT
    PROCESSED BY
    DATE TIME DATE TIME

    SANITARY

    OTHERS (Specify)

    BOX 9

    ACTION TAKEN:

    PERMIT IS HEREBY ISSUED SUBJECT TO THE FOLLOWING:

    1. That the proposed sanitary works shall be in accordance with the sanitary plans filed with this
    Office and in conformity with the latest Code on Sanitation of the Philippines, the National Building
    Code and its IRR.
    2. That prior to any commencement of sanitary works, a duly accomplished prescribed Notice of
    Construction shall be submitted to the Office of the Building Official.
    3. That upon completion of the sanitary works, the licensed supervisor/in-charge shall submit the
    entry to the logbook duly signed and sealed to the Building Official including as-built plans and
    other documents and shall also accomplish the Certificate of Completion stating that the sanitary
    works conform to the provision of the Code on Sanitation, the National Building Code and its IRR.
    4. That this permit is null and void unless accompanied by the building permit.

    PERMIT ISSUED BY:

    BUILDING OFFICIAL
    (Signature Over Printed Name)
    Date ____________________

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