Sanitary/Plumbing Permit: Department of Public Works and Highways

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REPUBLIC OF THE PHILIPPINES

DEPARTMENT OF PUBLIC WORKS AND HIGHWAYS


OFFICE OF THE BUILDING OFFICIAL

CITY OF BACOOR
PROVINCE OF CAVITE
AREA CODE 04119
APPLICATION NO. PERMIT NO.

_____________________ SANITARY/PLUMBING PERMIT __________________________


DATE ISSUED DATE ISSUED

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


NAME OF OWNER/APPLICANT: LASTNAME FIRSTNAME M.I TIN

ADDRESS: NO. STREET BARANGAY CITY / MUNICIPALITY TELEPHONE NO.

LOCATION OF CONSTRUCTION: BLK LOT STREET SUBDIVISION / BARANGAY

BACOOR CITY, CAVITE


SCOPE OF WORK
ADDITION OF ___________________________ OTHERS SPECIFY
NEW INSTALLATION REPAIR OF ___________________________ __________OF__________
REMOVAL OF ___________________________ __________OF__________

USE OR TYPE OF OCCUPANCY


RESIDENTIAL _________________________ AGRICULTURAL _____________________
COMMERCIAL _________________________ PARKS, PLAZA, MONUMENTS _____________________
INDUSTRIAL _________________________ RECREATIONAL _____________________
INSTITUTIONAL _________________________ OTHERS (SPECIFY) _____________________

FIXTURES TO BE INSTALLED
NEW EXISTING KIND OF NEW EXISTING KIND OF
QTY. FIXTURES FIXTURES FIXTURES QTY. FIXTURES FIXTURES FIXTURES
______ WATER CLOSET _______ BIDETTE
______ FLOOR DRAIN _______ LAUNDRY TRAYS
______ LAVATORIES _______ DENTAL CUSPIDOR
______ KITCHEN SINK _______ GAS HEATER
______ FAUCET _______ ELECTRIC HEATER
______ SHOWER HEAD _______ WATER BOILER
______ WATER METER _______ DRINKING FOUNTAIN
______ GREASE TRAP _______ BAR SINK
______ BATH TUBS _______ SODA FOUNTAIN SINK
______ SLOP SINK _______ LABORATORY SINK
______ URINAL _______ STERILIZER
______ AIR CONDITIONING UNIT _______ SWIMMING POOL
______ WATER TANK/RESERVOR _______ OTHERS SPECIFY
________ TOTAL __________ TOTAL _______________________________

WATER DISTRIBUTION SYSTEM SANITARY SEWER SYSTEM STORM DRAINAGE SYSTEM

WATER SUPPLY : SYSTEM OF DISPOSAL:


SHALLOW WELL WASTE WATER TREATMENT SURFACE DRAINAGE
DEEP WELL & PUMP SET SEPTIC VAULT/ MHOFF TANK STREET CANAL
CITY/MUNICIPAL WATER SYSTEM SANITARY SEWER CNNECTION WATER COURSE
OTHERS ___________________ SUB-SURFACE SAND FILTER

NUMBER OF STOREYS OF BUILDING TOTAL AREA OF THE BUILDING/SUBDIVISION


_________________________________________ ____________________________________ SQ.M.

PROPOSED DATE START OF INSTALLATION TOTAL COST OF INSTALLATION


__________________________________________ __________________________________________
EXPECTED DATE OF COMPLETION
__________________________________________ PREPARED BY _____________________________

BOX2 (TO BE ACCOMPLISHED BY THE BUILDING OFFICIAL)


ACTION TAKEN:

PERMIT IS HERBY GRANTED TO INSTALL THE SANITARY/PLUMBING FIXTURE RECOMMENDING APPROVAL:


ENUMERATED HEREIN SUBJECT TO THE FOLLOWING CONDITIONS:
1. THAT THE PROPOSED INSTALLATION SHALL BE IN ACCORDANCE WITH
APPROVED PLANS FILLED WITH THIS OFFICE AND IN COMFORMITY WITH THE
NATIONAL BUILDING CODE.
2. THAT A DULY LICENCED SANITARY ENGINEER/MASTER PLUMBER BE ENGAGED ENGR. RAMESIS E. ALHAMBRA / ENGR. RODOLFO M. MARBELLA JR
ENGINEER III
TO UNTERTAKE THE INSTALLATION/CONSTRUCTION.
3. THAT A CERTIFICATE OF COMPLETION DULY SIGNED BY A SANITARY
ENGINEER/MASTER PLUMBER IN-CHARGE OF INSTALLATION SHALL BE
APPROVED BY:
SUBMITTED NOT LATER THAN SEVEN(7) DAYS AFTER THE COMPLETION OF THE
INSTALLATION.
4. THAT A CERTIFICATE OF FINAL INSPECTION AND A CERTIFICATE OF OCCUPANCY ENGR. FELICITO R. MEJIA
BE SECURED PRIOR TO THE ACTUAL OCCUPANCY OFM THE BUILDING. CITY BUILDING OFFICIAL

NOTE:
THIS PERMIT MAY BE CANCELLED OR REVOKED PURSUANT TO SECTIONS 305 & 306 OF THE “NATIONAL BUILDING CODE”
BOX3 (TO BE ACCOMPLISHED BY THE RECEIVING & RECORDING SECTION)
BUILDING DOCUMENTS

SANITARY PLUMBING PLANS & SPECIFICATIONS COST ESTIMATE


BILL OF MATERIALS OTHERS (SPECIFY) ____________________________

BOX4 (TO BE ACCOMPLISHED BY THE DIVISION / SECTION CONCERNED)

ASSESSED FEES

AMOUNT DUE ASSESSED BY O.R. NO. DATE PAID

BOX5 (TO BE ACCOMPLISHED BY THE DIVISION / SECTION CONCERNED)

PROGRESS LOW
IN OUT ACTION/ PROCEED
NOTED: TIME DATE TIME DATE REMARKS BY
CHIEF PROCESSING DIVISION/SECTION

RECEIVING AND RECORDING

GEODETIC (LINE and GRADE)

SANITARY

WE HEREBY AFFIXED OUR HANDS SIGNIFYING OUR CONFORMITY TO THE INFORMATION HEREIN ABOVE SET FORTH

BOX 6 BOX 8
SANITARY ENGINEER / MASTER PLUMBER PRC. REG. NO.
SIGNED AND SEALED PLANS & SPECIFICATION

PRINTED NAME APPLICANT


(Signature Over Printed Name)
ADDRESS
RES. CERT. NO. DATE ISSUED PLACE ISSUED
PTR NO. DATE ISSUED PLACE ISSUED

SIGNATURE TIN

BOX 7
SANITARY ENGINEER / MASTER PLUMBER PRC. REG. NO.
IN-CHARGE OF CONSTRUCTION
NOTED BY:
PRINTED NAME

ADDRESS
HON. LANI MERCADO-REVILLA
CITY MAYOR
PTR NO. DATE ISSUED PLACE ISSUED

SIGNATURE TIN

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