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Upao New Form

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143 views2 pages

Upao New Form

Uploaded by

Jason Allen Serrano
Copyright
© © All Rights Reserved
We take content rights seriously. If you suspect this is your content, claim it here.
Available Formats
Download as PDF, TXT or read online on Scribd
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REPUBLIC OF THE PHILIPPINES

CALOOCAN CITY HALL


METRO MANILA
OFFICE OF THE BUILDING OFFICIAL
ELECTRICAL DIVISION

APPLICATION FOR ELECTRICAL/WIRING


WIRING PERMIT

REQUIREMENNTS SUBMITTED: WIRING PERMIT NO.


PLAN CHECK NO.

To the City Electrical Engineer:


Request is hereby made by the undersigned for a permit to install electrical wiring and equipment
hereunder
under in the premises located at

Bldg. Owner Occupancy


Type
pe of Service: Voltage Phase No. of Service Wiring

Type of Occupancy: ( ) Residential ( ) Commercial ( ) Industrial ( ) Institution

SCOPE OF WORKS:

APPROVED BY:

Licensed Electrical Engineer


Engineer/Master Electrician
(IN
IN-CHARGE OF THE INSTALLATION)

(Other
Other Information at the Othe
Other Side)
_____________________________________________________________________________________________

ELECTRICAL DIVISON
CALOOCAN CITY
APPLICATION FOR ELECTRICAL INSPECTION

REQUIREMENTS
NTS SUBMITTED: ___________________ WIRING PERMIT NO. ____________
___________________ PLAN CHECK NO.______________

Request is hereby for inspection on the electrical installation and equipment in the premises located
at ___________________________________________________________________________________
_____________________________________________________________________________________
__________________________________________________________________
Bldg. _________________________________ Occupant _______________________________________

Sketch of Location: SCOPE OF WORKS:______________________

Total Paid : ___________


Paid Under O.R# : ___________ _____
___________________________________
Date Paid : ___________ Licensed Ele
Electrical Engineer/Master Engineer
OUT FOR INSPECTION : ___________ (IN-CHARGE OF THE INSTALLATION)

(1) ___________ (2) ___________ (3) _____________ (4) _____________


NUMBER OF DEVICES AND EQUIPMENT TO BE INSTALLED
Light ________ Range ________ kw. Motors: _________________________
T. Switch_______ Heater________ kw. ________________________________
C.O _________ A.C.U _________hp. ________________________________
Other (Specify) __________________ ________________________________
_______________________________ ________________________________

I hereby agree to the automatic cancellation of the permit issued unless written extension is
granted upon my request with the consent of the owner or occupant. It is also agreed that any
false information found hereof may cause the revocation of the permit for the above mentioned
address. I further agree that the work shall confirm with the rules and regulation of R.A 7920,
The Philippine Electrical Code, Ordinances relating thereto.

WITH THE CONSENT: CONDITION ACCEPTED:

_____________________________ _____________________________________
(Owner/Occupant/Rep.) Licensed Electrical Engineer/Master Engineer
(IN-CHARGE OF THE INSTALLATION)
RECEIVED BY: _________________
DATE: ________________________

INSPECTOR’S REPORT

WIRING PERMIT NO. _____________


PLAN CHECK NO.________________
Bldg. _________________________________ Occupant __________________________________
Address ____________________________________________________________________________
Type of Occupancy ______________________ Type of Service ______________________________
Method of Wiring _______________________ Service Entrance ____________________________
Main Protection Device ___________________ No. of Branch Circuit _________________________

ACTUAL CONNECTED LOADS

I hereby certify that all materials and equipment in this electrical installation are in accordance
with the requirements of the Philippine Electrical Code and Bureau of Standard.

That this is, true condition of the electrical wiring of the building mentioned herein likewise
recommended for the issuance of the Certificate of Electrical Inspection (CEI).

RECOMMENDED APPROVAL:

____________________________ __________________________
Electrical Engineer Electrical Inspector

DATE TIME REMARK PERFORMED IN THE PRESENCE OF

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