Certificate of Final Electrical inspection

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Republic of the Philippines

Province of Albay
City of Tabaco
OFFICE OF THE LOCAL BUILDING OFFICIAL

CERTIFICATE OF FINAL ELECTRICAL INSPECTION/COMPLETION

THIS IS TO CERTIFY THAT FINAL INSPECTION OF THE ELECTRICAL INSTALLATION HAD BEEN CONDUCTED ON THE
BUILDING AND/OR PREMISES COVERED BY BUILDING PERMIT NO.________________ISSUED ON_________________AND
THE SAME WERE FOUND COMPLETED IN ACCORDANCE WITH THE APPROVED PLANS AND SPECIFICATIONS ON FILE WITH
THE OFFICE OF THE BUILDING OFFICIAL AND IN ACCORDANCE WITH PHILIPPINE ELECTRICAL CODE PROVISIONS.

NAME OF OWNER/APPLICANTS: LAST NAME FIRST NAME MIDDLE NAME

ADDRESS NO. STREET BARANGAY CITY/MUNICIPALITY


TABACO CITY
LOCATION OF INSTALLATION NO. STREET BARANGAY CITY/MUNICIPALITY
TABACO CITY
TYPE OF OCCUPANCY OR USE:
A. RESIDENTIAL DWELLING G. STORAGE AND HAZARDOUS
B. RESIDENTIAL, HOTEL, APARTMENT H. ASSEMBLY OTHER THAN GROUP 1
C. EDUCATION AND RECREATION I. ASSEMBLY OCCUPANT LOAD 1000 OR MORE
D. INSTITUTIONAL J. ACCESSORY
E. BUSINESS AND MERCANTILE K. OTHERS (SPECIFY)
F. INDUSTRIAL
START OF INSTALLATION______________________________ DATE OF COMPLETION______________________

OUTLET/DEVICES/EQUIPMENT
NUMBER OF OUTLETS: NUMBER OF EQUIPMENT/WIRING/DEVICES
___LIGHT ___SPO, COOKING UNIT ___TOGGLE SWITCH ___FA DETECTORS
___CONVENIENCE/RECEPTACLE ___SPO, WATER HEATER ___BELLS/BUZZERS ___OTHERS (See attached list)
___SPO/AIRCON ___SPO, WATER PUMP ___PUSH BUTTONS ________________________
PERSON IN-CHARGED OF INSTALLATION
PROFESSIONAL ELECTRICAL REGISTERED ELECTRICAL REGISTERED MASTER ELECTRICIAN
ENGINEER ENGINEER (Not exceeding 600 volts & 500 KVA)
NAME
PRC REG. NO.________________________
SIGNATURE VALIDITY____________________________

ADDRESS
PTR NO. DATE ISSUED PLACE ISSUED
CTC NO. DATE ISSUED TIN
ELECTRICAL CONTRACTOR (200 AMPERE MAIN AND ABOVE)
NAME PCAB LIC. NO. (SPECIFY ELECTRICAL)
VALIDITY
SIGNATURE TEL/FAX NO.

TYPE OF INSTALLATION:
TEMPORARY NEW REMODEL/ALTERATION
TYPES OF WIRING:
OPEN WIRING CONDUITS CABLE ARMORED CABLE RACEWAYS
OTHERS ________________________________

INSPECTED BY: RECOMMENDING APPROVAL: APPROVED BY:


_________________________
ENGR. GIO C. BORDONADA ENGR. PEDERITO B. BORLAGDAN ARCH. FRANCO BITE
ELECTRICAL INSPECTOR ELECT'L. ENGR. OF THE BUILDING OFFICE LOCAL BUILDING OFFICIAL
74076 21754
PRC REG. NO. AND VALIDITY PRC REG. NO. AND VALIDITY
AMOUNT PAID P____________________ OR NO._______________________ DATE_______________________
NUMBER OF STOREYS____________________________________________________________________________________

ESTIMATED COST________________________________________________________________________________________

ACTUAL COST
a) Materials (Total Cost) P
1. Electrical Wires_____________________________________________________________________
2. Lighting Outlets_____________________________________________________________________
3. Convenience Outlets_________________________________________________________________
4. Switches___________________________________________________________________________
Others (Specify)____________________________________________________________________
b) Other Costs_________________________________________________________________________________
This includes professional fees, permits and other fees.

1. Lights to be connected:
_____LIGHT ____SPO, COOKING UNIT ____TOGGLE SWITCH ____FA DETECTORS
______CONVINIENCE/RECEPTACLE ____SPO, WATER HEATER ____BELLS/BUZZERS ____OTHERS (See attached list)
_____SPO/AIRCON ____SPO, WATER PUMP ____PUSH BUTTONS

2. Nature of Works_______________________________________________________________________________________

3. Remarks:_____________________________________________________________________________________________
_____________________________________________________________________________________________
I hereby certify that the above data and information are true and correct to the best of my knowledge and belief.
ELECTRICAL FEES PEE/REE/RME
Fee ________________________________________ ADDRESS
Surcharge ________________________________________ PRC REG. NO. VALIDITY
Total ________________________________________ PTR NO. TIN
CTC NO.
Computed by:_____________________________________ DATE ISSUED
Signature Over Printed Name PLACE ISSUED

LOAD

Nature of Works:
Inspector_________________________________________
Fee:______________________________________________ Contractor_________________________________________
Paid Under OR No._________________________________
Date:_____________________________________________ Owner/Occupant:___________________________________

RECOMMENDING APPROVAL: APPROVED BY:

ENGR. PEDERITO BORLAGDAN ARCH. FRANCO BITE


ELECT'L. ENGR. OF THE BUILDING OFFICE BUILDING OFFICIAL

21754
PRC REG. NO. & VALIDITY

NOTE: Renewals or extensions of this permit and/or final certification of the electrical installation are subject to inspection and
payment of corresponding fees in conformity Code" (PD 1096) and its implementing rules and regulations.with pertinent
provisions of the "National Building

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