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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

FOR CONSTRUCTION OWNED BY


AN ENTERPRISE

FORM OF OWNERSHIP

M.I.

TAX ACCT. NO.

MAIN ECONOMIC ACTIVITY OF BUSINESS

ADDRESS

TEL. NO.

LOCATION OF CONSTRUCTION
SCOPE OF WORK:

OTHERS (SPECIFY)

1. NEW CONSTRUCTION
2. ADDITION OF _____________________
3. REPAIR OF ________________________
4. RENOVATION OF __________________
5. DEMOLITION OF ___________________

USE OR TYPE OF OCCUPANCY


RESIDENTIAL
11 SINGLE
12 DUPLEX
13 ROWHOUSE / ACCESSORIA
10 OTHERS (SPECIFY)____________________

6. __________OF______________
7. __________OF______________

INDUSTRIAL
31 FACTORY (PLANT)
32 REPAIR SHOP, MACHINE SHOP
33 REFINERY
34 PRINTING PRESS
35 WAREHOUSE
30 OTHERS (SPECIFY)____________________

COMMERCIAL
21 BANK
22 STORE
23 HOTEL / MOTEL, ETC.
24 OFFICE CONDOMINIUM / BUSINESS OFFICE BUILDING.

INSTITUTIONAL

26 SHOP (e.g. DRESS SHOP, TAILORING SHOP, BARBER SHOP, ETC.

41 SCHOOL
42 CHURCH OR OTHER RELIGIOUS STRUCTURES
43 HOSPITAL OR SIMILAR STRUCTURES

27 GASOLINE STATION

44 WELFARE & CHARITABLE STRUCTURES

28 MARKET

45 THEATER, AUDITORIUM. GYMNASIUM, COURT

29 DORMITORY OR OTHER LODGING HOUSE

40 OTHERS (SPECIFY)____________________

25 RESTAURANT, ETC..

30 OTHERS (SPECIFY)____________________

OTHER CONSTRUCTION
60 (SPECIFY)____________________

AGRICULTURAL
41 BRAN(S), POULTRY HOUSE(S), ETC.
42 GRAIN MILL
40 OTHERS (SPECIFY)____________________

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

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

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

MECHANICAL PLANS & SPECIFICATIONS


LOGBOOK (1COPY)
OTHERS (SPECIFY)

ELECTRICAL PLANS & SPECIFICATION

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

ENGR. ISAGANI R. VERZOSA JR.


LOCAL BUILDING OFFICIAL

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.

DATE

BOX 3A (TO BE ACCOMPLISHED BY THE DESIGNING ARCHITECT/CIVIL ENGINEER IN PRINT

BUILDING

P_____________

COST OF
EQUIPMENT
INSTALLED

ELECTRICAL

P_____________

P____________

MECHANICAL

P_____________

PROPOSED DATE
OF CONSTRUCTION _____________

P____________

PLUMBING

P_____________

EXPECTED DATE
OF COMPLETION _______________

OTHERS

P_____________

TOTAL COST

P_____________

TOTAL ESTIMATED COST

P____________

DO NOT FILL (NSO USE ONLY)

NUMBER OF STOREYS___________
TOTAL FLOOR AREA____________

MATERIAL OF CONST. ____________


(WOOD, CONC, STEEL, MIXED)

BOX 4 (TO BE ACCOMPLISHED BY THE DIVISION CONCERNED


ASSESED FEES

AMOUNT DUE

ASSESSED BY

O.R. NUMBER

DATE PAID

LAND USE / ZONING


LINE and GRADE
BUILDING
PLUMBING
ELECTRICAL
MECHANICAL
OTHERS
REVIEWED:
TOTAL

CHIEF, PROCESSING DIVISION SECTION

BOX 5 (TO BE ACCOMPLISHED BY THE DIVISION CONCERNED


PROGRESS FLOW

NOTED:

IN

CHIEF, PROCESSING DIVISION

TIME

OUT
DATE

TIME

ACTION /
REMARKS

DATE

PROCESSED
BY:

RECEIVING and RECORDING


LAND USE and ZONING
GEODETIC (LINE and GRADE)
ARCHITECTURAL
STRUCTURAL
SANITARY
ELECTRICAL
MECHANICAL

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.

PTR NO.

PTR NO.

PLACE ISSUED

PLACE ISSUED

SIGNATURE

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

BOX 7
ARCHITECT / CIVIL ENGINEER
PRC REG. NO.
SIGNED AND SEALED PLANS & SPECIFICATIONS

TCT / OCT NO.

PRINT NAME

PRINT NAME OF LO5T OWNER

ADDRESS

ADDRESS

PTR NO.
SIGNATURE

PTR NO.

PLACE ISSUED

COMMUNITY TAX RECEIPT DATE ISSUED


SIGNATURE

PLACE ISSUED

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