NBC FORM NO.
A-02
Republic of the Philippines
CITY OF GENERAL SANTOS
OFFICE OF THE CITY BUILDING OFFICIAL
CIVIL/STRUCTURAL PERMIT
APPLICATION NO. C/SP NO. BUILDING PERMIT NO.
BOX 1 (TO BE ACCOMPLISHED IN PRINT BY THE OWNER/APPLICANT)
OWNER/APPLICANT LAST NAME FIRSTNAME 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
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)
NATURE OF CIVIL / STRUCTURAL WORKS:
STAKING ERECTION/LIFTING PRESTRESS WORKS
EXCAVATION CONCRETE FRAMING MATERIAL TESTING
SOIL STABILAZATION STRUCTURAL STEEL FRAMING STEEL TOWERS
PILING WORKS SLABS TANKS
FOUNDATION WALLS OTHERS (Specify)
PREPARED BY :
BOX 3 BOX 4
DESIGN PROFESSIONAL, PLANS AND SPECIFICATIONS SUPERVISOR / IN-CHARGE OF CIVIL/STRUCTURAL WORKS
Date Date
CIVIL ENGINEER CIVIL ENGINEER
(Signed and Sealed Over Printed Name) (Signed and Sealed Over Printed Name)
Address Address
PRC No. Validity PRC No. Validity
IAPOA No. O.R. No. Date Issued IAPOA No. O.R. No. Date Issued
PTR No. Place Issued Date Issued PTR No. Place Issued Date Issued
TIN TIN
BOX 5 BOX 6
BUILDING OWNER WITH MY CONSENT: LOT OWNER
(Signature Over Printed Name) (Signature Over Printed Name)
Date Date
Address Address
CTC No Date Issued Place Issued CTC No Date Issued Place Issued
BOX 7 (TO BE ACCOMPLISHED BY THE PROCESSING AND EVALUATION DIVISION)
RECEIVED BY: DATE:
FIVE (5) SETS OF CIVIL/STRUCTURAL DOCUMENTS
CIVIL/STRUCTURE DESIGNS COMPUTATIONS, COST ESTIMATE
PLANS AND SPECIFICATION
OTHERS (Specify)
BILL OF MATERIALS
BOX 8
PROGRESS FLOW
IN OUT
PROCESSED BY:
DATE TIME DATE TIME
CIVL/STRUCTURE
OTHERS (Specify)
BOX 9
ACTION TAKEN
PERMIT IS HEREBY ISSUED SUBJECT TO THE FOLLOWING:
1. That under Article 1723 of the Civil Code of the Philippines, the architect (and engineer) who drew up the plans and specifications for the
building/structure is responsible for damages if within fifteen (15) years from the completion of the building/structure, the same should collapse
due to defect in the plans or specifications or defects in the ground. The engineer or architect who supervises the construction shall be
solidarily liable with the contractor should the edifice collapse due to defect in the construction of the use of inferior materials.
2. That the proposed architectural works shall be in accordance with the architectural plans filed with this Office and in conformity with the latest
Architectural Code of the Philippines, the National Building Code and its IRR.
3. That prior to any construction activity, a duly accomplished prescribed "Notice of Construction" shall be submitted to the Office of the Building
Official.
4. That upon completion of the construction, the licensed full-time inspector and supervisor/in-charge of construction works shall submit the entry
to the logbook duly signed and sealed to the Building Official including as-built plans and other documents, and shall accomplish the
Certificate of Completion stating that the architectural works conform to the provision of the Architectural Code, the National Building Code
and its IRR.
5. That this permit is null and void unless accompanied by the building permit.
PERMIT ISSUED BY:
CITY BUILDING OFFICIAL
(Signature Over Printed Name)
Date