TO BE ACCOMPLISHED BY THE PROCESSING AND EVALUATION DIVISION BOX7 RECEIVED BY: DATE: FIVE (5) SETS OF CIVILISTRUCTURAL DOCUMENTS CZ cIVIUISTRUCTURAL DESIGNS COMPUTATIONS, PLANS AND SPECIFICATIONS C1 cost estimates (C1 BILL OF MATERIALS. 1 OTHERS (Specify) BOX8 PROGRESS FLOW N out DATE, TIME. DATE TIME PROCESSED BY: CIVILISTRUCTURAL OTHERS (Specity) BOX9 ACTION TAKEN: PERMIT IS HEREBY ISSUED SUBJECT TO THE FOLLOWING: 1 That under Article 1723 of the Civil Code of the Philippines, the engineer (or architect) 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 defect sin the ground. The ‘engineer or architect who supervises the construction shall be solidariy liable with the contractor should the edfice collapse due to defect in the construction or the use of inferior materials, That the proposed civil/sructural works shall be in accordance with the civilstructural plans filed with this office and in conformity with the latest National Structural Code of the Philippines, the National Building Code and its IRR. That prior to any construction activity, a duly accomplished prescribed “Notice of Construction” shall be submitted to the Office of the Building Offical That upon completion of the construction, the licensed full-time inspector and supervisorlin-charge of construction works shall submit the entry to the logbook duly signed and sealed to the Building Offical including as-built plans and other documents and shall also accomplish and submit a certificate of completion stating that the civi/structural works conform to the provisions of the National Structural Code of the Philippines, the National Building Code and its IRR. ‘That this permit is null and void unless accompanied by the building permit PERMIT ISSUED BY: LUIS B. ABELLA BUILDING OFFICIAL (Signature Over Printed Name) DatePNBC FORM NO, A - 02 Republic of the Philippines Municipality of ROSALES [APPLICATION NO. cuSP NO BOX 1 (TO BE ACCOMPLISHED IN PRINT BY THE OWNERIAPPLICANT) Province of PANGASINAN OFFICE OF THE BUILDING OFFICIAL CIVIL/STRUCTURAL PERMIT BUILDING PERMIT NO. COWNER/APPLICANT LAST NAME FRSTNANE wa pw FOR CONSTRUCTION OANED FOR OF OWNERSHIP SE OR CHARACTER OF OCCUPANCY BY AN ENTERPRISE ‘ADDRESS —_NO, STREET, BARANGAY CTYMONCIPALTTY ZP CODE | TELEPHONE NO LOCATION OF CONSTRUCTION: LOTNO. ALKNO. TeTNo, TAXDEC. NO. STREET BARANGAY CITY MUNICIPALITY OF SCOPE OF WORK C1 new consrruction C1 renovanion Dense Ci erection conversion __ pemouTion 1D oomon Orerar (D Accessony aULONGISTRUCTURE Ci avterarion Gnome 1 oTHeRs (Spey) ‘BOX 2 (TO BE ACCOMPLISHED BY THE DESIGN PROFESSIONAL) NATURE OF CIVILISTRUCTURAL WORKS: O staxns 7 eRecTIONLFTING Cl excavanion I conorere Fravin Li sot staatuzaTion I structural steet Fratne 1 Pune works Oi sues CO Founoation O wus PREPARED BY LZ prestress works materia Testing Ci sree. rowers O tanks D1 omens (spec BOX3 BOX 4 DESIGN PROFESSIONAL, PLANS AND SPECIFICATIONS ‘SUPERVISORIN-CHARGE OF CNILISTRUCTURAL WORKS. —GVIUSTRUCTORAL ENGINEER ‘CIVIUSTRUCTURAL ENGINEER (Signed and Sealed Over Printed Name) (Signed and Sealed Over Printed Name) Dat Dat naioss adress PRG. No Val PRG. No Valy [Link] Date esied [Link] Date esved Issued at TW Issued at TW BOXS BOX6 BUILDING OWNER WITH MY CONSENT: LOT OWNER: (Sgnature Over Printed Nama) (Sanature Over Printed Name) Date Date adress ‘Adaress [Link] Date ved Pace issued OTN, ate ved Place Issued