NBC FORM NO.
B-01
Republic of the Philippines
City/Municipality of Infanta
Province of Pangasinan
OFFICE OF THE BUILDING OFFICIAL
APPLICATION FOR BUILDING PERMIT
NEW RENEWAL AMENDATORY
APPLICATION NO. AREA NO.
BOX 1 (TO BE ACCOMPLISHED IN PRINT BY THE APPLICANT)
OWNER/APPLICANT LAST NAME FIRST NAME M.I. TIN DO NOT FILL UP (NSO USE ONLY)
FOR CONSTRUCTION OWNED FORM OF OWNERSHIP
BY AN ENTERPRISE
ADDRESS: NO. STREET BARANGAY CITY/MUNICIPALITY ZIP CODE TELEPHONE NO.
LOCATION OF CONTRUCTION: LOT NO . _______ BLK NO. _____ TCT NO. ___ TAX DEC NO. _________
STREET _________________________ BARANGAY ________________ CITY/MUNICIPALITY OF _________
SCOPE OF WORK
NEW COSTRUCTION RENOVATION __________ RAISING____________________________
ERECTION ____________ CONVERSION __________ ACCESSORY BUILDING/STRUCTURE_____
ADDITION _____________ REPAIR _______________ OTHERS (Specify) ________________________
ALTERATION __________ MOVING ______________ ___________________________
USE OF CHARACTER OF OCCUPANCY
GROUP A: RESIDENTIAL, DWELLINGS GROUP F: INDUSTRIAL OTHERS (Specify) ____________
GROUP B: RESIDENTIAL HOTEL, APARTMENT GROUP G: INDUSTRIAL STORAGE AND HAZARDOUS
GROUP C: EDUCATIONAL, RECREATIONAL GROUP H: RECREATIONAL, ASSEM. OCCUPANT LOAD LESS THAN 100
GROUP D: INSTITUTIONAL GROUP H: RECREATIONAL, ASSEM. OCCUPANT LOAD 1000 OR MORE
GROUP E: BUSINESS AND MERCANTILE GROUP J: AGRICULTURAL, ACCESSORY
OCCUPANCY CLASSIFIED _____________ TOTAL ESTIMATED COST: PHP ____________________
NUMBER OF UNITS_________________ PROPOSED DATE OF CONSTRUCTION ______________
TOTAL FLOOR AREA ________________ SQUARE METERS EXPECTED DATE OF COMPLETION_________________
BOX 2
FULL-TIME INSPECTOR AND SUPERVISOR OF CONSTRUCTION WORKS (REPRESENTING THE OWNER)
Adress
_______________________________
ARCHITECT OR CIVIL ENGINEER PRC No. Validity
(Signed and Sealed Over Printed Name) PTR No. Data Issued
Date ________________ Issued at TIN
BOX 3 BOX 4
APPLICANT: WITH MY CONSENT: LOT OWNER
_______________________ Date _________ _______________________ Date _________
(Signature Over Printed Name) (Signature Over Printed Name)
Address Address
CTC No. Date Issued Place Issued CTC No. Date Issued Place Issued
BOX 5
REPUBLIC OF THE PHILIPPINES )
CITY/MUNICIPALITY OF ____________________)
BEFORE ME, at the City/Municipality of ________________________, on _________________________ personally appeared the following:
____________________________ __________ ________ _____________
APPLICANT CTC No. Date Issued Place Issued
____________________________ __________ ________ _____________
LICENSED ARCHITECT OR CIVIL ENGINEER CTC No. Date Issued Place Issued
whose signature appear hereinabove, known to me to be same person who executed this standard prescribed form and acknowledge to me that the same is their free and
voluntary act and deed.
WITNESS MY HAND AND SEAL on the date and palce written
Doc. No. ________
Page No. ________
Book No. _______ ________________________
Series No. _________ NOTARY PUBLIC (Until December_________)
BOX 6
ASSESSED FEES ASSESSED BY AMOUNT DUE DATE PAID O.R. NO. PSA
FILING FEE
PROCESSING FEE
LOCATION/ZONING OF LAND USE
LINE AND GRADE (Geodetic)
FENCING
ARCHITECTURAL
CIVIL/STRUCTURAL
ELECTRICAL
DST
MECHANICAL
SANITARY
PLUMBING
ELECTRONICS
INTERIOR
ONE HALF (1/2) OF FIRE SERVICE FUND (SFS)
TOTAL
BOX 7 (TO BE ACCOMPLISHED BY THE BUILDING OFFICIAL)
BUILDING PERMIT
BUILDING PERMIT NO. OFFICIAL RECEIPT NO.
DATE ISSUED DATE PAID
M M D D Y Y M M D D Y Y
Permit is issued to _________________________________ for the proposed ____________________________________________________
(Owner/Applicant) (Type pf Project)
under _________________________________________, of Group _______, located at Lot No. _______ Block No. ________OCT/TCT No.
(Use or Character of Occupancy)
_____________________________Street, Barangay ___________________, Municipality of INFANTA 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 a building/structure is liable 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 of 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 or the use of inferior materials.
2.. This permit shall be accompanied by the various applicable ancillary and accessory permits, plans and spicifications signed and sealed by the corresponding design
professionals regulatory laws.
3.. That the proposed construction/erection/addition/alteration/renovation/conversion/repair/moving/demolition, etc. shall be in conformity with the provisions of the
National Building Code, and its IRR.
a. That prior to commencement of the proposed projects and construction an actual relocation survey shall be conducted by a duly licensed Geodetic Engineer.
b. That before commencing the excavation the person making or causing the excavation to be made shall notify in writing the owner of adjoining property not less
than ten (10) days before such excavation is to be made and show how the adjoining property should protected.
c. That no person shall use or occupy a street, alley or public sidewalk for the performance of work covered by a building permit.
d. That no person shall perform any work on any building or structure adjacent to a public way in general use of pedestrian travel, unless the pedestrian are protected.
e. That the supervising Architect/Civil Engineer shall keep at the jobsite at all times a logbook of daily construction activities wherein the actual daily progress of
construction including tests conducted , weather condition and other pertinent data are to be recorded, same shall be made available for scrutiny and comments
by the OBO representatie during the conduct of his/her inspection pursuant to Section 207 of the National Building Code.
f. That upon completion of the construction, the said licensed supervising Architect/Civil Engineer shall submit to the Building Official duly signed and sealed
logbook, asbuilt plans and other documents and shall also prepare and submit a Certificate of Completion of the project stating that the construction of the
building/structure conform to the provision of the Code, its IRR as well as the plans and specifications.
g. All such changes, modification and alteration shall likewise be submitted to the Building Official and the subsequent amendatory permit therefor issued before
any work on said changes, modifications and alterations shall be started. The as-built plans and specifications maybe just an orderly and comprehensive
compilation of all documents which include the originally submitted plans and specifications of all amendments thereto as actually built or they may be an entirely new
set of plans and specifications accurately describing and or reflecting therein the building as actually built.
4.. That no building/structure shall be used until the Building Official has issued a Certificate of Occupancy therefore as provided in the Code. However, a partial Certificate of Occupancy
may be issued for the Use/Occupancy of a portion or portions of a building/structure prior to the completion of the entire building/structure.
5.. That this permit shall not serve as an exemption from securing written clearances from various government authorities exercising regulatory function affecting buildings/structures.
6.. When the construction is undertaken by contract, the work shall be done by a duly licensed and registered contractor pursuant to the provisions of the Contractor's License Law (RA 4566)
7.. The Owner/Permittee shall submit a duly accomplished prescribed "Notice of Construction" to the Office of the Building Official prior to any construction activity.
8.. The Owner/Permittee shall put a building permit sign which complies with the prescribed dimensions and information, which shall remain posted on the construction site
for the duration of the construction.
PERMIT ISSUED BY:
ENGR. FREDERICK M. MIRADOR
BUILDING OFFICIAL
Date:_______________________________
NOTE: THIS PERMIT MAY BE CANCELLED OR REVOKED PURSUANT TO SECTIONS 305 AND 306 OF THE "NATIONAL BUILDING CODE"
NBC FORM NO. A-01
Republic of the Philippines
Municipality of Infanta
Province of Pangasinan
OFFICE OF THE BUILDING OFFICIAL
ARCHITECTURAL PERMIT
APPLICATION NO. AP NO. BUILDING PERMIT NO.
BOX 1 (TO BE ACCOMPLISHED IN PRINT BY THE OWNER/APPLICANT)
OWNER/APPLICANT LAST NAME FIRST NAME MI 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 OF
SCOPE OF WORK
NEW CONSTRUCTION RENOVATION___________________ RAISING________________________________________
ERECTION CONVERSION___________________ ACCESSORY BUILDING STRUCTURE___________________
ADDITION REPAIR________________________ OTHERS(specify)_________________________________
ALTERATION MOVING_______________________ _______________________________________________
BOX 2 (TO BE ACCOMPLISHED BY THE DESIGN PROFESSIONAL)
1. ARCHITECTURAL FACILITIES AND OTHER FEATURES PURSUANT TO BATAS PAMBANSA BILANG 344, REQUIRING CETAIN BUILDINGS, INSTITUTIONS, ESTABLISHMENTS
AND PUBLIC UTILITIES TO INSTALL FACILITIES AND OTHER DEVICES.
STAIRS WASH ROOMS AND TOILETS SWITCHES, CONTROLS, BUZZERS DRINKING FOUNTAINS
WALKWAYS LIFTS/ELEVATORS HANDRAILS PUBLIC TELEPHONES
CORRIDORS RAMPS THRESHOLDS SEATING ACCOMODATIONS
DOORS ENTRANCES & THRESHOLDS PARKING AREAS FLOOR FINISHES OTHERS (Specify)_________
2. PERCENTAGE OF SITE OCCUPANCY 3. CONFORMANCE TO FIRE CODE OF THE PHILIPPINES (P.D. 1185)
PERCENTAGE OF BUILDING FOOTPRINT _____________________% NUMBER AND WORTH OF EXIT DOORS FIRE WALLS
PERCENTAGE OF IMPERVIOUS SURFACE AREA _____________________% WIDTH OF CORRIDORS FIRE FIGHTING AND SAFETY FACILITIES
PERCENTAGE OF UNPAVED SURFACE AREA _____________________% DISTANCE TO FIE EXITS SMOKE DETECTORS
OTHERS (SPECIFY) _____________________ ACCESS TO PUBLIC STREET EMERGENCY LIGHTS
BOX 3 BOX 4
DESIGN PROFESSIONAL, PLANS AND SPECIFICATIONS DESIGN PROFESSIONAL, PLANS AND SPECIFICATIONS
_______________________________________Date______________ _______________________________________Date______________
ARCHITECT ARCHITECT
Signed and Sealed Over Printed Name Signed and Sealed Over Printed Name
Address Address
PRC No. Validity PRC No. Validity
/APOA No. [Link]. Date Issued /APOA No. [Link]. 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
____________________________________________________ ____________________________________________________
Signed and Sealed Over Printed Name Signed and Sealed Over Printed Name
Date_____________________ Date_____________________
Address Address
CTC No. Date Issued Place Issued CTC No. Date Issued Place Issued