Certificate of Completion Occupancy

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DPWH FORM NO.

77-004-B

METROPOLITAN MANILA AUTHORITY


PLAN ENFORCEMENT and REGULATION CENTER / ACID

CERTIFICATE OF COMPLETION
THE BUILDING OFFICIAL
____________________
AREA CODE NO________

THIS IS TO CERTIFY THAT THE CONSTRUCTION OF THE BUILDING COVERED BY


BUILDING PERMIT NO._______________ISSUED ON__________________HAS BEEN
COMPLETED IN ACCORDANCE WITH THE APPROVED PLANS AND SPECIFICATIONS ON
FILE WITH THE OFFICE OF THE BUILDING OFFICIAL AND THE NATIONAL BUILDING
CODE (P.D. 1096)
THAT THE SAID BUILDING AND/OR STRUCTURE IS READY FOR FINAL INSPECTION
FOR THE ISSUANCE OF THE CERTICATE OF OCCUPANCY
NAME OF OWNER_________________________________________________________
(LAST NAME)
(GIVEN)
(MIDDLE)
ADDRESS OF OWNER______________________________________________________
LOCATION OF CONSTRUCTION______________________________________________
USE OR TYPE OF OCCUPANCY_______________________________________________

DATE OF START OF CONSTRUCTION:


PROPOSED______________ACTUAL_____________
DATE OF COMPLETION:
EXPECTED________________ACTUAL_______________________
TOTAL FLOOR AREA (sq. meters)
ESTIMATED___________________ACTUAL___________________
NO. OF STOREYS___________________________ACTUAL HEIGHT__________________
ESTIMATED COST P_____________________________________________________
ACTUAL COST
P________________________________(FOR STATISTICAL PUPOSES ONLY)

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A) MATERIALS (TOTAL COST) P_________________________________________________________


1.CEMENT (BAGS)
_______________________________________
2.LUMBER (cubic meter)
_______________________________________
3.REINFORCING BARS (kg.)
_______________________________________
4.NO. OF G.I. SHEETS
_______________________________________
5.PRE-FAB STRUCTURAL STEEL (kg.) _______________________________________
B) DIRECT LABOR (TOTAL COST) P_____________________________________________________
THIS INCLUDES COMPENSATION WHETHER BY SALARY OR CONTRACT FOR PROJECT
ARCHITECT/ENGINEER DOWN TO LABORERS.
C) RENTAL OF EQUIPMENT(IF ANY) ____________________________________________________
D) OTHER COST P___________________________________________________________________
THIS INCLUDES PROFESSIONAL SERVICE FEES, PERMITS AND OTHER FEES
IF CONSTRUCTION IS UNDERTAKEN BY CONTRACT

CONFORME:

FF
I

____________________________________________________________________________________
ARCHITECT/CIVIL ENGINEER
OWNER/APPLICANT
CONTRACTOR

(IN-CHARGE OF CONSTRUCTION)

PRC REG. NO_______CLASS______


TIN___________COM CERT______
ADDRESS_____________________
_____________________________

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