NBC Form No.

B - 14

Submitted the following as required

Republic of the Philippines

City/Municipality of _____________________
Province of __________________________________

Date Submitted

Office of the Building Official

Certificate of Completion

As-built plans/Specifications

Daily construction works logbook

(Specify) _________________________

Certificate of Use

A Certificate of Completion submitted by _____________________________ a duly

No.
Fee Paid
Official Receipt No.
Date Paid

(Name)

licensed ___________________________________ hired by the owner who undertook the

(Professional)

full time inspection and supervision of construction works in accordance with

Section 308, Chapter 3 of the National Building Code (PD 1096), and that the

Date Issued

construction/erection of sign structure is in order.

Verified and complied as to the following requirements

This
Certificate of Use is issued/granted pursuant to Section 309 of the National Building Code
(PD 1096).
Owner/Lessee

Locational/Zoning
of land Use

Line and Grade

(Geodetic)

Architectural

Civil/Structural

Electrical

Mechanical

Located/Erected at/along

Sanitary

Plumbing

Electronics

The owner/lessee shall properly maintain the building/sign structure to enhance architectural well-

Name of Project
Use or Character of Occupancy

being, structural stability, electrical, mechanical, sanitation, plumbing, electronics, interior design and fireInterior Design

Accessibility

Fire Safety

protective properties and shall not be occupied or used for purposes other than its intended use as stated
above.

Others (Specify)

No change in existing character of occupancy classification of a building/sign structure or portion

thereof shall be made until the building official has issued a Certificate of Use therefor as provided in

The construction/erection of the building/sign structure covered by Building

Permit

No.___________________Sign

Permit

No.

___________________

issued

on__________________________has been found to be substantially complied and

therefore the

Certificate of Use is hereby recommended for issuance.

the National Building Code (PD 1096).

The building/sign structure shall be subject annual inspection and issuance of a Certificate of Use
for a period of one (1) year from the date of issuance of said certificate and yearly thereafter.
A certified copy hereof shall be posted within the premises of the building/structure and shall not be
removed without authority from the building official

Chief

Chief

Inspection and Enforcement Division

Processing and Evaluation Division

(Signature Over Printed Name)

Date______________________

(Signature Over Printed Name)

Date______________________

Building Official
(Signature Over Printed Name)
Date______________________