Republic of the Philippines Province of Cebu ‘ Municipality of Lito-an OFFICE OF THE BUILDING OFFICIAL Name of Applicat/Owner: Dae. ‘Type of Construction Er Ya Operon se OE EDS No.of Storey, “Teta Fase Area Date of Complation Building Perait No sass SSS ERBGE SSIES chai Tn Gp ASU EPUREE INTIS Real Property Tax Decaraion No. spas apes eee 1 of. —__ Dohareby cary under oath that I em the owner/authorizad representative of Unose the owner ofthe ‘building hove which was Completed and acuueliy occupied on. ‘Turtha centfy tomy hones belief thet the busing iS ‘mechanical and ssnitaryfeciities ere in order. This a7 orn statement is executed for the purpose of seciring Cartifeate of Occupancy for the building described abgre. racurally oud andthe electrical, Fipplicant/ Owner ACKNOWLEDGEMENT City of Cebu ‘Republic of the Philippines “Municipality of. ‘Subscrited and sworn before me this cay of. 198 Applicant Owner MReprevertative exhibit to mehisher residence Certificate No. Tssued at 199. DOC. NO x PAGE NO BOOK NO, SERIES NO_ |CERTIFICATE OF COMPLETION THE BUILDING OFFICIAL AREA CODENO. 6002 THIS IS TO CERTIFY THAT THE CONSTRUCTION OF THE BUILDING COVERED BY A BUILDING PERMIT NO. ISSUED ON HAS | BEEN COMPLETED IN ACCORDANCE WITH THE APPROVED PLANS AND SPECIFICATIONS OF THE FILE WITH THE OFFICE OF THE BUILDING OFFICIAL AND THE “NATIONAL BUILDING CODE” (PD. 1096) THAT THE SAID BUILDING AND/OR STRUCTURE IS READY FOR FINAL - INSPECTION FOR THE ISSUANCE OF THE “ CERTIFICATE OF OCCUPANCY”. ‘NAME OF OWNER. eeu (AST NAME) (GIVEN Oe (MIDDLE oe LOCATION OF CONSTRUCTION eee USE OR TYPE OF OCCUPANCY ie DATE OF START OF CONSTRUCTON: PROPOSED ACTUAL __*” DATE OF COMPLETION: EXPECTED eeeeEEPACT UAL seen TOTAL FLOOR AREA (SQ.M): ESTIMATED BEERAGTU AU aires eeaeeee ‘NO. OF STOREYS ACTUAL HEIGHT _ ESTIMATED COST Hee a ACTUAL COST: __(FOR STATISTICAL PURPOSE ONLY ) a) MATERIALS CPOTAL COSD = 1. CEMENT (BAGS) 2. LUMBER (CUBIC METER) _ 3. REINFORCING BARS (KG.) a 4. NO OF GI. SHEETS a _ 5. PRE-FAR STRUCTURAL STEEL (KG) b) DIRECT LABOR (TOTAL COST) a “This includes compensation vinelher by salary or contract for project | architect/engineer down to laborers. ©) RENTAL OF EQUIPMENT (IF ANY") d) OTHER COST oe ‘This includes Professional service fees, permnits and other fees. IE CONSTRUCTION IF UNDERTAKEN BY CONTRACT: ARCHITECT / CIVIL ENGINEER ‘(in-Charge of Construction ) CONFORME : OWNER / APPLICANTRepublic of the Philippines Province of Cebu MUNICIPALITY OF LILQ-AN OFFICE OF THE BUILDING OFFICIAL CERTIFICATS OF COMPLETION ELECTRICAL WORKS: hus ie cama that oe ria instalation of te waling covered PY Bune e ec. Bi TRIE ee eater in eceurdance with te PR: 0f pie and open on ie wth Otis he Bang pe tne Memon Bulg © PP Tope, Tha the said mstaliatioeiecs i rend Zor Fs sespection’. AME ON OWNER: en LAST NAME quai Nat Sawa TTTIAL ADDRESS OF OWNER: __ LOCATION OF CONSTRUCT! DATE OFS FYE Oy OCCUPANCY is DATE OF COMMETION é ‘TOTAL NUMBERS OF OUTLET ANC EQUUNAEITS ANSTALLED peers gymcais ____ CONVIDUENCE | UTP ET — BALL. SYSTEM LECTRICAL RANGE ELEPHONE DAR CONDITIONING SYSH OTHERS GPEAEY) ae CONFORMED BY pas PRC RES. ND. an} alee Ts "ie CERT. O_____—. SunvER ARBLICAN pat ADDRESS (Bor Semucical xpowe NY) ACTUAL COST SNUMBER OF STORIES ustiM..TED ¢ 2) Materils (Fetal Co) 4 Biesirical wire ae 2 Cewverience Sublets ————— SyauR costs ‘Then incite professions) fers pers at oie 120% gates ox up 204 SW ‘nang Blecrciens can sign for erica mall 1207 10 28 Tendssove cenneaes > ‘Camensence ties es Generate Shan Specig) Snare of Works ‘ypea of Service Voltage — Ssnars_ Giee gua isto cenaty ae ue sore Sica na fre aque ata COREPUBLIC OF THE PHILIPPINES PROVINCE OF CEBU MUNICIPALITY OF LILOAN CERT 7 THIS IS TO CERTIFY THAT THE SANITARY INSTALLATION OF THE BUILDING COVERED BY THE PERMIT HAS BEEN COMPLETED IN ACCORDANCE WITH THE APPROVED PLANS AND SPECIFICATIONS AND THE PROVISIONS OF ‘THE NATIONAL RUILDING CODE (P.D. 1096) THAT THE ACTUAL COST OF INSTALLATION IS ‘THAT THE INSTALLATION IS READY FOR FINAL INSPECTION. DONE ON THIS DAY OF 200. MASTER PLUMBER INSTALLATION) CONFORME BY; OWNER CERTIFICATE OF COMPLETION TO CERTIFY THAT THE ELECTRICAL INSTALLATION OF THE RED BY THE PERMIT HAS BEEN COMPLETED IN ACCORDANCE. WITH THE APPROVED PLANS AND SPECIFICATIONS AND THE PROVISIONS OF ‘THE NATIONAL BUILDING CODE (P.D. 1096) THAT THE ACTUAL COST OF INSTALLATIONIS P___ ‘THAT THE SAID INSTALLATION IS READY FOR FINAL INSPECTION, DONE ON THiS DAY OF. 200, ELECTRICAL BAyANER MASTER ELECT ELECTRICAL ENGINEER/MASTER BLECT. CONFORME BY:i _ Powe oF BuToNE Wo OF STOREY =) i [Coearion— USETOCUPANCY = [DATE STARTED = DATE Dy BLOG. PERMIT NO. CERT. OF OCCUPANCY OWNER = ADDRESS: [DESIGNERS = : B YR.NO, DATE 1SSUEI i WANE IN PRINT. SIGNATURE = REG_NO. aa [CIVIL ENGINEER = “TR.NO, DATE ISSUED. WAVE PRINT: SIGNATURE REG_NO. RT 57 —TRTR.NO. DATETSSUED: WAVE PRINT 516 | z 5 NATURE, REG_NO. } | ELECTRICAL ENGINEER ad “]P.TR, NO, DATE ISSUED: (CRAME TH PRINT = TGNATORE - REG_NO. [MECHANICAL ENOWEER FT NO. CATE ESTED? | NAME IN PRINT: ‘SIGNATURE = REG_NO_ —| INGHARGE OF CONSTRUCTION: P.TR.NG. DATE SUED: s ARCHITECT/CIVIL ENGINEER : | i [HAE TRF E REG-NO. WEAAAGE OF IN TON = TPTR.NO. DATETSSUED: ELECTRICAL, ENGR, / MASTER ELECTRICIAN NAVE PRINT ‘SIGNATURE REG_NO, = ‘SAHITARY ENGINEER / MASTER PLUMBER : P.TR.NO, DATE ISSUED: (RE WERNT? SIGRATURE? REG.NO- : MECHANICAL ENIGNNER = PLR.NO. DATE ISSUED: WAME BY PRINT: ‘SIGNATURE | FEG.NO a BTR.NG. DATE ISSUED = ARCHITECTICIOVIL ENGINEER, EE WAVE DPRINT: ‘SIGRATURE : [REG.NO gens TIFUNDERTAKEN BY CONTRACT: ———SC:=C*C*~*~S*«~SPC SRG NG CASS ae \ GEN, CONTRACTORICONCRETING COI FOR ADDRES! TINNO. : CER ECT = | oa) OWNER, DATE, | ma APPROVED BY ENGR, REMEDIOS A, UDTOHAN MUNICIPAL ENGINEER pce annus iBestteteee