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NBC Form cs “Cups REPUBLIC OF THE PHILIPPINES OFFICE OF THE BUILDING OFFICIAL CITY OF MAKATI Appenoix B DO NOT FILL UP (NSO USE ONLY) [APPLICATION No, PERNT No. BUILDING PERMIT OTE OF APPLICATION Sa SUED OF IGINAL RENEWAL, ‘0X1 (V0 BE ACCOMPLISHED BY DESIGNING ARCHITECT/CIVIL ENGINEER IN PRINT) ‘OWNER TAST NAME FIRST NAME wi TH B Hl a FOR CONSTRUCTION OWNED] FORM OF OWNERSHIP [MAIN ECONOMIC ACTIVITKIND OF BUSINESS BY AN ENTERPRISE ‘ADDRESS TEL. NO. oO a LOCATION OF CONSTRUCTION | Hl a r SCOPE OFWORK 1 NEW CONSTRUCTION (OTHERS (SPEOIFY) 2 apomonor——— gp gp 5 REPAIR OF 7 oF 44 RENOVATION OF 5 DEMOLITION OF_____| NUMBER OF UNITS . USE 08 TPE OF occuPAAICY RESIDENTIAL INousTaIAL 11 SINGLE 31. FACTORVPLANT 12 DUPLEX 82 REPAIR SHOP, MACHINE SHOP 13 ROWHOUSE/ACCESSORIA 83 REFINERY 14 OTHERS (SPECIFY) ‘34 PRINTING PRESS 8. WAREHOUSE COMMERCIAL 30. OTHERS (SPECIFY) 21" Balk 22 STORE smmuriONaL 25 noTeLmoven ere 41 SCHOOL 24 OFFICE CONDOMIRIUMBUSINESS OFFICE BUILDING 442 CHURCH aND OTHER RELIGIOUS STRUCTURES 25 RESTAURANT, ETC. 443 HOSPITAL OR SIMILAR STRUCTURES 25. SHOP (e.g: DRESS SHOP, TALORING SHOP, BARBER SHOP, ETC:) 44 WELFARE AND GHARITABLE STRUCTURES 27 GASOLNE STATION 45. THEATER, AUDITORIUM, GYNHASIUM, COURT 28 MARKET 40. OTHERS (SPECIFY) 23 DORMITORY Of OTHER LODGING HOUSE 20. OTHERS (SPECIFY) [AGRICULTURAL 51 BARMS) POULTRY HOUSE(S), ET. (then TYPE OF occuPANCY 52 GRAN MIL 60 sPecry 50_ OTHERS SPECIFY) STREET FURNITURE, LANDSCAPING & SIGNBOARDS PARKS, PLAZAS, MONUMENTS, POOLS, PLANT BOXES, ETC 72. SIDEWALKS, PROMENADES TERRACES, AMPOSTS, ELECTRIC POLES TELEPHONE POLES, ETC 73. OUTDOOR ADS, SIGNBOARDS, ETC 74 FENCE ENCLOSURE {0x 2(T0 BE ACCOMPLISHED BY THE RECEIVING & RECORDING SECTION) SUILDING DOCUMENTS (FVE SETS EnCK) SITE DEVELOPMENT AND LOCATION PLAN MECHANIOAL PLANS & SPECIFICATIONS [ARCHITECTURAL PLAN & SPECIFICATIONS, Loss00K 11 coPy) STRUCTURAL DESIGN & COMPUTATIONS. OTHERS (SPECIFY) SANITARY/PLUNGING PLANS & SPECIFICATIONS ELECTRICAL PLANS & SPECIFICATIONS {0X 3 (TO 8€ ACCOMPLISHED BY THE BUILDING OFFICIAL) PERMIT IS HERESY GRANTED SUBJECT TO THE FOLLOWING COKDTONS: 1. THAT THE PROPOSED CONS RUCTION/ADOITION/REPAIRIRENOVATION/DEMOLTION INSTALLATION ETC. SHALL BE IN CONFORMITY WTH THE NATIONAL BUILDING CODE (@0. 1096) AND ITS CORRESPONDING IMPLEMENTING RULES AND REGULATIONS ENGR. MARIO V, BADILLO 2, THAT ADULY LICENSED ARCHITECT/CIL ENGNEER HAS BEEN ENGAGED 10 PREPARE PLANS AND SPECIFICATIONS AND TO UNDERTAKE THE SUPERVIIONVINSPECTON OF THE CONSTRUCTION OF THE PROJECT. Building Official ‘3. THAT A CERTIFICATE OF COMPLETION OULY SIGNED AND SEALED BY THE DESIGNING [ARCMITECT/ENGINEER AND THE ARCHITECTENGINEERIN-CHAAGE OF CONSTRUCTION SHALL BE SUBMITTED MOT LATER THAN SEVEN() DAYS AFTER COMPLENON OF THE | ‘CONSTRUCTION OFTHE PROJECT. DATE 4. THAT ACERTIFATE OF OCCUPANCY” SHALL BE SECURED PRIOR TO ACTUAL 0cCU- PANCY OF THE BULOING “ate accompa econ, ra echo Apc (ria, esr Nana States Oe, uy Oe Fra Darina ore pte "BESSA MAY CANCELLED OR REVORED PURSUANT To SECTIONS 20 & 208 OF THE "HATONAL BUILDING COO” BOX 3A (TO BE ACCOMPLISHED BY DESIGNER/ARCHITECT/CIVIL ENGINEER IN PRINT) cam 1 | Ry (WOOD, CONC., STEEL, MIXED) BOX 4 (TO BE ACCOMPLISHED BY THE OIVISION/SECTION CONCERNED) ASSESSED FEES ‘AMOUNT DUE | ASSESSED BY | OA.NUMBEA | DATE PAID LAND USE/ZONING: LINE AND GRADE | BUILDING | - = Puy mMBING ELECTRICAL MECHANICAL OTHERS | REVIEWED: ema CHIEF, PROCESSING DIVISION/SECTION 80x 5 (TO BE ACCOMPLISHED BY THE DIVISION/SECTION CONCERNED) PROGRESS FLOW NoTeD: aa) | our} actions PROCESSED CHIEF, PROCESSING DIVISION/SECTION [~The DATE TIME DATE REMARKS By RECEIVING AND RECORDING LAND USE AND ZONING (GEODETIC (LINE AND GRADE) ARCHITECTURAL STRUCTURAL SANITARY/PLUMBING ELECTRICAL i | aN t ee MECHANICAL I | WE HEREBY AFFIX OUR HANDS SIGNIFYING OUR CONFORMITY TO THE INFORMATION HEREIN ABOVE SETFORTH 80x 6 80x 8 : ARCHITECT/CIVIL ENGINEER PRC.REG.NO. |_| SIGNATURE SIGNED AND SEALED PLANS & SPECIFICATIONS PRINT NAME ce | APPLICANT ADDRESS coomunrry Tax cear | oATE 1ssueD | PLACE ISSUED PTR NO. a SIGNATURE | iT ty CONSENT BOX7 _ _ BOX 9 (TO BE ACCOMPLISHED BY LOT OWNER) ARCHITECT/CIVIL ENGINEER PRC. REG.NO. | ‘TCT/OCT NO. IN GHARGE OF CONSTRUCTION SPECFcATIONS | PAINT NAME PRINT WANE OF LOT OWNER ADRESS ADDRESS PTA Dare 6sueo | PLACE ISSUED COMMUNITY TAX CERT. ‘SIGNATURE Th SIGNATURE www.makati.gov.ph

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