(CR: BLGD-2020-10-30-017)

2020-12-01-127
 BOX 6 (TO BE ACCOMPLISHED BY THE PROCESSING AND EVALUATION DIVISION)

BASIS OF AMOUNT
ASSESSED FEES ACCOUNT ASSESSED BY
ASSESSMENT DUE
FOR ZONING (ZONING
ADMINISTRATOR):
 LOCATIONAL / ZONING OF LAND

FOR BUILDING / STRUCTURE (OBO):

 FILIN
 G FEE
 LINE AND GRADE (Geodetic)

 FENCING

 ARCHITECTURAL

 CIVIL / STRUCTURAL

 ELECTRICAL

 MECHANICAL

 SANITARY

 PLUMBING

 ELECTRONICS

 INTERIOR

 SURCHARGES

 PENALTIES

FOR FIRE SAFETY (BFP):

 FIRE CODE CONSTRUCTION TAX

 HOTWORKS

TOTAL

TERMS AND CONDITIONS:

1. The Owner/Applicant shall accomplish the prescribed Application Form, with the assistance of the concerned design
professional/s and/or the Architect/Civil Engineer, hired/commissioned by him/her as full-time inspector/supervisor of the
construction works, by filling up the necessary data / information required thereat.

2. The fully accomplished prescribed Application Form, duly notarized, shall be submitted to the concerned Office of the
Building Official, accompanied by the various applicable ancillary and accessory permits, plans and specifications signed
and sealed by the corresponding design professionals who shall be responsible for the comprehensive and correctness
of the plans in compliance to the National Building Code of the Philippines (PD 1096), its Revised IRR and all applicable
referral codes and professional regulatory laws, together with the other documentary requirements pursuant to Section
302 of PD 1096 and its Revised IRR.

I have read this form, understood its contents and consent to the processing of my personal data. I understand that my consent
does not preclude the existence of other criteria for lawful processing of personal data, and does not waive any of my rights under
the Data Privacy Act of 2012 and other applicable laws.

___________________________________________________
SIGNATURE OVER PRINTED NAME OF OWNER/APPLICANT
NBC FORM NO. B – 01B Republic of the Philippines
City/Municipality of ___________________
Province of ____________________
OFFICE OF THE BUILDING OFFICIAL

BUILDING PERMIT
 NEW  RENEWAL  AMENDATORY
BUILDING PERMIT NO. __________________ OFFICIAL RECEIPT NO. ___________________
DATE ISSUED: _________________________
DATE PAID: ____________________________
FSEC NO. _____________________________
DATE ISSUED: _________________________

This PERMIT is issued pursuant to Sections 207, 301, 302, 303 and 304 of the National Building Code of the
Philippines (PD 1096), its Revised IRR, other Referral Codes and its Terms and Conditions.

Owner / Permittee : _________________________________________________________________________

Project Title : _________________________________________________________________________
Location of Construction : Lot: ______ Blk.: _______ TCT No.: _________ Street: __________ Brgy.: ____________
City/Municipality: ______________________________ ZIP Code: ____________________
Use or Character of Occupancy : __________________________ and Classified as: ___________________________
Scope of Work : _________________________________________________________________________
Total Project Cost : _________________________________________________________________________
Professional In Charge of Construction: ______________________________________________________________

PERMIT ISSUED BY:

_________________________________________
BUILDING OFFICIAL
(Signature Over Printed Name)
THIS PERMIT MAY BE CANCELLED OR REVOKED PURSUANT TO SECTIONS 207, 305 AND 306 OF THE NATIONAL BUILDING CODE OF THE PHILIPPINES (PD 1096)
AND ITS REVISED IRR
 TERMS AND CONDITIONS:
1. The proposed construction/ erection/ addition/ alteration/ renovation/ conversion/ repair/ moving/ demolition, etc. subject of this Permit shall be in conformity
with the provisions of the National Building Code of the Philippines (PD 1096), its Revised IRR, and other referral codes.

2. The Owner/Permittee shall be responsible in undertaking the following, with the assistance of the concerned professionals hired/commissioned by him:
a. That prior to commencement of the proposed project/s 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 be 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 for pedestrian travel, unless the pedestrians 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 representative during the conduct of his/her inspection pursuant to Section 207 of the National Building Code of the Philippines.
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, as-built 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, modifications and alterations 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.
h. That no building/structure shall be used until the Building Official has issued a Certificate of Occupancy therefor 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.
i. 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).
j. The Owner/Permittee shall submit a duly accomplished prescribed “Notice of Construction” to the Office of the Building Official prior to any construction
activity.
k. 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.
l. The Owner/Permittee shall submit required clearances from other agencies as stipulated under Section 302 (12) b of the Revised IRR of the NBCP and
other documents or clearances from local authorities thirty (30) calendar days after the issuance of a building permit.
THIS PERMIT MAY BE CANCELLED OR REVOKED PURSUANT TO SECTIONS 207, 305 AND 306 OF THE NATIONAL BUILDING CODE OF THE PHILIPPINES (PD 1096)
AND ITS REVISED IRR
 Republic of the Philippines
City/Municipality of ___________________
Province of _________________________

UNIFIED APPLICATION FORM FOR CERTIFICATE OF OCCUPANCY

FULL PARTIAL

THIS ALSO APPLIES FOR: FIRE SAFETY INSPECTION CERTIFICATE

Building Permit No.:________________

Date Issued :________________
FSEC No. :________________
Date Issued :________________
__________________________
(Date)

Name of Applicant/Owner:____________________________________________________________________
(Last Name) (Given Name) (Middle Initial)
Address of Applicant/Owner:__________________________________________________________________
__________________________________________ ZIP Code:____________ Contact No.: _______________

Requirements submitted:

 3 copies of Certificate of Completion, duly notarized

 Construction Logbook, signed and sealed by the Owner’s Architect or Civil Engineer who undertook full-time inspection
and supervision
 As-Built Plans, signed and sealed by the Owner’s Architect or Civil Engineer who undertook full-time inspection and
supervision
 1 photocopy of the valid licenses of all involved Professionals
 Captioned photographs of Site and Completed Building/Structure showing front, sides and rear areas,
 Yellow Card issued by the Electrical Service Provider

Name of Project: _____________________________________________________________________

Location of Project: ___________________________________________________________________
Use/Character of Occupancy: _________________________________
No. of Storey/s: ____________________________________________
No. of Units: _______________________________________________
Total Gross Floor Area (Square Meters): ________________________________
Date of Completion: _________________________________________
Submitted by:
__________________________________
APPLICANT/OWNER
(Signature Over Printed Name)
Community Tax Certificate No. ____________________
Date Issued:__________________________________
Place Issued: _________________________________
Attested by:
FULL-TIME INSPECTOR OR SUPERVISOR OF CONSTRUCTION

ARCHITECT OR CIVIL ENGINEER

(Signed and Sealed Over Printed Name)
Date_________________________
PRC No. Validity
PTR No. Date Issued
Issued at TIN
CTC No. Date Issued Issued at
 Republic of the Philippines
City / Municipality of ___________________ Logo
Province of __________________________ of
OFFICE OF THE BUILDING OFFICIAL LGU

CERTIFICATE OF OCCUPANCY
FULL PARTIAL

No.___________________________ Fees Paid: ________________________

Date Issued: ___________________ Official Receipt No.: ________________
FSIC No._______________________ Date Paid: ________________________
Date Issued:____________________

This is to certify that the building/structure which has been designed and constructed conforms to the issued Building Permit No._______________
dated_______________________.

Name of Owner : ___________________________________________________________

Name of Project : ___________________________________________________________
Date of Completion : ___________________________________________________________
Use or Character of Occupancy : ___________________________ Group : _________________
Located at / Along : ___________________________________________________________

The Owner shall properly maintain the building/structure to enhance its architectural well-being, structural stability, electrical, mechanical, sanitation,
plumbing, electronics, interior design and fire-protective properties and shall not be occupied or used for purposes other than its intended use as
stated above.

This Certificate of Occupancy is hereby issued pursuant to Section 309 of the National Building Code of the Philippines (PD 1096), its Revised
IRR, other Referral Codes.

A certified copy hereof shall be

posted within the premises of the
building/structure and shall not be BUILDING OFFICIAL
(SIGNATURE OVER PRINTED NAME)
removed without authority from the DATE: _____________________
Building Official.

THIS CERTIFICATE MAY BE CANCELLED OR REVOKED PURSUANT TO SECTION 309 OF THE NATIONAL BUILDING CODE OF THE PHILIPPINES (PD 1096)
AND ITS REVISED IRR
 Republic of the Philippines
City/Municipality of __________________
Province of __________________________
UNIFIED APPLICATION FORM FOR BUILDING PERMIT
SIMPLE COMPLEX*
NEW RENEWAL AMENDATORY

THIS APPLIES ALSO FOR : LOCATIONAL CLEARANCE FIRE SAFETY EVALUATION CLEARANCE
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 (PSA USE ONLY)

FOR CONSTRUCTION OWNED FORM OF OWNERSHIP

BY AN ENTERPRISE
ADDRESS: NO., STREET, BARANGAY, CITY / MUNICIPALITY ZIP CODE CONTACT NO.

LOCATION OF CONSTRUCTION: LOT NO. _______ BLK NO. ________ TCT NO. ______________ CURRENT TAX DEC. NO. ____________________
STREET_____________________ BARANGAY __________________________ CITY / MUNICIPALITY OF_____________________________________
SCOPE OF WORK
NEW CONSTRUCTION RENOVATION RAISING
ERECTION CONVERSION ACCESSORY BUILDING/STRUCTURE
ADDITION REPAIR LEGALIZATION OF EXISTING BUILDING
ALTERATION MOVING OTHERS (Specify)
USE OR CHARACTER OF OCCUPANCY
GROUP H : ASSEMBLY (OCCUPANT
GROUP A : RESIDENTIAL (DWELLINGS) GROUP E : COMMERCIAL LOAD LESS THAN 1,000)
SINGLE DUPLEX RESIDENTIAL R-1, R-2 BANK STORE SHOPPING THEATER, AUDITORIUM, CONVENTION HALL,
OTHERS ______________________________________ DRINKING / DINING CENTER / MALL GRANDSTAND/ BLEACHER
GROUP B : RESIDENTIAL ESTABLISHMENT OTHERS ______________________________
HOTEL MOTEL TOWNHOUSE SHOP (i.e. DRESS SHOP, TAILORING,
DORMITORY BOARDINGHOUSE, BARBERSHOP, etc.) GROUP I : ASSEMBLY (OCCUPANT
RESIDENTIAL R-3, R-4, R-5 LODGING HOUSE OTHERS ______________________________ LOAD 1,000 OR MORE)
COLISEUM, SPORTS COMPLEX,
OTHERS _______________________________________ GROUP F : LIGHT INDUSTRIAL CONVENTION CENTER AND SIMILAR
GROUP C : EDUCATIONAL & RECREATIONAL FACTORY / PLANT (USING INCOMBUSTIBLE/ STRUCTURE
SCHOOL BUILDING SCHOOL AUDITORIUM, NON-EXPLOSIVE MATERIALS OTHERS _______________________
CIVIC CENTER GYMNASIUM OTHERS ______________________________
CLUBHOUSE CHURCH, MOSQUE, GROUP J : (J-1) AGRICULTURAL
TEMPLE, CHAPEL GROUP G : MEDIUM INDUSTRIAL BARN, GRANARY, POULTRY HOUSE,
OTHERS _______________ PIGGERY, GRAIN MILL, GRAIN SILO
STORAGE / WAREHOUSE (FOR HAZARDOUS/
GROUP D : INSTITUTIONAL HIGHLY FLAMMABLE MATERIALS OTHERS _______________________
HOSPITAL OR SIMILAR STRUCTURE FACTORY (FOR HAZARDOUS/ HIGHLY GROUP J : (J-2) ACCESSORIES
HOME FOR THE AGED FLAMMABLE MATERIALS PRIVATE CARPORT / GARAGE, TOWER,
GOVERNMENT OFFICE OTHERS _______________________________ SWIMMING POOL, FENCE OVER 1.80m,
OTHERS _______________________________________ STEEL / CONCRETE TANK
OTHERS _______________________
OCCUPANCY CLASSIFIED_____________________________ TOTAL ESTIMATED COST: P ______________________________________
NUMBER OF UNITS__________________________________ BUILDING ____________________________ COST OF EQUIPMENT INSTALLED:
NUMBER OF STOREY________________________________ ELECTRICAL ____________________________ P ______________________________
TOTAL FLOOR AREA ___________________________ SQ. M. MECHANICAL____________________________ P ______________________________
LOT AREA ____________________________________ SQ. M ELECTRONICS___________________________ P ______________________________
PLUMBING ___________________________ P ______________________________
PROPOSED DATE OF CONSTRUCTION: _______________________________ EXPECTED DATE OF COMPLETION: _______________________________
BOX 2
FULL-TIME INSPECTOR AND SUPERVISOR OF CONSTRUCTION WORKS (REPRESENTING THE OWNER)
Address

PRC No. Validity

ARCHITECT OR CIVIL ENGINEER
PTR No. Date Issued
(Signed and Sealed Over Printed Name)
Date_____________________________ Issued at TIN
BOX 3 BOX 4
APPLICANT: WITH MY CONSENT: LOT OWNER / AUTHORIZED REPRESENTATIVE

Date ______________ Date______________

(Signature Over Printed Name) (Signature Over Printed Name)

Address Address
Gov’t Issued ID No. Date Issued Place Issued Gov’t Issued ID No. Date Issued Place Issued
BOX 5
REPUBLIC OF THE PHILIPPINES ) S.S
CITY/MUNICIPALITY OF _________________________________________)
BEFORE ME, at the City/Municipality of _____________________________________________________ , on _________________________ personally appeared the
following:
______________________________________________________ _____________________ _______________ ___________________________________
APPLICANT Gov’t Issued ID No. Date Issued Place Issued

______________________________________________________ _____________________ _______________ ___________________________________

LICENSED ARCHITECT OR CIVIL ENGINEER Gov’t Issued ID No. Date Issued Place Issued
(Full-Time Inspector and Supervisor of Construction Works)

whose signatures appear hereinabove, known to me to be the same persons who executed this standard prescribed form and acknowledged to me that the same is their free and
voluntary act and deed.
WITNESS MY HAND AND SEAL on the date and place above written.
Doc. No. ____________
Page No.____________ ________________________________________________________
Book No.____________ NOTARY PUBLIC (Until December _____________ )
Series of ____________

Copy 1: Owner Copy 2: OBO Copy 3: BFP Copy 4: Philippine Statistics Authority
*May require additional requirements