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NBC FORM NO.

B - 01
Republic of the Philippines
City of Baguio
Province of Benguet

OFFICE OF THE BUILDING OFFICIAL

APPLICATION
NEW
FOR BUILDING
RENEWAL
PERMIT
AMENDATORY
APPLICATION NO.
AREA NO

BOX 1 (TO BE ACCOMPLISHED IN PRINT BY THE APPLICANT)


DO NOT FILL-UP (NSO USE ONLY)
OWNER/APPLICANT LAST NAME FIRST NAME M.I. TIN

FOR CONSTRUCTION OWNED FORM OF OWNERSHIP


BY AN ENTERPRISE
ADDRESS: OF NO.,
LOCATION STREET,
CONSTRUCTION: BARANGAY,
LOT NO. CITY
______ BLK NO. ________ ZIP CODE
TCT NO. ______________ TAX DEC.NO./EMAIL
CONTACT NO. ____________________
ADDRESS

BAGUIO
STREET________________________________________________ BARANGAY 2600
_______________________________________ CITY BAGUIO.

SCOPE OF WORK
RENOVATION RAISING
NEW CONSTRUCTION CONVERSION ACCESSORY BUILDING/STRUCTURE
ERECTION REPAIR OTHERS (Specify)
ADDITION MOVING
ALTERATION
GROUP F : INDUSTRIAL OTHERS (Specify) ________________
USE OR CHARACTER OF OCCUPANCY
GROUP G : INDUSTRIAL STORAGE AND HAZARDOUS
GROUP A : RESIDENTIAL, DWELLINGS
GROUP H : RECREATIONAL, ASSEMBLY OCCUPANT LOAD LESS THAN 1000
GROUP B : RESIDENTIAL, HOTEL, APARTMENT
GROUP I : RECREATIONAL, ASSEMBLY OCCUPANT LOAD 1000 OR MORE
GROUP C : EDUCATIONAL, RECREATIONAL
GROUP J : AGRICULTURAL, ACCESSORY
GROUP D : INSTITUTIONAL
OCCUPANCY CLASSIFIED _________________________________________ TOTAL ESTIMATED COST P __________________________________
GROUPOF
NUMBER E :UNITS_______________________________________________
BUSINESS AND MERCANTILE PROPOSED DATE OF CONSTRUCTION _________________________
TOTAL FLOOR AREA ______________________________ SQUARE METERS
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
BUILDING OWNER WITH MY CONSENT: LOT OWNER
REPUBLIC OF THE PHILIPPINES ) S.S
CITY OF BAGUIO )
BEFORE ME, at the City of Baguio, on _________________________ personally appeared the following:
1. That under Article 1723 of the Civil Code of the Philippines, the engineer or architect who drew up the plans and specifications for a building/structure is liable for
damages if within fifteen (15) years from the completion of the building/structure, the same should collapse due to defect in the plans or specifications or defects in the
ground.______________________________________________
The engineer or architect who ______________________________________________________ ______________________________________________
supervises the construction shall be solidarily liable with_______________
the contractor should the edifice ___________________________________________
______________ collapse due to defect in the construction
(Signature over Printed name) C.T.C. No.
(Signature Date Issued
over Printed name) Place
APPLICANT
Issued
or the use of inferior materials.
2. This permit shall be Date:___________________
accompanied by the various applicable ancillary and accessory permits, plans and specifications Date:___________________
signed and sealed by the corresponding design
professionals who shall be responsible for the comprehensive and correctness of the plans in compliance
______________________________________________________ to the______________
_______________ Code and its IRR and to all applicable referral codes and
___________________________________________
Address Address C.T.C. No. Date Issued LICENSED ARCHITECT Place
ORIssued
CIVIL ENGINEER
professional regulatory laws. (Full-Time Inspector and Supervisor of Construction Works)
3.C.T.C.
ThatNo.
the proposed construction/erection/addition/alteration/renovation/conversion/repair/moving/demolition,
Date Issued Place Issued C.T.C. No. etc. shall
DatebeIssued
in conformity with thePlace provisions
Issuedof the National
whose
Building Code, andsignatures
its IRR. appear herein above, 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
BOX 5a. voluntary
That prior act and deed. of the proposed projects and construction an actual relocation survey shall be conducted by a duly licensed Geodetic Engineer.
to commencement
b. That before commencing WITNESSthe MYexcavation
HAND ANDthe person
SEAL on themaking or place
date and causing thewritten.
above excavation to be made shall notify in writing the owner of adjoining property not less
than ten
Doc.(10)
No. days before such excavation is to be made and show how the adjoining property should be protected.
________
c. That no Page No. shall
person ________
use or occupy a street, alley or public sidewalk for the performance of work covered by a building________________________________________________________
permit.
d. That Book No.
no person ________
shall perform any work on any building or structure adjacent to a public way in general use for pedestrian NOTARY PUBLICtravel,(Until December
unless _____________
the pedestrians are)
Series of ________
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.
BOX 6f. (TO That upon completion of
BE ACCOMPLISHED BYthe construction,
THE PROCESSING the said
ANDlicensed supervising
EVALUATION Architect/Civil Engineer shall submit to the Building Official duly signed and sealed logbook,
DIVISION)
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 ASSESSED FEESof the Code, its IRR ASSESSED
to the provision as well as theBYplans and AMOUNT DUE
specifications. DATE PAID O.R. NUMBER NSO
FILING FEE
g. All such changes, modifications and alterations shall likewise be submitted to the Building Official and the subsequent amendatory permit therefor issued before
PROCESSING
any work FEEon said changes, modifications and alterations shall be started. The as-built plans and specifications maybe just an orderly and comprehensive
compilation of all
LOCATIONAL/ZONING OFdocuments which include the originally submitted plans and specifications of all amendments thereto as actually built or they may be an entirely
LAND USE (N/A)
newGRADE
LINE AND set of plans and specifications accurately describing and/or reflecting therein the building as actually built.
(Geodetic)
4. FENCING
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.
5. ARCHITECTURAL
That this permit shall not serve as an exemption from securing written clearances from various government authorities exercising regulatory function affecting
CIVIL/STRUCTURAL
buildings/structures.
6. ELECTRICAL
When the Permit is issued
construction to__________________________for
is undertaken by contract, the work shall be done by a dulythe proposed
licensed _________________________________
and registered contractor pursuant to the provisions of the Contractor’s
License Law (RA 4566).
MECHANICAL
under____________________,
7. The Owner/Permittee shall submit a duly accomplished of Group_____, located
prescribed “Notice at Lot No._____Block
of Construction” No.______OCT/TCT
to the Office of the Building Official prior to any construction No.activity.
______,
SANITARY
8. The Owner/Permittee shall put a Building Permit sign whichCity Government
complies Department
with the prescribed Head IIand information, which shall remain posted on the construction site
dimensions
_______________Street,
PLUMBING
for the duration of the construction. Barangay_________________, City of Baguio subject to the following:
CITY BUILDING OFFICIAL
BOXM
PERMIT
ELECTRONICS
7ONE
M (TO
BUILDING D BED
HALF
DATEINTERIOR
ISSUED
ACCOMPLISHED
(Use Y
(½) or
ISSUED
PERMIT OF Y Y
Character
FIRE
NO. BY: Y BY THE
of: Occupancy)
SERVICE
NOTE FUND
THIS BUILDING
(FSF)
PERMIT OFFICIAL) BUILDING
(Owner/Applicant)
TOTALOR REVOKED
MAY BE CANCELLED PERMIT
Date _________________
PURSUANT TO SECTIONS 305 AND 306 OF (Type
ENGR. NAZITA F. BAÑEZ
of Project) M
THE “NATIONAL MPAID
BUILDING
OFFICIAL
DATE DRECEIPT
D Y NO.
CODE” Y Y Y

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