Civilstructural Permit (For Building Permit)

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Republic of the Philippines

City of Toledo
Province of Cebu

OFFICE OF THE BUILDING OFFICIAL

CIVIL/STRUCTURAL PERMIT
APPLICATION NO. C/SP NO BUILDING PERMIT NO.

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


OWNER/APPLICANT LAST NAME FIRST NAME M.I. TIN

FOR CONSTRUCTION OWNED FORM OF OWNERSHIP USE OR CHARACTER OF OCCUPANCY

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

LOCATION OF CONSTRUCTION: LOT NO. BLK NO. TCT NO. TAX DEC. NO.

STREET BARANGAY CITY TOLEDO.

SCOPE OF WORK
NEW CONSTRUCTION RENOVATION RAISING
ERECTION CONVERSION DEMOLITION
ADDITION REPAIR ACCESSORY BUILDING/STRUCTURE
ALTERATION MOVING OTHERS (Specify)

BOX 2 (TO BE ACCOMPLISHED BY THE DESIGN PROFESSIONAL)

STAKING ERECTION/LIFTING PRESTRESS WORKS


EXCAVATION CONCRETE FRAMING MATERIAL TESTING
SOIL STABILIZATION STRUCTURAL STEEL FRAMING STEEL TOWERS
PILING WORKS SLABS TANKS
FOUNDATION WALLS OTHERS (Specify)

(Signature Over Printed Name)


BOX 3 BOX 4
DESIGN PROFESSIONAL, PLANS AND SPECIFICATION SUPERVISOR//IN-CHARGE OF CIVIL/STRUCTURAL WORKS

CIVIL / STRUCTURAL ENGINEER CIVIL / STRUCTURAL ENGINEER


(Signed and Sealed Over Printed name) (Signed and Sealed Over Printed name)
Date Date
Address Address
PRC. No. Validity PRC. No. Validity
PTR No. Date Issued PTR No. Date Issued
Issued at TIN Issued at TIN

BOX 5 BOX 6
BUILDING OWNER WITH MY CONSENT: LOT OWNER

_ _
(Signature over Printed name) (Signature over Printed name)
Date: Date:

Address Address
C.T.C. No. Date Issued Place Issued C.T.C. No. Date Issued Place Issued
TO BE ACCOMPLISHED BY THE PROCESSING AND EVALUATION DIVISION
BOX 7

RECEIVED BY: DATE:

FIVE (5) SETS OF CIVIL/STRUCTURAL DOCUMENTS

CIVIL/STRUCTURAL DESIGNS COMPUTATIONS, PLANS AND SPECIFICATIONS COST ESTIMATES

BILL OF MATERIALS OTHERS (Specify)

BOX 8

PROGRESS FLOW
IN OUT
PROCESSED BY:
DATE TIME DATE TIME

CIVIL/STRUCTURAL

OTHERS (Specify)

BOX 9

shall submit the entry to the logbook duly signed and sealed to the Building Official including as-built plans and other

the provisions of the National Structural Code of the Philippines, the National Building Code and its IRR.
That this permit is null and void unless accompanied by the building permit.

SALVADOR
ILDEFONSO P. SANES
G. TARRIELA,JR.
City Government Department Head II
CITY BUILDING OFFICIAL
Date _

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