Architectural Permit

NBC FORM NO.
A - 01
Republic of the Philippines

City/Municipality of
Province of
OFFICE OF THE BUILDING OFFICIAL
ARCHITECTURAL PERMIT
APPLICATION NO. AP 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/MUNICIPALITY ZIP CODE TELEPHONE NO
LOCATION OF CONSTRUCTION: LOT NO. BLK NO. TCT NO. TAX DEC. NO.
STREET BARANGAY CITY/ MUNICIPALITY OF
SCOPE OF WORK
NEW CONSTRUCTION RENOVATION RAISING
ERECTION CONVERSION ACCESSORY BUILDING/STRUCTURE
ADDITION REPAIR OTHERS (Specify)
ALTERATION MOVING
BOX 2 (TO BE ACCOMPLISHED BY THE DESIGN PROFESSIONAL)

1. ARCHITECTURAL FACILITIES AND OTHER FEATURES PURSUANT TO BATAS PAMBANSA BILANG 344, REQUIRING CERTAIN BUILDINGS, INSTITUTIONS,
ESTABLISHMENTS AND PUBLIC UTILITIES TO INSTALL FACILITIES AND OTHER DEVICES.
STAIRS WASH ROOMS AND TOILETS SWITCHES, CONTROLS, BUZZERS DRINKING FOUNTAINS
WALKWAYS LIFTS/ELEVATORS HANDRAILS PUBLIC TELEPHONES
CORRIDORS RAMPS THRESHOLDS SEATING ACCOMMODATIONS
DOORS, ENTRANCES & THRESHOLDS PARKING AREAS FLOOR FINISHES OTHERS (Specify)
2. PERCENTAGE OF SITE OCCUPANCY 3. CONFORMANCE TO FIRE CODE OF THE PHILIPPINES (P.D. 1185)
PERCENTAGE OF BUILDING FOOTPRINT % NUMBER AND WIDTH OF EXIT DOORS FIRE WALLS OTHERS (Specify)
PERCENTAGE OF IMPERVIOUS SURFACE AREA % WIDTH OF CORRIDORS FIRE FIGHTING AND SAFETY FACILITIES
PERCENTAGE OF UNPAVED SURFACE AREA % DISTANCE TO FIRE EXITS SMOKE DETECTORS
BOX 3 BOX 4
DESIGN PROFESSIONAL, PLANS AND SPECIFICATIONS SUPERVISOR / IN-CHARGEOF ARCHITECTURAL WORKS
JESS ANGELO G. USQUISA Date ____________ JESS ANGELO G. USQUISA Date ____________
ARCHITECT ARCHITECT
(Signed and Sealed Over Printed Name) (Signed and Sealed Over Printed Name)
Address Address
IAPOA No. Validity IAPOA No. Validity
PRC No.: 30028 Validity PRC No.: 30028 Validity
PTR. No.: 13898587 Date Issued: 01-10-2024 PTR. No.: 13898587 Date Issued: 01-10-2024
Issued at: Ballesteros TIN: 465-209-685 Issued at: Ballesteros TIN: 465-209-685
BOX 5 BOX 6
BUILDING OWNER
(Signature Over Printed Name)

Date
Address
C.T.C. No. Date Issued Place Issued
WITH MY CONSENT: LOT OWNER

Date
Address
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 ARCHITECTURAL DOCUMENTS

1. VICINITY MAP/LOCATION PLAN WITHIN A TWO- 8. DETAILS OF RAMPS, PARKING FOR THE DISABLED, STAIRS,
KILOMETER RADIUS FIRE ESCAPES, CABINETS AND PARTITIONS
2. SITE DEVELOPMENT PLAN 9. SCHEDULE OF DOORS AND WINDOWS
3. PERSPECTIVE 10. SCHEDULE OF FINISHES FOR FLOORS, CEILINGS AND WALLS
4. FLOOR PLANS 11. ARCHITECTURAL INTERIOR
5. ELEVATIONS, AT LEAST FOUR (4) 12. SPECIFICATIONS
6. SECTIONS, AT LEAST TWO (2) 13. COST ESTIMATE
7. CEILING PLANS SHOWING LIGHTING FIXTURES AND 14. OTHERS (Specify)
DIFFUSERS
BOX 8
PROGRESS FLOW
IN OUT
PROCESSED BY:
DATE TIME DATE TIME
ARCHITECTURAL DRAWINGS
SPECIFICATIONS
OTHERS (Specify)
BOX 9
ACTION TAKEN:
PERMIT IS HEREBY ISSUED SUBJECT TO THE FOLLOWING:
1. That under Article 1723 of the Civil Code of the Philippines, the architect (and engineer) who drew up the plans
and specifications for the building/structure is responsible 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 or the use of inferior materials.
2. That the proposed architectural works shall be in accordance with the architectural plans filed with this Office and
in conformity with the latest Architectural Code of the Philippines, the National Building Code and its IRR.
3. That prior to any construction activity, a duly accomplished prescribed “Notice of Construction” shall be submitted to the
Office of the Building Official.
4. That upon completion of the construction, the licensed full-time inspector and supervisor/in-charge of construction works
shall submit the entry to the logbook duly signed and sealed to the building official including as-built plans and
other documents, and shall also accomplish the Certificate of Completion stating that the architectural works
conform to the provision of the Architectural Code, the National Building Code and its IRR.
5. That this permit is null and void unless accompanied by the building permit.
PERMIT ISSUED BY:
BUILDING OFFICIAL
Date

Architectural Permit

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NBC FORM NO.

Republic of the Philippines

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

FOR CONSTRUCTION OWNED FORM OF OWNERSHIP USE OR CHARACTER OF OCCUPANCY

BOX 2 (TO BE ACCOMPLISHED BY THE DESIGN PROFESSIONAL)

(Signature Over Printed Name)

WITH MY CONSENT: LOT OWNER

(Signature Over Printed Name)

FIVE (5) SETS OF ARCHITECTURAL DOCUMENTS

PERMIT IS HEREBY ISSUED SUBJECT TO THE FOLLOWING:

PERMIT ISSUED BY:

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