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    Civil Structural Permit

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    black architect
    civil structural

    Copyright:

    © All Rights Reserved
    Download as PDF, TXT or read online from Scribd

    Civil Structural Permit

    Uploaded by

    black architect
    20 views2 pages
    civil structural

    Original Title

    CIVIL STRUCTURAL PERMIT

    Copyright

    © © All Rights Reserved

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    civil structural

    Copyright:

    © All Rights Reserved
    Download as PDF, TXT or read online from Scribd
    Download as pdf or txt
    20 views2 pages

    Civil Structural Permit

    Uploaded by

    black architect
    civil structural

    Copyright:

    © All Rights Reserved
    Download as PDF, TXT or read online from Scribd
    Download as pdf or txt
    of 2

    NBC FORM NO.

    A - 02
    Republic of the Philippines
    Municipality of San Teodoro
    Province of Oriental Mindoro

    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, MUNICIPALITY ZIP CODE CONTACT NO./EMAIL ADDRESS

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

    STREET BARANGAY MUNICIPALITY SAN TEODORO.

    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)

    NATURE OF CIVIL/STRUCTURAL WORKS:

    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)

    PREPARED BY
    (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

    ACTION TAKEN:

    PERMIT IS HEREBY ISSUED SUBJECT TO 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 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 civil/structural works shall be in accordance with the civil/structural plans filed with this office and in
    conformity with the latest National Structural 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 and submit a certificate of completion stating that the civil/structural works conform to
    the provisions of the National Structural Code of the Philippines, the National Building Code and its IRR.
    5. That this permit is null and void unless accompanied by the building permit.

    PERMIT ISSUED BY:

    ENGR. PHILIP
    ILDEFONSO P. GARCIA
    G. TARRIELA,JR.

    BUILDING OFFICIAL
    Date _

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