NBC Form No.
B-11
                                            Republic of the Philippines
                                                 City of Baguio
                                              Province of Benguet
                                  OFFICE OF THE BUILDING OFFICIAL
                      APPLICATION FOR CERTIFICATE OF OCCUPANCY
                                     FULL                            PARTIAL
Building Permit No.    : _______________________
Date Issued            : _______________________
                                                                                 _________________________________
                                                                                                (Date)
Name of Owner/Applicant: ___________________________________________________________________________
                                (Last Name)                    (Given Name)                (Middle Initial)
Address of Owner/Applicant: __________________________________________________ ZIP Code: 2600
__________________________________________________________________________ Tel. No.: ________________
                                               Requirements Submitted:
       Approved Building Permits and Plans                           Other documents deemed necessary: (Specify)
       Daily Construction Works Logbook                              _______________________________________
       Photos of Site/Project showing substantial completion         _______________________________________
       Certificate of Completion, duly notarized                     _______________________________________
       As-Built Plans and Specifications, duly signed and
       Sealed by respective professional discipline
       (if changes were made from the approved building plans)
Name of Project: ____________________________________________________________________________________
                                                                                   BAGUIO CITY
Location: __________________________________________________________________________________________
          (Lot No.)   (Blk. No.)          (Street)            (Barangay)         (City/Municipality)
               Use/Character of Occupancy: ___________________________________
               No. of Storeys: ________________________________________________
               No. of Units: ________________________________________________
               Total Floor Area (Square meter):___________________________________
               Date of Completion:    __________________________________________
                                                             Submitted by:
                                                                                     __________________________
                                                                                           OWNER/APPLICANT
                                                                                      (Signature over Printed Name)
                                                                     Community Tax Certificate: ________________
                                                                     Date Issued: ____________________________
                                                                     Place Issued: ____________________________
                                                     Attested by:
                                                      FULL-TIME SUSPERVISOR OR INSPECTOR 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