NBCFORM NO.

E - 06 Republic of the Philippines

Certificate of Annual
Located at/along
Electrical Inspection
Use or Character of Occupancy Group
No.
Fee Paid
A certificate was submitted by _________________________________________ a Official Receipt No.
(Name) Date Paid
duly licensed (): ( ) professional electrical engineer/ ( ) registered electrical
engineer/ ( ) registered master electrician hired by the owner who undertook the Date Issued
electrical inspection and that the installation is in order.
This Certificate of Annual Electrical Inspection is issued/granted pursuant to pertinent provision
PRC License No.__________, Issued____________ with validity_____________
of the latest Philippine Electrical Code, the National Building Code and its Implementing rules and
Date Date Regulations.
Verified as to the following
Total connected Load______________________________________________kVA
Total Transformer capacity________________________________________kVA Name of Owner/Lessee______________________________________________________________________
Total Generator/UPS Capacity____________________________________kVA
Voltage:________________________ Phase__________________________________ Located at/along ___________________________________________________________________________
Service entrance/Grounding Wire_____________________________________ Total connected Load ____________________________________________________________ kVA
Total Transformer capacity ______________________________________________________ kVA

The above described electrical installation covered by Certificate of Total Generator/UPS Capacity __________________________________________________ kVA
Occupancy No. ________________________ issued on ____________________has been Voltage:______________________________________ Phase __________________________________
found substantially satisfactory complied, therefore the “Certificate of Annual Service entrance/Grounding Wire ____________________________________________________
electrical Inspection” is hereby recommended for issuance.
The owner/lessee shall properly maintain the electrical equipment/machinery to ensure its safe
operation.
No change, addition or upgrading/alteration deviating from the original electrical plans shall be made
without appropriate permit.
The owner/lessee of the building/structure shall notify in writing the office of the building official
Electrical Inspector Chief, Electrical Section for the granting/issuance of a Certificate of Annual electrical Inspection for a period of one (1) year
(Signature Over Printed Name) (Signature Over Printed Name) from the date of issuance of this certificate and yearly thereafter.
Date________________________ Date________________________ A certified copy hereof shall be posted within the premises of the building and shall not be
_________________ _________________ _________________ _________________ removed without authority from the building official.
PRC REG. NO. VALIDITY PRC REG. NO. VALIDITY

Building Official
Chief, (Signature Over Printed Name)
Inspection and Enforcement Division Date_______________________
(Signature Over Printed name)
Date_________________________