Republic of the Philippines
Quezon City
DEPARTMENT OF THE BUILDING OFFICIAL
CERTIFICATE OF COMPLETION
(ELECTRICAL WORKS)
This is to certify that the electrical installation/works of the building covered by Building Permit No. 1BP201200712
issued on 12/2/2020 has been completed in accordance with the approved plans and specifications on file with the Department of the
Building Official in accordance with Philippine Electrical Code Provisions, the National Building Code (P.D. 1096) and its
implementing rules and regulations, and that the said installation/works is ready for final inspection.
ALLIANZ PNB LIFE INSURANCE, INC./GRENZ, ALEXANDER
NAME OF OWNER:
PROJECT TITLE: INTERIOR RENOVATION: ALLIANZ PNB LIFE
LOCATION OF CONSTRUCTION:
LOT 17-A, QUEZON CITY CIRCLE, ELIPTICAL ROAD CORNER KALAYAAN AVENUE, CENTRAL, DISTRICT 4, QUEZON CITY
USE OR CHARACTER OF OCCUPANCY:
TOTAL LOAD CONNECTED: KVA.
TOTAL TRANSFORMER CAPACITY: KVA.
TOTAL GENERATOR/UPS CAPACITY: KVA.
TYPE OF INSTALLATION: TEMPORARY NEW REMODEL/ALTERATION
SEPARATION OF METER OTHERS (SPECIFY): _____________________________
ü
TYPE/S OF WIRING: OPEN WIRING CONDUIT CABLE ARMORED CABLE
RACEWAY OTHERS (SPECIFY): _____________________________
ü
VOLTAGE: PHASE:
NO. & SIZE OF WIRE/PHASE:
SIZE OF GROUNDING WIRE:
RATING OF MAIN CIRCUIT BREAKER:
NO. OF METER/S: NO. OF SUB METER/S:
CONFORME:
ALLIANZ PNB LIFE INSURANCE, INC./GRENZ, ALEXANDER
Affiant (PEE/REE/RME) Owner / Applicant
PRC NO. or Authorized Representative
(Print Name and Signed Above)
PTR NO.
Issued on:
Issued at
TIN
SUBSCRIBED AND SWORN to before me this ________ day of _________________20_______
at________________, with the affiants exhibiting to me their respective identification cards above stated as proof of their
personal identities.
Doc. No. __________
Book No. __________
Page No. __________
Series No. __________
Notary Public