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NBC FORM NO. A-03
/ABBUCATION NO.
Republic ofthe Philippines
Province of Cavite
City of eacoor
OFFICE OF THE BUILDING
ELECTRICAL PERMIT
UILDING PeRMAT NO,
0X1 (70 BE ACCOMPLISEHO BY THE OWNER/APPLICANT)
1D newmsrau.rion
Hf a nsrecron
TEMPORARY
Daeconnecriow oF senvice enraance
Ti straranon oF seavice enrrance
1B] uPcRADING OF SERVICE ENTRANCE
(OWNER/APPLCANT TAST NAME TARST HAE ma paw
FOR CONSTRUCTION OWNED FORM OF OWNERSHIP USE OR CHARACTERS OF OCCUPANCY
DY AN ENTERPRISE
ADDRES NO, STREET BARANGAY, ‘GIVIMUNEIPALTY 7 | TELEPONENO,
TOCATONOF DEMOLITION WORE: [OTNO. BING, TETNO, TAK DEC.
svaeer BARANGAY CIN MUNIERALTY OF
SCOPEOF WORE
1D retocariow of senvice enraance
Borers spec)
‘SUMIWARY OF ELECTRICAL LOADS/CAPACTTS APPLIED FOR.
TOTAL CONNECTION LOAD
TOTAL TRANSFORMER CAPADTY
TOTAL GENERATOR/UPS CAPACITY
2012 (70 BE ACCOMPUSHED W PRINT BY THE DESIGN PROFESIONAL)
TORE
cme FIRS OATES
A TREE TSSUEDAT 1
73x
SUPERVISOR IN: GHARGE OF ELECTEAL SPECICATION
proressonateuecrncensmieer AL ENGINEER Librceisrereo nsren ecrrcian
ate
FRC valor
FTRRO. OATESSUED
ADDRESS
woxe
SULDNG OWNER WITH MY CONSENT: LOT OWNER
TBersirstverFinnns) ienaias Oar Pienane)—
wares ‘arene
TEN Date Twed Pace eaved chNe Date ted Proce sued
‘TO BE ACCOMPLISHED BY THE PROCESSING & EVALUATION DIVISIONTIVE [B)SETS OF FLECTAIAL DOCUMENTS
Decrncat suns ano seorcsnons 1 axscre ee a cons.conmstasnowiconscton
CD eccummasswoscunucns
proves saranconr oF mstausnowconsmucron Ti oreistctens
or ROD
bare — [te | “pa | te
EECTICAL
onesie ti ene oerrmsnors
sons
ACTION TAKEN:
PERMIT IS HEREBY ISSUED SUBJECT TO THE FOLLOWING:
1.
That the proposed electrical works shall be In accordance with the electrical plans flled with ths office and In conformity with the previsions
of the latest Philippine Electrical Codes, the National Building Codes and IRR.
That the prior to any electrical installation, the Owner / Permitee shall submit a duly accomplished prescribed Notice of Construction to the
office o the Building Offical,
That for installed electrical capacity of 200 amperes and above at 230 volts nominal and above, «specially electrical contractor duly licensed
by the Philippine Contractors Accraditation Board (PCAB) shall be required.
That a duly licensed electrical practitioner shall be in-charge of installation, and that upon completion ofthe electrical works he shall submit
the entry of logbook duly signed and sealed to the OBO including as-built plans and other documents. He shall also accomplish the
Certificate of Completion stating thatthe elactrial works conforms to the provisions of the Philippine electrical Codes, the Nations
Code and its IRR.
ulleing
‘5. That this permit is null and void unless accompanied by the building permit except for projects involving purely electrical works in which
cate only the building permit number ofthe enisting building / structure chs be require.
6, Thata Certfieate of Final Electric Inspection (CFEl) shall be secured prior to the actual eccupancy of the bullding
7. That this permit shall be posted at the door or site work.
RECOMMENDED APPROVAL: PERMIT ISSUED BY:
ENGR. RODERICK C.JAVINAL / ENGR, BERNARDO MANALILL ENGR, FELICITO R, MEIIA
ENGINEER! ENGINEER BUILDING OFFICIAL
Date ate
HON. STRIKE B. REVILLA
‘CITY MAYOR
Date