Building Permit
Building Permit
Building Permit
QUEZON CITY
(BUILDING OFFICIAL)
DO NOT FILL UP (NSO USE ONLY)
APPLICATION NO.
PERMIT NO.
BUILDING PERMIT
DATE OF APPLICATION
DATE ISSUED
ORIGINAL
RENEWAL
LASTNAME
FIRSTNAME
FORM OF OWNERSHIP
M.I.
ADDRESS
TEL. NO.
LOCATION OF CONSTRUCTION
SCOPE OF WORK:
OTHERS (SPECIFY)
1. NEW CONSTRUCTION
2. ADDITION OF _____________________
3. REPAIR OF ________________________
4. RENOVATION OF __________________
5. DEMOLITION OF ___________________
6. __________OF______________
7. __________OF______________
INDUSTRIAL
31 FACTORY (PLANT)
32 REPAIR SHOP, MACHINE SHOP
33 REFINERY
34 PRINTING PRESS
35 WAREHOUSE
30 OTHERS (SPECIFY)____________________
COMMERCIAL
21 BANK
22 STORE
23 HOTEL / MOTEL, ETC.
24 OFFICE CONDOMINIUM / BUSINESS OFFICE BUILDING.
INSTITUTIONAL
41 SCHOOL
42 CHURCH OR OTHER RELIGIOUS STRUCTURES
43 HOSPITAL OR SIMILAR STRUCTURES
27 GASOLINE STATION
28 MARKET
40 OTHERS (SPECIFY)____________________
25 RESTAURANT, ETC..
30 OTHERS (SPECIFY)____________________
OTHER CONSTRUCTION
60 (SPECIFY)____________________
AGRICULTURAL
41 BRAN(S), POULTRY HOUSE(S), ETC.
42 GRAIN MILL
40 OTHERS (SPECIFY)____________________
www.quezoncity.gov.ph
OFFICE OF THE BUILDING OFFICIAL
DATE
BUILDING
P_____________
COST OF
EQUIPMENT
INSTALLED
ELECTRICAL
P_____________
P____________
MECHANICAL
P_____________
PROPOSED DATE
OF CONSTRUCTION _____________
P____________
PLUMBING
P_____________
EXPECTED DATE
OF COMPLETION _______________
OTHERS
P_____________
TOTAL COST
P_____________
P____________
NUMBER OF STOREYS___________
TOTAL FLOOR AREA____________
AMOUNT DUE
ASSESSED BY
O.R. NUMBER
DATE PAID
NOTED:
IN
TIME
OUT
DATE
TIME
ACTION /
REMARKS
DATE
PROCESSED
BY:
WE HEREBY AFFIX OUR HANDS SIGNIFYING OUR CONFORMITY TO THE INFORMATION HEREIN ABOVE SETFORTH
BOX 6
BOX 8
www.quezoncity.gov.ph
SIGNATURE
OFFICE OF THE BUILDING OFFICIAL
PTR NO.
PTR NO.
PLACE ISSUED
PLACE ISSUED
SIGNATURE
WITH MY CONSENT:
BOX 9 (TO BE ACCOMPLISHED BY LOT OWNER)
BOX 7
ARCHITECT / CIVIL ENGINEER
PRC REG. NO.
SIGNED AND SEALED PLANS & SPECIFICATIONS
PRINT NAME
ADDRESS
ADDRESS
PTR NO.
SIGNATURE
PTR NO.
PLACE ISSUED
PLACE ISSUED