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Raising Permit: Office of The Building Official

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NBC FORM NO.

B - 09

Republic of the Philippines


City/Municipality of ________________
Province of _________________________

OFFICE OF THE BUILDING OFFICIAL

RAISING PERMIT
APPLICATION NO. RP NO BUILDING PERMIT NO.

BOX 1 (TO BE ACCOMPLISHED IN PRINT BY THE OWNER/APPLICANT AND/OR A DULY LICENSED DESIGN
PROFESSIONAL)
OWNER/APPLICANT LAST NAME FIRST NAME M.I. TIN

FOR CONSTRUCTION OWNED FORM OF OWNERSHIP USE OR CHARACTER OF OCCUPANCY


BY AN ENTERPRISE

ADDRESS: NO., STREET, BARANGAY, CITY/MUNICIPALITY ZIP CODE TELEPHONE NO

LOCATION OF CONSTRUCTION: LOT NO. _______________ BLK NO. ________________ TCT NO. ______________________ TAX DEC. NO.___________________

STREET___________________ BARANGAY ____________________________________________________ CITY/ MUNICIPALITY OF ______________________________

SCOPE OF WORK
NEW CONSTRUCTION RENOVATION ________________________ DEMOLITION __________________________________
ERECTION CONVERSION ________________________ ACCESSORY BUILDING/STRUCTURE _____________
ADDITION REPAIR _____________________________ OTHERS (Specify) ______________________________
ALTERATION MOVING _____________________________ ______________________________________________

BOX 2 BOX 3
DESIGN PROFESSIONAL, PLANS AND SPECIFICATIONS FULL-TIME INSPECTOR AND SUPERVISOR OF CONSTRUCTION WORKS

Date____________ Date____________
ARCHITECT OR CIVIL ENGINEER ARCHITECT OR CIVIL ENGINEER
(Signed and Sealed Over Printed Name) (Signed and Sealed Over Printed Name)
Address Address
PRC. No Validity PRC. No Validity
PTR. No Date Issued PTR. No Date Issued
Issued at TIN Issued at TIN

BOX 4 BOX 5
BUILDING OWNER WITH MY CONSENT: LOT OWNER

(Signature Over Printed Name) (Signature Over Printed Name)


Date__________________ Date___________________
Address Address
C.T.C. No. Date Issued Place Issued C.T.C. No. Date Issued Place Issued

BOX 6

APPLICANT
(Signature Over Printed Name)

CTC NO. DATE ISSUED PLACE ISSUED

TIN
FEE PAID OFFICIAL RECEIPT NO.
DATE PAID DATE ISSUED

BOX 7 (TO BE ACCOMPLISHED BY THE BUILDING OFFICIAL)

ACTION TAKEN:

PERMIT IS HEREBY ISSUED/GRANTED SUBJECT TO THE FOLLOWING CONDITIONS:

1. That the designer is aware that under Article 1723 of the Civil Code of the Philippines, he is
responsible for damages if within fifteen (15) years from the completion of the structure, it
should collapse due to defect in the plans and specifications or defect in the ground. The
engineer or architect who supervises the construction shall be solidarily liable with the
contractor should the edifice collapse due to defect in the construction or the use of inferior
materials.
2. That the proposed raising works shall be in conformity with the provisions of the “National
Building Code” (PD 1096) and its Implementing Rules and Regulations.
3. That the owner shall engage the services of responsible licensed Architect or Civil Engineer
to undertake the full time inspection and supervision of such work.
4. That the owner and contractor shall be jointly responsible for the safety, protection, security
and convenience of the general public and his/her personnel, third parties, the works,
equipment and the like.
3. That this permit shall not serve as exemption from securing permits/written clearances from
various government authorities exercising regulatory function affecting buildings and other
related structures.

PERMIT ISSUED:

BUILDING OFFICIAL
(Signature Over Printed Name)
Date_____________________

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