SANITARY/PLUMBING PERMIT - Science City of Munoz
SANITARY/PLUMBING PERMIT - Science City of Munoz SANITARY/PLUMBING PERMIT - Science City of Munoz
Republic of the PhilippinesProvince of Nueva EcijaSCIENCE CITY OF MUÑOZOFFICE OF THE BUILDING OFFICIALAPPLICATION NO.__________________________DATE OF APPLICATION__________________________DISTRICT/CITY/MUNICIPALITYAREA CODESANITARY/PLUMBING PERMITPERMIT NO.__________________________DATE ISSUEDBOX 1 (TO BE ACCOMPLISHED BY SANITARY ENGINEER/MASTER PLUMBER, IN PRINT)NAME OF OWNER/APPLICANTLAST NAME, FIRST NAME, M.I.TINADDRESSNO., STREET, BARANGAY, CITY/MUNICIPALITYTELEPHONE NO.LOCATION OF INSTALLATIONNO., STREET, BARANGAY, CITY/MUNICIPALITY.SCOPE OF WORK ADDITIONAL OF __________________________ OTHER (SPECIFY)NEW INSTALLATIONREPAIR OF ______________________________REMOVAL OF ________________________________________OF ________________________OF ____________USE OR TYPE OF OCCUPANCYRESIDENTIAL ___________________________________________AGRICULTURAL ______________________________________COMMERCIAL ___________________________________________PARKS, PLAZAS, MONUMENTS _________________________INDUSTRIAL ____________________________________________INSTITUTIONAL _________________________________________RECREATIONAL ______________________________________OTHERS (SPECIFY) ___________________________________FIXTURES TO BE INSTALLEDNEW EXISTING KIND OF NEW EXISTING KIND OFQTY. FIXTURES FIXTURES FIXTURES QTY. FIXTURES FIXTURES FIXTURES______________TOTALWATER CLOSETFLOOR DRAINLAVATORIESKITCHEN SINKFAUCETSHOWER HEADWATER METERGREASE TRAPBATH TUBSSLOP SINKURINALAIRCONDITIONING UNITWATER TANK/RESERVOIR________________TOTALBIDETTELAUNDRY TRAYSDENTAL CUSPIDORGAS HEATERELECTRIC HEATERWATER BOILERDRINKING FOUNTAINBAR SINKSODA FOUNTAIN SINKLABORATORY SINKSTERILIZERSWIMMING POOLOTHER (SPECIFY) ________WATER DISTRIBUTION SYSTEM SANITARY SEWER SYSTEMS STORM DRAINAGE SYSTEMWATER SUPPLY:SYSTEM OF DISPOSAL:SHALLOW WELL WASTE WATER TREATMENT PLANT SURFACE DRAINAGEDEEP WELL & PUMP SET SEPTIC VAULT/IMHOFF TANK STREET CANALCITY/MUNICIPAL WATER SYSTEM SANITARY SEWER CONNECTION WATER COURSEOTHERSSUB-SURFACE AND FILTERNUNBER OF STOREY OF BUILDING_______________________________PROPOSED DATESTART OF INSTALLATION ___________________________________________EXPECTED DATEOF COMPLETION __________________________________________________TOTAL AREA OF BUILDING/SUBDIVISION______________________________SQ.M.TOTAL COSTOF INSTALLATION PPREPARED BY ____________________________________BOX 2 (TO BE ACCOMPLISHED BY BUILDING OFFICIAL)ACTION TAKENPERMIT IS HEREBY GRANTED TO INSTALL THE SANITARY/PLUMBING FIXTURE ENUMERATEDHEREIN SUBJECT TO THE FOLLOWING CONDITIONS.1. THAT THE PROPOSED INSTALLATION SHALL BE IN ACCORDANCE WITH APPROVED PLANS __________________________________FILED WITH THIS OFFICE AND IN CONFORMITY WITH THE NATIONAL BUILDING CODE.BUILDING OFFICIAL2. THAT A DULY LICENSED SANITRARY ENGINEER/MASTER PLUMBER BE ENGAGED TO UNDERTAKE THE INSTALLATION/CONSTRUCTION.3. THAT A CERTIFICATE OF COMPLETION DULY SIGNED BY SANITARY ENGINEER/MASTER __________________________________PLUMBER IN CAHRGE OF INSTALLATION SHALL BE SUBMITTED NOT LATER THAN SEVENDATE(7) DAYSAFTER COMPLETION OF THE INSTALLATION.4. THAT A CERTIFICATE OF FINAL INSPECTGION AND A CERTIFICATE OF OCCUPANCY BE SE-CURED PRIOR TO THE ACTUAL OCCUPANCY OF THE BUILDING.NOTETHIS PERMIT MAY BE CANCELLED OR REVOKED PURSUANT TO SECTION 305 & 306 OF THE “NATIONAL BUILDING CODE”
Republic <strong>of</strong> the PhilippinesProvince <strong>of</strong> Nueva EcijaSCIENCE CITY OF MUÑOZOFFICE OF THE BUILDING OFFICIALAPPLICATION NO.__________________________DATE OF APPLICATION__________________________DISTRICT/CITY/MUNICIPALITYAREA CODE<strong>SANITARY</strong>/<strong>PLUMBING</strong> <strong>PERMIT</strong><strong>PERMIT</strong> NO.__________________________DATE ISSUEDBOX 1 (TO BE ACCOMPLISHED BY <strong>SANITARY</strong> ENGINEER/MASTER PLUMBER, IN PRINT)NAME OF OWNER/APPLICANTLAST NAME, FIRST NAME, M.I.TINADDRESSNO., STREET, BARANGAY, CITY/MUNICIPALITYTELEPHONE NO.LOCATION OF INSTALLATIONNO., STREET, BARANGAY, CITY/MUNICIPALITY.SCOPE OF WORK ADDITIONAL OF __________________________ OTHER (SPECIFY)NEW INSTALLATIONREPAIR OF ______________________________REMOVAL OF ________________________________________OF ________________________OF ____________USE OR TYPE OF OCCUPANCYRESIDENTIAL ___________________________________________AGRICULTURAL ______________________________________COMMERCIAL ___________________________________________PARKS, PLAZAS, MONUMENTS _________________________INDUSTRIAL ____________________________________________INSTITUTIONAL _________________________________________RECREATIONAL ______________________________________OTHERS (SPECIFY) ___________________________________FIXTURES TO BE INSTALLEDNEW EXISTING KIND OF NEW EXISTING KIND OFQTY. FIXTURES FIXTURES FIXTURES QTY. FIXTURES FIXTURES FIXTURES______________TOTALWATER CLOSETFLOOR DRAINLAVATORIESKITCHEN SINKFAUCETSHOWER HEADWATER METERGREASE TRAPBATH TUBSSLOP SINKURINALAIRCONDITIONING UNITWATER TANK/RESERVOIR________________TOTALBIDETTELAUNDRY TRAYSDENTAL CUSPIDORGAS HEATERELECTRIC HEATERWATER BOILERDRINKING FOUNTAINBAR SINKSODA FOUNTAIN SINKLABORATORY SINKSTERILIZERSWIMMING POOLOTHER (SPECIFY) ________WATER DISTRIBUTION SYSTEM <strong>SANITARY</strong> SEWER SYSTEMS STORM DRAINAGE SYSTEMWATER SUPPLY:SYSTEM OF DISPOSAL:SHALLOW WELL WASTE WATER TREATMENT PLANT SURFACE DRAINAGEDEEP WELL & PUMP SET SEPTIC VAULT/IMHOFF TANK STREET CANALCITY/MUNICIPAL WATER SYSTEM <strong>SANITARY</strong> SEWER CONNECTION WATER COURSEOTHERSSUB-SURFACE AND FILTERNUNBER OF STOREY OF BUILDING_______________________________PROPOSED DATESTART OF INSTALLATION ___________________________________________EXPECTED DATEOF COMPLETION __________________________________________________TOTAL AREA OF BUILDING/SUBDIVISION______________________________SQ.M.TOTAL COSTOF INSTALLATION PPREPARED BY ____________________________________BOX 2 (TO BE ACCOMPLISHED BY BUILDING OFFICIAL)ACTION TAKEN<strong>PERMIT</strong> IS HEREBY GRANTED TO INSTALL THE <strong>SANITARY</strong>/<strong>PLUMBING</strong> FIXTURE ENUMERATEDHEREIN SUBJECT TO THE FOLLOWING CONDITIONS.1. THAT THE PROPOSED INSTALLATION SHALL BE IN ACCORDANCE WITH APPROVED PLANS __________________________________FILED WITH THIS OFFICE AND IN CONFORMITY WITH THE NATIONAL BUILDING CODE.BUILDING OFFICIAL2. THAT A DULY LICENSED SANITRARY ENGINEER/MASTER PLUMBER BE ENGAGED TO UNDERTAKE THE INSTALLATION/CONSTRUCTION.3. THAT A CERTIFICATE OF COMPLETION DULY SIGNED BY <strong>SANITARY</strong> ENGINEER/MASTER __________________________________PLUMBER IN CAHRGE OF INSTALLATION SHALL BE SUBMITTED NOT LATER THAN SEVENDATE(7) DAYSAFTER COMPLETION OF THE INSTALLATION.4. THAT A CERTIFICATE OF FINAL INSPECTGION AND A CERTIFICATE OF OCCUPANCY BE SE-CURED PRIOR TO THE ACTUAL OCCUPANCY OF THE BUILDING.NOTETHIS <strong>PERMIT</strong> MAY BE CANCELLED OR REVOKED PURSUANT TO SECTION 305 & 306 OF THE “NATIONAL BUILDING CODE”
BOX 3 (TO BE ACCOMPLISHED BY THE RECEIVING & RECORDING SECTION)BUILDING DOCUMENTS<strong>SANITARY</strong> <strong>PLUMBING</strong> PLANS & SPECIFICATIONSBILL OF MATERIALSCOST ESTIMATESOTHERS (SPECIFY) _______________________________________________________________________________________BOX 4 (TO BE ACCOMPLISHED BY DIVISION/SECTION CONCRENED)ASSESSED FEESAMOUNT DUE ASSESSED BY O.R. NUMBER DATE PAIDBOX 5 (TO BE ACCOMPLISHED BY DIVISION/SECTION CONCERNED)PROGRESS FLOWNOTE:INOUTCHIEF. PROCESSING DIVISION/SECTIONTIME DATE TIME DATE ACTION/REMARKS PROCESS BYRECEIVING AND RECORDINGGEODETIC (LINE AND GRADE)<strong>SANITARY</strong>WE HEREBY AFFIX OUR HANDS SIGNIFYING OUR CONFORMITY TO THE INFORMATION HEREIN ABOVE SETFORTH.BOX 6 BOX 8<strong>SANITARY</strong> ENGINEER/MASTER PLUMBER C.E.SIGNED AND SEAL PLANS & SPECIFICATIONSPRINT NAMEP.R.C. REG. No.SIGNATURE____________________________________________APPLICANTADDRESSP.T.R. No. DATE ISSUED PLACE ISSUEDRES. CERT. NO. DATE ISSUED PLACE ISSUEDSIGNATURETINBOX 7<strong>SANITARY</strong> ENGINEER/MASTER PLUMBERIN-CHARGE OF INSTALLATIONP.R.C. REG. No.PRINT NAMEADDRESSP.T.R. No. DATE ISSUED PLACE ISSUEDSIGNATURETIN
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