Firstname

M.I

Lastname

Email

Mobile No

TIN#

For Construction Owned by Enterprise

Form of Ownership

No#

Lot#

Blk#

Phase#

Street

Sitio

Barangay

Municipality

Province

Country

Zip Code

Contact No

Lot#

Blk#

Current Tax Dec No#

TCT No#

Street

Sitio

Barangay

Municipality

Province

Country

New Construction

Renovation

Rising

Erection

Conversion

Accessory Building Construction

Addition

Repair

Legalization of Existing Building

Alternation

Moving

Others (Specify)

GROUP A: Residential (Dwellings)

Single   Duplex  
Residential R-1, R-2
Others

GROUP E: Commercial

Bank    Store   Shopping
Drinking/Dining Establishment   
Shop(i.e Dressing Up, Tailoring, Barbershop Etc.)
Others

GROUP I: Assembly (Occupant Load 1,000 or more)
Coliseum, Sports Complex, Convention Center and Similar Structure Others

GROUP B: Residential

Hotel  Motel  Townhouse
Dormitory  Boardinghouse
Residential R-3, R-4, R-5, Lodging House
Others

GROUP F: Light Industrial

Factory/Plant (Using Incombustible / Non-Explosive Materials) 
Others

GROUP J:(J-1) Agriculture

Barn, Granary, Poultry House, Piggery, Grain Mill, Grain Silo
Others

GROUP C: Edcational & Recreational

School Building       Civic Center        Gymnasium
Club House        Church Mosque
Others          Temple, Chapel

GROUP G: Medium Industrial

Storage/Warehouse (For Hazardous/
Highly Flammable Materials) Factory (For Hazardous/Highly) Flammable Materials
Others

GROUP J:(J-2)

Private Carport/Garage, Tower Swimming Pool,Fence Over 1.80m Steel/Concrete Tank
Others

GROUP D: Institutional

Hospital or Similar Structure Home for the Aged
Government Office
Others

GROUP H: Assembly (Occupant Load Less Than 1,000)
Theater,Auditorium, Conventio Hall Grandstand Bleacher
Others

Occupancy Classified

Total Estimated Cost

Cost of Equipment Installed

Number of Units

Building

1. P

Number of Storey

Electrical

2. P

Total Floor Area

Mechanical

3. P

Lot Area

Electronics

4. P

Proposed Date of Construction

Plumbing

Expected Date of Completion

Architect or Civil Engineer (Signed and Sealed Over Printed Name)