NBC FORM NO.
A-01
Republic of the Philippines
Province of Cagayan
Municipality of Ballesteros
OFFICE OF THE BUILDING OFFICIAL
ARCHITECTURAL PERMIT
APPLICATION NO. AP NO. BUILDING PERMIT NO.
BOX 1 (TO BE ACCOMPLISHED IN PRINT BY THE OWNER/APPLICANT)
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/MUNICPALITY TELEPHONE NO.
LOCATION OF CONSTRACTION LOT NO. BLK NO. TCT NO TAX DEC. NO.
STREET BARANGAY CITY/MUNICIPALITY OF
SCOPE OF WORK
NEW CONSTRUCTION RENOVATION RAISING
ERECTION CONVERSION DEMOLITION
ADDITION REPAIR ACCESSORY BUILDING/STRUCTURE
ALTERATION MOVING OTHERS (Specify)
BOX 2 (TO BE ACCOMPLISHED BY THE DESIGN PROFESSIONAL)
1. ARCHITECTURAL FACILITIES AND OTHER FEATURES PURSUANT TO BATAS PAMBANSA BILANG 344, REQUIRING CERTAIN BUILDINGS, INSTTITUTIONS, ESTABLISHMENTS, PUBLIC
UTILITIES TO INSTALL FACILITIES AND OTHER DEVICES.
STAIRS WASH ROOMS AND TOILETS SWITCHES, CONSTROLS, BUZZERS DRINKING FOUNTAINS
WALKWAYS LIFTS/ELEVATORS HANDRAILS PUBLIC TELEPHONES
CORRIDORS RAMS THRESHOLDS SEATING ACCOMMODATIONS
DOORS, ENTRANCES & THRESHOLDS PARKING AREAS FLOOR FINISHES OTHERS (Specify)
2. PERCENTAGE OF SITE OCCUPANCY 3. CONFORMANCE TO FIRE CODE OF THE PHILIPPINES (P.D. 1185)
PERCENTAGE OF BUILDING FOOTPRINT % NUMBER AND WIDTH OF EXIT DOORS FIRE WALLS OTHERS (Apecify)
PERCENTAGE OF IMPERVIOUS SURFACE AREA % WIDTH OF CORRIDORS FIRE FIGHTING AND SAFETY FACILITIES
PERCENTAGE OF UNPAVED SURFACE AREA % DISTANCE TO FIRE EXITS SMOKE DETECTORS
OTHERS (Specify) % ACCESS TO PUBLIC STREET EMERGENCY LIGHTS
BOX 3 BOX 4
DESIGN PROFESSIONAL, PLANS AND SPECIFICATIONS SUPERVISOR, IN-CHARGE OF ARCHITECTURAL WORKS
Date Date
ARCHITECT ARCHITECT
(Signed and Sealed Over Printed Name) (Signed and Sealed Over Printed Name)
Address Address
PRC No. Validity PRC No. Validity
IAPOA No. O. R. No. Date Issued IAPOA No. O. R. No. Date Issued
PTR No. Place Issued Date Issued PTR No. Place Issued Date Issued
TIN TIN
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 Plase Issued C.T.C. No Date Issued Plase Issued
TO BE ACCOMPLISHED BY THE PROCESSING AND EVALUATION DIVISION
BOX 7
RECEIVED BY: DATE
FIVE (5) SETS OF ARCHITECTURAL DOCUMENTS
1. VICINITY MAP LOCATION PLAN WITHIN A TWO- 8. DETAILS OF RAMPS, PARKING FOR THE DISABLED, STAIRS
KILOMETER RADIUS FIRE ESCAPES, CABINETS AND PARTITIONS
2. SITE DEVELOPMENT PLAN 9. SCHEDULE OF DOORS AND WINDOWS
.3 PERSPECTIVE 10. SCHEDULE OF FINISHESFOR FLOORS, CEILINGS AND WALLS
4. FLOOR PLANS 11. ARCHITECTURAL INTERIOR
5. ELEVATIONS AT LEAST FOUR (4) 12. SPECIFICATIONS
6. SECTIONS AT LEAST TWO (2) 13. COST ESTIMATE
7. CEILING PLANS SHOWING LIGHTING FIXTURES AND 14. OTHERS (Specify)
DIFFUSERS
BOX 8
PROGRESS FLOW
IN OUT PROCESSED BY;
DATE TIME DATE TIME
ARCHITECTURAL DRAWINGS
SPECIFICATIONS
OTHERS (Specify)
BOX 9
ACTION TAKEN:
PERMIT IS HEREBY ISSUED SUBJECT TO THE FOLLOWING:
1. That under Article 1723 of the Civil Code of the Philippines, the architect (and engineer) who drew up the plans and specifications for the building/structure is responsible for damages if within
fifteen (15) years from the completion of the building/structure, the same should collapse due to defect in the plans or specifications or defects in the ground. The engineer or architect who
supervise the constructionshall 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 architectural works shall be in accordance with the architectural plans filed with the Office and in conformity with the latest Architectural Code of the Philippines, the National
Building Code and its IRR.
3. That prior to any construction activity, a duly accomplished prescribed "Notice of Construction" shall be submitted to the Office of the Building Official.
4. That upon completion of the construction, the licensed full-time inspector and supervisor/in-charge of construction works shall submit the entry to the logbook duly signed and sealed to the
building official including as-built plans and other documents, and shall also accomplish the Certificate of Completion stating that the architectural works conforms to the provision of the
Architectural Code, the National Building Code and its IRR.
5. That this permit is null and void unless accomplished by the building permit.
PERMIT IISSUED BY:
BUILDING OFFICIAL
(Signature Over Printed Name)
Date
