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Certificate of Final

certificate of final

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black architect
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373 views2 pages

Certificate of Final

certificate of final

Uploaded by

black architect
Copyright
© © All Rights Reserved
We take content rights seriously. If you suspect this is your content, claim it here.
Available Formats
Download as PDF, TXT or read online on Scribd
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DPWH FORM NO.

77-006-E
Revision No. 00

Republic of the Philippines


Province of Oriental Mindoro
MUNICIPALITY OF SAN TEODORO
OFFICE OF THE BUILDING OFFICIAL

CERTIFICATE OF FINAL ELECTRICAL INSPECTION/COMPLETION


THIS IS TO CERTIFY THAT FINAL INSPECTION OF THE ELECTRICAL INSTALLATION HAS BEEN CONDUCTED ON THE BULDING
AND/OR PREMISES COVERED BY BUILDING PERMIT NO. ISSUED ON AND THE SAME WERE FOUND
COMPLETED IN ACCORDANCE WITH THE APPROVED PLANS AND SPECIFICATIONS ON FILE WITH THE OFFICE OF THE BUILDING OFFICIAL
AND IN ACCORDANCE WITH PHILIPPINE ELECTRICAL CODE PROVISIONS.

NAME OF OWNER/APPLICANT LAST NAME FIRST NAME MIDDLE NAME

ADDRESS NO., STREET BARANGAY CITY/MUNICIPALITY

LOCATION OF INSTALLATION NO., STREET BARANGAY

TYPE OF OCCUPANCY OR USE:


A. RESIDENTIAL DWELLING E. BUSINESS & MERCHANTILE I. ASSEMBLY LOAD
B. RESIDENTIAL, HOTEL, APARTMENT F. INDUSTRIAL 1000 OR MORE
C. EDUCATION & RECREATION G. STORAGE & HAZARDOUS J. ACCESSORY
D. INSTITUTIONAL H. ASSEMBLY OTHER THAN GROUP I K. OTHERS (SPECIFY)

START OF INSTALLATION DATE OF COMPLETION

OUTLETS/DEVICES/EQUIPMENT

NUMBER OF OUTLETS: NUMBER OF EQUIPMENT/WIRING DEVICES:


LIGHT SPO, COOKING UNIT TOGGLE SWITCH FA DETECTORS
CONVENIENCE/RECEPTACLE SPO, WATER HEATER BELLS/BUZZERS OTHERS (See Attached List)
SPO, AIRCON SPO, WATER PUMP PUSH BUTTON

PERSON IN-CHARGE OF INSTALLATION


REGISTERED MASTER ELECTRICIAN
PROFESIONAL ELECTRICAL ENGINEER REGISTERED ELECTRICAL ENGINEER
Not Exceeding 600 Volts & 500 kVA

NAME
PRC REG. NO.
SIGNATURE VALIDITY

ADDRESS

PTR. NO. DATE ISSUED PLACE ISSUED

CTC NO. DATE ISSUED TIN

ELECTRICAL CONTRACTOR (200-AMPERE MAIN AND ABOVE

NAME PCAB LIC. NO. (SPECIALTY ELECTRICAL)


VALIDITY

ADDRESS TEL/FAX NO.

TYPE OF INSTALLATION:
TEMPORARY NEW REMODEL/ALTERATION

TYPE/S OF WIRING:
OPEN WIRING CONDUITS CABLE ARMORED CABLE RACEWAYS
OTHERS

INSPECTED BY: APPROVED BY:

ELECTRICAL INSPECTOR ENGR. PHILIP P. GARCIA


(Signature Over Printed Name)

Building Official
(Signature Over Printed Name)

PRC REG. NO. & VALIDITY

AMOUNT PAID P O. R NO. DATE


NUMBER OF STOREYS

ESTIMATED COST

ACTUAL COST
a) b) Materials (Total Cost) P
1. Electrical Wires
2. Lighting outlets
3. Convenience outlets
4. Switches
Others (specify)
a) Other Costs
This includes professional fees, permits and other fees.

1. Loads to be Connected:

LIGHT SPO, COOKING UNIT TOGGLE SWITCH FA DETECTORS


CONVENIENCE/RECEPTACLE SPO, WATER HEATER BELLS/BUZZERS OTHERS (See Attached List)
SPO, AIRCON SPO, WATER PUMP PUSH BUTTON

2. Nature of Works:

3. Type of Service: Voltage Size of Wire Phone

4. Remarks:

I hereby certify that the above data and information are true and correct to the best of my knowledge and belief

ELECTRICAL FEES PEE/REE/RME

Fee P ADDRESS
Surcharge P PRC REG NO. VALIDITY
Total P
PTR NO. TIN

CTC NO.

DATE ISSUED
Computed by:
Signature Over Printed Name PLACE ISSUED

LOAD

Nature of Work:

Inspector
Contractor
Fee: P

Paid under Official Receipt No


Date Owner/Occupant

APPROVED BY:

ENGR. PHILIP P. GARCIA


BUILDING OFFICIAL
(Signature Over Printed Name)

NOTE: Renewals or extension of this permit and/ or final certification of the electrical installation are subject and payment of corresponding in
conformity with pertinent provisions of the “National Building Code” (P.D 1096 and its implementing rules and regulations.

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