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Architectural Permit
TIEZA form for architectural permit
Your Browser Doesn't Support Canvas. Showing the Text Content of the PDF Instead: NBC FORM NO. A - 01
Tourism Infrastructure and Enterprise Zone Authority
Office of the Building Official
ARCHITECTURAL PERMIT
BUILDING PERMIT NO.
AP NO
APPLICATION NO.
BOX 1 (TO BE ACCOMPLISHED IN PRINT BY THE OWNER/APPLICANT)
OWNER/APPLICANT
LAST NAME
FOR CONSTRUCTION OWNED
FIRST NAME
M.I.
FORM OF OWNERSHIP
TIN
USE OR CHARACTER OF OCCUPANCY
BY AN ENTERPRISE
ADDRESS:
NO.,
STREET,
LOCATION OF CONSTRUCTION:
BARANGAY,
CITY/MUNICIPALITY
ZIP CODE
TELEPHONE NO
LOT NO. _______________ BLK NO. ________________ TCT NO. ______________________ TAX DEC. NO. _____________________
STREET___________________ BARANGAY ____________________________________________________ CITY/ MUNICIPALITY OF ________________________________
SCOPE OF WORK
NEW CONSTRUCTION
ERECTION
ADDITION
ALTERATION
RENOVATION ________________________
CONVERSION ________________________
REPAIR _____________________________
MOVING _____________________________
RAISING _______________________________________
ACCESSORY BUILDING/STRUCTURE________________
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, INSTITUTIONS,
ESTABLISHMENTS AND PUBLIC UTILITIES TO INSTALL FACILITIES AND OTHER DEVICES.
STAIRS
WASH ROOMS AND TOILETS
SWITCHES, CONTROLS, BUZZERS
DRINKING FOUNTAINS
WALKWAYS
LIFTS/ELEVATORS
HANDRAILS
PUBLIC TELEPHONES
CORRIDORS
RAMPS
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)
OTHERS (Specify) ___________
PERCENTAGE OF BUILDING FOOTPRINT ______________%
NUMBER AND WIDTH OF EXIT DOORS
FIRE WALLS
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-CHARGEOF ARCHITECTURAL WORKS
Date____________
ARCHITECT
(Signed and Sealed Over Printed Name)
Date____________
ARCHITECT
(Signed and Sealed Over Printed Name )
Address
Address
Validity
IAPOA No.
Validity
PRC No.
Validity
PRC No.
Validity
PTR. No
Date Issued
PTR. No
Date Issued
Issued at
TIN
Issued at
TIN
IAPOA No.
BOX 5
BOX 6
BUILDING OWNER
WITH MY CONSENT: LOT OWNER
(Signature Over Printed Name)
Date__________________
Address
C.T.C. No.
(Signature Over Printed Name)
Date___________________
Address
Date Issued
Place Issued
C.T.C. No.
Date Issued
Place Issued
TO BE ACCOMPLISHED BY THE PERMITS AND LICENSES DIVISION
BOX 7
RECEIVED BY
DATE
FIVE (5) SETS OF 20”X 30” & ONE (1) A3 OF ARCHITECTURAL DOCUMENTS
VICINITY MAP/LOCATION PLAN WITHIN A TWOKILOMETER RADIUS
SITE DEVELOPMENT PLAN
PERSPECTIVE
FLOOR PLANS
ELEVATIONS, AT LEAST FOUR (4)
SECTIONS, AT LEAST TWO (2)
CEILING PLANS SHOWING LIGHTING FIXTURES AND
DIFFUSERS
DETAILS OF RAMPS, PARKING FOR THE DISABLED, STAIRS, FIRE
ESCAPES, CABINETS AND PARTITIONS
SCHEDULE OF DOORS AND WINDOWS
SCHEDULE OF FINISHES FOR FLOORS, CEILINGS AND WALLS
ARCHITECTURAL INTERIOR
SPECIFICATIONS
COST ESTIMATE
OTHERS (Specify)
BOX 8
PROGRESS FLOW
IN
DATE
OUT
TIME
DATE
TIME
PROCESSED BY:
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 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 architectural works shall be in accordance with the architectural plans filed with this 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 conform to the provision of the Architectural Code, the National Building Code and its
IRR.
5. That this permit is null and void unless accompanied by the building permit.
PERMIT ISSUED BY:
BUILDING OFFICIAL
(Signature over Printed Name)
Date:___________________