mechanical permit

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Republic of the Philippines Quezon City DEPARTMENT OF ENGINEERING INDUSTRIAL SAFETY DIVISION Tel. No. 925-6045 loc 314 APPLICATION NO. PERMIT NO. DATE OF APPLICATION DATE ISSUED BOX 1 (PLEASE PRINT) NAME OF OWNER/APPLIC ANT: LAST NAME,FIRST NAME, MIDDLE INITIAL TAX I.D. NO. ADDRESS: NO., STREET,BARANGAY , CITY/MUNICIPALIT Y TELEPHONE NO. LOCATION OF INSTALLATION: NO., STREET,BARANGAY , CITY/MUNICI PALITY ADDITION OF REMOVAL OF OTHERS (SPECIFY) BUILDING PERMIT NO. CERTIFICATE OF OCCUPANCY NO. SCOPE OF WORK: NEW INSTALLATION: USE OR TYPE OF OCCUPANCY RESIDENTIAL COMMERCIAL INDUSTRIAL INSTITUTIONAL AGRICULTURAL LANDSCAPING OTHERS (SPECIFY). INSTALLATION AND OPERATION OF BOILER PRESSURE VESSELS CENTRAL AIR-CONDITIONI NG MECHANICAL VENTILATION DUMBWAITER PUMPS INTERNAL COMBUSTION ENGINE ESCALATOR COMPRESSED AIR, VACUUM, REFRIGERATION & ICE-MAKING MOVING SIDEWALK INSTITUTIONAL and/or INDUSTRIAL GAS WINDOW TYPE AIR-CONDITION FREIGHT ELEVATOR PNEUMATIC TUBES,CONVEYORS PACKAGE AIR-CON UNIT PASSENGER ELEVATOR And/or MONORAILS OTHERS (SPECIFY) PROPOSED DATE OF INSTALLATION TOTAL INSTALLATION COST EXPECTED DATE OF COMPLETION PREPARED BY BOX 2 (TO BE ACCOMPLISHED BY THE BUILDING OFFICIAL) ACTION TAKEN PERMIT IS HEREBY GRANTED TO INSTALL THE MECHANICAL EQUIP- MENT ENUMERATED HEREIN SUBJECT TO THE FOLLOWING CONDI- TIONS: 1. THAT THE PROPOSED INSTALLATION SHALL BE IN ACCORDANC E WITH APPROVED PLANS FILED WITH THIS OFFICE AND IN CONFOR- MITY WITH THE “NATIONAL BUILDING CODE”. 2. THAT A DULY LICENSED PROFESSIONAL MECHANICAL ENGINEER BE ENGAGED TO UNDERTAKE THE INSTALLATION/CONSTRUCTION 3. THAT A CERTIFICATE OF COMPLETION DULY SIGNED BY THE PRO- FESSIONAL MECHANICAL ENGINEER IN-CHARGE OF INSTALLA- TION SHALL BE SUBMITTED NOT LATER THAN SEVEN (7) DAYS AFTER COMPLETION OF THE INSTALLATION. 4. THAT A CERTIFICATE OF FINAL INSPECTION AND A CERTIFICATE OF OCCUPANCY BE SECURED PRIOR TO THE ACTUAL OCCUPANCY OF THE BUILDING. 5. THAT AN ANNUAL CERTIFICATE OF INSPECTION SHALL BE SECU- RED FOR THE CONTINUOUS OPERATION OF THE MECHANICAL EQUIPMENT INSTALLED. NOTE: Chief, Industrial Safety Division Local Building Official ENGR. ISAGANI R. VERZOSA JR. ENGR. JOSELITO C. ARCANIA

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7/30/2019 Mechanical Permit

http://slidepdf.com/reader/full/mechanical-permit 1/2

7/30/2019 Mechanical Permit

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BOX 3 (TO BE ACCOMPLISHED BY THE RECEIVING AND RECORDING SECTION)

BUILDING DOCUMENTS

(FIVE (5) SETS EACH)

MECHANICAL PLANS & SPECIFICATIONS BILL OF MATERIALS

COST ESTIMATES OTHERS (SPECIFY)

BOX 4 (TO BE ACCOMPLISHED BY THE DIVISION/SECTION CONCERNED)

ASSESSED FEES

MECHANICAL

AMOUNT DUE ASSESSED BY O.R. NUMBER DATE PAID

REVIEWED:

Asst. Chief of Division

BOX 5 (TO BE ACCOMPLISHED BY THE DIVISION/SECTION CONCERNED)

PROGRESS FLOW

NOTED

CHIEF, PROCESSING DIVISION/SECTION

IN OUT

DATE TIME DATE TIMEACTION/REMARKS PROCESSED BY

WE HEREBY AFFIX OUR HANDS SIGNIFYING OUR CONFORMITY TO THE INFORMATION HEREIN ABOVE SETFORTH

PROF. MECH. ENGINEER 

SIGNED AND SEALED PLANS & SPECIFICATIONS

BOX 6

PRC REG. NO.

PRINT NAME

ADDRESS

P.T.R. NO. DATE ISSUED PLACE ISSUED

SIGNATURE TIN

PROF. MECH. ENGINEER 

IN-CHARGE OF INSTALLATION

BOX 7

PRC REG. NO.

PRINT NAME

ADDRESS

P.T.R. NO. DATE ISSUED PLACE ISSUED

SIGNATURE TIN

BOX 8

SIGNATURE 

RES. CERT. NO. DATE ISSUED PLACE ISSUED

A P P L I C A N T