NBC FORM B - 08

Republic of the Philippines

City of Pasig
OFFICE OF THE BUILDING OFFICIAL
86431111 LOC. 1682

DEMOLITION PERMIT
APPLICATION NO. DP NO. BUILDING PERMIT NO.
- -

BOX 1 (TO BE ACCOMPLISHED BY THE OWNER / APPLICANT)

OWNER / APPLICANT/COMPANY 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 / MUNICIPALITY ZIP CODE TELEPHONE / MOBILE NO.

LOCATION OF DEMOLITION WORKS: LOT NO._____ BLK. NO. _____ TCT NO. __________ TAX DEC. NO. ________________
STREET _________________________ BARANGAY________________________ CITY / MUNICIPALITY OF _________________
SCOPE OF WORK
 DEMOLITION  OTHERS (SPECIFY)
BOX 2
FULL TIME INSPECTOR AND SUPERVISOR OF DEMOLITION WORKS
ADDRESS TEL. NO.

PRC NO. VALIDITY

ARCHITECT OR CIVIL ENGINEER PTR NO DATE ISSUED
(SEAL AND SIGNATURE OVER PRINTED NAME)
DATE_____________________ ISSUED AT TIN
BOX 3 (TO BE ACCOMPLISHED BY THE APPLICANT)
APPLICANT WITH MY CONSENT : LOT OWNER

____________________________________ ____________________________________
(Signature Over Printed Name) Signature Over Printed Name
Date______________ Date______________
Address Address
CTC No. Date Issued Place Issued CTC No. Date Issued Place Issued

BOX 4
Republic of the Philippines ) S.S.
City/Municipality of ___________________)
BEFORE ME, at the City / Municipality of _________________________________, on________________ personally
appeared the following

_________________________________________ ___________________________________________________
APPLICANT CTC. NO. Date Issued Place Issued

_________________________________________ ___________________________________________________
LICENSED ARCHITECT OR CIVIL ENGINEER CTC. NO. Date Issued Place Issued
(Full-time Inspector and Supervisor of demolition works)

whose signature appear above, known to me to be the same persons who executed this standard prescribed form and acknowledge to me that the
same is their free and voluntary CT and Deed.
WITNESSED MY HAND AND SEAL on the date and place above written

Doc. No. ____________________________ __________________________________________

Page No. ____________________________ Notary Public (Until December ___________)
Book No. ____________________________
Series No. ___________________________
BOX 5 (TO BE ACCOMPLISHED BY THE PROCESSING AND EVALUATION DIVISION)
FEE PAID __________________________________________ OFFICIAL RECEIPT_____________________
DATE PAID ________________________________________ DATE ISSUED ______________________

BOX 6 (TO BE ACCOMPLISHED BY THE BUILDING OFFICIAL)

ACTION TAKEN:

Permit is hereby issued/granted to demolish your _______________________________________________________

Subject to the following conditions:

1. THE DEMOLITION SHALL BE UNDERTAKEN IN ACCORDANCE WITH RULE XI ON PROTECTION AND SAFETY
REQUIREMENTS FOR CONSTRUCTION AND DEMOLITION OF BUILDING/STRUCTURE OF THE IMPLEMENTING
RULES AND REGULATIONS OF THE NATIONAL BUILDING CODE OF THE PHILIPPINES (P.D. 1096) AND SHALL BE
UNDER THE DIRECT RESPONSIBILITY OF A FULL TIME SUPERVISING ARCHITECT OR CIVIL ENGINEER IN CHARGE
OF DEMOLITION.

2. THE DEMOLITION SHALL BE UNDERTAKEN ONLY AFTER THE BUILDING HAS BEEN VACATED AND ALL UTILITY
LINES SUCH AS ELECTRIC GAS, TELEPHONE AND WATER INSTALLATION HAVE BEEN DISCONNECTED.

3. THE DEMOLITION WORK/S BY THIS PERMIT SHALL BE COMPLETED WITHIN A PERIOD OF ___________________ ( )
DAYS FROM STARTING DATE THEREOF.

4. DEMOLITION
A. PRECAUTIONS BEFORE DEMOLITION
I. BEFORE COMMENCING THE WORK OF DEMOLITION OF A BUILDING/STRUCTURE, ALL GAS, ELECTRIC,
WATER AND OTHER METERS SHALL BE REMOVED AND THE SUPPLY LINES DISCONNECTED, EXCEPT
SUCH AS ARE ESPECIALLY PROVIDED OR REQUIRED FOR USE IN CONNECTION WITH THE WORK OF
DEMOLITION.
II. ALL FITTINGS ATTACHED TO THE BUILDING AND CONNECTED TO ANY STREET LIGHTING SYSTEM,
ELECTRICAL SUPPLY OR OTHER UTILITIES SHALL BE REMOVED.
III. ALL ELECTRIC POWER SHALL BE SHUT OFF AND ALL ELECTRIC SERVICES LINES SHALL BE CUT AND
DISCONNECTED BY THE POWER COMPANY AT OR OUTSIDE THE PROPERTY LINE.
IV. ALL GAS, WATER AND OTHER UTILITY SERVICE LINES SHALL BE SHUT OFF AND CUT OR CAPPED, OR
OTHERWISE CONTROLLED AT OR OUTSIDE THE BUILDING LINE. IN EACH CASE, THE UTILITY COMPANY
INVOLVED SHALL BE NOTIFIED IN ADVANCE AND ITS APPROVAL OR COOPERATION OBTAINED.
V. NO ELECTRIC CABLE OR OTHER APPARATUS, OTHER THAN THOSE ESPECIALLY REQUIRED FOR USE IN
CONNECTION WITH THE DEMOLITION WORK, SHALL REMAIN ELECTRICALLY CHARGED DURING
DEMOLITION OPERATIONS. WHEN IT IS NECESSARY TO MAINTAIN ANY POWER, WATER, GAS, OR OTHER
UTILITY LINES DURING THE PROCESS OF DEMOLITION, SUCH LINES SHALL BE TEMPORARILY
RELOCATED AND PROTECTED WITH SUBSTANTIAL COVERING TO THE SATISFACTION OF THE UTILITY
COMPANY CONCERNED.
VI. ALL NECESSARY STEPS SHALL BE TAKEN TO PREVENT DANGER TO PERSON ARISING FROM FIRE
EXPLOSION FROM LEAKAGE OR ACCUMULATION OF GAS OR VAPOR; AND FROM FLOODING FROM
UNCAPPED WATER MAINS, SEWER AND/OR CULVERTS. VII. ALL ENTRANCES/EXITS TO AND FROM THE
BUILDING SHALL BE PROPERLY PROTECTED SO AS PREVENT ANY DANGER TO PERSONS ENGAGED IN
THE DEMOLITION WORK USING SUCH ENTRANCES/EXITS IN THE PERFORMANCE OF THEIR WORK.
VII. GLAZED SASHES AND GLAZED DOORS SHALL BE REMOVED BEFORE THE START OF DEMOLITION
OPERATIONS.

5. AT LEAST FIVE (5) DAYS BEFORE ACTUAL WORK IS STARTED, YOU ARE REQUIRED TO ADVISE THE OFFICE OF
THE BUILDING OFFICIAL IN WRITING.

6. STRICT COMPLIANCE WITH THE ABOVE CONDITIONS IS REQUIRED SUBJECT TO MONITORING BY THIS OFFICE
OF THE BUILDING OFFICIAL AND REVOCATION OF THIS PERMIT IN CASE OF VIOLATION.

PERMIT ISSUED BY:

ENGR. FRANCIS JEROME P. RONQUILLO

________________________________________________
OIC – Building Official
(Signature over Printed Name)
Date__________________________