Demolition Forms

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Republic of the Philippines Republic of the Philippines

Office of the City Building Official Office of the City Building Official
Davao City Davao City

Name of Applicant : Name of Applicant :


Use or Type of Occupancy : Use or Type of Occupancy :
Project Location : Project Location :
Applicant’s Contact No. : Applicant’s Contact No. :

Name of Authorized Representative : Name of Authorized Representative :

Authorized Representative’s Contact No. : Authorized Representative’s Contact No. :

CHECKLIST OF REQUIREMENTS FOR DEMOLITION CHECKLIST OF REQUIREMENTS FOR DEMOLITION


PERMIT APPLICATION PERMIT APPLICATION

A:] LEGAL DOCUMENTS (by the Owner) A:] LEGAL DOCUMENTS (by the Owner)
1. Certified True Copy of Land Title (from the Register of Deeds) 1. Certified True Copy of Land Title (from the Register of Deeds)
2. Certified True Copy of Tax Declaration of Land and Building 2. Certified True Copy of Tax Declaration of Land and Building
(from the City Assessor’s Office) (from the City Assessor’s Office)
3. Certified True Copy of Current Real Property Tax Receipt of Land 3. Certified True Copy of Current Real Property Tax Receipt of Land
and Building (from City Assessor’s Office) and Building (from City Assessor’s Office)
4. Others : 4. Others :
IF APPLICANT IS NOT THE OWNER OF THE LOT (whichever is applicable) IF APPLICANT IS NOT THE OWNER OF THE LOT (whichever is applicable)
Notarized Deed of Absolute Sale Notarized Deed of Absolute Sale
Notarized Contact of Lease Notarized Contact of Lease
Notarized Contact of Sale Notarized Contact of Sale
Notarized Authorized to Demolish from Owner Notarized Authorized to Demolish from Owner
Notarized Special Power of Attorney (SPA) Notarized Special Power of Attorney (SPA)
IF COMMUNITY ASSOCIATION : IF COMMUNITY ASSOCIATION :
Association Board Resolution Association Board Resolution
Applicant’s Certificate of Membership in that Community Association Applicant’s Certificate of Membership in that Community Association
City Housing / NHA Clearance (whichever is applicable) City Housing / NHA Clearance (whichever is applicable)
IF CORPORATION : IF CORPORATION :
Notarized Secretary Certificate appointing the authorized person who Notarized Secretary Certificate appointing the authorized person who
will sign for and in behalf of the Company will sign for and in behalf of the Company
IF GOVERNMENT : IF GOVERNMENT :
Certification from DPWH / Dep.Ed. Engineer Certification from DPWH / Dep.Ed. Engineer

B:] TECHNICAL DOCUMENTS (by Owner and Hired Professionals) B:] TECHNICAL DOCUMENTS (by Owner and Hired Professionals)
1. Application Letter with duly filled-up forms of the following: 1. Application Letter with duly filled-up forms of the following:
2. Demolition Permit Form signed by the Owner / Authorized 2. Demolition Permit Form signed by the Owner / Authorized
Representative Representative
3. Sketch / Lot Plan with Vicinity Map drawn to scale signed and 3. Sketch / Lot Plan with Vicinity Map drawn to scale signed and
sealed by a licensed Geodetic Engineer sealed by a licensed Geodetic Engineer
4. Two (2) copies of Pictures of the Building / Structure to be 4. Two (2) copies of Pictures of the Building / Structure to be
demolished of all the elevations (sides, front and back) demolished of all the elevations (sides, front and back)
5. Photocopy of Owner’s / Applicant’s valid I.D with three (3)
specimen signatures

Note: INCOMPLETE DOCUMENTS WILL NOT BE ACCEPTED Note: INCOMPLETE DOCUMENTS WILL NOT BE ACCEPTED
(Bisaya: DLI DAWATON KUNG KULANG ANG MGA DOKUMENTO) (Bisaya: DLI DAWATON KUNG KULANG ANG MGA DOKUMENTO)

ALL FORMS MUST BE FILLED-UP PROPERLY, USE BLACK INK ALL FORMS MUST BE FILLED-UP PROPERLY, USE BLACK INK
ONLY AND WRITE LEGIBLY ONLY AND WRITE LEGIBLY

Received / Pre-Evaluated as to checklist by : Received / Pre-Evaluated as to checklist by :

Name / Position : Name / Position :


Date / Time : Date / Time :

Signature : Signature :
APPLICATION LETTER

Date
ARCH. KHASHAYAR L. TOGHYANI
Officer-In-Charge
Davao City

Sir/Ma’am,

I
(First Name) (Middle Name) (Family Name)

would like to apply for for my

located at

I also authorize
(Authorized Representative of the Company)

to transact the application with your Office in my behalf.

I/We hereby certify that the documents submitted herein are all true and correct,
therefore falsification on the supporting document in any way will cause disapproval of the
permit application without prejudice further action that may be undertaken pursuant to Article
171 & 172 of R.A 3815, otherwise known as the Revised Penal Code of the Philippines.

(Signature over Printed Name of Owner) (Signature over Printed Name of Authorized Representative)

Address Address

Contact Number Contact Number

OCBO @ 2021
NBC FORM B-08
Republic of the Philippines
Davao City
Province of Davao Del Sur
OFFICE OF THE BUILDING OFFICIAL

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

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


OWNER/APPLICANT LAST NAME FIRST NAME MI TIN

FOR CONSTRUCTION OWNED FORM OF OWNERSHIP USE OR CHARACTER OF OCCUPANCY

BY AN ENTERPRISE

ADDRESS : NO. STREET BARANGAY CITY/MUNICIPALITY ZIP CODE TELEPHONE NO.

LOCATION OF CONSTRUCTION :

SCOPE OF WORK :
OTHERS (SPECIFY)
DEMOLITION

BOX 2
FULL-TIME AND SUPERVISOR OF CONSTRUCTION WORKS
ADDRESS TEL.NO.

Date PRC NO. VALIDITY


ARCHITECT OR CIVIL ENGINEER PTR NO. DATE ISSUED
(SIGNED AND SEALED OVER PRINTED NAME)
ISSUED AT TIN

BOX 3 (TO BE ACCOMPLISHED BY THE APPLICANT)


APPLICANT/OWNER WITH 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 )
CITY/MUNICIPALITY OF )
BEFORE ME , at the City/Municipality of on personally appreared

APPLICANT NAME C.T.C. No. DATE ISSUED PLACE ISSUED

LICENSED ARCHITECT/CIVIL ENGINEER C.T.C. No. DATE ISSUED PLACE ISSUED


(FULL TIME INSPECTOR AND SUPERVISOR OF CONSTRUCTION)

whose signature appear herein above known to me to be the same persons who executed this standard prescribed form and acknowledged to me
that the same is their free and voluntary act and deed

WITNESS MY HAND AND SEAL on the date and place above written
Doc no.
Page no.
Book no.
Series No. NOTARY PUBLIC (until December________)
BOX 5

AMOUNT PAID : OFFICIAL RECIEPT NO. :

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 CONDITION :

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 (PD 1096) AND SHALL BE
UNDER THE DIRECT RESPONSIBILITY OF A FULL TIME SUPERVISING ARCHITECT OR CIVIL ENGINEER IN CHARGE OF THE 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 INSTALLATIONS HAVE BEEN DISCONNECTED.

3. THE DEMOLITION WORK/S BY THIS PERMIT SHALL BE COMPLETED WITHIN THE 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 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 SERVICE LINES SHALL BE CUT AND DISCONNECTED BY THE POWER COMPANY AT OR
OUTSIDE THE PROPERTY LINE.
iv ALL GAS, WATER AND OTHER UTILITY SERVICES 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 NOTICED IN ADVANCE AND ITS APPROVAL OR COOPERATION OBTAINED.
v NO ELECTRIC CABLE OR OTHER APPARATUS, OTHER THAN THOSE ESPACIALLY 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 PERSONS ARISING FROM THE FIRE OR EXPLOSION FROM LEAKAGE OR ACCUMULATION
OF GAS OR VAPOR, AND FROM FLOODING FROM UNCAPPED WATER MAINS, SEWERS AND/OR CULVERTS.
vii ALL ENTRANCE/EXITS TO AND FROM THE BUILDING SHALL BE PROPERLY PROTECTED SO AS TO 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 OPERATIONS.

5. ATLEAST FIVE (5) DAYS BEFORE THE ACTUAL DEMOLITION 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 THE OFFICE OF THE BUILDING OFFICIAL AND REVOCATION OF
THIS PERMIT IN CASE OF VIOLATION

PERMIT ISSUED BY :

ARCH. KHASHAYAR L. TOGHYANI


OFFICER-IN-CHARGE

(THIS FORM IS NOT FOR SALE)


loymi_lapuz_2000

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