Republic of the Philippines

OFFICE OF THE BUILDING OFFICIAL

CERTIFICATE OF COMPLETION
SANITARY / PLUMBING WORKS

This is to certify that the Sanitary/Plumbing installation by Sanitary Plumbing No. _________________
Issued on ____________in the premises of Mr. & Mrs. _____________________________________________
Accordance with the approved plans and specifications and has been installed/constructed the sanitary facilities
by the NATIONAL BUILDING CODE OF THE PHILIPPINES and other pertinent laws concerned. Now, the
said installation is ready for final inspection

FIXTURES INSTALLED :

Kind of Fixtures No. of Units Kind of Fixtures No. of Units

Water Closet __________ Air Conditioning Unit __________

Urinal __________ Water Tanks / Reservoir __________
Kitchen Sink __________ Bidet __________
Lavatory __________ Electric Heater __________
Floor Drain __________ Water Boiler __________
Faucet __________ Drinking Fountain __________
Bidet __________ Swimming Pool __________
Bath Tub __________ Dental Cuspidor __________
Grease Trap __________ Water Meter __________

Other Specify : __________________________________________________________

__________________________________________________________
__________________________________________________________

Nature of Works : __________________________________________________________

Use of Water : __________________________________________________________
Size of Service Pipe : __________________________________________________________

SOURCE OF WATER SUPPLY :

Shallow Well _______________________ City/Municipality Water System ____________________

Deep Well & Pump Set _______________ Brgy. Water System ____________________________
Spring ____________________________ Others (specify) _________________________________

TYPE OF WASTE DISPOSAL SYSTEM :

Septic Tank ___________________ Sewerage Treatment Plant _________________________

Imhoff Tank __________________ Sedimentation Ponds _____________________________
Cesspool _____________________ Filtration Bed ___________________________________
Pit Privy _____________________ Treatment Lagoons ______________________________

___________________________________ ___________________________________
Sanitary Engineer / Master Plumber Sanitary Engineer / Master Plumber
In – Charge of Installation Prepared Plans & Specs.

Conforme :

___________________________________
Owner / Applicant