DPWH FORM NO.

2003-006-E Republic of the Philippines

Department of Public Works & Highways
Pamahalaang Lungsod/Bayan ng San Luis
Kalakhang Maynila/Lalawigan ng_Batangas
TANGGAPAN NG PINUNONG PANGGUSALI
(Office of the Building Official)
INSPECTION AND ENFORCEMENT DIVISION
Electrical Section

CONTROL NO. C.F.E.I. NO.

CERTIFICATE OF FINAL ELECTRICAL INSPECTION (CFEI)
THIS IS TO CERTIFY THAT FINAL ELECTRICAL INSPECTION HAD BEEN CONDUCTED ON THE BUILDING AND/OR PREMISES COVERED BY THE BUILDING PERMIT NO.
____________ISSUED ON ____________ AND THE SAME WERE FOUND COMPLETED UNDER MY SUPERVISION PURSUANT TO SECTION 308, OF THE “NATIONAL
BUILDING CODE, P.D. 1096” AND IN ACCORDANCE WITH ELECTRICAL PLANS AND SPECIFICATIONS ON FILE WITH THE OFFICE OF THE BUILDING OFFICIAL AND WITH THE
LATEST EDITION OF THE PHILIPPINE ELECTRICAL CODE, THEREFORE THE “Certificate of Final Electrical Inspection” IS HEREBY RECOMMENDED FOR ISSUANCE.
OWNER/APPLICANT 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 NO.

LOCATION OF CONSTRUCTION: LOT NO.____________ BLK NO. ______________ TCT NO. __________________ TAX DEC. NO. ________________
STREET _______________ BARANGAY _________________________________________________ CITY/MUNICIPALITY OF ________________________________
CHARACTER OF OCCUPANCY
1. GROUP A : OWNED RESIDENTIAL DWELLING 6. GROUP F : INDUSTRIAL, AGRICULTURAL
2. GROUP B : RENTED RESIDENTIAL DWELLING HOTEL, APARTMENT 7. GROUP G : STORAGE AND HAZARDOUS
3. GROUP C : EDUCATIONAL, RECREATIONAL 8. GROUP H : ASSEMBLY OCCUPANT LOAD LESS THAN 1000
4. GROUP D : INSTITUTIONAL 9. GROUP I : ASSEMBLY OCCUPANT LOAD 1000 OR MORE
5. GROUP E : BUSINESS MERCANTILE 10. GROUP J : ACCESSORY
SUMMARY OF ELECTRICAL LOADS/CAPACITITES
TOTAL CONNECTED LOAD TOTAL TRANSFORMER CAPACITY TOTAL GENERATOR/UPS CAPACITY
_________________kVA __________________kVA ___________________kVA

TYPE OF NEW INSTALLATION SEPARATION OF SERVICE ENTRANCE RELOCATION OF SERVICE ENTRANCE

INSTALLATION: RECONNECTION OF SERVICE ENTRANCE REMODELLING OF SERVICE ENTRANCE OTHERS (Specify)_____________________

TYPE/S OF OPEN WIRING CONDUITS CABLE ARMORED CABLE RACEWAYS START OF INSTALLATION _____________
WIRING: DATE OF COMPLETION _________ _
____________________
WHERE HEREBY AFFIX OUR SIGNATURES SIGNIFYING OUR CONFORMITY TO THE INFORMATION HEREIN SET FORTH.
DATE OF COMPLETION ________
DESIGN
_______PROFESSIONAL, PLANS AND SPECIFICATIONS
PRC. NO Validity
PROFESSIONAL ELECTRICAL ENGINEER PTR. NO Date Issued
(Signed and Sealed) Issued at TIN
(Signed and Sealed) Issued at TIN
SUPERVISOR OF ELECTRICAL WORKS
PROFESSIONAL ELECTRICAL ENGINEER LICENSED ELECTRICAL ENGINEER LICENSED MASTER ELECTRICIAN
NOT EXCEEDING 600 VOLTS & 500 KVA

(Signed and Sealed)

Address
PRC. No. Date Issued
PTR. No Date Issued
Issued at Validity TIN

RECOMMENDING ISSUANCE OF CERTIFICATE OF FINAL ELECTRICAL INSPECTION:

ELECTRICAL INSPECTOR CHIEF, ELECTRICAL SECTION

(Signature Over Printed Name) (Signature Over Printed Name)

CHIEF, INSPECTION AND ENFORCEMENT DIVISION

(Signature Over Printed Name)
CFEI ISSUED:

Pinunong Panggusali
(Building Official)

NOTE: RENEWALS OR EXTENSION OF THIS CERTIFICATE OF FINAL ELECTRICAL INSPECTION (CFEI) ARE SUBJECT TO INSPECTION AND PAYMENT OF CORRESPONDING FEES IN
JDSVJDJFJCONFORMITY WITH PERTINENT PROVISIONS OF THE “NATIONAL BUILDING CODE” (P.D. 1096) AND ITS IMPLEMENTING RULES AND REGULATIONS.