Republic of the Philippines OFFICE OF THE CITY ENGINEER Iloilo City

Building Permit No.

Sidewalk Permit No. District / City / Municipality Area Code

Date Issued

Date Issued

TEMPORARY SIDEWALK ENCLOSURE AND OCCUPANCY PERMIT

Permit is hereby granted to with postal address at for the enclosure and occupancy of the sidewalk with frontage of meters with a width of ( ) meters or square meters as indicated at the back hereof at the premises of for the storage of constructional materials for a period of ( ) days inclusive from 20 to , 20 pursuant to pertinent provisions of the National Building Code (P.D. 1096) and its Implementing Rules and Regulations, subject, further, to the following conditions: 1. The owner and contractors shall be solely responsible for the safety, protection, security and convenience of the general public and his/her personnel, third parties, the works, equipment, installation and the like. 2. No enclosure shall be made without first providing the required temporary sidewalk plank which shall be properly maintained at all times. 3. The enclosure shall be made of wooden T & G, Gauge 26 corr. G.I. or any other similar materials at least 2.00M high, structurally signed and luminously painted for the safety and convenience of the pedestrians. The width of the walk to be occupied shall be as indicated at the back of this permit. The horizontal length of the enclosure and plank shall not extend beyond the affected area of the project. 4. No commercial sign whatsoever shall be painted and attached to or displayed at the sidewalk enclosure. 5. This permit must be kept at the jobsite at all times during the duration of the project. It may be cancelled or revoked pursuant to Sections 305 and 306 of the National Building Code (P.D. 1096) or when public interest so demands. Conforme: Approved:

Owner/Applicant Building Official FEE: O.R. NO.: ISSUED: