Republic of the Philippines
Department of the Interior and Local Government
BUREAU OF FIRE PROTECTION
Region 1
Pangasinan Provincial Office
SAN FABIAN FIRE STATION
Poblacion, San Fabian, Pangasinan
(075)523-0102/
[email protected] FSIC NO. RO1-20-PANG-0111- 551 09 Sept 2020
__________________
Date
FIRE SAFETY INSPECTION CERTIFICATE
FOR BUSINESS PERMIT ( RENEWAL )
FOR CERTIFICATE OF ANNUAL INSPECTION (PEZA)
TO WHOM IT MAY CONCERN:
By virtue of the provisions of RA 9514 otherwise known as the Fire Code of the Philippines of
2008, the application for FIRE SAFETY INSPECTION CERTIFICATE of
CB ESTRADA PAWNSHOP
____________________________________________________________________________________
(Name of Establishment)
Edward Estrada
owned and managed by ______________________________________________ with postal address at
(Name of Owner/Representative)
Poblacion, San Fabian, Pangasinan
____________________________________________________________________________________
(Address)
is hereby GRANTED after said building structure or facility has been duly inspected with the findings that
it has fully complied with the fire safety and protection requirements of the Fire Code of the Philippines of
2008 and its Revised Implementing Rules and Regulations.
09 Sept 2021
This certification is valid until________________________
Violation of Fire Code provisions shall cause this certificate null and void after appropriate
proceeding and shall hold the owner liable to the penalties provided for by the said Fire Code.
Fire Code Fees: RECOMMEND APPROVAL:
Php 500.00
Amount Paid: __________________
3246072
O.R. Number: __________________ SFO1 Marlon P Basa BFP
_____________________________
January 21, 2020
Date: _________________________ CHIEF, FSES
APPROVED:
INSP KEVIN G BANAWAG BFP
_____________________________
CITY/MUNICIPAL FIRE MARSHAL
NOTE: “This Certificate does not take the place of any license required by law and is not
transferable. Any change in the use of occupancy of the premises shall require a new certificate.”
THIS CERTIFICATE SHALL BE POSTED CONSPICUOUSLY
PAALALA: “MAHIGPIT NA IPINAGBABAWAL NG PAMUNUAN NG BUREAU OF FIRE PROTECTION SA MGA KAWANI NITO
ANG MAGBENTA O MAGREKOMENDA NG ANUMANG BRAND NG FIRE EXTINGUISHER”
“FIRE SAFETY IS OUR MAIN CONCERN”
DISTRIBUTION:
Light Blue-Green (Applicant/Owner’s copy)
Pink (BPLO’s copy)
Blue (BFP copy)
BFP-QSF-FSED-005 Rev.02 (12.11.19)