PHILIPPINE ECONOMIC ZONE AUTHORITY

Support Services Department

Office of the Building Official

Please provide all information required.

Company :
(PEZA Reg. Name)

Location: :

Type of Application : : Mechanical Permit _______ Permit to Operate

Project Title :

Contractor : PCAB Lic. No. :

MECHANICAL DATA SHEET (MDS)

CAPACITY/RATING
QTY EQUIPMENT/MACHINE DESCRIPTION
Unit Data Other Unit Data
a. Refrigerating System
-
-
b. Airconditioning & Mechanical Ventilation

c. Escalators, Moving Walks and Funiculars

d. Elevators

e. Boilers

f. Pressure Vessels
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g. Pumps and Blowers

(add similar pages necessary)

Signed and sealed by a PME (Designer or In-Charge of Installation): Reference Number

Signature over Printed Name (to be filled out by PEZA representative)

PRC License No:_______________
 SuSD.F
Rev.01, 01 Oct. 2
CAPACITY/RATING
QUANTITY EQUIPMENT/MACHINE DESCRIPTION
Unit Data Other Unit Data
h. Automatic Fire Sprinkler System (AFSS)

i. Power Generating System

j. Other Internal Combustion Engines

k. Piping for Air, Steam, Water, Oil, Gas and the like

l. Compressed Air, Vacuum and Gas Outlets

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m. Pneumatic Tubes, Conveyors, Monorails, Ducts and the like

n. Gas Flow Meters unit

o. Pressure Gauges unit
p. Pressurized Water Heaters kW pressure, psi
q. Weighing Scale Structure Ton kgs
r.Other Facilities/Utilities Equipment

s. Production Equipment / Machines

(add similar pages if necessary)

Signed and sealed by a PME (Designer or In-Charge of Installation): Noted by:

Signature over Printed Name Signature over Printed Name

PRC License No:________________ Owner or Authorized Representative
REMINDERS:
1. Only those permit applications with complete plans and supporting documents will be processed.
2. All Mechanical equipments to be installed / operated should be listed in this form, use extra sheets if necessary
3. Equipment / machinery that are not specified in the aboce sheets but were installed during PEZA inspection shall be imposed with corresponding
penalty, subcharges and/or administrative fine.
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