NBC FORM NO.

B - 03
Republic of the Philippines
City of Baguio
Province of Benguet

OFFICE OF THE BUILDING OFFICIAL

FENCING PERMIT
APPLICATION NO. FP NO BUILDING PERMIT NO.

BOX 1 (TO BE ACCOMPLISHED BY THE OWNER/APPLICANT)

OWNER/APPLICANT LAST NAME FIRST NAME M.I. TIN

FOR CONSTRUCTION OWNED FORM OF OWNERSHIP

BY AN ENTERPRISE

ADDRESS: NO., STREET, BARANGAY, CITY/MUNICIPALITY ZIP CODE CONTACT NO. / EMAIL ADDRESS
BAGUIO 2600
LOCATION OF CONSTRUCTION: LOT NO. _______________ BLK NO. ________________ TCT NO. ______________________ TAX DEC. NO.___________________

STREET__________________________________________________ BARANGAY _____________________________________________________________ CITY BAGUIO.

SCOPE OF WORK
NEW CONSTRUCTION REPAIR _________________________________ OTHERS (Specify) ______________________________
ERECTION DEMOLITION ____________________________
ADDITION

BOX 2 BOX 3

FULL-TIME INSPECTOR AND SUPERVISOR OF CONSTRUCTION

DESIGN PROFESSIONAL, PLANS AND SPECIFICATION
WORKS
BUILDING OWNER WITH MY CONSENT: LOT OWNER
REPUBLIC OF THE PHILIPPINES ) S.S
CITY/MUNICIPALITY OF BAGUIO)
BEFORE ME, at the City of BAGUIO, on ___________________________ personally appeared the following:

__________________________________
______________________________________________ __________________________________
______________________________________________
(Signature over Printed name)
Date:_____________ CTC(Signature over PrintedDate
No.Date:_____________ name)
Issued APPLICANT
Place Issued
ARCHITECT OR CIVIL ENGINEER
Date:___________________ ARCHITECT OR CIVIL ENGINEER
Date:___________________
(Signed and Sealed Over Printed name) (Signed and Sealed Over Printed name)
Address Address CTC No. Date Issued
LICENSED ARCHITECT OR Place
CIVIL
Issued
ENGINEER
Address Address (Full-Time Inspector and Supervisor of Fencing Works)
PRC. No. whose signatures appear herein above, known to me to be the same personsPRC.
Validity who executed
No. this standard prescribed form and acknowledged to me that the same is their free
Validity
C.T.C. No. and voluntary act
Date
PTR No. andIssued
deed. Date Issued Place Issued C.T.C. No.
PTR No.
Date Issued
Date Issued
Place Issued
WITHNESS MY HAND AND SEAL on the date and place above written.
Issued at Doc. No. TIN
_______________ Issued at BOX 5 TIN
Page No. _______________
Book No. _______________ BOX 4 ( TO BE ACCOMPLISHED BY THE APPLICANT)
NOTARY PUBLIC
Series No. _______________

BOX 6 (TO BE ACCOMPLISHED BY THE DESIGN PROFESSIONAL)

MEASUREMENTS : _______________________________ LENGTH IN METERS _______________________________ HEIGHT IN METERS

TYPE OF FENCING: INDIGENOUS MATERIALS R.C. STEEL MATTING
R.C. (Reinforced Concrete) R.C. BARBED WIRE
R.C. and CONC. HOLLOW BLOCKS OTHERS (Specify) ______________________________
R.C. and BRICKS _____________________________________________
R.C. and INTERLINK/CYCLONE WIRE _____________________________________________

BOX 7 (TO
PERMIT ISBE ACCOMPLISHED
HEREBY BY THE PROCESSING
ISSUED/GRANTED SUBJECT AND EVALUATION
TO THE DIVISION)
FOLLOWING CONDITIONS:

1. That under Article 1723 of the Civil Code of the Philippines, PROGRESS
the engineer FLOW
or architect who drew up the plans and specifications is liable for
damages if within fifteen (15) years from the completion of the structure,
IN it should collapse dueOUTto defect in the plans or specifications or defects
in the ground. The engineer or architect who supervises the construction shall be solidarily liable with the contractor should the edifice
PROCESSED BY collapse
DATE
due to defect in the construction or the use of inferior materials. TIME DATE TIME
2.
LINEThat
AND the proposed
GRADE construction/erection/addition, etc. shall be in conformity with the provisions of the “National Building Code” (P.D. 1096) and
(GEODETIC)
its Implementing Rules and Regulations.
CIVIL/STRUCTURAL
a. That prior to commencement of the proposed projects and construction an actual relocation survey shall be conducted by responsible
ELECTRICAL licensed Geodetic Engineer.
b. That before commencing the excavation the person making or causing the excavation to be made shall verify in writing the owner of
OTHERS (Specify)
adjoining building not less than ten (10) days before such excavation is to be made and show how the adjoining building should be
protected.
c. That the owner of the fence shall engage the services of responsible licensed Architect or Civil Engineer to undertake the full time
inspection and supervision of the construction work. ASSESSED FEES
d. That there shall be kept at the jobsite at all times a logbook wherein the actual progress ofDate
construction including test conducted,Byweather
Processed
Amount Due THIS PERMIT MAY O.BER. Number Paid
condition and other pertinent data are toNOTE:
be recorded, same shall CANCELLED
be made OR REVOKED PURSUANT TO
available SECTIONS 305 AND 306 OF
for scrutiny and comments by the THE OBO “NATIONAL BUILDING CODE”.
representative
LINE AND GRADE
during(GEODETIC)
the conduct of his/her inspection pursuantCitytoGovernment
Section 207 Department
of the National
HeadBuilding
II Code.
FENCING
CITY BUILDING OFFICIAL
Date _________________
ELECTRICAL
OTHERS
PERMIT
ACTION
BOX (Specify)
(If
BEany)
ISSUED
8 (TO TAKEN: BY: TOTAL BY THE BUILDING OFFICIAL)
ACCOMPLISHED
ENGR. NAZITA F. BAÑEZ