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Fencing Permit

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NBC FORM B - 03

Republic of the Philippines


City of Pasig
OFFICE OF THE BUILDING OFFICIAL
86431111 LOC. 1682

FENCING PERMIT
APPLICATION NO. FP NO. DATE ISSUED
- - - -

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


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

FOR CONSTRUCTION OWNED FORM OF OWNERSHIP


BY AN ENTERPRISE

ADDRESS: NO., STREET BARANGAY CITY / MUNICIPALITY ZIP CODE TELEPHONE / MOBILE NO.

LOCATION OF CONSTRUCTION: LOT NO.___________ BLK. NO. ___________TCT NO. ___________ TAX DEC. NO. ________________________________

STREET _________________________________ BARANGAY_________________________________________ CITY / MUNICIPALITY OF _________________

SCOPE OF WORK
 NEW CONSTRUCTION  REPAIR _________________________  OTHERS (SPECIFY) ______________________
 ERECTION  DEMOLITION ________________________ __________________________________________
 ADDITION

BOX 2 BOX 3
DESIGN PROFESSIONAL, PLANS AND SPECIFICATIONS FULL TIME INSPECTOR AND SUPERVISOR OF CONSTRUCTION WORKS

ARCHITECT OR CIVIL ENGINEER ARCHITECT OR CIVIL ENGINEER


(SEAL AND SIGNATURE OVER PRINTED NAME) (SEAL AND SIGNATURE OVER PRINTED NAME)
DATE_____________________ DATE_____________________
ADDRESS ADDRESS
PRC NO PRC NO VALIDITY PRC NO
PTR NO PTR NO DATE ISSUED PTR NO
ISSUED AT ISSUED AT TIN ISSUED AT
BOX 4 (TO BE ACCOMPLISHED BY THE APPLICANT)
APPLICANT WITH MY CONSENT : LOT OWNER

____________________________________ ____________________________________
(Signature Over Printed Name) Signature Over Printed Name
Date______________ Date______________

Address Address
CTC No. Date Issued Place Issued CTC No. Date Issued Place Issued

BOX 5
Republic of the Philippines ) S.S.
City/Municipality of ___________________)
BEFORE ME, at the City / Municipality of _________________________________, on________________ personally
appeared the following

_________________________________________ ___________________________________________________
APPLICANT CTC. NO. Date Issued Place Issued

_________________________________________ ___________________________________________________
LICENSED ARCHITECT OR CIVIL ENGINEER CTC. NO. Date Issued Place Issued
(Full-time Inspector and Supervisor of demolition works)
whose signature appear above, known to me to be the same persons who executed this standard prescribed form and acknowledge to me that the same is their free and voluntary CT
and Deed.
WITNESSED MY HAND AND SEAL on the date and place above written
Doc. No. ____________________________ __________________________________________
Page No. ____________________________ Notary Public (Until December ___________)
Book No. ____________________________
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. (REINFORCEMENT 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 BE ACCOMPLISHED BY THE PROCESSING AND EVALUATION DIVISION)


PROGRESS FLOW
IN OUT PROCESSED BY
TIME DATE TIME DATE
LINE AND GRADE (GEODETIC)
CIVIL / STRUCTURAL
ELECTRICAL
OTHERS (SPECIFY)

ASSESSED FEES
AMOUNT DUE OR NUMBER DATE PAID PROCESSED BY

LINE AND GRADE (GEODETIC)


FENCING
CIVIL / STRUCTURAL
ELECTRICAL
OTHERS (SPECIFY)
TOTAL
BOX 8 (TO BE ACCOMPLISHED BY THE BUILDING OFFICIAL)

Action taken:

Permit is hereby issued / granted subject to the following conditions:

1. THAT UNDER ARTICLE 1723 OF THE CIVIL CODE OF THE PHILIPPINES, THE ENGINEER OR ARCHITECT WHO DREW
UP THE PLANS AND SPECIFICATIONS IS LIABLE FOR DAMAGES IF WITHIN FIFTEEN (15) YEARS FROM THE
COMPLETION OF THE STRUCTURE, IF SHOULD COLLAPSE DUE TO DEFECT IN THE PLANS OR SPECIFICATIONS
OR EDIFICE COLLAPSE DUE TO DEFECT IN THE CONSTRUCTION OR THE USE OF INFERIOR MATERIALS.
2. THAT THE PROPOSED CONSTRUCTION / ERECTION / ADDITION, ETC. SHALL BE IN CONFORMITY WITH THE
PROVISIONS OF THE “NATIONAL BUILDING CODE”(PD 1096) AND ITS IMPLEMENTING RULES AND REGULATIONS.
a. THAT PRIOR TO COMMENCEMENT OF THE PROPOSED PROJECTS AND CONSTRUCTION AN ACTUAL
RELOCATION SURVEY SHALL BE CONDUCTED BY RESPONSIBLE 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 THE 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.
d. THAT THERE SHALL BE KEPT AT THE JOBSITE AT ALL TIMES A LOGBOOK WHEREIN THE ACTUAL PROGRESS
OF CONSTRUCTION INCLUDING TEST CONDUCTED, WEATHER CONDITION AND OTHER PERTINENT DATA ARE
TO BE RECORDED, SAME SHALL BE MADE AVAILABLE FOR SCRUTINY AND COMMENTS BY THE OBO
REPRESENTATIVE DURING HIS/HER INSPECTION PURSUANT TO SECTION 207 OF THE NATIONAL BUILDING
CODE.

PERMIT ISSUED BY:

ENGR. FRANCIS JEROME P. RONQUILLO


_________________________________________________
OIC – Building Official
(Signature over Printed Name)
Date__________________________

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