NBC FORM B-03

Republic of the Philippines

Davao City
Province of Davao Del Sur
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 MI TIN

FOR CONSTRUCTION OWNED FORM OF OWNERSHIP

BY AN ENTERPRISE

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

LOCATION OF CONSTRUCTION :

SCOPE OF WORK :
NEW CONSTRUCTION REPAIR
OTHERS (SPECIFY)
ERECTION DEMOLITION
ADDITION

BOX 2 (TO BE ACCOMPLISHED BY THE RECEIVED AND RECORDING SECTION)

ACCOMPANYING DOCUMENTS
PHOTOCOPY OF T.C.T. PHOTOCOPY OF CONTRACT OF LEASE (IF NOT OWNED BY APPLICANT)
PHOTOCOPYCOPY OF LOT/SITE PLAN OTHER CLEARANCE (SPECIFY)
PHOTOCOPY OF LATEST LAND TAX RECIEPT
BOX 3 BOX 4
DESIGN PROFESSIONAL, PLANS AND SPECIFICATION FULL-TIME AND SUPERVISOR OF CONSTRUCTION WORKS

ARCHITECT OR CIVIL ENGINEER DATE ARCHITECT OR CIVIL ENGINEER DATE

(SIGNED AND SEALED OVER PRINTED NAME) (SIGNED AND SEALED OVER PRINTED NAME)

ADDRESS ADDRESS
PRC NO. VALIDITY PRC NO. VALIDITY
PTR NO. DATE ISSUED PTR NO. DATE ISSUED
ISSUED AT TIN ISSUED AT TIN
BOX 5 (TO BE ACCOMPLISHED BY THE APPLICANT)
APPLICANT/OWNER WITH 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 6
REPUBLIC OF THE PHILIPPINES )
CITY/MUNICIPALITY OF )
BEFORE ME , at the City/Municipality of on personally appreared

APPLICANT NAME C.T.C. No. DATE ISSUED PLACE ISSUED

LICENSED ARCHITECT/CIVIL ENGINEER C.T.C. No. DATE ISSUED PLACE ISSUED

(FULL TIME INSPECTOR AND SUPERVISOR OF CONSTRUCTION)

whose signature appear herein above known to me to be the same persons who executed this standard prescribed form and acknowledged to me
that the same is their free and voluntary act and deed

WITNESS MY HAND AND SEAL on the date and place above written
Doc no.
Page no.
Book no.
Series No. NOTARY PUBLIC (until December________)
 BOX 7 (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 8 (TO BE ACCOMPLISHED BY THE PROCESSING AND EVALUATION DIVISION)

PROGRESS FLOW
NOTED IN OUT
ACTION/REMARKS PROCESSED BY
TIME DATE TIME DATE
CHIEF,PROCESSING, DIVISION/SECTION
RECEIVING and RECORDING
GEODETIC (Line and Grade)

STRUCTURAL
ELECTRICAL
OTHERS (Specify)
BOX 9 (TO BE ACCOMPLISHED BY THE DIVISION/SECTION CONCERNED)
ASSESSED FEES
ASSESSED BY AMOUNT DUE O.R. NUMBER DATE PAID PROCESSED BY.
LINE AND GRADE (Geodetic)
FENCING
ELECTRICAL (if any)
OTHER S SPECIFY

TOTAL

BOX 10 (TO BE ACCOMPLISHED BY THE BUILDING OFFICIAL)

ACTION TAKEN :

PERMIT IS HEREBY ISSUED /GRANTED SUBJECT BY THE BUILDING OFFICIAL

1 That uner 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 (15) years from completion of the structure, it should collapse due to deffect in the plans or
specifications or defect in the ground. The engineer or architect who supervises the construction shall be solidarity liable
with the contractor should the edifice collapse due to defect in the construction or the use of interior materials.

2 That the proposed construction/errection/addition, etc. shall be in comformity with the provisions of the "National Building
Code' (P.D. 1096) and its implementing Rules and Regulations.
a That prior to commencement of the proposed projects and constructions 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 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 undetake the
full time inspection and supervision of the construction work.
d That threre 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 OCBO representative during the conduct of his/her inspection pursuant to Section 207 of the
National Building Code.

PERMIT ISSUED BY:

ENGR. CIRINIA GRACE L. CATUBIG

Officer-In-Charge
Date:___________________
NOTE: THIS PERMIT MAY BE CANCELLED OR REVOKED PURSUANT TO SECTIONS 305 AND 306 OF THE NATIONAL BUILDING CODE.

loymi_lapuz_2000
 Republic of the Philippines Republic of the Philippines
OFFICE OF THE CITY BUILDING OFFICIAL OFFICE OF THE CITY BUILDING OFFICIAL
City of Davao City of Davao

Name of Applicant: Name of Applicant:

Address: Address:

Use or Type of Occupancy: Use or Type of Occupancy:

Project location: Project location:

Appplicants Contact No. Appplicants Contact No.

Name of Authorized Representative Name of Authorized Representative

Authorized Representative Contact No. Authorized Representative Contact No.

CHECKLIST OF GENERAL REQUIREMENTS FOR CHECKLIST OF GENERAL REQUIREMENTS FOR

FENCE PERMIT APPLICATION FENCE PERMIT APPLICATION

A.1 Clearances/Certificates (from other Offices) - original with photo copy A.1 Clearances/Certificates (from other Offices) - original with photo copy
1 DPWH clearance (if along National Highway) [Sec.302.12.b.i] 1 DPWH clearance (if along National Highway) [Sec.302.12.b.i]
2 Drainage Clearance (from DPWH/CEO) if required in the ECC 2 Drainage Clearance (from DPWH/CEO) if required in the ECC
and if there is existing drainage/waterway affected and if there is existing drainage/waterway affected
3 CEO Clearance (if along City/Brgy/Subdivision Road) 3 CEO Clearance (if along City/Brgy/Subdivision Road)
B.2] Legal Documents (by Owner) (original with photo copy) B.2] Legal Documents (by Owner) (original with photo copy)
1 Certified True Copy of Land Title (from the Register of Deeds) 1 Certified True Copy of Land Title (from the Register of Deeds)
2 Certified True Copy of Tax Declaration of the property (from 2 Certified True Copy of Tax Declaration of the property (from
the City Assessor's Office) [Sec.302.a.2.ii] the City Assessor's Office) [Sec.302.a.2.ii]
3 Certified True Copy of Current Real Property Tax 3 Certified True Copy of Current Real Property Tax
Reciept (from the City Treasurer's Office) [Sec.302.2.a.iii] Reciept (from the City Treasurer's Office) [Sec.302.2.a.iii]
4 Picture on Site with landmarks 4
5 Barangay clearance of NO SITE CONFLICT 5 Barangay clearance of NO SITE CONFLICT
6 Others 6 Others
if applicant is not the owner of lot (whichever is applicable) [Sec.302.2.b] if applicant is not the owner of lot (whichever is applicable) [Sec.302.2.b]
Notarized Deed of Absolute Sale Notarized Deed of Absolute Sale
Notarized Contract of Lease Notarized Contract of Lease
Notarized Contract of Sale Notarized Contract of Sale
Notarized Authority to Construct from the Lot Owner Notarized Authority to Construct from the Lot Owner
And, Notarized Special Power of Attorney (SPA) And, Notarized Special Power of Attorney (SPA)
Corporation: Corporation:
Notarized Secretary Certificate appointing the authorized Notarized Secretary Certificate appointing the authorized
person who will sign for and in behalf of the company person who will sign for and in behalf of the company
If Community Association: (for residential buildings) If Community Association: (for residential buildings)
Association Board resolution Association Board resolution
Applicants Certificate of membership in that community Applicants Certificate of membership in that community
association association
City Housing/NHA clearance (whichever is applicable) City Housing/NHA clearance (whichever is applicable)
C ] Technical Documents (by owner and hired Professionals) C ] Technical Documents (by owner and hired Professionals)
Application letter with duly filled-up forms of the following: Application letter with duly filled-up forms of the following:
1 Fence permit form with 3 sets of Civil/Architectural 1 Fence permit form with 3 sets of Civil/Architectural
plans of the fence duly signed and sealed by a licensed plans of the fence duly signed and sealed by a licensed
Civil Engineer/Architect. Civil Engineer/Architect.
Note: may use as A3 size paper for structural design plan Note: may use as A3 size paper for structural design plan
signed and sealed by a licensed Civil Engineer signed and sealed by a licensed Civil Engineer
2 Electrical permit form with 3 sets of Electrical Plans duly 2 Electrical permit form with 3 sets of Electrical Plans duly
signed and sealed by a licensed (Professional/Registered) signed and sealed by a licensed (Professional/Registered)
Electrical Engineer (if applicable) Electrical Engineer (if applicable)
3 Sketch/lot plan with vicinity map drawn to scale signed and 3 Sketch/lot plan with vicinity map drawn to scale signed and
sealed by a licensed geodetic engineer (Sec.302.3.a,Sec.32.11) sealed by a licensed geodetic engineer (Sec.302.3.a,Sec.32.11)
4 Bill of materials and cost estimates (signed and sealed)[Sec.302] 4 Bill of materials and cost estimates (signed and sealed)[Sec.302]
5 Photo copy of Owners/Applicants valid I.D with three (3) 5 Photo copy of Owners/Applicants valid I.D with three (3)
specimen signatures. specimen signatures.
6 Photocopy of PRC IDs and current PTR and TIN of all the 6 Photocopy of PRC IDs and current PTR and TIN of all the
Signing professionals [NBC MC No.01, 2005; Signing professionals [NBC MC No.01, 2005;
Note: INCOMPLETE DOCUMENTS WILL NOT BE ACCEPTED Note: INCOMPLETE DOCUMENTS WILL NOT BE ACCEPTED
(dili dawaton kung kulang ang mga dokumento) (dili dawaton kung kulang ang mga dokumento)
all forms must be filled-up properly, use black ink all forms must be filled-up properly, use black ink
only and write legibly only and write legibly

Received/pre-evaluated as to checklist by: Received/pre-evaluated as to checklist by:

Name/Position: Name/Position:

Date/Time: Date/Time:
E=
APPLICATION LETTER

Date :

ENGFI. CIRINIA GRACE L. CATUBIG

Officer-In-Charge
Davao Cfty

Sir/Maam:

(First Name) (Middle Name) (Family Nana)

would like to aplply for for my

located at
(Complete Address)

I also authorize
(Authorized Representative of the Company)
transact the application with your Office in my behalf.

lM/e hereby certfty that the documents submitted herein are all true and correct, therefore
falsification on the supporting document in any way will cause disapproval of the permit
application whhout prejudicet further adion that may be undertaken pursuant toArdcles 171 &
172 of RA 3815, otherwise known as the Revised Penal Code of the Philippines.

(Signature over Printed Name of owner) (Sgnature over Prlnted Name of Authorlzed Representative)

Address: Address:
Contact Number: Contact Number: