Republic of the Philippines

Department of Public Works and Highways

Davao 1st Engineering District
Tagum City

Date: December 23, 2015

CONCRETE POURING PERMIT

Name of Concreting of San Agustin- New Balamban Road leading to Tagum

Project/Location Botanical Park, Tagum City, Davao del Norte
Contractor Roma Const. & Dev't. Corp / GP&H Const. & Supply (JV)
Part of Structure to
Estimated Volume (cu.m) 75.00 cu.m
be poured PCCP
Station Limits/Sect. Sta.1+503 - Sta.+782 R/L Sect.3
Date of Pouring December 27, 2015 Time of Pouring 8:00 a.m - 4:00 p.m

Requested:
Contractor: Roma Const.& Dev't Corp./GP&H Const.& Supply(JV)
Name & Signature
CHECKLIST
x Concrete Vibrator x Field Density Test
x Protective Covering Materials x Beam
x Warning Signs/Barricades/Flagmen x Curing Materials
x Concrete Saw x Slump Cone
x Concrete Black Spacers - Plumbness
Finishing Tools/Equipment Quality of Materials Used (Result of
x x
(Screeder, beam, etc.) Design/Trial Mix Test Reports etc.)
x Required Construction Equipment - Electrical Layout(Roughing-ins/Embodments)
x Rebars sizes,spacing & number - Plumbing Layout (Roughing-ins/Embodments)
x Rebars installation requirements x Falseworks/Formworks adequacy
CHECKED BY:
MATERIALS WARLITO A. LENDIO
ENGINEER Engineer II Date December 23, 2015
(Name and Signature)
REMARKS/
RECOMMENDATIONS Recommended to start pouring activities.

PROJECT ARIES MADELO

INSPECTORS Engineer II Date December 23, 2015
(Name and Signature)
REMARKS/
RECOMMENDATIONS Recommended to start pouring activities.
Request : ( / ) Approved ( ) Disapproved
REMARKS/
RECOMMENDATIONS Recommended to start pouring activities.

LEO ALEX A. MABANGLO

Project Engineer
(Name and Signature)

Accreditation No.: 1247

 Republic of the Philippines
Department of Public Works and Highways
Davao 1st Engineering District
Tagum City

Date: January 20, 2016

CONCRETE POURING PERMIT

Name of Concreting of San Agustin- New Balamban Road leading to Tagum

Project/Location Botanical Park, Tagum City, Davao del Norte
Contractor Roma Const. & Dev't. Corp / GP&H Const. & Supply (JV)
Part of Structure to
Estimated Volume (cu.m) 75.00 cu.m
be poured PCCP
Station Limits/Sect. Sta.1+782 - Sta.1+968 R/L Sect. 3
Date of Pouring January 21, 2016 Time of Pouring 8:00 a.m - 4:00 p.m

Requested:
Contractor: Roma Const.& Dev't Corp./GP&H Const.& Supply(JV)
Name & Signature
CHECKLIST
x Concrete Vibrator x Field Density Test
x Protective Covering Materials x Beam
x Warning Signs/Barricades/Flagmen x Curing Materials
x Concrete Saw x Slump Cone
x Concrete Black Spacers - Plumbness
Finishing Tools/Equipment Quality of Materials Used (Result of
x x
(Screeder, beam, etc.) Design/Trial Mix Test Reports etc.)
x Required Construction Equipment - Electrical Layout(Roughing-ins/Embodments)
x Rebars sizes,spacing & number - Plumbing Layout (Roughing-ins/Embodments)
x Rebars installation requirements x Falseworks/Formworks adequacy
CHECKED BY:
MATERIALS WARLITO A. LENDIO
ENGINEER Engineer II Date January 20, 2016
(Name and Signature)
REMARKS/
RECOMMENDATIONS Recommended to start pouring activities.

PROJECT ARIES MADELO

INSPECTORS Engineer II Date January 20, 2016
(Name and Signature)
REMARKS/
RECOMMENDATIONS Recommended to start pouring activities.
Request : ( / ) Approved ( ) Disapproved
REMARKS/
RECOMMENDATIONS Recommended to start pouring activities.

LEO ALEX A. MABANGLO

Project Engineer
(Name and Signature)

Accreditation No.: 1247

 Republic of the Philippines
Department of Public Works and Highways
Davao 1st Engineering District
Tagum City

Date: February 5, 2016

CONCRETE POURING PERMIT

Name of Concreting of San Agustin- New Balamban Road leading to Tagum

Project/Location Botanical Park, Tagum City, Davao del Norte
Contractor Roma Const. & Dev't. Corp / GP&H Const. & Supply (JV)
Part of Structure to
Estimated Volume (cu.m) 75.00 cu.m
be poured PCCP
Station Limits/Sect. Sta.1+968 - Sta.2+154 R/L Sect.3
Date of Pouring February 8, 2016 Time of Pouring 8:00 a.m - 4:00 p.m

Requested:
Contractor: Roma Const.& Dev't Corp./GP&H Const.& Supply(JV)
Name & Signature
CHECKLIST
x Concrete Vibrator x Field Density Test
x Protective Covering Materials x Beam
x Warning Signs/Barricades/Flagmen x Curing Materials
x Concrete Saw x Slump Cone
x Concrete Black Spacers - Plumbness
Finishing Tools/Equipment Quality of Materials Used (Result of
x x
(Screeder, beam, etc.) Design/Trial Mix Test Reports etc.)
x Required Construction Equipment - Electrical Layout(Roughing-ins/Embodments)
x Rebars sizes,spacing & number - Plumbing Layout (Roughing-ins/Embodments)
x Rebars installation requirements x Falseworks/Formworks adequacy
CHECKED BY:
MATERIALS WARLITO A. LENDIO
ENGINEER Engineer II Date February 5, 2016
(Name and Signature)
REMARKS/
RECOMMENDATIONS Recommended to start pouring activities.

PROJECT ARIES MADELO

INSPECTORS Engineer II Date February 5, 2016
(Name and Signature)
REMARKS/
RECOMMENDATIONS Recommended to start pouring activities.
Request : ( / ) Approved ( ) Disapproved
REMARKS/
RECOMMENDATIONS Recommended to start pouring activities.

LEO ALEX A. MABANGLO

Project Engineer
(Name and Signature)

Accreditation No.: 1247

 Republic of the Philippines
Department of Public Works and Highways
Davao 1st Engineering District
Tagum City

Date: February 11, 2016

CONCRETE POURING PERMIT

Name of Concreting of San Agustin- New Balamban Road leading to Tagum

Project/Location Botanical Park, Tagum City, Davao del Norte
Contractor Roma Const. & Dev't. Corp / GP&H Const. & Supply (JV)
Part of Structure to
Estimated Volume (cu.m) 75.00 cu.m
be poured PCCP
Station Limits/Sect. Sta.2+154 - Sta.2+433 R/L Sect.3
Date of Pouring February 12, 2016 Time of Pouring 8:00 a.m - 4:00 p.m

Requested:
Contractor: Roma Const.& Dev't Corp./GP&H Const.& Supply(JV)
Name & Signature
CHECKLIST
x Concrete Vibrator x Field Density Test
x Protective Covering Materials x Beam
x Warning Signs/Barricades/Flagmen x Curing Materials
x Concrete Saw x Slump Cone
x Concrete Black Spacers - Plumbness
Finishing Tools/Equipment Quality of Materials Used (Result of
x x
(Screeder, beam, etc.) Design/Trial Mix Test Reports etc.)
x Required Construction Equipment - Electrical Layout(Roughing-ins/Embodments)
x Rebars sizes,spacing & number - Plumbing Layout (Roughing-ins/Embodments)
x Rebars installation requirements x Falseworks/Formworks adequacy
CHECKED BY:
MATERIALS WARLITO A. LENDIO
ENGINEER Engineer II Date February 11, 2016
(Name and Signature)
REMARKS/
RECOMMENDATIONS Recommended to start pouring activities.

PROJECT ARIES MADELO

INSPECTORS Engineer II Date February 11, 2016
(Name and Signature)
REMARKS/
RECOMMENDATIONS Recommended to start pouring activities.
Request : ( / ) Approved ( ) Disapproved
REMARKS/
RECOMMENDATIONS Recommended to start pouring activities.

LEO ALEX A. MABANGLO

Project Engineer
(Name and Signature)

Accreditation No.: 1247

 Republic of the Philippines
Department of Public Works and Highways
Davao 1st Engineering District
Tagum City

Date: September 24, 2015

CONCRETE POURING PERMIT

Name of Concreting of San Agustin- New Balamban Road leading to Tagum

Project/Location Botanical Park, Tagum City, Davao del Norte
Contractor Roma Const. & Dev't. Corp / GP&H Const. & Supply (JV)
Part of Structure to
Estimated Volume (cu.m) 75.00 cu.m
be poured PCCP
Station Limits/Sect.
Date of Pouring September 25, 2015 Time of Pouring 8:00 a.m - 4:00 p.m

Requested:
Contractor: Roma Const.& Dev't Corp./GP&H Const.& Supply(JV)
Name & Signature
CHECKLIST
x Concrete Vibrator x Field Density Test
x Protective Covering Materials x Beam
x Warning Signs/Barricades/Flagmen x Curing Materials
x Concrete Saw x Slump Cone
x Concrete Black Spacers - Plumbness
Finishing Tools/Equipment Quality of Materials Used (Result of
x x
(Screeder, beam, etc.) Design/Trial Mix Test Reports etc.)
x Required Construction Equipment - Electrical Layout(Roughing-ins/Embodments)
x Rebars sizes,spacing & number - Plumbing Layout (Roughing-ins/Embodments)
x Rebars installation requirements x Falseworks/Formworks adequacy
CHECKED BY:
MATERIALS WARLITO A. LENDIO
ENGINEER Engineer II Date September 24, 2015
(Name and Signature)
REMARKS/
RECOMMENDATIONS Recommended to start pouring activities.

PROJECT ARIES MADELO

INSPECTORS Engineer II Date September 24, 2015
(Name and Signature)
REMARKS/
RECOMMENDATIONS Recommended to start pouring activities.
Request : ( / ) Approved ( ) Disapproved
REMARKS/
RECOMMENDATIONS Recommended to start pouring activities.

LEO ALEX A. MABANGLO

Project Engineer
(Name and Signature)

Accreditation No.: 1247

 Republic of the Philippines
Department of Public Works and Highways
Davao 1st Engineering District
Tagum City

Date: September 22, 2015

CONCRETE POURING PERMIT

Name of Concreting of San Agustin- New Balamban Road leading to Tagum

Project/Location Botanical Park, Tagum City, Davao del Norte
Contractor Roma Const. & Dev't. Corp / GP&H Const. & Supply (JV)
Part of Structure to
Estimated Volume (cu.m) 75.00 cu.m
be poured PCCP
Station Limits/Sect.
Date of Pouring September 23, 2015 Time of Pouring 8:00 a.m - 4:00 p.m

Requested:
Contractor: Roma Const.& Dev't Corp./GP&H Const.& Supply(JV)
Name & Signature
CHECKLIST
x Concrete Vibrator x Field Density Test
x Protective Covering Materials x Beam
x Warning Signs/Barricades/Flagmen x Curing Materials
x Concrete Saw x Slump Cone
x Concrete Black Spacers - Plumbness
Finishing Tools/Equipment Quality of Materials Used (Result of
x x
(Screeder, beam, etc.) Design/Trial Mix Test Reports etc.)
x Required Construction Equipment - Electrical Layout(Roughing-ins/Embodments)
x Rebars sizes,spacing & number - Plumbing Layout (Roughing-ins/Embodments)
x Rebars installation requirements x Falseworks/Formworks adequacy
CHECKED BY:
MATERIALS WARLITO A. LENDIO
ENGINEER Engineer II Date September 22, 2015
(Name and Signature)
REMARKS/
RECOMMENDATIONS Recommended to start pouring activities.

PROJECT ARIES MADELO

INSPECTORS Engineer II Date September 22, 2015
(Name and Signature)
REMARKS/
RECOMMENDATIONS Recommended to start pouring activities.
Request : ( / ) Approved ( ) Disapproved
REMARKS/
RECOMMENDATIONS Recommended to start pouring activities.

LEO ALEX A. MABANGLO

Project Engineer
(Name and Signature)

Accreditation No.: 1247

 Republic of the Philippines
Department of Public Works and Highways
Davao 1st Engineering District
Tagum City

Date: September 18, 2015

CONCRETE POURING PERMIT

Name of Concreting of San Agustin- New Balamban Road leading to Tagum

Project/Location Botanical Park, Tagum City, Davao del Norte
Contractor Roma Const. & Dev't. Corp / GP&H Const. & Supply (JV)
Part of Structure to
Estimated Volume (cu.m) 75.00 cu.m
be poured PCCP
Station Limits/Sect.
Date of Pouring September 21, 2015 Time of Pouring 8:00 a.m - 4:00 p.m

Requested:
Contractor: Roma Const.& Dev't Corp./GP&H Const.& Supply(JV)
Name & Signature
CHECKLIST
x Concrete Vibrator x Field Density Test
x Protective Covering Materials x Beam
x Warning Signs/Barricades/Flagmen x Curing Materials
x Concrete Saw x Slump Cone
x Concrete Black Spacers - Plumbness
Finishing Tools/Equipment Quality of Materials Used (Result of
x x
(Screeder, beam, etc.) Design/Trial Mix Test Reports etc.)
x Required Construction Equipment - Electrical Layout(Roughing-ins/Embodments)
x Rebars sizes,spacing & number - Plumbing Layout (Roughing-ins/Embodments)
x Rebars installation requirements x Falseworks/Formworks adequacy
CHECKED BY:
MATERIALS WARLITO A. LENDIO
ENGINEER Engineer II Date September 18, 2015
(Name and Signature)
REMARKS/
RECOMMENDATIONS Recommended to start pouring activities.

PROJECT ARIES MADELO

INSPECTORS Engineer II Date September 18, 2015
(Name and Signature)
REMARKS/
RECOMMENDATIONS Recommended to start pouring activities.
Request : ( / ) Approved ( ) Disapproved
REMARKS/
RECOMMENDATIONS Recommended to start pouring activities.

LEO ALEX A. MABANGLO

Project Engineer
(Name and Signature)

Accreditation No.: 1247

 Republic of the Philippines
Department of Public Works and Highways
Davao 1st Engineering District
Tagum City

Date: July 13, 2015

CONCRETE POURING PERMIT

Name of Concreting of San Agustin- New Balamban Road leading to Tagum

Project/Location Botanical Park, Tagum City, Davao del Norte
Contractor Roma Const. & Dev't. Corp / GP&H Const. & Supply (JV)
Part of Structure to
Estimated Volume (cu.m) 75.00 cu.m
be poured PCCP
Station Limits/Sect. Sta.0+978.5 - Sta.1+073 R/L
Date of Pouring July 14, 2015 Time of Pouring 8:00 a.m - 4:00 p.m

Requested:
Contractor: Roma Const.& Dev't Corp./GP&H Const.& Supply(JV)
Name & Signature
CHECKLIST
x Concrete Vibrator x Field Density Test
x Protective Covering Materials x Beam
x Warning Signs/Barricades/Flagmen x Curing Materials
x Concrete Saw x Slump Cone
x Concrete Black Spacers - Plumbness
Finishing Tools/Equipment Quality of Materials Used (Result of
x x
(Screeder, beam, etc.) Design/Trial Mix Test Reports etc.)
x Required Construction Equipment - Electrical Layout(Roughing-ins/Embodments)
x Rebars sizes,spacing & number - Plumbing Layout (Roughing-ins/Embodments)
x Rebars installation requirements x Falseworks/Formworks adequacy
CHECKED BY:
MATERIALS WARLITO A. LENDIO
ENGINEER Engineer II Date July 13, 2015
(Name and Signature)
REMARKS/
RECOMMENDATIONS Recommended to start pouring activities.

PROJECT ARIES MADELO

INSPECTORS Engineer II Date July 13, 2015
(Name and Signature)
REMARKS/
RECOMMENDATIONS Recommended to start pouring activities.
Request : ( / ) Approved ( ) Disapproved
REMARKS/
RECOMMENDATIONS Recommended to start pouring activities.

LEO ALEX A. MABANGLO

Project Engineer
(Name and Signature)

Accreditation No.: 1247

 Republic of the Philippines
Department of Public Works and Highways
Davao 1st Engineering District
Tagum City

Date: July 13, 2015

CONCRETE POURING PERMIT

Name of Concreting of San Agustin- New Balamban Road leading to Tagum

Project/Location Botanical Park, Tagum City, Davao del Norte
Contractor Roma Const. & Dev't. Corp / GP&H Const. & Supply (JV)
Part of Structure to
Estimated Volume (cu.m) 75.00 cu.m
be poured PCCP
Station Limits/Sect. Sta.0+884 - Sta.1+978.5 R/L
Date of Pouring July 14, 2015 Time of Pouring 8:00 a.m - 4:00 p.m

Requested:
Contractor: Roma Const.& Dev't Corp./GP&H Const.& Supply(JV)
Name & Signature
CHECKLIST
x Concrete Vibrator x Field Density Test
x Protective Covering Materials x Beam
x Warning Signs/Barricades/Flagmen x Curing Materials
x Concrete Saw x Slump Cone
x Concrete Black Spacers - Plumbness
Finishing Tools/Equipment Quality of Materials Used (Result of
x x
(Screeder, beam, etc.) Design/Trial Mix Test Reports etc.)
x Required Construction Equipment - Electrical Layout(Roughing-ins/Embodments)
x Rebars sizes,spacing & number - Plumbing Layout (Roughing-ins/Embodments)
x Rebars installation requirements x Falseworks/Formworks adequacy
CHECKED BY:
MATERIALS WARLITO A. LENDIO
ENGINEER Engineer II Date July 13, 2015
(Name and Signature)
REMARKS/
RECOMMENDATIONS Recommended to start pouring activities.

PROJECT ARIES MADELO

INSPECTORS Engineer II Date July 13, 2015
(Name and Signature)
REMARKS/
RECOMMENDATIONS Recommended to start pouring activities.
Request : ( / ) Approved ( ) Disapproved
REMARKS/
RECOMMENDATIONS Recommended to start pouring activities.

LEO ALEX A. MABANGLO

Project Engineer
(Name and Signature)

Accreditation No.: 1247

 Republic of the Philippines
Department of Public Works and Highways
Davao 1st Engineering District
Tagum City

Date: July 10, 2015

CONCRETE POURING PERMIT

Name of Concreting of San Agustin- New Balamban Road leading to Tagum

Project/Location Botanical Park, Tagum City, Davao del Norte
Contractor Roma Const. & Dev't. Corp / GP&H Const. & Supply (JV)
Part of Structure to
Estimated Volume (cu.m) 75.00 cu.m
be poured PCCP
Station Limits/Sect. Sta.0+368.5 - Sta.1+436 L/L
Date of Pouring July 11, 2015 Time of Pouring 8:00 a.m - 4:00 p.m

Requested:
Contractor: Roma Const.& Dev't Corp./GP&H Const.& Supply(JV)
Name & Signature
CHECKLIST
x Concrete Vibrator x Field Density Test
x Protective Covering Materials x Beam
x Warning Signs/Barricades/Flagmen x Curing Materials
x Concrete Saw x Slump Cone
x Concrete Black Spacers - Plumbness
Finishing Tools/Equipment Quality of Materials Used (Result of
x x
(Screeder, beam, etc.) Design/Trial Mix Test Reports etc.)
x Required Construction Equipment - Electrical Layout(Roughing-ins/Embodments)
x Rebars sizes,spacing & number - Plumbing Layout (Roughing-ins/Embodments)
x Rebars installation requirements x Falseworks/Formworks adequacy
CHECKED BY:
MATERIALS WARLITO A. LENDIO
ENGINEER Engineer II Date July 10, 2015
(Name and Signature)
REMARKS/
RECOMMENDATIONS Recommended to start pouring activities.

PROJECT ARIES MADELO

INSPECTORS Engineer II Date July 10, 2015
(Name and Signature)
REMARKS/
RECOMMENDATIONS Recommended to start pouring activities.
Request : ( / ) Approved ( ) Disapproved
REMARKS/
RECOMMENDATIONS Recommended to start pouring activities.

LEO ALEX A. MABANGLO

Project Engineer
(Name and Signature)

Accreditation No.: 1247

 Republic of the Philippines
Department of Public Works and Highways
Davao 1st Engineering District
Tagum City

Date: July 10, 2015

CONCRETE POURING PERMIT

Name of Concreting of San Agustin- New Balamban Road leading to Tagum

Project/Location Botanical Park, Tagum City, Davao del Norte
Contractor Roma Const. & Dev't. Corp / GP&H Const. & Supply (JV)
Part of Structure to
Estimated Volume (cu.m) 75.00 cu.m
be poured PCCP
Station Limits/Sect. Sta.0+274 - Sta.0+368.5 L/L
Date of Pouring July 11, 2015 Time of Pouring 8:00 a.m - 4:00 p.m

Requested:
Contractor: Roma Const.& Dev't Corp./GP&H Const.& Supply(JV)
Name & Signature
CHECKLIST
x Concrete Vibrator x Field Density Test
x Protective Covering Materials x Beam
x Warning Signs/Barricades/Flagmen x Curing Materials
x Concrete Saw x Slump Cone
x Concrete Black Spacers - Plumbness
Finishing Tools/Equipment Quality of Materials Used (Result of
x x
(Screeder, beam, etc.) Design/Trial Mix Test Reports etc.)
x Required Construction Equipment - Electrical Layout(Roughing-ins/Embodments)
x Rebars sizes,spacing & number - Plumbing Layout (Roughing-ins/Embodments)
x Rebars installation requirements x Falseworks/Formworks adequacy
CHECKED BY:
MATERIALS WARLITO A. LENDIO
ENGINEER Engineer II Date July 10, 2015
(Name and Signature)
REMARKS/
RECOMMENDATIONS Recommended to start pouring activities.

PROJECT ARIES MADELO

INSPECTORS Engineer II Date July 10, 2015
(Name and Signature)
REMARKS/
RECOMMENDATIONS Recommended to start pouring activities.
Request : ( / ) Approved ( ) Disapproved
REMARKS/
RECOMMENDATIONS Recommended to start pouring activities.

LEO ALEX A. MABANGLO

Project Engineer
(Name and Signature)

Accreditation No.: 1247

 Republic of the Philippines
Department of Public Works and Highways
Davao 1st Engineering District
Tagum City

Date: July 9, 2015

CONCRETE POURING PERMIT

Name of Concreting of San Agustin- New Balamban Road leading to Tagum

Project/Location Botanical Park, Tagum City, Davao del Norte
Contractor Roma Const. & Dev't. Corp / GP&H Const. & Supply (JV)
Part of Structure to
Estimated Volume (cu.m) 75.00 cu.m
be poured PCCP
Station Limits/Sect. Sta.0+206.5 - Sta.0+274 L/L
Date of Pouring July 10, 2015 Time of Pouring 8:00 a.m - 4:00 p.m

Requested:
Contractor: Roma Const.& Dev't Corp./GP&H Const.& Supply(JV)
Name & Signature
CHECKLIST
x Concrete Vibrator x Field Density Test
x Protective Covering Materials x Beam
x Warning Signs/Barricades/Flagmen x Curing Materials
x Concrete Saw x Slump Cone
x Concrete Black Spacers - Plumbness
Finishing Tools/Equipment Quality of Materials Used (Result of
x x
(Screeder, beam, etc.) Design/Trial Mix Test Reports etc.)
x Required Construction Equipment - Electrical Layout(Roughing-ins/Embodments)
x Rebars sizes,spacing & number - Plumbing Layout (Roughing-ins/Embodments)
x Rebars installation requirements x Falseworks/Formworks adequacy
CHECKED BY:
MATERIALS WARLITO A. LENDIO
ENGINEER Engineer II Date July 9, 2015
(Name and Signature)
REMARKS/
RECOMMENDATIONS Recommended to start pouring activities.

PROJECT ARIES MADELO

INSPECTORS Engineer II Date July 9, 2015
(Name and Signature)
REMARKS/
RECOMMENDATIONS Recommended to start pouring activities.
Request : ( / ) Approved ( ) Disapproved
REMARKS/
RECOMMENDATIONS Recommended to start pouring activities.

LEO ALEX A. MABANGLO

Project Engineer
(Name and Signature)

Accreditation No.: 1247

 Republic of the Philippines
Department of Public Works and Highways
Davao 1st Engineering District
Tagum City

Date: July 9, 2015

CONCRETE POURING PERMIT

Name of Concreting of San Agustin- New Balamban Road leading to Tagum

Project/Location Botanical Park, Tagum City, Davao del Norte
Contractor Roma Const. & Dev't. Corp / GP&H Const. & Supply (JV)
Part of Structure to
Estimated Volume (cu.m) 75.00 cu.m
be poured PCCP
Station Limits/Sect. Sta.0+112 - Sta.0+206.5 L/L
Date of Pouring July 10, 2015 Time of Pouring 8:00 a.m - 4:00 p.m

Requested:
Contractor: Roma Const.& Dev't Corp./GP&H Const.& Supply(JV)
Name & Signature
CHECKLIST
x Concrete Vibrator x Field Density Test
x Protective Covering Materials x Beam
x Warning Signs/Barricades/Flagmen x Curing Materials
x Concrete Saw x Slump Cone
x Concrete Black Spacers - Plumbness
Finishing Tools/Equipment Quality of Materials Used (Result of
x x
(Screeder, beam, etc.) Design/Trial Mix Test Reports etc.)
x Required Construction Equipment - Electrical Layout(Roughing-ins/Embodments)
x Rebars sizes,spacing & number - Plumbing Layout (Roughing-ins/Embodments)
x Rebars installation requirements x Falseworks/Formworks adequacy
CHECKED BY:
MATERIALS WARLITO A. LENDIO
ENGINEER Engineer II Date July 9, 2015
(Name and Signature)
REMARKS/
RECOMMENDATIONS Recommended to start pouring activities.

PROJECT ARIES MADELO

INSPECTORS Engineer II Date July 9, 2015
(Name and Signature)
REMARKS/
RECOMMENDATIONS Recommended to start pouring activities.
Request : ( / ) Approved ( ) Disapproved
REMARKS/
RECOMMENDATIONS Recommended to start pouring activities.

LEO ALEX A. MABANGLO

Project Engineer
(Name and Signature)

Accreditation No.: 1247

 Republic of the Philippines
Department of Public Works and Highways
Davao 1st Engineering District
Tagum City

Date: July 7, 2015

CONCRETE POURING PERMIT

Name of Concreting of San Agustin- New Balamban Road leading to Tagum

Project/Location Botanical Park, Tagum City, Davao del Norte
Contractor Roma Const. & Dev't. Corp / GP&H Const. & Supply (JV)
Part of Structure to
Estimated Volume (cu.m) 75.00 cu.m
be poured PCCP
Station Limits/Sect. Sta.1+974.5 - Sta.1+999.80 R/L
Date of Pouring July 8, 2015 Time of Pouring 8:00 a.m - 4:00 p.m

Requested:
Contractor: Roma Const.& Dev't Corp./GP&H Const.& Supply(JV)
Name & Signature
CHECKLIST
x Concrete Vibrator x Field Density Test
x Protective Covering Materials x Beam
x Warning Signs/Barricades/Flagmen x Curing Materials
x Concrete Saw x Slump Cone
x Concrete Black Spacers - Plumbness
Finishing Tools/Equipment Quality of Materials Used (Result of
x x
(Screeder, beam, etc.) Design/Trial Mix Test Reports etc.)
x Required Construction Equipment - Electrical Layout(Roughing-ins/Embodments)
x Rebars sizes,spacing & number - Plumbing Layout (Roughing-ins/Embodments)
x Rebars installation requirements x Falseworks/Formworks adequacy
CHECKED BY:
MATERIALS WARLITO A. LENDIO
ENGINEER Engineer II Date July 7, 2015
(Name and Signature)
REMARKS/
RECOMMENDATIONS Recommended to start pouring activities.

PROJECT ARIES MADELO

INSPECTORS Engineer II Date July 7, 2015
(Name and Signature)
REMARKS/
RECOMMENDATIONS Recommended to start pouring activities.
Request : ( / ) Approved ( ) Disapproved
REMARKS/
RECOMMENDATIONS Recommended to start pouring activities.

LEO ALEX A. MABANGLO

Project Engineer
(Name and Signature)

Accreditation No.: 1247

 Republic of the Philippines
Department of Public Works and Highways
Davao 1st Engineering District
Tagum City

Date: July 7, 2015

CONCRETE POURING PERMIT

Name of Concreting of San Agustin- New Balamban Road leading to Tagum

Project/Location Botanical Park, Tagum City, Davao del Norte
Contractor Roma Const. & Dev't. Corp / GP&H Const. & Supply (JV)
Part of Structure to
Estimated Volume (cu.m) 75.00 cu.m
be poured PCCP
Station Limits/Sect. Sta.1+875.5 - Sta.1+974.5 R/L
Date of Pouring July 8, 2015 Time of Pouring 8:00 a.m - 4:00 p.m

Requested:
Contractor: Roma Const.& Dev't Corp./GP&H Const.& Supply(JV)
Name & Signature
CHECKLIST
x Concrete Vibrator x Field Density Test
x Protective Covering Materials x Beam
x Warning Signs/Barricades/Flagmen x Curing Materials
x Concrete Saw x Slump Cone
x Concrete Black Spacers - Plumbness
Finishing Tools/Equipment Quality of Materials Used (Result of
x x
(Screeder, beam, etc.) Design/Trial Mix Test Reports etc.)
x Required Construction Equipment - Electrical Layout(Roughing-ins/Embodments)
x Rebars sizes,spacing & number - Plumbing Layout (Roughing-ins/Embodments)
x Rebars installation requirements x Falseworks/Formworks adequacy
CHECKED BY:
MATERIALS WARLITO A. LENDIO
ENGINEER Engineer II Date July 7, 2015
(Name and Signature)
REMARKS/
RECOMMENDATIONS Recommended to start pouring activities.

PROJECT ARIES MADELO

INSPECTORS Engineer II Date July 7, 2015
(Name and Signature)
REMARKS/
RECOMMENDATIONS Recommended to start pouring activities.
Request : ( / ) Approved ( ) Disapproved
REMARKS/
RECOMMENDATIONS Recommended to start pouring activities.

LEO ALEX A. MABANGLO

Project Engineer
(Name and Signature)

Accreditation No.: 1247

 Republic of the Philippines
Department of Public Works and Highways
Davao 1st Engineering District
Tagum City

Date: July 6, 2015

CONCRETE POURING PERMIT

Name of Concreting of San Agustin- New Balamban Road leading to Tagum

Project/Location Botanical Park, Tagum City, Davao del Norte
Contractor Roma Const. & Dev't. Corp / GP&H Const. & Supply (JV)
Part of Structure to
Estimated Volume (cu.m) 75.00 cu.m
be poured PCCP
Station Limits/Sect. Sta.1+821.50 - Sta.1+875.5 R/L
Date of Pouring July 7, 2015 Time of Pouring 8:00 a.m - 4:00 p.m

Requested:
Contractor: Roma Const.& Dev't Corp./GP&H Const.& Supply(JV)
Name & Signature
CHECKLIST
x Concrete Vibrator x Field Density Test
x Protective Covering Materials x Beam
x Warning Signs/Barricades/Flagmen x Curing Materials
x Concrete Saw x Slump Cone
x Concrete Black Spacers - Plumbness
Finishing Tools/Equipment Quality of Materials Used (Result of
x x
(Screeder, beam, etc.) Design/Trial Mix Test Reports etc.)
x Required Construction Equipment - Electrical Layout(Roughing-ins/Embodments)
x Rebars sizes,spacing & number - Plumbing Layout (Roughing-ins/Embodments)
x Rebars installation requirements x Falseworks/Formworks adequacy
CHECKED BY:
MATERIALS WARLITO A. LENDIO
ENGINEER Engineer II Date July 6, 2015
(Name and Signature)
REMARKS/
RECOMMENDATIONS Recommended to start pouring activities.

PROJECT ARIES MADELO

INSPECTORS Engineer II Date July 6, 2015
(Name and Signature)
REMARKS/
RECOMMENDATIONS Recommended to start pouring activities.
Request : ( / ) Approved ( ) Disapproved
REMARKS/
RECOMMENDATIONS Recommended to start pouring activities.

LEO ALEX A. MABANGLO

Project Engineer
(Name and Signature)

Accreditation No.: 1247

 Republic of the Philippines
Department of Public Works and Highways
Davao 1st Engineering District
Tagum City

Date: July 6, 2015

CONCRETE POURING PERMIT

Name of Concreting of San Agustin- New Balamban Road leading to Tagum

Project/Location Botanical Park, Tagum City, Davao del Norte
Contractor Roma Const. & Dev't. Corp / GP&H Const. & Supply (JV)
Part of Structure to
Estimated Volume (cu.m) 75.00 cu.m
be poured PCCP
Station Limits/Sect. Sta.1+713 - Sta.1+749.5 L/L
Date of Pouring July 7, 2015 Time of Pouring 8:00 a.m - 4:00 p.m

Requested:
Contractor: Roma Const.& Dev't Corp./GP&H Const.& Supply(JV)
Name & Signature
CHECKLIST
x Concrete Vibrator x Field Density Test
x Protective Covering Materials x Beam
x Warning Signs/Barricades/Flagmen x Curing Materials
x Concrete Saw x Slump Cone
x Concrete Black Spacers - Plumbness
Finishing Tools/Equipment Quality of Materials Used (Result of
x x
(Screeder, beam, etc.) Design/Trial Mix Test Reports etc.)
x Required Construction Equipment - Electrical Layout(Roughing-ins/Embodments)
x Rebars sizes,spacing & number - Plumbing Layout (Roughing-ins/Embodments)
x Rebars installation requirements x Falseworks/Formworks adequacy
CHECKED BY:
MATERIALS WARLITO A. LENDIO
ENGINEER Engineer II Date July 6, 2015
(Name and Signature)
REMARKS/
RECOMMENDATIONS Recommended to start pouring activities.

PROJECT ARIES MADELO

INSPECTORS Engineer II Date July 6, 2015
(Name and Signature)
REMARKS/
RECOMMENDATIONS Recommended to start pouring activities.
Request : ( / ) Approved ( ) Disapproved
REMARKS/
RECOMMENDATIONS Recommended to start pouring activities.

LEO ALEX A. MABANGLO

Project Engineer
(Name and Signature)

Accreditation No.: 1247

 Republic of the Philippines
Department of Public Works and Highways
Davao 1st Engineering District
Tagum City

Date: July 3, 2015

CONCRETE POURING PERMIT

Name of Concreting of San Agustin- New Balamban Road leading to Tagum

Project/Location Botanical Park, Tagum City, Davao del Norte
Contractor Roma Const. & Dev't. Corp / GP&H Const. & Supply (JV)
Part of Structure to
Estimated Volume (cu.m) 75.00 cu.m
be poured PCCP
Station Limits/Sect. Sta.1+619 - Sta.1+713 L/L
Date of Pouring July 6, 2015 Time of Pouring 8:00 a.m - 4:00 p.m

Requested:
Contractor: Roma Const.& Dev't Corp./GP&H Const.& Supply(JV)
Name & Signature
CHECKLIST
x Concrete Vibrator x Field Density Test
x Protective Covering Materials x Beam
x Warning Signs/Barricades/Flagmen x Curing Materials
x Concrete Saw x Slump Cone
x Concrete Black Spacers - Plumbness
Finishing Tools/Equipment Quality of Materials Used (Result of
x x
(Screeder, beam, etc.) Design/Trial Mix Test Reports etc.)
x Required Construction Equipment - Electrical Layout(Roughing-ins/Embodments)
x Rebars sizes,spacing & number - Plumbing Layout (Roughing-ins/Embodments)
x Rebars installation requirements x Falseworks/Formworks adequacy
CHECKED BY:
MATERIALS WARLITO A. LENDIO
ENGINEER Engineer II Date July 3, 2015
(Name and Signature)
REMARKS/
RECOMMENDATIONS Recommended to start pouring activities.

PROJECT ARIES MADELO

INSPECTORS Engineer II Date July 3, 2015
(Name and Signature)
REMARKS/
RECOMMENDATIONS Recommended to start pouring activities.
Request : ( / ) Approved ( ) Disapproved
REMARKS/
RECOMMENDATIONS Recommended to start pouring activities.

LEO ALEX A. MABANGLO

Project Engineer
(Name and Signature)

Accreditation No.: 1247

 Republic of the Philippines
Department of Public Works and Highways
Davao 1st Engineering District
Tagum City

Date: July 3, 2015

CONCRETE POURING PERMIT

Name of Concreting of San Agustin- New Balamban Road leading to Tagum

Project/Location Botanical Park, Tagum City, Davao del Norte
Contractor Roma Const. & Dev't. Corp / GP&H Const. & Supply (JV)
Part of Structure to
Estimated Volume (cu.m) 75.00 cu.m
be poured PCCP
Station Limits/Sect. Sta.1+524.5 - Sta.1+619 L/L
Date of Pouring July 6, 2015 Time of Pouring 8:00 a.m - 4:00 p.m

Requested:
Contractor: Roma Const.& Dev't Corp./GP&H Const.& Supply(JV)
Name & Signature
CHECKLIST
x Concrete Vibrator x Field Density Test
x Protective Covering Materials x Beam
x Warning Signs/Barricades/Flagmen x Curing Materials
x Concrete Saw x Slump Cone
x Concrete Black Spacers - Plumbness
Finishing Tools/Equipment Quality of Materials Used (Result of
x x
(Screeder, beam, etc.) Design/Trial Mix Test Reports etc.)
x Required Construction Equipment - Electrical Layout(Roughing-ins/Embodments)
x Rebars sizes,spacing & number - Plumbing Layout (Roughing-ins/Embodments)
x Rebars installation requirements x Falseworks/Formworks adequacy
CHECKED BY:
MATERIALS WARLITO A. LENDIO
ENGINEER Engineer II Date July 3, 2015
(Name and Signature)
REMARKS/
RECOMMENDATIONS Recommended to start pouring activities.

PROJECT ARIES MADELO

INSPECTORS Engineer II Date July 3, 2015
(Name and Signature)
REMARKS/
RECOMMENDATIONS Recommended to start pouring activities.
Request : ( / ) Approved ( ) Disapproved
REMARKS/
RECOMMENDATIONS Recommended to start pouring activities.

LEO ALEX A. MABANGLO

Project Engineer
(Name and Signature)

Accreditation No.: 1247

 Republic of the Philippines
Department of Public Works and Highways
Davao 1st Engineering District
Tagum City

Date: July 3, 2015

CONCRETE POURING PERMIT

Name of Concreting of San Agustin- New Balamban Road leading to Tagum

Project/Location Botanical Park, Tagum City, Davao del Norte
Contractor Roma Const. & Dev't. Corp / GP&H Const. & Supply (JV)
Part of Structure to
Estimated Volume (cu.m) 75.00 cu.m
be poured PCCP
Station Limits/Sect. Sta.1+438 - Sta.1+499.5 R/L
Date of Pouring July 4, 2015 Time of Pouring 8:00 a.m - 4:00 p.m

Requested:
Contractor: Roma Const.& Dev't Corp./GP&H Const.& Supply(JV)
Name & Signature
CHECKLIST
x Concrete Vibrator x Field Density Test
x Protective Covering Materials x Beam
x Warning Signs/Barricades/Flagmen x Curing Materials
x Concrete Saw x Slump Cone
x Concrete Black Spacers - Plumbness
Finishing Tools/Equipment Quality of Materials Used (Result of
x x
(Screeder, beam, etc.) Design/Trial Mix Test Reports etc.)
x Required Construction Equipment - Electrical Layout(Roughing-ins/Embodments)
x Rebars sizes,spacing & number - Plumbing Layout (Roughing-ins/Embodments)
x Rebars installation requirements x Falseworks/Formworks adequacy
CHECKED BY:
MATERIALS WARLITO A. LENDIO
ENGINEER Engineer II Date July 3, 2015
(Name and Signature)
REMARKS/
RECOMMENDATIONS Recommended to start pouring activities.

PROJECT ARIES MADELO

INSPECTORS Engineer II Date July 3, 2015
(Name and Signature)
REMARKS/
RECOMMENDATIONS Recommended to start pouring activities.
Request : ( / ) Approved ( ) Disapproved
REMARKS/
RECOMMENDATIONS Recommended to start pouring activities.

LEO ALEX A. MABANGLO

Project Engineer
(Name and Signature)

Accreditation No.: 1247

 Republic of the Philippines
Department of Public Works and Highways
Davao 1st Engineering District
Tagum City

Date: July 3, 2015

CONCRETE POURING PERMIT

Name of Concreting of San Agustin- New Balamban Road leading to Tagum

Project/Location Botanical Park, Tagum City, Davao del Norte
Contractor Roma Const. & Dev't. Corp / GP&H Const. & Supply (JV)
Part of Structure to
Estimated Volume (cu.m) 75.00 cu.m
be poured PCCP
Station Limits/Sect. Sta.1+344 -Sta.1+438 R/L
Date of Pouring July 4, 2015 Time of Pouring 8:00 a.m - 4:00 p.m

Requested:
Contractor: Roma Const.& Dev't Corp./GP&H Const.& Supply(JV)
Name & Signature
CHECKLIST
x Concrete Vibrator x Field Density Test
x Protective Covering Materials x Beam
x Warning Signs/Barricades/Flagmen x Curing Materials
x Concrete Saw x Slump Cone
x Concrete Black Spacers - Plumbness
Finishing Tools/Equipment Quality of Materials Used (Result of
x x
(Screeder, beam, etc.) Design/Trial Mix Test Reports etc.)
x Required Construction Equipment - Electrical Layout(Roughing-ins/Embodments)
x Rebars sizes,spacing & number - Plumbing Layout (Roughing-ins/Embodments)
x Rebars installation requirements x Falseworks/Formworks adequacy
CHECKED BY:
MATERIALS WARLITO A. LENDIO
ENGINEER Engineer II Date July 3, 2015
(Name and Signature)
REMARKS/
RECOMMENDATIONS Recommended to start pouring activities.

PROJECT ARIES MADELO

INSPECTORS Engineer II Date July 3, 2015
(Name and Signature)
REMARKS/
RECOMMENDATIONS Recommended to start pouring activities.
Request : ( / ) Approved ( ) Disapproved
REMARKS/
RECOMMENDATIONS Recommended to start pouring activities.

LEO ALEX A. MABANGLO

Project Engineer
(Name and Signature)

Accreditation No.: 1247

 Republic of the Philippines
Department of Public Works and Highways
Davao 1st Engineering District
Tagum City

Date: June 30, 2015

CONCRETE POURING PERMIT

Name of Concreting of San Agustin- New Balamban Road leading to Tagum

Project/Location Botanical Park, Tagum City, Davao del Norte
Contractor Roma Const. & Dev't. Corp / GP&H Const. & Supply (JV)
Part of Structure to
Estimated Volume (cu.m) 75.00 cu.m
be poured PCCP
Station Limits/Sect. Sta.1+250 - Sta.1+344 R/L
Date of Pouring July 1, 2015 Time of Pouring 8:00 a.m - 4:00 p.m

Requested:
Contractor: Roma Const.& Dev't Corp./GP&H Const.& Supply(JV)
Name & Signature
CHECKLIST
x Concrete Vibrator x Field Density Test
x Protective Covering Materials x Beam
x Warning Signs/Barricades/Flagmen x Curing Materials
x Concrete Saw x Slump Cone
x Concrete Black Spacers - Plumbness
Finishing Tools/Equipment Quality of Materials Used (Result of
x x
(Screeder, beam, etc.) Design/Trial Mix Test Reports etc.)
x Required Construction Equipment - Electrical Layout(Roughing-ins/Embodments)
x Rebars sizes,spacing & number - Plumbing Layout (Roughing-ins/Embodments)
x Rebars installation requirements x Falseworks/Formworks adequacy
CHECKED BY:
MATERIALS WARLITO A. LENDIO
ENGINEER Engineer II Date June 30, 2015
(Name and Signature)
REMARKS/
RECOMMENDATIONS Recommended to start pouring activities.

PROJECT ARIES MADELO

INSPECTORS Engineer II Date June 30, 2015
(Name and Signature)
REMARKS/
RECOMMENDATIONS Recommended to start pouring activities.
Request : ( / ) Approved ( ) Disapproved
REMARKS/
RECOMMENDATIONS Recommended to start pouring activities.

LEO ALEX A. MABANGLO

Project Engineer
(Name and Signature)

Accreditation No.: 1247

 Republic of the Philippines
Department of Public Works and Highways
Davao 1st Engineering District
Tagum City

Date: June 30, 2015

CONCRETE POURING PERMIT

Name of Concreting of San Agustin- New Balamban Road leading to Tagum

Project/Location Botanical Park, Tagum City, Davao del Norte
Contractor Roma Const. & Dev't. Corp / GP&H Const. & Supply (JV)
Part of Structure to
Estimated Volume (cu.m) 75.00 cu.m
be poured PCCP
Station Limits/Sect. Sta.1+156 - Sta.1+250 R/L
Date of Pouring July 1, 2015 Time of Pouring 8:00 a.m - 4:00 p.m

Requested:
Contractor: Roma Const.& Dev't Corp./GP&H Const.& Supply(JV)
Name & Signature
CHECKLIST
x Concrete Vibrator x Field Density Test
x Protective Covering Materials x Beam
x Warning Signs/Barricades/Flagmen x Curing Materials
x Concrete Saw x Slump Cone
x Concrete Black Spacers - Plumbness
Finishing Tools/Equipment Quality of Materials Used (Result of
x x
(Screeder, beam, etc.) Design/Trial Mix Test Reports etc.)
x Required Construction Equipment - Electrical Layout(Roughing-ins/Embodments)
x Rebars sizes,spacing & number - Plumbing Layout (Roughing-ins/Embodments)
x Rebars installation requirements x Falseworks/Formworks adequacy
CHECKED BY:
MATERIALS WARLITO A. LENDIO
ENGINEER Engineer II Date June 30, 2015
(Name and Signature)
REMARKS/
RECOMMENDATIONS Recommended to start pouring activities.

PROJECT ARIES MADELO

INSPECTORS Engineer II Date June 30, 2015
(Name and Signature)
REMARKS/
RECOMMENDATIONS Recommended to start pouring activities.
Request : ( / ) Approved ( ) Disapproved
REMARKS/
RECOMMENDATIONS Recommended to start pouring activities.

LEO ALEX A. MABANGLO

Project Engineer
(Name and Signature)

Accreditation No.: 1247

 Republic of the Philippines
Department of Public Works and Highways
Davao 1st Engineering District
Tagum City

Date: June 29, 2015

CONCRETE POURING PERMIT

Name of Concreting of San Agustin- New Balamban Road leading to Tagum

Project/Location Botanical Park, Tagum City, Davao del Norte
Contractor Roma Const. & Dev't. Corp / GP&H Const. & Supply (JV)
Part of Structure to
Estimated Volume (cu.m) 75.00 cu.m
be poured PCCP
Station Limits/Sect. Sta.1+072-Sta.1+129 L/L
Date of Pouring June 30, 2015 Time of Pouring 8:00 a.m - 4:00 p.m

Requested:
Contractor: Roma Const.& Dev't Corp./GP&H Const.& Supply(JV)
Name & Signature
CHECKLIST
x Concrete Vibrator x Field Density Test
x Protective Covering Materials x Beam
x Warning Signs/Barricades/Flagmen x Curing Materials
x Concrete Saw x Slump Cone
x Concrete Black Spacers - Plumbness
Finishing Tools/Equipment Quality of Materials Used (Result of
x x
(Screeder, beam, etc.) Design/Trial Mix Test Reports etc.)
x Required Construction Equipment - Electrical Layout(Roughing-ins/Embodments)
x Rebars sizes,spacing & number - Plumbing Layout (Roughing-ins/Embodments)
x Rebars installation requirements x Falseworks/Formworks adequacy
CHECKED BY:
MATERIALS WARLITO A. LENDIO
ENGINEER Engineer II Date June 29, 2015
(Name and Signature)
REMARKS/
RECOMMENDATIONS Recommended to start pouring activities.

PROJECT ARIES MADELO

INSPECTORS Engineer II Date June 29, 2015
(Name and Signature)
REMARKS/
RECOMMENDATIONS Recommended to start pouring activities.
Request : ( / ) Approved ( ) Disapproved
REMARKS/
RECOMMENDATIONS Recommended to start pouring activities.

LEO ALEX A. MABANGLO

Project Engineer
(Name and Signature)

Accreditation No.: 1247

 Republic of the Philippines
Department of Public Works and Highways
Davao 1st Engineering District
Tagum City

Date: June 29, 2015

CONCRETE POURING PERMIT

Name of Concreting of San Agustin- New Balamban Road leading to Tagum

Project/Location Botanical Park, Tagum City, Davao del Norte
Contractor Roma Const. & Dev't. Corp / GP&H Const. & Supply (JV)
Part of Structure to
Estimated Volume (cu.m) 75.00 cu.m
be poured PCCP
Station Limits/Sect. Sta.0+978 - Sta.1+072 L/L
Date of Pouring June 30, 2015 Time of Pouring 8:00 a.m - 4:00 p.m

Requested:
Contractor: Roma Const.& Dev't Corp./GP&H Const.& Supply(JV)
Name & Signature
CHECKLIST
x Concrete Vibrator x Field Density Test
x Protective Covering Materials x Beam
x Warning Signs/Barricades/Flagmen x Curing Materials
x Concrete Saw x Slump Cone
x Concrete Black Spacers - Plumbness
Finishing Tools/Equipment Quality of Materials Used (Result of
x x
(Screeder, beam, etc.) Design/Trial Mix Test Reports etc.)
x Required Construction Equipment - Electrical Layout(Roughing-ins/Embodments)
x Rebars sizes,spacing & number - Plumbing Layout (Roughing-ins/Embodments)
x Rebars installation requirements x Falseworks/Formworks adequacy
CHECKED BY:
MATERIALS WARLITO A. LENDIO
ENGINEER Engineer II Date June 29, 2015
(Name and Signature)
REMARKS/
RECOMMENDATIONS Recommended to start pouring activities.

PROJECT ARIES MADELO

INSPECTORS Engineer II Date June 29, 2015
(Name and Signature)
REMARKS/
RECOMMENDATIONS Recommended to start pouring activities.
Request : ( / ) Approved ( ) Disapproved
REMARKS/
RECOMMENDATIONS Recommended to start pouring activities.

LEO ALEX A. MABANGLO

Project Engineer
(Name and Signature)

Accreditation No.: 1247

 Republic of the Philippines
Department of Public Works and Highways
Davao 1st Engineering District
Tagum City

Date: June 26, 2015

CONCRETE POURING PERMIT

Name of Concreting of San Agustin- New Balamban Road leading to Tagum

Project/Location Botanical Park, Tagum City, Davao del Norte
Contractor Roma Const. & Dev't. Corp / GP&H Const. & Supply (JV)
Part of Structure to
Estimated Volume (cu.m) 75.00 cu.m
be poured PCCP
Station Limits/Sect. Sta.0+884 - Sta.0+978 L/L
Date of Pouring June 29, 2015 Time of Pouring 8:00 a.m - 4:00 p.m

Requested:
Contractor: Roma Const.& Dev't Corp./GP&H Const.& Supply(JV)
Name & Signature
CHECKLIST
x Concrete Vibrator x Field Density Test
x Protective Covering Materials x Beam
x Warning Signs/Barricades/Flagmen x Curing Materials
x Concrete Saw x Slump Cone
x Concrete Black Spacers - Plumbness
Finishing Tools/Equipment Quality of Materials Used (Result of
x x
(Screeder, beam, etc.) Design/Trial Mix Test Reports etc.)
x Required Construction Equipment - Electrical Layout(Roughing-ins/Embodments)
x Rebars sizes,spacing & number - Plumbing Layout (Roughing-ins/Embodments)
x Rebars installation requirements x Falseworks/Formworks adequacy
CHECKED BY:
MATERIALS WARLITO A. LENDIO
ENGINEER Engineer II Date June 26, 2015
(Name and Signature)
REMARKS/
RECOMMENDATIONS Recommended to start pouring activities.

PROJECT ARIES MADELO

INSPECTORS Engineer II Date June 26, 2015
(Name and Signature)
REMARKS/
RECOMMENDATIONS Recommended to start pouring activities.
Request : ( / ) Approved ( ) Disapproved
REMARKS/
RECOMMENDATIONS Recommended to start pouring activities.

LEO ALEX A. MABANGLO

Project Engineer
(Name and Signature)

Accreditation No.: 1247

 Republic of the Philippines
Department of Public Works and Highways
Davao 1st Engineering District
Tagum City

Date: April 5, 2017

CONCRETE POURING PERMIT

Improvement/Widening along Kapalong-Talaingod-
Name of
Valencia(Bukidnon) Road including RROW K1490+400-
Project/Location
K1491+520,K1491+700-K1491+966, Talaingod, Davao del Norte
Contractor Three W Builders Inc.
Part of Structure to
Estimated Volume (cu.m) 75.00 cu.m
be poured PCCP
Station Limits/Sect. Sta.1490+400 - Sta.1490+479.50 L/L
Date of Pouring April 6, 2017 Time of Pouring 8:00 a.m - 4:00 p.m

Requested: GLECELYN S. SABAC

Contractor: Three W Builders, Inc.
Name & Signature
CHECKLIST
x Concrete Vibrator x Field Density Test
x Protective Covering Materials x Beam
x Warning Signs/Barricades/Flagmen x Curing Materials
x Concrete Saw x Slump Cone
x Concrete Black Spacers - Plumbness
Finishing Tools/Equipment Quality of Materials Used (Result of
x x
(Screeder, beam, etc.) Design/Trial Mix Test Reports etc.)
x Required Construction Equipment - Electrical Layout(Roughing-ins/Embodments)
x Rebars sizes,spacing & number - Plumbing Layout (Roughing-ins/Embodments)
x Rebars installation requirements x Falseworks/Formworks adequacy
CHECKED BY:
MATERIALS WARLITO A. LENDIO
ENGINEER Engineer II Date April 5, 2017
(Name and Signature)
REMARKS/
RECOMMENDATIONS Recommended to start pouring activities.

PROJECT GERALD FRONES

INSPECTORS Engineer II Date April 5, 2017
(Name and Signature)
REMARKS/
RECOMMENDATIONS Recommended to start pouring activities.
Request : ( / ) Approved ( ) Disapproved
REMARKS/
RECOMMENDATIONS Recommended to start pouring activities.

GLENN G. DAYRIT
Project Engineer
(Name and Signature)

Accreditation No.: 4639

 Republic of the Philippines
Department of Public Works and Highways
Davao 1st Engineering District
Tagum City

Date: April 6, 2017

CONCRETE POURING PERMIT

Improvement/Widening along Kapalong-Talaingod-
Name of
Valencia(Bukidnon) Road including RROW K1490+400-
Project/Location
K1491+520,K1491+700-K1491+966, Talaingod, Davao del Norte
Contractor Three W Builders Inc.
Part of Structure to
Estimated Volume (cu.m) 75.00 cu.m
be poured PCCP
Station Limits/Sect. Sta.1490+520 - Sta.1490+599.50 L/L
Date of Pouring April 7, 2017 Time of Pouring 8:00 a.m - 4:00 p.m

Requested: GLECELYN S. SABAC

Contractor: Three W Builders, Inc.
Name & Signature
CHECKLIST
x Concrete Vibrator x Field Density Test
x Protective Covering Materials x Beam
x Warning Signs/Barricades/Flagmen x Curing Materials
x Concrete Saw x Slump Cone
x Concrete Black Spacers - Plumbness
Finishing Tools/Equipment Quality of Materials Used (Result of
x x
(Screeder, beam, etc.) Design/Trial Mix Test Reports etc.)
x Required Construction Equipment - Electrical Layout(Roughing-ins/Embodments)
x Rebars sizes,spacing & number - Plumbing Layout (Roughing-ins/Embodments)
x Rebars installation requirements x Falseworks/Formworks adequacy
CHECKED BY:
MATERIALS WARLITO A. LENDIO
ENGINEER Engineer II Date April 6, 2017
(Name and Signature)
REMARKS/
RECOMMENDATIONS Recommended to start pouring activities.

PROJECT GERALD FRONES

INSPECTORS Engineer II Date April 6, 2017
(Name and Signature)
REMARKS/
RECOMMENDATIONS Recommended to start pouring activities.
Request : ( / ) Approved ( ) Disapproved
REMARKS/
RECOMMENDATIONS Recommended to start pouring activities.

GLENN G. DAYRIT
Project Engineer
(Name and Signature)

Accreditation No.: 4639

 Republic of the Philippines
Department of Public Works and Highways
Davao 1st Engineering District
Tagum City

Date: April 7, 2017

CONCRETE POURING PERMIT

Improvement/Widening along Kapalong-Talaingod-
Name of
Valencia(Bukidnon) Road including RROW K1490+400-
Project/Location
K1491+520,K1491+700-K1491+966, Talaingod, Davao del Norte
Contractor Three W Builders Inc.
Part of Structure to
Estimated Volume (cu.m) 75.00 cu.m
be poured PCCP
Station Limits/Sect. Sta.1490+599.50 - Sta.1490+679 L/L
Date of Pouring April 10, 2017 Time of Pouring 8:00 a.m - 4:00 p.m

Requested: GLECELYN S. SABAC

Contractor: Three W Builders, Inc.
Name & Signature
CHECKLIST
x Concrete Vibrator x Field Density Test
x Protective Covering Materials x Beam
x Warning Signs/Barricades/Flagmen x Curing Materials
x Concrete Saw x Slump Cone
x Concrete Black Spacers - Plumbness
Finishing Tools/Equipment Quality of Materials Used (Result of
x x
(Screeder, beam, etc.) Design/Trial Mix Test Reports etc.)
x Required Construction Equipment - Electrical Layout(Roughing-ins/Embodments)
x Rebars sizes,spacing & number - Plumbing Layout (Roughing-ins/Embodments)
x Rebars installation requirements x Falseworks/Formworks adequacy
CHECKED BY:
MATERIALS WARLITO A. LENDIO
ENGINEER Engineer II Date April 7, 2017
(Name and Signature)
REMARKS/
RECOMMENDATIONS Recommended to start pouring activities.

PROJECT GERALD FRONES

INSPECTORS Engineer II Date April 7, 2017
(Name and Signature)
REMARKS/
RECOMMENDATIONS Recommended to start pouring activities.
Request : ( / ) Approved ( ) Disapproved
REMARKS/
RECOMMENDATIONS Recommended to start pouring activities.

GLENN G. DAYRIT
Project Engineer
(Name and Signature)

Accreditation No.: 4639

 Republic of the Philippines
Department of Public Works and Highways
Davao 1st Engineering District
Tagum City

Date: April 11, 2017

CONCRETE POURING PERMIT

Improvement/Widening along Kapalong-Talaingod-
Name of
Valencia(Bukidnon) Road including RROW K1490+400-
Project/Location
K1491+520,K1491+700-K1491+966, Talaingod, Davao del Norte
Contractor Three W Builders Inc.
Part of Structure to
Estimated Volume (cu.m) 75.00 cu.m
be poured PCCP
Station Limits/Sect. Sta.1491+800 - Sta.1491+959 L/L
Date of Pouring April 12, 2017 Time of Pouring 8:00 a.m - 4:00 p.m

Requested: GLECELYN S. SABAC

Contractor: Three W Builders, Inc.
Name & Signature
CHECKLIST
x Concrete Vibrator x Field Density Test
x Protective Covering Materials x Beam
x Warning Signs/Barricades/Flagmen x Curing Materials
x Concrete Saw x Slump Cone
x Concrete Black Spacers - Plumbness
Finishing Tools/Equipment Quality of Materials Used (Result of
x x
(Screeder, beam, etc.) Design/Trial Mix Test Reports etc.)
x Required Construction Equipment - Electrical Layout(Roughing-ins/Embodments)
x Rebars sizes,spacing & number - Plumbing Layout (Roughing-ins/Embodments)
x Rebars installation requirements x Falseworks/Formworks adequacy
CHECKED BY:
MATERIALS WARLITO A. LENDIO
ENGINEER Engineer II Date April 11, 2017
(Name and Signature)
REMARKS/
RECOMMENDATIONS Recommended to start pouring activities.

PROJECT GERALD FRONES

INSPECTORS Engineer II Date April 11, 2017
(Name and Signature)
REMARKS/
RECOMMENDATIONS Recommended to start pouring activities.
Request : ( / ) Approved ( ) Disapproved
REMARKS/
RECOMMENDATIONS Recommended to start pouring activities.

GLENN G. DAYRIT
Project Engineer
(Name and Signature)

Accreditation No.: 4639

 Republic of the Philippines
Department of Public Works and Highways
Davao 1st Engineering District
Tagum City

Date: April 13, 2017

CONCRETE POURING PERMIT

Improvement/Widening along Kapalong-Talaingod-
Name of
Valencia(Bukidnon) Road including RROW K1490+400-
Project/Location
K1491+520,K1491+700-K1491+966, Talaingod, Davao del Norte
Contractor Three W Builders Inc.
Part of Structure to
Estimated Volume (cu.m) 75.00 cu.m
be poured PCCP
Station Limits/Sect. Sta.1490+400 - Sta.1490+479.50 R/L
Date of Pouring April 14, 2017 Time of Pouring 8:00 a.m - 4:00 p.m

Requested: GLECELYN S. SABAC

Contractor: Three W Builders, Inc.
Name & Signature
CHECKLIST
x Concrete Vibrator x Field Density Test
x Protective Covering Materials x Beam
x Warning Signs/Barricades/Flagmen x Curing Materials
x Concrete Saw x Slump Cone
x Concrete Black Spacers - Plumbness
Finishing Tools/Equipment Quality of Materials Used (Result of
x x
(Screeder, beam, etc.) Design/Trial Mix Test Reports etc.)
x Required Construction Equipment - Electrical Layout(Roughing-ins/Embodments)
x Rebars sizes,spacing & number - Plumbing Layout (Roughing-ins/Embodments)
x Rebars installation requirements x Falseworks/Formworks adequacy
CHECKED BY:
MATERIALS WARLITO A. LENDIO
ENGINEER Engineer II Date April 13, 2017
(Name and Signature)
REMARKS/
RECOMMENDATIONS Recommended to start pouring activities.

PROJECT GERALD FRONES

INSPECTORS Engineer II Date April 13, 2017
(Name and Signature)
REMARKS/
RECOMMENDATIONS Recommended to start pouring activities.
Request : ( / ) Approved ( ) Disapproved
REMARKS/
RECOMMENDATIONS Recommended to start pouring activities.

GLENN G. DAYRIT
Project Engineer
(Name and Signature)

Accreditation No.: 4639

 Republic of the Philippines
Department of Public Works and Highways
Davao 1st Engineering District
Tagum City

Date: May 3, 2017

CONCRETE POURING PERMIT

Improvement/Widening along Kapalong-Talaingod-
Name of
Valencia(Bukidnon) Road including RROW K1490+400-
Project/Location
K1491+520,K1491+700-K1491+966, Talaingod, Davao del Norte
Contractor Three W Builders Inc.
Part of Structure to
Estimated Volume (cu.m) 75.00 cu.m
be poured PCCP
Station Limits/Sect. Sta.1490+479.50 - Sta.1490+718 R/L
Date of Pouring May 4, 2017 Time of Pouring 8:00 a.m - 4:00 p.m

Requested: GLECELYN S. SABAC

Contractor: Three W Builders, Inc.
Name & Signature
CHECKLIST
x Concrete Vibrator x Field Density Test
x Protective Covering Materials x Beam
x Warning Signs/Barricades/Flagmen x Curing Materials
x Concrete Saw x Slump Cone
x Concrete Black Spacers - Plumbness
Finishing Tools/Equipment Quality of Materials Used (Result of
x x
(Screeder, beam, etc.) Design/Trial Mix Test Reports etc.)
x Required Construction Equipment - Electrical Layout(Roughing-ins/Embodments)
x Rebars sizes,spacing & number - Plumbing Layout (Roughing-ins/Embodments)
x Rebars installation requirements x Falseworks/Formworks adequacy
CHECKED BY:
MATERIALS WARLITO A. LENDIO
ENGINEER Engineer II Date May 3, 2017
(Name and Signature)
REMARKS/
RECOMMENDATIONS Recommended to start pouring activities.

PROJECT GERALD FRONES

INSPECTORS Engineer II Date May 3, 2017
(Name and Signature)
REMARKS/
RECOMMENDATIONS Recommended to start pouring activities.
Request : ( / ) Approved ( ) Disapproved
REMARKS/
RECOMMENDATIONS Recommended to start pouring activities.

GLENN G. DAYRIT
Project Engineer
(Name and Signature)

Accreditation No.: 4639

 Republic of the Philippines
Department of Public Works and Highways
Davao 1st Engineering District
Tagum City

Date: May 8, 2017

CONCRETE POURING PERMIT

Improvement/Widening along Kapalong-Talaingod-
Name of
Valencia(Bukidnon) Road including RROW K1490+400-
Project/Location
K1491+520,K1491+700-K1491+966, Talaingod, Davao del Norte
Contractor Three W Builders Inc.
Part of Structure to
Estimated Volume (cu.m) 75.00 cu.m
be poured PCCP
Station Limits/Sect. Sta.1491+090 - Sta.1491+249 L/L
Date of Pouring May 4, 2017 Time of Pouring 8:00 a.m - 4:00 p.m

Requested: GLECELYN S. SABAC

Contractor: Three W Builders, Inc.
Name & Signature
CHECKLIST
x Concrete Vibrator x Field Density Test
x Protective Covering Materials x Beam
x Warning Signs/Barricades/Flagmen x Curing Materials
x Concrete Saw x Slump Cone
x Concrete Black Spacers - Plumbness
Finishing Tools/Equipment Quality of Materials Used (Result of
x x
(Screeder, beam, etc.) Design/Trial Mix Test Reports etc.)
x Required Construction Equipment - Electrical Layout(Roughing-ins/Embodments)
x Rebars sizes,spacing & number - Plumbing Layout (Roughing-ins/Embodments)
x Rebars installation requirements x Falseworks/Formworks adequacy
CHECKED BY:
MATERIALS WARLITO A. LENDIO
ENGINEER Engineer II Date May 8, 2017
(Name and Signature)
REMARKS/
RECOMMENDATIONS Recommended to start pouring activities.

PROJECT GERALD FRONES

INSPECTORS Engineer II Date May 8, 2017
(Name and Signature)
REMARKS/
RECOMMENDATIONS Recommended to start pouring activities.
Request : ( / ) Approved ( ) Disapproved
REMARKS/
RECOMMENDATIONS Recommended to start pouring activities.

GLENN G. DAYRIT
Project Engineer
(Name and Signature)

Accreditation No.: 4639

 Republic of the Philippines
Department of Public Works and Highways
Davao 1st Engineering District
Tagum City

Date: May 11, 2017

CONCRETE POURING PERMIT

Improvement/Widening along Kapalong-Talaingod-
Name of
Valencia(Bukidnon) Road including RROW K1490+400-
Project/Location
K1491+520,K1491+700-K1491+966, Talaingod, Davao del Norte
Contractor Three W Builders Inc.
Part of Structure to
Estimated Volume (cu.m) 75.00 cu.m
be poured PCCP
Station Limits/Sect. Sta.1490+479.50 - Sta.1490+520 L/L
Date of Pouring May 12, 2017 Time of Pouring 8:00 a.m - 4:00 p.m

Requested: GLECELYN S. SABAC

Contractor: Three W Builders, Inc.
Name & Signature
CHECKLIST
x Concrete Vibrator x Field Density Test
x Protective Covering Materials x Beam
x Warning Signs/Barricades/Flagmen x Curing Materials
x Concrete Saw x Slump Cone
x Concrete Black Spacers - Plumbness
Finishing Tools/Equipment Quality of Materials Used (Result of
x x
(Screeder, beam, etc.) Design/Trial Mix Test Reports etc.)
x Required Construction Equipment - Electrical Layout(Roughing-ins/Embodments)
x Rebars sizes,spacing & number - Plumbing Layout (Roughing-ins/Embodments)
x Rebars installation requirements x Falseworks/Formworks adequacy
CHECKED BY:
MATERIALS WARLITO A. LENDIO
ENGINEER Engineer II Date May 11, 2017
(Name and Signature)
REMARKS/
RECOMMENDATIONS Recommended to start pouring activities.

PROJECT GERALD FRONES

INSPECTORS Engineer II Date May 11, 2017
(Name and Signature)
REMARKS/
RECOMMENDATIONS Recommended to start pouring activities.
Request : ( / ) Approved ( ) Disapproved
REMARKS/
RECOMMENDATIONS Recommended to start pouring activities.

GLENN G. DAYRIT
Project Engineer
(Name and Signature)

Accreditation No.: 4639

 Republic of the Philippines
Department of Public Works and Highways
Davao 1st Engineering District
Tagum City

Date: August 3, 2017

CONCRETE POURING PERMIT

Name of Rehabilitation of Brgy. Road connecting Prk. 1,2,2-A,3 & 10 Brgy.

Project/Location Sampao (Length:2.9155 km) Kapalong, Davao del Norte
Contractor Legacy Construction
Part of Structure to
Estimated Volume (cu.m) 75.00 cu.m
be poured PCCP
Station Limits/Sect.
Date of Pouring August 4, 2017 Time of Pouring 8:00 a.m - 4:00 p.m

Requested: MARIANO A. VIVERO

Contractor: Legacy construction
Name & Signature
CHECKLIST
x Concrete Vibrator x Field Density Test
x Protective Covering Materials x Beam
x Warning Signs/Barricades/Flagmen x Curing Materials
x Concrete Saw x Slump Cone
x Concrete Black Spacers - Plumbness
Finishing Tools/Equipment Quality of Materials Used (Result of
x x
(Screeder, beam, etc.) Design/Trial Mix Test Reports etc.)
x Required Construction Equipment - Electrical Layout(Roughing-ins/Embodments)
x Rebars sizes,spacing & number - Plumbing Layout (Roughing-ins/Embodments)
x Rebars installation requirements x Falseworks/Formworks adequacy
CHECKED BY:
MATERIALS WARLITO A. LENDIO
ENGINEER Engineer II Date August 3, 2017
(Name and Signature)
REMARKS/
RECOMMENDATIONS Recommended to start pouring activities.

PROJECT JASPER ASNA

INSPECTORS Date August 3, 2017
(Name and Signature)
REMARKS/
RECOMMENDATIONS Recommended to start pouring activities.
Request : ( / ) Approved ( ) Disapproved
REMARKS/
RECOMMENDATIONS Recommended to start pouring activities.

GLENN G. DAYRIT
Project Engineer
(Name and Signature)

Accreditation No.: 4639

 Republic of the Philippines
Department of Public Works and Highways
Davao 1st Engineering District
Tagum City

Date: August 4, 2017

CONCRETE POURING PERMIT

Name of Rehabilitation of Brgy. Road connecting Prk. 1,2,2-A,3 & 10 Brgy.

Project/Location Sampao (Length:2.9155 km) Kapalong, Davao del Norte
Contractor Legacy Construction
Part of Structure to
Estimated Volume (cu.m) 75.00 cu.m
be poured PCCP
Station Limits/Sect.
Date of Pouring August 5, 2017 Time of Pouring 8:00 a.m - 4:00 p.m

Requested: MARIANO A. VIVERO

Contractor: Legacy construction
Name & Signature
CHECKLIST
x Concrete Vibrator x Field Density Test
x Protective Covering Materials x Beam
x Warning Signs/Barricades/Flagmen x Curing Materials
x Concrete Saw x Slump Cone
x Concrete Black Spacers - Plumbness
Finishing Tools/Equipment Quality of Materials Used (Result of
x x
(Screeder, beam, etc.) Design/Trial Mix Test Reports etc.)
x Required Construction Equipment - Electrical Layout(Roughing-ins/Embodments)
x Rebars sizes,spacing & number - Plumbing Layout (Roughing-ins/Embodments)
x Rebars installation requirements x Falseworks/Formworks adequacy
CHECKED BY:
MATERIALS WARLITO A. LENDIO
ENGINEER Engineer II Date August 4, 2017
(Name and Signature)
REMARKS/
RECOMMENDATIONS Recommended to start pouring activities.

PROJECT JASPER ASNA

INSPECTORS Date August 4, 2017
(Name and Signature)
REMARKS/
RECOMMENDATIONS Recommended to start pouring activities.
Request : ( / ) Approved ( ) Disapproved
REMARKS/
RECOMMENDATIONS Recommended to start pouring activities.

GLENN G. DAYRIT
Project Engineer
(Name and Signature)

Accreditation No.: 4639

 Republic of the Philippines
Department of Public Works and Highways
Davao 1st Engineering District
Tagum City

Date: August 4, 2017

CONCRETE POURING PERMIT

Name of Rehabilitation of Brgy. Road connecting Prk. 1,2,2-A,3 & 10 Brgy.

Project/Location Sampao (Length:2.9155 km) Kapalong, Davao del Norte
Contractor Legacy Construction
Part of Structure to
Estimated Volume (cu.m) 75.00 cu.m
be poured PCCP
Station Limits/Sect.
Date of Pouring August 7, 2017 Time of Pouring 8:00 a.m - 4:00 p.m

Requested: MARIANO A. VIVERO

Contractor: Legacy construction
Name & Signature
CHECKLIST
x Concrete Vibrator x Field Density Test
x Protective Covering Materials x Beam
x Warning Signs/Barricades/Flagmen x Curing Materials
x Concrete Saw x Slump Cone
x Concrete Black Spacers - Plumbness
Finishing Tools/Equipment Quality of Materials Used (Result of
x x
(Screeder, beam, etc.) Design/Trial Mix Test Reports etc.)
x Required Construction Equipment - Electrical Layout(Roughing-ins/Embodments)
x Rebars sizes,spacing & number - Plumbing Layout (Roughing-ins/Embodments)
x Rebars installation requirements x Falseworks/Formworks adequacy
CHECKED BY:
MATERIALS WARLITO A. LENDIO
ENGINEER Engineer II Date August 4, 2017
(Name and Signature)
REMARKS/
RECOMMENDATIONS Recommended to start pouring activities.

PROJECT JASPER ASNA

INSPECTORS Date August 4, 2017
(Name and Signature)
REMARKS/
RECOMMENDATIONS Recommended to start pouring activities.
Request : ( / ) Approved ( ) Disapproved
REMARKS/
RECOMMENDATIONS Recommended to start pouring activities.

GLENN G. DAYRIT
Project Engineer
(Name and Signature)

Accreditation No.: 4639

 Republic of the Philippines
Department of Public Works and Highways
Davao 1st Engineering District
Tagum City

Date: August 7, 2017

CONCRETE POURING PERMIT

Name of Rehabilitation of Brgy. Road connecting Prk. 1,2,2-A,3 & 10 Brgy.

Project/Location Sampao (Length:2.9155 km) Kapalong, Davao del Norte
Contractor Legacy Construction
Part of Structure to
Estimated Volume (cu.m) 75.00 cu.m
be poured PCCP
Station Limits/Sect.
Date of Pouring August 8, 2017 Time of Pouring 8:00 a.m - 4:00 p.m

Requested: MARIANO A. VIVERO

Contractor: Legacy construction
Name & Signature
CHECKLIST
x Concrete Vibrator x Field Density Test
x Protective Covering Materials x Beam
x Warning Signs/Barricades/Flagmen x Curing Materials
x Concrete Saw x Slump Cone
x Concrete Black Spacers - Plumbness
Finishing Tools/Equipment Quality of Materials Used (Result of
x x
(Screeder, beam, etc.) Design/Trial Mix Test Reports etc.)
x Required Construction Equipment - Electrical Layout(Roughing-ins/Embodments)
x Rebars sizes,spacing & number - Plumbing Layout (Roughing-ins/Embodments)
x Rebars installation requirements x Falseworks/Formworks adequacy
CHECKED BY:
MATERIALS WARLITO A. LENDIO
ENGINEER Engineer II Date August 7, 2017
(Name and Signature)
REMARKS/
RECOMMENDATIONS Recommended to start pouring activities.

PROJECT JASPER ASNA

INSPECTORS Date August 7, 2017
(Name and Signature)
REMARKS/
RECOMMENDATIONS Recommended to start pouring activities.
Request : ( / ) Approved ( ) Disapproved
REMARKS/
RECOMMENDATIONS Recommended to start pouring activities.

GLENN G. DAYRIT
Project Engineer
(Name and Signature)

Accreditation No.: 4639

 Republic of the Philippines
Department of Public Works and Highways
Davao 1st Engineering District
Tagum City

Date: August 9, 2017

CONCRETE POURING PERMIT

Name of Rehabilitation of Brgy. Road connecting Prk. 1,2,2-A,3 & 10 Brgy.

Project/Location Sampao (Length:2.9155 km) Kapalong, Davao del Norte
Contractor Legacy Construction
Part of Structure to
Estimated Volume (cu.m) 75.00 cu.m
be poured PCCP
Station Limits/Sect.
Date of Pouring August 10, 2017 Time of Pouring 8:00 a.m - 4:00 p.m

Requested: MARIANO A. VIVERO

Contractor: Legacy construction
Name & Signature
CHECKLIST
x Concrete Vibrator x Field Density Test
x Protective Covering Materials x Beam
x Warning Signs/Barricades/Flagmen x Curing Materials
x Concrete Saw x Slump Cone
x Concrete Black Spacers - Plumbness
Finishing Tools/Equipment Quality of Materials Used (Result of
x x
(Screeder, beam, etc.) Design/Trial Mix Test Reports etc.)
x Required Construction Equipment - Electrical Layout(Roughing-ins/Embodments)
x Rebars sizes,spacing & number - Plumbing Layout (Roughing-ins/Embodments)
x Rebars installation requirements x Falseworks/Formworks adequacy
CHECKED BY:
MATERIALS WARLITO A. LENDIO
ENGINEER Engineer II Date August 9, 2017
(Name and Signature)
REMARKS/
RECOMMENDATIONS Recommended to start pouring activities.

PROJECT JASPER ASNA

INSPECTORS Date August 9, 2017
(Name and Signature)
REMARKS/
RECOMMENDATIONS Recommended to start pouring activities.
Request : ( / ) Approved ( ) Disapproved
REMARKS/
RECOMMENDATIONS Recommended to start pouring activities.

GLENN G. DAYRIT
Project Engineer
(Name and Signature)

Accreditation No.: 4639

 Republic of the Philippines
Department of Public Works and Highways
Davao 1st Engineering District
Tagum City

Date: August 10, 2017

CONCRETE POURING PERMIT

Name of Rehabilitation of Brgy. Road connecting Prk. 1,2,2-A,3 & 10 Brgy.

Project/Location Sampao (Length:2.9155 km) Kapalong, Davao del Norte
Contractor Legacy Construction
Part of Structure to
Estimated Volume (cu.m) 75.00 cu.m
be poured PCCP
Station Limits/Sect.
Date of Pouring August 11, 2017 Time of Pouring 8:00 a.m - 4:00 p.m

Requested: MARIANO A. VIVERO

Contractor: Legacy construction
Name & Signature
CHECKLIST
x Concrete Vibrator x Field Density Test
x Protective Covering Materials x Beam
x Warning Signs/Barricades/Flagmen x Curing Materials
x Concrete Saw x Slump Cone
x Concrete Black Spacers - Plumbness
Finishing Tools/Equipment Quality of Materials Used (Result of
x x
(Screeder, beam, etc.) Design/Trial Mix Test Reports etc.)
x Required Construction Equipment - Electrical Layout(Roughing-ins/Embodments)
x Rebars sizes,spacing & number - Plumbing Layout (Roughing-ins/Embodments)
x Rebars installation requirements x Falseworks/Formworks adequacy
CHECKED BY:
MATERIALS WARLITO A. LENDIO
ENGINEER Engineer II Date August 10, 2017
(Name and Signature)
REMARKS/
RECOMMENDATIONS Recommended to start pouring activities.

PROJECT JASPER ASNA

INSPECTORS Date August 10, 2017
(Name and Signature)
REMARKS/
RECOMMENDATIONS Recommended to start pouring activities.
Request : ( / ) Approved ( ) Disapproved
REMARKS/
RECOMMENDATIONS Recommended to start pouring activities.

GLENN G. DAYRIT
Project Engineer
(Name and Signature)

Accreditation No.: 4639

 Republic of the Philippines
Department of Public Works and Highways
Davao 1st Engineering District
Tagum City

Date: August 11, 2017

CONCRETE POURING PERMIT

Name of Rehabilitation of Brgy. Road connecting Prk. 1,2,2-A,3 & 10 Brgy.

Project/Location Sampao (Length:2.9155 km) Kapalong, Davao del Norte
Contractor Legacy Construction
Part of Structure to
Estimated Volume (cu.m) 75.00 cu.m
be poured PCCP
Station Limits/Sect.
Date of Pouring August 12, 2017 Time of Pouring 8:00 a.m - 4:00 p.m

Requested: MARIANO A. VIVERO

Contractor: Legacy construction
Name & Signature
CHECKLIST
x Concrete Vibrator x Field Density Test
x Protective Covering Materials x Beam
x Warning Signs/Barricades/Flagmen x Curing Materials
x Concrete Saw x Slump Cone
x Concrete Black Spacers - Plumbness
Finishing Tools/Equipment Quality of Materials Used (Result of
x x
(Screeder, beam, etc.) Design/Trial Mix Test Reports etc.)
x Required Construction Equipment - Electrical Layout(Roughing-ins/Embodments)
x Rebars sizes,spacing & number - Plumbing Layout (Roughing-ins/Embodments)
x Rebars installation requirements x Falseworks/Formworks adequacy
CHECKED BY:
MATERIALS WARLITO A. LENDIO
ENGINEER Engineer II Date August 11, 2017
(Name and Signature)
REMARKS/
RECOMMENDATIONS Recommended to start pouring activities.

PROJECT JASPER ASNA

INSPECTORS Date August 11, 2017
(Name and Signature)
REMARKS/
RECOMMENDATIONS Recommended to start pouring activities.
Request : ( / ) Approved ( ) Disapproved
REMARKS/
RECOMMENDATIONS Recommended to start pouring activities.

GLENN G. DAYRIT
Project Engineer
(Name and Signature)

Accreditation No.: 4639

 Republic of the Philippines
Department of Public Works and Highways
Davao 1st Engineering District
Tagum City

Date: August 11, 2017

CONCRETE POURING PERMIT

Name of Rehabilitation of Brgy. Road connecting Prk. 1,2,2-A,3 & 10 Brgy.

Project/Location Sampao (Length:2.9155 km) Kapalong, Davao del Norte
Contractor Legacy Construction
Part of Structure to
Estimated Volume (cu.m) 75.00 cu.m
be poured PCCP
Station Limits/Sect.
Date of Pouring August 14, 2017 Time of Pouring 8:00 a.m - 4:00 p.m

Requested: MARIANO A. VIVERO

Contractor: Legacy construction
Name & Signature
CHECKLIST
x Concrete Vibrator x Field Density Test
x Protective Covering Materials x Beam
x Warning Signs/Barricades/Flagmen x Curing Materials
x Concrete Saw x Slump Cone
x Concrete Black Spacers - Plumbness
Finishing Tools/Equipment Quality of Materials Used (Result of
x x
(Screeder, beam, etc.) Design/Trial Mix Test Reports etc.)
x Required Construction Equipment - Electrical Layout(Roughing-ins/Embodments)
x Rebars sizes,spacing & number - Plumbing Layout (Roughing-ins/Embodments)
x Rebars installation requirements x Falseworks/Formworks adequacy
CHECKED BY:
MATERIALS WARLITO A. LENDIO
ENGINEER Engineer II Date August 11, 2017
(Name and Signature)
REMARKS/
RECOMMENDATIONS Recommended to start pouring activities.

PROJECT JASPER ASNA

INSPECTORS Date August 11, 2017
(Name and Signature)
REMARKS/
RECOMMENDATIONS Recommended to start pouring activities.
Request : ( / ) Approved ( ) Disapproved
REMARKS/
RECOMMENDATIONS Recommended to start pouring activities.

GLENN G. DAYRIT
Project Engineer
(Name and Signature)

Accreditation No.: 4639

 Republic of the Philippines
Department of Public Works and Highways
Davao 1st Engineering District
Tagum City

Date: August 14, 2017

CONCRETE POURING PERMIT

Name of Rehabilitation of Brgy. Road connecting Prk. 1,2,2-A,3 & 10 Brgy.

Project/Location Sampao (Length:2.9155 km) Kapalong, Davao del Norte
Contractor Legacy Construction
Part of Structure to
Estimated Volume (cu.m) 75.00 cu.m
be poured PCCP
Station Limits/Sect.
Date of Pouring August 15, 2017 Time of Pouring 8:00 a.m - 4:00 p.m

Requested: MARIANO A. VIVERO

Contractor: Legacy construction
Name & Signature
CHECKLIST
x Concrete Vibrator x Field Density Test
x Protective Covering Materials x Beam
x Warning Signs/Barricades/Flagmen x Curing Materials
x Concrete Saw x Slump Cone
x Concrete Black Spacers - Plumbness
Finishing Tools/Equipment Quality of Materials Used (Result of
x x
(Screeder, beam, etc.) Design/Trial Mix Test Reports etc.)
x Required Construction Equipment - Electrical Layout(Roughing-ins/Embodments)
x Rebars sizes,spacing & number - Plumbing Layout (Roughing-ins/Embodments)
x Rebars installation requirements x Falseworks/Formworks adequacy
CHECKED BY:
MATERIALS WARLITO A. LENDIO
ENGINEER Engineer II Date August 14, 2017
(Name and Signature)
REMARKS/
RECOMMENDATIONS Recommended to start pouring activities.

PROJECT JASPER ASNA

INSPECTORS Date August 14, 2017
(Name and Signature)
REMARKS/
RECOMMENDATIONS Recommended to start pouring activities.
Request : ( / ) Approved ( ) Disapproved
REMARKS/
RECOMMENDATIONS Recommended to start pouring activities.

GLENN G. DAYRIT
Project Engineer
(Name and Signature)

Accreditation No.: 4639

 Republic of the Philippines
Department of Public Works and Highways
Davao 1st Engineering District
Tagum City

Date: August 16, 2017

CONCRETE POURING PERMIT

Name of Rehabilitation of Brgy. Road connecting Prk. 1,2,2-A,3 & 10 Brgy.

Project/Location Sampao (Length:2.9155 km) Kapalong, Davao del Norte
Contractor Legacy Construction
Part of Structure to
Estimated Volume (cu.m) 75.00 cu.m
be poured PCCP
Station Limits/Sect.
Date of Pouring August 17, 2017 Time of Pouring 8:00 a.m - 4:00 p.m

Requested: MARIANO A. VIVERO

Contractor: Legacy construction
Name & Signature
CHECKLIST
x Concrete Vibrator x Field Density Test
x Protective Covering Materials x Beam
x Warning Signs/Barricades/Flagmen x Curing Materials
x Concrete Saw x Slump Cone
x Concrete Black Spacers - Plumbness
Finishing Tools/Equipment Quality of Materials Used (Result of
x x
(Screeder, beam, etc.) Design/Trial Mix Test Reports etc.)
x Required Construction Equipment - Electrical Layout(Roughing-ins/Embodments)
x Rebars sizes,spacing & number - Plumbing Layout (Roughing-ins/Embodments)
x Rebars installation requirements x Falseworks/Formworks adequacy
CHECKED BY:
MATERIALS WARLITO A. LENDIO
ENGINEER Engineer II Date August 16, 2017
(Name and Signature)
REMARKS/
RECOMMENDATIONS Recommended to start pouring activities.

PROJECT JASPER ASNA

INSPECTORS Date August 16, 2017
(Name and Signature)
REMARKS/
RECOMMENDATIONS Recommended to start pouring activities.
Request : ( / ) Approved ( ) Disapproved
REMARKS/
RECOMMENDATIONS Recommended to start pouring activities.

GLENN G. DAYRIT
Project Engineer
(Name and Signature)

Accreditation No.: 4639

 Republic of the Philippines
Department of Public Works and Highways
Davao 1st Engineering District
Tagum City

Date: August 18, 2017

CONCRETE POURING PERMIT

Name of Rehabilitation of Brgy. Road connecting Prk. 1,2,2-A,3 & 10 Brgy.

Project/Location Sampao (Length:2.9155 km) Kapalong, Davao del Norte
Contractor Legacy Construction
Part of Structure to
Estimated Volume (cu.m) 75.00 cu.m
be poured PCCP
Station Limits/Sect.
Date of Pouring August 19, 2017 Time of Pouring 8:00 a.m - 4:00 p.m

Requested: MARIANO A. VIVERO

Contractor: Legacy construction
Name & Signature
CHECKLIST
x Concrete Vibrator x Field Density Test
x Protective Covering Materials x Beam
x Warning Signs/Barricades/Flagmen x Curing Materials
x Concrete Saw x Slump Cone
x Concrete Black Spacers - Plumbness
Finishing Tools/Equipment Quality of Materials Used (Result of
x x
(Screeder, beam, etc.) Design/Trial Mix Test Reports etc.)
x Required Construction Equipment - Electrical Layout(Roughing-ins/Embodments)
x Rebars sizes,spacing & number - Plumbing Layout (Roughing-ins/Embodments)
x Rebars installation requirements x Falseworks/Formworks adequacy
CHECKED BY:
MATERIALS WARLITO A. LENDIO
ENGINEER Engineer II Date August 18, 2017
(Name and Signature)
REMARKS/
RECOMMENDATIONS Recommended to start pouring activities.

PROJECT JASPER ASNA

INSPECTORS Date August 18, 2017
(Name and Signature)
REMARKS/
RECOMMENDATIONS Recommended to start pouring activities.
Request : ( / ) Approved ( ) Disapproved
REMARKS/
RECOMMENDATIONS Recommended to start pouring activities.

GLENN G. DAYRIT
Project Engineer
(Name and Signature)

Accreditation No.: 4639

 Republic of the Philippines
Department of Public Works and Highways
Davao 1st Engineering District
Tagum City

Date: August 18, 2017

CONCRETE POURING PERMIT

Name of Rehabilitation of Brgy. Road connecting Prk. 1,2,2-A,3 & 10 Brgy.

Project/Location Sampao (Length:2.9155 km) Kapalong, Davao del Norte
Contractor Legacy Construction
Part of Structure to
Estimated Volume (cu.m) 75.00 cu.m
be poured PCCP
Station Limits/Sect.
Date of Pouring August 22, 2017 Time of Pouring 8:00 a.m - 4:00 p.m

Requested: MARIANO A. VIVERO

Contractor: Legacy construction
Name & Signature
CHECKLIST
x Concrete Vibrator x Field Density Test
x Protective Covering Materials x Beam
x Warning Signs/Barricades/Flagmen x Curing Materials
x Concrete Saw x Slump Cone
x Concrete Black Spacers - Plumbness
Finishing Tools/Equipment Quality of Materials Used (Result of
x x
(Screeder, beam, etc.) Design/Trial Mix Test Reports etc.)
x Required Construction Equipment - Electrical Layout(Roughing-ins/Embodments)
x Rebars sizes,spacing & number - Plumbing Layout (Roughing-ins/Embodments)
x Rebars installation requirements x Falseworks/Formworks adequacy
CHECKED BY:
MATERIALS WARLITO A. LENDIO
ENGINEER Engineer II Date August 18, 2017
(Name and Signature)
REMARKS/
RECOMMENDATIONS Recommended to start pouring activities.

PROJECT JASPER ASNA

INSPECTORS Date August 18, 2017
(Name and Signature)
REMARKS/
RECOMMENDATIONS Recommended to start pouring activities.
Request : ( / ) Approved ( ) Disapproved
REMARKS/
RECOMMENDATIONS Recommended to start pouring activities.

GLENN G. DAYRIT
Project Engineer
(Name and Signature)

Accreditation No.: 4639

 Republic of the Philippines
Department of Public Works and Highways
DAVAO DEL NORTE
DISTRICT ENGINEER OFFICE
REGIONAL OFFICE XI
Tagum City

Date: September 8, 2017

CONCRETE POURING PERMIT

Name of Rehabilitation of Brgy. Road from Pamacaun-Sitio Lasang-

Project/Location Capungagan Kapalong, Davao del Norte
Contractor Legacy Construction
Part of Structure to
Estimated Volume (cu.m) 75.00 cu.m
be poured PCCP
Station Limits/Sect. Sta. 1+360 - Sta. 1+510 L/L
Date of Pouring September 11, 2017 Time of Pouring 8:00 a.m - 4:00 p.m
Requested: MARIANO A. VIVERO
Contractor: Legacy construction
Name & Signature
CHECKLIST
x Concrete Vibrator x Field Density Test
x Protective Covering Materials x Beam
x Warning Signs/Barricades/Flagmen x Curing Materials
x Concrete Saw x Slump Cone
x Concrete Black Spacers - Plumbness
Finishing Tools/Equipment Quality of Materials Used (Result of
x x
(Screeder, beam, etc.) Design/Trial Mix Test Reports etc.)
x Required Construction Equipment - Electrical Layout(Roughing-ins/Embodments)
x Rebars sizes,spacing & number - Plumbing Layout (Roughing-ins/Embodments)
x Rebars installation requirements x Falseworks/Formworks adequacy
CHECKED BY:
MATERIALS WARLITO A. LENDIO
ENGINEER Engineer II Date September 8, 2017
(Name and Signature)
REMARKS/
RECOMMENDATIONS Recommended to start pouring activities.

PROJECT RAMIL A. LARGADAS

INSPECTORS Date September 8, 2017
(Name and Signature)
REMARKS/
RECOMMENDATIONS Recommended to start pouring activities.
Request : ( / ) Approved ( ) Disapproved
REMARKS/
RECOMMENDATIONS Recommended to start pouring activities.

GLENN G. DAYRIT
Project Engineer
(Name and Signature)

Accreditation No.: 4639

 Republic of the Philippines
Department of Public Works and Highways
DAVAO DEL NORTE
DISTRICT ENGINEER OFFICE
REGIONAL OFFICE XI
Tagum City

Date: September 26, 2019

CONCRETE POURING PERMIT

Name of Construction of Road from Purok 8 to Pawas of Brgy. San Vicente, Sto.
Project/Location Tomas, Davao del Norte
Contractor Metro Gear Construction Corp.
Part of Structure to
Estimated Volume (cu.m) 75.00 cu.m
be poured PCCP (Unreinforced 0.20m thk.)
Station Limits/Sect. Sta. 0+492 - Sta. 0+618 R/L
Date of Pouring September 27, 2019 Time of Pouring 8:00 a.m - 4:00 p.m
Requested: JOSELITO J. RAGORO
Contractor: Metro Gear Construction Corp.
Name & Signature
CHECKLIST
x Concrete Vibrator x Field Density Test
x Protective Covering Materials x Beam
x Warning Signs/Barricades/Flagmen x Curing Materials
x Concrete Saw x Slump Cone
x Concrete Black Spacers - Plumbness
Finishing Tools/Equipment Quality of Materials Used (Result of
x x
(Screeder, beam, etc.) Design/Trial Mix Test Reports etc.)
x Required Construction Equipment - Electrical Layout(Roughing-ins/Embodments)
x Rebars sizes,spacing & number - Plumbing Layout (Roughing-ins/Embodments)
x Rebars installation requirements x Falseworks/Formworks adequacy
CHECKED BY:
MATERIALS WARLITO A. LENDIO
ENGINEER Engineer II Date September 26, 2019
(Name and Signature)
REMARKS/
RECOMMENDATIONS Recommended to start pouring activities.

PROJECT ARIES MADELO

INSPECTORS Date September 26, 2019
(Name and Signature)
REMARKS/
RECOMMENDATIONS Recommended to start pouring activities.
Request : ( / ) Approved ( ) Disapproved
REMARKS/
RECOMMENDATIONS Recommended to start pouring activities.

ARIS L. ROCETE
Project Engineer
(Name and Signature)

Accreditation No.: 4639