Republic of the Philippines

PROVONCE OF NEGROS ORIENTAL

OFFICE OF THE BUILDING OFFICIAL
MUNICIPALITY OF VALENCIA, NEGROS ORIENTAL

Date: June 6, 2023

CONCRETE POURING

Name of Project CONSTRUCTION OF VALENCIA PUBLIC MARKET

Location MUNICIPALITY OF VALENCIA, NEGROS ORIENTAL

Contractor PHILSOUTH BUILDERS

Item Description 4000 Psi Ready Mix Concrete Estimated Quantity: 19 cum

Date of Pouring June 8, 2023 21 unit - columns

1 unit - elevator wall

Requested by: Approved by:

OWEN ORACOY ENGR. GIL TEOFILUS L. ALFONSO

SITE ENGINEER AREA HEAD
PHILSOUTH BUILDERS PHILSOUTH BUILDERS

CHECKLIST

Concrete Vibrator Field Density Test (FDT)

Protective Covering Materials Beam/ Cylinder Molds

Warning Signs/Barricades/Flagmen Curing Materials

Concrete Saw Slump Cone

Concrete Block Spacer Plumbness

Finishing Tools/ Equipment (Screeder, broom, etc.) Quality of Materials Used (Result of Design/Trial)

Line and Grade Alignment (Form setting, elev, etc.) Lighting System

Required Construction Equipment Electrical Layout (roughing -ins/ embedments)

Rebars size, spacing, and number Plumbing Layout (roughing -ins/ embedments)

Rebars installaion requirements Falseworks/ formworks adequacy

Inspected by:

KARL FETON VILLALON Date

Name and Signature

Project Inspector

Remarks

Approved by:

TOLOMEO ELTANAL JR. Date

Name and Signature

Municipal Engineer

Remarks
 Republic of the Philippines
PROVONCE OF NEGROS ORIENTAL
OFFICE OF THE BUILDING OFFICIAL
MUNICIPALITY OF BACONG, NEGROS ORIENTAL

Date: May 5, 2023

CONCRETE POURING

Name of Project CONSTRUCTION OF 2-STOREY BACONG COMMERCIAL COMPLEX

Location MUNICIPALITY OF BACONG, NEGROS ORIENTAL

Contractor PHILSOUTH BUILDERS

Item Description 4000 Psi Ready Mix Concrete Estimated Quantity: 37 cum.

Date of Pouring May 6, 2023 Upper viewdeck columns and portal slab

Requested by:

ENGR. GIL TEOFILUS L. ALFONSO

PROJECT ENGINEER
PHILSOUTH BUILDERS

CHECKLIST

Concrete Vibrator Field Density Test (FDT)

Protective Covering Materials Beam/ Cylinder Molds

Warning Signs/Barricades/Flagmen Curing Materials

Concrete Saw Slump Cone

Concrete Block Spacer Plumbness

Finishing Tools/ Equipment (Screeder, broom, etc.) Quality of Materials Used (Result of Design/Trial)

Line and Grade Alignment (Form setting, elev, etc.) Lighting System

Required Construction Equipment Electrical Layout (roughing -ins/ embedments)

Rebars size, spacing, and number Plumbing Layout (roughing -ins/ embedments)

Rebars installaion requirements Falseworks/ formworks adequacy

Inspected by:

JERRY S. INOY Date

Name and Signature

Project Inspector

Remarks

Approved by:

LEONOR B. BULINGOT Date

Name and Signature

Municipal Engineer

Remarks
 Republic of the Philippines
PROVONCE OF NEGROS ORIENTAL
OFFICE OF THE BUILDING OFFICIAL
MUNICIPALITY OF VALENCIA, NEGROS ORIENTAL

Date: May 5, 2023

CONCRETE POURING

Name of Project CONSTRUCTION OF VALENCIA PUBLIC MARKET

Location MUNICIPALITY OF VALENCIA, NEGROS ORIENTAL

Contractor PHILSOUTH BUILDERS

Item Description 3000 Psi Ready Mix Concrete Estimated Quantity: 18 CUM

Date of Pouring May 6, 2023 Column footing

Requested by:

ENGR. GIL TEOFILUS L. ALFONSO

PROJECT ENGINEER

PHILSOUTH BUILDERS

CHECKLIST

Concrete Vibrator Field Density Test (FDT)

Protective Covering Materials Beam/ Cylinder Molds

Warning Signs/Barricades/Flagmen Curing Materials

Concrete Saw Slump Cone

Concrete Block Spacer Plumbness

Finishing Tools/ Equipment (Screeder, broom, etc.) Quality of Materials Used (Result of Design/Trial)

Line and Grade Alignment (Form setting, elev, etc.) Lighting System

Required Construction Equipment Electrical Layout (roughing -ins/ embedments)

Rebars size, spacing, and number Plumbing Layout (roughing -ins/ embedments)

Rebars installaion requirements Falseworks/ formworks adequacy

Inspected by:

TOLOMEO ELTANAL Date

Name and Signature

Project Inspector

Remarks

Approved by:

TOLOMEO ELTANAL Date

Name and Signature

Municipal Engineer

Remarks
 Republic of the Philippines
PROVONCE OF NEGROS ORIENTAL
OFFICE OF THE BUILDING OFFICIAL
MUNICIPALITY OF BACONG, NEGROS ORIENTAL

Date: October 11, 2021

CONCRETE POURING

Name of Project CONSTRUCTION OF 2-STOREY BACONG COMMERCIAL COMPLEX

Location MUNICIPALITY OF BACONG, NEGROS ORIENTAL

Contractor PHILSOUTH BUILDERS

Item Description 3000 Psi Ready Mix Concrete Estimated Quantity: 6 CUM

Date of Pouring October 12, 2021 COLUMN (FOUNDATION TO GRID BEAM)

Requested by:

ENGR. GIL TEOFILUS L. ALFONSO

PROJECT ENGINEER
PHILSOUTH BUILDERS

CHECKLIST

Concrete Vibrator Field Density Test (FDT)

Protective Covering Materials Beam/ Cylinder Molds

Warning Signs/Barricades/Flagmen Curing Materials

Concrete Saw Slump Cone

Concrete Block Spacer Plumbness

Finishing Tools/ Equipment (Screeder, broom, etc.) Quality of Materials Used (Result of Design/Trial)

Line and Grade Alignment (Form setting, elev, etc.) Lighting System

Required Construction Equipment Electrical Layout (roughing -ins/ embedments)

Rebars size, spacing, and number Plumbing Layout (roughing -ins/ embedments)

Rebars installaion requirements Falseworks/ formworks adequacy

Inspected by:

JERRY S. INOY Date

Name and Signature

Project Inspector

Remarks

Approved by:

LEONOR B. BULINGOT Date

Name and Signature

Municipal Engineer

Remarks
 Republic of the Philippines
PROVONCE OF NEGROS ORIENTAL
OFFICE OF THE BUILDING OFFICIAL
MUNICIPALITY OF BACONG, NEGROS ORIENTAL

Date: November 25, 2021

CONCRETE POURING

Name of Project CONSTRUCTION OF 2-STOREY BACONG COMMERCIAL COMPLEX

Location MUNICIPALITY OF BACONG, NEGROS ORIENTAL

Contractor PHILSOUTH BUILDERS

Item Description 4000 Psi Ready Mix Concrete Estimated Quantity: 24.34 CUM

Date of Pouring November 26, 2021 TIE BEAM

Requested by:

ENGR. GIL TEOFILUS L. ALFONSO

PROJECT ENGINEER
PHILSOUTH BUILDERS

CHECKLIST

Concrete Vibrator Field Density Test (FDT)

Protective Covering Materials Beam/ Cylinder Molds

Warning Signs/Barricades/Flagmen Curing Materials

Concrete Saw Slump Cone

Concrete Block Spacer Plumbness

Finishing Tools/ Equipment (Screeder, broom, etc.) Quality of Materials Used (Result of Design/Trial)

Line and Grade Alignment (Form setting, elev, etc.) Lighting System

Required Construction Equipment Electrical Layout (roughing -ins/ embedments)

Rebars size, spacing, and number Plumbing Layout (roughing -ins/ embedments)

Rebars installaion requirements Falseworks/ formworks adequacy

Inspected by:

JERRY S. INOY Date

Name and Signature

Project Inspector

Remarks

Approved by:

LEONOR B. BULINGOT Date

Name and Signature

Municipal Engineer

Remarks
 Republic of the Philippines
PROVONCE OF NEGROS ORIENTAL
OFFICE OF THE BUILDING OFFICIAL
MUNICIPALITY OF BACONG, NEGROS ORIENTAL

Date: December 6, 2021

CONCRETE POURING

Name of Project CONSTRUCTION OF 2-STOREY BACONG COMMERCIAL COMPLEX

Location MUNICIPALITY OF BACONG, NEGROS ORIENTAL

Contractor PHILSOUTH BUILDERS

Item Description 4000 Psi Ready Mix Concrete Estimated Quantity: 24.24 m3

Date of Pouring December 7, 2021 COLUMN

Requested by:

ENGR. GIL TEOFILUS L. ALFONSO

PROJECT ENGINEER
PHILSOUTH BUILDERS

CHECKLIST

Concrete Vibrator Field Density Test (FDT)

Protective Covering Materials Beam/ Cylinder Molds

Warning Signs/Barricades/Flagmen Curing Materials

Concrete Saw Slump Cone

Concrete Block Spacer Plumbness

Finishing Tools/ Equipment (Screeder, broom, etc.) Quality of Materials Used (Result of Design/Trial)

Line and Grade Alignment (Form setting, elev, etc.) Lighting System

Required Construction Equipment Electrical Layout (roughing -ins/ embedments)

Rebars size, spacing, and number Plumbing Layout (roughing -ins/ embedments)

Rebars installaion requirements Falseworks/ formworks adequacy

Inspected by:

JERRY S. INOY Date

Name and Signature

Project Inspector

Remarks

Approved by:

LEONOR B. BULINGOT Date

Name and Signature

Municipal Engineer

Remarks
 Republic of the Philippines
PROVONCE OF NEGROS ORIENTAL
OFFICE OF THE BUILDING OFFICIAL
MUNICIPALITY OF BACONG, NEGROS ORIENTAL

Date: December 27, 2021

CONCRETE POURING

Name of Project CONSTRUCTION OF 2-STOREY BACONG COMMERCIAL COMPLEX

Location MUNICIPALITY OF BACONG, NEGROS ORIENTAL

Contractor PHILSOUTH BUILDERS

Item Description 4000 Psi Ready Mix Concrete Estimated Quantity: 6.59 cum

Date of Pouring December 28, 2021 PEDESTAL (RETAIL BLDG)

Requested by:

ENGR. GIL TEOFILUS L. ALFONSO

PROJECT ENGINEER
PHILSOUTH BUILDERS

CHECKLIST

Concrete Vibrator Field Density Test (FDT)

Protective Covering Materials Beam/ Cylinder Molds

Warning Signs/Barricades/Flagmen Curing Materials

Concrete Saw Slump Cone

Concrete Block Spacer Plumbness

Finishing Tools/ Equipment (Screeder, broom, etc.) Quality of Materials Used (Result of Design/Trial)

Line and Grade Alignment (Form setting, elev, etc.) Lighting System

Required Construction Equipment Electrical Layout (roughing -ins/ embedments)

Rebars size, spacing, and number Plumbing Layout (roughing -ins/ embedments)

Rebars installaion requirements Falseworks/ formworks adequacy

Inspected by:

JERRY S. INOY Date

Name and Signature

Project Inspector

Remarks

Approved by:

LEONOR B. BULINGOT Date

Name and Signature

Municipal Engineer

Remarks
 Republic of the Philippines
PROVONCE OF NEGROS ORIENTAL
OFFICE OF THE BUILDING OFFICIAL
MUNICIPALITY OF BACONG, NEGROS ORIENTAL

Date: January 18, 2022

CONCRETE POURING

Name of Project CONSTRUCTION OF 2-STOREY BACONG COMMERCIAL COMPLEX

Location MUNICIPALITY OF BACONG, NEGROS ORIENTAL

Contractor PHILSOUTH BUILDERS

Item Description 4000 Psi Ready Mix Concrete Estimated Quantity: 21.14 cum

Date of Pouring January 19, 2022 COLUMN (RETAIL BLDG)

Requested by:

ENGR. GIL TEOFILUS L. ALFONSO

PROJECT ENGINEER
PHILSOUTH BUILDERS

CHECKLIST

Concrete Vibrator Field Density Test (FDT)

Protective Covering Materials Beam/ Cylinder Molds

Warning Signs/Barricades/Flagmen Curing Materials

Concrete Saw Slump Cone

Concrete Block Spacer Plumbness

Finishing Tools/ Equipment (Screeder, broom, etc.) Quality of Materials Used (Result of Design/Trial)

Line and Grade Alignment (Form setting, elev, etc.) Lighting System

Required Construction Equipment Electrical Layout (roughing -ins/ embedments)

Rebars size, spacing, and number Plumbing Layout (roughing -ins/ embedments)

Rebars installaion requirements Falseworks/ formworks adequacy

Inspected by:

JERRY S. INOY Date

Name and Signature

Project Inspector

Remarks

Approved by:

LEONOR B. BULINGOT Date

Name and Signature

Municipal Engineer

Remarks
 Republic of the Philippines
PROVONCE OF NEGROS ORIENTAL
OFFICE OF THE BUILDING OFFICIAL
MUNICIPALITY OF BACONG, NEGROS ORIENTAL

Date: January 24, 2022

CONCRETE POURING

Name of Project CONSTRUCTION OF 2-STOREY BACONG COMMERCIAL COMPLEX

Location MUNICIPALITY OF BACONG, NEGROS ORIENTAL

Contractor PHILSOUTH BUILDERS

Item Description 4000 Psi Ready Mix Concrete Estimated Quantity: 55.97 CUM

Date of Pouring January 25, 2022 SLAB-ON-GRADE (FOOD AND BEVERAGE)

Requested by:

ENGR. GIL TEOFILUS L. ALFONSO

PROJECT ENGINEER
PHILSOUTH BUILDERS

CHECKLIST

Concrete Vibrator Field Density Test (FDT)

Protective Covering Materials Beam/ Cylinder Molds

Warning Signs/Barricades/Flagmen Curing Materials

Concrete Saw Slump Cone

Concrete Block Spacer Plumbness

Finishing Tools/ Equipment (Screeder, broom, etc.) Quality of Materials Used (Result of Design/Trial)

Line and Grade Alignment (Form setting, elev, etc.) Lighting System

Required Construction Equipment Electrical Layout (roughing -ins/ embedments)

Rebars size, spacing, and number Plumbing Layout (roughing -ins/ embedments)

Rebars installaion requirements Falseworks/ formworks adequacy

Inspected by:

JERRY S. INOY Date

Name and Signature

Project Inspector

Remarks

Approved by:

LEONOR B. BULINGOT Date

Name and Signature

Municipal Engineer

Remarks
 Republic of the Philippines
PROVONCE OF NEGROS ORIENTAL
OFFICE OF THE BUILDING OFFICIAL
MUNICIPALITY OF BACONG, NEGROS ORIENTAL

Date: January 29, 2022

CONCRETE POURING

Name of Project CONSTRUCTION OF 2-STOREY BACONG COMMERCIAL COMPLEX

Location MUNICIPALITY OF BACONG, NEGROS ORIENTAL

Contractor PHILSOUTH BUILDERS

Item Description 4000 Psi Ready Mix Concrete Estimated Quantity: 19.99 CUM

Date of Pouring January 31, 2022 COLUMNS AND TIE BEAM (RETAIL BUILDING)

Requested by:

ENGR. GIL TEOFILUS L. ALFONSO

PROJECT ENGINEER
PHILSOUTH BUILDERS

CHECKLIST

Concrete Vibrator Field Density Test (FDT)

Protective Covering Materials Beam/ Cylinder Molds

Warning Signs/Barricades/Flagmen Curing Materials

Concrete Saw Slump Cone

Concrete Block Spacer Plumbness

Finishing Tools/ Equipment (Screeder, broom, etc.) Quality of Materials Used (Result of Design/Trial)

Line and Grade Alignment (Form setting, elev, etc.) Lighting System

Required Construction Equipment Electrical Layout (roughing -ins/ embedments)

Rebars size, spacing, and number Plumbing Layout (roughing -ins/ embedments)

Rebars installaion requirements Falseworks/ formworks adequacy

Inspected by:

JERRY S. INOY Date

Name and Signature

Project Inspector

Remarks

Approved by:

LEONOR B. BULINGOT Date

Name and Signature

Municipal Engineer

Remarks
 Republic of the Philippines
PROVONCE OF NEGROS ORIENTAL
OFFICE OF THE BUILDING OFFICIAL
MUNICIPALITY OF BACONG, NEGROS ORIENTAL

Date: February 15. 2022

CONCRETE POURING

Name of Project CONSTRUCTION OF 2-STOREY BACONG COMMERCIAL COMPLEX

Location MUNICIPALITY OF BACONG, NEGROS ORIENTAL

Contractor PHILSOUTH BUILDERS

Item Description 4000 Psi Ready Mix Concrete Estimated Quantity: 24.347 cum

Date of Pouring February 16, 2022 PEDESTALS & FOOTINGS (RETAIL BUILDING)

Requested by:

ENGR. GIL TEOFILUS L. ALFONSO

PROJECT ENGINEER
PHILSOUTH BUILDERS

CHECKLIST

Concrete Vibrator Field Density Test (FDT)

Protective Covering Materials Beam/ Cylinder Molds

Warning Signs/Barricades/Flagmen Curing Materials

Concrete Saw Slump Cone

Concrete Block Spacer Plumbness

Finishing Tools/ Equipment (Screeder, broom, etc.) Quality of Materials Used (Result of Design/Trial)

Line and Grade Alignment (Form setting, elev, etc.) Lighting System

Required Construction Equipment Electrical Layout (roughing -ins/ embedments)

Rebars size, spacing, and number Plumbing Layout (roughing -ins/ embedments)

Rebars installaion requirements Falseworks/ formworks adequacy

Inspected by:

JERRY S. INOY Date

Name and Signature

Project Inspector

Remarks

Approved by:

LEONOR B. BULINGOT Date

Name and Signature

Municipal Engineer

Remarks
 Republic of the Philippines
PROVONCE OF NEGROS ORIENTAL
OFFICE OF THE BUILDING OFFICIAL
MUNICIPALITY OF BACONG, NEGROS ORIENTAL

Date: February 22, 2022

CONCRETE POURING

Name of Project CONSTRUCTION OF 2-STOREY BACONG COMMERCIAL COMPLEX

Location MUNICIPALITY OF BACONG, NEGROS ORIENTAL

Contractor PHILSOUTH BUILDERS

Item Description 4000 Psi Ready Mix Concrete Estimated Quantity: 28.99 cum

Date of Pouring February 23, 2022 TIE BEAM AND COLUMN (RETAIL BUILDING)

Requested by:

ENGR. GIL TEOFILUS L. ALFONSO

PROJECT ENGINEER
PHILSOUTH BUILDERS

CHECKLIST

Concrete Vibrator Field Density Test (FDT)

Protective Covering Materials Beam/ Cylinder Molds

Warning Signs/Barricades/Flagmen Curing Materials

Concrete Saw Slump Cone

Concrete Block Spacer Plumbness

Finishing Tools/ Equipment (Screeder, broom, etc.) Quality of Materials Used (Result of Design/Trial)

Line and Grade Alignment (Form setting, elev, etc.) Lighting System

Required Construction Equipment Electrical Layout (roughing -ins/ embedments)

Rebars size, spacing, and number Plumbing Layout (roughing -ins/ embedments)

Rebars installaion requirements Falseworks/ formworks adequacy

Inspected by:

JERRY S. INOY Date

Name and Signature

Project Inspector

Remarks

Approved by:

LEONOR B. BULINGOT Date

Name and Signature

Municipal Engineer

Remarks
 Republic of the Philippines
PROVONCE OF NEGROS ORIENTAL
OFFICE OF THE BUILDING OFFICIAL
MUNICIPALITY OF BACONG, NEGROS ORIENTAL

Date: March 1, 2022

CONCRETE POURING

Name of Project CONSTRUCTION OF 2-STOREY BACONG COMMERCIAL COMPLEX

Location MUNICIPALITY OF BACONG, NEGROS ORIENTAL

Contractor PHILSOUTH BUILDERS

Item Description 4000 Psi Ready Mix Concrete Estimated Quantity: 15.808 cum

Date of Pouring March 2, 2022 COLUMN AND FOOTING (RETAIL BUILDING)

Requested by:

ENGR. GIL TEOFILUS L. ALFONSO

PROJECT ENGINEER
PHILSOUTH BUILDERS

CHECKLIST

Concrete Vibrator Field Density Test (FDT)

Protective Covering Materials Beam/ Cylinder Molds

Warning Signs/Barricades/Flagmen Curing Materials

Concrete Saw Slump Cone

Concrete Block Spacer Plumbness

Finishing Tools/ Equipment (Screeder, broom, etc.) Quality of Materials Used (Result of Design/Trial)

Line and Grade Alignment (Form setting, elev, etc.) Lighting System

Required Construction Equipment Electrical Layout (roughing -ins/ embedments)

Rebars size, spacing, and number Plumbing Layout (roughing -ins/ embedments)

Rebars installaion requirements Falseworks/ formworks adequacy

Inspected by:

JERRY S. INOY Date

Name and Signature

Project Inspector

Remarks

Approved by:

LEONOR B. BULINGOT Date

Name and Signature

Municipal Engineer

Remarks
 Republic of the Philippines
PROVONCE OF NEGROS ORIENTAL
OFFICE OF THE BUILDING OFFICIAL
MUNICIPALITY OF BACONG, NEGROS ORIENTAL

Date: March 8, 2022

CONCRETE POURING

Name of Project CONSTRUCTION OF 2-STOREY BACONG COMMERCIAL COMPLEX

Location MUNICIPALITY OF BACONG, NEGROS ORIENTAL

Contractor PHILSOUTH BUILDERS

Item Description 4000 Psi Ready Mix Concrete Estimated Quantity: 29.07 cum

Date of Pouring March 9, 2022 COLUMN, FOOTING AND TIE BEAM (RETAIL BUILDING)

Requested by:

ENGR. GIL TEOFILUS L. ALFONSO

PROJECT ENGINEER
PHILSOUTH BUILDERS

CHECKLIST

Concrete Vibrator Field Density Test (FDT)

Protective Covering Materials Beam/ Cylinder Molds

Warning Signs/Barricades/Flagmen Curing Materials

Concrete Saw Slump Cone

Concrete Block Spacer Plumbness

Finishing Tools/ Equipment (Screeder, broom, etc.) Quality of Materials Used (Result of Design/Trial)

Line and Grade Alignment (Form setting, elev, etc.) Lighting System

Required Construction Equipment Electrical Layout (roughing -ins/ embedments)

Rebars size, spacing, and number Plumbing Layout (roughing -ins/ embedments)

Rebars installaion requirements Falseworks/ formworks adequacy

Inspected by:

JERRY S. INOY Date

Name and Signature

Project Inspector

Remarks

Approved by:

LEONOR B. BULINGOT Date

Name and Signature

Municipal Engineer

Remarks
 Republic of the Philippines
PROVONCE OF NEGROS ORIENTAL
OFFICE OF THE BUILDING OFFICIAL
MUNICIPALITY OF BACONG, NEGROS ORIENTAL

Date: March 25, 2022

CONCRETE POURING

Name of Project CONSTRUCTION OF 2-STOREY BACONG COMMERCIAL COMPLEX

Location MUNICIPALITY OF BACONG, NEGROS ORIENTAL

Contractor PHILSOUTH BUILDERS

Item Description 4000 Psi Ready Mix Concrete Estimated Quantity: 15 cum

Date of Pouring March 26, 2022 COLUMN AND TIE BEAM (RETAIL BUILDING)

Requested by:

ENGR. GIL TEOFILUS L. ALFONSO

PROJECT ENGINEER
PHILSOUTH BUILDERS

CHECKLIST

Concrete Vibrator Field Density Test (FDT)

Protective Covering Materials Beam/ Cylinder Molds

Warning Signs/Barricades/Flagmen Curing Materials

Concrete Saw Slump Cone

Concrete Block Spacer Plumbness

Finishing Tools/ Equipment (Screeder, broom, etc.) Quality of Materials Used (Result of Design/Trial)

Line and Grade Alignment (Form setting, elev, etc.) Lighting System

Required Construction Equipment Electrical Layout (roughing -ins/ embedments)

Rebars size, spacing, and number Plumbing Layout (roughing -ins/ embedments)

Rebars installaion requirements Falseworks/ formworks adequacy

Inspected by:

JERRY S. INOY Date

Name and Signature

Project Inspector

Remarks

Approved by:

LEONOR B. BULINGOT Date

Name and Signature

Municipal Engineer

Remarks
 Republic of the Philippines
PROVONCE OF NEGROS ORIENTAL
OFFICE OF THE BUILDING OFFICIAL
MUNICIPALITY OF BACONG, NEGROS ORIENTAL

Date: March 25, 2022

CONCRETE POURING

Name of Project CONSTRUCTION OF 2-STOREY BACONG COMMERCIAL COMPLEX

Location MUNICIPALITY OF BACONG, NEGROS ORIENTAL

Contractor PHILSOUTH BUILDERS

Item Description 4000 Psi Ready Mix Concrete Estimated Quantity: 60 cum

Date of Pouring March 26, 2022 Slab-on-Grade (RETAIL BUILDING)

Requested by:

ENGR. GIL TEOFILUS L. ALFONSO

PROJECT ENGINEER
PHILSOUTH BUILDERS

CHECKLIST

Concrete Vibrator Field Density Test (FDT)

Protective Covering Materials Beam/ Cylinder Molds

Warning Signs/Barricades/Flagmen Curing Materials

Concrete Saw Slump Cone

Concrete Block Spacer Plumbness

Finishing Tools/ Equipment (Screeder, broom, etc.) Quality of Materials Used (Result of Design/Trial)

Line and Grade Alignment (Form setting, elev, etc.) Lighting System

Required Construction Equipment Electrical Layout (roughing -ins/ embedments)

Rebars size, spacing, and number Plumbing Layout (roughing -ins/ embedments)

Rebars installaion requirements Falseworks/ formworks adequacy

Inspected by:

JERRY S. INOY Date

Name and Signature

Project Inspector

Remarks

Approved by:

LEONOR B. BULINGOT Date

Name and Signature

Municipal Engineer

Remarks
 Republic of the Philippines
PROVONCE OF NEGROS ORIENTAL
OFFICE OF THE BUILDING OFFICIAL
MUNICIPALITY OF BACONG, NEGROS ORIENTAL

Date: April 20, 2022

CONCRETE POURING

Name of Project CONSTRUCTION OF 2-STOREY BACONG COMMERCIAL COMPLEX

Location MUNICIPALITY OF BACONG, NEGROS ORIENTAL

Contractor PHILSOUTH BUILDERS

Item Description 4000 Psi Ready Mix Concrete Estimated Quantity: 140.85 cum

Date of Pouring April 21, 2022 Food and Beverage Suspended Slab

Requested by:

ENGR. GIL TEOFILUS L. ALFONSO

PROJECT ENGINEER
PHILSOUTH BUILDERS

CHECKLIST

Concrete Vibrator Field Density Test (FDT)

Protective Covering Materials Beam/ Cylinder Molds

Warning Signs/Barricades/Flagmen Curing Materials

Concrete Saw Slump Cone

Concrete Block Spacer Plumbness

Finishing Tools/ Equipment (Screeder, broom, etc.) Quality of Materials Used (Result of Design/Trial)

Line and Grade Alignment (Form setting, elev, etc.) Lighting System

Required Construction Equipment Electrical Layout (roughing -ins/ embedments)

Rebars size, spacing, and number Plumbing Layout (roughing -ins/ embedments)

Rebars installaion requirements Falseworks/ formworks adequacy

Inspected by:

JERRY S. INOY Date

Name and Signature

Project Inspector

Remarks

Approved by:

LEONOR B. BULINGOT Date

Name and Signature

Municipal Engineer

Remarks
 Republic of the Philippines
PROVONCE OF NEGROS ORIENTAL
OFFICE OF THE BUILDING OFFICIAL
MUNICIPALITY OF BACONG, NEGROS ORIENTAL

Date: May 2, 2022

CONCRETE POURING

Name of Project CONSTRUCTION OF 2-STOREY BACONG COMMERCIAL COMPLEX

Location MUNICIPALITY OF BACONG, NEGROS ORIENTAL

Contractor PHILSOUTH BUILDERS

Item Description 3000 Psi Ready Mix Concrete Estimated Quantity: 25 cum

Date of Pouring May 3, 2022 Retail Building Slab-on-Grade

Requested by:

ENGR. GIL TEOFILUS L. ALFONSO

PROJECT ENGINEER
PHILSOUTH BUILDERS

CHECKLIST

Concrete Vibrator Field Density Test (FDT)

Protective Covering Materials Beam/ Cylinder Molds

Warning Signs/Barricades/Flagmen Curing Materials

Concrete Saw Slump Cone

Concrete Block Spacer Plumbness

Finishing Tools/ Equipment (Screeder, broom, etc.) Quality of Materials Used (Result of Design/Trial)

Line and Grade Alignment (Form setting, elev, etc.) Lighting System

Required Construction Equipment Electrical Layout (roughing -ins/ embedments)

Rebars size, spacing, and number Plumbing Layout (roughing -ins/ embedments)

Rebars installaion requirements Falseworks/ formworks adequacy

Inspected by:

JERRY S. INOY Date

Name and Signature

Project Inspector

Remarks

Approved by:

LEONOR B. BULINGOT Date

Name and Signature

Municipal Engineer

Remarks
 Republic of the Philippines
PROVONCE OF NEGROS ORIENTAL
OFFICE OF THE BUILDING OFFICIAL
MUNICIPALITY OF BACONG, NEGROS ORIENTAL

Date: April 26, 2022

CONCRETE POURING

Name of Project CONSTRUCTION OF 2-STOREY BACONG COMMERCIAL COMPLEX

Location MUNICIPALITY OF BACONG, NEGROS ORIENTAL

Contractor PHILSOUTH BUILDERS

Item Description 3000 Psi Ready Mix Concrete Estimated Quantity: 73.05 cum

Date of Pouring April 27, 2022 Retail Building Slab-on-Grade

Requested by:

ENGR. GIL TEOFILUS L. ALFONSO

PROJECT ENGINEER
PHILSOUTH BUILDERS

CHECKLIST

Concrete Vibrator Field Density Test (FDT)

Protective Covering Materials Beam/ Cylinder Molds

Warning Signs/Barricades/Flagmen Curing Materials

Concrete Saw Slump Cone

Concrete Block Spacer Plumbness

Finishing Tools/ Equipment (Screeder, broom, etc.) Quality of Materials Used (Result of Design/Trial)

Line and Grade Alignment (Form setting, elev, etc.) Lighting System

Required Construction Equipment Electrical Layout (roughing -ins/ embedments)

Rebars size, spacing, and number Plumbing Layout (roughing -ins/ embedments)

Rebars installaion requirements Falseworks/ formworks adequacy

Inspected by:

JERRY S. INOY Date

Name and Signature

Project Inspector

Remarks

Approved by:

LEONOR B. BULINGOT Date

Name and Signature

Municipal Engineer

Remarks
 Republic of the Philippines
PROVONCE OF NEGROS ORIENTAL
OFFICE OF THE BUILDING OFFICIAL
MUNICIPALITY OF BACONG, NEGROS ORIENTAL

Date: May 7, 2022

CONCRETE POURING

Name of Project CONSTRUCTION OF 2-STOREY BACONG COMMERCIAL COMPLEX

Location MUNICIPALITY OF BACONG, NEGROS ORIENTAL

Contractor PHILSOUTH BUILDERS

Item Description 4000 Psi Ready Mix Concrete Estimated Quantity: 23 cum

Date of Pouring May 10, 2022 Cistern tank Slab Cover

Requested by:

ENGR. GIL TEOFILUS L. ALFONSO

PROJECT ENGINEER
PHILSOUTH BUILDERS

CHECKLIST

Concrete Vibrator Field Density Test (FDT)

Protective Covering Materials Beam/ Cylinder Molds

Warning Signs/Barricades/Flagmen Curing Materials

Concrete Saw Slump Cone

Concrete Block Spacer Plumbness

Finishing Tools/ Equipment (Screeder, broom, etc.) Quality of Materials Used (Result of Design/Trial)

Line and Grade Alignment (Form setting, elev, etc.) Lighting System

Required Construction Equipment Electrical Layout (roughing -ins/ embedments)

Rebars size, spacing, and number Plumbing Layout (roughing -ins/ embedments)

Rebars installaion requirements Falseworks/ formworks adequacy

Inspected by:

JERRY S. INOY Date

Name and Signature

Project Inspector

Remarks

Approved by:

LEONOR B. BULINGOT Date

Name and Signature

Municipal Engineer

Remarks
 Republic of the Philippines
PROVONCE OF NEGROS ORIENTAL
OFFICE OF THE BUILDING OFFICIAL
MUNICIPALITY OF BACONG, NEGROS ORIENTAL

Date: May 16, 2022

CONCRETE POURING

Name of Project CONSTRUCTION OF 2-STOREY BACONG COMMERCIAL COMPLEX

Location MUNICIPALITY OF BACONG, NEGROS ORIENTAL

Contractor PHILSOUTH BUILDERS

Item Description 4000 Psi Ready Mix Concrete Estimated Quantity: 98 cum

Date of Pouring May 17, 2022 Suspended Slab (Food and Beverage)

Requested by:

ENGR. GIL TEOFILUS L. ALFONSO

PROJECT ENGINEER
PHILSOUTH BUILDERS

CHECKLIST

Concrete Vibrator Field Density Test (FDT)

Protective Covering Materials Beam/ Cylinder Molds

Warning Signs/Barricades/Flagmen Curing Materials

Concrete Saw Slump Cone

Concrete Block Spacer Plumbness

Finishing Tools/ Equipment (Screeder, broom, etc.) Quality of Materials Used (Result of Design/Trial)

Line and Grade Alignment (Form setting, elev, etc.) Lighting System

Required Construction Equipment Electrical Layout (roughing -ins/ embedments)

Rebars size, spacing, and number Plumbing Layout (roughing -ins/ embedments)

Rebars installaion requirements Falseworks/ formworks adequacy

Inspected by:

JERRY S. INOY Date

Name and Signature

Project Inspector

Remarks

Approved by:

LEONOR B. BULINGOT Date

Name and Signature

Municipal Engineer

Remarks
44.6 356.8

7.5 40 300
9 44 396
12 8 96
792
 \

9.45