Republic of the Philippines

NATIONAL HOUSING AUTHORITY

New Capitol Complex, Marawi City
OFFICE OF THE REGIONAL DIRECTOR (BARMM)
NATIONAL HOUSING
AUTHORITY

Date : 17-Jan-22

CONCRETE POURING PERMIT NO. CPG-PR-105

Name of Project Road Infrastructure Projects with Utilities

Location MAA, Marawi City
Contractor EDDMARI Construction and Trading
Sub-Contractor CPG Contractor Services
Part of Structure to be
Road 7 RL Estimated Volume 46.9 cu.m
poured
Station Limits Sta. 0+060 - 0+110
Date of Pouring 18-Jan-22 Time of Pouring 8:00 AM

Requested By:

SOLAIM A. CAMEL
Sub-contractor's Representative
(QA/QC Engineer)

CHECKLIST
Concrete Vibrator Field Density Test
Protective Covering Materials Beam/Cylinder Molds
Warning Signs, Barricades/Flagmen Curing Compound
Concrete Saw Slump Cone
Concrete Block Spacer Plumbness
Finishing Tools/Equipment Quality of Materials Used Result of Design/
(Screeder, Brooms, etc.) Trial Mix, Test Results etc.
Line Grade Alignment Lighting System
(Form Setting, Elevation) Electrical Lay-out
Required Construction Equipment Plumbing Lay-out
Rebar Sizes, Spacing and Numbers Falsework, Formworks adequacy
Rebar installation requirements

CHECKED BY:

Site Engineer: BOBBY A. LOMAYON Date:

(Name and Signature)
REMARKS:
RECOMMENDATION:

Field Supervisor: RUBEN T. LARGO Date:

(Name and Signature)
REMARKS:
RECOMMENDATION:

QA/QC Engineer: JAMIL S. RIGA Date:

(Name and Signature)
REMARKS:
RECOMMENDATION:
REQUEST: APPROVED DISAPPROVED

NHA Engineer: Date:

(Name and Signature)
REMARKS:
RECOMMENDATION:
COPY FURNISHED:
1. RFR
2. RSY