ENGINEERING DEPARTMENT

CONCRETE POURING REQUEST FORM

PERMIT NO: 1
NAME OF PROJECT : PROPOSED PARKING BUILDING, SATELLITE OFFICE, & FIRE STATION BUILDING
TITLE LOCATION : CAPITAL COMMONS, BRGY. ORANBO, PASIG CITY
CONTRACTOR : PHESCO INC.

REQUEST DATE : DATE OF POURING

14-May-19 18-May-19

STRUCTURE FOR CONCRETE POURING / LIMITS / STATION

COLUMN FOOTING AND FOOTING TIE BEAM
Grid(X1 - X2, Y1 - Y4)

SOURCE OF CONCRETE : PREMIER READY-MIX, INC. ESTIMATED VOLUME :

STRENGTH : 4000 PSI SLUMP : 5"-7"
L
X CONCRETE VIBRATOR X REBARS SIZES, SPACING AND NUMBER
X PROTECTIVE COVERING MATERIALS FIELD DENSITY TEST
X WARNING SIGN / BARRICADES / FLAGMEN X PLUMBNESS
CONCRETE SAW X QUALITY OF MATERIALS USED ( TEST RESULT)
X CONCRETE BLOCK SPACERS LIGHTING SYSTEM
X FINISHING TOOLS / EQUIPMENT / SCREEDERS X ELECTRICAL LAYOUT ( ROUGH-INS/ EMBED )
X LINE AND GRADE ALIGNMENT, INVERT ELEVATION, ETC X PLUMBING LAYOUT ( ROUGH-INS / EMBED)
X REQUIRED CONSTRUCTION EQUIPMENT FALSE WORKS ADEQUACY
REQUESTED BY: INSPECTOR
ARCH. ARIEL S. ALTAMERO
ENGR. ROBERT C. BULAN ENGR. PONCIANO V. SAMSON III
CONTRACTOR PROJECT IN-CHARGE
REMARKS / FINDINGS / RECOMMENDATION

RECOMMENDING APPROVALS
STRUCTURAL WORKS PLUMBING / SANITARY WORKS
ENGR. SINFOROSO DOMINGO ENGR. EDGAR ESTRADA

ARCHITECTURAL WORKS SURVEY WORKS

N/A ENGR. KENRICK TALANIA

ELECTRICAL WORKS QUALITY CONTROL

ENGR. RAMELLE MARTIN
ENGR. RENATO P. MISAGAL
HEAD, QUALITY CONTROL
RECOMMENDING APPROVAL APPROVED
ARCH. JANSEN CLYDE T. PERONILLA
ENGR. JOSE ANGELO DEE ENGR. HERMOGENES N. LERIO
P.I.C OIC- ENGINEERING DEPARTMENT