Office of the President
NATIONAL HOUSING AUTHORITY
Caraga Regional Office
DATE
CONCRETE POURING PERMIT
Name of Project/Location NHA-Butuan City New Villages 3A
Contractor Two Aces Construction & Supply
Part of Structure to be poured Estimated Volume (m3)
Station, Limits/Section
Date of Pouring Time of Pouring
Requested by:
Contractor :
(Name and Signature)
CHECKLIST
Concrete Vibrator Field Density Test
Protective Covering Materials Beam/Cylinder Molds
Warning Signs/Barricades/Flagmen Curing Materials
Concrete Saw Slump Conce
Concrete Block Spacers Plumbness
Quality of Materials Used (Result of Design/Trial M
Finishing Tools/Equipment (Screeder, broom, etc.)
Test Reports, etc.)
Line and Grade alignment (form setting, elevation, etc.) Lighting system
Required construction equipment Electrical layout (Roughing ins/embedments)
Rebars sizes, spacing and number Plumbing layout (Roughing ins/embedments)
Rebars installation requirements Falsework/formworks adequacy
Checked by:
Materials Engineer Date :
(Name and Signature)
REMARKS/
RECOMMENDATIONS
Project Inspector Date :
(Name and Signature)
REMARKS/
RECOMMENDATIONS
Request : Disapproved:
REMARKS/
RECOMMENDATIONS
EVE RIZALLE LHYN E. BOCO
NHA - Senior Engineer A
(Name and Signature)
Accreditation No.
he President
SING AUTHORITY
gional Office
OURING PERMIT
3A
ly
(Name and Signature)
CKLIST
Field Density Test
Beam/Cylinder Molds
Curing Materials
Slump Conce
Plumbness
Quality of Materials Used (Result of Design/Trial Mix,
Test Reports, etc.)
Lighting system
Electrical layout (Roughing ins/embedments)
Plumbing layout (Roughing ins/embedments)
Falsework/formworks adequacy
EVE RIZALLE LHYN E. BOCO
NHA - Senior Engineer A
(Name and Signature)
NATIONAL HOUSING AUTHORITY
DATE Nov. 15, 2012
CONCRETE POURING PERMIT
Name of Project/Location Land Development of NHA-Balangayan Butuan Project, Brgy. Pagatpatan, Butuan City
Contractor Regional Infrastructure Development Corporation
Part of Structure to be poured PCCP Estimated Volume (m3) 96.75 cu.m.
Station, Limits/Section
Date of Pouring Nov. 16, 2012 Time of Pouring
Requested by:
Contractor : EVAJANE D. BOHOL - RIDC Proj. Engr.
(Name and Signature)
CHECKLIST
Concrete Vibrator Field Density Test
Protective Covering Materials Beam/Cylinder Molds
Warning Signs/Barricades/Flagmen Curing Materials
Concrete Saw Slump Conce
Concrete Block Spacers Plumbness
Finishing Tools/Equipment (Screeder, broom, Quality of Materials Used (Result of Design/Trial Mix,
etc.) Test Reports, etc.)
Line and Grade alignment (form setting,
Lighting system
elevation, etc.)
Required construction equipment Electrical layout (Roughing ins/embedments)
Rebars sizes, spacing and number Plumbing layout (Roughing ins/embedments)
Rebars installation requirements Falsework/formworks adequacy
Checked by:
Materials Engineer Date :
(Name and Signature)
REMARKS/
RECOMMENDATIONS
Project Inspector Date :
(Name and Signature)
REMARKS/
RECOMMENDATIONS
REMARKS/
RECOMMENDATIONS
Request : Disapproved:
REMARKS/
RECOMMENDATIONS
SUNDAY N. ARGUILLAS, JR.
NHA - Project Engineer
(Name and Signature)
Accreditation No.
atpatan, Butuan City
189
96.75 cu.m. 165
OL - RIDC Proj. Engr.
d Signature)
ult of Design/Trial Mix,
embedments)
embedments)
y
LLAS, JR.
ngineer
nature)
