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Pouring Permit

This document is a concrete pouring permit from the Camarines Sur Imo District Office III of the National Irrigation Administration in the Philippines. It provides details of a proposed concrete pour including the project name and location, contractor, type and estimated volume of concrete, station limits, proposed date and time of pour. It includes a checklist of requirements that must be verified such as formwork adequacy, protective coverings, signage, concrete properties, reinforcement, and construction equipment. Space is provided for remarks and recommendations from materials engineering and project management, as well as final approval or disapproval of the permit.

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Hanz Rodriguez
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0% found this document useful (0 votes)
229 views1 page

Pouring Permit

This document is a concrete pouring permit from the Camarines Sur Imo District Office III of the National Irrigation Administration in the Philippines. It provides details of a proposed concrete pour including the project name and location, contractor, type and estimated volume of concrete, station limits, proposed date and time of pour. It includes a checklist of requirements that must be verified such as formwork adequacy, protective coverings, signage, concrete properties, reinforcement, and construction equipment. Space is provided for remarks and recommendations from materials engineering and project management, as well as final approval or disapproval of the permit.

Uploaded by

Hanz Rodriguez
Copyright
© © All Rights Reserved
We take content rights seriously. If you suspect this is your content, claim it here.
Available Formats
Download as XLSX, PDF, TXT or read online on Scribd
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Republic of the Philippines

National Irrigation Administration


CAMARINES SUR IMO DISTRICT OFFICE III (THIRIS)

DATE:

CONCRETE POURING PERMIT

Name of Project :
Location :
Contractor :
Part of Structure to Estimated Volume, (cu.m.)
be ,,poured
:
Station Limits/ Section :
Date of Pouring : Time of Pouring
Requested by:

(Name & Signature of Contractor/Project Engr.)

CHECKLIST
Falsework/ Formworks adequacy Field Density Test
Protective Covering Materials Beam/ Cylinder Molds
Warning Signs/ Barricades/ Flagmen Curing Materials
Slump Cone Concrete Saw
Concrete Block Spacers Plumbness
Rebars sizes, spacing and number Concrete Vibrator
Line and Grade alignment (form
Lighting System
setting, ,,,,,,elevations, etc)
Required Construction equipment Electrical Layout (roughing-ins/embedment)

Rebars installation requirements Plumbing Layout (Roughing - ins/ embedments)


Quality of Materials Used (Result of
Finishing Tools/ Equipment (Screeder, broom, ,,,,etc)
Design/ ,,,,,,Trial,Mix, Test Reports, etc)
Checked by:
Materials Engineer/
Date
Project ,,,In-Charge
(Name and Signature)

REMARKS/ ,,,RECOMMENDA
TIONS
In-house Inspectorate ,,,Team
Date
Leader
(Name and Signature)

REMARKS/ ,,,RECOMMENDA
TIONS
Request : Approved Disapproved

REMARKS/ ,,,,RECOMMEND
ATIONS

MARY JANE C. MIRABUENO


Acting Head, NIA-THIRIS
Date: 30/12/1899

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