Republic of the Philippines

Department of Public Works and Highways

OFFICE OF THE DISTRICT ENGINEER
Masbate 2nd District Engineering Office

Date: _________________

CONCRETE POURING PERMIT

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

Request By:

Contractor:

(Name & Signature)

CHECKLIST
Concrete Vibrator Field Density Test
Protective Covering Materials Beam/Cylinder Molds
Warning Signs/Barricades/Flagmen Curing Materials
Concrete Saw Slump Cone
Concrete Block Spacers Plumbness
Finishing Tools/Equipment (Screeder Quality of materials Used (Result of Design/
broom,etc.) Test Mix, Test Reports,etc.
Line and Grade alignment (form setting,
Lighting System
elevations, etc)
Required construction equipment Electrical Lay-out (Rough-ins/embedments)
Rebars sizes, spacing and number: Plumbing Lay-out (Rough-ins/embedments)
Rebars installation requirement Falsework.Formworks adequacy
Checked by:

Materials Engineer Date

Engineer II
(Name and Signature)
REMARKS/

RECOMMENDATIONS

Project Inspector Date

Engineer II
(Name and Signature)

REMARKS/

RECOMMENDATIONS

Request: ( ) Approved ( ) Disapproved

REMARKS/

RECOMMENDATIONS

Project Engineer
(Name and Signature
Accrediation No.
 Republic of the Philippines
Department of Public Works and Highways
OFFICE OF THE DISTRICT ENGINEER
Masbate 2nd District Engineering Office

Date: _________________

CONCRETE POURING PERMIT

Name of
18FJ0037- Const. of Multi-Purpose covered court @ Brgy. Cawayan, Masbate
Project/Location
Contractor JOLAC'S Construction
Part of Structure to be Estimated Volume
poured (cu.m.)
Station Limits/Section
Date of Pouring Time of Pouring

Request By:

Contractor:

(Name & Signature)

CHECKLIST
Concrete Vibrator Field Density Test
Protective Covering Materials Beam/Cylinder Molds
Warning Signs/Barricades/Flagmen Curing Materials
Concrete Saw Slump Cone
Concrete Block Spacers Plumbness
Finishing Tools/Equipment (Screeder Quality of materials Used (Result of Design/
broom,etc.) Test Mix, Test Reports,etc.
Line and Grade alignment (form setting,
Lighting System
elevations, etc)
Required construction equipment Electrical Lay-out (Rough-ins/embedments)
Rebars sizes, spacing and number: Plumbing Lay-out (Rough-ins/embedments)
Rebars installation requirement Falsework.Formworks adequacy
Checked by:

Materials Engineer LIONELLE L. ANDES Date

Engineer II
(Name and Signature)
REMARKS/

RECOMMENDATIONS

Project Inspector ALBERTO VALDEMORO Date

Engineer II
(Name and Signature)

REMARKS/

RECOMMENDATIONS

Request: ( ) Approved ( ) Disapproved

REMARKS/

RECOMMENDATIONS

OLIVER H. CASTILLO
Project Engineer
(Name and Signature
Accrediation No. PO144
 Republic of the Philippines
Department of Public Works and Highways
OFFICE OF THE DISTRICT ENGINEER
Masbate 2nd District Engineering Office

Date: _________________

CONCRETE POURING PERMIT

Name of
18FJ0083 - Repair/Maint. Of Flood Control @ Cawayan, Masbate
Project/Location
Contractor JOLAC'S Construction
Part of Structure to be Estimated Volume
poured (cu.m.)
Station Limits/Section
Date of Pouring Time of Pouring

Request By:

Contractor:

(Name & Signature)

CHECKLIST
Concrete Vibrator Field Density Test
Protective Covering Materials Beam/Cylinder Molds
Warning Signs/Barricades/Flagmen Curing Materials
Concrete Saw Slump Cone
Concrete Block Spacers Plumbness
Finishing Tools/Equipment (Screeder Quality of materials Used (Result of Design/
broom,etc.) Test Mix, Test Reports,etc.
Line and Grade alignment (form setting,
Lighting System
elevations, etc)
Required construction equipment Electrical Lay-out (Rough-ins/embedments)
Rebars sizes, spacing and number: Plumbing Lay-out (Rough-ins/embedments)
Rebars installation requirement Falsework.Formworks adequacy
Checked by:

Materials Engineer LIONELLE L. ANDES Date

Engineer II
(Name and Signature)
REMARKS/

RECOMMENDATIONS

Project Inspector IZRAEL B. VILLA Engineer Date

II
(Name and Signature)

REMARKS/

RECOMMENDATIONS

Request: ( ) Approved ( ) Disapproved

REMARKS/

RECOMMENDATIONS

HEZER M. CANTUBA
Project Engineer
(Name and Signature
Accrediation No. PO2074
 Republic of the Philippines
Department of Public Works and Highways
OFFICE OF THE DISTRICT ENGINEER
Masbate 2nd District Engineering Office

Date: _________________

CONCRETE POURING PERMIT

Name of 18FJ0040 - Rehabilitation/Improvement of Masisi Flood Control @ G. Aliño,

Project/Location Dimasalang, Masbate
Contractor Partido Construction & Supplies
Part of Structure to be Estimated Volume
poured (cu.m.)
Station Limits/Section
Date of Pouring Time of Pouring

Request By:

Contractor:

ABNER P. FERRER
(Name & Signature)
CHECKLIST
Concrete Vibrator Field Density Test
Protective Covering Materials Beam/Cylinder Molds
Warning Signs/Barricades/Flagmen Curing Materials
Concrete Saw Slump Cone
Concrete Block Spacers Plumbness
Finishing Tools/Equipment (Screeder Quality of materials Used (Result of Design/
broom,etc.) Test Mix, Test Reports,etc.
Line and Grade alignment (form setting,
Lighting System
elevations, etc)
Required construction equipment Electrical Lay-out (Rough-ins/embedments)
Rebars sizes, spacing and number: Plumbing Lay-out (Rough-ins/embedments)
Rebars installation requirement Falsework.Formworks adequacy
Checked by:

Materials Engineer RONY BEEJAY B. ALER Date

Engineer II
(Name and Signature)
REMARKS/

RECOMMENDATIONS

Project Inspector MARK SAMMY L. DISCAYA Date

Engineer II
(Name and Signature)

REMARKS/

RECOMMENDATIONS

Request: ( ) Approved ( ) Disapproved

REMARKS/

RECOMMENDATIONS

HILARIO A. MANLANGIT
Project Engineer
(Name and Signature
Accrediation No. 3868
 Republic of the Philippines
Department of Public Works and Highways
OFFICE OF THE DISTRICT ENGINEER
Masbate 2nd District Engineering Office

Date: _________________

CONCRETE POURING PERMIT

Name of 18FJ0053 - Rehabilitation/Improvement of Palanas Flood Control @ Poblacion,

Project/Location Palanas, Masbate
Contractor Partido Construction & Supplies
Part of Structure to be Estimated Volume
poured (cu.m.)
Station Limits/Section
Date of Pouring Time of Pouring

Request By:

Contractor:

ABNER P. FERRER
(Name & Signature)
CHECKLIST
Concrete Vibrator Field Density Test
Protective Covering Materials Beam/Cylinder Molds
Warning Signs/Barricades/Flagmen Curing Materials
Concrete Saw Slump Cone
Concrete Block Spacers Plumbness
Finishing Tools/Equipment (Screeder Quality of materials Used (Result of Design/
broom,etc.) Test Mix, Test Reports,etc.
Line and Grade alignment (form setting,
Lighting System
elevations, etc)
Required construction equipment Electrical Lay-out (Rough-ins/embedments)
Rebars sizes, spacing and number: Plumbing Lay-out (Rough-ins/embedments)
Rebars installation requirement Falsework.Formworks adequacy
Checked by:

Materials Engineer RONY BEEJAY B. ALER Date

Engineer II
(Name and Signature)
REMARKS/

RECOMMENDATIONS

Project Inspector MARK SAMMY L. DISCAYA Date

Engineer II
(Name and Signature)

REMARKS/

RECOMMENDATIONS

Request: ( ) Approved ( ) Disapproved

REMARKS/

RECOMMENDATIONS

HILARIO A. MANLANGIT
Project Engineer
(Name and Signature
Accrediation No. 3868
 Republic of the Philippines
Department of Public Works and Highways
OFFICE OF THE DISTRICT ENGINEER
Masbate 2nd District Engineering Office

Date: _________________

CONCRETE POURING PERMIT

Name of 18FJ0039 - Network development program road widening @ Buenavista-

Project/Location Kawayan Road, Masbate, K0033+400 - K0035+000, Masbate
Contractor C.L. Carandang Enterprises
Part of Structure to be Estimated Volume
poured (cu.m.)
Station Limits/Section
Date of Pouring Time of Pouring

Request By:

Contractor:

CYNTHIA L. CARANDANG
(Name & Signature)
CHECKLIST
Concrete Vibrator Field Density Test
Protective Covering Materials Beam/Cylinder Molds
Warning Signs/Barricades/Flagmen Curing Materials
Concrete Saw Slump Cone
Concrete Block Spacers Plumbness
Finishing Tools/Equipment (Screeder Quality of materials Used (Result of Design/
broom,etc.) Test Mix, Test Reports,etc.
Line and Grade alignment (form setting,
Lighting System
elevations, etc)
Required construction equipment Electrical Lay-out (Rough-ins/embedments)
Rebars sizes, spacing and number: Plumbing Lay-out (Rough-ins/embedments)
Rebars installation requirement Falsework.Formworks adequacy
Checked by:

Materials Engineer LIONELLE L. ANDES Date

Engineer II
(Name and Signature)
REMARKS/

RECOMMENDATIONS

Project Inspector ROMEO S. BALATUCAN Date

Engineer II
(Name and Signature)

REMARKS/

RECOMMENDATIONS

Request: ( ) Approved ( ) Disapproved

REMARKS/

RECOMMENDATIONS

LIGAYA F. COBILLA
Project Engineer
(Name and Signature
Accrediation No. 1138
 Republic of the Philippines
Department of Public Works and Highways
OFFICE OF THE DISTRICT ENGINEER
Masbate 2nd District Engineering Office

Date: _________________

CONCRETE POURING PERMIT

Name of 18FJ0025 - Asset Preservation Program, Const./Upgraading/Rehab. Of Drainage

Project/Location along National Road @ Placer-Daraga, Masbate
Contractor C.L. Carandang Enterprises
Part of Structure to be Estimated Volume
poured (cu.m.)
Station Limits/Section
Date of Pouring Time of Pouring

Request By:

Contractor:

CYNTHIA L. CARANDANG
(Name & Signature)
CHECKLIST
Concrete Vibrator Field Density Test
Protective Covering Materials Beam/Cylinder Molds
Warning Signs/Barricades/Flagmen Curing Materials
Concrete Saw Slump Cone
Concrete Block Spacers Plumbness
Finishing Tools/Equipment (Screeder Quality of materials Used (Result of Design/
broom,etc.) Test Mix, Test Reports,etc.
Line and Grade alignment (form setting,
Lighting System
elevations, etc)
Required construction equipment Electrical Lay-out (Rough-ins/embedments)
Rebars sizes, spacing and number: Plumbing Lay-out (Rough-ins/embedments)
Rebars installation requirement Falsework.Formworks adequacy
Checked by:

Materials Engineer FLORANTE U. ZURBITO Date

Engineer II
(Name and Signature)
REMARKS/

RECOMMENDATIONS

Project Inspector OLIVER H. CASTILLO Date

Engineer II
(Name and Signature)

REMARKS/

RECOMMENDATIONS

Request: ( ) Approved ( ) Disapproved

REMARKS/

RECOMMENDATIONS

RONY BEEJAY B. ALER

Project Engineer
(Name and Signature
Accrediation No. 4847
 Republic of the Philippines
Department of Public Works and Highways
OFFICE OF THE DISTRICT ENGINEER
Masbate 2nd District Engineering Office

Date: _________________

CONCRETE POURING PERMIT

Name of 18FJ0028 - Const. of Multi-Purpose Covered Court @ Brgy. Calapayan,

Project/Location Cawayan, Masbate
Contractor C.L. Carandang Enterprises
Part of Structure to be Estimated Volume
poured (cu.m.)
Station Limits/Section
Date of Pouring Time of Pouring

Request By:

Contractor:

CYNTHIA L. CARANDANG
(Name & Signature)
CHECKLIST
Concrete Vibrator Field Density Test
Protective Covering Materials Beam/Cylinder Molds
Warning Signs/Barricades/Flagmen Curing Materials
Concrete Saw Slump Cone
Concrete Block Spacers Plumbness
Finishing Tools/Equipment (Screeder Quality of materials Used (Result of Design/
broom,etc.) Test Mix, Test Reports,etc.
Line and Grade alignment (form setting,
Lighting System
elevations, etc)
Required construction equipment Electrical Lay-out (Rough-ins/embedments)
Rebars sizes, spacing and number: Plumbing Lay-out (Rough-ins/embedments)
Rebars installation requirement Falsework.Formworks adequacy
Checked by:

Materials Engineer LIONELLE L. ANDES Date

Engineer II
(Name and Signature)
REMARKS/

RECOMMENDATIONS

Project Inspector ALBERTO VALDEMORO Date

Engineer II
(Name and Signature)

REMARKS/

RECOMMENDATIONS

Request: ( ) Approved ( ) Disapproved

REMARKS/

RECOMMENDATIONS

MARK SAMMY L. DISCAYA

Project Engineer
(Name and Signature
Accrediation No. PO207
 Republic of the Philippines
Department of Public Works and Highways
OFFICE OF THE DISTRICT ENGINEER
Masbate 2nd District Engineering Office

Date: _________________

CONCRETE POURING PERMIT

Name of 18FJ0030 - Const. of Multi-Purpose Covered Court @ Brgy. Cabungahan,

Project/Location Cawayan, Masbate
Contractor C.L. Carandang Enterprises
Part of Structure to be Estimated Volume
poured (cu.m.)
Station Limits/Section
Date of Pouring Time of Pouring

Request By:

Contractor:

CYNTHIA L. CARANDANG
(Name & Signature)
CHECKLIST
Concrete Vibrator Field Density Test
Protective Covering Materials Beam/Cylinder Molds
Warning Signs/Barricades/Flagmen Curing Materials
Concrete Saw Slump Cone
Concrete Block Spacers Plumbness
Finishing Tools/Equipment (Screeder Quality of materials Used (Result of Design/
broom,etc.) Test Mix, Test Reports,etc.
Line and Grade alignment (form setting,
Lighting System
elevations, etc)
Required construction equipment Electrical Lay-out (Rough-ins/embedments)
Rebars sizes, spacing and number: Plumbing Lay-out (Rough-ins/embedments)
Rebars installation requirement Falsework.Formworks adequacy
Checked by:

Materials Engineer LIONELLE L. ANDES Date

Engineer II
(Name and Signature)
REMARKS/

RECOMMENDATIONS

Project Inspector ALBERTO VALDEMORO Date

Engineer II
(Name and Signature)

REMARKS/

RECOMMENDATIONS

Request: ( ) Approved ( ) Disapproved

REMARKS/

RECOMMENDATIONS

MARK SAMMY L. DISCAYA

Project Engineer
(Name and Signature
Accrediation No. PO207
 Republic of the Philippines
Department of Public Works and Highways
OFFICE OF THE DISTRICT ENGINEER
Masbate 2nd District Engineering Office

Date: _________________

CONCRETE POURING PERMIT

Name of 18FJ0031 - Const. of Multi-Purpose Covered Court @ Brgy. Calumpang,

Project/Location Cawayan, Masbate
Contractor C.L. Carandang Enterprises
Part of Structure to be Estimated Volume
poured (cu.m.)
Station Limits/Section
Date of Pouring Time of Pouring

Request By:

Contractor:

CYNTHIA L. CARANDANG
(Name & Signature)
CHECKLIST
Concrete Vibrator Field Density Test
Protective Covering Materials Beam/Cylinder Molds
Warning Signs/Barricades/Flagmen Curing Materials
Concrete Saw Slump Cone
Concrete Block Spacers Plumbness
Finishing Tools/Equipment (Screeder Quality of materials Used (Result of Design/
broom,etc.) Test Mix, Test Reports,etc.
Line and Grade alignment (form setting,
Lighting System
elevations, etc)
Required construction equipment Electrical Lay-out (Rough-ins/embedments)
Rebars sizes, spacing and number: Plumbing Lay-out (Rough-ins/embedments)
Rebars installation requirement Falsework.Formworks adequacy
Checked by:

Materials Engineer LIONELLE L. ANDES Date

Engineer II
(Name and Signature)
REMARKS/

RECOMMENDATIONS

Project Inspector ALBERTO VALDEMORO Date

Engineer II
(Name and Signature)

REMARKS/

RECOMMENDATIONS

Request: ( ) Approved ( ) Disapproved

REMARKS/

RECOMMENDATIONS

MARK SAMMY L. DISCAYA

Project Engineer
(Name and Signature
Accrediation No. PO207
 Republic of the Philippines
Department of Public Works and Highways
OFFICE OF THE DISTRICT ENGINEER
Masbate 2nd District Engineering Office

Date: _________________

CONCRETE POURING PERMIT

Name of 18FJ0032 - Const. of Multi-Purpose Covered Court @ Brgy. Libertad, Cawayan,

Project/Location Masbate
Contractor C.L. Carandang Enterprises
Part of Structure to be Estimated Volume
poured (cu.m.)
Station Limits/Section
Date of Pouring Time of Pouring

Request By:

Contractor:

CYNTHIA L. CARANDANG
(Name & Signature)
CHECKLIST
Concrete Vibrator Field Density Test
Protective Covering Materials Beam/Cylinder Molds
Warning Signs/Barricades/Flagmen Curing Materials
Concrete Saw Slump Cone
Concrete Block Spacers Plumbness
Finishing Tools/Equipment (Screeder Quality of materials Used (Result of Design/
broom,etc.) Test Mix, Test Reports,etc.
Line and Grade alignment (form setting,
Lighting System
elevations, etc)
Required construction equipment Electrical Lay-out (Rough-ins/embedments)
Rebars sizes, spacing and number: Plumbing Lay-out (Rough-ins/embedments)
Rebars installation requirement Falsework.Formworks adequacy
Checked by:

Materials Engineer LIONELLE L. ANDES Date

Engineer II
(Name and Signature)
REMARKS/

RECOMMENDATIONS

Project Inspector ALBERTO VALDEMORO Date

Engineer II
(Name and Signature)

REMARKS/

RECOMMENDATIONS

Request: ( ) Approved ( ) Disapproved

REMARKS/

RECOMMENDATIONS

MARK SAMMY L. DISCAYA

Project Engineer
(Name and Signature
Accrediation No. PO207
 Republic of the Philippines
Department of Public Works and Highways
OFFICE OF THE DISTRICT ENGINEER
Masbate 2nd District Engineering Office

Date: _________________

CONCRETE POURING PERMIT

Name of 18FJ0033 - Const. of Multi-Purpose Covered Court @ Brgy. Pulot, Cawayan,

Project/Location Masbate
Contractor C.L. Carandang Enterprises
Part of Structure to be Estimated Volume
poured (cu.m.)
Station Limits/Section
Date of Pouring Time of Pouring

Request By:

Contractor:

CYNTHIA L. CARANDANG
(Name & Signature)
CHECKLIST
Concrete Vibrator Field Density Test
Protective Covering Materials Beam/Cylinder Molds
Warning Signs/Barricades/Flagmen Curing Materials
Concrete Saw Slump Cone
Concrete Block Spacers Plumbness
Finishing Tools/Equipment (Screeder Quality of materials Used (Result of Design/
broom,etc.) Test Mix, Test Reports,etc.
Line and Grade alignment (form setting,
Lighting System
elevations, etc)
Required construction equipment Electrical Lay-out (Rough-ins/embedments)
Rebars sizes, spacing and number: Plumbing Lay-out (Rough-ins/embedments)
Rebars installation requirement Falsework.Formworks adequacy
Checked by:

Materials Engineer FLORANTE U. ZURBITO Date

Engineer II
(Name and Signature)
REMARKS/

RECOMMENDATIONS

Project Inspector ALBERTO VALDEMORO Date

Engineer II
(Name and Signature)

REMARKS/

RECOMMENDATIONS

Request: ( ) Approved ( ) Disapproved

REMARKS/

RECOMMENDATIONS

LIONELLE L. ANDES
Project Engineer
(Name and Signature
Accrediation No. PO605
 Republic of the Philippines
Department of Public Works and Highways
OFFICE OF THE DISTRICT ENGINEER
Masbate 2nd District Engineering Office

Date: _________________

CONCRETE POURING PERMIT

Name of 18FJ0034 - Const. of Multi-Purpose Covered Court @ Brgy. R.M. Magbalon,

Project/Location Cawayan, Masbate
Contractor C.L. Carandang Enterprises
Part of Structure to be Estimated Volume
poured (cu.m.)
Station Limits/Section
Date of Pouring Time of Pouring

Request By:

Contractor:

CYNTHIA L. CARANDANG
(Name & Signature)
CHECKLIST
Concrete Vibrator Field Density Test
Protective Covering Materials Beam/Cylinder Molds
Warning Signs/Barricades/Flagmen Curing Materials
Concrete Saw Slump Cone
Concrete Block Spacers Plumbness
Finishing Tools/Equipment (Screeder Quality of materials Used (Result of Design/
broom,etc.) Test Mix, Test Reports,etc.
Line and Grade alignment (form setting,
Lighting System
elevations, etc)
Required construction equipment Electrical Lay-out (Rough-ins/embedments)
Rebars sizes, spacing and number: Plumbing Lay-out (Rough-ins/embedments)
Rebars installation requirement Falsework.Formworks adequacy
Checked by:

Materials Engineer FLORANTE U. ZURBITO Date

Engineer II
(Name and Signature)
REMARKS/

RECOMMENDATIONS

Project Inspector ALBERTO VALDEMORO Date

Engineer II
(Name and Signature)

REMARKS/

RECOMMENDATIONS

Request: ( ) Approved ( ) Disapproved

REMARKS/

RECOMMENDATIONS

LIONELLE L. ANDES
Project Engineer
(Name and Signature
Accrediation No. PO605
 Republic of the Philippines
Department of Public Works and Highways
OFFICE OF THE DISTRICT ENGINEER
Masbate 2nd District Engineering Office

Date: _________________

CONCRETE POURING PERMIT

Name of 18FJ0077- Road Widening Along Buenavista-Cawayan Road K0049+000 -

Project/Location K0050+690, Cawayan, Masbate
Contractor C.L. Carandang Enterprises
Part of Structure to be Estimated Volume
poured (cu.m.)
Station Limits/Section
Date of Pouring Time of Pouring

Request By:

Contractor:

CYNTHIA L. CARANDANG
(Name & Signature)
CHECKLIST
Concrete Vibrator Field Density Test
Protective Covering Materials Beam/Cylinder Molds
Warning Signs/Barricades/Flagmen Curing Materials
Concrete Saw Slump Cone
Concrete Block Spacers Plumbness
Finishing Tools/Equipment (Screeder Quality of materials Used (Result of Design/
broom,etc.) Test Mix, Test Reports,etc.
Line and Grade alignment (form setting,
Lighting System
elevations, etc)
Required construction equipment Electrical Lay-out (Rough-ins/embedments)
Rebars sizes, spacing and number: Plumbing Lay-out (Rough-ins/embedments)
Rebars installation requirement Falsework.Formworks adequacy
Checked by:

Materials Engineer LIONELLE L. ANDES Date

Engineer II
(Name and Signature)
REMARKS/

RECOMMENDATIONS

Project Inspector OLIVER H. CASTILLO Date

Engineer II
(Name and Signature)

REMARKS/

RECOMMENDATIONS

Request: ( ) Approved ( ) Disapproved

REMARKS/

RECOMMENDATIONS

LIGAYA F. COBILLA
Project Engineer
(Name and Signature
Accrediation No. 1138
 Republic of the Philippines
Department of Public Works and Highways
OFFICE OF THE DISTRICT ENGINEER
Masbate 2nd District Engineering Office

Date: _________________

CONCRETE POURING PERMIT

Name of 18FJ0012- Const. of Multi-Purpose Covered Court @ Brgy. Mactan, Cawayan,

Project/Location Masbate
Contractor Square N Construction & Supply
Part of Structure to be Estimated Volume
poured (cu.m.)
Station Limits/Section
Date of Pouring Time of Pouring

Request By:

Contractor:

NEIL L. NUÑEZ
(Name & Signature)
CHECKLIST
Concrete Vibrator Field Density Test
Protective Covering Materials Beam/Cylinder Molds
Warning Signs/Barricades/Flagmen Curing Materials
Concrete Saw Slump Cone
Concrete Block Spacers Plumbness
Finishing Tools/Equipment (Screeder Quality of materials Used (Result of Design/
broom,etc.) Test Mix, Test Reports,etc.
Line and Grade alignment (form setting,
Lighting System
elevations, etc)
Required construction equipment Electrical Lay-out (Rough-ins/embedments)
Rebars sizes, spacing and number: Plumbing Lay-out (Rough-ins/embedments)
Rebars installation requirement Falsework.Formworks adequacy
Checked by:

Materials Engineer LIONELLE L. ANDES Date

Engineer II
(Name and Signature)
REMARKS/

RECOMMENDATIONS

Project Inspector ALBERTO VALDEMORO Date

Engineer II
(Name and Signature)

REMARKS/

RECOMMENDATIONS

Request: ( ) Approved ( ) Disapproved

REMARKS/

RECOMMENDATIONS

OLIVER H. CASTILLO
Project Engineer
(Name and Signature
Accrediation No. PO144
 Republic of the Philippines
Department of Public Works and Highways
OFFICE OF THE DISTRICT ENGINEER
Masbate 2nd District Engineering Office

Date: _________________

CONCRETE POURING PERMIT

Name of 18FJ0013- Const. of Multi-Purpose Covered Court @ Brgy. Mahayahay,

Project/Location Cawayan, Masbate
Contractor Square N Construction & Supply
Part of Structure to be Estimated Volume
poured (cu.m.)
Station Limits/Section
Date of Pouring Time of Pouring

Request By:

Contractor:

NEIL L. NUÑEZ
(Name & Signature)
CHECKLIST
Concrete Vibrator Field Density Test
Protective Covering Materials Beam/Cylinder Molds
Warning Signs/Barricades/Flagmen Curing Materials
Concrete Saw Slump Cone
Concrete Block Spacers Plumbness
Finishing Tools/Equipment (Screeder Quality of materials Used (Result of Design/
broom,etc.) Test Mix, Test Reports,etc.
Line and Grade alignment (form setting,
Lighting System
elevations, etc)
Required construction equipment Electrical Lay-out (Rough-ins/embedments)
Rebars sizes, spacing and number: Plumbing Lay-out (Rough-ins/embedments)
Rebars installation requirement Falsework.Formworks adequacy
Checked by:

Materials Engineer LIONELLE L. ANDES Date

Engineer II
(Name and Signature)
REMARKS/

RECOMMENDATIONS

Project Inspector ALBERTO VALDEMORO Date

Engineer II
(Name and Signature)

REMARKS/

RECOMMENDATIONS

Request: ( ) Approved ( ) Disapproved

REMARKS/

RECOMMENDATIONS

OLIVER H. CASTILLO
Project Engineer
(Name and Signature
Accrediation No. PO144
 Republic of the Philippines
Department of Public Works and Highways
OFFICE OF THE DISTRICT ENGINEER
Masbate 2nd District Engineering Office

Date: _________________

CONCRETE POURING PERMIT

Name of 18FJ0014- Const. of Multi-Purpose Covered Court @ Brgy. Maihao, Cawayan,

Project/Location Masbate
Contractor Square N Construction & Supply
Part of Structure to be Estimated Volume
poured (cu.m.)
Station Limits/Section
Date of Pouring Time of Pouring

Request By:

Contractor:

NEIL L. NUÑEZ
(Name & Signature)
CHECKLIST
Concrete Vibrator Field Density Test
Protective Covering Materials Beam/Cylinder Molds
Warning Signs/Barricades/Flagmen Curing Materials
Concrete Saw Slump Cone
Concrete Block Spacers Plumbness
Finishing Tools/Equipment (Screeder Quality of materials Used (Result of Design/
broom,etc.) Test Mix, Test Reports,etc.
Line and Grade alignment (form setting,
Lighting System
elevations, etc)
Required construction equipment Electrical Lay-out (Rough-ins/embedments)
Rebars sizes, spacing and number: Plumbing Lay-out (Rough-ins/embedments)
Rebars installation requirement Falsework.Formworks adequacy
Checked by:

Materials Engineer LIONELLE L. ANDES Date

Engineer II
(Name and Signature)
REMARKS/

RECOMMENDATIONS

Project Inspector ALBERTO VALDEMORO Date

Engineer II
(Name and Signature)

REMARKS/

RECOMMENDATIONS

Request: ( ) Approved ( ) Disapproved

REMARKS/

RECOMMENDATIONS

OLIVER H. CASTILLO
Project Engineer
(Name and Signature
Accrediation No. PO144
 Republic of the Philippines
Department of Public Works and Highways
OFFICE OF THE DISTRICT ENGINEER
Masbate 2nd District Engineering Office

Date: _________________

CONCRETE POURING PERMIT

Name of 18FJ0015- Const. of Multi-Purpose Covered Court @ Brgy. Palobandera,

Project/Location Cawayan, Masbate
Contractor Square N Construction & Supply
Part of Structure to be Estimated Volume
poured (cu.m.)
Station Limits/Section
Date of Pouring Time of Pouring

Request By:

Contractor:

NEIL L. NUÑEZ
(Name & Signature)
CHECKLIST
Concrete Vibrator Field Density Test
Protective Covering Materials Beam/Cylinder Molds
Warning Signs/Barricades/Flagmen Curing Materials
Concrete Saw Slump Cone
Concrete Block Spacers Plumbness
Finishing Tools/Equipment (Screeder Quality of materials Used (Result of Design/
broom,etc.) Test Mix, Test Reports,etc.
Line and Grade alignment (form setting,
Lighting System
elevations, etc)
Required construction equipment Electrical Lay-out (Rough-ins/embedments)
Rebars sizes, spacing and number: Plumbing Lay-out (Rough-ins/embedments)
Rebars installation requirement Falsework.Formworks adequacy
Checked by:

Materials Engineer FLORANTE U. ZURBITO Date

Engineer II
(Name and Signature)
REMARKS/

RECOMMENDATIONS

Project Inspector ALBERTO VALDEMORO Date

Engineer II
(Name and Signature)

REMARKS/

RECOMMENDATIONS

Request: ( ) Approved ( ) Disapproved

REMARKS/

RECOMMENDATIONS

LIONELLE L. ANDES
Project Engineer
(Name and Signature
Accrediation No. PO605
 Republic of the Philippines
Department of Public Works and Highways
OFFICE OF THE DISTRICT ENGINEER
Masbate 2nd District Engineering Office

Date: _________________

CONCRETE POURING PERMIT

Name of 18FJ0016- Const. of Multi-Purpose Covered Court @ Brgy. Panan-Awan,

Project/Location Cawayan, Masbate
Contractor Square N Construction & Supply
Part of Structure to be Estimated Volume
poured (cu.m.)
Station Limits/Section
Date of Pouring Time of Pouring

Request By:

Contractor:

NEIL L. NUÑEZ
(Name & Signature)
CHECKLIST
Concrete Vibrator Field Density Test
Protective Covering Materials Beam/Cylinder Molds
Warning Signs/Barricades/Flagmen Curing Materials
Concrete Saw Slump Cone
Concrete Block Spacers Plumbness
Finishing Tools/Equipment (Screeder Quality of materials Used (Result of Design/
broom,etc.) Test Mix, Test Reports,etc.
Line and Grade alignment (form setting,
Lighting System
elevations, etc)
Required construction equipment Electrical Lay-out (Rough-ins/embedments)
Rebars sizes, spacing and number: Plumbing Lay-out (Rough-ins/embedments)
Rebars installation requirement Falsework.Formworks adequacy
Checked by:

Materials Engineer FLORANTE U. ZURBITO Date

Engineer II
(Name and Signature)
REMARKS/

RECOMMENDATIONS

Project Inspector ALBERTO VALDEMORO Date

Engineer II
(Name and Signature)

REMARKS/

RECOMMENDATIONS

Request: ( ) Approved ( ) Disapproved

REMARKS/

RECOMMENDATIONS

LIONELLE L. ANDES
Project Engineer
(Name and Signature
Accrediation No. PO605
 Republic of the Philippines
Department of Public Works and Highways
OFFICE OF THE DISTRICT ENGINEER
Masbate 2nd District Engineering Office

Date: _________________

CONCRETE POURING PERMIT

Name of 18FJ0017- Const. of Multi-Purpose Covered Court @ Brgy. Poblacion, Cawayan,

Project/Location Masbate
Contractor Square N Construction & Supply
Part of Structure to be Estimated Volume
poured (cu.m.)
Station Limits/Section
Date of Pouring Time of Pouring

Request By:

Contractor:

NEIL L. NUÑEZ
(Name & Signature)
CHECKLIST
Concrete Vibrator Field Density Test
Protective Covering Materials Beam/Cylinder Molds
Warning Signs/Barricades/Flagmen Curing Materials
Concrete Saw Slump Cone
Concrete Block Spacers Plumbness
Finishing Tools/Equipment (Screeder Quality of materials Used (Result of Design/
broom,etc.) Test Mix, Test Reports,etc.
Line and Grade alignment (form setting,
Lighting System
elevations, etc)
Required construction equipment Electrical Lay-out (Rough-ins/embedments)
Rebars sizes, spacing and number: Plumbing Lay-out (Rough-ins/embedments)
Rebars installation requirement Falsework.Formworks adequacy
Checked by:

Materials Engineer LIONELLE L. ANDES Date

Engineer II
(Name and Signature)
REMARKS/

RECOMMENDATIONS

Project Inspector ALBERTO VALDEMORO Date

Engineer II
(Name and Signature)

REMARKS/

RECOMMENDATIONS

Request: ( ) Approved ( ) Disapproved

REMARKS/

RECOMMENDATIONS

OLIVER H. CASTILLO
Project Engineer
(Name and Signature
Accrediation No. PO144
 Republic of the Philippines
Department of Public Works and Highways
OFFICE OF THE DISTRICT ENGINEER
Masbate 2nd District Engineering Office

Date: _________________

CONCRETE POURING PERMIT

Name of 18FJ0018- Const. of Multi-Purpose Covered Court @ Brgy. Recodo, Cawayan,

Project/Location Masbate
Contractor Square N Construction & Supply
Part of Structure to be Estimated Volume
poured (cu.m.)
Station Limits/Section
Date of Pouring Time of Pouring

Request By:

Contractor:

NEIL L. NUÑEZ
(Name & Signature)
CHECKLIST
Concrete Vibrator Field Density Test
Protective Covering Materials Beam/Cylinder Molds
Warning Signs/Barricades/Flagmen Curing Materials
Concrete Saw Slump Cone
Concrete Block Spacers Plumbness
Finishing Tools/Equipment (Screeder Quality of materials Used (Result of Design/
broom,etc.) Test Mix, Test Reports,etc.
Line and Grade alignment (form setting,
Lighting System
elevations, etc)
Required construction equipment Electrical Lay-out (Rough-ins/embedments)
Rebars sizes, spacing and number: Plumbing Lay-out (Rough-ins/embedments)
Rebars installation requirement Falsework.Formworks adequacy
Checked by:

Materials Engineer FLORANTE U. ZURBITO Date

Engineer II
(Name and Signature)
REMARKS/

RECOMMENDATIONS

Project Inspector ALBERTO VALDEMORO Date

Engineer II
(Name and Signature)

REMARKS/

RECOMMENDATIONS

Request: ( ) Approved ( ) Disapproved

REMARKS/

RECOMMENDATIONS

LIONELLE L. ANDES
Project Engineer
(Name and Signature
Accrediation No. PO605
 Republic of the Philippines
Department of Public Works and Highways
OFFICE OF THE DISTRICT ENGINEER
Masbate 2nd District Engineering Office

Date: _________________

CONCRETE POURING PERMIT

Name of 18FJ0019- Const. of Multi-Purpose Covered Court @ Brgy. San Jose, Cawayan,
Project/Location Masbate
Contractor Square N Construction & Supply
Part of Structure to be Estimated Volume
poured (cu.m.)
Station Limits/Section
Date of Pouring Time of Pouring

Request By:

Contractor:

NEIL L. NUÑEZ
(Name & Signature)
CHECKLIST
Concrete Vibrator Field Density Test
Protective Covering Materials Beam/Cylinder Molds
Warning Signs/Barricades/Flagmen Curing Materials
Concrete Saw Slump Cone
Concrete Block Spacers Plumbness
Finishing Tools/Equipment (Screeder Quality of materials Used (Result of Design/
broom,etc.) Test Mix, Test Reports,etc.
Line and Grade alignment (form setting,
Lighting System
elevations, etc)
Required construction equipment Electrical Lay-out (Rough-ins/embedments)
Rebars sizes, spacing and number: Plumbing Lay-out (Rough-ins/embedments)
Rebars installation requirement Falsework.Formworks adequacy
Checked by:

Materials Engineer LIONELLE L. ANDES Date

Engineer II
(Name and Signature)
REMARKS/

RECOMMENDATIONS

Project Inspector ALBERTO VALDEMORO Date

Engineer II
(Name and Signature)

REMARKS/

RECOMMENDATIONS

Request: ( ) Approved ( ) Disapproved

REMARKS/

RECOMMENDATIONS

OLIVER H. CASTILLO
Project Engineer
(Name and Signature
Accrediation No. PO144
 Republic of the Philippines
Department of Public Works and Highways
OFFICE OF THE DISTRICT ENGINEER
Masbate 2nd District Engineering Office

Date: _________________

CONCRETE POURING PERMIT

Name of 18FJ0020- Const. of Multi-Purpose Covered Court @ Brgy. Taberna, Cawayan,

Project/Location Masbate
Contractor Square N Construction & Supply
Part of Structure to be Estimated Volume
poured (cu.m.)
Station Limits/Section
Date of Pouring Time of Pouring

Request By:

Contractor:

NEIL L. NUÑEZ
(Name & Signature)
CHECKLIST
Concrete Vibrator Field Density Test
Protective Covering Materials Beam/Cylinder Molds
Warning Signs/Barricades/Flagmen Curing Materials
Concrete Saw Slump Cone
Concrete Block Spacers Plumbness
Finishing Tools/Equipment (Screeder Quality of materials Used (Result of Design/
broom,etc.) Test Mix, Test Reports,etc.
Line and Grade alignment (form setting,
Lighting System
elevations, etc)
Required construction equipment Electrical Lay-out (Rough-ins/embedments)
Rebars sizes, spacing and number: Plumbing Lay-out (Rough-ins/embedments)
Rebars installation requirement Falsework.Formworks adequacy
Checked by:

Materials Engineer FLORANTE U. ZURBITO Date

Engineer II
(Name and Signature)
REMARKS/

RECOMMENDATIONS

Project Inspector ALBERTO VALDEMORO Date

Engineer II
(Name and Signature)

REMARKS/

RECOMMENDATIONS

Request: ( ) Approved ( ) Disapproved

REMARKS/

RECOMMENDATIONS

LIONELLE L. ANDES
Project Engineer
(Name and Signature
Accrediation No. PO605
 Republic of the Philippines
Department of Public Works and Highways
OFFICE OF THE DISTRICT ENGINEER
Masbate 2nd District Engineering Office

Date: _________________

CONCRETE POURING PERMIT

Name of 18FJ0084- Special Maint. (Repair of Concrete Pavement) Along Buenavista-

Project/Location Cawayan Road, K0032+(-980)-K0063+100
Contractor Square N Construction & Supply
Part of Structure to be Estimated Volume
poured (cu.m.)
Station Limits/Section
Date of Pouring Time of Pouring

Request By:

Contractor:

NEIL L. NUÑEZ
(Name & Signature)
CHECKLIST
Concrete Vibrator Field Density Test
Protective Covering Materials Beam/Cylinder Molds
Warning Signs/Barricades/Flagmen Curing Materials
Concrete Saw Slump Cone
Concrete Block Spacers Plumbness
Finishing Tools/Equipment (Screeder Quality of materials Used (Result of Design/
broom,etc.) Test Mix, Test Reports,etc.
Line and Grade alignment (form setting,
Lighting System
elevations, etc)
Required construction equipment Electrical Lay-out (Rough-ins/embedments)
Rebars sizes, spacing and number: Plumbing Lay-out (Rough-ins/embedments)
Rebars installation requirement Falsework.Formworks adequacy
Checked by:

Materials Engineer LIONELLE L. ANDES Date

Engineer II
(Name and Signature)
REMARKS/

RECOMMENDATIONS

Project Inspector IZRAEL B. VILLA Engineer Date

II
(Name and Signature)

REMARKS/

RECOMMENDATIONS

Request: ( ) Approved ( ) Disapproved

REMARKS/

RECOMMENDATIONS

HEZER H. CANTUBA
Project Engineer
(Name and Signature
Accrediation No. PO605