Work Request and Pouring Permit Files 1
Work Request and Pouring Permit Files 1
Date: ,2022
Name of Project CP 3-B: MARAWI TRANSCENTRAL ROAD PIAGAPO, LANAO DEL SUR, BARMM
Location
Contractor RENREN TRADING AND CONSTRUCTION AND SERVICES/ KOUZBARY BUILDERS JV
Part of Structure to Item 311 PCCP
be poured Estimated Volume (cu.m.) 18.9
2.5 m width, 0.28 thick
Sta. Limits/Sec.
Date of Pouring Time of Pouring
Requested by: Received by:
Name/Signature/Date Name/Signature/Date
Contractor Consultant
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 Quality of Materials Used (Result of Density/Trial Mix, Test
(Screeder, Broom, etc.) Reports, etc.)
Line and Grade Alignment Lighting System
(Form Setting, Elevations, etc.) Air Meter (if required)
Required Construction Equipment Electrical Layout (Roughing-ins/embedments)
Rebars sizes, spacing and number Plumbing Layout (Roughing-ins/embedments)
Rebars installation requirements Falseworks/Formworks adequacy
GALDAM M. ARAMI
Geodetic Engineer
Name/Signature/Date
JOSEPHINE C. TEJAMO
Materials Engineer
Name/Signature/Date
OSMAN M. SARIP
Quantity Engineer
Name/Signature/Date
DISAPPROVED
ABDUL KHALID C. LOMANGCOLOB
Materials Engineer
GENESIS B. SUBALDO DPWH-UPMO
Resident Engineer
Consultant
LUGAYA A. AMPATUAN
Remarks/ Project Engineer
Recommendations
Remarks/
Recommendations DPWH-UPMO
Republic of the Philippines
Department of Public Works and Highways
Unified Project Management Office
CONTRACT PACKAGE 3-
Date: ,2022
Name of Project CP 3-C: MARAWI TRANSCENTRAL ROAD, PHASE III UNDER RNDP-CAAM, JICA LOAN AGREEMENT NO.PH-F-P-I
CASAN A. DARAPA
Name/Signature/Date Name/Signature/Date
Contractor Consultant
CHECKLIST
ü Concrete Vibrator ü Field Density Test
ü Protective Covering Materials ü Beam/Cylinder Molds
ü Warning Signs/Barricades/Flagmen ü Curing Materials
ü Concrete Saw ü Slump Cone
ü Concrete Block Spacers Plumbness
Finishing Tools/Equipment Quality of Materials Used (Result of Density/Trial Mix, Test
ü Reports, etc.)
ü (Screeder, Broom, etc.)
Line and Grade Alignment Lighting System
ü (Form Setting, Elevations, etc.) Air Meter (if required)
Required Construction Equipment Electrical Layout (Roughing-ins/embedments)
ü Rebars sizes, spacing and number Plumbing Layout (Roughing-ins/embedments)
ü Rebars installation requirements ü Falseworks/Formworks adequacy
VICENTE A. MANDING
Geodetic Engineer
Name/Signature/Date
JOSEPHINE C. TEJAMO
Materials Engineer
Name/Signature/Date
JAMAEL B. MAMARINTA
Quantity Engineer
Name/Signature/Date
DISAPPROVED
ABDUL KHALID C. LOMANGCOLOB
Materials Engineer
MACAPAGAL B. MAGALIN DPWH-UPMO
Resident Engineer
Consultant
LUGAYA A. AMPATUAN
Remarks/ Project Engineer
Recommendations
Remarks/
Recommendations DPWH-UPMO
Republic of the Philippines
Department of Public Works and Highways
Unified Project Management Office
CONTRACT PACKAGE 3-
Date: ,2022
Name of Project CP 3-C: MARAWI TRANSCENTRAL ROAD, PHASE III UNDER RNDP-CAAM, JICA LOAN AGREEMENT NO.PH-F-P-I
CASAN A. DARAPA
Name/Signature/Date Name/Signature/Date
Contractor Consultant
CHECKLIST
ü Concrete Vibrator ü Field Density Test
ü Protective Covering Materials ü Beam/Cylinder Molds
ü Warning Signs/Barricades/Flagmen ü Curing Materials
ü Concrete Saw ü Slump Cone
ü Concrete Block Spacers Plumbness
Finishing Tools/Equipment Quality of Materials Used (Result of Density/Trial Mix, Test
ü Reports, etc.)
ü (Screeder, Broom, etc.)
Line and Grade Alignment Lighting System
ü (Form Setting, Elevations, etc.) Air Meter (if required)
Required Construction Equipment Electrical Layout (Roughing-ins/embedments)
ü Rebars sizes, spacing and number Plumbing Layout (Roughing-ins/embedments)
ü Rebars installation requirements ü Falseworks/Formworks adequacy
VICENTE A. MANDING
Geodetic Engineer
Name/Signature/Date
JOSEPHINE C. TEJAMO
Materials Engineer
Name/Signature/Date
JAMAEL B. MAMARINTA
Quantity Engineer
Name/Signature/Date
DISAPPROVED
ABDUL KHALID C. LOMANGCOLOB
Materials Engineer
MACAPAGAL B. MAGALIN DPWH-UPMO
Resident Engineer
Consultant
LUGAYA A. AMPATUAN
Remarks/ Project Engineer
Recommendations
Remarks/
Recommendations DPWH-UPMO
Republic of the Philippines
Department of Public Works and Highways
Unified Project Management Office
CONTRACT PACKAGE 3-
Date: ,2022
Name of Project CP 3-C: MARAWI TRANSCENTRAL ROAD, PHASE III UNDER RNDP-CAAM, JICA LOAN AGREEMENT NO.PH-F-P-I
CASAN A. DARAPA
Name/Signature/Date Name/Signature/Date
Contractor Consultant
CHECKLIST
ü Concrete Vibrator ü Field Density Test
ü Protective Covering Materials ü Beam/Cylinder Molds
ü Warning Signs/Barricades/Flagmen ü Curing Materials
ü Concrete Saw ü Slump Cone
ü Concrete Block Spacers Plumbness
Finishing Tools/Equipment Quality of Materials Used (Result of Density/Trial Mix, Test
ü Reports, etc.)
ü (Screeder, Broom, etc.)
Line and Grade Alignment Lighting System
ü (Form Setting, Elevations, etc.) Air Meter (if required)
Required Construction Equipment Electrical Layout (Roughing-ins/embedments)
ü Rebars sizes, spacing and number Plumbing Layout (Roughing-ins/embedments)
ü Rebars installation requirements ü Falseworks/Formworks adequacy
VICENTE A. MANDING
Geodetic Engineer
Name/Signature/Date
JOSEPHINE C. TEJAMO
Materials Engineer
Name/Signature/Date
JAMAEL B. MAMARINTA
Quantity Engineer
Name/Signature/Date
DISAPPROVED
ABDUL KHALID C. LOMANGCOLOB
Materials Engineer
MACAPAGAL B. MAGALIN DPWH-UPMO
Resident Engineer
Consultant
LUGAYA A. AMPATUAN
Remarks/ Project Engineer
Recommendations
Remarks/
Recommendations DPWH-UPMO
Date:
VICENTE A. MANDING
Geodetic Engineer
Name/Signature/Date
JOSEPHINE C. TEJAMO
Materials Engineer
Name/Signature/Date
JAMAEL B. MAMARINTA
Quantity Engineer
Name/Signature/Date
Request: Noted by:
APPROVED DISAPPROVED
ABDUL KHALID LOMANGCOLOB
Materials Engineer
MACAPAGAL B. MAGALIN DPWH-UPMO
Resident Engineer
Consultant LUGAYA A. AMPATUAN
REMARKS/RECOMMENDATION: Project Engineer
DPWH-UPMO
Republic of the Philippines
Department of Public Works and Highways
Unified Project Management Office
CONTRACT PACKAGE 3-
Date: ,2022
Name of Project CP 3-C: MARAWI TRANSCENTRAL ROAD, PHASE III UNDER RNDP-CAAM, JICA LOAN AGREEMENT NO.PH-F-P-I
CASAN A. DARAPA
Name/Signature/Date Name/Signature/Date
Contractor Consultant
CHECKLIST
ü Concrete Vibrator ü Field Density Test
ü Protective Covering Materials ü Beam/Cylinder Molds
ü Warning Signs/Barricades/Flagmen ü Curing Materials
ü Concrete Saw ü Slump Cone
ü Concrete Block Spacers Plumbness
Finishing Tools/Equipment Quality of Materials Used (Result of Density/Trial Mix, Test
ü Reports, etc.)
ü (Screeder, Broom, etc.)
Line and Grade Alignment Lighting System
ü (Form Setting, Elevations, etc.) Air Meter (if required)
Required Construction Equipment Electrical Layout (Roughing-ins/embedments)
ü Rebars sizes, spacing and number Plumbing Layout (Roughing-ins/embedments)
ü Rebars installation requirements ü Falseworks/Formworks adequacy
VICENTE A. MANDING
Geodetic Engineer
Name/Signature/Date
JOSEPHINE C. TEJAMO
Materials Engineer
Name/Signature/Date
JAMAEL B. MAMARINTA
Quantity Engineer
Name/Signature/Date
DISAPPROVED
ABDUL KHALID C. LOMANGCOLOB
Materials Engineer
MACAPAGAL B. MAGALIN DPWH-UPMO
Resident Engineer
Consultant
LUGAYA A. AMPATUAN
Remarks/ Project Engineer
Recommendations
Remarks/
Recommendations DPWH-UPMO
Date:
GALDAM M. ARAMI
Geodetic Engineer
Name/Signature/Date
JOSEPHINE C. TEJAMO
Materials Engineer
Name/Signature/Date
OSMAN M. SARIP
Quantity Engineer
Name/Signature/Date
Request: Noted by:
APPROVED DISAPPROVED
ABDUL KHALID LOMANGCOLOB
Materials Engineer
GENESIS B. SUBALDO DPWH-UPMO
Resident Engineer
Consultant LUGAYA A. AMPATUAN
REMARKS/RECOMMENDATION: Project Engineer
DPWH-UPMO
Date:
VICENTE A. MANDING
Geodetic Engineer
Name/Signature/Date
JOSEPHINE C. TEJAMO
Materials Engineer
Name/Signature/Date
JAMAEL B. MAMARINTA
Quantity Engineer
Name/Signature/Date
Request: Noted by:
APPROVED DISAPPROVED
ABDUL KHALID LOMANGCOLOB
Materials Engineer
MACAPAGAL B. MAGALIN DPWH-UPMO
Resident Engineer
Consultant LUGAYA A. AMPATUAN
REMARKS/RECOMMENDATION: Project Engineer
DPWH-UPMO
Date:
VICENTE A. MANDING
Geodetic Engineer
Name/Signature/Date
JOSEPHINE C. TEJAMO
Materials Engineer
Name/Signature/Date
JAMAEL B. MAMARINTA
Quantity Engineer
Name/Signature/Date
Request: Noted by:
APPROVED DISAPPROVED
ABDUL KHALID LOMANGCOLOB
Materials Engineer
MACAPAGAL B. MAGALIN DPWH-UPMO
Resident Engineer
Consultant LUGAYA A. AMPATUAN
REMARKS/RECOMMENDATION: Project Engineer
DPWH-UPMO
Date:
VICENTE A. MANDING
Geodetic Engineer
Name/Signature/Date
JOSEPHINE C. TEJAMO
Materials Engineer
Name/Signature/Date
JAMAEL B. MAMARINTA
Quantity Engineer
Name/Signature/Date
Request: Noted by:
APPROVED DISAPPROVED
ABDUL KHALID LOMANGCOLOB
Materials Engineer
MACAPAGAL B. MAGALIN DPWH-UPMO
Resident Engineer
Consultant LUGAYA A. AMPATUAN
REMARKS/RECOMMENDATION: Project Engineer
DPWH-UPMO
Date:
VICENTE A. MANDING
Geodetic Engineer
Name/Signature/Date
JOSEPHINE C. TEJAMO
Materials Engineer
Name/Signature/Date
JAMAEL B. MAMARINTA
Quantity Engineer
Name/Signature/Date
Request: Noted by:
APPROVED DISAPPROVED
______________________________
Materials Engineer
MACAPAGAL B. MAGALIN DPWH-UPMO
Resident Engineer
Consultant ______________________________
REMARKS/RECOMMENDATION: Project Engineer
DPWH-UPMO
Date:
VICENTE A. MANDING
Geodetic Engineer
Name/Signature/Date
JOSEPHINE C. TEJAMO
Materials Engineer
Name/Signature/Date
JAMAEL B. MAMARINTA
Quantity Engineer
Name/Signature/Date
Request: Noted by:
APPROVED DISAPPROVED
ABDUL KHALID LOMANGCOLOB
Materials Engineer
MACAPAGAL B. MAGALIN DPWH-UPMO
Resident Engineer
Consultant LUGAYA A. AMPATUAN
REMARKS/RECOMMENDATION: Project Engineer
DPWH-UPMO
Date:
VICENTE A. MANDING
Geodetic Engineer
Name/Signature/Date
JOSEPHINE C. TEJAMO
Materials Engineer
Name/Signature/Date
JAMAEL B. MAMARINTA
Quantity Engineer
Name/Signature/Date
Request: Noted by:
APPROVED DISAPPROVED
______________________________
Materials Engineer
MACAPAGAL B. MAGALIN DPWH-UPMO
Resident Engineer
Consultant ______________________________
REMARKS/RECOMMENDATION: Project Engineer
DPWH-UPMO
WORK REQUEST/POURING PERMIT
FLOW CHART
FOR SUBMISSION
CONTRACTOR
to be returned by QS if
there is/are revision/s.
1
RECEIVING FOR REVISION (IF NECESSARY) FOR INSPECTION FOR INSPECTION FOR INSPECTION
DC
2 QUANTITY ENGINEER
3 GEODETIC ENGINEER
4 MATERIALS ENGINEER
5 QUANTITY ENGINEER
CONSULTANT CONSULTANT CONSULTANT CONSULTANT CONSULTANT
10