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Concrete Pouring Permit Form

The document is a concrete pouring permit from a provincial engineer's office in the Philippines. It provides details of a proposed concrete pour including the project name and location, contractor, part of the structure, estimated volume, and proposed date and time. It also includes a checklist of required equipment, materials, safety measures, and construction elements that must be verified before approval can be granted.

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Genevieve Gayoso
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1K views

Concrete Pouring Permit Form

The document is a concrete pouring permit from a provincial engineer's office in the Philippines. It provides details of a proposed concrete pour including the project name and location, contractor, part of the structure, estimated volume, and proposed date and time. It also includes a checklist of required equipment, materials, safety measures, and construction elements that must be verified before approval can be granted.

Uploaded by

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

PROVINCE OF
Provincial Capitol

PROVINCIAL ENGINEER’S OFFICE

Date: __________________

CONCRETE POURING PERMIT

Name of Project :
Location :
Contractor :
Part of Structure to be poured :
Estimated Volume (m.3) :
Station Limits/Section :
Date and Time of Pouring :
Requested by:
Contractor: _________________________________
Name & Signature

CHECKLIST
Concrete Vibrator Field Density Test (FDT)
Protective Covering Materials Beam/Cylinder molds
Warning Signs/Barricades/Flagmen Curing Materials
Concrete Saw Slump cone
Concrete Block Spacer 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
elevations, etc.)
Required Construction Equipment Electrical Layout (Roughing-ins/Embedments)
Rebar sizes, Spacing and number Plumbing Layout (Roughing-ins/Embedments)
Rebars installation requirements Falseworks/Formworks Adequacy
Checked by:
Remarks/Recommendations:

______________________________ _______________
ME/MTQA Date

Remarks/Recommendations:

______________________________ _______________
Resident Engineer/Project In-charge Date

Request: Approved ________ Disapproved ________

Remarks/Recommendations:

Noted by:

________________________
Provincial Engineer

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