Site Inspection Report- Fact Sheet
Site Inspection Report- Fact Sheet
Docket No.:
Date
LAND DEVELOPMENT
% COST OF
ITEM COST PER ITEM REMAINING COST REMARKS
COMPLETION ACCOMPLISHMENT
I. GENERAL REQUIREMENTS
- Mobilization / Demobilization
- Temporary Facilities
- Permits and Clearances
TOTAL
HOUSING COMPONENT
% COST OF
ITEM COST PER ITEM REMAINING COST REMARKS
COMPLETION ACCOMPLISHMENT
TOTAL
EVALUATION / RECOMMENDATION
PREPARED BY:
VERIFICATION
I, _____________________________________________________, of legal age, after having sworn, depose and say that I have re
and accomplished this form and contents herein are true and correct.
Name, Signature, and Seal of the
Project Architect / Engineer
SUBSCRIBED AND SWORN to before me in this ______________ day of _______________________________ affiant exhibiting to
his/her _______________________ No. _________________, issued at __________________________ on ___________________
NOTARY PUBLIC
Doc. No.:
Book No.:
Page No.:
Series of
REPUBLIC OF THE PHILIPPINES
Department of Human Settlements and Urban Development
Kagawaran ng Pananahanang Pantao at Pagpapaunlad ng Kalunsuran
REGIONAL OFFICE
NOTARIZED ⃝ SITE INSPECTION REPORT / ⃝ FACT SHEET FOR CONDOMINIUM AND OTHER
SIMILAR REAL ESTATE DEVELOPMENT PROJECTS
Docket No.:
Date
% COST OF REMAINING
ITEM COST PER ITEM REMARKS
COMPLETION ACCOMPLISHMENT COST
I. GENERAL REQUIREMENTS
- Mobilization / Demobilization
- Temporary Facilities
- Permits and Clearances
III. EARTHWORKS
- Clearing and Grubbing
- Building Footprint
- Remaining of Land Development
- Excavation and Backfilling Works
- Building Footprint
- Remaining of Land Development
V. STRUCTURAL WORKS
- Formworks and Scaffoldings
- Footing and Foundation
- Diaphragm and Shear Walls
- Slabs and Stairways
- Columns, Girders, and Beams
X. OTHERS / MISCELLANEOUS
- Indoor Amenities & Recreational Spaces
TOTAL
EVALUATION / RECOMMENDATION
PREPARED BY:
VERIFICATION
I, _____________________________________________________, of legal age, after having sworn, depose and say that I have re
accomplished this form and contents herein are true and correct.
Name, Signature, and Seal of the
Project Architect / Engineer
SUBSCRIBED AND SWORN to before me in this ______________ day of _______________________________ affiant exhibiting to
his/her _______________________ No. _________________, issued at __________________________ on ___________________
NOTARY PUBLIC
Doc. No.:
Book No.:
Page No.:
Series of