INSPECTION & WORK REQUEST

/ PERMIT (IWRP)

PART 1 – Project Description

Project Title: Date: Permit Ref. No. Form No.
BWDC Residential Tower Project IWR-BWDC-ME- DDTKI-OP-CQC-
0009 4.0F23
PART 2 – Request & Permit Description
DFOW (Defineable Feature of Work)/Activity Description: Plan: Actual:
PIPE SLEEVES FOR TRENCH DRAINS, HOSE BIBBS & Date: Date:
DRAINAGE SYSTEM RISERS AT FLAT SLAB OF BASEMENT Time: Time:
4
Location/Zone/Area: Floor Level: Gridline / Axes:
FLAT SLAB OF BASEMENT 4 BASEMENT 4 A’-C / 1’-8
Attachments: Equipment to be used (If any):
KEYPLAN
Requested By: : ENGR. R. MAMANGPANG
<Subcon/DDTKI PMG> Signature & date over printed name
PART 3 – Discipline Category & Disposition Functions Approval
Checked & Verified By (Write Name/Initials, Signature & Date Below)
Discipline Sub-Con/Trade- <PM / CM> Remarks
DDTKI-PMG DDTKI-QA/QC
Con(If Any) (If Required)
Survey (Line &
R. NIETO
J. TANDOC/J.
J. MORIT JR
Grade) RUALES
Earthworks
J. TANDOC/J.
Rebar DM. TAN RUALES
J. MORIT JR
J. TANDOC/J.
Formworks A. MEDRANO RUALES
J. MORIT JR
L. CANTOR /
Mechanical J. TEJEDOR
J. PUNZAL
R.
Electrical MAMANGPANG
M. MOJICA J. TEJEDOR
R.
Auxiliary MAMANGPANG
M. MOJICA J. TEJEDOR
R.
FDAS/BMS MAMANGPANG
M. MOJICA J. TEJEDOR
R.
Plumbing/Sanitary MAMANGPANG
M. MOJICA J. TEJEDOR
JD.
Fire Protection CALINGASAN
M. MOJICA J. TEJEDOR
J. TANDOC/J. C.
Architectural A. GÑILO RUALES BORLAGDAN
D. TAMAYO J. TANDOC/J.
Civil Works J. MORIT JR
JR. RUALES
Pre-Cast
S.
S. VILLANUEVA
HSE VILLANUEVA / J. MORIT JR
/ L. SALAZAR
L. SALAZAR
Others:
PART 4 – DDTKI Site’s Feedback & Approval PART 5 – Client’s Feedback & Approval (If
Required)
Signature & date over printed Signature & date over printed
name name
Checked/Verified By: ENGR. J. TANDOC/ENGR. J. Checked/Verified By:
ENGR. JHAYPEE TEJEDOR
<DDTKI QC Inspector> RUALES <PM/CM Inspector>

Approved By: ENGR. J. TANDOC/ENGR. J. Approved By:

ENGR. JHAYPEE TEJEDOR
<DDTKI QA/QC Head> RUALES <PM/CM Quality Head>

Noted By: ARCH. JOSEPH BRYAN Noted By: ARCH. RODERICK

<DDTKI Project Mngr.> MANALOTO <PM/CM Project Mngr.> CALLUENG
Note:
1. Signature above items are evidence of acceptance, therefore permitting the execution of work.
DDTKI-OP-CQC-4.0F25
Revision -1.0 DDT Konstract, Inc., Unit 1206 12th floor, The Olive
Page 1 of 1 Place, 407 Shaw Blvd.,
Brgy. Addtion Hills, Mandaluyong
City 1550, Philippines Tel No.: +63 2 8287 7888
 INSPECTION & WORK REQUEST
/ PERMIT (IWRP)
2. This form must be submitted to the <PM/CM>, duly approved and signed by the corresponding contractor’s
personnel-in-charge at least 24 hours before the actual inspection and/or installation. (If Required)
3. Inside < > is not fixed, it can change as necessary, depending on the project Sites organization.
Distribution: QA/QC Dept. DCC/DRC <PM/CM> (If Required)

DDTKI-OP-CQC-4.0F25
Revision -1.0 DDT Konstract, Inc., Unit 1206 12th floor, The Olive
Page 1 of 1 Place, 407 Shaw Blvd.,
Brgy. Addtion Hills, Mandaluyong
City 1550, Philippines Tel No.: +63 2 8287 7888