MOSAIC REALTY AND
DEVELOPMENT CORP.
478 San Fernando Brgy. 284,
San Nicolas Manila, 1010
WORK INSPECTION REQUEST
WP: GENERAL CONSTRUCTION WORKS
CONTR.: IRONCON BUILDERS AND DEVELOPMENT CORP.
The Silhouette
165 Luna Mencias, San Juan City
Work Permit No: Date/Time Requested: Date
Nature of Works:
Actual/Date of Inspection:
Location: Structure:
Inspection
Name/Signed Name/Signed Name/Signed Name/Signed
Requested by:
Designation Designation Designation Designation
Inspected and concurred by: MRDC Inspector
Items for Inspection
on Duty (Sign/Date)
Remarks (if any)
Contractor Signature/Date
1.0 Civil/Structural
2.0 Line and Grade
3.0 Architectural
4.0 Safety
5.0 MEPF’s Coordinator
6.0 Mechanical
7.0 Electrical
8.0 Electronics
9.0 Sanitary/Plumbing
10.0 Fire Protection
11.0 Elevator Works
12.0 Interior Fit-out
13.0 Others
Comments:
Schedule of Final Inspection:
Note: No Final Inspection will proceed without the signed and approved initial inspection
Schedule of final inspection will be agreed by Contractor and Owner Representative
Works to Proceed: Inspected/Approved by: Noted by:
Inspection Accomplished by:
Yes:
MRDC
No: RENZ KEVIN DOMINGO KIM BLADIMHER S. HERMONIO
Civil Engineer Senior Project Engineer
Note: After the signature of this IWR, the contractor will not be freed of any of their responsibilities or duties under their contract.
The contractor is still committed to their contracts and must carry out and complete the task in accordance with the contract agreements' terms.
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MRDC-IWR-FORM
Rev.01 -2022