Report �c. v / UNDO � .
Cif of Tigard building Department
(./: 13125 SW Hall Blvd., Tigard, OR 97223 Phone: (503) 639 -4171 3
Re-Roof Pre-Inspection Report Form ,:T . A . , , .
Requested by /5 G h C4_,-(,5 s Telephone ( 5 0 3 1 )c- KO
Job Address 1 3L4 6 tA..) '1.44..1A (6) y 6 " 3 6. 25
Roof Access Location `� 2
Date Requested %f 3 v/( U Time Requested
Type of Existing Roof
1. Slope of roof deck c f / foot (ratio) %
2. Roof /Penetrations/General Conditions Blair ❑ Poor
3. . Are there blisters? ❑ Yes Plio
4. Are there cracks? ales ❑ No
5. Is there evidence of water pondng? ❑ Yes El ‘o
6. Is moisture present under roofing (leak)? ❑ Yeso
7. Is roof insulation existing? ❑ Yes o
8. Is roof insulation wet? ❑ Yes
9. Property line setbacks on all sides > 10 feet Q1 es 0 No
10. Roof Area ❑ < 6000 sq. ft E 600o sq. ft.
14. Building height Er< 2 Stories ❑ > 2 Stories
12. Class of roof required ❑ Non-rated ❑ A. Ertl. ❑ c.
13. Type roof deck [Combustible
❑ Non-Combustible
14. Roof drains [r 'provided ❑ Required ❑ Adequate
15. overflow drains ❑ Provided ❑ Required ['Adequate
16. Attic ventilation ❑ Pro ided ❑ Required t d uate
17. Roof listing Provided ❑ Required
18. Scope of work [B tear off ❑ overlay
To req. .1 this ) structure the • 11owi , conditionsyrst be met
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2-) / I 6 r 6 1 c y ( . 's .)- — —/'(-c4 ,
- 2S V- 2-4' L
The retoofLioposal isyl Approved for permit issuance if the conditions listed above are met. After obtaining your permit you must contact the
Building Division for an inspection when the roof deck is ready for the first inspection. pedion. The first inspection for a complete tear off is the deck
inspection. For a built -up roofing system (overlay), the first inspection is at the start of the job. After the re -roof is complete, a final inspection is
required. l
Inspector ' c' � } `S),, Ext. . Z1Z 3 / o
Date 9/
leudangRerod Preps