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Re -Roof Pre-Inspection. Report Form G�� r
Requested by s �/� / Telephone t s ) 7 ,? D - 6/3
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Job Address 9600 S Ld 5- MO V L A1, Permit #:
Roof Access Location
Date Requested /o /6 L Time Requested 9a'rr,
Type of Existing Roof 5.-$r / r v p /4t it Ca I kar f
1. Slope of roof deck / G 7 . 2., //0 /'/L U602
2. Roof /Penetrations /General Conditions ❑ Fair t2
3. Are there blisters? ❑ Yes ■ No
4. Are there cracks? 0 Yes CESNo
5. Is there evidence of water ponding? ❑ Yes lallo
6. Is moisture present under roofing (leak)? ❑ Yes ii No
7. Is roof insulation existing? ❑ Yes KNo
8. Is roof insulation wet? ❑ Yes - jio
9. Property line setbacks on all sides > 10 feet XYes ❑ No
10. Building, size ❑ <3000 sq. ft. ig<6000 sq. ft ❑> 6000 sq. ft.
11. Building height 2 Stories ❑ > 2 Stories
12. Class of roof required ❑ Non -rated 2'A. ❑ B. ❑ C.
13. Type roof deck [combustible ❑ Non - Combustible
14. Roof drains: 'Provided ❑ Required ❑ Adequate
15. Overflow drains fgprovided ❑ Required [.Adequate
16. Attic ventilation [provided ❑ Required giAdequate
17. Roof listing OtProvided ❑ Required
18. Installation Instructions rovided ❑ Required
To re -roof this structure the following conditions must be met:
The re -roof proposal i 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. 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.
Inspector // —y7 2q2 3 (9./.3f/ G Z
• Date
1113uicrusgReroof Preinspection Report Fomi
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9800 SW SHADY LANE
MT. HOOD ROOFING CO.
CAPACITY FOR ADDED ROOFING
JP I 29- Aug-02 I 10724
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OREGON
I RENEWAL 12-31- 02.1
pp. 10724 -1 To 10724 -3
JOHN W PARKIN
CONSULTING CIVIL AND STRUCTURAL ENGINEER
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