Report /Z 1L/ i0- 1 •
City of Tigard Building Department Is
13125 SW Hall Blvd., Tigard, OR 97223 Phone: (503) 639-4171 . 0 . „
. ,, . i Re -Roof Pre - Inspection Report Form ,T> D'.
G,AR
/Requested by /h 4.-3AiOne QriiIjqin c . Telephone 30 i y 5611
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'Job Address 67 S"S" 5w Sa n d L r ( / J Grvc Cr ! T. 012(3
Roof Access Location
Date Requested ■ C ( - 7/ cj Time Requested 7:- 3 C 1 v....-.
/ Type of Existing Roof °•,
1. Slope of roof deck / foot (ratio) _2,-44 2. Roof /Penetrations/General Conditions air ❑ Poor
3. Are there bisters? , .yes ❑ No
4. Are there cracks? L`�I`xes ❑ No
5. Is there evidence of water pondng? Yes ❑ No
6. Is moisture present under roofing (leak)? ❑ Yes ❑ No ")damn - 4 k w...)
7. Is roof insulation existing? cXYes ❑ No
8. Is roof insulation wet? ❑ Yes lo
9. Property line setbacks on a9 sides > 10 feet Ekes ❑ No
10. Roof Area ❑ 5. 6000 sq. ft 146000 sq. ft.
11. Budding height T Stories ❑ > 2 Stories
12. Class of roof required ❑ Non-rated ❑ A. ❑ B. ❑ C.
13. Type roof deck ; combustible ❑ Non-Combustible
14. Roof drains 'Provided ❑ Required ❑ Adequate
15. Overflow drains lgerovided ❑ Required ❑ Adequate
16. Attic ventilation 10,Erovided ❑ Required ❑ Adequate
17. Roof listing gerovided ❑ Required
18. Scope of work H°``ar off ❑ Overlay
To re -roof this structure the following conditions must be met
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The re -roof proposal is Approved for permit issuance if the conditions listed above are met. After obtaining your permit you must contact the
Budding Division for a 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 ` G , f Z
Ex
1/4 t2 't Date /0/2/1 0
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