Report 14:40 2t'3 -OD 9 3
City of Tigard Building Department
13125 SW Hall Blvd., Tigard, OR 97223 Phone: (503) 639 -4171
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Re -Roof Pre - Inspection Report Form :�•i,L 1 i
Requested by act t Telephone 1 ) t q& 3 , 6 7
Job Address k3 5 I (o 1 S /2/9 Permit #:
Roof Access Location 14
Date Requested 6,/ f iLio Time Requested t,
Type of Existing Roof 3 0 /y \
-- 236 '00 fs 6xaa 77 r sArrt or - _ t' ".4
1. Slope of roof deck -- — \P G 1
2. Roof/Penetrations /General Conditions Fair ❑ Poor Of �1Go ��
�� 1NC' 00\s,
3. Are there blisters? CI [r]
Yes ' Imo 05�
4. Are there cracks? ❑ Yes [1 ■2
5. Is there evidence of water ponding? ❑ Yes I3 Imo
6. Is moisture present under roofing (leak)? ❑ Yes 121No
7. Is roof insulation existing? Yes e No
8. Is roof insulation wet? ❑ Yes go
9. Property line setbacks on all sides > 10 feet Vries ❑ No
10. Building size 0 V000 sq. ft. ❑ < 6000 sq. ft C; .000 sq. ft.
11. Building height pd< /Codes tories
12. Class of roof required ❑ Non -rated ❑ A. ❑ B. ❑ c. . ,
13. Type roof deck [mbustible ❑ Non - Combustible
14. Roof drains ovided ❑ Required. ❑ Adequate
15. Overflow drains Q'�ovided ❑ Required ❑ Adequate
16. Attic ventilation provided ❑ Required ❑ Adequate
17. Roof listing f ?Pro • ❑ Required
18. Installation Instructions rovided ❑ Required
To re -roof this structure the Y- following conditions must be rut: /�
c2 frA' D e /�� � a �.e vd f
The re -roof proposal is 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,
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Inspector � Ext. . Date