Report City of Tigard Building Department
13125 SW Hall Blvd., Tigard, OR 97223 Phone: (503) 639 -4171
Atb\
Re -Roof Pre-Inspection. Report Form ...W II
Requested by acf1(4- Telephone f ) t' 'f� 3 ) 6 3
Job Address /‘ 36 y 1 z�.y /� . Permit #:
Roof Access Location I,926/7
Date Requested e/ ( 1(0 2 Time Requested .
Type of Existing Roof 3 #//
-- 00 Goo fS aa- T( 5»" 7 tor
1. Slope of roof deck' — - RECEIVED
2. Roof/Penetrations/General Conditions Fair ❑ Poor RECEIV`'
ED
3. Are there blisters? ❑ Yes [']To
4. Are there cracks? ❑ Yes afro
AUG 14 1003
5. Is there evidence of water ponding? ❑ Yes []' Igo CITY OF TIGARD
6. Is moisture present under roofing (leak)? ❑ Yes �o BUILDING DIVISION
7. Is roof insulation existing? jes II No
8. Is roof insulation wet? ❑ Yes Flo
9. Property line setbacks on all sides > 10 feet lirres ❑ No
10. Building size ❑ V000 sq. ft. ❑ < 6000 sq. ft aft ft.
11. Building height Or7< Z Stories RfeRfories
12. Class of roof required ❑ Non -rated ❑ A. ❑ B.
13. Type roof deck Combustible ❑ Non - Combustible
14. Roof drains Ekic vided ❑ Required. ❑ Adequate
15. Overflow drains (]''rrovided ❑ Required ❑ Adequate
16. Attic ventilation provided ❑ Required ❑ Adequate
17. Roof listing [r rli 10ded ❑ Required
18. Installation Instructions rovided ❑ Required
To re -roof this structure the following conditions must be mist:
C(e4 AI D ° /gam g a 4 A,d 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.
yO i '
Inspector � Ext. . Date ,g/�
RB
■