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COMMERCIAL RE-ROOFING INSPECTION WORKSHEET Applicant Name: Project Address: Applicant Phone: Permit Number: 971 - City of Woodburn Building Division 270 Montgomery Street [PHONE REDACTED] [EMAIL REDACTED] woodburn-or.gov/dev-building Complete this supplemental document along with an online building permit application, and include a site plan and all required specifications. Indicate with a checkmark any concerns associated with this roof, and add any additional comments if needed. Include a sketch indicating location and extent of concern in relation to the common features of the roof. First Layer Second Layer Tear off Excessive Ponding? Yes No Relocate Roof Drains Relocate Scuppers Provide new roof drains/scuppers Re-slope roofing with (wood, Styrofoam, fire- board) material Re-slope roofing with cricket Provide engineering if substantial ponding can remain Other Re-route storm drain to an approved location? Yes No Add plumping pipe from existing room drain to storm drain in public right-of-way Relocate existing roof drainage Obtain plumbing permit (needed for interior drain or new storm drain to approved location) Other Repair existing sheathing with new sheathing? Yes No Call for inspection with roofing and sheathing removed to determine extent of damage Provide new sheathing Obtain plumbing permit (needed for interior drain or new storm drain to approved location) Other Provide required specifications if replacing any of the below Replace roof flashing or edging (provide specs of material) Add roof ventilation (provide specs of material) Roof hatch (adding or replacing) (provide specs of material) Skylights (adding or replacing) (provide specs of material) Structural loads (provide Engineering if roofing material is adding additional weight) Roof re-covering (provide specs of material) Roof replacement (provide specs of material) Underlayment (provide specs of material) Installation of roof anchors (provide specs of material) ---PAGE BREAK--- ROOF PLAN 1. Ponding 2. Roof Drain 3. Ridge 4. Parapet 5. Damaged/ Deteriorated Sheathing 6. Bubbling of Roofing 7. Lack of Vent 8. Mechanical Equipment Curbs 9. Mechanical Vents 10. Misc. Conduit 11. Piping 12. Overflow Scuppers N