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SEISMIC SCREENING CHECKLIST Reviewer Name <br />PrbJect Nti;i... Total Bldg. Sq. Ft. <br />Total Lease Sq. Ft, <br />Hours of Use <br />1 Retrofit since 1976 " <br />No further screening required if documentation of retrofit Is provided. <br />2 Ag <br />Ty <br />e of Buhldln9 & <br />Pe of Construction <br />Tilt -Up <br />Pre 1933 <br />8 <br />1933 to 1976 <br />Post 1976 <br />Score <br />Masonry <br />10 <br />8 <br />1 <br />Reinforced Concrete <br />7 <br />5 <br />1 <br />Wood Frame <br />3 <br />2 <br />1 <br />Steel <br />7 <br />3 <br />1 <br />1 <br />3.Hejght:of;Buflditjg.lttSRrii7s...`rs::< <br />Max. number of stories allowable for screening Is 8• Assign one point <br />per story, Le., 1 min., 6max. <br />Asslgn points as indicated for counties as grouped in a, b, & c below <br />(a) 12 points in Los Angeles, West 1/3 of San Bernardino, <br />Contra Costa, Riverside, Santa Clara, Alameda, Ventura, <br />San Francisco, Morin <br />(b) 9 points In Sonoma, Santa Barbara, San Mateo, <br />Orange, San Diego, Inyo, San Luis Obispo, Napa, Kern, <br />Monterey, Solano, Humboldt, Mendocino <br />(c) 3 points to all other counties not listed above. <br />aw Isra .m �is� �s loot sam � t aes � Ixa <br />asoa m asp 3s�.� nc�sa aav�sesr, i:y: s�cl xee I I� a v�rf taang.� !!?B 3JNJ [tldltidACi:Il4fi7 Isn rd91 52! <br />lads Y.il4 a 'W,! % I ti!dIL81R2:i veil - <br />All other configurations <br />]N aEdl�riP® �riu IY $ P}ryR:3Fsd1 dY9 <br />6 Configuration (Plan View). . • „ <br />9 9 <br />3 <br />1 3 7 7 7 <br />7 Visible Defects. <br />Subjective scoring: 10 points max, assignable for all defects <br />observed. The following list Is of typical things to look for. <br />a Dry rot; look for water stains on ceiling tiles and walls. <br />b Damaged foundations; look for large cracks and misalignment <br />c Sagging or shifted beams; look for bowing in center, check for <br />position (parallel) relative to other members <br />d Tilted walls or columns <br />e Corrosion of steel; look for rust, flaking, etc. Check for water stains. <br />f Cracks greater than 1/8" in masonry or concrete <br />g Check for any material that crumbles (wood, plaster, conc., etc) (1-10) <br />TOTAL <br />Total score of 20 or above requires standard seismic certification. <br />copy of esimnc clwcWiele0,feu.»s <br />28 <br />