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SEISMIC SCREENING CHECKLIST Reviewer Name <br />Project Nut,Total Bldg. Sq. Ft. <br />Agency Total Lease Sq. Ft. <br />LOcahon Hours of Use <br />1 Retrofit since 1976 <br />No further screening required If documentation of retrofit Is provided. <br />2 At <br />Ty <br />e of Building & <br />pe of.Construction <br />Tilt -Up <br />Pre 1933 <br />gin <br />1933 to 1976 <br />Post 1976 <br />Score <br />Masonry <br />10 <br />6 <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 Height of Bulldmg,l.n $,dories <br />Max. number of stories allowable for screening Is 6. Assign one point <br />per story, I.e., f min., 6max, (1.6) 4 <br />4.Seismicijy '. <br />Assign 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, 12 <br />Contra Costa, Riverside, Santa Clara, Alameda, Ventura, <br />San Francisco, Marin <br />(b) 9 points in Sonoma, Santa Barbara, San Mateo, 9 g <br />Orange, San Diego, Inyo, San Luis Obispo, Napa, Kern, <br />Monterey, Selene, Humboldt, Mendocino <br />(c) 3 points to all other counties not listed above. 3 <br />S.ConiI rafionfWrbca!);. <br />m <br />/ <br />5 8 7 10 7 7 <br />All other configurations 1 <br />6 Configuration (Plan View). <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 />a 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, cone., etc) (1-10) <br />TOTAL 26 <br />Total score of 20 or above requires standard seismic certification. <br />Copy of S."m rnackj'v- owdw q <br />