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SEISMIC SCREENING CHECKLIST Reviewer Name <br />Total Bldg..Sq. Ft. <br />Total Lease Sq.Ft. <br />Hours of Use <br />i Retrofit since 1976 <br />No further screening required if documentation of retrofit Is provided <br />2 A4 <br />Ty <br />e. of Building A <br />pe qfCon 'stru . ctlon <br />Tilt -Up <br />Pro 033 <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 />6 <br />1 <br />Wood Frame <br />3 <br />2 <br />1 <br />Steel <br />7 <br />3 <br />1 <br />3 <br />Max. number of stories allowable for screening is 6. Assign one point <br />per story, La., I min., 6 max. 4 <br />Assign points as indicated for counties as grouped In a, b, & cbelow <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, Morin <br />(b) 9 points In Sonoma, Santa Barbara, San Mateo, 9 9 <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. 3 <br />990M <br />a 7 10 7 1 7 <br />All other configurations <br />6 C , onfigy'ration. (P I I I an View). <br />3 7 7 7 7 <br />7 Visible Defects <br />Subjective scoring: 10points 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 />I Cracks greater than 1/84 in masonry or concrete <br />g Check for any material that crumbles (wood, plaster, conc., etc) (1.10) <br />TOTAL 28 <br />Total score of 20 or above requires standard seismic certification. <br />C.Py d sm'"C C Cwot-w.[SdAs <br />