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SEISMIC SCREENING CHECKLIST Reviewer Name <br />P�sc1 NU! ''; ' ..., Total Bldg, 3 . Ft. ' <br />A. ..:. <br />L..,. q <br />;: ,:. ....,...,, ,. ....:.. ;Total Lease Sq:Ft. <br />. <br />d <br />L6Cat�on; Hdurs.af Use <br />1 Retrofit since 197 <br />No furtherscraening required if do oumeNallon of retrofit Is provided. <br />2 A¢ <br />Ty <br />e of Building 4 . <br />pe o,.f Conatrabtl,on <br />Tilt -Up <br />Pro 1933 <br />Besisr <br />1933 to 1076 <br />Post 1976 <br />110A1 <br />Score <br />Masonry <br />10 <br />6 <br />Reinforced Concrete <br />7 <br />6 <br />1 <br />Wood Frame <br />3 <br />2 <br />1 <br />Steel <br />7 <br />$ <br />1 <br />1 <br />3'. <br />Max. number of slorlas allowable tbr screening is 8, Assign one point <br />parstory, is., f min., 6max. (1.6) ¢ <br />4 ;3$ismicjtY:' :.'. r �• -';t` <br />Assign points as indicated foroountlea as grouped In a, b, & c below <br />(a) 12 points In Los Angeles, West 113 or San Bernardino, 12 <br />Contra Costs, Riverside, Santa Clara, Alameda, Ventura, <br />San Francisco, Merin <br />(b) 9 points In Sonoma, Santa Barbara, Son Mateo, 9 9 <br />Orange, San Dlego, Inyo, San Luis Obispo, Napa, Kern, <br />Monterey, Solana, Humboldt, Mendocino <br />(a) 3 points to all other counties not listed above, 3 <br />2 POEM <br />/ r . <br />6 & 7 10 7 'I 7 <br />All other configurations 1 - <br />6.Configii <br />nation, (Plan, View). . <br />1 3 7 7 7 7 <br />7 Visible Defects <br />subleetive scoring: f 0 points max. assignable for all defects <br />observed. The following list Is of typloal 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 oolumns <br />a Corrosion of steel; look for rust, flaking, etc. Check for we ter stains, <br />f Cracks greater than 1f8" 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 />Copy of Sola:111C Mockk9l.Wlyod.As <br />