Rapid Visual Screening of Buildings for Potential Seismic Hazards FEMA P-154 Data Collection Form Level 1 VERY HIGH Seismicity dares 2 Other identities: Buiaing Name: se Latitude Longitude PHOTOGRAPH Se: Se Screeners DateTime: No, Stores: Above Gade Below Grade YearBu Total Floor Ara (69): ode Year: Addons: [] Nene] Yos Years) Buk Joccupancy: Awontiy Conmeral Enet Sovess E)Hsere Setar Irstiel Of Séool 1 coverarent Uy Wartouse —Resifontal Unie Solty: OA 8 Oe OD De OF oN Fare ig Oanee Set Set Paar —ONK assae ie ‘Rock Rock Sol—_Sa_Sall_‘Sa [Geologie Hazards: Liqutecion: VesINIONK Landslde: VesNGIONK Sur Rup: VesNaDNK Adjacency: TH Pounding Cl FalingHzars or Tae Adan Bung regularities: Vereal ipeoeeryy Pron ype) Exterior Faling [ Unbaced Crinnays [Heavy Caddg or Heary Veneer Hazards: i Povapats 1D Aopendapes Dobe ‘COMMENTS: SKETCH [Adina satus o comments on sopra page BASIC SCORE, MODIFIERS, AND FINAL LEVEL 1 SCORE, Si: FHARULNGTRE tort] Wi WAT WTS) SS) A) S) a) a, a mPa a] me ON) Ww Krom we | ae | diy | me | gam | gy | in | cae | Base Beare We ee ta a a Sere Vance! guy, Vis ag ta | oa | ae| or |oa| ar) ar | or) oe | a6 a7 | ar 07 | a7 Nt oder Vari ogy, Vs a6 03 | 05 | a4 | a6 | 05 | a6) 93 | 04) a4 | a3 94 | a4 4 | 04 NA Plan raul, is ar 07 | 06 | as | 05 | os a4] a4 | 04 03 05 | a4 04 | 04 NA Pracooe a3 03 | 03 | a3 | 92 | 03 | a2 | 01 | a1 oo 02) 3 02 | a2 oo Post Benowrek 18 19 20] 9 | as | sa | 8 | Nk | ta Meas | 47 te | 38 os Sal Type Aor os as | o# | oa | 03 | ca | oa | o2 | 02 ox as | 02 as | 03 oa Sut Type (3 tte) ao 02 | 26] 03 | az | 2 | a2 | a1 | or ao 02) a1 02) 22 4: Sai TypeE 3 sos a4 04 | 4 | a3 | 93 | ma | a3 | 03 | os oa NA | ox 02 | 02 NA Wir Se Si Lar ar ar [as os as Las as tae ae io FINAL LEVEL 1 SCORE, Si72 Sun EXTENT OF REVIEW OTHER HAZARDS "ACTION REQUIRED Exterior Paria Interior None Drawings Reviewed: E] Yes Soi Type Source Geologic Hazards Soir Contact Person: Cl Atsées 1 sri Vise Cy Eneres Ox LEVEL 2 SCREENING PERFORMED? 1 Yes Fal Lvel2 Score iz ON Nonstuctralhazats? Yas On ‘Ave There Hazards That Tgger A Detaleg Structural Evalution? 1H Pouring potas ness Sa> ‘ut oun) (Fal hazares tom ler acre bail 1D Gosioge nears or Sol TypeF Bi Sonicar: camagtseteroraon te shutter Detied Sructral Evaluation Required? Yes, unnan FEMA bing peo ober buldag (Yes, soar ees than at 1B Yer, othernazars present Ox Detailed Nonstructural Evaluation Recommended? (check ore) Ves, nonsrvcwathazard dente that shoud be eval 1B No nonetucalazares est et ay require megan, bua eta ecalvaon snl necessary 2 Nornoranstuctrl nazards ida Con ‘Where information cannot Beveled sererar shall nat te Tolowing: EST= Estimated o nreabedata_OR ONK= Do Nat Know TEST TSE OS TE RGR cal iis Lites Ros Rea dapageRapid Visual Screening of Buildings for Potential Seismic Hazards Level 2 (Optional) FEMA P-154 Data Collection Form VERY HIGH Seismicity ‘Opfnal Level 2 data caecon tobe petarmadby chlor srucuralerginesng professional, architect, or graduate ster wh backround esi evaluson or sgn of alings. Bldg Name: Fialbavel 1 Se0re | Sn Tao not consider Saad Sereaner: Tevet Tregularity Modifers:_| Vertical Iregurariy, Va = [Pian Treguiariy, Ps = DateTime [ADJUSTED BASELINE SCORE: [ S™= (Sis— Vis— Pi) = ‘STRUCTURAL MODIFIERS TO ADD TO ADJUSTED BASELINE SCORE opie ‘Statement [saloons bur cee fo “Yos" moat hers cross Ou Oe moor] Yes] Satie erteal Shoring Wi bulng Ther is at ast afl story rade change om one sido ofthe buldng oe oa. 0g Inogulany, is | Sie Nei bung: There i at ast fl tor grade change om one side of the bling to he oe. 0 Weak [Wi Bung cpple wal: An ureraced ppl walls visbein the aw! space oy aroior | Ivt rouse over garage: Urdereath an ocuped stay, ees gage cpening wiht a lal ro Sot Stony | andtaeis less than 8c wale he sans fr mulpeocuped os above, use 18 of wal erimum)._| 29 (cicle one WtA bing ope font. Thee ar openings a the ground tary (such 30 paring) over at as 50% oe ras) | eng ot uti 09 Na-Wieuling Lengo isl ysl a any sary avs an SO a Waal way above or Falgh any sioy sare than 2.0 mes te high of te ory above on Nn-ibulng: Lene of ral ysl a any sry blween Sand EW of Rak a Wary above erg fay ys beeen 1. and 20 res te hgh fhe in shove os ‘Seback | Veta eens ofthe aera ster a en upper sy are outboard of ose ale say blow caus re siogagmocarilver atte ose. on Weta ets of te rl syste al gpa dis ae board of ose Tower sores Oe Tare is ann-plae feo he lel loos has gratr thane nth fhe elomen 02 Shot | C1,C2CSPCH PC2 ANT ANE At ast 20% of columns (is) log a cxlur Io i the lateral ion have Column | heigiept ratios os than 0% ofthe nomial eight oph rato a hat evel od Per [C1.C2C3PCI [Link] The concep oir wath) bss han ona Fao ba ph oe sand | orthece asin wal or ajzent oes that shorten ecole, | oa | SpliLavl_| Ther spt ve t noo he foo lvls fal he oo Tor] ‘Other | There another observable savers vrcalreqaniy tat obfavl fos Bulg’ sls paermanos | -0.7_] vise Iegaltty [Theres another observable moderate vercal equa tha may afc the bullng’ ses peromance 4 | (Capo 03) an Tesional regan: Lateral syst doesnot appearrelevey wel éstbvedin plan n eer o bth drectons, (Oo not Ieguany, P| ind the WA ope font negli sted above 0s Non-aralel yon, There are oe o ore mgr verical semen o fe eral system tal reno orRogoralo each oer | 0.2 Reerrart ore Bah roscons Wom an ior comer exced 25% of he cveral pn senso in tat econ 02 Diaphvagm oping: Tere an opening ne aplagm wth awit ave 0% of lll daphvagn wath al hl ve a2 C2 bulingouttlans ost. The extoror bears dont an wth he clunns inp. O2-| Pus ‘Other ida. Thee anarer obserate lan regulary thal obvi ft te buldig’s salami alomance 05 | (Cap a 07) Redardangy | Te bulking has at eas wo bays cfltral elements on each side ofthe buldng in each direcon 202 Pounding Buldng'sseparaied fom an adjacent stucure | The floors dorotalgn vera wiin 2 et Capra a7 by bss than 15% of oReght ofthe shorerat [One bung 2 or more sores lean P@SFRE pour OT te bulig and acon suc and The baling is athe end of he Hock, oats 09) 0] 32 Baiting | bracng goamoty visi. [cor] ‘CTBuking —| Flat pat saves asthe beam ae momar amo. a3 POTIRWT BS There ae rotio-wal es hatare vise or krown For awings ta do notre oneosearan Bern, (Do rt conbine wih st benchmark or retott master 202 FOTW B_| The biking fas dosely spaces, ul haghtniarar was (ther an an Foto spaco wih fn wala suchas nawarehouse] | v0.2 URW Gable was are preset 03 wt Theis upplemerial sic Bang stam proved beween i args ade GUN. a5 Revolt Comprehensive src tots viseor noun Kom drenigs. 2M FINAL LEVEL 2 SCORE, S13 = (S"+ Via + Pus M> Sune (anstr Lovet frm) Thess cservae damage or ererateno acter condion at nogatval aoc he buldnge sae perorrarce: —C]Ves [IN Hys, deste the conn nthe comment ox bean ad inate on te Level 1 orm ta deaied evaluation required independent o he bug’ score "OBSERVABLE NONSTRUCTURAL HAZARDS Location Statement (Check Yas"0r No} Yes [We Comment Exeror There fan unbraced ureinforced Maron parapl cr braced unoMTarCad Mason ChAT, There is heavy lacking or aay veneer. Thore sa heavy cane overex coors of podestan walkways that appears natoqually uppored, Ther isan urenorees masomy appendage overex doo or pedesran walkway. Ther is sign poste ons buldng tat indicates hazardous materls ae presen, Ther is tale adjacent bling wih an urarchores URM wal o uroraed URM parapet or ima ‘Other observed extercrnostutral aling hazard Tair Thaw are holo cy te or bck partons at any sa or ext omar ‘Othe observed interornonstutral akngnazara Estimated Nonstructural Selsme Performance (Check appropriate Box and Wanserfo Level 1 orm cansusors) Ly Potonal onsrctural hazards wi sig icant teat ooceupan ie saely —>Detaled Norsbuctal vahaon rozommnended Gi Nonsrctral hazards idee wt significant treat to oxcupartle safety —>But ro Detaled Nonstucural Evaluation eauied Bi Low or no nonstructural hazard heat to occupant fe saily —>No Detaled Nonstructural Evaluation required ‘Comments