Building Data Entry Form -- HEADER SHEET
Unit:
Bldg ID # :
Bldg Name:
Location:
Bldg. Category/Subcategory:
Size (GSF):
Maintenance Level:
Remoteness Factor:
1.15
Historic Status:
Inspector Name:
Inspection Date:
Year Constructed:
Year Surveyed:
Benefitting Function:
(Fill in: If Roaded Remote, 1.15; Wilderness/Primitive Remote, 1.5;
1.5; Roaded Remote & Historic, 1.65; Wilderness Remote & Historic
(Fill in: E=eligible, I=ineligible, L=listed, U=undetermined)
NFFA
(Fill in: NFFA(facilities), QMQM(quarters), NFRM(recreation),
NFFV(reforestation), NFRV(range), NFHR(heritage), etc.)
NOTE: Information entered on this sheet is automatically transferred to the following spreadsheets.
Historic,
c, 2.00)
Building Data Entry Form -- ANNUAL MAINTENANCE
Unit:
Benefitting function:
Maintenance Level:
Remoteness Factor =
0
NFFA
0
1.15
Bldg Cat.: 0
Location: 0
PRIORTITY for FUNDING:
CSI Division
Bldg ID #:
Bldg Name:
Size (GSF):
Historic :
0
0
0
0
Inspector Name:
Inspection Date:
Year Constructed:
Year Surveyed:
1 High Safety Hazard 2 Safety Hazard 3 Structural Hazard 4 Not According to Code
5 Critical Maintenance 6 Energy Conservation 7 Routine Maintenance 8 Outdated/Nice to Have
Measurements
Quantity
Units
Description
101000 GENERAL AND SITE WORK
Cost/unit
General and Site Work Totals:
Annual Maint Cost
H&S
Res
$0
0
01/00/00
0
0
Funding
Priority
Mis
$0
$0
Division 1 - General
General
Management
Misc. Annual Maintenance and Repair (Small Items, Break Downs) aviation - .50, crew
- .36, office - .50, residence - .30, school - .75, service - 1.50, storage .23, watchtower 6.12. All costs are per s.f. of floor area
Direct costs only including specific proj prep, procurement, and, Contract
Administration ( .50 s.f. of floor area )
0 SF-Flr Area
$0.30
7
0 SF-Flr Area
$0.50
7
7
7
SF
SF
SF
LS
$0.04
$0.18
$1.00
$10.00
7
7
7
7
SF
LF
LF
SF
$0.02
$0.11
$0.32
$0.18
7
7
7
7
7
7
Other
Other
Division 2 - Site Work
Driveways, Parking
Sidewalks, Trails
Signage, Exterior
Site Drainage
Landscaping
Irrigation System
Fences, Guard rails
Wood Decks, Wood Exterior Stairs
Other
Other
Seal Coat, Repaving, Restripping, Grading, Rock Replacement, etc ( .04 / s.f. of
driveway)
PMR&R ( .18 / s.f. of walk or trail)
PMR&R ( actual-site specific )
Culvert, Catch Basin, Ditch Clearing ( actual-site specific )
Tree Removal, Trimming, Plant Replacement ( city-type sites only ) (not lawn mowing
or upkeep of grounds)
PMR&R ( $.11/LF if separate system from domestic water )
PMR&R (Cedar: .32/lf, Wire or Chain Link: .29/lf)
PMR&R (treated: .07/sf, untreated: .18/sf)
202000 ARCHITECTURAL WORK (Divisions 3 to 14)
Division 3 - Concrete
Foundations, Slabs
Retaining Walls
Precast, etc.
Other
Other
Division 4 - Masonry
Foundation Walls
Retaining Walls
Chimneys
Masonry Fireplace
Veneer, panels, etc.
Wall Construction
Other
Division 5 - Metals
Structural, Ornamental (See Painting)
Rails, Posts, etc.
Pipe Rail
Lookout Guy Cables and Anchors
Other
Division 6 - Wood
Roof Framing
Architectural Totals:
PMR&R ( Crawl Space/Slab/Pier: .03 s.f, basement: .08/SF floor area )
PMR&R ( actual-site specific )
PMR&R ( actual-site specific )
0 SF-Flr Area
SF
SF
PMR&R (CMU - .03 s.f of floor area if crawl space - .08 s.f if basement), (BRICK - .20
s.f of floor area if crawl space - .53 s.f. if basement), (STONE - .33 s.f. of floor area if
crawl space - .88 s.f. if basement)
Tuck Pointing, Silicone Sealer, Expansion Joint Caulking ( actual-site specific )
$100 per year, per flue
$100 per year, per fireplace
Brick .27 and stone .50 per s.f. of wall area
PMR&R (.06/sf floor area)
SF-Flr Area
SF
EA
EA
SF-Wall Area
SF-Floor Area
PMR&R
PMR&R
PMR&R
PMR&R
EA
EA
LF
LS
( actual-site specific )
( actual-site specific )
( actual-site specific )
( actual-site specific )
PMR&R Truss/Joist/Purlin (.02/sf top floor area)
SF
Page 3
$0.03
$0.18
$100.00
$100.00
$0.06
$0
$0
$0
7
7
7
7
7
7
7
7
7
7
7
7
$0.50
7
7
7
7
7
$0.02
7
9/3/2004
Building Data Entry Form -- ANNUAL MAINTENANCE
Unit:
Benefitting function:
Maintenance Level:
Remoteness Factor =
0
NFFA
0
1.15
Bldg Cat.: 0
Location: 0
Bldg ID #:
Bldg Name:
Size (GSF):
Historic :
0
0
0
0
0
01/00/00
0
0
PRIORTITY for FUNDING:
CSI Division
Wall Framing
Floor Framing
Roof Sheating
Wall Sheathing
Exterior Siding and Trim (See Painting)
Interior Trim (See Painting)
Interior Stairs
Structural Glulams/Heavy Timbers (See Painting)
Timber LO Tower Structure
Other
Division 7 - Thermal & Moisture Protection
Insulation, Vapor Barriers
Fire Stopping
Roofing, incl. Flashings
Gutters & Downspouts
Skylights, Hatches
Grilles, Louvers
Metal/Vinyl Siding
Caulking
Other
Other
Division 8 - Doors & Windows
Doors & Frames - Exterior
Doors & Frames - Interior
Windows & Frames
Hardware-Locks, Keys, Closers - Ext
Hardware-Locks, Keys, Closers - Int.
Weatherstripping
Screen Doors & Frames
Other
Division 9 - Finishes
Sheetrock, Plaster
Acoustical Ceiling
Hard Floors--Wood, Vinyl, Tile, Stair Treads
Carpeted Floors--incl. Stair Treads
Hard Wall Surfaces
Wall Coverings ( vinyl )
Painting-Exterior
Painting-Interior
Other
Other
Division 10 - Specialties
Toilet/Shower Partitions
Flag Pole
Fire Extinguishers
Bulletin Boards
1 High Safety Hazard 2 Safety Hazard 3 Structural Hazard 4 Not According to Code
5 Critical Maintenance 6 Energy Conservation 7 Routine Maintenance 8 Outdated/Nice to Have
Measurements
Description
Quantity
Units
0 SF
PMR&R (Stud:.023/sf floor area, log:.05/sf floor area, pole:.05/sf floor area)
PMR&R (sf floor area)
SF
PMR&R (sf top floor area)
SF
PMR&R (sf floor area)
SF
PMR&R, Rot/Mildew Control ( .10 s.f. of wall area )
SF
0 SF-Flr Area
PMR&R ( .05 s.f. of floor area )
PMR&R (Per Flight)
Flight
PMR&R (.02s.f. of floor area)
SF-Flr Area
PMR&R ($8.10/per Tier/year)
Tier
Inspector Name:
Inspection Date:
Year Constructed:
Year Surveyed:
Cost/unit
$0.023
$0.029
$0.012
$0.012
$0.10
$0.05
$27.75
$0.02
$8.10
Annual Maint Cost
H&S
Res
Mis
Funding
Priority
7
7
7
7
7
7
7
7
7
7
PMR&R (.02 cents per s.f. of floor area)
Inspection-Patching ( actual-site specific )
PMR&R ( wood shingle and shake - .23, standard metal - .10, standing seam metal .20, composition shingles - .10, single ply membrane - .15, built-up - .10, all costs per
s.f. of roof area )
PMR&R (.43 cents per linear foot of gutter and spouts)
PMR&R ( actual-site specific )
PMR&R ($1/sf of grill or Louver)
PMR&R ( metal - .16 s.f, vinyl - .18 s.f. of siding )
PMR&R ( .02 cents per floor area)
0 SF-Flr Area
$0.02
7
7
SF-Roof Area
LF
SF
SF
SF
0 SF-Flr Area
$0.10
$0.43
$3.00
$1.00
7
7
7
7
7
7
7
7
PMR&R ( $40.00 per year per door )
PMR&R ( $20.00 per year per door )
Glazing, Glass Replacement, Entire Unit Replacement ( $30.00 per window)
PMR&R (exterior doors - $50.00 per year per door )
PMR&R ( interior doors - $20.00 per year per door )
PMR&R ( $5.00 per opening, exterior doors and windows)
PMR&R ($11/yr)
EA
EA
EA
0 EA
0 EA
0 EA
EA
PMR&R (Sheetrock: .04, Plaster: .10, fiberboard: .02 per s.f. of floor area)
PMR&R ( .10 per s.f. of actual area)
PMR&R (wood - .34, vinyl - .35, ceramic tile -. 32, plywood - .04; all per s.f. of actual
floor area)
PMR&R (carpet - .28 per s.f. of actual floor area)
PMR&R ( Tile: .32, Fiberglass: .18, Plastic: .17, Laminated Hardboard: .26, Wood
Paneling: .07, Plywood: .04 of actual wall area)
PMR&R ( .15 of actual wall area)
Repaint every 5-10 years ( .10 s.f. of floor area )
Repaint every 5-10 years ( .15 s.f. of floor area )
PMR&R ($50.00 per year per stall)
PMR&R ( $100.00 per year)
One year & Five year inspections/tests ($15.00 per extinguisher)
PMR&R ($30.00 per year)
$40.00
$20.00
$30.00
$50.00
$20.00
$5.00
$11.00
7
7
7
7
7
7
7
7
0 SF-Flr Area
SF
$0.04
$0.10
7
7
SF-Flr Area
SF-Flr Area
$0.35
$0.28
7
7
SF-Wall Area
SF-Wall Area
0 SF-Flr Area
0 SF-Flr Area
$0.07
$0.15
$0.10
$0.15
7
7
7
7
7
7
$50.00
$100.00
$15.00
$30.00
7
7
7
7
Stall
Ea
Ea
Ea
Page 4
$0.02
9/3/2004
Building Data Entry Form -- ANNUAL MAINTENANCE
Unit:
Benefitting function:
Maintenance Level:
Remoteness Factor =
0
NFFA
0
1.15
Bldg Cat.: 0
Location: 0
Bldg ID #:
Bldg Name:
Size (GSF):
Historic :
0
0
0
0
Inspector Name:
Inspection Date:
Year Constructed:
Year Surveyed:
PRIORTITY for FUNDING:
CSI Division
Signage-Interior
Toilet & Bath Accessories
Folding Partitions
Tub/Shower Doors
Other
Division 11 - Equipment
Gov't Supplied Kitchen Appliances
Gov't Supplied Laundry Appliances
Audio, Visual Equipment
Food Service Equipment
Waste Compactors
Fume Hoods
Specialty Equipment
Tree Cooler Mech.
Air Compressors
Other
Division 12 - Furnishings
Lab Casework
Systems Furniture
Window Coverings
Furniture & Seating
Steel Cabinetry (per LF Top or Bottom)
Wood Cabinetry (per LF Top or Bottom)
Countertops
Open Wood Shelving, 6' high
Other
Division 13 - Special Construction
Prefabricated Structures
Greenhouses
Other
Other
Division 14 - Conveying Systems
Elevators
Wheelchair Lifts
Hoists, Cranes
Automobile Hoists
Other
Other
PMR&R
PMR&R
PMR&R
PMR&R
1 High Safety Hazard 2 Safety Hazard 3 Structural Hazard 4 Not According to Code
5 Critical Maintenance 6 Energy Conservation 7 Routine Maintenance 8 Outdated/Nice to Have
Measurements
Description
Quantity
Units
- included in genral
($25.00 per year per bathroom)
Bathroom
( actual-site specific )
($20/yr/ea)
EA
PMR&R
PMR&R
PMR&R
PMR&R
PMR&R
PMR&R
PMR&R
PMR&R
PMR&R
( actual-site specific )
( Residence - $150.00 per year, Crew and others $300.00)
( actual-site specific )
( actual-site specific )
( actual-site specific )
( $2000.00 per year )
($200/hp/yr)
0
01/00/00
0
0
EA
EA
PMR&R ( actual-site specific )
PMR&R ( actual-site specific )
PMR&R ($20.00 per window)
PMR&R ( actual-site specific )
PMR&R ($8/LF cabinet)
PMR&R ($13.00 per LF of cabinet, incl.bath, kitch, recept.counters, etc.)
PMR&R ($0.83/LF)
PMR&R
Annual Maint Cost
H&S
Res
Funding
Priority
Mis
7
7
7
7
7
$25.00
$20.00
$20.00
$15.00
7
7
7
7
7
7
7
7
7
7
Kitchen
Tree Cooler
hp
0 Window
LF
LF
LF
LF
$2,000.00
$200.00
7
7
7
7
7
7
7
7
7
$20.00
$8.00
$13.00
$0.83
$5.00
PMR&R ( actual-site specific )
PMR&R, Glazing, Vents/Louvers, Controls, Curtains, Benches, Irrigation System, Kool
Cell Pads, etc. (Actual Site - Specific)
7
PMR&R, Service Contract, Annual & 5 year Inspections ( actual-site specific )
PMR&R, Inspections ( actual-site specific )
PMR&R, Inspections ( actual-site specific )
PMR&R, Inspections ( actual-site specific )
7
7
7
7
7
7
7
7
7
315000 MECHANICAL WORK
Division 15 - Mechanical
Fire Sprinklers
Plumbing
Seasonal Start Up & Shut Down
Fixtures-Toilets, Lavs, Showers,
Hose Bibs, Fountains
Backflow Preventer
Water Softner, Filter, Deionizer
Hot Water Heater
Cost/unit
Mechanical Totals:
PMR&R, Inspections, Tests, Flushing ( .09 s.f. of floor area )
Below includes all supply/waste/vent piping
PMR&R ( $600.00 per year )
PMR&R ( $30.00 per fixture )
PMR&R ( $10.00 per year)
PMR&R, Inspections, Tests ( included in water systems)
PMR&R ( $100.00 per year)
PMR&R, Flush, Test Press Relief ( $50.00 per year)
SF-Flr Area
Page 5
$0.09
Ea
EA
Ea
$600.00
$30.00
$10.00
Ea
Ea
$100.00
$50.00
$0
$0
$0
7
7
7
7
7
7
7
7
9/3/2004
Building Data Entry Form -- ANNUAL MAINTENANCE
Unit:
Benefitting function:
Maintenance Level:
Remoteness Factor =
0
NFFA
0
1.15
Bldg Cat.: 0
Location: 0
Bldg ID #:
Bldg Name:
Size (GSF):
Historic :
0
0
0
0
Inspector Name:
Inspection Date:
Year Constructed:
Year Surveyed:
1 High Safety Hazard 2 Safety Hazard 3 Structural Hazard 4 Not According to Code
5 Critical Maintenance 6 Energy Conservation 7 Routine Maintenance 8 Outdated/Nice to Have
Measurements
Description
Quantity
Units
PMR&R, Fill with Water ( $5.00 )
Ea
PMR&R ( $40.00 )
Ea
PMR&R ( $20.00 )
Ea
PMR&R ( $20.00 )
Ea
PMR&R ( $20.00 )
LS
PMR&R
Ea
0
01/00/00
0
0
PRIORTITY for FUNDING:
CSI Division
Floor Drains
Sump Pumps
Radon Vent System
Sewage Ejector
Gas Piping
Water Meters
Heating, Ventilation
Furnace, Boiler
Electric Baseboard/Wall Heaters
Air Handler, Louvers, Grilles, Dampers,
Radiators, etc. (add to Boiler)
Wood Heat Stove
Air Ducts, Diffusers, Registers
Exhaust Fans
PreFab Chimney
Humidification System
Air Conditioners, Chillers (incl. Pumps, Valves, Coils)
Temperature Controls
Piping & Duct Insulation
Walk-In Coolers, Freezers
Air Compressors
Other
Other
PMR&R, Service Contract, Inspections, Tests, Cleaning ( $.22 per year per SF Floor
Area )
PMR&R ($.09/yr/SF Floor Area)
PMR&R, Service Contract, Inspections, Belts, Filters
PMR&R
PMR&R (Plate Steel: $100/yr, Cast Iron: $120/yr)
PMR&R, Inspections, Rebalancing, Cleaning
PMR&R
$100 per year, per chimney
PMR&R
PMR&R, Start Up, Shut Down, Inspections, Balancing, Tests, Service Contract ( .08
per s.f. of floor area)
PMR&R, Service Contract, Calibrate, Training
PMR&R
PMR&R
PMR&R (per Horsepower)
SF-Flr Area
SF-Flr Area
Ea
SF-Floor Area
EA
SF-Floor Area
EA
EA
$0.13
$100.00
$0.01
$6.67
$100.00
SF-Flr Area
EA
SF-Flr Area
SF-Flr Area
HP
$0.11
$3.00
$0.01
$1.13
$200.00
416000 ELECTRICAL WORK
PMR&R ( Distribution Syst., if Gov't-Owned, per LF )
PMR&R (Per SF Floor Area)
PMR&R, Bulbs, Ballasts, Cleaning ( .13 per s.f. of floor area )
PMR&R, Service Contract, Testing (Office, Multi-unit: .06 s.f. of floor area, SingleFamily: .03 SF Floor Area )
PMR&R
PMR&R ( $10/Bldg )
PMR&R, Testing ( $10.50/kw )
PMR&R ( actual-site specific )
PMR&R ( Offices: .25, Residences: .13, Other: .05 s.f of floor area )
PMR&R (per Panel)
Fire & Smoke Detection System
Lightning Rod Protection System
Carbon Monoxide Detection System
Stand By Generator
Security Systems
Data, Telephone, Sound, Cable TV,
Solar Array & Wiring
Other
Other
Annual Maint Cost
H&S
Res
Funding
Priority
Mis
7
7
7
7
7
7
7
$0.22
$0.09
Electrical Totals:
Division 16 - Electrical
Power Distribution, Cables, Transformers
Meters, Panels, Breakers, Fuses
Lighting-Exterior/Interior/Emergency/Exit
Location Factor or Multiplier =
Cost/unit
$5.00
$40.00
$20.00
$20.00
$20.00
7
7
7
7
7
7
7
7
7
7
7
7
7
7
7
7
$0
$0
$0
LF
0 SF-Flr Area
0 SF-Flr Area
$1.25
$0.03
$0.13
7
7
7
SF-Flr Area
EA
EA
kw
$0.03
$12.50
$10.00
$10.50
SF-Flr Area
EA
$0.13
$50.00
7
7
7
7
7
7
7
7
7
1.15
TOTAL
Page 6
$0
$0
$0
9/3/2004
Building Data Entry Form -- DEFERRED MAINTENANCE
Unit:
Remoteness Factor =
0
Benefitting Function:
NFFA
Bldg Cat.: 0
Location: 0
Maintenance Level: 0
Bldg ID #:
Bldg Name:
Size (GSF):
Historic :
1.15
PRIORTITY for FUNDING:
CSI Division
Description
0
0
0
0
Inspector Name:
Inspection Date:
Year Constructed:
Year Surveyed:
0
1/0/1900
0
0
1 High Safety Hazard
2 Safety Hazard
3 Structural Hazard
4 Not According to Code
5 Critical Maintenance 6 Energy Conservation 7 Routine Maintenance 8 Outdated/Nice to Have
Measurements
Deferred Maint Cost
Deficiencies
Quantity
Units
Cost/unit
H&S
Res
Mis
101000 GENERAL AND SITE WORK
General and Site Work Totals:
$0
$0
Funding
Priority
$0
Division 1 - General
Other
Other
Division 2 - Site Work
Driveways, Parking
Sidewalks, Trails
Signage, Exterior
Site Drainage
Landscaping
Irrigation System
Fences, Guard rails
Utilities
0
0
Seal Coat, Repaving,
Restripping, Grading, Rock
Replacement, etc (.89 s.f. of
driveway)
( 4.38 / s.f. of walk or trail)
( actual-site specific )
Culvert, Catch Basin, Ditch
Clearing (actual-site
specific )
Tree Removal, Trimming,
Plant Replacement ( actualsite specific ) (not lawn
mowing or upkeep of
grounds)
( actual-site specific )
( actual-site specific )
(Not utility bills) - included in
water and wastewater
SF
SF
EA
$0.89
$4.38
0
0
0
Site
0
Site
Site
LF
0
0
0
EA
0
0
0
Other
Other
202000 ARCHITECTURAL WORK (Divisions 3 to 14)
Architectural Totals:
$0
$0
$0
Division 3 - Concrete
Foundations, Slabs
Retaining Walls
Precast, etc.
Other
Other
Division 4 - Masonry
( 3.00 s.f of floor area if crawl
space - 8.00 s.f if basement)
( actual-site specific )
( actual-site specific )
0 SF-Flr Area
SF
SF
Page 7
0
0
0
0
0
9/3/2004
Building Data Entry Form -- DEFERRED MAINTENANCE
Unit:
Remoteness Factor =
0
Benefitting Function:
NFFA
Bldg Cat.: 0
Location: 0
Maintenance Level: 0
1.15
PRIORTITY for FUNDING:
CSI Division
Foundation Walls
Retaining Walls
Chimneys
Veneer, panels, etc.
Other
Other
Division 5 - Metals
Structural, Ornamental (See Painting)
Rails, Posts, etc.
Lookout Guy Cables & Anchors
Other
Other
Division 6 - Wood
Exterior Siding and Trim
Interior Trim
Structural Glulams/Heavy Timbers
Timber Lookout Tower Structure
Other
Other
Division 7 - Thermal & Moisture Protection
Insulation, Vapor Barriers
Fire Stopping
Bldg ID #:
Bldg Name:
Size (GSF):
Historic :
Description
0
0
0
0
Inspector Name:
Inspection Date:
Year Constructed:
Year Surveyed:
0
1/0/1900
0
0
1 High Safety Hazard
2 Safety Hazard
3 Structural Hazard
4 Not According to Code
5 Critical Maintenance 6 Energy Conservation 7 Routine Maintenance 8 Outdated/Nice to Have
Measurements
Deferred Maint Cost
Deficiencies
Quantity
Units
Cost/unit
H&S
Res
Mis
(CMU - 3.00 s.f of floor area if
crawl space - 8.00 s.f if
basement), (STONE - 11.06
s.f. of floor area if crawl
space - 29.52 s.f. if
basement), (BRICK - 6.75 s.f.
of floor area if crawl space 18.02 if basement)
Tuck Pointing, Silicone
Sealer, Expansion Joint
Caulking (actual-site
specific)
76.00 per vertical linear foot
of chimney
Brick 13.50 and stone 25.00
per s.f. of wall area
Funding
Priority
0 SF-Flr Area
SF
VLF
0
$76.00
SF-Wall Area
( actual-site specific )
( actual-site specific )
( actual-site specific )
EA
LS
LS
Cedar siding (3.50 s.f. of wall
area)
( actual-site specific )
( actual-site specific )
(actual-site specific)
SF-Wall Area
SF-Flr Area
SF-Flr Area
LS
Blown in Attic Insulation (.62
for 6 in., 1.04 for 12" per s.f.),
Batt for attic (.53 for 6in., 1.05
for 12"), 6" batt for walls =
.60, 3-1/2" batt for walls = .49
Inspection-Patching ( actualsite specific )
SF
0
0
0
0
0
0
0
$3.50
0
0
0
0
0
0
0
0
0
Page 8
9/3/2004
Building Data Entry Form -- DEFERRED MAINTENANCE
Unit:
Remoteness Factor =
0
Benefitting Function:
NFFA
Bldg Cat.: 0
Location: 0
Maintenance Level: 0
1.15
PRIORTITY for FUNDING:
CSI Division
Roofing
Gutters & Downspouts
Skylights, Hatches
Flashings, Grilles, Louvers
Metal/Vinyl Siding
Caulking
Other
Other
Division 8 - Doors & Windows
Doors & Frames - Exterior
Doors & Frames - Interior
Windows & Frames
Hardware-Locks, Keys, Closers - Ext
Hardware-Locks, Keys, Closers - Int.
Weatherstripping
Bldg ID #:
Bldg Name:
Size (GSF):
Historic :
Description
0
0
0
0
Inspector Name:
Inspection Date:
Year Constructed:
Year Surveyed:
1 High Safety Hazard
2 Safety Hazard
3 Structural Hazard
4 Not According to Code
5 Critical Maintenance 6 Energy Conservation 7 Routine Maintenance 8 Outdated/Nice to Have
Measurements
Deferred Maint Cost
Deficiencies
Quantity
Units
Cost/unit
H&S
Res
Mis
Paneling
Ceramic Tile
Acoustical Ceiling
Funding
Priority
( wood shingle and shake 4.50, standard metal - 2.00,
standing seam metal -4.00,
composition shingles -1.50,
single ply membrane -3.00,
built-up -2.00, all costs per
s.f. of roof area)
($4.31 per linear foot of gutter
and spouts)
( actual-site specific )
(Included in roof costs)
( metal - 4.00 s.f, vinyl - 3.50
s.f. of siding )
( $1.47 per linear foot)
LF
$4.31
SF
LF
$1.47
$750.00 per Door
$500.00 per Door
EA
EA
$750.00
$500.00
0
0
EA
$500.00
0
SF-Roof Area
0
0
0
0
0
0
0
0
Glazing, Glass Replacement,
Entire Unit Replacement (
$500.00 average)
(exterior doors - $150.00 per
door )
( interior doors - $115.00 per
door )
EA
$150.00
0
EA
$115.00
0
( $100.00 per opening,
exterior doors and windows)
EA
$100.00
0
0
0
Other
Other
Division 9 - Finishes
Sheetrock
0
1/0/1900
0
0
($1.02 per s.f. of wall area for
walls, $1.19 per s.f. of ceiling
for ceilings)
(wood - 2.72, fiberglass 1,97, laminated hardboard 1.02, plywood - .89 all per s.f.
of wall area)
SF
0
SF-Wall Area
$2.72
0
( $6.00 of actual wall area)
SF-Wall Area
$6.00
0
($1.99 per s.f. of actual area)
SF
$1.99
0
Page 9
9/3/2004
Building Data Entry Form -- DEFERRED MAINTENANCE
Unit:
Remoteness Factor =
0
Benefitting Function:
NFFA
Bldg Cat.: 0
Location: 0
Maintenance Level: 0
1.15
PRIORTITY for FUNDING:
CSI Division
Floors--Wood, Vinyl Tile, Stair Treads
Carpet, Wall Base
Painting-Exterior
Painting-Interior
Wall Coverings ( vinyl )
Other
Other
Division 10 - Specialties
Toilet/Shower Partitions
Flag Pole
Fire Extinguishers
Fireplaces, Wood Stoves
Bulletin Boards
Signage-Interior
Toilet & Bath Accessories
Folding Partitions
Other
Other
Division 11 - Equipment
Audio, Visual Equipment
Food Service Equipment
Waste Compactors
Fume Hoods
Laundries
Specialty Equipment
Other
Other
Division 12 - Furnishings
Lab Casework
Residential/Office Cabinetry
Systems Furniture
Window Coverings
Furniture & Seating
Other
Other
Division 13 - Special Construction
Prefabricated Structures
Bldg ID #:
Bldg Name:
Size (GSF):
Historic :
Description
0
0
0
0
Inspector Name:
Inspection Date:
Year Constructed:
Year Surveyed:
0
1/0/1900
0
0
1 High Safety Hazard
2 Safety Hazard
3 Structural Hazard
4 Not According to Code
5 Critical Maintenance 6 Energy Conservation 7 Routine Maintenance 8 Outdated/Nice to Have
Measurements
Deferred Maint Cost
Deficiencies
Quantity
Units
Cost/unit
H&S
Res
Mis
(wood - 6.00, vinyl - 3.53,
carpet - 3.00, ceramic tile -.
8.00, all per s.f. of actual floor
area)
SF-Flr Area
Wall Base - $ 2.13 per l.f.
.77 per s.f of wall area
.45 per s.f of wall area
1.32 of wall area
LF
SF-Wall Area
SF-Wall Area
SF-Wall Area
($720.00 per stall)
$1500.00 per pole
$93.50 per extinguisher
($1500.00 per stove)
( actual-site specific )
( actual-site specific )
( actual-site specific )
( actual-site specific )
Stall
Ea
Ea
Ea
Ea
Ea
Ea
Ea
( actual-site specific )
( actual-site specific )
( actual-site specific )
( actual-site specific )
( actual-site specific )
( actual-site specific )
Ea
Ea
Ea
Ea
( actual-site specific )
( Wood - $200, Metal - $150,
both per linear foot of cabinet,
including bathroom, kitchen,
reception counters, etc. )
( actual-site specific )
($5.00 per s.f.)
( actual-site specific )
Funding
Priority
0
$2.13
$0.77
$0.45
$1.32
0
0
0
0
0
0
$720.00
$1,500.00
$93.50
$1,500.00
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
( actual-site specific )
LF
$200.00
SF
$5.00
0
0
0
0
0
0
0
Page 10
9/3/2004
Building Data Entry Form -- DEFERRED MAINTENANCE
Unit:
Remoteness Factor =
0
Benefitting Function:
NFFA
Bldg Cat.: 0
Location: 0
Maintenance Level: 0
Bldg ID #:
Bldg Name:
Size (GSF):
Historic :
1.15
PRIORTITY for FUNDING:
CSI Division
Greenhouses
Other
Other
Division 14 - Conveying Systems
Elevators
Wheelchair Lifts
Hoists, Cranes
Automobile Hoists
Other
Other
Description
Inspector Name:
Inspection Date:
Year Constructed:
Year Surveyed:
0
1/0/1900
0
0
1 High Safety Hazard
2 Safety Hazard
3 Structural Hazard
4 Not According to Code
5 Critical Maintenance 6 Energy Conservation 7 Routine Maintenance 8 Outdated/Nice to Have
Measurements
Deferred Maint Cost
Deficiencies
Quantity
Units
Cost/unit
H&S
Res
Mis
Funding
Priority
Glazing, Vents/Louvers,
Controls, Curtains, Benches,
Irrigation System, Kool Cell
Pads, etc. (Actual Site Specific)
0
0
0
$50,000 per elevator
$10,000 per lift
Inspections ( actual-site
specific )
( actual-site specific )
Ea
Ea
$50,000.00
$10,000.00
0
0
0
0
0
0
315000 MECHANICAL WORK
Division 15 - Mechanical
Fire Sprinklers
Plumbing
Fixtures-Toilets, Lavs, Showers,
Hose Bibs, Fountains
Backflow Preventer
Water Softner, Filter, Deionizer
Hot Water Heater
Floor Drains
Sump Pumps
Radon Vent System
Sewage Ejector
Gas Piping
Water Meters
Plumbing Vents
Heating, Ventilation, Air Conditioning
Furnace, Boiler
Terminal Units (VAVs, etc.)
Air Handler, Louvers, Grilles, Dampers
Coils, Circulating Pumps, Valves
Radiators, etc.
Air Ducts
Exhaust Fans
PreFab Chimney
Humidification System
0
0
0
0
Mechanical Totals:
$0
$3.20 s.f of floor area
SF-Flr Area
( $750.00 per fixture)
($100.00)
($755.00)
($650.00)
($540.00)
($100.00)
($500.00)
($2,000.00)
($825.00)
( actual-site specific )
( actual-site specific )
( actual-site specific )
Ea
Ea
Ea
Ea
Ea
Ea
Ea
Ea
Ea
LS
Ea
LS
$750.00
$100.00
$755.00
$650.00
$540.00
$100.00
$500.00
$2,000.00
$825.00
($2,000.00)
( actual-site specific )
( actual-site specific )
( actual-site specific )
( actual-site specific )
( actual-site specific )
($150.00)
$50.00 per vertical linear foot
( actual-site specific )
Ea
Ea
Ea
Ea
$2,000.00
EA
VLF
Page 11
$3.20
$150.00
$50.00
$0
$0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
9/3/2004
Building Data Entry Form -- DEFERRED MAINTENANCE
Unit:
Remoteness Factor =
0
Benefitting Function:
NFFA
Bldg Cat.: 0
Location: 0
Maintenance Level: 0
Bldg ID #:
Bldg Name:
Size (GSF):
Historic :
1.15
PRIORTITY for FUNDING:
CSI Division
Air Conditioners, Chillers
Circulating Pumps, Valves, Coils, etc.
Temperature Controls, pneumatic
Piping & Duct Insulation
Mechanical Identification-Tags, Pipe
Labels, Color Codes
Walk-In Coolers, Freezers
Air Compressors
Other
Other
Description
( actual-site specific )
( actual-site specific )
( actual-site specific )
( actual-site specific )
( actual-site specific )
( actual-site specific )
( actual-site specific )
( actual-site specific )
Inspector Name:
Inspection Date:
Year Constructed:
Year Surveyed:
Electric Heat Equipment
Carbon Monoxide Detection System
Stand By Generator
Security Systems
Data, Telephone, Sound, Cable TV,
Cable Systems
Other
Other
Funding
Priority
0
0
0
0
0
0
0
0
0
0
LF
Ea
Electrical Totals:
Division 16 - Electrical
Power Distribution, Cables, Transformers
Meters, Switchgear, Breakers, Fuses
Lighting-Exterior
Lighting-Interior
Exit & Emergency Lights
Fire & Smoke Detection System
Lightening Rod Protection System
0
1/0/1900
0
0
1 High Safety Hazard
2 Safety Hazard
3 Structural Hazard
4 Not According to Code
5 Critical Maintenance 6 Energy Conservation 7 Routine Maintenance 8 Outdated/Nice to Have
Measurements
Deferred Maint Cost
Deficiencies
Quantity
Units
Cost/unit
H&S
Res
Mis
416000 ELECTRICAL WORK
Location Factor or Multiplier =
0
0
0
0
$0
$0
$0
( actual-site specific )
($150.00 ea.)
($150.00 ea.)
($100.00 ea.)
( actual-site specific )
( actual-site specific )
( $25 l.f. - baseboards, $350 fan forced wall units )
( included in general )
( actual-site specific )
( actual-site specific )
( actual-site specific )
EA
EA
EA
0
0
0
0
0
0
0
$150.00
$150.00
$100.00
0
0
0
0
0
0
0
0
1.15
TOTAL
Page 12
$0
$0
$0
9/3/2004
Building Data Entry Form -- W.O. Summary
Bldg ID #:
Bldg Name:
Bldg Cat.:
Benef.Funct.:
Item
Size (GSF):
Inspection Date:
Inspector Name:
0
0
0
NFFA
Description
Quantity
Unit Cost
Maintenance Level:
Year Surveyed:
Cost Data Source:
0
1/0/1900
0
Annual Maint. Cost
Total
H&S
Res.
Mis.
Year constructed: 0
Historical: 0
Age (years): 0
0
0
Means
Deferred Maint. Cost
H&S
Res.
Total
9/3/2004
Critical
Mis.
Project Number
101000 SITE WORK
$0
$0
$0
$0
$0
$0
$0
$0
$0
202000 ARCHITECTURAL WORK (Divisons 3 to 14)
$0
$0
$0
$0
$0
$0
$0
$0
$0
315000 MECHANICAL WORK
$0
$0
$0
$0
$0
$0
$0
$0
$0
416000 ELECTRICAL WORK
$0
$0
$0
$0
$0
$0
$0
$0
$0
$0
$0
$0
$0
$0
$0
$0
Totals:
Annual Maintenance Grand Total =
$0
$0 = Deferred Maintenance Grand Total
Form adapted from Means Facilities Maintenance Standards, 1988 edition by R.S. Means Company, Inc.
Page 13
9/3/2004