For Existing Building

GSA Public Buildings Service

Lease Market Survey

For Existing Building

General Information

Agency Requesting Space / Survey Location
Realty Specialist / Agency Representative
Amount of Space/Sq. Ft. / Type / Date of Survey
Office Warehouse
Special______

Building Information

Building Name / Building Address
Owner/Agent Name / Address / Phone #
( )
Space Available
Floor # / Common Area Factor / Amount (Sq. Ft)
a. / a. / a.
b. / b. / b.
c. / c. / c.
d. / d. / d.
Asking Price
a. Rent/month $______or
Rent/sq. ft per Year (note type of measurement being used) $______
b. Services & Utilities Included:______
c. Alterations Included:______
______
______
d. Allowance for Tenant Improvements (per sq. ft.) : $______
e. Other Remarks:______
______
______
Building Location / Zoning Conforms to Govt. Use
Central Business Dist Commercial
Office Park Industrial

Urban Renewal Residential

/ YesNo

Historical

a. Building Age:______

b. On Register: ______

Other: ______

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Exterior Information

(Upload Photo to eLease or attaché here)

Appearance of Structure / Appearance of Grounds

Excellent Good Fair Poor

/ Excellent Good Fair Poor

ExteriorBuilding Design

Exterior Facing Material

Urban Office Park Suburban

Single-Core Multi-core
Adaptive Re-use
Free Standing Conversion /

Brick Concrete Glass

Steel Marble Stone

Other______

Interior Information

Interior Walls

a. Type:
Drywall/Sheetrock Plaster Other______
(Specify)
b. Office Space Covering:
Paint Vinyl Other______
Wallpaper Panel (Specify)
c. Public Areas Covering:
Paint Vinyl Other______
Wallpaper Panel (Specify)
Lighting
a. Type:
Fluorescent Incandescent Parabolic
Suspended Recessed Flush
b. Height:
____” - ____”
Ceiling
Acoustical Tile Unfinished
Plaster Suspended Other______
(Specify)
Windows
a. In Space Offered:
Yes No
b. Frame:
Wood MetalOther______
(Specify)
c. Type:
Fixed Double Hung
Casement Other______
(Specify)

Floors

a. Type:
Concrete Wood
b. Covering:
Vinyl Tile CarpetOther______

(Specify)

Common Area

Floor Load
a. Office Space (70 lbs/sq. ft):
Yes No
b. Storage Areas (100 lbs/sq. ft):
Yes No
Toilet Facilities
a. Each floor has separate men’s & women’s bathrooms:
Yes No
b. Travel distance is less than 150’ (per 10,000 sq. ft):
Yes No
c. Number of Stalls:
Men ______Urinals______
Women______
d. Number of Sinks:
Men______Women______
e. Automatic Door Openers:
Men______Women______
Measurements:
a. Door Entrance (min. 32”):Men______Women______
b. Door Identification Signs (min. 54”/max. 66”): Men______Women______
c. Vestibules (min. 48” not including door swing): Men______Women______
d. Light Switches (min. 42”/max 54”):Men______Women______
e. Sink Clearance (min. 29”):Men______Women______
f. To Sink Countertop (max. 34”):Men______Women______
g. Stall Door (32” swings out):Men______Women______
h. To Sink Countertop (max. 34”): Men______Women______
i. Stall Door (32” swings out):Men______Women______
Faucets:
a. Lever or Push:Men______Women______
b. Door Swing Measurement:Men______Women______
c. Turning Diameter (5’):Men______Women______
d. Pipes Insulated (Hot water & drain): Men______Women______
Toilet Facilities (cont.)
Accessories (towels, soap, etc):
a. Front Approach (max. 48”):Men______Women______
b. Side Approach (max. 54”):Men______Women______
c. Mirror Shelf: Men______Women______
d. Soap Reach: Men______Women______
Stalls:
a. Wall Mounted (60” x 56”):Men______Women______
b. Floor Mounted (60” x 59”):Men______Women______
(36” x 69”):Men______Women______
c. Alternate (36” x 69”):Men______Women______
d. Urinals (Elongated Lip 17” max):Men______
Height of Flush Valve (44” max):Men______
e. Toilets (min 17” max 19”):Men______Women______
f. Handrails (min 33” max 36”):Men______Women______
Diameter (1.25” – 1.5”) :Men______Women______
Location (each side, side & rear):Men______Women______
g. Comments:______
______

Drinking Fountains

a. Drinking Fountains per Floor:______
b. Travel distance is less than 150’ (per 10,000 sq. ft): Yes No
c. Alcove: Yes No
d. Clear Floor Space (30” x 48”): Yes No
e. Clearance (27”): Yes No
f. Height of Spout Control (max. 36” above floor): Yes No
g. Handicap Accessible: Yes No Can be Altered
h. Comments:______

Under Floor Ducts

Yes No

Heating

a. Type: Warm Air Hot Air Steam
b. Fuel: Electric Oil Gas Other______
(Specify)

Air Conditioning

a. Type: Central Package Window
b. Fuel: Electric Gas Other______
(Specify)
Public Telephones (if provided)
a. Front Approach (max. 48”):______
b. Side Approach (max. 54”):______

Elevators

a. Type: Automatic Manual

b. Number:
Passenger______Freight______
c. Current Certificate of Inspection: Yes No
d. Opening (min. 36” ) :______
e. Depth (min. 51” ) :______
f. Width (min. 68” ) :______
g. High Hall Call Cab Buttons (max. 54” ) :______
h. Two-way Telephone:
Height (max. 48” ) :______
24 Hour Monitor: Yes No
i. Inspection Sign Current: Yes No
j. Elevator Recall to Lobby: Yes No
k. Firemen’s Capture Provides: Yes No

Outside Air Intake

Roof/Penthouse Street Level Below Street Level Other:______

Parking

Official

Employee

a. Location: Inside Outside None

b. No. of Spaces: ______

c. Rate per Space: $______

a. Location: Inside Outside None

b. No. of Spaces: ______

c. Rate per Space: $______

Environmental Compliance

Hazardous Substance

Was hazardous substance ever conducted on the property?

Yes

a. Provide specifics to contamination:______

______

b. Hazardous Material Storage:______

c. Hazardous Waste Site:______

Asbestos

Was hazardous substance ever conducted on the property?

Yes

a. Condition: Friable Non-Friable

b. Type:______

c. Contained:______

d. Location (insulation, ceiling, floor tiles, etc):______

______

Polychlorinated Biphenyls (PCB)

Certification:

Yes

Provide list of all PCB containing equipment and assurance that they will continue to be maintained.

Provide list of all PCB containing equipment and assurance regarding compliance.

Underground Storage Tanks (UST)

Yes

Location______Capacity______Number______

Certification:

a. Maintenance______

b. In compliance with current UST regulations: Yes No When (date)______

NEPA

Compliance: (Coordinate with your Regional Environmental Quality Advisor)

______CATEX Checklist______EA______EIS

Endangered Species

Is there a presence or likely presence of any Federally designated or state designated threatened or endangered species on the property? Yes No

Wetlands

Are there any known wetlands present on the property? Yes No

GSA should use the appropriate National Wetlands Inventory map to make this determination.

Floodplains

Is the property located in or adjacent to a floodplain?

Yes

100 Years______500______

Review information to ensure compliance with state and local laws

Coastal Zone Management

Will the leasing action affect coastal resources? Yes No

Federal consistency applies when any direct or location affects any land, water, or natural resources of the coastal zone. No federal activity is exempt from the consistency requirement.

Traffic Impacts

a. Location (address, lot, & block #)______

______

Description (use add’l sheet if necessary)______

______

Is your action likely to change traffic patterns or increase traffic volumes?______

______

Have access constraints?______

e. Affect a congested intersection?______

Have access constraints?______

g. Affect a congested intersection?______

i. Other______

Please refer to the NEPA Desk Guide for additional examples of traffic impact.

Fire Protection/Occupational Health & Environmental Safety

Security

No Provisions Secure Building Guard in Lobby

Alarm System Controlled Entry Card Key System

24 Hr Guard Service Elevator Control (Lockoff) Controlled Garage Entry
Balconies/Patios Adjacent to Space

Emergency Illumination (0.5 Foot Cancles)

a. Office Space (not always req’d):Yes No
b. Corridors: Yes No
c. Stairways: Yes No

Stairwells

a. Type:Scissors OpenClosed

b. General Information:

Stairwell Door Latches Doors Close Automatically Discharge Outside

Discharge Into Garage Handrails Safety Stripping

Stairwell _____ ft of space Standpipes

Sprinklers (req’d in buildings over 74’ tall and basement offered space)

a. Building Sprinklers:Yes No
b. Corridors only: Yes No
c. Basement: Yes No

Fire Safety

a. Fire Alarm:Manual Automatic
b. Fire Alarm Above Floor (min. 42” max. 54”):______
c. Occupant Notification (i.e. sound, lights) :______
d. Fire Station Link (i.e. notifies fire station) :______
e. Central Monitoring of Fire Alarm:Yes No
f. Fire Extinguishers:Yes No
g. Smoke Detectors:Yes No

Handicap Accessibility

a. Building Entrance (door width 32”):Yes NoCan be Altered
b. 1:12 Ramps:Yes NoCan be Altered
c. 1:20 Walks:Yes NoCan be Altered
d. Curbcut 36”: Yes NoCan be Altered
e. Parking 13’ wide (96” space + 60” access aisle):
Yes No N/ACan be Altered
f. Stairs (not acceptable if no elevator): ______

Handicap Accessibility (cont.)

g. Light Switches (min. 42”, max 54”): ______

h. Vestibules (min. 48” + door swing”): ______

General Comments

______
______
______
______

Selection of Award Factors

Possible / Criteria / Comments

Historic

Use Standard Clause

Building eligible for preference

Decision to Solicit

a. This building
_____ will be solicited. It meets or is capable of
meeting the SFO standards.
_____will not be solicited. It does not meet and
is not capable of meeting the SFO standards
for the following reason(s):
b. The client agency representative present on the market survey
_____ agrees with the above decision
_____ does not agree with the above decision
for the following reason(s):
______
Agency RepTitle
______
Person Conducting SurveyTitle

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