Laserfiche WebLink
ELEVATION CERTIFICATE OMB No. 1660-0008 <br />Expiration Date: November 30, 2022 <br />IMPoRTANT: ln theee spaces, cgpy the corresponding infomation from seciion A CE COMPANY USE <br />Building Street Address (including Apt., Unit, Suite, and/or Bldg. No.) or P.O. Route and Box No <br />171 HERON FARM I.ANE <br />Policy Number: <br />Washington <br />ZIP Code <br />98926ELLENSBURG <br />Company NAIC Number <br />SECTION C- BUILDING ELEVATION INFORMATION (suRvEY REAUTRED) <br />Cl. Building elevations are based on: I Construction Drawings* [ Building Under Construction" ffi Finished Construction <br />"A new Elevation Certfficate will be required when construction of the building is complete. <br />C2. Elevations - Zones A1:439, AE, AH, A (with BFE), VE. V1-v30, V (with BFE), AR, AR/A, AR/AE, AR/A1-A30, AR/AH, AFUAo.Complete ltems C2.a-h below according to the building diagram spdcified in libm A7. ln Puerto Rico only, enter meters,' <br />" -' '-' <br />Benchmark Utilized: RM 2 Vertical Datum: NGVD'l 929 <br />lndicate elevation datum used for he elevations in items a) through h) belor. <br />E NGVD 1929 D NAVD 1988 [ Other/Source; <br />Datum used for building elevations must be the same as that used for the BFE. <br />a) Top of bottom floor (including basement, crawtspace, or endosure floor) <br />b) Top ofthe next higherfloor <br />c) Bottom of the lowest horizontal struc*ural member (V Zones only) <br />d) Aftached garage (top ofslab) <br />e) Lowest elevation of machinery or eouiDment seMcino the buildino <br />(Describe type of equipment dnd loiation in Commenlts) <br />f) Lowest adjacenl (finished) grade next to building (LAG) <br />g) Highest adjaent (finished) grade nelil to building (HAG) <br />h) Lowest adjacent grade at lowest elevation of deck or stairs, including <br />structural support <br />Check the measurement used, <br />1442.O E feet I meters <br />1445.6 $ feet fl meters <br />N/A ! feet I meters <br />1444.2 fi feet ! meters <br />1444.8 ffi feet <br />fi feet <br />[] feet <br />I meters <br />! meters <br />f] meters <br />1443.3 <br />1441.3 <br />N/A I feet I meters <br />SECTION D - SURVEYOR, ENGINEER, OR ARCHITECT CERTIFICATION <br />This cefiiftcation is to be signed.and sealed by a land surveyor, engineer, or architect authorized by law to oertifo elevation information-tce.rtig thatthe.informatioi on,this c,eftificatg represenitmiy oiiliyifitiiryierfr;i'iii;A;ia a;ai-t:aif;: ii;i;&;effii;#;;t$*"statement may be punishable by fine or imprisonment un&ir 1B IJ.s. code, secition 1001. <br />Were latitude and longitude in Section A provided by e ticensed land surveyor? El Ves I t'to E Ctrect< here if attactrmef. <br />Certifie/s Name <br />CHRISTOPHER C. CRUSE <br />License Number <br />36815 <br />Title <br />PROFESSIONAL I.AND SURVEYOR <br />Company Name <br />CRUSE &ASSOCIATES <br />Address <br />P.O. BOX 959 <br />City <br />ELLENSBURG ,4 <br />ZIP Code <br />98926 <br />State <br />Washington <br />(5091 962-8242 <br />Ext.Date <br />06-2&2021 <br />Signature <br />Gopy all pE6-es of this Elevatioilf,ertificate and all attachments for (1) community otrcial, (2) insurance agenUcompany, and (3) building owner <br />Comments (including type of equipment and location, per C2(e), if applicable) <br />C2a. EARTHEN CRAWL SPACE; C2b. FINISHED FLOOR; C2d. CONCRETE SLAB ON GRADE; C2e. HEAT PUMP. <br />THIS CERTIFICATE REPI.ACES THE PREVIOUS CERTIFICATE DATED 6.21-2021TO CORRECT LINE A7. <br />FEMA Form 086-0-33 (121191 Replaces all previous editions.Form Page 2 of6