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ELEVATION CERTIFICATE <br />OMB No. 1560-0008 <br />Expiration Date. November 30, 2022 <br />WPORTANT: In !brae spaces, copy the corresponding Womation from Section A. <br />FOR INSURANCE COMPANY USE <br />Building Street Address (including Apt, Unit, Suite, andlor Bldg. No.) or P.O. Route and Box No. <br />Policy Number, <br />14710 MANASTASH RD. <br />City State 7JP Code <br />Company NAIC Number <br />ELLENSBURG Washington 98926 <br />SECTION C - BUILDING ELEVATION INFORMATION (SURVEY REQUIRED) <br />C1. Building elevations are based on: ❑ Construction Drawings' ❑ Building Under Construction` ❑x Finished Construction <br />'A new Elevation Certificate will be required when construction of the building is complete. <br />C2. Elevations -Zones Ai A30, AE, AH. A (with BFE), VE, V1 V30, V (with BFE), AR, ARIA, AR/AE. AR/A1-A30, AR/AH, AR/AO. <br />Complete Items C2.2-h below according to the building diagram specified in Item A7. In Puerto Rico only, enter meters. <br />Benchmark UtiC¢ed: SB0592 Vertical Datum: NAVD SS <br />Indicate elevation datum used for the elevations in items a) through h) below. <br />[] NGVD 1929 0 NAVD 1988 ❑ Other/Source'. <br />Datum used for building elevations must be the some as that used for the BFE. <br />Chock the measurement used. <br />a) Top of bottom floor (including basement, crawlspace, or enclosure floor) 2456.8 x❑ feet ❑ meters <br />b) Top of the next higher floor 2461.6 x❑ feet ❑ meters <br />c) Bottom of the lowest horizontal structural member (V Zones only) N/A ❑ feel ❑ meters <br />d) Attached garage (top of slab) 2458.2 Pg feet ❑ meters <br />e) Lowest elevation of machinery or equipment servicing the building 2462.t x feet meters <br />(Describe type of equipment and location in Comments) <br />Lowest adjacent (finished) grade next to building (LAG) 2457.6 Q beet ❑ meters <br />g) Highest adjacent (finished) grade next to building (HAG) 24S7.8 ❑X feet ❑ meters <br />h) Lowest adjacent grade at lowest elevation of deck or stairs, including <br />structural support _2457.9 ❑x feet ❑ meters <br />SECTION D - SURVEYOR, ENGINEER, OR ARCHITECT CERTIFICATION <br />This certification Is to be signed and sealed by a land surveyor, engineer, or architect authorized by law to certify elevation information. <br />! oartify that the information on lfrls Cerfifrcafe represents my best efforts to met the date available. f understand that any false <br />statement may be punishable by Fine or fmypilsonment under 18 U.S. Cade, Seabn 1001. <br />Were latitude and longitude in Section A provided by a licensed land surveyor? Yes ❑ No ❑ Check here if attachme <br />Certifiet Name License Number <br />CHRISTOPHER C. CRUSE 36815 NER ` <br />Title <br />PROFESSIONAL LAND SURVEYOR <br />Company Name .0 Lri <br />CRUSE AND ASSOCIATES <br />++a' <br />Address <br />P.O. BOX 959 =its <br />City State ZIP Code f0 1SA�Q <br />NAIL <br />ELLENSBURG Washington 98926 <br />Signatur> i Date Telephone F_xt <br />1 "1 2022 (509) M-8242 <br />Copy slip es of this Elevation eertifcate and all attachments for (1) community official, (2) Insurance agent/company, and (3) building owner. <br />Comments (including type of equipment and location, per C2(e), it applicable) <br />Acid and Aft ENGINEERED SMART VENT MODELS 1540- i10 & 1540-511; C2a. EARTHEN CRAWL SPACE; C2b. FINISHED <br />FLOOR; C2d. CONCRETE SLAB; C2e. TANKLESS HEATER LOCATED IN GARAGE. <br />F£MA Form 086-0-33 (12/19) Replaces all previous editions. Form Page 2 of 6 <br />