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ELEVATION CERTIFICATE <br />OMB No.1660-OD08 <br />Expiration Date: November 30, 2022 <br />IMPORTANT: In these spaces, eopy the corresponding Information from Section A. <br />FOR INSURANCE COMPANY USE <br />Building Street Address (including Apt., Unit, Suite, andfor Bldg. No.) or P.O. Route and Box No. <br />Policy Number: <br />2915 Roan Drive <br />City State ZIP Code <br />Company NAG Number <br />Ellensburg Washington 98926 <br />SECTION C - BUILDING ELEVATION INFORMATION (SURVEY REQUIRED) <br />Ci . Building elevations are based on: ❑ Construction Drawings"` ❑ Building Under Construction* Z 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, AWAE, AR►AI-A30, AWAH, AR1AO. <br />Complete items C2.a-h below according to the building diagram specified in Item AT In Puerto Rico only, enter meters. <br />Benchmark Utilized: Center of 8 27, T 18 N, R 18 E Vertical Datum: NAVD 1988 <br />Indicate elevation datum used for the elevations In Items a) through h) below. <br />❑ NGVD 1929 ❑x NAVD i988 ❑ OtherlSouroe: <br />Datum used for building elevations must be the same as that used for the OFE. <br />Check the measurement used. <br />a) Top of bottom floor (including basement, crawispace, or enclosure floor) 1601.E rr❑ feet ❑ motors <br />b) Top of the next higher floor NIA ❑ feet ❑ meters <br />c) Bottom of the lowest horizontal structural member (V Zones only) NIA ❑ feet ❑ meters <br />d) Attached garage (top of slab) 1601.6 feet j] meters <br />a) Lowest elevation of machinery or equipment servicing the building 1601.2 K❑ feet ❑ meters <br />(Describe type of equipment and location In Comments) <br />f) Lowest adjacent (finished) grade next to building (LAG) 1600.0 0 feet ❑meters <br />g) Highest adjacent (flnlehad) grade next to building (HAG) 1600.9 Q feet ❑ meters <br />h) Lowest adjacent grade at lowest elevation of deck or stairs, Including _ NZA ❑ feet ❑ meters <br />structural support <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 />l certify Mat the Information on this Certificate represents my bee! oft* to interpret the date available. l underdand that any false <br />abatement may be punishable by the or Imp►isonment under I8 U.S. Code, SocWn 1001. <br />Were latitude and longitude In Section A provided by a licensed land surveyor? M Yes ❑ No ❑ Check here If attachments. <br />Certifw!s Name License Number <br />Rick Skinner 43619 <br />. pFIVAS l wad' <br />Title <br />Professional Land Surveyor <br />G+�� <br />O <br />Company Name <br />Western Pacific Engineering & Surrey, Inc. <br />( M <br />f <br />Address <br />1224 S. Pioneer Way <br />43618' <br />! ~ AL <br />cityState ZIP Code <br />M Lake Washington 98837Telephone <br />Signatures _ <br />_ �_ .._.. Data (509) 768.1023 Ext. <br />Copy all pa es of thils Elevation Certificate and all attachments fdr (1) mmvrn official, (2) insurance agenticompany, and (3) building owner. <br />Comments (including type of equipment and location, per C2(e), If applicable) <br />The elevation of the heat pump located outside of home was measured by using a GPS and then adding the height ofthe legs for the <br />heat pump. <br />FEMA Form 086-0-33 (12119) Replaces al previous editions. rums rayo A an <br />