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ELEVATION CERTIFICATE <br />OMB No. 1660-0008 <br />EXDiration Dale: November 30. 2022 <br />IMPORTANT: In these spaces, copy the corresponding information from Section A. <br />FOR INSURANCE COMPANY USE <br />Building Street Address (including Apt., Unit, Suite, and/or Bldg. No.) or P.O. Rouie and Box No. <br />Policy Number: <br />3012 Dapple Gray Way <br />City State ZIP Code <br />Company NA1C Number <br />Ellensburg Washington 98928 <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 Al—A30, AE, AH, A (with BFE), VE, V1 V30, V (with BFE), AR, ARIA, ARIAE, AR/A1—A30, ARIAH, AR/AO. <br />Complete Items C2.a—h below according to the building diagram specified in Item A7. In Puerto Rico only, enter meters. <br />Benchmark Utilized: Center of S 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 R] NAVD 1988 ❑ Other/Source: <br />Datum used for building elevations must be the some as that used for the BFE. <br />Check the measurement used. <br />a) Top of bottom floor (including basement, crawlspace, or enclosure Floor) 1599.1 [E feet ❑ meters <br />b) Top of the next higher floor N/A ❑ feet ❑ meters <br />c) Bottom of the lowest horizontal structural member (V Zones only) N/A ❑ feet [] meters <br />d) Attached garage (top of slab) 1599.1 Q feet ❑ meters <br />e) Lowest elevation of machinery or equipment servicing the building 1549 2 >t feet meters <br />(Describe type of equipment and location in Comments) ❑ ❑ <br />f) Lowest adjacent (finished) grade next to building (LAG) 1597.8 Q feet ❑ meters <br />g) Highest adjacent (finished) grade next to building (HAG) _ 1598.1 ❑rr feet ❑ meters <br />h) Lowest adjacent grade at lowest elevation of deck or stairs, including <br />structural support hfiA ❑ 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 />I certify that the inrormation on this Certificale represents my best efforts to inteMref the data avaftable. I understand that any false <br />statement may be punishable by fine or Imprisonment under 18 U.S. Code, Section 1001. <br />Were latitude and longitude in Section A provided by a licensed land surveyor? i�x.. Yes ❑ Noi4 <br />Certifier's Name License Number <br />Rick Skinner 43619 <br />3' <br />p. <br />WAS[ <br />TitleO� <br />Professional Land Surveyor <br />�' % <br />Company Name <br />Western Pacific Engineering <br />& Survey, Inc. <br />36 9 ' <br />4Q <br />Address <br />1224 S. Pioneer Way <br />t P+ <br />City State ZIP Code <br />Moses Lake Washington 98837 <br />Signature <br />Date Telephone Ext. <br />412OLZ-3 (509) 706-1023 <br />Copy all pades of this Elevation Certificate and all attachments o (1) community official, (2) insurance agendoompany, 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 of the legs for the <br />heat pump. <br />FEMA Form 08"-33 (12119) Replaces all previous editions. Form Page 2 of ti <br />