Laserfiche WebLink
U.S. DEPARTMENT OF HOMELAND SECURITY OMB No.1660-0008 <br />Federal Emergency Management Agency > xpiratlon Date: November 30, 2022 <br />National Flood Insurance Program <br />ELEVATION CERTIFICATE <br />Important: Follow the instructions on pages 1--9. <br />Copy all gages of this 0evatien Certificate and all attachments for (1) community official, (2) Insurance agentloompany, and (3) building owner. <br />SECTION A— PROPERTY INFORMATION <br />FOR INSURANCE COMPANY USE <br />Al. Building Owner's Name <br />policy Number <br />SSHI LLG. <br />A2. Building Street Address (including Apt., Unit, Suite, andlor Bldg. No.) or P.O. Route and <br />Company NAIL Number: <br />Box No. <br />3DD8 Dapple Gray Way <br />City State ZIP Code <br />Ellensburg Washington 90920 <br />A3, Property Description (Lot and Block Numbers, Tax Parcel Number, Legal Desalpflon, etc.) <br />Division B Lot 7, 901892 <br />A4. Building Use (e.g., Residential, Non- Residential, Addition, Accessory, eto.) Residential <br />AS. Latltudell-ongitude: Let N47°01'31.64862" Long, W120434'40.20136" Horizontal Datum: ❑ MAD 19ZT x❑ NAD 1983 <br />A6. Attach at feast 2 photographs of the building If the Certificate Is being used to obtain flood Insurance. <br />AT Building Diagram Number 1 B <br />A6. For a building with a crawlspace or enclosurs(s): <br />a) Square footage of crawlspace or enclosure(s) NIA sq ft <br />b) Number of permanent flood openinge in the crawlspace or enclosure(s) within 1.0 foot above adjacent grade N/A <br />c) Total net area of flood openings In A8.b NIA sq In <br />d) Engineered flood openings? ❑ Yes [fl No <br />A9. For a building with an attached garage: <br />a) Square footage of attached garage 520.00 sq It <br />b) Number of permanent flood openings In the attached garage within 1.0 foot above adjacent grade 0 <br />c) Total net area of flood openings in A9.b 0.00 sq in <br />d) Engineered flood openings? [:]Yes ❑X No <br />$EC'17ON B — FLOOD INSURANCE RATE MAP (FIRM) INFORMATION <br />B1. NFIP Community Name & Community Number <br />13Z Counly Name <br />133. State <br />KITTITAS COUNTY; 530095 <br />KITTITAS <br />Washington <br />B4. Map/Panel <br />B5. Suffix <br />86. FIRM Index <br />B7. FIRM Panel <br />B8. Flood <br />B9. Base Flood Elevatios) <br />Number <br />Date <br />Effechw <br />zone(s) <br />(Zone AO, use Base Flood Depth) <br />Revised Date <br />5303701064 <br />D <br />09-24-2021 <br />119-24-2021 <br />AE <br />1594.2 ft <br />B10. Indicate the source of the Base Flood Elevation (BFE) data or base flood depth entered in Item Be: <br />❑x FIS Profile ❑ FIRM ❑ Community Determined ❑ Other/Source: <br />Bl l . Indicate elevation datum used for BFE in Item B9: ❑ NGVD 1929 ❑x NAVD 1988 ❑ OtherlSource: <br />B12. Is the building located In a Coastal Barrier Resources System (CBRS) area or Otherwise Protected Area (OPA)7 ❑ Yea ❑Q No <br />Designation Date: ❑ CBRS OPA <br />FEMA Form 086-0-33 (12119) Replaces all previous editions. Form Page of 6 <br />