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ELEVATION CERTIFICATE <br />IMPORTANT: MUST FOLLOW THE INSTRUCTIONS ON PAGES 9.,t9 <br />FOR INSURANCE COMPANY USEBuilding Street Address (including Apt., Unil, Suite, and/or Bldg. No.) or P.O. Route and Box No. <br />3007 Roan Dr. <br />Cily:Ellensburg Stare: WA Ztp Code: 98926 <br />Company NAIC Number: <br />Policy Number: <br />sEcTloN G - coMMuNrTY TNFORMATION (RECOMMENDED FOR COMMUN|TY OFFIC|AL COMPLETTON) <br />The local official who is aulhorized by law or ordinance to adminisler the community's floodplain management ordinance can complete <br />Section A, B, C, E, G, or H of lhis El6vation Certificate. Complete the applicable itein(s) an<i sign belod when: <br />G1' D fne information in Section C was taken from other documenlation that has been signed and sealed by a licensed surveyor, <br />engineer, or architect who is aulhorized by state law to certify elevation information. (lndicate the source and dale of the <br />elevation datra in the Comments area below.) <br />G2.a. fl A local official completed Section E for a building located in Zone A {without a BFE), Zone AO, or Zone AR/AO, or when item <br />E5 is completed for a building located in Zone AO. <br />El A bcal official completed Section H for insurance purposes. <br />f} tn tfte Comments area of Section G, the local oflicial describes specific corrections to the information in Sections A, B, E and H. <br />E fne following information (ltems GS-G1 1) is provided lor community floodplain management purposes, <br />Permit Number: FD-22-00006 G6. Date Permit tssued 0310212022 <br />Dale Certilicate of CompliancelOccupancy lssued <br />This permit has been issued for: E ruew Construction ! Substantial lmprovement <br />Elevaiion of as-built lowest lloor (including basement) of thebuilding: 1,600.30 8l feet <br />G2.b <br />G3. <br />G4. <br />G5. <br />G7. <br />G8. <br />G9.a <br />I meters Datum: NAVD 1988 <br />G9,b' Elevation of bottom of as-built lowesl horizontal structural <br />member:I teet Datum: <br />G10.a. BFE (or depth in Zone AO) of flooding at the building site: <br />G10.b' 66rnnrunily's minimum elevation (or depth in Zone AO) <br />requirement for the lowest floor or lowest horizontal structural <br />member: <br />1,596.90 @ feet Darum: NAVD 19BB <br />1,597.90 B feet flmeters Datum: NAVD 1988 <br />G11. Variance issued? [ Ves E Xo lf yes, altach documentation and describe in lhe Comments area. <br />The local official who provides information in Section G must sign here- I have_ completgd thg informalion in Section G and cenily thal it is <br />correct to lhs Ossl of my knowledge. lf applicable, I have also provided specific corrections in the Commenls area of this sectlon. <br />Local Official's Name: Samantha CoX, CFM Tiile: Water Resources Specialist <br />NFIP Communily Name Kittitas Countv <br />f] meters <br />n meters <br />Telephone: (509) 962'7523 <br />Address:411 N. Ruby St., Suite 1 <br />Email:publicworks@co. kittitas.wa. usExt. <br />City:Ellensburq State: WA Ztp Code: 98926 <br />ss6,OBl21l2O23 <br />ol equipment and location, per C2.e: description of any attachments; and conections to specific informalion in <br />Signature: <br />Commenls <br />Seclions A,,D,E, <br />FEMA Form FF-206-FY-22-152 (formerly 086-0-33) (10122\Page 5 of 19