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ELEVATION CERTIFICATE OMB No. 1660.0008 <br />Explralion Date: Novomber 30,2022 <br />IMPORTANT: In lhese spaces, copy the correspondlng informalion from Ssctlon A,FOR INSURANCE COMPANY USE <br />Buildins Slreel Address (lncludlng Apl,, Unlt, Suile, and/or Bldg. No.) or P.O. Route €nd Box No. <br />2917 Dapple Gray Way <br />Policy Number: <br />ZIP Code <br />98926 <br />SlateCity <br />Ellonsburg Washington <br />Company NAIC Number <br />sEcTtoN c - BU|LDTNG ELEVATTON TNFORMATTON (SURVEY REQUTRED) <br />C1. Building elevations are bassd on; I Construclion Drawings' I AuiHing Under Conslruclion' [} Finished Conslruclon <br />rA new Elevation Cerlificalo will be roquired when conslruclion of the building is complote. <br />C2. Elevations - Zones A1-A30, AE, AH, A (with BFE), VE, V1-V30, V (wilh BFE), AR, AFyA, AFUAE, AR/A1-A30, AR/AH, AFyAO. <br />Complete llems C2.a-h below according to lhe lruilding diagram specified in ltem A7. ln Puerlo Rico only, entor melors. <br />Bonchmark Utlllzed: Cenlerof S 27,T 1B N, R 1B E Vertical Datum: NAVD 1SBS <br />lndicale elevallon dalum used for lhe elevations ln ilems a) through h) below, <br />fl NGVD 1929 El NAVD 19BB I olher/Source; <br />Dalumusedforbuildlngelevalionsmuslbelhesame"stha <br />Check the measurement used. <br />a) Top of bottom lloor (including basement, crawlspace, or enclosure floor) <br />b) Top of lhe nexl hlghor lloor <br />c) Bottom of tho lowest horlzonlal slructural member (V Zones only) <br />d) Attached garage (top of slab) <br />e) Lowest elevation of machinery or equipment servicing the bulldlng <br />(Describe type of equipment and localion in Commenls) <br />f) Lowosl adJacent (flnlshed) grade next lo building (LAG) <br />g) Highest adJacent (finlshed) grade next to bulldlng (HAG) <br />h) Lowest adJacent grade at lowesi elevalion of deck or stahs, lncluding <br />struclural support <br />t 59r.3 <br />1589.9 <br />rs90.8 <br />N/A <br />1s91.3 [| feel I meters <br />N/A I leet I meters <br />N/A f] feet I melers <br />1591.3 @ feet I melors <br />I feel I meters <br />I feet <br />I feel <br />[| feet <br />! melors <br />I meters <br />I metors <br />SECTION D - SURVEYOR, ENGINEER, OR ARCHITECT CERTIFICATION <br />to certify elevallon informalion. <br />I undersland lhal any lalse <br />flCheck here if attachmenls, <br />Thls certiflcalion ls lo be slgned and sealed by a land surveyor, enginoer, or archllecl aulhorized bv law <br />I cerlily lhat the information on lhls Cerlllicale rcprosenls my bosl oftorts lo inlerpret lho data avaltbble. <br />slatemenl may be punlshable by line or lmprisonment undor 1B U.S. Code, Seciion 1001, <br />Were lalltude and longilude in Seclion A provided by a llconsed land surveyor? Elyes fl tlo <br />mf, <br />4361S <br />1224 S. Pioneer Way <br />Moses Lake <br />Numbor <br />1 <br />Professional Land Survoyor <br />Certifier's Name <br />Rick Sklnner <br />State <br />Washington <br />ZIP Code <br />98837 <br />Company Name <br />Weslern Pacilic Engineerlng & Survey, lnc. <br />Telephone <br />(509) 765-1023 <br />Copy all pagbs of this Elevati-on CerlilicCle and all atlachmenls-to/(t 1 idmmunity ofliclal, (2) insurance agonUcompany, and (3) bullding owner <br />Commsnts (lncludlng type of equipmsnl and localion, per C2(e), if applicable) <br />The heal pump pad was shol wilh GPS lo get elevalion for lhe pad and added an addilional 7 lnches for the legs of lhe heat pump. <br />FEMA Form 086-0-33 (12l19)Replaces all prevlous editions.Form Page 2 of 6