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ELEVATION CERTIFIGATE OMB No. 1660-0008 <br />Expiration Date: November 30,2022 <br />IMPORTANT: ln these spaoes, copy the correspondlng lnformation fiom Secuon A.FOR INSURANCE COMPANY USE <br />Building Sfeet Addrem (including Apt., Unit, Suite, and/or Bldg. No.) or P.O. Route and Box No <br />390 HERON FARM LANE <br />Policy Number: <br />City State <br />Washington <br />ZIP Code <br />98926ELLENSBURG <br />Company NAIC Number <br />sEcTtoN c - ButLotNG ELEVATTON TNFORMATTON (SURVEY REQUTRED) <br />1447.0 <br />C'1. Building elevations are based on: f] Consfruction Drawings' ! Building Under Construc{ion* ffi Finistred Constsuction <br />*A new Elevation Certificate will be required vyhen construction of lhe building is complete. <br />C2. Elevations - Zones A1-A30, AE, AH, A (witl BFE), VE, V1-V30, V (with BFE), AR, AR/A, AFUAE, AR/A1*A30, AFyAH, AR/AO, <br />Complete ltems C2.a-h below according to the building diagram specified in ltem A7. ln Puerto Rico only, enter metens. <br />Benohmark Utilized: NcS MONUMENT S80592 Vertical Datum: NAVD88 <br />lndicate elevation datum used for the elevations in items a) through h) below. <br />n NGVO 1S29 E NAVD 1988 flOther/Source: <br />Datumueedforbuildingelevationsmustbethesameast <br />Check lhe measurement used. <br />a) Top of bottom floor (induding bas€ment, crawlspace, or enclosure floor) <br />b) Top of the next higher floor <br />c) Bottom of the lowest horizontal sfructural member {V Zones only) <br />d) Attached garage (top ofslab) <br />e) Lowest elevadon of machinery or eguipment servicing the building <br />(Describe iype of equipment and location in Commenb) <br />f) Lowest adjacent (finished) grade next to building (LAG) <br />g) Highest adjacent (finished) grade next to building (HAG) <br />h) Lowest adjacent grade at lowest elevation of deck or stairs, including <br />stuctural support <br />1443.5 ffi feet I meters <br />1M7.0 ffi feet I meters <br />N/A I feet I meters <br />1445.6 ffi feet ! meters <br />N/A fl feet fl meters <br />144/.1 <br />r444.5 <br />[Jfeet <br />fi feet <br />filfeet <br />! meters <br />f| meters <br />I meters <br />SECTION D - SURVEYOR, ENGINEER, OR ARCHITECT CERTIFICATION <br />to certiff elevation informdion. <br />I underctand that any false <br />fl Check here if attachments. <br />This certificalion is to be signed and sealed by a land surveyor, engineer, or architoct authorized by law <br />I ceftify that the information on this Ceftificafe represenfs my best efforts to intenret the data available. <br />statement may be punishable by fine or imprisonmenl under 18 U.S. Code, Seciion 1001, <br />Were latitude and longitrde in Section A provided by a licensed land survoyor? E Yes I tto <br />Certifier's Name <br />CHRISTOPHER C. CRUSE <br />License Number <br />36815 <br />35815 <br />Tide <br />PROFESSIONAL I.AND SURVEYOR <br />Company Name <br />CRUSE & ASSOCIATES <br />Address <br />P.O. BOX 959 <br />City <br />ELLENSBURG <br />State <br />Washington <br />ZIP Code <br />98926n <br />Date <br />02-28-2023 <br />Ext.Signature Telephone <br />{509) 962-8242 <br />Copy all pa!65-of uiis ElevationTeilincate and all altrachments for (1) communily ofiicial, (2) irsurance agent/compny, anU (S[OuiiAing owner. <br />Comments (induding type of equipment and location, per CZ(e), if applicable) <br />C2a. CRAWL SPACE; C2b. FINISHED FLOOR; c2d. CONCRETE SLAB ON GRADE; C2e. HEAT PUMP <br />USED EXPIRED CERTIFICATE PER FEMA BULLETIN W.22020. <br />89 & B1O - BASED ON KITTITAS COUNTY FLOOD PERMIT FD?1-OOOO2. <br />FEMA Form 0BC0-33 (12119)Replaces all previous editions.Form Page 2 ofO