Laserfiche WebLink
IMPORTANT: ln these specea, copy the corresponding infonnation from Sectlon A.FOR INSURANCE COMPANY USE <br />Bullding Street Address (including Apt., Unit, Suite, and/or Bldg. No.) or P.O. Route and Box No. <br />14710 MANASTASH RD. <br />Policy Number: <br />Company NAIC NumberState <br />Washington <br />ZIP Code <br />98926 <br />City <br />ELLENSBURG <br />sEcTroN c - BUILDTNG ELEVATTON TNFORMATTON (SURVEY REQUTRED) <br />Cl . Building elevations are based on: f] Consiruc{ion Drawings* f] Building UndEr Construction* ffi Finished Conslruction <br />'A new Elevation Certificate wlll be required when construction of ihe building is complele. <br />C2. Elevations -Zones A1-A30, AE, AH, A (with BFE), VE, V1-V30, V (with BFE), AR, AR/A, AR/AE, AR/A1-A30, AR/AH, AR/AO, <br />Complete ltems C2.a-h below according to the building diagram specified in ltem A7. ln Puerto Rico only, enter meters. <br />lndicale elevation datum used for the elevations in items a) lhrough h) below. <br />n NGVD 1929 E NAVD 1988 D Other/Source: <br />DatumusedforbuildingelevalionsmustbeFtesame"sth" <br />Check the measurement used, <br />a) Top of bottom floor (including basement, aawlspace, or enclosure floor) <br />b) Top of the next hlgher floor <br />c) Bottom of the lowest horizontal struclural member (V Zones only) <br />d) Attached garage (top of slab) <br />e) Lowest elevation of machinery or equipment servicing the building <br />(Describe type of equipment and localion in Comments) <br />0 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 slairs, including <br />structural support <br />2462.1 <br />2457.6 <br />2457.8 <br />2457.9 <br />2456.8 E feet I meters <br />2461.6 @ feet fl meters <br />I feet f] meters <br />2458.2 fi!feet I meters <br />N/A <br />Benchmark Utilized: 580592 <br />[| feet I meters <br />I teet <br />ffi feet <br />Slfeet <br />I meters <br />I meters <br />f] metars <br />Veriical Datum: NAVD 88 <br />sEcTloN D - suRvEYoR, ENGINEER, OR ARCHTTECT CERTTRCATTON <br />This certification is to be signed and sealed by a land surveyor, engineer, or architect authorized by law to certify elevation lnformation <br />I cedify lhat the information on.this Certificate represenls my best efrods to interprct the data available, I understand that any false <br />slatement may be punishable by tine or impisonmdnt under 18 U.S. Code, SecUon 1001. <br />Were latitude and longitude in Section A provided by e licensed land surveyor? E yes fl tto f] Check here f attachm2B. <br />Gertifie/s Name <br />CHRISTOPHER C. CRUSE <br />License Number <br />36815 <br />Tltle <br />PROFESSIONAL LAND SURVEYOR <br />Company Name <br />CRUSE AND ASSOCIATES <br />Address <br />P-O. BOX 959 5 <br />State <br />WashingtonELLENSBUR% <br />ZIP Code <br />s8926 <br />City <br />.4 <br />Date <br />1V31-2022 <br />Telephone <br />(509) 962-8242 <br />Ext-Signalure <br />Copy all pa{es of this ElevalionTedilicale and all attachments for ('t) community official, (2) insurance agenUcompany, and (3) bulldlng owner. <br />Comments (including type of equipmenl and location, per C2(e), if applicable) <br />A8d andA9d. ENGINEERED SMARTVENT MODELS 1540.510 &.I540.5.11; C2a. EARTHEN CRAW- SPACE; C2b. FINISHED <br />FLOOR; Czd. CONCRETE SLAB; C2e. TANKLESS HEATER LOCATED lN GARAGE. <br />ELEVATION CERTIFICATE OMB No. 1660-0008 <br />Expiration Dale: November 30, 2022 <br />FEMA Form 086-0-33 (12119)Replaccs all previqus editions.Fom Page 2 of 6