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ELEVATION CERTIFICATE OMB No. 1660-0008 <br />Expiralion Dalo; November 30,2022 <br />IMPORTANT: ln lhose spaces, copy the correspondlng lnformatlon from Sectlon A.FOR INSURANCE COMPANY USE <br />Building Slreel Address (including Apt,, Unit, Suite, and/or Bldg. No.) or P.O. Roule and Box No. <br />3012 Dapple Gray Way <br />Policy Number: <br />Company NAIC NumberSlate <br />Washinglon <br />ZIP Code <br />98928 <br />City <br />Ellensburg <br />sEcTtoN c - BUtLD|NG ELEVATTON TNFORMATTON (SURVEY REQUTRED) <br />C1. Building elevalions are based on: f] Conslruction Drawinge' fl Bulldlng Under Conslrucllon' @ Finistrcd Construction <br />'A new Elevalion Certificale will be required when conslruction of lhe building ls complete. <br />C2. Elevallons - Zones A1-A30, AE, AH, A (wilh BFE), VE, V1-V30, V (with BFE), AR, AR/A, AR/AE, AR/A1-A30, AR/AH, AR/AO. <br />Complele ltems C2,a-h below according to the bullding diagram specified in llem A7. ln Puerto Rico only, onler metors. <br />lndicale elevalion dalum used for the elevalions in items a) through h) below. <br />I NGVD 1929 E NAVD 1988 f] Olher/Source; <br />Daiumusodforbuildingelevalionsmustbolhesameustn <br />Check the measuremenl used. <br />a) Top of botlom lloor (including basement, crawlspace, or enclosure lloor) <br />b) Top of lho next higher floor <br />c) Bottom of lhe lowest horizontal struclural membor (V Zones only) <br />d) Altached garage (lop of slab) <br />e) Lowesl olovation of machinery or oquipmont servicing lhe bullding' (Oesorlbo lypo of oqulpmenl dnd bc'ation in Commenis) <br />l) Lowest adjacenl (finlshed) grade next to bullding (LAG) <br />g) Highest adjacent (flnished) grade next to building (HAG) <br />h) Lowest adJaconl grade al lowest elevalion ol deck or slalrs, lncluding <br />slruclural support <br />t 599.2 <br />1597.8 <br />1598.1 <br />N/A <br />1s99.'l [] leet I meters <br />N/A I feet f] meters <br />NiA I leet ! meters <br />1s99,1 [] foot I molers <br />Benchmark Utilized: Cenler of S 27,T 1B N, R 1B E Vertical Datum: NAVD 'l9BB <br />fl feet fl meters <br />fi feet <br />@ feet <br />[] foet <br />I meters <br />I meters <br />I meiers <br />SECTION D _ SURVEYOR, ENGINEER, OR ARCHITECT CERTIFICATION <br />Were latilude and longltude in Seclion A provided by a llcensed land surveyor? <br />This .certific.a.ljon,is- lo be..signed..a.nd-seglgd by a land suryoyor, engineer, or archltscl aulhorized by law to certify elevalion informalion.I ce.rlify lhal the Inlormalion on.lhis Cerlilicala reprosenls my besl alforls lo inlerprot lhe dala avall'abte. t underiland lhal any lalse <br />stalemenl may be punishable by line or impisoirmenl unddr 18 IJ.S. Code, Seciiotr 1001. <br />EIYes[no @ <br />C€dilior's Namc <br />Rlck Sklnner <br />Llcense Number <br />43619 <br />Tltle <br />Professional Land Surueyor <br />Company Name <br />Weslern Pacllic Engineerlng & Survey, lnc. <br />Address <br />1224 S. Pioneer Way <br />clty <br />Moses Lake <br />State <br />Washlngton <br />ZIP Codo <br />98837 <br />A <br />0{l <br />Telephone <br />(509) 705-1023 <br />DaleSlgnature Exl. <br />Copy all pa$es of thls Elovation Certilicate and all atlachmenls fol (1) cohmunity official, (2) lnsuranco agenUcompany, and (3)building owner <br />Commenls (lndudlng typo of equipment and location, per C2(e), if applicable) <br />The elevation of lhe heat pump localed oulside of home was measured by uslng a GPS and lhon adding lhe height of tho legs lor iho <br />heat pump" <br />FEMA Form 086-0-33 (12l19)Replacos all prevlous edltions.Form Pago 2 of 6