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IMPORTANT: ln these spaoss, copy the corresponding informatlon from Sscllon A.FOR INSURANCE COMPANY USE <br />Building Street Address (lncludlng Apt., Unlt, Suite, and/or Bldg. No.) or P.O. Route and Box No, <br />3010 Dapple GrayWay <br />Pollcy Number: <br />Clty <br />Ellensburg <br />State <br />Washlngton <br />ZIP Code <br />98S26 <br />Company NAIC Number <br />sEcTloN c - BUILDTNG ELEVATION TNFORMATION (SURVEY REQUIRED) <br />C1. Bull<llng elevatlons are based on: I Constructlon Drawlnge* [ Buildlng Under Conetructlonr E Flnlshed Conelrucllon <br />*A new Elevatlon Certlficato will be requhed when conslruction ol lhe bulldlng ls complete. <br />G2. Elevatlons - Zonss A1-A30, AE, AH, A (wlth BFE), VE, V1-V30, V (wlth BFE), AR, AFUA, ARfAE, AR/A1-A30, AR/AH, AR/AO. <br />Complete ttems C2.a-h below accordlng to the bulldlng dlagram specllied in llem A7. ln Puerto Rlco only, enter melers, <br />Benchmark Utlllzed: Center ofS27 T 18 N, R 18 E VerticalDalum: NAVD 1S88 <br />lndicate elevation datum used for the elevaUons ln ilems a) lhrough h) below <br />E NGVD 1929 E NAVD 1s88 [ other/sourcs: <br />Datum used for bulldlng elevations musl be the same as that used for the BFE, <br />Check the measurement used. <br />a) Top of bottom lloor (lnoludlng basoment, crawlspace, or enclosure lloor) <br />b) Top of the next hlgherfloor <br />c) Boltom of lhe lowest horlzontal structural member (V Zones only) <br />d) Atlached garags (top of slab) <br />e) Loweel elevation of machlnery or equlpment sewicing the bulldhg' (Descrlbe type of equlpment and locallon ln Comments) <br />f) Lowest adJacent (finlshed) grado ngxt to bulldlng (LAG) <br />g) Hbhest adjacent (flnlshed) grade next to bulldlng (HAG) <br />h) Lowest adjacent grade at lowest elevalion of deck or stalre, lncludlng <br />structural support <br />1598.3 [] feet I meters <br />N/A I feet f] meters <br />N/A I foet ! moters <br />1598.3 [] feet I moters <br />N/A fJ feet fl meters <br />I598.2 <br />. r s96.8 <br />1597.1 <br />@ feet <br />@ feet <br />E feet <br />I metere <br />! melere <br />! melers <br />SEGTION D - SURVEYOR, ENGINEER, OR ARCHITECT CERTIFICATION <br />Thi6 certiflcatlon ls to be slcned and sealed by a land surveyor, englneer, or archltect authorlzed by law lo certifu elevatlon lnformalion. <br />I cerllfy that the lnformation on thls Certlflcala represenls my best eflorls lo lnterpret the data avallable, I undarstand that any lalse <br />slaterhent may he punlshable by flne or impisonmant undar 18 U.S. Codq Sectlon 1001. <br />Were latllude and longitude in Secllon A provlded by a licensed land surveyor? E Yes E ruo I Check here lf attaohments, <br />Gerllfie/s Name <br />Rlck Sklnner <br />Llconss Number <br />43619 <br />oz <br />4L <br />Title <br />Prolesslonal Land Surveyor <br />Company Name <br />Western Paclfic Englneerlng & Survey, lnc <br />Address <br />1224 S, PloneerWay <br />Clty <br />Moses Lake <br />State <br />Washlngton <br />ZIP Code <br />98837 <br />Date Ext. <br />). <br />Telephone <br />(50e) 765-1023 <br />iieandallattaclrmerflg'to/11;cotiimunltyofflclal,(2)lnauranceagenUcompany,and(3)buildingowner, <br />Comments (lncludlng type of equlpmenl and locatlon, per C2(o), lf appllcable) <br />The elevatlon of the heat pump located outslde of home was measured by using q GPS and then adding the height of lhe legs for the <br />heal pump. <br />ELEVATION CERTIFICATE <br />OMB No. 1660-0008 <br />Explratlon Date: November 30, 2O22 <br />FEMA Form 086-0-33 (12l19l Replaces all prevlout editlons,Form Page 2 of I