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IMPORTAi{T: ln these sploeo, oopy the oonespondlng lnformatlon from $eclion A,FOR INSURANCE COMPANY USE <br />Bulldlng Sfeet Address (lncludlng Apt,, Unit, Suite, and/or Bldg. No.) or P.O. Route and Box No. <br />3004 Dapple GrayWay <br />Policy Number <br />City <br />Ellensburg <br />State <br />Washington <br />ZIP Gode <br />98926 <br />company NAlc Number <br />sEcTroN c - BUTLDTNG ELEVATTON TNFORMATTON (SURVEY REOU|REDI <br />C1. Bulldlng elovatlons are based on: ! Construolion Drawlngsi ! Bulldlng Under Conslructlon* [i Finished Construotion <br />*A new Elevation Cerllflcate wlll be requhed when construcllon of the bulldlng ls oomplete. <br />C2. Elevatlong - Zones A1-A40, AE, AH, A (wlth BFE), VE, V1'V30, V (wllh BFE), AR, AF/A, AR/AE, AR/A1-A30, AFUAH, AR/AO, <br />Complete llems C2.a-h below ascordlng lo the building diagram spsclfl€d ln ltem A7, ln Puerto Rlco only, enter meters. <br />Benohmark Utllizedl Center of S 27, T 18 N, R 18 E Verllcal Dalum: NAVD 1988 <br />lndicate elevation datum used for the elevatlons ln items a) through h) below. <br />n NGVD 1929 E NAVD 1988 ff omerlSourco <br />Datum used for bulldlng €levetlons must be lhe Bamo as lhat used for the 3FE. <br />Cheok the measurement used. <br />a) Top of bottom floor (lncludlng basement, crawlepace, or enclosure floor) <br />b) Top of the next higher lloor <br />c) Bottom of the lowest horlzonlal structural member (V Zones only) <br />d) Attached garage (top of slab) <br />e) Lowest elevatlon of maohinery or equipment servlclng the bulldlng <br />(Describe typs of squlpmenl and location ln Gomments) <br />f) Lowest adlaoent (llnlshed) grade noxt to bulldlng (LAG) <br />g) Highest adjaoent (finlshed) grade next to bullding (HAG) <br />h) Lowest adjacent grade at lowest elevation of deck or slalre, lnoludlng <br />elruclural support <br />1s93,7 Elfeet fl meters <br />N/A I feel fJ metere <br />N/A fl feel flmeters <br />1593.7 [Jfeet I meters <br />1s93.8 <br />t592.8 <br />fl feet fl meters <br />t503.0 <br />[Jfeet <br />[J feet <br />[] feet <br />! meters <br />I meters <br />! meters <br />SECTION D - SURVEYOR, ElrlGlNEER, OR ARGI{ITECT CERTIFICATION <br />lo cerlifu elevatlon infonnation, <br />I undenitand that any lalse <br />! Check here if <br />Thls ceriifrcatlon is to be slgned and sealed by a land suiloyor, englneer, or archltect authorized by law <br />I cedlfy that lhe lnlormalloi on Ws Ceililicate represents W besl e/forfs to lnterpret the data avalldbla, <br />statement may be punishabb by fine ot lmprlsonmenl under t8 U,S. Coda, Sectlon 1001, <br />Were latltude and longitude in Seclion A provided by a llcensed land surveyor? Elyes fl No <br />Cerlllie/s Name <br />Rick Sklnner <br />Llcense Number <br />43619 <br />oz <br />Ti$e <br />Professional Land Surveyor <br />Company Name <br />Western Paclflc Englneeilng & Survey, lno. <br />Address <br />1224A, PioneerWay <br />City <br />Moses Lako <br />Slate <br />Washlngton <br />ZIP Code <br />98837 <br />Date <br />at <br />1_.. <br />(609) 765-1023 <br />Copy all pales of lhiii Elevation Cedincale and all altachmentd for (tlcommtnlty ofliclal, (2) lnsurance agenUcompany, and (3) bullding owner <br />Comments (includlng type of eguipment and location, per G2(e), lf appllcable) <br />The elevatlon of the heat pump located outeide of home wae measured by using a GPS and then adding the helght of the legs for lhe <br />heat pump. <br />ELEVATION CERTIFICATE OMB No. 1660-0008 <br />Expiralion Date: November 30,2022 <br />FEMA Fom 080-0-33 (1U15',Replaces all previous editlons.Form Page 2 of 6