ELEVATION CERTIFICATE No. FEDERAL EMERGENCY …

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i r ROSADO PHOJE t- 10. : 8316635187 ELEVATION CERTIFICATE FEDERAL EMERGENCY MANAGEMENT AGENCY NATIONALFLOODINSURANCEPROGRAM APR. . 17 2006 0'3 : 28Ar1 P2 O.M.B. No. 3067-0077 Expires July 31, 1999 ATIEN110N: Use of this certificate does not provide a waiver of the flood Insurance purchase requirement. This form is used only to pro- vide elevation information necessary to ensure compliance with applicable community floodplain management ordinanceG, to de termine the proper insumnce premium rate, and/or to support a for a Letter of Map Amendment or Revision {LOMA or LOMA). You art:1 not roquirQd to reflpond to thi9 coU6Ction of information unless a valid OMB control number is displayed in the upper right corner of thi& form. Instruction& for completing thia form c:an be found on the following pagon. SECTION A PROPERTY INFORMATI_ ON BUILDING OWNER'S NAME Steven Huish STREET ADDRESS (lndudlng Apt . Unit, Suit& Mdior Bldg. Numb41r) OR P.O. ROUTE AND BOX NUMBER APN 416-028-14, 8680 River Meadow Place OTHER DESCRIPTlON (Lot lilld Blodl Numbe111, etc.) Parcel 3 , Volume 1 7 Surveys Page 144 CrTY STATE c.irmel CA SECTION B FLOOD INSURANCE RATE MAP (FIRM) INFORMAT10N Provide the following from the proper FIRM (See Instructions): I . COMMUNITY NUMBER 2. PANEl.. NUMBER 3. SUFf'IX 4. CATE OF FlAM INCEX B.I'IRMZONE 060195 185 D 30 Jan. 1984 A11 FOR I NSURANCE COMPANY USE POLICY NUMBER COMPANY NAIC NUMBER ZJP CODE 93923 13. BASE FlOOD ELEVAT10N ( In AO 2:.1l!Ull!'l, uoo d601h) 11 2 .00 7. Indicate the elevation datum system used on the FIRM for Base Flood Elevations { BFE): 0 NGVD '29 D Other (describe on back) a. For Zones A or V, where no BFE is provided on the FIRM, and the community has established a 8FE for this building site. indicate the community's 8FE: L I 1 P 1 121 .L9 feet NGVD (or other FIRM datum-see Section 8, Item 7) . SECTION C BUILDING ELEVATION JNFORMAT10N 1. Using the Elevation Certificate Instructions, i ndicate the diagram number from the diagrams found on Pages 5 and 6 that best describes the subject building's reference level ..8__ . 2 (a). FIRM Zones A 1-A30, AE, AH, and A {with BFE). The top of the reference level f loor from the selected diagram is at an elsv aiion of I I I ll13 l. l..£l teet NGVD (or other FlAM daturTH>ee Section B, Item 7). (b). FIRM Zones V'1-V30, VE, and V (with BFE). The bottom of the lowest horizontal structural member of thg reference level from the selected diagram, is at an elevation of I I I I I I. U feet NGVD ( or other FIRM datum-soo Section B, Item 7). (c ). FIRM Zone A (without BFE). Tho floor used as the reference level from the selected diagram is W .U feet above 0 or bel ow 0 ( check one) tho highest grade acljacant to the building. (d) . FIRM Zone AO. The floor used as the reference l evel from the selected diagram Is UJ . U feet above 0 or below 0 ( check one) the highest grade adjacent to the building. If no flood depm number Is available, is the building's l owest floor (reference level) elevated in accordance with the community 's floodplain management ordinance? [] Yes 0 No 0 Unknown 3. Indi cate t he elevat ion dat um system used in determining the above reference level elevations: 0 NGVD '29 0 Other (describ e under Comments on Page 2). (NOTE: /(the 9/e vation da.tum usBd In measuring the elevcrtions Is different Than that used on the FIRM {see Section B, Item 7], then canvert the elevalfons to the datum system used on the FIRM and show the conversi on equation under Comments on Page 2.) 4. Elevation reference mark used appears on FIRM: GQ Yes 0 No (See Instructions on Page 4) 5. The reference level elevation is based on: 1IJ actual construction 0 ronstn.Jction drawings (NOTE: Use of construction drawings is only valid if the building does not yet have the reference level noor in place, In which case th1s C8rltncar6 will only be valid for the building during the course of construction. A posr-construcrion Elevation Certificate will bo required once construction Is complete.) 6. The elevation of the lowest grade immediately adjacent to the building is: I I I foot NGVO tor other FIRM datum-see Section B, Item 7). SECTION 0 COMMUNITY INFORMATION 1. If the community official responsible for verifying building elevations specifies t hat the reference level indicated in Section C, Item 1 Is not the "lowest floor" as defined in the community's floodplain managemgnt ordinance. the elevation ol the bu i lding's ·lowest floor" as deiined by the ordinance is: I I I I I I.U feet NGVO ( or other FIRM dstum-see Section 8 , Item 7). 2. Date of the start of construction or substatltial improvement ...ex.i.s..ted in September. 1 997 FEMA Form 81 -31 . MAR 97 REP\AaS Al.l PREVIOUS EDmONs sa; REVERSE SIDE FOR CONT1NUAT10N

Transcript of ELEVATION CERTIFICATE No. FEDERAL EMERGENCY …

Page 1: ELEVATION CERTIFICATE No. FEDERAL EMERGENCY …

i r ROSADO PHOt·JE t-10. : 8316635187

ELEVATION CERTIFICATE FEDERAL EMERGENCY MANAGEMENT AGENCY

NATIONALFLOODINSURANCEPROGRAM

APR. . 17 2006 0'3 : 28Ar1 P2

O.M.B. No. 3067-0077 Expires July 31, 1999

ATIEN110N: Use of this certificate does not provide a waiver of the flood Insurance purchase requirement. This form is used only to pro­vide elevation information necessary to ensure compliance with applicable community floodplain management ordinanceG, to determine the proper insumnce premium rate, and/or to support a reque~ for a Letter of Map Amendment or Revision {LOMA or LOMA). You art:1 not roquirQd to reflpond to thi9 coU6Ction of information unless a valid OMB control number is displayed in the upper right corner of thi& form.

Instruction& for completing thia form c:an be found on the following pagon.

SECTION A PROPERTY INFORMATI_ON

BUILDING OWNER'S NAME

Steven Huish STREET ADDRESS (lndudlng Apt. Unit, Suit& Mdior Bldg. Numb41r) OR P.O. ROUTE AND BOX NUMBER

APN 416-028-14, 8680 River Meadow Place OTHER DESCRIPTlON (Lot lilld Blodl Numbe111, etc.)

Parcel 3 , Volume 1 7 Surveys Page 144 CrTY STATE

c.irmel CA

SECTION B FLOOD INSURANCE RATE MAP (FIRM) INFORMAT10N

Provide the following from the proper FIRM (See Instructions):

I . COMMUNITY NUMBER 2. PANEl.. NUMBER 3. SUFf'IX 4. CATE OF FlAM INCEX B.I'IRMZONE

060195 185 D 30 Jan. 1984 A11

FOR INSURANCE COMPANY USE

POLICY NUMBER

COMPANY NAIC NUMBER

ZJP CODE 93923

13. BASE FlOOD ELEVAT10N (In AO 2:.1l!Ull!'l, uoo d601h)

11 2 .00

7. Indicate the elevation datum system used on the FIRM for Base Flood Elevations {BFE): 0 NGVD '29 D Other (describe on back) a. For Zones A or V, where no BFE is provided on the FIRM, and the community has established a 8FE for this building site. indicate

the community's 8FE: L I 1 P 1121.L9 feet NGVD (or other FIRM datum-see Section 8, Item 7).

SECTION C BUILDING ELEVATION JNFORMAT10N

1. Using the Elevation Certificate Instructions, indicate the diagram number from the diagrams found on Pages 5 and 6 that best describes the subject building's reference level ..8__ .

2(a). FIRM Zones A 1-A30, AE, AH, and A {with BFE). The top of the reference level floor from the selected diagram is at an elsvaiion

of I I I ll13l. l..£l teet NGVD (or other FlAM daturTH>ee Section B, Item 7).

(b). FIRM Zones V'1-V30, VE, and V (with BFE). The bottom of the lowest horizontal structural member of thg reference level from

the selected diagram, is at an elevation of I I I I I I.U feet NGVD (or other FIRM datum-soo Section B, Item 7).

(c). FIRM Zone A (without BFE). Tho floor used as the reference level from the selected diagram is W .U feet above 0 or

below 0 (check one) tho highest grade acljacant to the building.

(d). FIRM Zone AO. The floor used as the reference level from the selected diagram Is UJ. U feet above 0 or below 0 (check one) the highest grade adjacent to the building. If no flood depm number Is available, is the building's lowest floor (reference

level) elevated in accordance with the community's floodplain management ordinance? [] Yes 0 No 0 Unknown

3. Indicate the elevation datum system used in determining the above reference level elevations: 0 NGVD '29 0 Other (describe under Comments on Page 2). (NOTE: /(the 9/evation da.tum usBd In measuring the elevcrtions Is different Than that used on the FIRM {see Section B, Item 7], then canvert the elevalfons to the datum system used on the FIRM and show the conversion equation under Comments on Page 2.)

4. Elevation reference mark used appears on FIRM: GQ Yes 0 No (See Instructions on Page 4)

5. The reference level elevation is based on: 1IJ actual construction 0 ronstn.Jction drawings (NOTE: Use of construction drawings is only valid if the building does not yet have the reference level noor in place, In which

case th1s C8rltncar6 will only be valid for the building during the course of construction. A posr-construcrion Elevation Certificate will bo required once construction Is complete.)

6. The elevation of the lowest grade immediately adjacent to the building is: I I I t1 12 1.~ foot NGVO tor other FIRM datum-see Section B, Item 7).

SECTION 0 COMMUNITY INFORMATION

1. If the community official responsible for verifying building elevations specifies that the reference level indicated in Section C, Item 1 Is not the "lowest floor" as defined in the community's floodplain managemgnt ordinance. the elevation ol the building's ·lowest

floor" as deiined by the ordinance is: I I I I I I.U feet NGVO (or other FIRM dstum-see Section 8 , Item 7). 2. Date of the start of construction or substatltial improvement ...ex.i.s..ted in September. 1 997

FEMA Form 81 -31 . MAR 97 REP\AaS Al.l PREVIOUS EDmONs sa; REVERSE SIDE FOR CONT1NUAT10N

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.DM ROSADO PHONE t·lO. 8316635187 APR. 1 7 2006 09: 29A1'1 P3

SECTION E CERTIFICATION

ihis certification is to be signed by a land surveyor, engineer. or architect wh~ is authorized by state or local law to certify elevation infor;natlon when the elevation information for Zones A1-A30, AE. AH, A (w1th BFE),V,-V30,VE. and V (with BFE:) is required. Community officials who are authorized by local law or ordinance to provide floodplain management information, may also sign the certification. In the case of Zones AO and A {without a FEMA or community issued BFE), a building official, a property owner, or an cwner's representative may also sign the certification.

Reference level diagrams 6, 7 and S- Distinguishing Features-If the certifier is unable to certify to breakaway/non-breakaway wall, enclosure size, location of servicing equipment, area use, wafl openings. or unfinished area Feature(s}, then list the Feature (s) not included in the_ certilicatio~ under Comments below. The diagram number, Section C. Item 1, must still be entered.

1 certify that the information in Sections 8 and C on this certificate represents my best efforts to interpret the data available. I understand that any false statement may be punishable by fine or imprisonment under 18 U.S. Code, Section 1001.

CERTIFIER'S NAME LICENSE NUMBER (ot Affix Seal)

Car 1 L. Hooper RCE 13017 TITLE COMPANY NAME

President, Bestor Engineers, Inc . ADDRESS

9701 Blue SIGIJATURE OAT~

10/30/98 PHONE

STAiE CA

ZIP 93940

Copies should be made of th s Oertiflcate fo r~ 1) community official, 2} Insurance agentJcompany, and 3) building owner.

COMMENTS: ______________________________________________________________________________ ___

A

ZONE.S

ON SLAB

v ZONES

WrTH BASEMEWT

~ FLOOO

E\.~VAT\~

~

ON PILES, PIERS. OR COLUMN$

The diagrams above illustrate the points at which the elevations should be measured in A Zones and v Zones.

Elevations for all A Zones should be measured at the top of the reference level floor.

Elevations for all "! Zones should be measured at the bottom of the lowest horizontal structural member.

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r- - ·-ELEVATION CERTIFICATE

·· --· .:J

FEDERAL EMERGENCY MANAGEMENT AGENCV NAtiONAL FLOOD INSURANCE PROGRAM

O.M.Il. NO. 3067'·0077 tl<j>if<ll~l\, \996

\TT'ENTION: Use of this oerlificate does not provide a waivllr or tho fiood Insurance purchase toqulremenf. This form Is used only to >rovide elevallonlntorma\lon oe~stary 10 ensure comp!iao~ wlth appUcable communlly (\oodplaln management ordinances, to Jalermlne the prop&r ln5urance premium rate, end/or 1o support a request for a Lettor of Map Amendment or Revfslo11 (LOMA or LOMR).

· lns\ructlons for completing this form can be found on the following pugos.

SECTION A PROPERTY INFORMATION FOR INSUI'IANCE COMPANY \.IS€

BUILDING OWNER'S NM.AE I'CJIX'\' NUI.l~E.n

_ 9 River Meadow R~ates ·-·-~~---~t-------~--1 S"TRE£'1' ADDRESS (lnclooln~ Apl,. l.lnC, Suit \I 11ndlof Bldg. t~umbr.t) OP.!'.O. ROUT~ AtiO BOX N\,IMaER COfJ.!WIV NNC NIJ!J.tlER

... ..Al'N..A.1k02U::-::.1..4____l:llllllL.R.lLlrelt:J!lj~::M._.lroaCI......t~-f!r-f?---t?!~-H.!~--..L..,..-------' OTHER DESCRIPTION (lllt and 81ock Number&, otc.)

Parcel 1 Volume 17 Surve s CITY

Cannel SlATE

CA

SECTION B FLOOD INSURANCE RATE MAP CARM) INFORMATION

Provide the following !rom the proper FIRM (Sea Instructions):

ZIPCOOE

93923

\ , COMMUNilY NUMBE~ Z. PJ\NEL NUMBER J. SUFFIX ~- D"TE or. ARM ll'«ll!X 5.FIRMZONE G. IJI\SI! FLOOO ELEVATION

060195 185 D 30 Jan. 1984 A11 (In AD 2onu, use depth I

113~5

7. Indicate 1he elevation datum system used on the FIRM for Base Flood Elevations (BFE): ~ NGVD '29 Oother (describe on bacl<) 8. For Zones A or V, where no BFE is provided on the FIRM, and the community has established a BFE for this bu~ding site. indicate

I he community's BFE: I I ll ! 1 !3 · I .~ reet NGVD (or other FIRM datum-see Section B. ltem 7)_

SECTION C BUILDING ELEVATION INFORMATION

1. Using the Elevation C~rtlflcato tostructlons. indicate the diagram number trorn the diagrams found on Pag(ls 5 and 6 that bost describes the subject pullding's reference levei ._a_ .

2(a). FIRM Zones A 1-A30, Ac, AH, and A (whh BFE). The top_ of the relerence level noor 1rom \he selecled"diiJ9ram Is ~tan elevation

of I I U 111 5 .12.1 feet NGVD (or other FIRM datum-se~ Section B. Item 7). • (b}. FIRM Zones V1aV31), VE, and V (wlth BFE). The bottom of the lowest horizontal structural member of the reference level from

the selected diagram, Is at an elevation of l I I I U .U feet NGVD (or other FlAM datum-see Section B, Item 7). {c). FIRM Zona A {without GFE). The floor used as the reference level from the seleded diaoram is W. U feat above 0 or

below 0 {check one) the highest grade adjacent to the building. ~

(d). FIRM Zone AO. The floor used as the reference level from th~- seh~cled diagram is W.U feet above 0 or below 0 (check one) the highest grade adjawnt to the building. II no flood depth number ls available, Is tho building's lowest floor (reference ,evel) elevated ln accordance with the commvnily's ftoodplalr'l mtlf'li.lgilmC>nt ordinanM? 0 Yos 0 No 0 Unknown

3. lndicat(l the elevation datum system used In delermining the above reference level elevations: 0 NGVD '29 0 Other (describe under Comments on Page 2). (NOrE: If the elevation darum used in measuring rfle elevations Is different than that used on tha FIRM [see Section B, Item 7], then convort lhe elevations to tile datum s;•stem us~d on tho FIRM and show tho conversion equation under Comments on Pa(J6 2.)

4. Elevation reference mark uood appears on FIRM: GO Yos 0 No (See Instructions on Page 4)

5. The tef~t~~ lev~l etevatlon Is based on: Gd actual construction 0 construction drawlngs {NOTE: Use of construction drawings Is only valid if the bulfdlng does not yet have rho roferenco/oWJI ffoor !n place, In which case thls certlncate will only be valid for the building durin() fh9 course of conslruction. A posl-constf!lcfion Elevarion Certmcale will ba required once constmctiOilfs complete.) ·

6. Tho elevatlon of the lowest grad~ lmmediatoly adjacent to lhe building is: I 1 \11 1131.\.Q! .teel NGVO (or other FIRM datum-see Seclion B, Item 7).

SECTION D COMMUNITY INFORMATION

1 . If thn cnmmunity official rasponslble for verifying building elevations specilies !hat tha ~afarence level indicated In Section C; I tern 1 is not \he "lowest l~or• as dalined in the communlly's lloodplaln managemant ordinance, the el twatlon of the building's ~lowest

floor• as defined by \h<t (>((linanw Is: UJ_Ll.J ,U teat NGVD (or olher FIRM datum~sae Section B, hem 7). :?. Data olthe stan of conSiruction or subslanliallmprovomont J\me 1996

ru .. \1\ Form 8l·3l, MAY 93 Rf:MCES AU. ?R£YIOU5 EOOlONS

I·-

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I SECnON E CERTifiCATtoN

Ttlls cer1lflcal1on lsllo bo t:lprted by a fal"'d su~r. englnaer, or arcl1itect who i~" -utoorized by stale or IOCll!IM to CIJJ!ily el&vatlon informa\ion when tho elovaliOI' lnformaliOn lor Zone~ A 1-A30, AE, AH. A (wlfl BFE).V1-V30,VE, and V (wilh BFE) II required. Community ofticlals w11o are authorized by local law Of or<f1nance to provide floodplain management inlotm.,tlon, may alco s91 the certification. In the case of Zones AD and A (wi!houl a FEMA or community f~suecl BFE). a bUilding otflclal, a property owoer, or an owner's represot\laUve may also sign lhG cerliflcatlon.

Refer~ nee level diagrams 6, 7 and 8 • Dislinguishing Features-If tfle cer1iliet is llnable ro certi1y 10 breakaway/non-breakaway wall. enclost.~re size, location ot servicing ~uipmsnl, area use. wall openings, or uroini&hed area Feat~Jm{s.), \1\en list the l=~ure(s) not included in U1e ~rtnieation under Comments below. Th& Oiaoram numt~er. Section C, llem 1, mut-t slill ba al"llerQd.

1 certify thai thfJ information In Sercfions B and C on this ~ific910 repnmmrs my t}eSt offon9 to Wllerprut rrn. dNa avsi1abl6. 1 uMerstaf'td thsl any fafso stafqmenr may be punfshabfs by fine orlmprisonmtlllf r.mt!nr 18 U.S. Code. SecJion 1001.

CEI'\'tii'IE.R'S N.A.l.AE LICENSE M.lfJeER (or Alix $eol)

~~~~dhn~~M~-~Van~~~~~e~r~--------·--------------~RCE~~1~3JO. ______________________ _ Tiil.~ CO'f\IPANY Nll.ltiE

Principal, Bestor Engineers, Inc. IIODRESS

9701 SIGNATU"E

CfTY CA 93940

7

s eenmcate for: 1) eommunHy offleta1, 2} lnsurance ag&ntleompany, end 3) bull~lna owner.

ZIP

COMMENTS! Permit AEPlication N._o_. __ A_P_9_5_2~2_6 ____________________________ __

Tho diagram$ above illustrate the points at whlc;h ltle elevation$ shovld be measured in A Zones and V Zona&.

Elevations for all A Zoneli should be mea&ured at tha top of tho ror~rttnee level floor.

Elovations for an V Zones should be measured a• the bottom ol tho lowest t!Oritonl~l s\tuefural mom~f.

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