HomeMy WebLinkAboutElevation Certification - BLD Letters / Memos - 7/6/2018 TO BE KEPT IN THE
U.S. DEPARTMENT OF HOMELAND SECURITY PARCEL FILE
008
Federal Emergency Management Agency OMB No. Date:Nov
9 Y 9 9 Y Expiration Date:November 30,2018]
National Flood Insurance Program ----
ELEVATION CERTIFICATE
Important:Follow the instructions on pages 1-9.
Copy all pages of this Elevation Certificate and all attachments for(1)community official,(2)insurance agent/company,and(3)building owner.
SECTION A—PROPERTY INFORMATION FOR INSURANCE COMPANY USE
Al. Building Owner's Name Policy Number:
John and Beth Riebli
A2. Building Street Address(including Apt., Unit,Suite,and/or Bldg.No.)or P.O.Route and Company NAIC Number:
Box No.
7200 Grapeview Loop Road
City State ZIP Code
Allyn Washington 98524-9753
A3. Property Description(Lot and Block Numbers,Tax Parcel Number,Legal Description,etc.)
Tract 1 of Gov't Lot 5,Tax#12229-42-00010,deed AFN 17497098
A4. Building Use(e.g., Residential,Non-Residential,Addition,Accessory,etc.) Residential
A5. Latitude/Longitude: Lat.47.220181 Long.122.494489 Horizontal Datum: [] NAD 1927 []NAD 1983
A6. Attach at least 2 photographs of the building if the Certificate is being used to obtain flood insurance.
AT Building Diagram Number 1A
A8. For a building with a crawlspace or enclosure(s):
a) Square footage of crawlspace or enclosure(s) 1070 sq ft
b) Number of permanent flood openings in the crawlspace or enclosure(s)within 1.0 foot above adjacent grade 4
c) Total net area of flood openings in A8.b 720 sq in
d) Engineered flood openings? F.il Yes No
A9. For a building with an attached garage:
a) Square footage of attached garage sq ft
b) Number of permanent flood openings in the attached garage within 1.0 foot above adjacent grade
c) Total net area of flood openings in A9.b sq in
d) Engineered flood openings? J Yes L ] No
SECTION B—FLOOD INSURANCE RATE MAP(FIRM)INFORMATION
B1-NFIP Community Name&Community Number B2-County Name B3. State
UNINCORPORATED AREAS 530115 MASON Washington
B4.Map/Panel' B5.Suffix B6. FIRM Index B7.FIRM Panel B8.Flood B9.Base Flood Elevation(s)
Number Date Effective/ Zone(s) (Zone AO,use Base Flood Depth)
Revised Date
150 C MAY 17,88 MAY 17,88 AE
B10. Indicate the source of the Base Flood Elevation(BFE)data or base flood depth entered in Item B9:
r] FIS Profile (] FIRM fix]Community Determined (-1 Other/Source:
B11. Indicate elevation datum used for BFE in Item B9: (.] NGVD 1929 (al NAVD 1988 [J Other/Source:
B12. Is the building located in a Coastal Barrier Resources System(CBRS)area or Otherwise Protected Area(OPA)? []Yes Ex] No
Designation Date: n CBRS [] OPA
FEMA Form 086-0-33(7/15) Replaces all previous editions. Form Page 1 of 6
OMB No, 1660-0008
ELEVATION CERTIFICATE Expiration Date:November 30,2018
IMPORTANT: In these spaces,copy the corresponding information from Section A. FOR INSURANCE COMPANY USE
Building Street Address(including Apt.,Unit,Suite,and/or Bldg. No.)or P.O.Route and Box No. Policy Number:
vzb
City State ZIP Code Company NAIC Number
WA 98sZq- 9;p5-3
SECTION C-BUILDING ELEVATION INFORMATION(SURVEY REQUIRED)
Cl. Building elevations are based on: [ I Construction Drawings' [ I Building Under Construction' 1xi Finished Construction
'A new Elevation Certificate will be required when construction of the building is complete.
C2. Elevations-Zones Al-A30,AE,AH,A(with BFE),VE,VI-V30,V(with BFE),AR,AR/A,AR/AE,AR/A1-A30,AR/AH,AR/AO,
Complete Items C2.a-h below according to the building diagram specified in Item A7.In Puerto Rico only,enter meters.
Benchmark Utilized: wsooT MON s2o3 Vertical Datum: NAVD'88
Indicate elevation datum used for the elevations in items a)through h)below.
[._] NGVD 1929 Lx] NAVD 1988 []Other/Source:
Datum used for building elevations must be the same as that used for the BFE.
Check the measurement used
a) Top of bottom floor(including basement,crawlspace,or enclosure floor) t .2- (x feet [] meters
b) Top of the next higher floor 14.7 xN feet P meters
c) Bottom of the lowest horizontal structural member(V Zones only) ❑ feet [_1 meters
d) Attached garage(top of slab) _ [] feet ❑ meters
e) Lowest elevation of machinery or equipment servicing the building ta.7 (� feet [] meters
(Describe type of equipment and location in Comments) -__ _____�—_
f) Lowest adjacent(finished)grade next to building(LAG) 12.4 [x] feet [J meters
g) Highest adjacent(finished)grade next to building(HAG) — 14.7 N feet EJ meters
h) Lowest adjacent grade at lowest elevation of deck or stairs,including
structural support — 11.9 fix[ feet [] meters
SECTION D-SURVEYOR, ENGINEER,OR ARCHITECT CERTIFICATION
This certification is to be signed and sealed by a land surveyor,engineer,or architect authorized by law to certify elevation information.
I certify that the information on this Certificate represents my best efforts to interpret the data available. 1 understand that any false
statement may be punishable by fine or imprisonment under 18 U.S. Code. Section 1001.
Were latitude and longitude in Section A provided by a licensed land surveyor? LJ Yes CI No L_]Check here if attachments.
Certhe-r's Name License Number
James D.Turnbow 42679
Title
Professional Land Surveyor n v�A,
Company Name > aJa
Turnbow Land Surveying,PLLC r-
U) 2
Address
PO Box 834 a 74 ,vim
i 6�''14
City State ZIP Code
Shelton Washington 98584
Signature Date Telephone
/`- 07/06/18 360-432-2753 '�?�l��J�I
Copy all pages of this Elevation Certificate and all attachments for(1)community official,(2)insurance agentfcompany,and(3)building owner.
Comments(including type of equipment and location,per C2(e),if applicable)
water heater=lowest machinary
CXt5711KA '*rT 1Z kAC-V j.WC
FEMA Form 086-0-33(7/15) Replaces all previous editions. Form Page 2 of 6
ELEVATION CERTIFICATE OMB No. 1
008 Expiration Date:ate: November 30,2018
IMPORTANT:In these spaces,copy the corresponding information from Section A. FOR INSURANCE COMPANY USE
Building Street Address(including Apt.,Unit,Suite,and/or Bldg No.)or P.O. Route and Box No. Policy Number.
72-- Op City State ZIP Code Company NAIC Number
w 4 9 13s2�1.17s3
SECTION E-BUILDING ELEVATION INFORMATION (SURVEY NOT REQUIRED)
FOR ZONE AO AND ZONE A(WITHOUT BFE)
For Zones AO and A(without BFE),complete Items El-E5. If the Certificate is intended to support a LOMA or LOMR-F request,
complete Sections A, B,and C. For Items El-E4,use natural grade,if available.Check the measurement used. In Puerto Rico only,
enter meters.
El. Provide elevation information for the following and check the appropriate boxes to show whether the elevation is above or below
the highest adjacent grade(HAG)and the lowest adjacent grade(LAG)
a) Top of bottom Floor(including basement,
crawlspace,or enclosure)is _ 3.5 J]feet ❑meters [�above or n below the HAG.
b) Top of bottom floor(including basement,
crawlspace,or enclosure)is _ ?? []feet meters x above or (x]below the LAG.
E2. For Building Diagrams 6-9 with permanent flood openings provided in Section A Items 8 and/or 9(see pages 1-2 of Instructions),
the next higher floor(elevation C2.b in
the diagrams)of the building is 0.0 [x]feet U meters U above or U below the HAG.
E3. Attached garage(top of slab)is --— []feet ❑meters []above or ❑below the HAG.
E4. Top of platform of machinery and/or equipment
servicing the building is ao fi]feet [Imeters F�]above or [-]below the HAG.
E5. Zone AO only: If no flood depth number is available,is the top of the bottom floor elevated in accordance with the community's
floodplain management ordinance? P Yes n No n Unknown. The local official must certify this information in Section G.
SECTION F-PROPERTY OWNER(OR OWNER'S REPRESENTATIVE)CERTIFICATION
The property owner or owner's authorized representative who completes Sections A,B,and E for Zone A(without a FEMA-issued or
community-issued BFE)or Zone AO must sign here.The statements in Sections A,B,and E are correct to the best of my knowledge.
_ - _----- _.— - -- ---- --- - - -- - - _ - _ ---
Property Owner or Owner's Authorized Representative's Name
James D.Turnbow
Address City State ZIP Code
PO Box 834 Shelton Washington 98584
Signature Date Telephone
07/06/18 360-432 2753
Comments
Check here if attachments.
FEMA Form 086-0-33(7/15) Replaces all previous editions. Form Page 3 of 6
OMB No. 1660-0008
ELEVATION CERTIFICATE Expiration Date: November 30,2018
IMPORTANT:In these spaces,copy the corresponding information from Section A. FOR INSURANCE COMPANY USE
Building Street Address(including Apt.,Unit,Suite,and/or Bldg.No.)or P.O.Route and Box No. Policy Number:
City State ZIP Code Company NAIC Number
SECTION G-COMMUNITY INFORMATION(OPTIONAL)
The local official who is authorized by law or ordinance to administer the community's floodplain management ordinance can complete
Sections A,B,C(or E),and G of this Elevation Certificate.Complete the applicable item(s)and sign below.Check the measurement
used in Items G8-G10. In Puerto Rico only,enter meters.
G1. The information in Section C was taken from other documentation that has been signed and sealed by a licensed surveyor,
engineer,or architect who is authorized by law to certify elevation information.(Indicate the source and date of the elevation
data in the Comments area below.)
G2 [] A community official completed Section E for a building located in Zone A(without a FEMA-issued or community-issued BFE)
or Zone AO.
G3. I-1 The following information(Items G4-G10)is provided for community floodplain management purposes.
G4. Permit Number G5. Date Permit Issued G6. Date Certificate of
Compliance/Occupancy Issued
G7. This permit has been issued for New Construction F-] Substantial Improvement
G8 Elevation of as-built lowest floor(including basement)
of the building: — �]feet [] meters Datum
G9. BFE or(in Zone AO)depth of flooding at the building site: _- ❑feet �� meters Datum
G10. Community's design flood elevation: feet ; ; meters Datum
- --- -- ------------ - - -- -------. --- ---------- ----- - ---- -
Local Official's Name Title
— — ------- - -- --- -------- - ---------------------
Community Name Telephone
-- ---___-----_ _ __ ------- ------ ------ ---- - ----- -----_.--------------
Signature Date
Comments(including type of equipment and location,per C2(e),if applicable)
Check here if attachments
FEMA Form 086-0-33(7/15) Replaces all previous editions. Form Page 4 of 6
BUILDING PHOTOGRAPHS OMB No. 1660-0008
ELEVATION CERTIFICATE See Instructions for Item A6 Expiration Date: November 30,2018
IMPORTANT:In these spaces,copy the corresponding information from Section A. FOR INSURANCE COMPANY USE
Building Street Address(including Apt.,Unit,Suite,and/or Bldg.No.)or P.O.Route and Box No. Policy Number:
City State ZIP Code Company NAIC Number
If using the Elevation Certificate to obtain NFIP flood insurance, affix at least 2 building photographs below according to the
instructions for Item A6. Identify all photographs with date taken;"Front View"and'Rear View",and, if required,"Right Side View"and
"Left Side View." When applicable, photographs must show the foundation with representative examples of the flood openings or
vents,as indicated in Section A8. If submitting more photographs than will fit on this page,use the Continuation Page.
PhNo One
Photo One Caption i ^— — — Clear Photo One
Ph,,r T-
----- -------------------------------------------- -----------------
Photo Two Caption Clear Photo Two
FEMA Form 086-0-33(7/15) Replaces all previous editions. Form Page 5 of 6
BUILDING PHOTOGRAPHS OMB No. 1660-0008
ELEVATION CERTIFICATE Continuation Page Expiration Date: November 30,2018
IMPORTANT:In these spaces,copy the corresponding information from Section A. FOR INSURANCE COMPANY USE
Building Street Address(including Apt.,Unit,Suite,and/or Bldg. No.)or P.O.Route and Box No. Policy Number:
City State ZIP Code Company NAIC Number
If submitting more photographs than will fit on the preceding page, affix the additional photographs below. Identify all photographs
with: date taken, "Front View" and 'Rear View", and, if required, 'Right Side View" and "Left Side View." When applicable,
photographs must show the foundation with representative examples of the flood openings or vents, as indicated in Section A8.
Photo Thwo
Photo Three Caption _ Clear Photo Three
Photo Four
Photo Four Caption Clear Photo Four
FEMA Form 086-0-33(7/15) Replaces all previous editions. Form Page 6 of 6
o �
FEMA
NATIONAL FLOOD INSURANCE PROGRAM
ELEVATION CERTIFICATE
AND
INSTRUCTIONS
2015 EDITION
OMB No. 1 ate:N08 —�
Expiration Date:November 30,2018
U.S. DEPARTMENT OF HOMELAND SECURITY
Federal Emergency Management Agency
National Flood Insurance Program
ELEVATION CERTIFICATE AND INSTRUCTIONS
Paperwork Reduction Act Notice
Public reporting burden for this data collection is estimated to average 3.75 hours per response.The burden estimate includes the
time for reviewing instructions, searching existing data sources, gathering and maintaining the data needed, and completing and
submitting this form. You are not required to respond to this collection of information unless a valid OMB control number is
displayed on this form. Send comments regarding the accuracy of the burden estimate and any suggestions for reducing the
burden to: Information Collections Management, Department of Homeland Security, Federal Emergency Management Agency,
500 C Street SW,Washington, DC 20742, Paperwork Reduction Project(1660-0008). NOTE:Do not send your completed form
to this address.
Privacy Act Statement
Authority:Title 44 CFR§61.7 and 61.8.
Principal Purpose(s):This information is being collected for the primary purpose of estimating the risk premium rates necessary
to provide flood insurance for new or substantially improved structures in designated Special Flood Hazard Areas.
Routine Use(s):The information on this form may be disclosed as generally permitted under 5 U.S.C.§552a(b)of the Privacy Act
of 1974, as amended. This includes using this information as necessary and authorized by the routine uses published in DHS/
FEMA-003—National Flood Insurance Program Files System or Records Notice 73 Fed. Reg. 77747(December 19,2008), DHS/
FEMA/NFIP/LOMA-1 —National Flood Insurance Program(NFIP)Letter of Map Amendment(LOMA)System of Records Notice 71
Fed.Reg.7990(February 15,2006);and upon written request,written consent,by agreement,or as required by law.
Disclosure: The disclosure of information on this form is voluntary, however, failure to provide the information requested may
result in the inability to obtain flood insurance through the National Flood Insurance Program or the applicant may be subject to
higher premium rates for flood insurance Information will only be released as permitted by law.
Purpose of the Elevation Certificate
The Elevation Certificate is an important administrative tool of the National Flood Insurance Program (NFIP). It is to be used to
provide elevation information necessary to ensure compliance with community floodplain management ordinances, to determine
the proper insurance premium rate, and to support a request for a Letter of Map Amendment (LOMA)or Letter of Map Revision
based on fill(LOMR-F).
The Elevation Certificate is required in order to properly rate Post-FIRM buildings,which are buildings constructed after publication
of the Flood Insurance Rate Map (FIRM), located in flood insurance Zones Al—A30.AE,AH,A(with BFE), VE, V1—V30, V (with
BFE),AR,AR/A,AR/AE,AR/A1—A30,AR/AH, and AR/AO.The Elevation Certificate is not required for Pre-FIRM buildings unless
the building is being rated under the optional Post-FIRM flood insurance rules.
As part of the agreement for making flood insurance available in a community,the NFIP requires the community to adopt floodplain
management regulations that specify minimum requirements for reducing flood losses.One such requirement is for the community
to obtain the elevation of the lowest floor (including basement) of all new and substantially improved buildings, and maintain a
record of such information.The Elevation Certificate provides a way for a community to document compliance with the community's
floodplain management ordinance.
Use of this certificate does not provide a waiver of the flood insurance purchase requirement. Only a LOMA or LOMR-F from the
Federal Emergency Management Agency (FEMA)can amend the FIRM and remove the Federal mandate for a lending institution
to require the purchase of flood insurance. However, the lending institution has the option of requiring flood insurance even if a
LOMAlLOMR-F has been issued by FEMA.The Elevation Certificate may be used to support a LOMA or LOMR-F request.Lowest
floor and lowest adjacent grade elevations certified by a surveyor or engineer will be required if the certificate is used to support a
LOMA or LOMR-F request. A LOMA or LOMR-F request must be submitted with either a completed FEMA MT-EZ or MT-1
package,whichever is appropriate.
This certificate is used only to certify building elevations.A separate certificate is required for floodproofing. Under the NFIP, non-
residential buildings can be floodproofed up to or above the Base Flood Elevation(BFE).A floodproofed building is a building that
has been designed and constructed to be watertight (substantially impermeable to floodwaters) below the BFE. F000dproofing of
residential buildings is not permitted under the NFIP unless FEMA has granted the community an exception for residential
floodproofed basements. The community must adopt standards for design and construction of floodproofed basements before
FEMA will grant a basement exception. For both floodproofed non-residential buildings and residential floodproofed basements in
communities that have been granted an exception by FEMA,a floodproofing certificate is required.
Additional guidance can be found in FEMA Publication 467-1, Floodplain Management Bulletin: Elevation Certificate, available on
FEMA's website at https://www.fema.gov/media-library/assets/documents13539?id=1727.
FEMA Form 086-0-33(Revised 7/15) Replaces all previous editions. F-053
U.S. DEPARTMENT OF HOMELAND SECURITY OMB No. 1660-0008
Federal Emergency Management Agency I Expiration Date:November 30,2018
National Flood Insurance Program `---------
ELEVATION CERTIFICATE
Important: Follow the instructions on pages 1-9.
Copy all pages of this Elevation Certificate and all attachments for(1)community official,(2)insurance agent/company,and(3)building owner.
SECTION A—PROPERTY INFORMATION FOR INSURANCE COMPANY USE
Al. Building Owner's Name Policy Number:
John and Beth Riebli
A2. Building Street Address(including Apt., Unit,Suite,and/or Bldg No Yar P.-O. Route and Box No. Company NAIL Number:
7200 Grapeview Loop Road
City State ZIP Code
Allyn Washington 98524-9753
A3. Property Description(Lot and Block Numbers,Tax Parcel Number,Legal Description,etc.)
Tract 1 of Gov't Lot 5,Tax#12229-42-00010,deed AFN 17497098
A4. Building Use(e.g.,Residential,Non-Residential,Addition,Accessory,etc.) Residential
A5. Latitude/Longitude: Lat.47.220181 _- Long. 122-494489 Horizontal Datum: 0 NAD 1927 [] NAD 1983
A6 Attach at least 2 photographs of the building if the Certificate is being used to obtain flood insurance.
AT Building Diagram Number 1A
A8. For a building with a crawlspace or enclosure(s):
a) Square footage of crawlspace or enclosure(s) 1070 sq ft
b) Number of permanent flood openings in the crawlspace or enclosure(s)within 1.0 foot above adjacent grade 4
c) Total net area of flood openings in A8.b 720 sq in
d) Engineered flood openings? 1 1 Yes ;x] No
A9. For a building with an attached garage:
a) Square footage of attached garage sq ft
b) Number of permanent flood openings in the attached garage within 1.0 foot above adjacent grade
c) Total net area of flood openings in A9.b sq in
d) Engineered flood openings? J_j Yes [xj No
SECTION B—FLOOD INSURANCE RATE MAP(FIRM)INFORMATION
B1.NFIP Community Name&Community Number B2.County Name B3. State
UNINCORPORATED AREAS 530115 MASON I Washington
B4.Map/Panel B5.Suffix B6. FIRM Index B7.FIRM Panel B8.Flood B9.Base Flood Elevations)
Number Date Effective/ Zone(s) (Zone AO,use Base Flood Depth)
Revised Date
150 C MAY 17,88 I MAY 17,88 I AE 13.0'
B10. Indicate the source of the Base Flood Elevation(BFE)data or base flood depth entered in Item B9
[-I FIS Profile [ ] FIRM [xxl Community Determined [] Other/Source:
B11. Indicate elevation datum used for BFE in Item B9: L_] NGVD 1929 (xj NAVD 1988 [_j Other/Source:
B12. Is the building located in a Coastal Barrier Resources System(CBRS)area or Otherwise Protected Area(OPA)? Yes [x' No
Designation Date ) CBRS ! ] OPA
FEMA Form 086-0-33(7/15) Replaces all previous editions. Form Page 1 of 6
OMB No. 1660-0008
ELEVATION CERTIFICATE Expiration Date: November 30,2018
IMPORTANT:In these spaces,copy the corresponding information from Section A. FOR INSURANCE COMPANY USE
Building Street Address(including Apt., Unit,Suite,and/or Bldg.No.)or P.O. Route and Box No. Policy Number:
7Z c'►_
City State ZIP Code Company NAIC Number
kA O WA G $SOq - ' TS3
SECTION C-BUILDING ELEVATION INFORMATION(SURVEY REQUIRED)
Cl. Building elevations are based on: [x] Construction Drawings' []Building Under Construction` L] Finished Construction
'A new Elevation Certificate will be required when construction of the building is complete.
C2. Elevations-Zones Al-A30,AE,AH,A(with BFE),VE,VI-V30,V(with BFE),AR,AR/A,AR/AE,AR/A1-A30,AR/AH,Ali
Complete Items C2.a-h below according to the building diagram specified in Item A7.In Puerto Rico only,enter meters.
Benchmark Utilized: wsooT MON 5203 Vertical Datum: r:AVO'05
Indicate elevation datum used for the elevations in items a)through h)below.
L] NGVD 1929 [ j NAVD 1988 ❑Other/Source:
Datum used for building elevations must be the same as that used for the BFE.
Check the measurement used.
a) Top of bottom floor(including basement,crawlspace,or enclosure floor) 15.1• [x] feet [ meters
b) Top of the next higher floor 15.1 r� feet [ ] meters
c) Bottom of the lowest horizontal structural member(V Zones only) — ❑ feet ! meters
d) Attached garage(top of slab) _ _ _ __ ❑ feet ( ] meters
e) Lowest elevation of machinery or equipment servicing the building 15.1 U feet L] meters
(Describe type of equipment and location in Comments) — ---
f) Lowest adjacent(finished)grade next to building(LAG) 12.4 U feet L] meters
g) Highest adjacent(finished)grade next to building(HAG) 14.7 ❑ feet ❑ meters
h) Lowest adjacent grade at lowest elevation of deck or stairs,including ,
structural support -- — — 12.0 [J feet [ / meters
SECTION D-SURVEYOR, ENGINEER,OR ARCHITECT CERTIFICATION
This certification is to be signed and sealed by a land surveyor,engineer,or architect authorized by law to certify elevation information.
/certify that the information 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.
Were latitude and longitude in Section A provided by a licensed land surveyor? Yes C_[No L]Check here if attachments.
Certifier's Name License Number '
James D.Turnbow 42679
Title - r\L �� •. VJ! �61
Professional Land Surveyor
Company Name
Turnbow Land Surveying,PLLC r
Address { �=
PO Box 834
City State ZIP Code r�
Shelton Washington 98584 11 I ```ice
rX -Virg
Signature Date Telephone E r,�� m •;� �;;�trf�l
��'�� - 07/06/18 360-432-2753
Copy all pages of this Elevation Certificate and all attachments for(1)community official,(2)insurance agent/company,and(3)building owner.
Comments(including type of equipment and location,per C2(e),if applicable)
Machinery to be placed at finish floor elevation.
FEMA Form 086-0-33(7/15) Replaces all previous editions. Form Page 2 of 6
I
OMB No. 1660-0008
ELEVATION CERTIFICATE Expiration Date:November 30,2018
IMPORTANT:In these spaces,copy the corresponding information from Section A. FOR INSURANCE COMPANY USE
Building Street Address(including Apt.,Unit,Suite,and/or Bldg.No.)or P.O. Route and Box No, Policy Number:
City State ZIP Code Company NAIC Number
�L k"i 4 90,5zq- 97s3
SECTION E-BUILDING ELEVATION INFORMATION (SURVEY NOT REQUIRED)
FOR ZONE AO AND ZONE A(WITHOUT BFE)
For Zones AO and A(without BFE),complete Items E1-E5. If the Certificate is intended to support a LOMA or LOMR-F request,
complete Sections A, B,and C. For Items E1-E4,use natural grade,if available. Check the measurement used.In Puerto Rico only,
enter meters.
E1. Provide elevation information for the following and check the appropriate boxes to show whether the elevation is above or below
the highest adjacent grade(HAG)and the lowest adjacent grade(LAG).
a) Top of bottom floor(including basement,
crawlspace,or enclosure)is _ 04 ❑x feet ❑meters N above or r]below the HAG.
b) Top of bottom floor(including basement,
crawlspace,or enclosure)is 2.7 r_ J feet { -1 meters (xfl above or [._{below the LAG.
E2. For Building Diagrams 6-9 with permanent flood openings provided in Section A Items 8 and/or 9(see pages 1-2 of Instructions),
the next higher floor(elevation C2.b in
the diagrams)of the building is _ 0.4 U feet ❑meters L]above or U below the HAG.
E3. Attached garage(top of slab)is ❑feet ❑meters [_J above or ❑below the HAG.
E4. Top of platform of machinery and/or equipment
g g _._ 0_^_ [[feet []meters [x]above or [_{below the HAG.
servicing the building is
E5. Zone AO only If no flood depth number is available,is the top of the bottom floor elevated in accordance with the community's
floodplain management ordinance? n Yes [] No ] Unknown. The local official must certify this information in Section G
SECTION F-PROPERTY OWNER(OR OWNER'S REPRESENTATIVE)CERTIFICATION
The property owner or owner's authorized representative who completes Sections A,B,and E for Zone A(without a FEMA-issued or
community-issued BFE)or Zone AO must sign here.The statements in Sections A,B,and E are correct to the best of my knowledge.
Property Owner or Owner's Authorized Representative's Name
James D.Turnbow
Address —^------------_------ -- City State ---- ZIP Code- - — -
PO Box 834 Shelton Washington 98584
-- — -- -- ------------ ------
Signature /� / Date Telephone
07/06/18 360-432-2753
Comments
Elevations based on Construction Drawings.
[1 Check here if attachments.
FEMA Form 086-0-33(7115) Replaces all previous editions. Form Page 3 of 6
OMB No. 1660-0008
ELEVATION CERTIFICATE Expiration Date:November 30,2018
IMPORTANT:In these spaces,copy the corresponding information from Section A. FOR INSURANCE COMPANY USE
Building Street Address(including Apt.,Unit,Suite,and/or Bldg.No.)or P.O.Route and Box No. Policy Number:
City State ZIP Code Company NAIC Number
SECTION G—COMMUNITY INFORMATION(OPTIONAL)
The local official who is authorized by law or ordinance to administer the community's floodplain management ordinance can complete
Sections A,B,C(or E),and G of this Elevation Certificate.Complete the applicable item(s)and sign below.Check the measurement
used in Items G8--G10.In Puerto Rico only,enter meters.
G1. F] The information in Section C was taken from other documentation that has been signed and sealed by a licensed surveyor,
engineer,or architect who is authorized by law to certify elevation information.(Indicate the source and date of the elevation
data in the Comments area below.)
G2 F ] A community official completed Section E for a building located in Zone A(without a FEMA-issued or community-issued BFE)
or Zone AO.
G3. L] The following information(Items G4—G10)is provided for community floodplain management purposes.
G4. Permit Number G5. Date Permit Issued G6. Date Certificate of
Compliance/Occupancy Issued
G7. This permit has been issued for: []New Construction [] Substantial Improvement
G8. Elevation of as-built lowest floor(including basement)
of the building: ]feet meters Datum
G9. BFE or(in Zone AO)depth of flooding at the building site: _— ------ v. ❑feet [,� meters Datum
G10. Community's design flood elevation: -_ [ ]feet [ j meters Datum
Local Official's Name Title
Community Name Telephone
Signature Date
Comments(including type of equipment and location,per C2(e),if applicable)
�) Check here if attachments.
FEMA Form 086-0-33(7/15) Replaces all previous editions. Form Page 4 of 6