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Home My WebLink About047-250-2021-tUtKALtMtKUtNUY MANAUtMtNI AUtNUY O.M.B. No. 3067-0077 --- --- NATIONAL FLOOD INSURANCE PROGRAM Expires December 31, 200,1 ELEVATION CERTIFICATE Important: Read the instructions on pages 1.7, SECTION A - PROPERTY OWNER INFORMATION For Insurance Company Use: BUILDING OWNER'S NAME Policy Number James and Lori Bond BUILDING STREET ADDRESS (Including Apt., Unit, Suite, and/or Bldg. No.) OR P.O. ROUTE AND BOX NO. Company NAIC Number Talon Drive CITY STATE ZIP CODE Chico CA 95973 PROPERTY DESCRIPTION (Lot and Block Numbers, Tax Parcel Number, Legal Description, etc.) APN 047-250-202 i 203 BUILDING USE (e.g., Residential, Non-residential, Addition, Accessory, etc. Use a Comments area, if necessary.) Residential LATITUDE/LONGITUDE (OPTIONAL) HORIZONTAL DATUM: SOURCE: 0 GPS (Type): ( #k' - ##'- if.tMt" or ® NAD 1927 ❑ NAD 1983 E USGS Quad Map ❑ Other. SECTION B - FLOOD INSURANCE RATE MAP (FIRM) INFORMATION B1. NAP COMMUNITY NAME i COMMUNITY NUMBER 62. COUNTY NAME 63. STATE 060017 Butte CA B4. AMP AND PANEL Designation Date_ SECTION C - BUILDING ELEVATION INFORMATION (SURVEY REQUIRED) B7. FIRM PANEL C1. Building elevations are based on: E Constriction Drawings' ❑ Building Under Construction' ❑ Finished Construction 69. BASE FLOOD ELEVATION(S) NUMBER 85. SUFFIX 06. FIRM INDEX DATE EFFECTIVE/REVISED DATE 88. FLOOD ZONE(S) (Zone AO, use depth of (boding) 0600700310 D April 20, 2000 April 20, 2000 X 215.0 B10. Indicate the source of the Base Flood Elevation (BFE) data or base flood depth entered in B9. ❑ FIS Profile E FIRM ❑ Community Determined ❑ Other (Describe): B11. Indicate the elevation datum used for the BFE in 89: E NGVD 1929 ❑ NAVD 1988 ❑ Other (Describe): 812. Is the building located in a Coastal Barrier Resources System (CBRS) area or Otherwise Protected Area (OPA)? ❑ Yes E No Designation Date_ SECTION C - BUILDING ELEVATION INFORMATION (SURVEY REQUIRED) C1. Building elevations are based on: E Constriction Drawings' ❑ Building Under Construction' ❑ Finished Construction `A new Elevation Certificate will be required when construction of the building is complete, C2. Building Diagram Number I (Select the building diagram most similar to the building for which this certificate is being completed - see pages 6 and 7. If no diagram accurately represents the building, provide a sketch or photograph.) C3. Elevations - Zones Al -A30, AE, AH, A (with BFE), VE, V1430, V (with BFE), AR, ARA, ARAE, AR/A1-A30, ARAH, AR/AO Complete Items C3.-24 below according to the building diagram specified in Item C2. State the datum used. If the datum is different from the datum used for the BFE in Section B, convert the datum to that used for the BFE, Show field measurements and datum oonversion calculation. Use the space provided or the Comments area of Section D or Section G, as appropriate, to document the datum conversion. Datum 1929 Conversion/Comments Elevation reference mark used RM 3 Does the elevation reference mark used appear on the FIRM? ❑ Yes E No O a) Top of bottom floor (including basement or enclosure) 214. 0 ft.(m) ❑ b) Top of next higher floor 216.5 ft.(m) E. yy 0 c) Bottom of lowest horizontal structural member (V zones only) — _ft,(m) o o �� l<9 0 d) Attached garage (top of slab)215. 0 ft.(m) E 3�`' rn ❑ e) Lowest elevation of machinery and/or equipment W No. 3101 " { servicing the building (Describe in a Comments area) 215.5 ft.(m) * Exp. 12/31/04 0 f) Lowest adjacent (finished) grade (LAG) 213.6 ft.(m) z' m ClVI\- 0 g) Highest adacent (finished) grade (HAG) 214. i ft.(m) 0 h) No. of permanent openings (flood vents) within 1 ft. above adjacent grade Z6 (o(, 0 1) Total area of all permanent openings (flood vents) in C3.h 3700 sq. In. (sq. cm) /7 p 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 in Sections A, B, and C 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. CERTIFIER'S NAME LICENSE NUMBER Wesley E. Gilbert R.C.E. 31689 TITLE COMPANY NAME Principal Gilbert Engineering ADDRESS CITY STATE ZIP CODE 70 Declaration Drive, Suite 101 Chico CA 95973 SIGNATU DATE TELEPHONE August 12, 2003 53M99-9503- FEMA 30.899.9503-FEMA Form 81-31, January" 2003 See reverse side for continuation. L (f K:,tlandplScesatl p��5iouseditions APP'rV AFET ADDRESS (Including Apt, Unit, Suite, and/or Bldg. No.) OR P.O. ROUTE we , Policy Number STATE ZIP CODE C�ny NAIL Number CA 95973 SECTION D - SURVEYOR, ENGINEER, OR ARCHITECT CERTIFICATION (CONTINUED) Copy both sides of this Elevation Certificate for (1) community official, (2) insurance agenUcompany, and (3) building owner, COMMENTS Item C3,a —This Is the elevation of the existing ground adjacent to the building; Item C3.e — HVAC condenser unit The Base Flood Elevation was determined for the adjacent Flood Zone A using the FIRM Map, Quad Map and Parcel Map recorded at Book 148, Maps, pages 97 thru 99, Butte County Records. The building is located adjacent to, but not In Flood Zone A ❑ Check here if attachments SECTION E - BUILDING ELEVATION INFORMATION (SURVEY NOT REQUIRED) FOR ZONE AO AND ZONE A (WITHOUT BFE) For Zone AO and Zone A (without BFE), complete Hems E1 through E5, if the Elevation Certificate is intended for use as supporting information for a LOMA or LOMR-F, Section C must be completed. E1. Building Diagram Number _(Select the building diagram most simlar to the building for which this certificate is being completed — see pages 6 and 7. If no diagram accurately represents the building, provide a sketch or photograph.) E2. The top of the bottom floor (inducing basement or enclosure) of the building is _ ft.(m) _in.(cm) ❑ above or ❑ below (check one) the highest adjacent grade. (Use natural grade, if available), E3. For Building Diagrams 6-8 with openings (see page 7), the next higher floor or elevated floor (elevation b) of the building is _ ft.(m) _in.(cm) above the highest adjacent grade. Complete items C3.h and C3.i on front of form. E4. The top of the platform of machinery and/or equipment senricing'6e.building is , _ 1L(m) �in.(CM) El above or E] below (check one) the highest adjacent grade. (Use natural grade, if available). E5. For 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? ❑ 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. C (Items C3.h and C3.1 only), 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, C, and E are corned to the best of my knowledge. PROPERTY OWNER'S OR OWNER'S AUTHORIZED REPRESENTATIVE'S NAME ADDRESS CITY STATE ZIP CODE SIGNATURE DATE TELEPHONE COMMENTS ❑ Check here if attachments 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. G1. ❑ The information in Section C was taken from other documentation that has been signed and embossed by a licensed surveyor, engineer, or architect who is authorized by state or local 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 FEMA4ssued or communky4ssued BFE) or Zone A0. G3. ❑ The following information (Items G4 -G9) is provided for community floodplain management purposes, w. Crcnn i NUMMIK I G5. DATE PERMIT ISSUED G6. DATE CERTIFICATE OF COMPLIANCE/OCCURANCY ISSUED G7. This permit has been issued for. ❑ New Construction ❑ Substantial Improvement Gd. Elevation of as -built lowest floor (including basement) of the building Is: _ft.(m) Datum: _ G9. 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WTQ N'f� .'fa W I v _ _ _ b rS L$r _ 11 41.pM Z.� ,te V�►1.v� • 0 �- Z N rL r 60Pt.G'i -' i+�.Q.PWOoV , ' 1. k' GOWN Mt-A.1lr �01<F-FGD IN 0 �.. y 5^Tµ O ' _ , 1 3 -(' t L� ' y�,,11,,,I M W /�f.1.�7 + G 1.NG+, a - . rr i ri Hero G a�•►c1 W4 � ... .. ... I •. � INS,'rub' 3 2x L11 4 c ENVIRONMENTAL HEALTH MAR 2 8 2003 CHICO, CALIFC11%n Design Fr Drafting by Janice Lee Suite 4A 315 ran 5b+set Chico. CA. 95928 rhonelF+uc (530) 892-1937 �ooM J�11111 1111