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HomeMy WebLinkAboutB16-0966 035-480-014U.S. DEPARTMENT OF HOMELAND SECURITY FEDERAL EMERGENCY MANAGEMENT AGENCY National Flood Insurance Program ELEVATION CERTIFICATE OMB Control Number. 1660.0008 ` F IMPORTANT: FOLLOW THE INSTRUCTIONS ON PAGES 8-15 Expiration: 11/30/2018 Copy altpages of this Elevation Certificate and all attachments for (1) community official, (2) insurance agent/company, and (3) building owner. i SECTION A - PROPERTY INFORMATION FOR INSURANCE COMPANY USE Al. Building Owner's Namelie N Q r Policy Number. A2. Building Street Address (including Apt, Unit, Suite, and/or Bldg. No.) or P.O. Route and Company NAIC Box No. L4638 T \ e Number- umberCity city 0 rc j state G� Zip Code g �` A3. Property Description (Lot and BINumbers, Tax Parcel Number, Legal Description, etc.) Co:.t �S.5e550tI-s Qayt'e\ Au1')"Ve-(' \'-)0 o -oto A4. Building Use (e.g., Residential, Non -Residential, Addition, Acc7�I etc.) Q►G�Soy-1 wei' " ��iorizontal Datum: A5. LatitudelLongitude: Lat.3 :�(�! .1�.. Long.�,.(��� - ('- D-1927 C.,NAD 1983 . II A6. Attach at (east 2 photographs of a building if the Certificate is being used to obtain flood insurance. A7. Building Diagram Number ���� ��1 . `�5�a\`6\ A8. For a building with a crawlspace o enclosure(s): Ag. For a building with an attached garage: / a) Square footage of crawlspace or enclosure(s) R sq ft , a) Square footage of attached garage sq ft b) Number of permanent food openings in the b) Number of permanent flood openings crawlspace or enclosure(s) within 1.0 foot in the attached garage within 1.0 foot above adjacent grade above adjacent grade C) Total net area of flood openings in A8.b sq in c) Total net area of flood openings in A9.b sq in d) Engineered flood openings? (; Yes Ivo d) Engineered flood openings? (;Yes No SECTION B - FLOOD INSURANCE RATE MAP (FIRM) INFORMATION B1. NFIP Community Name & Community Number B2. County Name B3. State C� B4. Map/Panel Numb r B5. Suffix B6. FIRM Index Date B7. FIRM Panel Effective/ B8. Flood Zones) B9. Base Flood Elevation(s) Date (Zone AO. use base flood l A Q (AWE ( E 'E -Revised Il © k13 ,U A depthVA.5 B10. Indicate the source of the Base Flood Elevation (BFE) data or base flood dept entered i IItem 139: C. FIS Profile (;• FIRM (: Community Determined Other/Source: O'e 811. Indicate elevation datum used for BFE in Item 89: (" NGVD 1929 r-NAVD 1988 (7 Other/Source: 612. Is the building located in a Coastal Barrier Resources System (CBRS) area or Otherwise Protected Area (OPA)? C' Yes (, No Designation Date: ( CBRS ( OPA SECTION C - BUILDING ELEVATION INFORMATION (SURVEY REQUIRED) Cl. Building elevations are based on: (_'Construction Drawings' (7, Building Under Construction' ( Finished Construction A new Elevation Certificate will be required when construction of the building is complete. C2. Elevations: Zones At -A30, AE, AH, A (with BFE), VE, V1 -V30, V (with BFE), AR, ARIA, ARAE, AR/Al-A30.-AR/AH, AR/AO. Complete Items C2.a-h below according to the buil/diinng diagram specified in Item AT In Puerto Rico only, enter meters. Benchmark Utilized��j 1jtj. /' 1, nt Vertical Datum: Indicate elevation datum used to�elevations in items a) rough h) below. (; NGVD 1929 C, 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) feet (7 meters b) Top of the next higher floor C feet C. meters c) Bottom of the lowest horizontal structural member (V Zones only) C; feet meters d) Attached garage (top of slab) (���t (';feet C' meters e) Lowest elevation of machinery or equipment servicing the building, 2 1 ro (Describe type of equipment and location in Comments) f ` (feet (7. meters T- 0 Lowest adjacent (finished) grade next to building (LAG) ��%� feet (' meters g) Highest adjacent (finished) grade next to building (HAG) \223 T,(eet (7' meters h) Lowest adjacent grade at lowest elevation of deck or stairs, including structural support (feet C, meters K moi. tu6,5` W U Cr LLI w m Z.X Z pOH LL moa w O I .Z 0 occo "12� UJ FEMA Form 086-0.33 (7115) Replaces all previous editions. Page 3 of 15 1 i { I r j { - 0 Fle CC& ELEVATION CERTIFICATE, page 2 OMB Control Number. 1660-0008 Expiration: 11/30/2018 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. ++ . f ` r� Policy Number. City State Zip Code Company NAIC 1T3V l/ t✓Y6s Number. 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- 1 certify that the information on this Certificate represents my best efforts to interpret the data available. f understand that any false statement may be Punishable by fine orimprisonment under 18 U.S. Code, Section 1001. Were latitude and longitude in Section A Check here if attachments. provided by a licensed land surveyor? L LAN O .Y.es . (.'.No _ . _ \CrLP....... , 5 0. S _ OL•G G Certifiers Name License Number TitreCompany Name f - I \ o., Expires 06/30/16 a/ lz+ ( i Address + City State Zip Code �'A ,Q6 %f S� v. °.; ,� a c. 5 5 y'F ...........FOP CF C ALS ti Sig tura Date Telephone�O PAT fp�44401,-,l CL Copy all pages of this Elevation Certificate for (1) community official, (2) insurance ageni/company, and (3) building owner. Comments (including type of equipment and location, per C2(e), if applicable)` C� x'10;;,����^��.•�t5 IS 'CQt`v�;IE �"al�a��ian Signature Date SECTION E - BUILDING ELEVATION INFORMA ON (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, C feet (7 meters ❑ above or O below the HAG. or enclosure) is b) Top of bottom floor (including basement, crawlspace, C. feet (' meters ❑ above or 0 below the LAG. or enclosure) is E2. For Building Diagrams 6-9 with permanent flood openings provided in Section A Items 8 and/or 9 (see page 8 of Instructions), the next higher floor (elevation C2 -b in the diagrams) of the building is C feel C meters E] above or n below the HAG: E3. Attached garage (top of slab) is ( feet (' meters C] above or n below the_HAG. E4. Top of platform of machinery and /or equipment servicing the building Is C feet C meters E] 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? C Yes f^ No t^ 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 community4ssued 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 Owners Authorized Representative's Name Address City State ZIP Code Signature Date Telephone Comments ❑ Check here if attachments. FEMA Form 086-0-33 (7/15) Replaces all previous editions. Page 4 ofr15 i I. Y ++ i I. a 3 4 PERMIT # Butte County Department of Development Services BUTTE COUNTY DEVELOPMENT SERVICES REVIEWED FOR PERMIT CENTER CODE COMPLIANCE 7 County Center Drive, Oroville, CA 95965 DA Main Phone 530.538.7601 Fax 530.538.7785 . xwwbuttccountynet dds SITE PLAN Assessor's Parcel Number: ❑ ❑ ❑ — ❑ ❑ - ❑ =- ❑ ❑ ❑ gby' T w Owner Nam Site Locatio Contact name: Flood Zone: Permit. #: FORM NO DBP -3 BUTTE r r COUNTY JUN 01 2016 DEVELOPMENT /— `— — - 4ERVLCES a* 0)u rnone: Scale F'= �. /, / / i / j : •' y' ' Scope of Work: fA)51-N1 l)6W 30' Po%)fR 190/,C V/ 2-OP144P A Revised 7.20.2015 1Page 1 of 1 Owner Name: PC Site Location: Contact name: Flood Zone: Devised 7.20.205 Butte County Department of Development Services '�. 1 �►� e } �i''r� PERMIT CENTER 7 County Center Drive, Oroville, CA 95965 . Main Phone 530.538.7601 Fax 530.538.7785 - VV"vw•.buitecouutV.net.." r ■ r� ■ s ■ ■ r'� f—1 f•-7 r'l r1 f-1 r-1.' .F7-7 r---1 a rnone: _ Scale F'= Page 1 of 1 4)k) "50' FORINT NO DBP -3 B'ittte Coil v.a Of'1EME.A ., SE—CE: pro®