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HomeMy WebLinkAboutMISC24-0009 ELEVATION CERTSECTION B – FLOOD INSURANCE RATE MAP (FIRM) INFORMATION SECTION A – PROPERTY INFORMATION FOR INSURANCE COMPANY USE Policy Number: Company NAIC Number: A1. Building Owner's Name: Jose Diaz A2. Building Street Address (including Apt., Unit, Suite, and/or Bldg. No.) or P.O. Route and Box No.: 2193 Stanley Drive City: Oroville State:CA ZIP Code:95966 A3. Property Description (e.g., Lot and Block Numbers or Legal Description) and/or Tax Parcel Number: APN: 026-050-017 A4. Building Use (e.g., Residential, Non-Residential, Addition, Accessory, etc.):Mobile Home A5. Latitude/Longitude:Lat. 39N 26'56.2"Long. 121W 32'50.6"Horizontal Datum:NAD 1927 NAD 1983 WGS 84 A6. Attach at least two and when possible four clear photographs (one for each side) of the building (see Form pages 7 and 8). A7. Building Diagram Number:8 A8. For a building with a crawlspace or enclosure(s): a) Square footage of crawlspace or enclosure(s):1,540.00 sq. ft. b) Is there at least one permanent flood opening on two different sides of each enclosed area?NoYes c) Enter number of permanent flood openings in the crawlspace or enclosure(s) within 1.0 foot above adjacent grade: Non-engineered flood openings:0 Engineered flood openings:0 sq. in.d) Total net open area of non-engineered flood openings in A8.c:0.00 sq. ft.e) Total rated area of engineered flood openings in A8.c (attach documentation – see Instructions):0.00 sq. ft. f) Sum of A8.d and A8.e rated area (if applicable – see Instructions):0.00 A9. For a building with an attached garage: sq. ft.a) Square footage of attached garage:0.00 Yes No N/Ab) Is there at least one permanent flood opening on two different sides of the attached garage? c) Enter number of permanent flood openings in the attached garage within 1.0 foot above adjacent grade: Non-engineered flood openings:0 Engineered flood openings:0 sq. in.d) Total net open area of non-engineered flood openings in A9.c:0.00 sq. ft.e) Total rated area of engineered flood openings in A9.c (attach documentation – see Instructions):0.00 sq. ft. f) Sum of A9.d and A9.e rated area (if applicable – see Instructions):0.00 B1.a. NFIP Community Name: Butte County B1.b. NFIP Community Identification Number:060017 B2. County Name: Butte B3. State:CA B4. Map/Panel No.:06007C0983 B5. Suffix:E B6. FIRM Index Date:01/06/2011 B7. FIRM Panel Effective/Revised Date:01/06/2011 B8. Flood Zone(s): A B9. Base Flood Elevation(s) (BFE) (Zone AO, use Base Flood Depth):179.9 B10. Indicate the source of the BFE data or Base Flood Depth entered in Item B9: FIS FIRM Community Determined Other:FIRM and topographic field survey B11. Indicate elevation datum used for BFE in Item B9:NGVD 1929 NAVD 1988 Other/Source: B12. Is the building located in a Coastal Barrier Resources System (CBRS) area or Otherwise Protected Area (OPA)?Yes No Designation Date:CBRS OPA B13. Is the building located seaward of the Limit of Moderate Wave Action (LiMWA)?Yes No N/A IMPORTANT: MUST FOLLOW THE INSTRUCTIONS ON PAGES 9-19 Copy all pages of this Elevation Certificate and all attachments for (1) community official, (2) insurance agent/company, and (3) building owner. U.S. DEPARTMENT OF HOMELAND SECURITY Federal Emergency Management Agency National Flood Insurance Program ELEVATION CERTIFICATE OMB Control No. 1660-0008 Expiration Date: 06/30/2026 FEMA Form FF-206-FY-22-152 (formerly 086-0-33) (10/22) Page 2 of 19 SECTION D – SURVEYOR, ENGINEER, OR ARCHITECT CERTIFICATION SECTION C – BUILDING ELEVATION INFORMATION (SURVEY REQUIRED) FOR INSURANCE COMPANY USE Policy Number: Company NAIC Number: Building Street Address (including Apt., Unit, Suite, and/or Bldg. No.) or P.O. Route and Box No.: 2193 Stanley Drive City: Oroville State:CA ZIP Code:95966 C1. Building elevations are based on:Construction Drawings* Building Under Construction*Finished Construction *A new Elevation Certificate will be required when construction of the building is complete. C2. Elevations – Zones A1–A30, AE, AH, AO, A (with BFE), VE, V1–V30, V (with BFE), AR, AR/A, AR/AE, AR/A1–A30, AR/AH, AR/AO, A99. Complete Items C2.a–h below according to the Building Diagram specified in Item A7. In Puerto Rico only, enter meters. Benchmark Utilized:Butte County BM #1229 Vertical Datum: NAVD 1929 Indicate elevation datum used for the elevations in items a) through h) below. NGVD 1929 NAVD 1988 Other: Datum used for building elevations must be the same as that used for the BFE. Conversion factor used? If Yes, describe the source of the conversion factor in the Section D Comments area. Yes No Check the measurement used: a) Top of bottom floor (including basement, crawlspace, or enclosure floor): 179.20 feet meters b) Top of the next higher floor (see Instructions): 182.30 feet meters c) Bottom of the lowest horizontal structural member (see Instructions): 0.00 feet meters d) Attached garage (top of slab): 0.00 feet meters e) Lowest elevation of Machinery and Equipment (M&E) servicing the building (describe type of M&E and location in Section D Comments area): 0.00 metersfeet f) Lowest Adjacent Grade (LAG) next to building: Natural Finished 179.20 feet meters g) Highest Adjacent Grade (HAG) next to building:Natural Finished 179.90 feet meters h) Finished LAG at lowest elevation of attached deck or stairs, including structural support: 0.00 feet meters This certification is to be signed and sealed by a land surveyor, engineer, or architect authorized by state law to certify elevation information. I 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 No Check here if attachments and describe in the Comments area. Certifier's Name:Lauren J. McSwain License Number:PLS 8754 Title:Professional Land Surveyor Company Name: Rolls Anderson & Rolls Address:115 Yellowstone Drive City:Chico State:CA ZIP Code:95973 Ext.:Email:ljmcswain@rarcivil.comTelephone:(530) 895-1422 Signature:Date:09/06/2024 Copy all pages of this Elevation Certificate and all attachments for (1) community official, (2) insurance agent/company, and (3) building owner. Comments (including source of conversion factor in C2; type of equipment and location per C2.e; and description of any attachments): The benchmark vertical datum was converted from NAVD 1929 to NAVD 1988 by using the National Geodetic Survey website height conversion calculator. Place Seal Here FEMA Form FF-206-FY-22-152 (formerly 086-0-33) (10/22)Page 3 of 19 ELEVATION CERTIFICATE IMPORTANT: MUST FOLLOW THE INSTRUCTIONS ON PAGES 9-19