BLD20140551 ELEVATION CERTIFICATE - UNDER CONST.pdf(5uD-7,v 1 L4 0 55 )
U.S. DEPARTMENT OF HOMELAND SECURITY ELEVATION CERTIFICATE
FEDERAL EMERGENCY MANAGEMENT AGENCY
Vauoaol flood Insurance Program IMPORTANT: Follow the instructions on pages 1-9.
OMB No. 1660-0008
Expiration Date: July 31, 2015
SECTION A - PROPERTY INFORMATION FOR INSURANCE COMPANY USE
Al. Building Owner's Name Ardsley Homes, LLC policy Number,
A2. Building Street Address (including Apt., Unit, Suite, and/or Bldg. No.) or P.O. Route and Box No. Company NAIL Number:
City Edmonds - state WA ZIP Code 98026
A3. Property Description (Lot and Block Numbers, Tax Parcel Number, Legal Description, etc.)
Lot 6 plat of Shoreshire as recorded under Snohomish County Auditor's File No_ 201407165001
A4. Building Use (e.g., Residential, Non -Residential, Addition, Accessory, etc,) _Residential
A5. Latitude/Longitude: Lat. 47 7788° Long. Horizontal Datum: ❑ NAD 1927 0 NAD 1983
A6. Attach at least 2 photographs of the building if the Certificate is being used to obtain flood insurance.
A7. Building Diagram Number G
A8. For a building with a crawlspace or enclosure(s): A9. For a building with an attached garage:
a) Square footage of crawlspace or enclosure(s) 1455 sq ft a) Square footage of attached garage 564_a _ sq it
b) Number of permanent flood openings in the crawlspace 15 b) Number of permanent flood openings in the attached garage
or enclosure(s) within 1.0 foot above adjacent gr'ade within 1.0 foot above adjacent grade 0
c) Total net area of flood openings in A8.b 735 sq in c) Total net area of flood openings in A9.b 0 sq in
d) Engineered flood openings? ❑ Yes ®No d) Engineered flood openings? ❑ Yes ® No
SECTION B - FLOOD INSURANCE RATE MAP (FIRM) INFORMATION
B1. NFIP Community Name & Community Number
Citv of Edmonds 530163
B4. Maa/Panel Number I B5. Suffix B6. FIRM Index Date)
53061C/1315 1 E
11 /0811999
62. County Name
Snohomish
67, FIRM Panel Effective/ 1 B8. Flood Zone(s)
Revised Date
11/08/1999 A
B3. state
WA
B9. Base Flood Elevation(s) (Zone
AO, use base flood depth)
286.14 ft
610. Indicate the source of the Base Flood Elevation (BFE) data or base flood depth entered in Item 69:
El FIS Profile ❑ FIRM N Community Determined ❑ Other/Source: _,
B11, Indicate elevation datum used for BFE in Item 89: ❑ NGVD 1929 N NAVD 1988 ❑ Other/Source:
B12. Is the building located in a Coastal Barrier Resources System (CBRS) area or Otherwise Protected Area (OPA)? ❑ Yes N No
Designation Date: / / - ❑ CBRS ❑ OPA
SECTION C - BUILDING ELEVATION INFORMATION (SURVEY REQUIRED)
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 Al-A30, AE, AH, A (with BFE), VE, Vl-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: WCC5 SURVEY DATABASE Pt. ID 175 Vertical Datum: NAVD 88
Indicate elevation datum used for the elevations in items a) through h) below. ❑ NGVD 1929 N 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)
286 , 88
N feet
❑ meters
b) Top of the next higher floor
289.89
® feet
❑ meters
c) Bottom of the lowest horizontal structural member (V Zones only)
N feet
❑ meters
d) Attached garage (top of slab)
289. 45-_
N feet
] meters
e) Lowest elevation of machinery or equipment servicing the building
N feet
❑ meters
(Describe type of equipment and location in Comments)
f) Lowest adjacent (finished) grade next to building (LAG)
2138 . 34
N feet
iJ meters
g) Highest adjacent (finished) grade next to building (HAG)
289.35
N feet
❑ meters
h) Lowest adjacent grade at lowest elevation of deck or stairs, including
N feet
❑ meters
structural support
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.
) understand that any false statement may be punishable by fine or imprisonment under 18 U.S. Code, Section 1001.
❑ Check here if comments are provided on back of form. Were latitude and longitude in Section A provided by a
❑ Check here if attachments, licensed land surveyor? ® Yes ❑ No
Certifer's Name License Number
Charles A. Richardson I
29291
Trnc Company Name
_ Land Surveyor Summit Surveying Inc.
Address city state ZIP Code
12606 - 82nd Ave. NE Kirkland WA 98034
signature Date Tetephone
IL
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� (425)814-8487