Port Edmond Admin Final CertificateForm Instructions U.S. DEPARTMENT OF HOMELAND SECURITY OMB Control No. 1660-0008
Expiration Date: 06/30/2026
Federal Emergency Management Agency
Nation/all Flood Insurance Program
IpIIPORT�NT• MUST�gLRac THE�TRilG T1�N� VTJ19,StTRUCTION PAGES 1-11
Copy all pages of this levation a l#icate an a I aents or 1) community o icia , llzl insurance agent/company, and (3) building
SECTION A - PROPERTY INFORMATION FOR INSURANCE COMPANY USE
Al. Building Owner's Name: Port of Edmonds Policy Number:
A2. Building Street Address (including Apt., Unit, Suite, and/or Bldg. No.) or P.O. Route and Box Company NAIC Number:
IN Admiral Way
City: Edmonds State: WA ZIP Code: 98020
A3. Property Description (e.g., Lot and Block Numbers or Legal Description) and/or Tax Parcel Number:
Snohomish County Tax Parcel No. 27032300415800
A4. Building Use (e.g., Residential, Non -Residential, Addition, Accessory, etc.): Non -Residential
A5. Latitude/Longitude: Lat. 47°4826.6" N Long. 122°2324.9" W Horiz. Datum: ❑ NAD 1927 ❑ NAD 1983 ❑✓ WGS 84
A6. Attach at least two and when possible four clear color photographs (one for each side) of the building (see Form pages 7 and 8).
AT Building Diagram Number: 1B
A8. For a building with a crawispace or enclosure(s):
a) Square footage of crawlspace or enclosure(s): 6657 sq. ft.
b) Is there at least one permanent flood opening on two different sides of each enclosed area? ❑ Yes ❑✓ No ❑ N/A
c) Enter number of permanent flood openings in the crawispace or enclosure(s) within 1.0 foot above adjacent grade:
Non -engineered flood openings: 0 Engineered flood openings: 0
d) Total net open area of non -engineered flood openings in A8.c: 0 sq. in.
e) Total rated area of engineered flood openings in A8.c (attach documentation - see Instructions): 0 sq. ft.
f) Sum of A8.d and A8.e rated area (if applicable - see Instructions): 0 sq. ft.
A9. For a building with an attached garage:
a) Square footage of attached garage: 0 sq. ft.
b) Is thereat least one permanent flood opening on two different sides of the attached garage? ❑ Yes ❑ No ❑✓ N/A
c) Enter number of permanent flood openings in the attached garage within 1.0 foot above adjacent grade:
Non -engineered flood openings: Engineered flood openings:
d) Total net open area of non -engineered flood openings in A9.c: sq. in.
e) Total rated area of engineered flood openings in A9.c (attach documentation - see Instructions): sq. ft.
f) Sum of A9.d and A9.e rated area (if applicable - see Instructions): sq. ft.
SECTION B - FLOOD 91SURANCE RATE MAP (IFUM,11111111FORMATKIIN
B1.a. NFIP Community Name: City of Edmonds B1.b. NFIP Community Identification Number: 530163
B2. County Name: Snohomish County B3. State: WA B4. Map/Panel No.: 53061C1292 B5. Suffix: F
B6. FIRM Index Date: 06/19/2020 B7. FIRM Panel Effective/Revised Date: 0611912020
B8. Flood Zone(s): AE B9. Base Flood Elevation(s) (BFE) (Zone AO, use Base Flood Depth): 12
B10. Indicate the source of the BFE data or Base Flood Depth entered in Item 69:
❑ FIS 0 FIRM ❑ Community Determined ❑ Other:
B11. Indicate elevation datum used for BFE in Item B9: ❑ NGVD 1929 0 NAVD 1988 ❑ Other/Source:
B12. Is bg"►talocated in a Coastal Barrier Resources System (CBRS) area or Otherwise Protected Area (OPA)? ❑ Yes ❑✓ No
Date: ❑ CBRS ❑ OPA
B13. Is the building located seaward of the Limit of Moderate Wave Action (LiMWA)? ❑ Yes U No
FEMA Form FF-206-FY-22-152 (formerly 086-0-33) (8/23) Form Page 2 of 8
Form Instructions ELEVATION CERTIFICATE
IMPORTANT: MUST FOLLOW THE INSTRUCTIONS ON INSTRUCTION PAGES 1-11
Building Street Address (including Apt., Unit, Suite, and/or Bldg. No.) or P.O. Route and Box No.:
471 Admiral Wav
City: Edmonds
State: WA ZIP Code: 98020
FOR INSURANCE COMPANY USE
Policy Number.
Company NAIC Number:
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, 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: WSDOT BM TIDAL 9 1969 Vertical Datum: NAVD 1988
Indicate elevation datum used for the elevations in items a) through h) below.
❑ NGVD 1929 0 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.
a) Top of bottom floor (including basement, crawlspace, or enclosure floor):
b) Top of the next higher floor (see Instructions):
c) Bottom of the lowest horizontal structural member (see Instructions):
d) Attached garage (top of slab):
e) Lowest elevation of Machinery and Equipment (M&E) servicing the building
(describe type of M&E and location in Section D Comments area):
f) Lowest Adjacent Grade (LAG) next to building: ❑ Natural ❑✓ Finished
g) Highest Adjacent Grade (HAG) next to building: ❑ Natural ❑✓ Finished
h) Finished LAG at lowest elevation of attached deck or stairs, including structural
support:
14.0
29.0
N/A
-1A n
❑ Yes ❑✓ No
C❑hecf the m❑easmeterent used:
✓❑
fee
❑
meter
❑
t
fee
❑
Aeter
fee
❑
meter
t
s
14.0
❑✓
fee
❑
meter
12.8
❑✓
fee
❑
meter
13.9
❑✓
fee
❑
meter
t
s
N/A
❑
fee
❑
meter
t
SECTION D SURVEYOR, SEER, OR ARCHITECT CERT91CATION
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. 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? ❑✓ Yes ❑ No
✓❑ Check here if attachments and describe in the Comments area.
Certifier's Name: William R. McCabe License Number: 20112262
Title: Professional Land Surveyor
Company Name: Reid Middleton, Inc.
Address: 728 134th Street SW, Suite 200
City: Everett
State: WA ZIP Code: 98204
Telephone: (425) 741-3800 Ext.: Email: rmccabe@reidmidd/eton.com
Signature: Date: Z- $ ' Z02-4
Copy all pages of this E evation 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):
C2.e. HVAC equipment located on the exterior of the southeast building corner. Concrete slab elevation = 13.7, equipment
is raised 0.3' above slab. See attached photo.
FEMA Form FF-206-FY-22-152 (formerly 086-0-33) (8/23) Form Page 3 of 8
Form Instructions IELEVATION CERTIFICATE
IMPORTANT: MUST FOLLOW THE INSTRUCTIONS ON INSTRUCTION PAGES 1-11
FOR INSURANCE COMPANY USE
Policy Number:
Company NAIC Number:
SECTION E —BUILDING MEASUREMENT INFORMATION (SURVEY NOT REQUIRED)
FOR ZONE AO, ZONE AR/AO, AND ZONE A (WITHOUT BFE)
For Zones AO, AR/AO, and A (without BFE), complete Items E1—E5. For Items El—E4, use natural grade, if available. If the Certificate is
intended to support a Letter of Map Change request, complete Sections A, B, and C. Check the measurement used. In Puerto Rico only,
enter meters.
Building measurements are based on: ❑ Construction Drawings" ❑ Building Under Construction* ❑ Finished Construction
*A new Elevation Certificate will be required when construction of the building is complete.
El. Provide measurements (C.2.a in applicable Building Diagram) for the following and check the appropriate boxes to show whether the
measurement is above or below the natural HAG and the LAG.
a) Top of bottom floor (including
basement,crawlspace, or enclosure) is: El feet ❑ meter ❑ above or ❑ below the HAG.
s
b) Top of bottom floor (including
basement,crawlspace, or enclosure) is: El feet ❑ meter ❑ above or ❑ below the LAG.
s
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 (C2.b in applicable
Building Diagram) of the building is: ❑ feet ❑ meter ❑ above or ❑ below the HAG.
E3. Attached garage (top of slab) is:
E4. Top of platform of machinery and/or equipment
servicing the building is:
❑ feet ❑ meter ❑ above or ❑ below the HAG.
s
❑ feet ❑ meter ❑ above or ❑ below the HAG.
s
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? ❑ Yes ❑ No ❑ Unknown The local official must certify this information in Section G
SECTION F — PROPERTY OWNER (OR OWNER'S AUTHORIZED REPRESENTATIVE) CERTIFICATION
The property owner or owners authorized representative who completes Sections A, B, and E for Zone A (without BFE) or Zone AO must
sign here. The statements in Sections A, B, and E are correct to the best of my knowledge
❑ Check here if attachments and describe in the Comments area.
Property Owner or Owner's Authorized Representative Name:
Address:
City:
Telephone:
Signature:
Comments:
Ext.: Email:
Date:
State: ZIP Code:
FEMA Form FF-206-FY-22-152 (formerly 086-0-33) (8/23) Form Page 4 of 8
Form Instructions ELEVATION CERTIFICATE
IMPORTANT: MUST FOLLOW THE INSTRUCTIONS ON INSTRUCTION PAGES 1-11
Building Street Address (including Apt., Unit, Suite, and/or Bldg. No.) or P.O. Route and Box No.: FOR INSURANCE COMPANY USE
471 Admiral May
Policy Number:
City: Edmonds State: WA ZIP Code: 98020 Company NAIC Number:
SECTION G — COMMUNITY INFORMATION (RECOMMENDED FOR COMMUNITY OFFICIAL COMPLETION)
The local official who is authorized by law or ordinance to administer the community's floodplain management ordinance can complete
Section A, B, C, E, G, or H of this Elevation Certificate. Complete the applicable item(s) and sign below when:
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 state law to certify elevation information. (Indicate the source and date of the
elevation data in the Comments area below.)
G2.a. ❑ A local official completed Section E for a building located in Zone A (without a BFE), Zone AO, or Zone AR/AO, or when item
E5 is completed for a building located in Zone AO.
G2.b. ❑ A local official completed Section H for insurance purposes.
G3. ❑ In H the Comments area of Section G, the local official describes specific corrections to the information in Sections A, B, E and
G4. ❑ The following information (Items G5—G11) is provided for community floodplain management purposes.
G5. Permit Number: G6. Date Permit Issued:
G7. Date Certificate of Compliance/Occupancy Issued:
G8. This permit has been issued for: ❑ New Construction ❑ Substantial Improvement
G9.a. Elevation of as -built lowest floor (including basement) of the
building: ❑ feet ❑ meters Datum:
G9.b. Elevation of bottom of as -built lowest horizontal structural
member: ❑ feet ❑ meters Datum:
G10.a. BFE (or depth in Zone AO) of flooding at the building site: ❑ feet ❑ meters Datum:
_
G10.b. Community's minimum elevation (or depth in Zone
AO)requirement for the lowest floor or lowest horizontal
structural member:
❑ feet ❑meters Datum:
G11. Variance issued?
❑ Yes ❑ No If yes, attach documentation and describe in the Comments area.
The local official who provides information in Section G must sign here. I have completed the information in Section G and certify that it is
correct to the best of my knowledge. If applicable, I have also provided specific corrections in the Comments area of this section.
Local Official's Name:
NFIP Community Name:
Telephone:
Address. -
City:
Ext.: Email:
Title:
State: ZIP Code:
Signature: Date:
Comments (including type of equipment and location, per C2.e; description of any attachments; and corrections to specific information in
Sections A, B, D. E, or H):
FEMA Form FF-206-FY-22-152 (formerly 086-0-33) (8/23) Form Page 5 of 8
Form Instructions IELEVATION CERTIFICATE
IMPORTANT: MUST FOLLOW THE INSTRUCTIONS ON INSTRUCTION PAGES 1-11
Building Street Address (including Apt., Unit, Suite, and/or Bldg. No.) or P.O. Route and Box No.:
FOR INSURANCE COMPANY USE
471 Admiral Way - —
Policy Number:
City: Edmonds State: WA ZIP Code: 98020
Company NAIC Number:
SECTION H — BUILDING'S FIRST FLOOR HEIGHT INFORMATION FOR ALL ZONES
(SURVEY NOT REQUIRED) (FOR INSURANCE PURPOSES ONLY)
The property owner, owner's authorized representative, or local floodplain management official may complete Section H for all flood zones
to determine the building's first floor height for insurance purposes. Sections A, B, and I must also be completed. Enter heights to the
nearest tenth of a foot (nearest tenth of a meter in Puerto Rico). Reference the Foundation Type Diagrams (at the end of Section H
Instructions) and the appropriate Building Diagrams (at the end of Section I Instructions) to complete this section.
H1. Provide the height of the top of the floor (as indicated in Foundation Type Diagrams) above the Lowest Adjacent Grade (LAG):
a) For Building Diagrams 1A, 1B, 3, and 5-8. Top of bottom ❑ feet ❑ meters ❑ above the LAG
floor (include above -grade floors only for buildings with
crawlspaces or enclosure floors)is:
b) For Building Diagrams 2A, 2B, 4, and 6-9. Top of next ❑ feet ❑ meters ❑ above the LAG
higher floor (i.e., the floor above basement, crawlspace, or
enclosure floor) is:
H2. Is all Machinery and Equipment servicing the building (as listed in Item H2 instructions) elevated to or above the floor indicated by the
H2 arrow (shown in the Foundation Type Diagrams at end of Section H instructions) for the appropriate Building Diagram?
❑ Yes ❑ No
- SECTION I - PROPERTY OMER fOR ®WMMS AUTHORIZED REPRESENTATIVE) CER'TWICATIOR
The property owner or owner's authorized representative who completes Sections A, B, and H must sign here. The statements in Sections
A, B, and H are correct to the best of my knowledge. Note: If the local floodplain management official completed Section H, they should
indicate in Item G2.b and sign Section G.
❑ Check here if attachments are provided (including required photos) and describe each attachment in the Comments area.
Property Owner or Owner's Authorized Representative Name:
Address:
City: State: ZIP Code:
Telephone: Ext.: Email:
Signature: Date:
Comments:
FEMA Form FF-206-FY-22-152 (formerly 086-0-33) (8/23) Form Page 6 of 8
Form Instructions ELEVATION CERTIFICATE
IMPORTANT: MUST FOLLOW THE INSTRUCTIONS ON INSTRUCTION PAGES 1-11
BUILDING PHOTOGRAPHS
See Instructions for Item A6.
Building Street Address (including Apt., Unit, Suite, and/or Bldg. No.) or P.O. Route and Box No.: l FOR INSURANCE COMPANY USE
471 Admiral Way
Policy Number:
City: Edmonds State: WA ZIP Code: 98020 Company NAIC Number:
Instructions: Insert below at least two and when possible four photographs showing each side of the building (for example, may only be
able to take front and back pictures of townhouses/rowhouses). Identify all photographs with the date taken and "Front View," 'Rear View,"
"Right Side View," or "Left Side View." Photographs must show the foundation. When flood openings are present, include at least one
close-up photograph of representative flood openings or vents, as indicated in Sections A8 and A9.
i
Photo Two
Photo Two Caption: Rear (southeast) side of building. Date taken 21812024.
Clear Photo Two
FEMA Form FF-206-FY-22-152 (formerly 086-0-33) (8/23) Form Page 7 of 8
Form Instructions ELEVATION CERTIFICATE
L
IMPORTANT: MUST FOLLOW THE INSTRUCTIONS ON INSTRUCTION PAGES 1-11
BUILDING PHOTOGRAPHS
Continuation Page
FOR INSURANCE COMPANY USE
471 Admiral Way
Edmonds WA 98020
Insert the third and fourth photographs below. Identify all photographs with the date taken and "Front View," "Rear View," 'Right Side
View," or "Left Side View." When flood openings are present, include at least one close-up photograph of representative flood openings or
vents, as indicated in Sections A8 and A9.
Left (northeast) side of building. Date taken 21812024.
Clear Photo Three J
FEMA Form FF-206-FY-22-152 (formerly 086-0-33) (8/23) Form Page 8 of 8
......... A-L
go I HOMM
ME I IM.431
A - Bottom of HVAC equipment, Elevation = 14.02' NAVD 1988
B - Top of slab, Elevation = 13.68' NAVD 1988