Flood Control - Elevation Certificate - 439 E Shore Drive - Mixed Use Sub No 04 - 8/6/2003
IA TlONAL FLOOD INSUHANl;l: t'HUUHAM
V .ert,c;~
- .
ELEVATION CERTIFICATE
Important Read the Instructions on pages 1 . 7.
SECTION A. PROPERTY OWNER INFORMATION
BUlwu'lG O'v'VNER'S NAME
Riverside Office Grou ,LLC
BUILDING STREET ADDRESS (Including Apt, Unit, Suite, ardIor Bldg. No.) OR P.O. ROUTE AND BOX NO.
439 E. Shore Drive
CITY STATE
Eagle 10
PROPERlY DESCRIPTION (Lot and Block NlrnOOls, Tax Parcel Nlrnber, Legal Desaiption, etc.)
Lot 15, Block 4, Mixed Use Subdivision NO.4 - Records of Ada Comly, Idaho
BUILDING USE (e.g., Residential, Non-residential, Addition,~, etc. Use a Commeots area, if necessary.)
Olfice
LATlTUDE/LONGITUDE (OPTIONAL)
( #HI" - ##' - II.I#" or ##.####Ij
I Expires July 31,2002
<:
Fa' m.ance Corrpany Use:
Policy Nlrnber
Company NAJC Nlrnber
ZIP CODE
83616
HORIZONTAL DATUM:
o NAD 1927 0 NAD 1983
SOURCE: 0 GPS (Type):_
o USGS Quad Map
o Other. _
SECTION B - FLOOD INSURANCE RATE MAP (ARM) INFORMATION
I B1. NAP~ITY NM1E & COMMJNIlY ~ER I 82. CCl'vMY NAME
cay ci Eagle - 100Xl3 hla Cou1ty
I ::ATE
84. MAP AND PANa 85. SUFFIX B7. FIRM PNR 89. BASE FlOOD ELEVATION(S)
NUtv'BER 86. FlAM N>EX DATE EFFECTlVCR:VISE DATE 88. flOOD ZONE(S) (Zone KJ, use depth ci bxfl1Q)
154 H 2.19-2003 2-19-2003 AE 2562.6
810.lndcate the source of the Base Flood Elevation (BFE) data or base flood depth entered in 89.
o FIS Profile ~ RRM 0 CommJrlty Detennined 0 Other (Describe):_
811.lncicate the elevation datum used for the BFE il B9: 0 NGVO 1929 ~ NAVD 1988 0 Other (Describe):_
812.15 the bUldng locaIed in a Coastal BanierResourtes System (CBRS) areaorOthelWise Proteded Iwa (OPAl? 0 Yes ~ No Designation Date_
SECTION C. BUILDING ElEVATION INFORMATION (SURVEY REQUIRED)
C1. Buldng elevations are based on: 0 Cons!ndion DraYMgs* 0 BUldng lh1der Construction* [gI Rnished Constn.dion
* A new Bevalion Certificate will be reqlired when construction eX the bUldng is ~te.
C2. Buildng Diagram Number 1 (Select the buildng dagram most sinilarto the buldng forvtlich!his certificate is being completed - see pages 6 and 7. If no diagram
accurately represents the buiking, provide a sketch or photograph.)
C3. Bevations-Zones A1-A30, AE, AH, A (with BFE), VE, V1-V~, V (with BFE), AR, p.p.jA, p.p.jAE, p.p.jA1-f>:lJJ, p.p.jAH, p.p.jAO
Complete Items C3.-a-i below accordng to the bulldng aagram specified in ~em C2. Stale the datum used. If the datum is afferent from the datum used for the BFE in
Section 8, convert the datum to that used for the BFE. Show field measurements and datum conversion calculation. Use the space provided or the Comments area of
Section 0 or Section G, as appropriate, to docunent the datum conversion.
Datum ConversiorVComments
EIevalion reference marl< used _Does the elevation reference marl< used appear on the FIRM? 0 Yes 0 No
o a) Top of bottom floor (ncllrlng ~ or enclosure) IIt.(m)
o b)Topofnexlhgherfloor _It.(m)
o c) Bottom ci lowest horizontal structural member ry zooes only) . It.(m)
o d) AItached garage ~op of slab) : It.(m)
o e) Lowest elevation ci machinery and'or eqlipmenl : 1.
servicing the buildng (Describe il a Cormlerts area) lal}-_It.(m)
o Q Lowest aqacent (firished) grade (lAG) 2562 . 00 It.(m)
o g) lighest aq~ri (finished) grade (HAG) -F 86 It.(m)
o h) No. eX pemmet1 openings (lIood verIs) v.flhil1 It. 8bGYe aqacent grade _
o i) Total area eX aI pemmet1 operirgs (Ilood vens) il C3.h ~f!4 in (f!4 an)
SECTlON D. SURVEYOR, ENGINEER, OR ARCHITECT CERTlACATlON
This certification is to be signed and sealed by a land surveyor, engineer, or architect authorized by law to certify elevation infonnation.
I certify that the infonnation in S ns B. and C on this certifICate represents my best efforts to interpret the data available.
I undelStand that an false state e (tne or j 'sonment under 18 U.S. Code, Section 1001.
CERTIFIER'S NAME lICENSE NUMBER
David H. Roylance, P.E., PLS. 3624
llTl.E ~ANY NAME
Professional Land Surveyor _ . .c Rl7,mce & Associates PA
ADDRESS mY
391 W. State, &ite E 8qe
SIGNATURE DATE-
R- G:. -03
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STATE
10
TREPHONE
(208) 939-2824
ZIP OODE
83616
FEMA Form 81-31, JUL 00
SEE REVERSE SIDE FOR CONTINUATION
REPLACES ALL PREVIOUS EDITIONS
"
. 'IMPORT ANT: In these spaces, copy the cr 'Oding informatiOn from ~tion A. /-Or nsuanre lXlfT1laI1Y W!:
BUlDING STREET .ADDRESS (1rWf11Q Apt., UnI, SlE,,,,..,,,, ~ No.) OR P.O. ROUTE AND BOX NO. Poi:y NIJrber
439 E. Shore Drive
arv STATE ZIP CODE Conl>anY NAIC NlHber
Eagkl D 8$16
SECTION D - SURVEYOR, ENGINEER, OR ARCHITECT CERTlACA lION (CONTINUED)
_.~.
Cq1f both sides of this Bevation Certificate for (1) COI'I"fluity official, (2) insurance agent/company, and (3) buldng owner.
COMMENTS
o Check here n attachments
SECTION E - BUILDING ELEVATION INFORMATION (SURVEY NOT REQUIRED) FOR ZONE AO ANO ZONE A (WITHOUT BFE)
For Zone NJ and Zone A (without BFE), COIJlllete kerns E1 through E4. K the Elevation Certificale is inlerded lor use as supporting ilfonnation for a LaMA or LOMR-F,
Section C must be completed.
E1. Buildng ~ram Number _(Select the buting dagram most silTlllar to the buldng for vtlich this certificale is being completed - see pages 6 and 7. H no dagram accurately
represents the bUldng, provide a sketch or pholograph.)
E2. The top ci the bottom Door ~ncIucing basemert or enclosure) of the bliIdng is _ ft.(m) _h(ern) 0 above or 0 below (check one) the hig1est aqacent glade. (Use
natural grade, if available).
E3. For Buldng Diagrams 6-8 with ~ngs (see page 7), the next tlgher floor or elevated floor (elevation b) of the building is _ ft.(m) _in.(ern) above the Ilghesl aqacem
grade. Complete ~ems C3.h and C3j on 1m ci loon
E4. For Zone NJ only: If no flood depth runber is available, is the top ci the bottom floor elevated in ~ with the COITlIl1UI"itys fIooq:Jlan management ordnance?
o Yes 0 No 0 lklknown. The local cificiaI must ceI1ify tlls inlonnation in Section G.
SECTION F. PROPERTY OWNER (OR OWNER'S REPRESENTATIVE) CERTlACATlON
The property owner or owner's authorized representative Y<t1o completes Sections A, B, C (kerns C3.h and C3.i only), and E for Zone A (v.;!hoU a FEMA-issued or community-
issued BFE) or Zone NJ must sign here. The sIalements in Sections A, 8, C, and E are correct to the best of my knowledge.
PROPERlY OWNER'S OR OWNER'S AunmlZED REPRESENTATIVE'S NAME
Jason Densmer, P.E
ADDRESS
391 W. State, Suite E
~~D~~
COM ME
CITY
Eagle
DATE
OO.{l6-()3
STATE
10
TELEPHONE
(208) 939-2824
ZIP CODE
83616
o Check here n attachments
SECTION G - COMMUNITY INFORMATION (OPTIONAL)
The local official who is authorized I7f law or ocdnance k> lrlrOsler the CXllTV1'ltrity's lIooqWl ~ ocdnance can complete Sections A, 8, C (or E), and G ci tlls Elevation
Certificate. CorrlJIete the ~ ilem(s) and sign below.
G1. 0 The infonnation il Section C was taken from ctherdoo.mentation thai has been signed and embossed by a licensed surveyor, engneer, or arcIltect Y<t1o is authorized by
stale or local law to certify elevation infonnalion. (Indcate the source and date 01 the elevation data in the Corrrnents area below.)
G2. 0 A COlTVTlUI'ity official completed Section E lor a bUldng located in Zone A (wittKlut a FEMA-issued or COl11Il1lrity-issued BFE) or Zone NJ.
G3. 0 The lofk7Mng nformation (kerns G4-(9) is provided for COlTlIOOni1y ~n management purposes.
I G4.PERMITNUtvI3ER I GS. DATE PERMIT ISSUED 100. DATE CERTlFJCATEOF OOMPI.JMICE.()OPANCYISSUED
G7. This pemit has been issued for. 0 New 0lnsInx:ti0n 0 SubstanIial mprovernert
Ga. Elevation of as-bliIt lowest Door (1ncIuci1g basement) 01 the bUldng is:
00. BFE or ~n Zone NJ) depth 01 ftoodng at the blildng site is:
LOCAl.. OFFICIAL'S NAME
_._ft.(m)
_._ft.(m)
Datum:
Datum:
TTTLE
COMMUNIlY NAME
SIGNATURE
COMMENTS
TELEPHONE
DATE
o Check here n attachments
FEMA Form 81-31, JUL 00
REPLACES ALL PREVIOUS EDITIONS