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Flood Control - Elevation Certificate - 1675 E Riverside Dr - Deuce Sub - 3/23/2018
U.S. DEPARTMENT OF HOMELAND SECURITY 1730? L� OMB No 1660-0008 Federal Emergency Management Agency Expiration Date: November 30, 2018 National Flood Insurance Program ELEVATION CERTIFICATE Important: Follow the instructions on pages 1-9. Copy all pages of this Elevation Certificate and all attachments for (1) community official, (2) insurance agent/company, and (3) building owner SECTION A — PROPERTY INFORMATION FOR INSURANCE COMPANY USE Al. Building Owner's Name Policy Number: TPC EAST END HOLDINGS A2. Building Street Address (including Apt., Unit, Suite, and/or Bldg. No.) or P.O. Route and Box No. Company NAIC Number: 1675 E. Riverside Drive City State ZIP Code Eagle Idaho 83616 A3: Property Description (Lot and Block Numbers, Tax Parcel Number, Legal Description, etc.) Lot 2, Block 1, Deuce Subdivision, Parcel #R1816120020 A4. Building Use (e.g., Residential, Non -Residential, Addition, Accessory, etc.) Non -Residential A5. Latitude/Longitude: Lat. 43°41'08.78" Long. 116°20'01.64" Horizontal Datum: [ ] NAD 1927 [x] NAD 1983 A6. Attach at least 2 photographs of the building if the Certificate is being used to obtain flood insurance. AT Building Diagram Number 1 B A8. For a building with a crawlspace or enclosure(s): a) Square footage of crawlspace or enclosure(s) 0 sq ft b) Number of permanent flood openings in the crawlspace or enclosure(s) within 1.0 foot above adjacent grade 0 c) Total net area of flood openings in A8.b 0 sq in d) Engineered flood openings? ❑ Yes Z No A9. For a building with an attached garage. a) Square footage of attached garage 0 sq ft b) Number of permanent flood openings in the attached garage within 1 0 foot above adjacent grade 0 c) Total net area of flood openings in A9 b 0 sq in d) Engineered flood openings? [ ] Yes [] No SECTION B — FLOOD INSURANCE RATE MAP (FIRM) INFORMATION B1. NFIP Community Name & Community Number 82. County Name B3. State City of Eagle 160003 Ada Idaho B4. Map/Panel B5. Suffix B6. FIRM Index B7. FIRM Panel B8. Flood Zone(s) I B9. Base Flood Elevation(s) Number Date Effective/ I (Zone AO, use Base Revised Date Flood Depth) 16001CO162 H 02/19/2003 01/16/2018 AE 2570.8 B10. Indicate the source of the Base Flood Elevation (BFE) data or base flood depth entered in Item 139: ❑x FIS Profile ❑ FIRM [ ] Community Determined _ ] Other/Source: B11. Indicate elevation datum used for BFE in Item 69: �] NGVD 1929 [x] NAVD 1988 ❑ Other/Source B12. Is the building located in a Coastal Barrier Resources System (CBRS) area or Otherwise Protected Area (OPA)? [_] Yes ❑x No Designation Date: ❑ CBRS [] OPA FEMA Form 086-0-33 (7/15) Replaces all previous editions. Form Page 1 of 6 ELEVATION CERTIFICATE OMB No. 1660-0008 Expiration Date: November 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 Policy Number: 1675 E. Riverside Drive City State ZIP Code Company NAIC Number Eagle Idaho 83616 SECTION C - BUILDING ELEVATION INFORMATION (SURVEY REQUIRED) C1, Building elevations are based on: ❑ Construction Drawings* ❑ Building Under Construction* Q 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, V1 -V30, V (with BFE), AR, AR/A, AR/AE, AR/A1-A30, AR/AH, AR/A0- Complete Items C2.a-h below according to the building diagram specified in Item A7. In Puerto Rico only, enter meters. Benchmark Utilized: C438 PID AE6306 Vertical Datum: NAVD88 ELEV 2610.27 Indicate elevation datum used for the elevations in items a) through h) below. ❑ NGVD 1929 [x-1 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) 2573 13 0 feet ❑ meters b) Top of the next higher floor 2587 13 X feet ❑ meters c) Bottom of the lowest horizontal structural member (V Zones only) N/A Q feet ❑ meters d) Attached garage (top of slab) NSA. ❑x feet ❑ meters e) Lowest elevation of machinery or equipment servicing the building NSA. x❑ feet N meters (Describe type of equipment and location in Comments) f) Lowest adjacent (finished) grade next to building (LAG) 2572 2 ❑x feet N meters g) Highest adjacent (finished) grade next to building (HAG) 2572 6 ❑x feet ❑ meters h) Lowest adjacent grade at lowest elevation of deck or stairs, including NSA Nx feet N 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. 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? 9 Yes ❑ No ❑ Check here if attachments Certifier's Name License Number JEFF BEAGLEY 11574 Title PROFESSIONAL LAND SURVEYOR Company Name SAWTOOTH LAND SURVEYING, LLC d• I Address 2030 S. WASHINGTON AVE. of,Of� BEA©�' City State ZIP Code EMMETT Idaho 83617 Signa Date Telephone u// 03/22/2018 (208) 398-8104 Copy all a of this Elevati Certi tate and all attachments for (1) community official, (2) insurance agent/company, and (3) building owner. Comments (including type of equ' ment and location, per C2(e), if applicable) FEMA Form 086-0-33 (7/15) Replaces all previous editions. Form Page 2 of 6 ELEVATION CERTIFICATE OMB No. 1660-0008 Expiration Date: November 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. Policy Number: 1675 E. Riverside Drive City State ZIP Code Company NAIC Number Eagle Idaho 83616 SECTION E — BUILDING ELEVATION INFORMATION (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, or enclosure) is ❑ feet ❑ meters ❑ above or ❑ below the HAG b) Top of bottom floor (including basement, crawlspace,. or enclosure) is ❑ feet ❑ meters ❑ above or ❑ below the LAG 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 (elevation C2.b in the diagrams) of the building is ❑ feet ❑ meters ❑ above or ❑ below the HAG E3. Attached garage (top of slab) is ❑ feet ❑ meters ❑ above or ❑ below the HAG. E4. Top of platform of machinery and/or equipment servicing the building is ❑ feet ❑ meters ❑ 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? ❑ Yes ❑ No ❑ 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 community -issued 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 Owner's 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. Form Page 3 of 6 ELEVATION CERTIFICATE OMB No. 1660-0008 Expiration Date. November 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. Policy Number: 1675 E. Riverside Drive City State ZIP Code Company NAIC Number Eagle Idaho 83616 SECTION G — COMMUNITY INFORMATION (OPTIONAL)—' The local official who is authorized by law or ordinance to administer the community's floodplain management ordinance can complete Sections A, B. C (or E), and G of this Elevation Certificate. Complete the applicable item(s) and sign below. Check the measurement used in Items G8—G10. In Puerto Rico only, enter meters. 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 law to certify elevation information. (Indicate the source and date of the elevation data in the Comments area below.) G2 n A community official completed Section E for a building located in Zone A (without a FEMA -issued or community -issued BFE) or Zone AO G3. ❑ The following information (Items G4—G10) is provided for community floodplain management purposes. V4. f ermli NumDer G5. Date Permit Issued G6. Date Certificate of Compliance/Occupancy Issued G7. This permit has been issued for: [J New Construction F1 Substantial Improvement G8. Elevation of as -built lowest floor (including basement) of the building: ❑ feet ❑ meters Datum G9. BFE or (in Zone AO) depth of flooding at the building site G10. Community's design flood elevation: Local Official's Name Community Name Signature Title Telephone Date Comments (including type of equipment and location, per C2(e), if applicable) FEMA Form 086-0-33 (7/15) Replaces all previous editions. ❑ feet ❑ meters Datum [ I feet ❑ meters Datum [] Check here if attachments. Form Page 4 of 6 BUILDING PHOTOGRAPHS ELEVATION CERTIFICATE See Instructions for Item A6. IMPORTANT: In these spaces, copy the corresponding information from Section A. Building Street Address (including Apt., Unit, Suite, and/or Bldg. No.) or P.O. Route and Box No 1675 E. Riverside Drive City State ZIP Code Eagle Idaho 83616 OMB No. 1660-0008 Expiration Date: November 30, 2018 FOR INSURANCE COMPANY USE Policy Number: Company NAIC Number If using the Elevation Certificate to obtain NFIP flood insurance, affix at least 2 building photographs below according to the instructions for Item A6. Identify all photographs with date taken; "Front View" and 'Rear View"; and, if required, "Right Side View" and "Left Side View." When applicable, photographs must show the foundation with representative examples of the flood openings or vents, as indicated in Section A8. If submitting more photographs than will fit on this page, use the Continuation Page. Photo One Photo One Caption Front View Photo Two Caption Left Side View FEMA Form 086-0-33 (7/15) Photo Two Replaces all previous editions. Form Page 5 of 6 BUILDING PHOTOGRAPHS OMB No. 1660-0008 ELEVATION CERTIFICATE Continuation Page Expiration Date: November 30 901A 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 Policy Number: 1675 E. Riverside Drive Company NAIC Number T City State ZIP Code Eagle Idaho 83616 If submitting more photographs than will fit on the preceding page, affix the additional photographs below. Identify all photographs with: date taken; "Front View" and "Rear View'; and, if required, "Right Side View' and "Left Side View." When applicable, photographs must show the foundation with representative examples of the flood openings or vents, as indicated in Section A8. Photo One Photo One Caption Rear View 1 y .N4 N-.` �w Photo Two Photo Two Caption Right Side View FEMA Form 086-0-33 (7/15) Replaces all pre✓ous edit ons Form Page 6 of 6