Flood Control - Elevation Certificate - 789 W Water Vista Drive - Mace River Ranch Sub No 06 - 9/19/2019U.S. DEPARTMENT OF HOMELAND SECURITY 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:
Gardner Mace Ranch LC
Company NAIC Number:
A2. Building Street Address (including Apt., Unit, Suite, and/or Bldg. No.) or P.O. Route and
Box No.
789 W. Water Vista Drive
City State ZIP Code
Eagle Idaho 83616
A3. Property Description (Lot and Block Numbers, Tax Parcel Number, Legal Description, etc.)
Lot 7 Block 5, Mace River Ranch Subdivision No.6 / Assessor's Parcel No. R5421250120
A4. Building Use (e.g., Residential, Non -Residential, Addition, Accessory, etc.) Residential
A5. Latitude/Longitude: Lat. 43°41'09.8" N Long. 116'21'50.0"W 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.
A7. Building Diagram Number 2A
A8. For a building with a crawlspace or enclosure(s):
a) Square footage of crawlspace or enclosure(s) 2835.00 sq ft
b) Number of permanent flood openings in the crawlspace or enclosure(s) within 1.0 foot above adjacent grade 13
c) Total net area of flood openings in A8.b 1248.00 sq in
d) Engineered flood openings? ❑ Yes ❑x No
A9. For a building with an attached garage:
a) Square footage of attached garage 1436.00 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 0.00 sq in
d) Engineered flood openings? ❑ Yes x❑ No
SECTION B - FLOOD INSURANCE RATE MAP (FIRM) INFORMATION
B1. NFIP Community Name & Community Number B2. County Name B3. State
City of Eagle 160003 ( Ada County Idaho
B4. Map/Panel B5. Suffix B6. FIRM Index B7. FIRM Panel B8. Flood B9. Base Flood Elevation(s)
Number Date Effective/ Zone(s) (Zone AO, use Base Flood Depth)
Revised Date
16001C 0161 H j 02-19-2003 04-28-2009 AE 2549.8
FIRM I(�IC olw Ff
B10. Indicate the source of the Base Flood Elevation (BFE) data or base flood depth entered in Item 69: �Np 1100003
❑ FIS Profile ❑ FIRM ❑ Community Determined Z Other/Source: 1. om f< 0$-.10- 528 P '' ^--� `"•'"'/
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
OMB No. 1660-0008
ELEVATION CERTIFICATE 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. I Policy Number:
789 W. Water Vista Drive 1
City State ZIP Code Illi Company NAIC Number
Eagle Idaho 83616
SECTION C — BUILDING ELEVATION INFORMATION (SURVEY REQUIRED)
C1. Building elevations are based on: ❑ Construction Drawings" ❑ Building Under Construction' ❑x 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/AO.
Complete Items C2.a—h below according to the building diagram specified in Item A7. In Puerto Rico only, enter meters.
Benchmark Utilized: IDTD PID AJ3346 Vertical Datum: NAVD 1988
Indicate elevation datum used for the elevations in items a) through h) below.
❑ NGVD 1929 ❑x NAVD 1988 ❑ Other/Source:
Datum used for building elevations must be the same as that used for the BFE.
FEMA Form 086-0-33 (7/15) Replaces all previous editions Form Page 2 of 6
Check the measurement used.
a) Top of bottom floor (including basement, crawlspace, or enclosure floor)
2551.8 ❑x feet ❑ meters
b) Top of the next higher floor
2555.3x❑ feet ❑ meters
c) Bottom of the lowest horizontal structural member (V Zones only)
N/A ❑ feet ❑ meters
d) Attached garage (top of slab)
2554.4 ❑x feet ❑ meters
e) Lowest elevation of machinery or equipment servicing the building
2552.5 ❑x feet ❑ meters
(Descnbe: type of equipment and location in Comments)
f) Lowest adjacent (finished) grade next to building (LAG)
2554.6 ❑x feet ❑ meters
g) Highest adjacent (finished) grade next to building (HAG)
_ 2554.8 ❑x feet ❑ meters
h) Lowest adjacent grade at lowest elevation of deck or stairs, including
structural support
2554.3 ❑x feet ❑ meters
SECTION D — SURVEYOR, ENGINEER, OR ARCHITECT CERTIFICATION
This certification is to be signed anti sealed by a land surveyor. tangineer, or architect authorized by law to certify elevation information.
t certify that the ;nformation on this Celliticate reprr;sents my gest efforts to +nterpret the data available. 1 understand that any false
statement may be puni.si'table by fine or impritionmerlt trader 18 U.S. Corte. Section) 1001.
Were latitude and longitude in Section A provided by a licensed land surveyor?x❑
Yes ❑ No ❑ Check here if attachments.
Certifier's Name License Number
1
Robert L. Kazarinoff 16642
Title
Professional Land Surveyor
`rG9
Company Name
J -U -B Engineers, Inc.
O
_
Address
250 S. Beechwood Drive., Suite 201
City tate
OF 10%� Q�
ZIP Code �. KAI
Boise Idaho
83709 I y 011111
Signature Date
Telephone Ext.
09A9-2019
(208) 376-7330 1050
Copy all pages of this Elevation Certiflc nd all at ments for (1) community official, (2) insurance agent/company, and (3) building owner
Comments (including type of equip ent d lac- n, per C2(e), if appiicabie)
C2(e) = Ducts.
C2(h) = Patio.
FEMA Form 086-0-33 (7/15) Replaces all previous editions Form Page 2 of 6
BUILDING PHOTOGRAPHS OMB No. 1660-0008
ELEVATION CERTIFICATE See Instructions for Item A6. 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:
789 W. Water Vista Drive
City State ZIP Code Company NAIC Number
Eagle Idaho 83616
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.
r�
Photo One
Photo One Caption Front View 09/19/2019
9
Photo Two Caption Rear View 09/19/2019
FEMA Form 086-0-33 (7/15) Replaces all previous editions
Clear Photo One
Clear Photo Two
Form Page 5 of 6
BUILDING PHOTOGRAPHS OMB No. 1660-0008
ELEVATION CERTIFICATE Continuation Page Expiration Date: November 30, 2011
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:
789 W. Water Vista Drive
City State ZIP Code Company NAIC Number
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 Three
Photo Three Caption Riqht Side View 09/19/2019
Photo Four
Photo Four Caption Left Rear View 09/19/2019
•
Clear Photo Three I
Clear Photo Four
FEMA Form 086-0-33 (7/15) Replaces all previous editions. Form Page 6 of 6