The URL can be used to link to this page

Home My WebLink AboutBuilding Miscellaneous 2013-6-24 Flom: 06/24/2013 08:59 #254 P.001 /005 • • .. .• .. • • .• •.• •. . • • • • • • • • • •• FAX. TRANSMISSION cecinax INC. • PROFESSIONAL ENf3IN€ERS : LAND SURVEYO%4S••- :.. DOWCDIJIG RESIGNERS • 806 N.NINTH STREET COTTAGE GROVE.OR 97424 PHONE(541)942-0126 FAX(541)942-7935 EMAIL:genmax@attglobal.net To: Jay D. & Shirley A. Shaver Date: 06/24/13 Fax #: 541-741-0522 Pages: 5 • From: Justin Demeter Subject: Elevation Certificate COMMENTS: 7 Dear Mr. Shaver: 37/ - 5ffi w � � ' 40LQ This fax is intended to provide you with a copy of the Elevation Certificate for your property located at 38 Kremont Avenue, Springfield, OR 97477. If you have any questions or concerns please feel free to contact us at your convenience. Thank you for your time. • Yours truly, Geomax, Inc Justin Demeter Survey Technician • • From: 06/24/2013 09:00 #254 P,004/005 f . .. .. .. . . •• Building Qhotographp ... See Igstrrjcstions for:tegn i46. ••• • • • •• • For Insurance Company Use: • • • • Building Street Address(including Apt.,Unit,Suite,and/or Bldg,•No.)o&P.O.Rbute'aiid Bok No. Policy Number 38 KREMONT AVENUE City SPRINGFIELD State OR ZIP Code 97477 •'. •' .� . • •Company NAlC Number • • • • • • • • .. .. ... •. If using the Elevation Certificate to obtain NAP flood insurance, affix at least two 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." If submitting more photographs than will fit on this page, use the Continuation Page, following. ty t St NCf 1 r �„ k y1 f'(1y` F t 5 t Ora-� s} 1 s i\`"rir r - � • ,L:i s . ! 1:.,. -r=a ,� 3_ � . A _ 4 _ ffi" YL 1 ' x \ l a� y °r 'a S�3 '� @x L ♦ e tr,. 1„ r \ > ya 4 1 :r i -i . \ f..*. r \ \ 1.. \ j,h,.1 ` r.14`� .! i - ; . -' s t VIEW FROM NORTH From: 06/24/2013 09:03 #254 P.005/005 Building PFiotO raphM' Continuation Page ••• • • •: ••� For Insurance Company Use: •Building Street Address(including Apt.,Unit,Suite,and/9t81dr pto.)orP.Ct Route and BdkNo. Policy Number 38 KREMONT AVENUE City SPRINGFIELD State OR ZIP Code 97477 Company NAIC Number • • •• •• •• • • • If submitting more photographs than will fit on the pre�edin9 pagetieaff*ix 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." • • Lri - 9 P - : ci Rs 1 as._a " VIEW FROM NORTHWEST From: 06/24/2013 08:59 #254 P.003/005 • .. •. .• • • .. IMPORTANT: In these spaces,copy the corresponding tJomia`dori/roni Sec$en A. % : _ Building Street Address(Including Apt.,Unit,Suite,and/or Bldg.No.)or P.O.Route and Box No. 38 KREMONT AVENUE City SPRINGFIELDState OR ZIP Code 97477 •. • • • ••• • • • • •• • • •• • • '• • • SECTION D-SURVEYOR,ENGINEER,OR ARCHITECT tal'FtCATIOTI(CdATINUAD) • Copy both sides of this Elevation Certificate for(1)community official,(2)insurance agent/company,and(3)building owner. Comments HORIZONTAL LOCATION WAS DERIVED BY USING GOGGLE MAPS.BASE FLOOD gLEVATION FOR THIS STRUCTURE WAS DETERMINED USING THE NEWLY PROVIDED FIS PROFILES PER 1.d10RbETERM111ATION ENT(FEMA CASE#08-100649P).NO MACHINERY WAS LOCATED ON THE OUTSIDE OF THE STRUCTURE,TFFREFORPT,Hg kiovvrit ELEVATION OF ANY MACHINERY SERVICING THE STRUCTURE AT THE TIME OF THIS CERTIFICATE WOULD MATOH SHE FINISHED FLOOR ELEVATION(452.2'). • ••• • • • • Signe�ie Date G 13 0 Check here it attachments 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. El. 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,crawlspaca,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 B and/or 9(see pages 8-9 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 floodplaln 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 BEE) or Zone AO must sign here. The statements In Sections A,B,and E are correct to the best of my knowledge. Property Owner's or Owner's Authorized Representative's Name Address City State ZIP Code Signature Date Telephone Comments ❑Check here if attachments 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 and G9. 01.❑ 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.❑ 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-G9)Is provided for community floodplain management purposes. G4.Permit Number 05. Date Permit Issued 06. Date Certificate Of Compliance/Occupancy Issued G7. This permit has been Issued for. ❑New Construction ❑Substantial Improvement 08. Elevation of as-built lowest floor(Including basement)of the building: ._ ❑feet ❑meters(PR)Datum G9. BFE or(In Zone AO)depth of flooding at the building site: __ ❑feet ❑meters(PR)Datum 010.Community's design flood elevation - •_ ❑feet ❑meters(PR)Datum Local Official's Name Title Community Name Telephone Signature Date Comments ❑Check here if attachments FEMA Form 81-31, Mar 09 Replaces all previous editions From: 06/24/2013 08:59 #254 P.002/005 • • •• .v• •• • • w• ••• • • • • • • • • • •• U.S.DEPARTMENT OF HOMELAND SECURITY ELEV411QN YEir;rIYAi OMB No. 1660-0008 Federal Emergency Management Agency Expires March 31,2012 National Flood Insurance Program Important: Read the instructions on pages 1-9. SECTION A•- •ROP T INFORMA • . Al. Building Owners Name SHAVER,JAY D&SHIRLEY A •:• 1: : •• ••: • • • • • •• A2. Building Street Address(including Apt.,Unit,Suite,and/or Bldg.No.)or P.O.Route and Box No. 38 KREMONT AVENUE . .. .._. City SPRINGFIELD State OR ZIP Code 97477 • • • • • • • • • • • • • • • • • A3. Property Description(Lot and Block Numbers,Tax Parcel Numbe(Lego Descrlpuort 45 ,', , LOT 2,BLOCK 6,THIRD ADDITION TO FILBERT GROVE,BOOK 54,FAGS 69,LANE•COUNTY DEEDS&RECORDS -A4. Building Use(e.g.,Residential,Non-Residential,Addition.Accessory,etc.)RESIDENTIAL A5. Latitude/Longitude:Lat.N44.027447 Long.W123.023937 Horizontal Datum: ❑ NAD 1927 ® 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 ¢ 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) 1430 sq ft a) Square footage of attached garage sq ft b) No.of permanent flood openings in the crawlspace or b) No.of permanent flood openings in the attached garage enclosure(s)within 1.0 foot above adjacent grade 14 within 1.0 foot above adjacent grade , c) Total net area of flood openings in A8.b 2493 sq in c) Total net area of flood openings In A9.b _ sq in d) Engineered flood openings? ❑ Yes 0 No d) Engineered flood openings? ❑ Yes ❑ No SECTION B-FLOOD INSURANCE RATE MAP(FIRM)INFORMATION B1.NFIP Community Name&Community Number B2.County Name l B3.State r LANE COUNTY,UNINCORPERATED AREA 415591 LANE OREGON B4.Map/Panel Number B5.Suffix 86.FIRM Index 87.FIRM Panel B8.Flood B9.Base Flood Elevation(s)(Zone 41039C1144 F Date Effective/Revised Date Zone(s) AO,use base flood depth) • 6/2/99 6/2/99 AE 450.6 810. Indicate the source of the Base Flood Elevation(BFE)data or base flood depth entered in Item B9. 0 FIS Profile ❑ FIRM ❑ Community Determined 0 Other(Describe)SEE NOTES B11. Indicate elevation datum used for BFE in Item 69: 0 NGVD 1929 ❑ NAVD 1988 ❑ Other(Describe) B12. Is the building located in a Coastal Barrier Resources System(CBRS)area or Otherwise Protected Area(OPA)? ❑ Yes 0 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,V1-V30,V(with BFE),AR,ARIA,AR/AE.AR/A1-A30,ARAM,AR/AO. Complete Items C2.a-h below according to the building diagram specified In Item A7. Use the same datum as the BFE. Benchmark Utilized LCCM 1233 Vertical Datum NGVD29 Conversion/Comments Check the measurement used. a) Top of bottom floor(including basement,crawlspace,or enclosure floor) 448.7 0 feet ❑meters(Puerto Rico only) b) Top of the next higher floor 452.2 ®feet ❑meters(Puerto Rico only) c) Bottom of the lowest horizontal structural member(V Zones only) _ ❑feet ❑meters(Puerto Rico only) d) Attached garage(top of slab) _ ❑feet ❑meters(Puerto Rico only) e) Lowest elevation of machinery or equipment servicing the building ❑feet ❑meters(Puerto Rico only) (Describe type of equipment and location In Comments) f) Lowest adjacent(finished)grade next to building(LAG) 446.0 0 feet ❑meters(Puerto Rico only) g) Highest adjacent(finished)grade next to building(HAG) •? 0 feet ❑meters(Puerto Rico only) h) Lowest adjacent grade at lowest elevation of deck or stairs,Including 446.0 ®feet ❑meters(Puerto Rico only) 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./ EO PROF understand that any false statement may be punishable by fine or imprisonment under 18 U.S.Code,Section 1001.0 137" 0INE Check here H comments are provided on back of form. Were latitude and longitude in Section A provided by a CAS gN 0• licensed land surveyor? ® Yes ❑ No ' i•-' - �- Certifiers Name RONALD D.RICE,PE,PLS License Number 19403PE . . !I•Y"rim :•ice Title SENIOR PRINCIPAL Company Name GEOMAX,INC . 1 �^ ■ (i3 Address 806 NORTH NINT TREET City COTTAGE GROVE Stale OR ZIP Code 97424 111111111H SignaThre Date G-2 Telephone (541)942-0126 �•_ rJ I 4 13 ¢ FEMA Form 81-31,Mar 09 See reverse side for continuation. "Rep aces all p1Li0 s editions