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Home My WebLink AboutPermit Correspondence 1998-9-17 J~' . ~ . ~~$~ to"~ Branch Engineering \. Project Number 310 Fifth Street Springfield, Oregon 97477 98-279 Phone (54l) 746-0637 FAX (541) 746-0389 LETTER OF TRANSMITTAL TO: Mr. Mel Oberst CITY OF SPRINGFIELD 225 Fifth Street Eugene, OR 97477 DATE: FROM: September l7, 1998 Rex A. Betz, PLS/CWRE RE: ELE'V" .P..'T'IC>N' CER'T'IFIC.P..'T'E 1'997 INL.A.ND W.A. Y, SPRINGFIELD for Hardacker & O'Leary Development, Inc. Dear Mel: Attached herewith is a copy of the Elevation Certificate as prepared for the subject site. Please call if you have any question. SIGNED: ~~ ~ cc: Mr. Ralph Hardacker HARDACKER & O'LEARY DEVELOPMENT, INC. P.O. BOX 686 CRESWELL, OR 97426 "/" \. S~p~ "1~~~qB-~lq4t. ELEVATION CERTiFICATE FEDERAL EMERGENCY MANAGEMENT AGENCY NATIONAL FLOOD INSURANCE PROGRAM ATTENTION: Use of this certificate does not provide a waiver 6f Ihe flood Insurance purchase requirement. This form Is used only 10 provide elevation Information necessary to ensure compliance wllh applicable community f100dpleln management ordinances, 10 determine the proper Insurance premium rate, endlor 10 support a request for a Letter of Map Amendment or Revision (LOMA or LOMR). Instructions lor completing this lorm can be found 6n the followhig pages. O.M.B. NO. 3067.0077 Expire. May 31, 1996 . SECTION A PROPERTY INFORMATION I FOR IN.SURANCE COMPANY USE I POLICY NUMBER i COMPANY NAIC NUMBER BUILDING OWNER'S NAME STREET Agl(RESS (Including foj>l.. ~nl'. Sulle endlor Bldg. Number) OR P.O. ROUTE AND BOX NUMBER ''1 q I --L V\. \ alo\ ,of W CtlA OTHER DESCRIPTION (Lot and Block Numbers. etc.) . 1 L, 1- Lf 2... '1=';' \ h -t' ...... t ~V 0 .,f'<L l.\ tt.-. CITY NJ1l'-h~ SpY\';"'c)~:oe(c-( SECTION B . SOTf<. FLOOD INSURANCE RATE MAP (FIRM) INFORMATION liP CODE '114,1 Provide tha following from the proper FIRM (See instructions): 1. COMMUNITY NUMBER 2. PANEL NUMBER 3. SUFFIX 4. DATE OF FlAM INDEX 5. FlAM ZONE 6. BASE FLOOD ELEVATION 41 5 sql & \ 0 c.. 'DeeIB) 1165 A q ('"llf19~'9Plh) 7. Indicate the elevation datum system used on the FIRM lor Base Flood Elevations (BFE): ~GVD '29 o Other (describe on back) 8. For Zones A or V, where no BFE Is provided on the FIRM, and the community has established a BFE for this building slle, Indicate the communlly's BFE: I I I I U.U feet NGVD (or oiher FIRM datum-see Section B, lIem 7). SECTION C BUilDING elEvATION INFORMATION 1. Using the Elevation Certificate Instructions, Indlc~he diagram number lrom the diagrams found on Pages 5 and 6 thai best describes the subject bUlldlng's reference level . . 2(a). FIRM Zones Al-A30, AE, AH, and A (with BFE). The top of Ihe reference level floor from the selected diagram Is at an elevation , of I I III 15/fl. ~ leet NGVD (or other FIRM datum-see Section B, lIem 7). (b). FIRM Zones Vl.V30, VE, and v (wllh BFE). The botlom of the lowest horizontal structural member of Ihe reference levellrom the selected diagram, Is at an elevation of I I I I I I.U feet NGVD (or other FIRM datum-see Section B, lIem 7). (c). FIRM Zone A (without BFE). The floor used as ihe reference level from the selected diagram Is W.U feet above 0 or below 0 (check one) the highest grade adjacent to the building. (d).' FIRM Zone AO. The floor used as ihe reference le~el from th~ selected diagram Is LU.U feel above 0 or below 0 (check one) Ihe highest grade adjacent to the building. II no flood depth nuinber Is available, Is the building's lowest floor (reference 'Ievel) elevated In accordance wllh the communlly's floodplain management ordinance? 0 Yes 0 No 0 Unknown 3. Indlcale the elevation datum system used In delerinlnlng the above reference level eleVatlons:~NGVD '29 0 Other (describe under Commenls on Page 2). (NOTE: II the elevation datum used In measuring the elevations Is different than that used on the FIRM (see Section B, Item 7J, Ihen convert the elevations to the datum system used on the FIRM and show the conversion equat/on under Comments on Page 2.) ........ o. :, :. . 4. Elevation reference mark used appears on FIRM: 0 Yes ~o (See Instructions on Page 4) i ..1,'\ ;." :.'.~':) .,:" , 5. The reference level elevation Is based on: R"ctual construction 0 construction drawings : ;'le<'.,,;:;,....., ':,: '::.' (NOTE: Use 01 construction drawings Is oJ; v;lId Illhe building does nol yet have the relerence level floor In place, In which case Ihls certillcale will only be valid for the building during the course of construct/on. A post-construction E/e.vat/on Certificate will be required once construct/on /s complete.) : .. .....' ";". . 6. The elevation of the towest grade I"';mediately adjacent to the building Is: I I I"NiI91.i!JJ leet NGVD:(or othe; FIRM d~tuin.see , ' . Section B, Item 7). '. '- '. " '" SECTION D COMMUNltV INFORMATION 1. IIlhe community official responsible for verifying building elevations specifies that the reference level Indicated In Section C, Uem 1 Is not the "lowest floor" as defined In the community's tloodplaln management ordinance, Ihe elevation ollhe building's "lowest floor" as defined by the' ordinance Is: I I I I I I. U feet NGVD (or other FIRM datum-see Section B, Item 7). 2. Date of the start of construction or substantial Improvement FEMA Form 81.31, MAY 93 REPlAaS All PREVIOUS EDITIONS SEE REVERSE SIDE FOR CONllNUA nON . SECTION E CEIlTIFICATION . ..J ,.'-. This certification is to be signed by a land surveyor, engineer, or architect who is authorized by slate or local law to certify elevation Information when the elevation Information for Zones Al-A30, AE, AH, A (with BFE),Vl-V30,VE, and V (with BFE) Is required. Community omclals who are aulhorlzed by local law or ordinance 10 provide floodplain managemenllnformallon, may also sign the certification. In Ihe case of Zones AO and A (wilhout a FEMA or comrnunily issued BF!:), a building omclal, a property owner, or an owner's representative may also sign the certification. Reference level diagrams 6, 7 and 8 - Distinguishing Fealures-If the certifier Is unable to certify to breakaway/non-breakaway wall, enclosure size, location of servicing equlpmenl, area use, wall openings, or unfinished area Fealure(s), then list the Feature(s) not Included In the certification under Comments below. The diagram number, Section C, Ilem I, must stili be entered. I certify that the information in Sections Band C on this certificate represents my best efforts to interpret the data available. I understand that any 'alse statement may be punishable by fine or imprisonment under t8 U.S. Code. Section tOOt. .l. A_ '8..dL 'PrD\ e c} . S'LA. y- VCLfcJr- ADDRESS '3 \0 "::::> t-t" S-tr~ ~ a /!Zu: - ........; Copies should be made 01 this Certificate lor: 1) community offlcfal, ~) In~urance agenllcof11pany, and 3) building owner. CERTIFIER'S N~ K'e.}C TITLE LICENSE NUMBER (or Alllx Seal) 'PLS ~&O(P 't:)Cmve" I?"'/-?>J/qq COMP~NYBME . ".YC1Vi.ch, ~'<::I~ee.....;Vt'" CITY (1 STAlt S-PY'i\,-,'3_h~lof i'Jr< > ~ATE . PHONj') 5c.o1. (-); 1"1Qfj: 1541. ZIP 0l Lf7l jl{&'-Ob37 SIGNATURE COMMENTS: C'+"1 J <::;f....\'-~.A.ddBe""cL,\vt"'Vk. be,\-..'J ~ S-:UMP~t I'" --tko 1nn huck.: C{f' -tL. W\L.JJI~ ",f -ti e f'u.....i? I'"f','h-f."'" o..t fu ~()LL tI, e4 sf COI"V\e..--- J' 1+/....--60"'- J)y,\Je. ~d' ~Ll..1 uJu'7 ()J. Eklv-cn..ce) ~CtI!\':"'':J t1V\. el.~1f4ftw\" J' 445.10 C,,~ l' \fY\";"~ F.d.J Ototl..<i--\ <;J/V\.Jl. LAd .\..", -kc.R -h, t= l~v ...-h~4LfS .4D ..lJG. V D"2"1 vue. S l.l'~ of .fJ<:" 1'k.e-~t<SJ'S rA~' pl~-.r4-hw'\ <:::'\,.,Il.t)....l~vPOV1. ON SLAB WITH . BASEMENT ON PILES, PIERS, OR COLUMNS A ZONES V ZONES A ZONES A ~ONES IREFERENCE lEVEL 'M, flOOO elEVATION V ~ONES REFERENCE I lEVEL ~. ~)REFCRENCEI . lrfr LEVEL IlVl I _____ . ~ .~ t -l"' ,---sm- ~ . \ flOOO ~ OlEVATION ~ " ~""i. ..! -,-.... ~ '!"'("\"f;-;'P,~.;~ ()';ii :':;;'!:i{~\';/!;\\.!\,!: II 'i;....'<.'j,!.'i!!!!:' ~1mt~' ;(1i~~f:f:l~.~;~jr~:~~;1it:~~)r.M i ,l1~f.(~:ii:~.~; '. :(""~i~ ' . i....n '.' \;./.:. . ADJACENT ::::~ ' REfERENCE I ~"', lEVEL Page 2