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ELEVATION CERTIFICATE <br />IMPORTANT: MUST FOLLOW THE INSTRUCTIONS ON INSTRUCTION PAGES 1-11 <br />Building Street Address (including Apt., Unit, Suite, and/or Bldg. No.) or P.O. Route and Box No.: <br />3925 W. Hazard Ave, Unit 2 (New detached ADU) <br />City: Santa Ana <br />State: CA ZIP Code: 92703 <br />FOR INSURANCE COMPANY USE <br />Policy Number. <br />Company,NAIC Number <br />C1. Building elevations are based on: ® Construction Drawings* ❑ Building Under Construction* ❑ Finished Construction <br />*A new Elevation Certificate will be required when construction of the building is complete. <br />C2. Elevations — Zones Al—A30, AE, AH, AO, A (with BFE), VE, V1 V30, V (with BFE), AR, AR/A, AR/AE, AR/A1 A30, AR/AH, AR/AO, <br />A99. Complete Items C2.a—h below according to the Building Diagram specified in Item A7. In Puerto Rico only, enter meters. <br />Benchmark Utilized: SA-226-70 (74.189 ft, 2005) Vertical Datum: NAVD 1988 (O.C.S. 1995 ADJ) <br />Indicate elevation datum used for the elevations in items a) through h) below. <br />❑ NGVD 1929 ® NAVD 1988 ❑ Other: <br />Datum used for building elevations must be the same as that used for the BFE. Conversion factor used? <br />If Yes, describe the source of the conversion factor in the Section D Comments area. <br />a) Tdp of bottom floor (including basement, crawlspace, or enclosure floor): <br />b) Top of the next higher floor (see Instructions): <br />c) Bottom of the lowest horizontal structural member (see Instructions): <br />d) Attached garage (top of slab): <br />e) Lowest elevation of Machinery and Equipment (M&E) servicing the building <br />(describe type of M&E and location in Section D Comments area): <br />f) Lowest Adjacent Grade (LAG) next to building: ❑ Natural ® Finished <br />g) Highest Adjacent Grade (HAG) next to building: ❑ Natural ® Finished <br />h) Finished LAG at lowest elevation of attached deck or stairs, including structural <br />support: <br />79.00 <br />N/A <br />N/A <br />N/A <br />❑ Yes <br />® No <br />Check the measurement used: <br />® feet <br />❑ meters <br />❑ feet <br />❑ meters <br />❑ feet <br />❑ meters <br />❑ feet <br />❑ meters <br />N/A <br />❑ <br />feet <br />❑ <br />meters <br />78.00 <br />® <br />feet <br />❑ <br />meters <br />78.48 <br />® <br />feet <br />❑ <br />meters <br />N/A <br />❑ <br />feet <br />❑ <br />meters <br />This certification is to be signed and sealed by a land surveyor, engineer, or architect authorized by state law to certify elevation <br />information. l certify that the information on this Certificate represents my best efforts to interpret the data available. l understand that any <br />false statement may be punishable by fine or imprisonment under 18 U.S. Code, Section 1001. <br />Were latitude and longitude in Section A provided by a licensed land surveyor? ❑ Yes ® No <br />❑ Check here if attachments and describe in the Comments area. <br />Certifier's Name: Brandon Tran License Number: C58283 O QFipFESS1pNq <br />Title: Civil Engineer <br />Company Name: <br />,y BRANDON TRAN <br />Address: 16792 Bridgeport St Cr No. C58283 <br />City: Fountain Valley State: CA ZIP Code: 92708 <br />Exp <br />Telephone: (714) 414-5701 Ext.: Email: brandonhtran@yahoo.com <br />� >k <br />Signature: A4;V7 Date:04/09/2024 +�Qg <br />Copy all pages of this Elevation Certificate and all attachments for (1) community official, (2) insurance agent/company, and (3) building owner. <br />Comments (including source of conversion factor in C2; type of equipment and location per C2.e; and description of any attachments) <br />FEMA Form FF-206-FY-22-152 (formerly 086-0-33) (8/23) Form Page 3 of 8 <br />