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U.S. DEPARTMENT OF HOMELAND SECURITY OMB Control No. 1660-0008 <br />Federal Emergency Management Agency Expiration Date: 06/30/2026 <br />National Flood Insurance Program <br />ELEVATION CERTIFICATE <br />IMPORTANT: MUST FOLLOW THE INSTRUCTIONS ON INSTRUCTION PAGES 1-11 <br />Copy all pages of this Elevation Certificate and all attachments for (1) community official, (2) insurance aaent/comoanv. and (3) building <br />SECTION A - PROPERTY INFORMATION <br />FOR INSURANCE COMPANY USE <br />Al. <br />Building Owner's Name: Cuong Nguyen Policy Number: <br />A2. <br />Building Street Address (including Apt., Unit, Suite, and/or Bldg. No.) or P.O. Route and Box No.: Company NAIC Number: <br />3925 W. Hazard Ave, Unit 2 (New detached ADU) <br />City: <br />Santa Ana State: CA ZIP Code: 92703 <br />A3. <br />Property Description (e.g., Lot and Block Numbers or Legal Description) and/or Tax Parcel Number. <br />Lot 22, Tract 1830, Parcel No. 198-021-33 <br />A4. <br />Building Use (e.g., Residential, Non -Residential, Addition, Accessory, etc.): Accessory <br />A5. <br />Latitude/Longitude: Lat. 33.752853' Long. -117.922492' Horiz. Datum: ❑ NAD 1927 ® NAD 1983 ❑ WGS 84 <br />A6. <br />Attach at least two and when possible four clear color photographs (one for each side) of the building (see Form pages 7 and 8). <br />AT <br />Building Diagram Number: 1 B <br />A8. <br />For a building with a crawlspace or enclosure(s): <br />a) Square footage of crawlspace or enclosure(s): N/A sq. ft. <br />b) Is there at least one permanent flood opening on two different sides of each enclosed area? ❑ Yes ❑ No ® N/A <br />c) Enter number of permanent flood openings in the crawlspace or enclosure(s) within 1.0 foot above adjacent grade: <br />Non -engineered flood openings: N/A Engineered flood openings: N/A <br />d) Total net open area of non -engineered flood openings in A8.c: N/A sq. in. <br />e) Total rated area of engineered flood openings in A8.c (attach documentation - see Instructions): N/A sq. ft. <br />f) Sum of A8.d and A8.e rated area (if applicable - see Instructions): N/A sq. ft. <br />A9. <br />For a building with an attached garage: <br />a) Square footage of attached garage: N/A sq. ft. <br />b) Is there at least one permanent flood opening on two different sides of the attached garage? ❑ Yes ❑ No ® N/A <br />c) Enter number of permanent flood openings in the attached garage within 1.0 foot above adjacent grade: <br />Non -engineered flood openings: N/A Engineered flood openings: N/A <br />d) Total net open area of non -engineered flood openings in A9.c: N/A sq. in. <br />e) Total rated area of engineered flood openings in A9.c (attach documentation - see Instructions): N/A sq. ft. <br />f) Sum of A9.d and A9.e rated area (if applicable - see Instructions): N/A sq. ft. <br />SECTION B - FLOOD INSURANCE RATE MAP (FIRM) INFORMATION <br />B1.a. NFIP Community Name: City of Santa Ana B1.b. NFIP Community Identification Number: 060232 <br />B2. County Name: Orange B3. State: CA 64. Map/Panel No.: 06059CO143J B5. Suffix: J <br />B6. FIRM Index Date: 09/15/1989 B7. FIRM Panel Effective/Revised Date: 12/03/2009 <br />B8. Flood Zone(s): A B9. Base Flood Elevation(s) (BFE) (Zone AO, use Base Flood Depth): 78.0 ft <br />B10. <br />Indicate the source of the BFE data or Base Flood Depth entered in Item B9: <br />❑ FIS ❑ FIRM ❑ Community Determined Z Other LOMA Case # 24-09-0134A <br />B11. <br />Indicate elevation datum used for BFE in Item B9: ❑ NGVD 1929 ® NAVD 1988 ❑ Other/Source: <br />B12. <br />Is the building located in a Coastal Barrier Resources System (CBRS) area or Otherwise Protected Area (OPA)? ❑ Yes ® No <br />Designation Date: ❑ CBRS ❑ OPA <br />B13. <br />Is the building located seaward of the Limit of Moderate Wave Action (LiMWA)? ❑ Yes ® No <br />FEMA Form FF-206-FY-22-152 (formerly 086-0-33) (8/23) Form Page 2 of 8 <br />