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SECTION D – SURVEYOR, ENGINEER, OR ARCHITECT CERTIFICATION <br />SECTION C – BUILDING ELEVATION INFORMATION (SURVEY REQUIRED) <br />FOR INSURANCE COMPANY USE <br />Policy Number: <br />Company NAIC Number: <br />Building Street Address (including Apt., Unit, Suite, and/or Bldg. No.) or P.O. Route and Box No.: <br />315 N Maxine Street <br />City: Santa Ana State:CA ZIP Code:92707 <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 A1–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-313-83 (ELE: 65.336 ft, 2005)Vertical Datum:NAVD88 <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 />Yes No <br />Check the measurement used: <br />a) Top of bottom floor (including basement, crawlspace, or enclosure floor): 66.54 feet meters <br />b) Top of the next higher floor (see Instructions): N/A feet meters <br />c) Bottom of the lowest horizontal structural member (see Instructions): N/A feet meters <br />d) Attached garage (top of slab): N/A feet meters <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): N/A metersfeet <br />f) Lowest Adjacent Grade (LAG) next to building: Natural Finished 64.53 feet meters <br />g) Highest Adjacent Grade (HAG) next to building:Natural Finished 65.86 feet meters <br />h) Finished LAG at lowest elevation of attached deck or stairs, including structural <br />support: N/A feet 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. I certify that the information on this Certificate represents my best efforts to interpret the data available. I 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:Lan Pham License Number:C29595 <br />Title:Chief Engineer <br />Company Name:Lan & Associates <br />Address:13139 Harbor Boulevard <br />City:Garden Grove State:CA ZIP Code:92843 <br />Ext.:Email:lanpham9@hotmail.comTelephone:(714) 414-9215 <br />Signature:Date:01/09/2024 <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 />Place Seal Here <br />FEMA Form FF-206-FY-22-152 (formerly 086-0-33) (8/23)Form Page 3 of 8 <br />ELEVATION CERTIFICATE <br />IMPORTANT: MUST FOLLOW THE INSTRUCTIONS ON INSTRUCTION PAGES 1-11 <br />3/31/233/31/25