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CITY OF SANTA ANA <br />Planning and Building Agency <br />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 />FOR 1 <br />$ �QNSE <br />II II U <br />5516 W. Davit Ave (including proposed additional living area) <br />Policy <br />Number <br />City: Santa Ana State: CA ZIP Code: 92704 <br />Compa <br />NAIGNumber. <br />SECTION C — BUILDING ELEVATION INFORMATION (SURVEY REQUI <br />bQjte; ._,ii� <br />C1. Building elevations are based on: ® Construction Drawings* ❑ Building Under Construction* ❑ Finished G8HStFuet en <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: GG-154 (50.512 ft, 2012) 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 Z NAVD 1988 ❑ Other. <br />Datum used for building elevations must be the same as that used for the BFE. Conversion factor used? ❑ Yes ® No <br />If Yes, describe the source of the conversion factor in the Section D Comments area. <br />Check the measurement used: <br />a) Top of bottom floor (including basement, crawlspace, or enclosure floor): 52.49 ® feet ❑ meters <br />b) Top of the next higher floor (see Instructions): 54.32 ® feet ❑ meters <br />c) Bottom of the lowest horizontal structural member (see Instructions): N/A ❑ feet ❑ meters <br />d) Attached garage (top of slab): 53.47 ® 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 ❑ feet ❑ meters <br />f) Lowest Adjacent Grade (LAG) next to building: ® Natural ❑ Finished 52.91 ® feet ❑ meters <br />g) Highest Adjacent Grade (HAG) next to building: ® Natural ❑ Finished 53.16 ® feet ❑ meters <br />h) Finished LAG at lowest elevation of attached deck or stairs, including structural <br />support: N/A ❑ feet ❑ meters <br />SECTION D — SURVEYOR, ENGINEER, OR ARCHITECT CERTIFICATION <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. 1 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 <br />QROFESSIC) <br />Title: Civil Engineer <br />Company Name: <br />2m <br />w BRANDON TRAN <br />Address: 16792 Bridgeport St c �o <br />No. C58283 <br />: Fountain Valle <br />City: Y State: CA ZIP Code: 92708 <br />Exp <br />Telephone: (714) 414-5701 Ext.: Email: brandonhtran@yahoo.com <br />rq CIVIL �Z�P <br />Signature: ��Q,r�,,` I9a (d <br />Date:03/31/2025 <br />Copy all pages of this Elevation Certificate and all attachments for (1) community official, (2) insurance agent/company, and uilding owner. <br />Comments (including source of conversion factor in C2; type of equipment and location per C2.e; and description of any attachments): <br />SCE <br />73 <br />FEMA Form FF-206-FY-22-152 (formerly 086-0-33) (8/23) Form Page 3 of 8 <br />