FLOOD ZONE-1126 & 1128 N Elaine Dr - Plan

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ELEVATION CERTIFICATE IMPORTANT: MUST FOLLOW THE INSTRUCTIONS ON INSTRUCTION CITY OF SANTA ANA Planning and Building Agency Building Street Address (including Apt., Unit, Suite, and/or Bldg. No.) or P.O. Route and Box No.: FOR INSURAIW ""L&E 1126 Elaine Drive, Unit#2 Polic NuF„Q :PERMIT ISSUAN City: Santa Ana State: CA ZIP Code: 92703 Company NAIC Number: SECTION C — BUILDING ELEVATION INFORMATION (SURVEY REQU IALqjJer ID: C1. Building elevations are based on: ® Construction Drawings* ❑ Building Under Construction Finished Construction *A new Elevation Certificate will be required when construction of the building is complete. C2. Elevations — Zones Al—A30, AE, AH, AO, A (with BFE), VE, VI—V30, V (with BFE), AR, AR/A, AR/AE, AR/A1—A30, AR/AH, AR/AO, A99. Complete Items C2.a—h below according to the Building Diagram specified in Item A7. In Puerto Rico only, enter meters. Benchmark Utilized: SA-226-70 (ELE: 74.189 ft, 2005) Vertical Datum: NAVD88 Indicate elevation datum used for the elevations in items a) through h) below. ❑ NGVD 1929 ® NAVD 1988 ❑ Other: Datum used for building elevations must be the same as that used for the BFE. Conversion factor used? ❑ Yes ® No If Yes, describe the source of the conversion factor in the Section D Comments area. Check the measurement used: a) Top of bottom floor (including basement, crawlspace, or enclosure floor): 81.50 ® feet ❑ meters b) Top of the next higher floor (see Instructions): N/A ❑ feet ❑ meters c) Bottom of the lowest horizontal structural member (see Instructions): N/A ❑ feet ❑ meters d) Attached garage (top of slab): N/A ❑ feet ❑ meters e) Lowest elevation of Machinery and Equipment (M&E) servicing the building (describe type of M&E and location in Section D Comments area): N/A ® feet ❑ meters f) Lowest Adjacent Grade (LAG) next to building: ❑ Natural ® Finished 80.33 ® feet ❑ meters g) Highest Adjacent Grade (HAG) next to building: ❑ Natural ® Finished 80.92 ® feet ❑ meters h) Finished LAG at lowest elevation of attached deck or stairs, including structural support: N/A ❑ feet ❑ meters SECTION D — SURVEYOR, ENGINEER, OR ARCHITECT CERTIFICATION This certification is to be signed and sealed by a land surveyor, engineer, or architect authorized by state law to certify elevation information. / certify that the information on this Certificate represents my best efforts to interpret the data available. I understand that any false statement may be punishable by fine or imprisonment under 18 U.S. Code, Section 1001. Were latitude and longitude in Section A provided by a licensed land surveyor? ❑ Yes ® No ❑ Check here if attachments and describe in the Comments area. Certifier's Name: Lan Pham License Number: C29595 Title: Chief Engineer Company Name: Lan & Associates OQROFESSIpN� Pyq !may Address: 13139 Harbor Boulevard y W No.29595 m City: Garden Grove State: CA ZIP Code: 92843 Exp; 3/31/27 M Telephone: (714) 414-9215 Ext.: Email: lanpham9@hotmail.com s cnm �p lglF �Q� OF C AL\F Signature: ---- Date: 04/16/2025 Copy all pages of this Elevation Certificate and all attachments for (1) community official, (2) insurance agent/company, and (3) building owner. Comments (including source of conversion factor in C2; type of equipment and location per C2.e; and description of any attachments): No FEMA Form FF-206-FY-22-152 (formerly 086-0-33) (8/23) Form Page 3 of 8