FLOOD ZONE- 5410 & 5412 W Kedge Ave - Plan

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U.S. DEPARTMENT OF HOMELAND SECURITY Federal Emergency Management Agency National Flood Insurance Program ELEVATION CERTIFICATE IMPORTANT: MUST FOLLOW THE INSTRUCTIONS ON INSTRUCTION Copy all pages of this Elevation Certificate and all attachments for (1) community official, (2) insurance age CITY OF SANTA ANA Plann tcF3M�iITWJ0AFjency Ex iration Date: 06/30/ 026 Approved FOR PERMIT ISSUANCE iES 1-11 ipany, and (3) building owner. SECTION A - PROPERTY INFORMATION FOR IW~f COMPANY USE Al. Building Owner's Name: Truong Son Nguyen Polic IQum&er: A2. Building Street Address (including Apt., Unit, Suite, and/or Bldg. No.) or P.O. Route and Box No.: Company NAIC Number: 5410 W Kedge Avenue, Unit #2 City: Santa Ana State: CA ZIP Code: 92704 A3. Property Description (e.g., Lot and Block Numbers or Legal Description) and/or Tax Parcel Number: Lot 29, Tract No. 4178, M.M. 148/19-20, APN No. 108-562-09 A4. Building Use (e.g., Residential, Non -Residential, Addition, Accessory, etc.): Residential - ADU A5. Latitude/Longitude: Lat. 33.73649' Long.-117.94101 ° Horiz. Datum: ❑ NAD 1927 ® NAD 1983 ❑ WGS 84 A6. Attach at least two and when possible four clear color photographs (one for each side) of the building (see Form pages 7 and 8). A7. Building Diagram Number: 1 B A8. For a building with a crawlspace or enclosure(s): a) Square footage of crawlspace or enclosure(s): sq. ft. b) Is there at least one permanent flood opening on two different sides of each enclosed area? ❑ Yes ❑ No ❑ N/A c) Enter number of permanent flood openings in the crawlspace or enclosure(s) within 1.0 foot above adjacent grade: Non -engineered flood openings: Engineered flood openings: d) Total net open area of non -engineered flood openings in A8.c: sq. in. e) Total rated area of engineered flood openings in A8.c (attach documentation - see Instructions): sq. ft. f) Sum of A8.d and A8.e rated area (if applicable - see Instructions): sq. ft. A9. For a building with an attached garage: a) Square footage of attached garage: sq. ft. b) Is there at least one permanent flood opening on two different sides of the attached garage? ❑ Yes ❑ No ❑ N/A c) Enter number of permanent flood openings in the attached garage within 1.0 foot above adjacent grade: Non -engineered flood openings: Engineered flood openings: d) Total net open area of non -engineered flood openings in A9.c: sq. in. e) Total rated area of engineered flood openings in A9.c (attach documentation - see Instructions): sq. ft. f) Sum of A9.d and A9.e rated area (if applicable - see Instructions): sq. ft. SECTION B - FLOOD INSURANCE RATE MAP (FIRM) INFORMATION B1.a. NAP Community Name: Santa Ana B1.b. NFIP Community Identification Number: 060232 B2. County Name: Orange B3. State: CA B4. Map/Panel No.: 06059CO252 B5. Suffix: J B6. FIRM Index Date: 09/15/1989 B7. FIRM Panel Effective/Revised Date: 12/03/2009 B8. Flood Zone(s): A B9. Base Flood Elevation(s) (BFE) (Zone AO, use Base Flood Depth): 55.80 FT B10. Indicate the source of the BFE data or Base Flood Depth entered in Item B9: ❑ FIS ❑ FIRM ❑ Community Determined M Other: BFE Interpolation based on LOMA 16-09-1938A B11. Indicate elevation datum used for BFE in Item B9: ❑ NGVD 1929 M NAVD 1988 ❑ Other/Source: B12. Is the building located in a Coastal Barrier Resources System (CBRS) area or Otherwise Protected Area (OPA)? ❑ Yes ❑ No Designation Date: ❑ CBRS ❑ OPA B13. Is the building located seaward of the Limit of Moderate Wave Action (LiMWA)? ❑ Yes ❑ No FEMA Form FF-206-FY-22-152 (formerly 086-0-33) (8/23) Form Page 2 of 8