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CITY OF SANTA ANA <br />U.S. DEPARTMENT OF HOMELAND SECURITY <br />Federal Emergency Management Agency <br />National Flood Insurance Program <br />ELEVATION CERTIFICATE <br />IMPORTANT: MUST FOLLOW THE INSTRUCTIONS ON INSTRUCTION <br />Copy all pages of this Elevation Certificate and all attachments for (1) community official, (2) insurance age <br />Planning and Building Agency <br />OMB Control No. 1660-0008 <br />Expiration Date 06r30r2026 <br />Approved <br />FOR PERMIT ISSUANCE <br />iES 1-11 <br />ipany, and,(3) building owner. <br />SECTION A - PROPERTY INFORMATION <br />FOR 1 <br />U ANCE COMPANY USE - <br />Al. <br />Building Owner's Name: Tily Ly Nguyen <br />Policy umher- <br />A2. <br />Building Street Address (including Apt., Unit, Suite, and/or Bldg. No.) or P.O. Route and Box No.: <br />Company NAIC Number: <br />4413 W. Sunswept Ave, Unit #2 (Attached Accessory Dwelling Unit) <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 2, Tract 2961, Parcel No. 198-301-12 <br />A4. <br />Building Use (e.g., Residential, Non -Residential, Addition, Accessory, etc.): Accessory <br />A5. <br />Latitude/Longitude: Lat. 33.757811 ` Long.-117.928486' Horiz. Datum: ❑ NAD 1927 M 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 M 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 M 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 S - 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. <br />County Name: Orange B3. State: CA B4. Map/Panel No.: 06059CO143J B5. Suffix: J <br />B6. <br />FIRM Index Date: 09/15/1989 B7. FIRM Panel Effective/Revised Date: 12/03/2009 <br />B8. <br />Flood Zone(s): A B9. Base Flood Elevation(s) (BFE) (Zone AO, use Base Flood Depth): 82.6 ft <br />B10. <br />Indicate the source of the BFE data or Base Flood Depth entered in Item B9: <br />❑ FIS ❑ FIRM ❑ Community Determined ® Other: LOMA Case # 12-09-2841A <br />B11. <br />Indicate elevation datum used for BFE in Item 69: ❑ NGVD 1929 M 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 M 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 />