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IiIPORTANT: ln tho3e spacga, copy lho corr€sponding inrormetlon ,.om Sectior A.FOR INSURANCE COMPANY USE <br />Burlding StEet Addr$s (inddrng Apt., Unit, Surte. ad/or Bldg No ) or P O Rouis and Box No. <br />5325 RHONDA AVE <br />Pohcy Number: <br />Cily <br />SANTA ANA <br />State <br />CaIfornia <br />ZIP Code <br />92703 <br />Company NAIC Number <br />SECTION C - BUILDING ELEVATION INFORUATIOT{ (SURVEY REOUIREO) <br />C1. Building elevations are based on: E Constructron D.awrngs' E Building Under Construdron' D Finrsh€d Constructron <br />'A nely Elevation Cartfrcate will bo Gquired whGn constuctlon ol the buildrng is compbto <br />C2. Elevations - ZorEs A1-A30. AE, AH, A (with BFE), VE, V1-V30, V (with BFE) AR. AR/A, AR/AE, AR/A1-A30, AFyAH, AR/AO <br />Complets ltsms C2 a-h bqlo.v according to the building drag.am spacifi€d in ltem A7. ln Puerto Rico onty, entar mebrs <br />Bonchmark Utilized: GG-152 Verticsl Dalum: NAVO88 <br />lndic€tB elevabon datum used lror the slevatons in it€ms a) through h) belor/ <br />E NGVD 1929 I NAVD 1988 E Othersource <br />Dstum used br building elavatons must b€ lhe same as that usod for the BFE <br />Checl th€ measurement used <br />a) Top o{ bottom foor (including bas€ment, crawlspace, or snclosule floor) <br />b) Top ol the next hgller ioor <br />c) Boltom of th6 lo\rest horizontal structuEl member (V Zooas only) <br />d) Altached garags (top of slab) <br />e) L o,vest ebvatim ot machra|gay or equrprngrt seMqng lhe burldrE <br />(De6cnb€ type ofequrprnent and location rn Commenb) <br />0 Lo,vsd adjacent (linish6d) g.eds next io budding (LAG) <br />g) Highest adjacant (fnishod) $ads nen to building (HAG) <br />h) Lo^,est adiacent gradB at lowest elevation of dsc* or stai6. includrrE <br />struduralsuppod <br />67.21 El reet <br />fl foet <br />E fe€t <br />! bet <br />! meten <br />E meters <br />n mdels <br />E melers <br />66.88 E bet <br />E] bet <br />E toot <br />! meters <br />f] rneters <br />D meters <br />64.72 <br />64.92 <br />66.37 E feel E meters <br />SECTION D - SURVEYOR, ENGINEER, OR ARCHITECT CERTIFICATION <br />Thrs cer!ficataon is lo bg signed ard s€aled by a land sunaeyor eltglno€r, or archftoct authoiiz€d by law to certrfy ele\raton rnlormation <br />I cetw thal lhe infomalion on this Cedilicale rcpresenls my best ellons lo ntery{et the data availeble. I unde$tand that any lalse <br />statement day be punishoble by fine or implsonmenl un.bt 18 U S. Cdo, Section 1001 <br />\^/ere latitud€ and long[udo in Section A proMded by a lrcensed land suweyore E Yes E No ! Check here f atachmenls. <br />Cert'fie/s Name <br />LY PHAN <br />Llcens€ Number <br />Trtl6 <br />CIVIL ENGINEER <br />Company Name <br />Address <br />n( <br />City Stale ZIP Code <br />q06f09ffimol,cA' <br />Piace <br />"fr#, <br />0. <br />c[ru <br />FE <br />fTlI <br />* <br />OF c <br />* <br />Dat6 <br />n,lrlrw <br />Tel€phone Exl <br />Qu_r at7 --7b3Y <br />C€ftltciEand dl attachd€nts br (1i dmmundy ofioal, (2) inaurance agenucompany. and (3) buildrrE o\,.rner <br />Comments (rncludirE of equipment and locatrcn, p€r C2(e) if applicable) <br />ELEVATION CERTIFICATE OMB No. 1660-0008 <br />Exgration Date: November 30. 2018 <br />FEMA Folm 086+33 (7/15)Replacas all prevrous ed[|ons Form Page 2 ol 6 <br />I <br />I <br />I <br />I <br />l <br />Copy al