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Home My WebLink About1741 River Run StreetU.S. DEPARTMENT OF HOMELAND SECURITY OMB No. 1660-0008 Federal Emergency Management Agency Expiration Date: November 30. 2018 National Flood Insurance Program ELEVATION CERTIFICATE Important: Follow the instructions on pages 1-9. Copy all pages of this Elevation Certificate and all attachments for (1) community official, (2) insurance agenttcompany, and (3) building owner. SECTION A — PROPERTY INFORMATION FOR INSURANCE COMPANY USE Al. Building Owner's Name Policy Number: Vision Homes A2. Building Street Address (including Apt., Unit, Suite, and/or Bldg. No.) or P.O. Route and Box No. Company NAIC Number: 1741 River Run Street City State ZIP Code Central Point Oregon 97502 A3. Property Description (Lot and Block Numbers, Tax Parcel Number, Legal Description, etc.) The North Village at Twin Creeks, Phase V, Lot 117 A4, Building Use (e.g., Residential, Non -Residential, Addition, Accessory, etc.) Residential A5. Latitude/Longitude: Lat. 42.387561659 Long.-122.933568139 Horizontal Datum: ❑ NAD 1927 ❑x NAD 1983 A6. Attach at least 2 photographs of the building if the Certificate is being used to obtain flood insurance. AT Building Diagram Number 9 A8. For a building with a crawlspace or enclosure(s): a) Square footage of crawlspace or enclosure(s) 2,072 sq ft b) Number of permanent flood openings in the crawlspace or enclosure(s) within 1.0 foot above adjacent grade 18 c) Total net area of flood openings in A8.b 2,308 sq in d) Engineered flood openings? ❑ Yes x❑ No A9. For a building with an attached garage: a) Square footage of attached garage 614 sq ft b) Number of permanent flood openings in the attached garage within 1.0 foot above adjacent grade 0 c) Total net area of flood openings in A9.b 0 sq in d) Engineered flood openings? ❑ Yes ❑x No SECTION B — FLOOD INSURANCE RATE MAP (FIRM) INFORMATION B1. NFIP Community Name & Community Number B2. County Name B3. State City of Central Point Number: 410092 Jackson Oregon B4. Map/Panel B5, Suffix B6. FIRM Index B7. FIRM Panel B8. Flood Zone(s) B9. Base Flood Elevation(s) Number Date Effective/ (Zone AO, use Base Revised Date Flood Depth) 41029C1768 F 01/19/2018 09/14/2016 AE 1238.3 B10, Indicate the source of the Base Flood Elevation (BFE) data or base flood depth entered in Item B9, ❑x FIS Profile ❑ FIRM ❑ Community Determined ❑ Other/Source: B11. Indicate elevation datum used for BFE in Item 69: ❑ NGVD 1929 ❑x NAVD 1988 ❑ Other/Source B12. Is the building located in a Coastal Barrier Resources System (CBRS) area or Otherwise Protected Area (OPA)? ❑ Yes ❑x No Designation Date ❑ CBRS ❑ OPA FEMA Form 086-0-33 (7/15) Replaces all previous editions. Form Page 1 of 6 ELEVATION CERTIFICATE OMB No. 1660-0008 Expiration Date: November 30, 2018 IMPORTANT: In these spaces, copy the corresponding information from Section A. FOR INSURANCE COMPANY USE Building Street Address (including Apt., Unit, Suite, and/or Bldg. No.) or P.O. Route and Box No. Policy Number: 1741 River Run Street City State ZIP Code Company NAIC Number Central Point Oregon 97502 SECTION C — BUILDING ELEVATION INFORMATION (SURVEY REQUIRED) C1. Building elevations are based on: ❑ Construction Drawings* ❑ Building Under Construction* ❑x Finished Construction *A new Elevation Certificate will be required when construction of the building is complete. C2. Elevations — Zones Al—A30, AE, AH, A (with BFE), VE, V1—V30, V (with BFE), AR, AR/A, AR/AE, AR/A1—A30, AR/AH, AR/AO Complete Items C2.a—h below according to the building diagram specified in Item A7. In Puerto Rico only, enter meters. Benchmark Utilized: P 549 Vertical Datum: NAVD 88 Indicate elevation datum used for the elevations in items a) through h) below. ❑ NGVD 1929 ❑x NAVD 1988 ❑ Other/Source: Datum used for building elevations must be the same as that used for the BFE. Check the measurement used. a) Top of bottom floor (including basement, crawlspace, or enclosure floor) 1237 1 ❑x feet ❑ meters b) Top of the next higher floor 1239. 8 ❑x feet ❑ meters c) Bottom of the lowest horizontal structural member (V Zones only) NSA, ❑x feet ❑ meters d) Attached garage (top of slab) 1239 3 ❑x feet ❑ meters e) Lowest elevation of machinery or equipment servicing the building 1239 6 ❑x feet ❑ meters (Describe type of equipment and location in Comments) 0 Lowest adjacent (finished) grade next to building (LAG) 1238 3 ❑x feet ❑ meters g) Highest adjacent (finished) grade next to building (HAG) 1238 8 Z feet ❑ meters h) Lowest adjacent grade at lowest elevation of deck or stairs, including 1239 3 feet ❑ meters structural support SECTION D — SURVEYOR, ENGINEER, OR ARCHITECT CERTIFICATION This certification is to be signed and sealed by a land surveyor, engineer, or architect authorized by law to certify elevation information. I certify that the information on this Certificate represents my bast efforts to interpret the data available I understand that any false statement may be punishable by fine or imprisonment under 18 U S. Cade. Section 1001 Were latitude and longitude in Section A provided by a licensed land surveyor? ❑x Yes ❑ No ❑ Check here if attachments. Certifier's Name License Nvmber Richard E. Stein 49593 REGISTERED Title PROFESSIONAL PLS LAND SURVEYOR Company Name Farber Surveying Address ORfA�. 431 Oak St. FEBRURICHAREINCity 49 State ZIP Code Central Point Oregon 97502 RENEWAL DATE: 06/30/2020 Sirarure Date Telephone L/ 04/05/2019 (541) 664-5599 — Copy all pages of this Elevation Certificate and all attachments for (1) community official, (2) insurance agent/company, and (3) building owner. Comments (including type of equipment and location, per C2(e), if applicable) C2e is a heat pump FEMA Form 086-0-33 (7/15) Replaces all previous editions. Form Page 2 of 6 ELEVATION CERTIFICATE OMB No. 1660-0008 Expiration Date: November 30, 2018 IMPORTANT: In these spaces, copy the corresponding information from Section A. FOR INSURANCE COMPANY USE Building Street Address (including Apt., Unit, Suite, and/or Bldg. No,) or P.O. Route and Box No. Policy Number: 1741 River Run Street City State ZIP Code Company NAIC Number Central Point Oregon 97502 SECTION E — BUILDING ELEVATION INFORMATION (SURVEY NOT REQUIRED) FOR ZONE AO AND ZONE A (WITHOUT BFE) For Zones AO and A (without BFE), complete Items El—E5, If the Certificate is intended to support a LOMA or LOMR-F request, complete Sections A, Band C. For Items El—E4, use natural grade, if available. Check the measurement used. In Puerto Rico only, enter meters. E1. Provide elevation information for the following and check the appropriate boxes to show whether the elevation is above or below the highest adjacent grade (HAG) and the lowest adjacent grade (LAG). a) Top of bottom floor (including basement, crawlspace, or enclosure) is ❑ feet ❑ meters ❑ above or ❑ below the HAG. b) Top of bottom floor (including basement, crawlspace, or enclosure) is ❑ feet ❑ meters ❑ above or ❑ below the LAG. E2. For Building Diagrams 6-9 with permanent flood openings provided in Section A Items 8 and/or 9 (see pages 1-2 of Instructions), the next higher floor (elevation C2.b in the diagrams) of the building is ❑ feet ❑ meters ❑ above or ❑ below the HAG, E3. Attached garage (top of slab) is ❑ feet ❑meters ❑above or ❑below the HAG. E4. Top of platform of machinery and/or equipment servicing the building is feet meters ❑ ❑ ❑above or ❑below the HAG. E5. Zone AO only: If no flood depth number is available, is the top of the bottom floor elevated in accordance with the community's floodplain management ordinance? ❑ Yes ❑ No ❑ Unknown The local official must certify this information in Section G. SECTION F — PROPERTY OWNER (OR OWNER'S REPRESENTATIVE) CERTIFICATION The property owner or owners authorized representative who completes Sections A, B, and E for Zone A (without a FEMA-issued or community -issued BFE) or Zone AO must sign here. The statements in Sections A, B. and E are correct to the best of my knowledge. Property Owner or Owner's Authorized Representative's Name Address City State ZIP Code Signature Date Telephone Comments ❑ Check here if attachments. FEMA Form 086-0-33 (7/15) Replaces all previous editions. Form Page 3 of 6 ELEVATION CERTIFICATE OMB No. 1660-0008 Expiration Date: November 30. 2018 IMPORTANT: In these spaces, copy the corresponding information from Section A. FOR INSURANCE COMPANY USE Building Street Address (including Apt., Unit, Suite, and/or Bldg. No.) or P.O Route and Box No. Policy Number: 1741 River Run Street City State ZIP Code Company NAIC Number Central Point Oregon 97502 SECTION G — COMMUNITY INFORMATION (OPTIONAL) The local official who is authorized by law or ordinance to administer the community's floodplain management ordinance can complete Sections A, B. C (or E), and G of this Elevation Certificate. Complete the applicable item(s) and sign below. Check the measurement used in Items G8—G10. In Puerto Rico only, enter meters. G1. ❑ The information in Section C was taken from other documentation that has been signed and sealed by a licensed surveyor, engineer, or architect who is authorized by law to certify elevation information. (Indicate the source and date of the elevation data in the Comments area below,) G2 ❑ A community official completed Section E for a building located in Zone A (without a FEMA-issued or community -issued BFE) or Zone AO. G3. X The following information (Items G4—G10) is provided for community floodplain management purposes. G4. Permit Number G5 Date Permit Issued G6. Date Certificate of Compliance/Occupancy Issued 175-18-000269-DWL 09/10/2018 T.B.D. G7. This permit has been issued for: New Construction ❑ Substantial Improvement G8. Elevation of as -built lowest floor (including basement) 1239 8it/ of the building: � feet ❑meters Datum y� G9. BFE or (in Zone AO) depth of flooding at the building site: 1238 3 feet ❑ meters Datum My6 G10. Community's design flood elevation: 1239 3 feet ❑ meters Datum NAb �$ Local Official's Name Title Justin Gindlesperger, CFM Community Planner II Community Name Telephone City of Central Point 541.664.3321, ext 245 Signature Date April 8, 2019 ommen ing type of equipment and location, per C2(e), if applicable) The structure complies with CPMC 8.24 Flood Damage Prevention requirements. ❑ Check here if attachments FEMA Form 086-0-33 (7/15) Replaces all previous editions. Form Page 4 of 6 BUILDING PHOTOGRAPHS OMB No.1660-0008 ELEVATION CERTIFICATE Continuation Page Expiration Date: November 30, 2018 IMPORTANT: In these spaces, copy the corresponding information from Section A. FOR INSURANCE COMPANY USE Building Street Address (including Apt., Unit, Suite, and/or Bldg. No.) or P.O. Route and Box No. Policy Number: 1741 River Run Street City State ZIP Code Company NAIC Number Central Point Oregon 97502 I - If submitting more photographs than will fit on the preceding page, affix the additional photographs below. Identify all photographs with: date taken; "Front View" and "Rear View"; and, if required, "Right Side View" and "Left Side View." When applicable, photographs must show the foundation with representative examples of the flood openings or vents, as indicated in Section A8. '^s�..= ram. � • . Photo One Caption east side 04-05-2019 Photo Two Caption west side 04-05-2019 FEMA Form 086-0-33 (7/15) Photo One Photo Two Replaces all previous editions. Form Page 6 of 6 BUILDING PHOTOGRAPHS OMB No. 1660-0008 ELEVATION CERTIFICATE See Instructions for Item A6. Expiration Date. November 30, 2018 IMPORTANT: In these spaces, copy the corresponding information from Section A. FOR INSURANCE COMPANY USE Building Street Address (including Apt., Unit, Suite, and/or Bldg. No.) or P.O. Route and Box No Policy Number: 1741 River Run Street City State ZIP Code Company NAIC Number Central Point Oregon 97502 If using the Elevation Certificate to obtain NFIP flood insurance, affix at least 2 building photographs below according to the instructions for Item A6. Identify all photographs with date taken; "Front View" and 'Rear View"; and, if required, 'Right Side View" and "Left Side View." When applicable, photographs must show the foundation with representative examples of the flood openings or vents, as indicated in Section A8. If submitting more photographs than will fit on this page, use the Continuation Page. 004 r • — Plato One Photo One Caption Front 04-05-2019 1 i.11I I I I I I I I a 11011'a I I CI of as 1 of Ila I I a ai I l I l l l 11111 111 A I I i f i1 }1111 It I11III Ia I II,iII IL I[II II1l 11 f kI, _ Photo Two Photo Two Caption Back 04-05-2019 FEMA Form 086-0-33 (7/15) Replaces all previous editions. Form Page 5 of 6