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Home My WebLink About2-1-017:073U.S. DEPARTMENT GF HOMELAND SECURITY Federal Emergency. fd;anagement Agency National Flood Insurance Program ELEVATION CERTIFICATE Important: Read the instructions on pages 1-8. OMB No. 1660-0008 Expires February 28. 2009 t SECTION A - PROPERTY INFORMATION For Insurance Company Use: Al. Building Owner's Name '.!-�2cd Policy Number *-Buiidin Street Address (including Apt., Unit, Suite, and/or Bid . No.) or P.O. Route and Box No. Company NAIC Number 0(5(o City Nuc E) State u ZIP Code Q G-7 2-f) fl A3. Property Description(Lol and Block Numbers, Tax Parcel Number, Legal Description, etc.) fiM(c: { 3 • 2 •� • :073 17'9 A4. Building Use (e.g., Residential, Non -Residential, Addition, Accessory, etc.) r�C,,��llJ�tV tF11.. A5. Latitude/Longitude: Lat. ��?�.S r� h� Long. �. e -J f4 - Horizontal Datum: ❑ NAD 1927 'M NAD 1983 A6. Attach at least 2 photographs of the building if the Certificate is being used to obtain flood insurance. A7. Building Diagram Number A8. For a building with a crawl space or enclosure(s), provide: A9. For a building with an attached garage, provide: a) Square footage of crawl space or enclosure(s) sq ft a) Square footage of attached garage NAL sq ft b) No. of permanent flood openings in the crawl space or b) No. of permanent flood openings in the attached garage enclosure(s) walls within 1.0 foot above adjacent grade walls within 1.0 foot above adjacent grade c) Total net area of flood openings in A8.b sq in c) Total net area of flood openings in A9.b tJ& sq in SECTION B - FLOOD INSURANCE RATE MAP (FIRM) INFORMATION 61. NFP Community Name & Community NumberB2. County ame B3. State ripiOCO A1'at • CAU l-'tAWA�� B4. Map/Panel Number B5. Suffoc B6. FIRM Index B7. FIRM Panel B8. Flood B9. Base Flood Elevation(s) (Zone meters (Puerto Rico only) c) Bottom of the lowest horizontal structural member (V Zones only) Date Effective/Revised Date Zone(s) AO, use base flood depth) 4P& • p 88J5 (f/ �f• o O Co �i 2 .4 910. Indicate the source of the Base Flood Elevat on (BFB) data or base flood depth entered in Item B9. ❑ FIS Profile EZFIRM ❑ Community Determined ❑ Other (Describe) B11. Indicate elevation datum used for BFE in Item 139: gNGVD 1929 ❑ NAVD 1988 ❑ Other (Describe) B12. Is the building locatedin a Coastal Barrier Resources System (CBRS) area or Otherwise Protected Area (OPA)? F1Yes � No Designation Date W A,- ❑ CBRS ❑ OPA SECTION C - BUILDING ELEVATION INFORMATION (SURVEY REQUIRED) Cl. Building elevations are based on: ❑ Construction Drawings* ❑ Building Under Construction* 19 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, ARAE, AR/A1-A30, AR/AH, AR/AO. Complete Items C2.a-g below according to the building diagram specified in Item A7. Benchmark Utilized 'lG IS -L ) hW 9F-IZ. 1 &JX Vertical Datum \(I� I Ca(O�J l42(D Conversion/Comments 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 best efforts to interpret the data available. I understand that any false statement maybe punishable by fine or imprisonment under 18 U.S. Code, Section 1001. Check here if comments are provided on back of form. Certifler's Name 1> ` ,(b t-5 - Gk�10� , A,A License Number /i „� -7 { , Q Company Name. LICENSEDO ALPROFES$E :fC8ITECT Abdress' O• 123 City 5tate ZIP Coder Signa Date C t Telephone -( �'� ��• Check the measurement used. a) Top of bottom floor (including basement, crawl space, or enclosure floor)�R] feet �.�® Elmeters (Puerto Rico only) ❑ b) Top of the next higher floor feet meters (Puerto Rico only) c) Bottom of the lowest horizontal structural member (V Zones only) feet ❑ meters (Puerto Rico only) d) Attached garage (top of slab) _❑ feet ❑ meters (Puerto Rico only) e) Lowest elevation of machinery or equipment servicing the building !9-1 ._® feet ❑ meters (Puerto Rico only) (Describe type of equipment in Comments) f) Lowest adjacent (finished) grade (LAG) !4 feet ❑ meters (Puerto Rico only) g) Highest adjacent (finished) grade (HAG) -2-0 . 15_M feet ❑ meters (Puerto Rico only) SECTION D - SURVEYOR, ENGINEER, OR ARCHITECT CERTIFICATION This certification is to be signed and sealed by a land surveyor, engineer, or architect authorized by law to certify elevation information. I certify that the information on this Certificate represents my best efforts to interpret the data available. I understand that any false statement maybe punishable by fine or imprisonment under 18 U.S. Code, Section 1001. Check here if comments are provided on back of form. Certifler's Name 1> ` ,(b t-5 - Gk�10� , A,A License Number /i „� -7 { , Q Company Name. LICENSEDO ALPROFES$E :fC8ITECT Abdress' O• 123 City 5tate ZIP Coder Signa Date C t Telephone -( �'� ��• IMPORTANT: In these spaces, copy the corresponding information from Section A. For Insurance Company Use: Building Street Address (inciyding Apt., Unit, Suite, and/or Bldg. No.) or P.O. Route and Box No. Policy Number ,-i e..P ' _ V.& ► & l N I A L 1 A ^1 r-' c -r- --t rti V _ 9 - I i, -TA CityR I �� State k Awi q ZIP Code Company NAIC Number l SECTION D - SURVEYOR, ENGINEER, OR ARCHITECT CERTIFICATION (CONTINUED) both sides of this Elevation Certificate for (1) community official, (2) insurance agent/company, and (3) building owner. • .r C SECTION E -BUILDING ELEVATION INFORMATION (SURVEY NOT REQUIRE15) FOR ZONE AO AND ZONE A (WITHOUT BFE) For Zones AO and A (without BFE), complete Items E1 -E5. If the Certificate is intended to support a LOMA or LOMR-F request, complete Sections A, B, and C. For Items E1 -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, crawl space, or enclosure) is _ ❑ feet ❑ meters ❑ above or ❑ below the HAG. b) Top of bottom floor (including basement, crawl space, or enclosure) is _ ❑ feet ❑ meters ❑ above or ❑ below the LAG. E2. For Building Diagrams 6-8 with permanent flood openings provided in Section A Items 8 and/or 9 (seepage 8 of Instructions), the next higher floor (elevation C2.b in the diagrams) of the building is _ [:]feet [:]meters [:]above or Lbelow 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 owner's 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's or Owner's Authorized Representative's Name .ss City State ZIP Code Signature Date Telephone Comments ❑ Check here if attachments SECTION G - COMMUNITY INFORMATION (OPTIONAL) rhe 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), rnd G of this Elevation Certificate. Complete the applicable item(s) and sign below. Check the measurement used in Items G8. and G9. 31. ❑ 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.) 32. ❑ A community official completed Section E for a building located in Zone A (without a FEMA -issued or community -issued BFE) or Zone AO. 33. ❑ The following information (Items G4. -G9.) is provided for community floodplain management purposes. G4. Permit Number G5. Date Permit Issued G6. Date Certificate Of Compliance/Occupancy Issued 37. This permit has been issued for: ❑ New Construction ❑Substantial Improvement 38. Elevation of as -built lowest floor (including basement) of the building: ❑feet ED meters (PR) Datum 39. BFE or (in Zone AO) depth of flooding at the building site: ❑ feet ❑ meters (PR) Datum Local Official's Name Wie Depultillunt Of Publk ftridTitle Fn-lneering Myicion has reviewed Community Name the Elevation Certificate and Telephone Signature Date final a "7 ❑ Check here if attachments Date MAR 13 20(1 Bamboo Technologies PO Box 1238, Haiku, HI 96708 USA Phone: 808 572-1007 • Fax: 808 443-0606 Email: bamboo@bambootechnologies.com www.bambooliving.com • www.bambootechnologies.com March 11, 2008 Building Division Department of Public Works 101 Pauahi Street Suite 7 County of Hawaii Hilo, HI 96720 Re: Elevation Certificate for Scott Davenport Residence 2056 Kalanianaole St. Hilo, HI 96720 TMK: (3)-2-1-017:073 Dear Sir/Madam: I am the architect of record for the above project and am certifying the elevation of the finished construction in the accompanying FEMA Elevation Certificate. This post construction certificate varies from the preconstruction certificate for the following reasons: 1) In the drawings the bottom of the grade beam and footings were drawn three feet below the existing grade to prevent scouring by a tsunami in case the footings were set on sand. The footings are set on blue rock so they did not need to be three feet below grade. I approved that change. The foundation contractor made the concrete columns the same height from the top of grade beam and footing to the top of the concrete columns which accounts for the height difference in Items C2. a), b), and c) from the preconstruction certificate. I approve that change. 2) There was an additional slight difference in Items b) and c) due to the bamboo construction and the relative height of the glulam beam at the lanai edge that I have approved. 3) The hotwater heater has been installed below the floor level but above the base flood elevation. I approve of this change as well. Please call me at 808-572-1007 if you have any questions. Sincerely, David E. Sands, AIA V.�