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Home My WebLink About7-5-004:020 S Bldg C-1Our Proj#18408 U.S. DEPARTMENT OF HOMELAND SECURITY ELEVATION CERTIFICATE FEDERAL EMERGENCY MANAGEMENT AGENCY Ndtiondl Fkvd Insurance Progtwn IMPORTANT: Follow the Instructions on pages 1-9. OMB No. 1660-0008 Expiration Date: July 31, 2015 SECTION A - PROPERTY INFORMATION I FOR INSURANCE COMPANY USE I Al. Building Owner's Name Kalanikai (Units 101 to 108, 201 to 208) South Building (Bldg C-1) I Policy Number: I A2. Building Street Address (including Apt., Unit, Suite, and/or Bldg. No.) or P.o. Route and Box No. I Company NAIL Number: City Kailua Kona State HI ZIP Code 96740 A3. Property Description (Lot and Block Numbers, Tax Parcel Number, Legal Description, etc.) Lot 3-B NE building TMK: 3/ 7-5-004: 020 A4. Building Use (e.g., Residential, Non -Residential, Addition, Accessory, etc.) -Multi Family Residential Complex A5. Latitude/Longitude: Lat. 19 6419A Long. -155.99279 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. A7. Building Diagram Number i A A8. For a building with a crawlspace or enclosure(s): A9. For a building with an attached garage: a) Square footage of crawlspace or enclosure(s) n/a• sq ft a) Square footage of attached garage n/a• sq ft b) No. of permanent flood openings in the crawlspace or n/a b) Number of permanent flood openings in the attached garage enclosure(s) within 1.0 foot above adjacent grade within 1.0 foot above adjacent grade Aha c) Total net area of flood openings in A8.b n/a• sq in c) Total net area of flood openings in A9.b n/a- sq in d) Engineered flood openings? ❑ Yes ❑ No d) Engineered flood openings? ❑ Yes ❑ No SECTION B - FLOOD INSURANCE RATE MAP (FIRM) INFORMATION Bl. NFIP Community Name & Community Number B2. County Name B3. State HAWAII 155166 _11HAWAII COUNTY HAWAII B4. Map/Panel Number B5. Suffix 86. FIRM Index Date B7. FIRM Panel Effective/ B8. Flood Zones) B9. Base Flood Elevation(s) (Zone N feet ❑ meters Revised Date X, X (shaded) A0, use base flood depth) 155166 0713 D 04/02/2013 05/16/1994 AE 43 to 45' see comments B10. Indicate the source of the Base Flood Elevation (BFE) data or base flood depth entered in Item 69: ❑ AS Profile N FIRM ❑ Community Determined ❑ Other/Source: Bll. Indicate elevation datum used for BFE in Item 139: K NGVD 1929 ❑ NAVD 1988 ❑ Other/Source: B12. Is the building located in a Coastal Barrier Resources System (CBRS) area or Otherwise Protected Area (OPA)? ❑ Yes N No Designation Date: / / ❑ CBRS ❑ OPA SECTION C - BUILDING ELEVATION INFORMATION (SURVEY REQUIRED) Cl. Building elevations are based on: []Construction Drawings* ❑ Building Under Construction* ® 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/A0. Complete Items C2.a-h below according to the building diagram specified in Item A7. In Puerto Rico only, enter meters. Benchmark Utilized: Kailua Pier BM#4 Vertical Datum: Mean Sea Level Indicate elevation datum used for the elevations in items a) through h) below. ❑ NGVD 1929 ❑ NAVD 1988 ❑ Other/Source: Datum used for building elevations must be the same as that used for the BFE. a) Top of bottom floor (including basement, crawlspace, or enclosure floor) b) Top of the next higher floor c) Bottom of the lowest horizontal structural member (V Zones only) d) Attached garage (top of slab) e) Lowest elevation of machinery or equipment servicing the building (Describe type of equipment and location in Comments) Q Lowest adjacent (finished) grade next to building (LAG) g) Highest adjacent (finished) grade next to building (HAG) h) Lowest adjacent grade at lowest elevation of deck or stairs, including structural support 51 02 Check the measurement used. ® feet ❑ meters 59 , 84 N feet ❑ meters n/a. . ® feet ❑ meters n/a.. N feet ❑ meters 46 6 N feet ❑ meters See Comments 43 . 8 N feet ❑ meters 47 , 4 N feet ❑ meters 45.3 N feet ❑ meters 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 certW that the Information on this Certificate represents my best efforts to interpret the data available. PL T. yq I understand that any false statement may be punishable by fine or Imprisonment under 18 U.S. Code, Section 1001. ❑x Check here if comments are provided on back of form. Were latitude and longitude in Section A provided by a Q LICENSED 9 Check here if attachments. licensed land surveyor? ® Yes ❑ No Z _ Certifier's Name License Number " " �' Chrystal Thomas Yamasaki LS -4331 Hawaii Title Company Name * U Licensed Professional Land Surveyor Wes Thomas Associates 331 Address City State ZIP Code 7 -5749 Kalawa Street, Suite 201 Kailua Kona HI 96740 Alf �j. ure Date Telephone 310 612 01 5 03/06/2015 808 329-2353 if "Ahl FEMA Form 086-0-33 (7/12) ( See reverse side for continuation. Replaces all previous editions. ELEVATION CERTIFICATE, page 2 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: City State ZIP Code Company NAIC Number: I Kailua Kona HI 96740 SECTION D - SURVEYOR, ENGINEER, OR ARCHITECT CERTIFICATION (CONTINUED) Copy both sides of this Elevation Certificate for (1) community official, (2) insurance agent/company, and (3) building owner. Comments Note: This S building (Bldg C-1) in the complex is in Zone X , Zone X(Shaded) and Zone AE See attached plot plan with flood zones annotated. Note: LOMR Dated January 11, 2007 Case No. 06-09-B685P SECTION E E. BUILDING ELEVATION`NMMATION (SURVEY NOT REQUIRED) FOR ZONE AO AND ZONE A (WITHOUT BFE) For Zones AO and A (without BFE), complete Items Ec1-E5. If the Certificate is Intended to support a LOMA or LOMR-F request, complete Sections A, Band 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, crawispace, or enclosure) is ❑ feet ❑ meters ❑ above or ❑ below the HAG. b) Top of bottom floor (including basement, crawispace, 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 8-9 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 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 or Owner's Authorized Representative's Name Address City State ZIP Code Signature Date Telephone Comments ❑ Check here if attachments. 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. ❑ 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 G7. This permit has been issued for: ❑ New Construction ❑ Substantial Improvement G8. Elevation of as -built lowest floor (including basement) of the building: ❑ feet ❑ meters Datum G9. BFE or (in Zone AO) depth of flooding at the building site: ❑ feet ❑ meters Datum G10. Community's design flood elevation: ❑ feet ❑ meters Datum Local Official's Name Title Community Name Telephone Signature Date Comments ❑ Check here if attachments. FEMA Form 086.0-33 (7/12) Replaces all previous editions.