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Home My WebLink About21330 Vai Ave - Corrected�gt.tyr� City Hall 10300 Torre Avenue Cupertino, CA 95014-3255 PH: (408) 777-3354 FX: (408) 777-3333 C U P E RT I N O PUBLIC WORKS DEPARTMENT MEMO OF REVIEW FOR CORRECTNESS AND COMPLETION In accordance with this community's participation in the National Flood Insurance Program's Community Rating System, all FEMA Elevation Certificates must be correct and complete. The attached Certificate has some incorrect items which are noted here. SECTION A -PROPERTY INFORMATION For Insurance Company Use: Al. Building Owner's Name � Policy Number A2. Building Street Address (including Apt., Unit, Suite, and/or Bldg. No.) or P.O. Route and Box No. Company NAIC Number City State ZIP Code cur cC1')yo CA 9 6a ly A3. Property Description (Lot and Block Numbers, Tax Parcel Number, Legal Description, etc.) A4. Building Use (e.g., Residential, Non -Residential, Addition, Accessory, etc.) A5. Latitude/Longitude: Lat. Long. Horizontal Datum: ❑ NAD 1927 ❑ 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 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 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 sq in SECTION B - FLOOD INSURANCE RATE MAP (FIRM) INFORMATION BI. NFIP Community Name & Community Number B2. County Name B3. State 060339 CuP61?000,(A B4. Map/Panel Number B5. Suffix B6. FIRM Index B7. FIRM Panel B8. Flood Zone(s) B9. Base Flood Elevation(s) (Zone AO, Date Effective/Revised Date use base flood depth) B10. Indicate the source of the Base Flood Elevation (BFE) data or base flood depth entered in Item B9. ❑ FIS Profile ❑ FIRM ❑ Community Determined ❑ Other (Describe) Bit. Indicate elevation datum used for BFE in Item B9: ❑ NGVD 1929 ❑ NAVD 1988 ❑ Other (Describe) B12. Is the building located in a Coastal Barrier Resources System (CBRS) area or Otherwise Protected Area (OPA)? ❑Yes []No Designation Date ❑ CBRS ❑ OPA SECTION C - BUILDING ELEVATION INFORMATION (SURVEYREQUIRED) 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, V 1-V30, V (with BFE), AR, AR/A, AR/AE, AR/AI-A30, AR/AH, AR/AO. Complete Items C2.a-g below according to the building diagram specified in Item AT Benchmark Utilized Vertical Datum Conversion/Comments COMMENTS: -e of Review: 2 / 2 O/ / q Community Official: All elevation certificates shall be maintained by tire community and copies with the attached memo made available upon request U.S. DIE ARnRENT OF HOMELAND SECURITY FEDERAL EMERGENCY MANAGEMENT AGENCY National Flood fnrurance Program Name ELEVATION CERTIFICATE Important: Read the instructions on pages 1-9. SECTION A - PROPERTY INFORMATION OMB No. 1660-0008 Expiration Date: July 31, 2015 FOR INSURANCE COMPANY USE Policy Number A2. Building Street Address (including Apt., Unit, Suite, and/or Bldg. No.) or P.O. Route and Box No. I Company NAIC Number. 21330 VAI AVE City CUPERTINO State CA ZIP Code 95014 A3. Property Description (Lot and Block Numbers, Tax Parcel Number, Legal Description, etc.) A4. Building Use (e.g., Residential, Non -Residential, Addition, Accessory, etc.) RESIDENTIAL A5. Latitude/Longitude: Lat. N 37D 18' 24" Long. W 122D 02' 50.59' Horizontal Datum: ❑ NAD 1927 R MAD 1983 All. Attadi at least 2 photographs of the building if the Certificate is being used to obtain flood insurance. AT Building Diagram Number 8 A8. For a building with a crawlspace or endosum(s): A9. For a building with an attached garage: a) Square footage of crawlspace or enclosure(s) 1687 sq it a) Square footage of attached garage 433 sq R b) Number of permanent flood openings in the crawlspace b) Number of permanent flood openings in the attached garage or enclosure(s) within 1.0 foot above adjacent grade 14 within 1.0 foot above adjacent grade 2 c) Total net area of flood openings in A8.b 1210 sq in C) Total net area of flood openings in A9.b 172 sq in d) Engineered flood openings? ❑ Yes R No d) Engineered flood openings? ❑ Yes R No Cu PER 1 W0, cA Ore o 134 SECTION B - FLOOD INSURANCE RATE MAP (FIRM) INFORMATION 1. NFIP Community Name & Community Number B2. County Name B3. State SANTA CLARA CA B4. IMpIpanel Number 05085CO2T B5. Suffix H B6. FIRM Index Date 05/18Y2009 B7. FIRM Panel EHective/Revised Date 05/18/2009 B8. Flood Zone(s) X, A B9. Base Flood Elevation(s) (Zone AO, use base flood depth) 61NY<NOVAi BID. Indicate the source of the Base Flood Elevation (BFE) data or base flood depth entered in Item B9. 2 o" A 0 +E e c A lb ❑ FIS Profile R FIRM ❑ Community Determined ❑ Other/Source: ou T.Pa OdAP1C Sutvff BFE = 567.0 1311. Indicate elevation datum used for BFE in Item B9: ❑ NGVD 1929 R NAVD 1988 ❑ Other/Source: B12. Is the building located in a Coastal Barrier Resources System (CBRS) area or Otherwise Protected Area (OPA)? ❑ Yes R No Designation Date: ❑ CBRS ❑ OPA SECTION C - BUILDING ELEVATION INFORMATION (SURVEY REQUIRED) C1. Building elevations are based on: ❑ Construction Drawings' ❑ Building Under Construction* R 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, ARIA, AR/AE, AR/A"30, AR/AH, AR/AO. Complete Items C2.a-h below according to the building diagram specified in Item AT In Puerto Rico only, enter meters. Benchmark Utilized: 1613 Vertical Datum: NAVD 88 Indicate elevation datum used for the elevations in items a) through h) below. ❑ NGVD 1929 N NAVD 1988 0 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) b) Top of the next higher floor c) Bottom of the lowest horizontal structural member (V Zones only) d) Attached garage (top of stab) e) Lowest elevation of machinery or equipment servicing the building (Describe type of equipment and location in Comments) f) 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 358.5 ® feet ❑ meters 360.0 R feet ❑ meters WA. ❑ feet ❑ meters 359.4 R feet ❑ meters 360.4 R feet ❑ meters MM R feet ❑ meters 359.3 R feet ❑ meters WA_ ❑ 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 certify, that the information on this CenYficafe represents my best efforts to interpret the data available. I understand that any false statement may be punishable by fine or imprisonment under 18 U. S. Code, Section 1001. R Check here if comments are provided on back of forth. Were latitude and longitude in Section A provided by a ❑ Check here if attachments. licensed land surveyor? R Yes ❑ No Certifier's Name ROBERT HUNT License Number 7952 Title PRESIDENT Company Name AMERICAN BASELINE COMPANY Address 322 N. 18'" ST. City SAN JOSE State CA ZIP Code 95112 Signature � --� Date 05/07/13 Telephone ( Robert G. Hunt EXP. 12/31/13. No. 7952 FEMA Form 086-0-33 (7112) 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. 21330 VAI AVE City CUPERTINO State CA ZIP Code 95014 Company NAIC Number. SECTION D - SURVEYOR, ENGINEER, OR ARCHITECT CERTIFICATION (CONTINUED) ,3opy both sides of this Elevation Certificate for (1) community official, (2) insurance agenVcompany, and (3) building owner. Comments 'LOWEST ELEVATION OF MACHINERY IS A WATER HEATER. ' NATIONAL GEODETIC SURVEY BENCHMARK WAS USED. (ELEV=340.20). HT1613. -ELEVATION OF BOTTOM OF VENT= 359.15'.'TOP OF BOTTOM FLOOR IS A CRAWL SPACE. Signature „/ �� Date 05/07/13 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 E1-E5. ifthe Certificate is intended to support a LOMA or LOMR-F request, complete Sections A, B, and C. For Items EI-E4, use natural grade, if available. Check the measurement used. In Puerto Rico only, enter meters. El. 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, kxawlspace, or enclosure) is 358.5 IR feet ❑ meters ❑ above or ® below the HAG. b) Top of bottom floor (including basement, crawlspace, or enclosure) is 358.5 ® 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 350.0 ® feet ❑ meters ® above or ❑ below the HAG. E3. Attached garage (top of slab) is 359.4 ® feet 0 meters ® above or ❑ below the HAG. E4. Top of platform of machinery and/or equipment servicing the building is 360.4 ® 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 FEMA4ssued or communily4ssued BFE) or Zone AO must sign here. The statements in Sections A, B, and E are correct to the best of my knowledge. Property 1 Owner's or Owner'sV �./Authorizzled Representative's Name AMERICAN BASELINE CO. 1. J9 Address 0 t A � � Crhr .4oe✓'i, NA Signature - ,� . ,[.t„ _ _ THE PROPERTY IS TN ZONE A. a'� here it aRachme s. SECTION G - COMMUNITY INFORMATION (OPTIONAL) I ne iocai omaat wno is aumonzea Dy raw or oromance to administer the community's floodplain management ordinance can complete Sections A. B, C (or E), and G If 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 FEMA4ssued or community4ssued BFE) or Zone AO. G3. ❑ The following information (Items G4-G10) is provided for community floodplain management purposes. G4. Permit Number G5. Date Permit 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: 3517.00 IN feet ❑ meters Datum NSVP SY G10. Community's design flood elevation: 3 5%. o o IN feet ❑ meters Datum ¢ = Off t Local Official's Name (-flAb 5Cto 10(1 EN(r(Ijece Community Name C- I Ty o f CV PE Two Telephone q C j) / 5 / 1 3 Comments .5TQUcTU/CC.S Lo pffrj Po129/oul o p= /N ZowE x . OA;LY A 5,11A(L �PopfKT1 1 0C/i%CD /N Z0 NE A FEMA Fomt 086-0-33 (7/12) Replaces all previous editions. City of Cupertino Basemap Labels Abc Street Names Secondary Address Labels Primary Address Labels Freeway Land Features 2006 Contours 1ft Valley 0 - 200 200 - 400 400 - 600 600 - 800 800 - 1,000 1,000 - 1,200 1,200 - 1,400 Public Works SCALE 1 : 1,18 100 0 100 FEET nwtiv le0ue PQo PC OT i 3 51. 00 H IS http://gissvr/cupertinointranet/Home/mapFile.aspx ?5 +o, Wednesday: November 06, 2013 10:05 AM