Survey Request

Name: Laco Associates
Address: 155 North Main Street, Fort Bragg, CA, 95437

Survey Information
Select the type of survey desired from these services provided:*
Elevation Certificate service base fee starts at $1,500.*
Please further describe your survey request:*
Contact Information
Property Owner or Authorized Representative*
First Name Last Name
Phone Number*
Email Address*
Mailing Address*
Street Address City State ZIP Code
Property Information
Property Owner's Name*
Building Owner Name or other Name to be placed on the completed Certificate.
Property Address*
Street Address City State ZIP Code
Assessor's Parcel Number (optional)
Zoning/Use of Property*
- Residential
- Commercial
- Industrial
Certificate will be based on:*
- Construction Drawings
- Building Under Construction
- Finished Construction
Billing Information
Billing Information Is The Same As Contact Information*
- Yes
- No
Client Name*
First Last
Client Phone Number*
Client Email Address*
Billing Address*
Street Address City State ZIP Code
Consent*
I agree to the terms below.
Upon receipt of this Survey Request Form, service fee quote will be provided. If accepted, information submitted will be used to prepare a LACO Service Agreement for your review and signature. Authorization to proceed requires Client signature and initials on Service Agreement and full payment (100%) of fee as retainer. Completed Elevation Certificate is typically delivered 7 to 10 business days from the date of authorization. Retainer will be applied to final invoice.
Consent*
I agree to the terms below.
*Upon receipt of this Survey Request Form, a service fee quote will be provided. If accepted, information submitted will be used to prepare a LACO Service Agreement for your review and signature. Authorization to proceed requires Client signature and initials on Service Agreement and retainer deposit.
Name
This field is for validation purposes and should be left unchanged.

Eureka: 21 West 4th Street, Eureka, CA 95501: +1 707-443-5054
Ukiah: 1072 North State Street, Ukiah, CA 95482: +1 707-462-0222
Santa Rosa: 1550 Airport Blvd., Ste. 120, Santa Rosa, CA 95403: +1 707-525-1222
Chico: 1209 Esplanade #4, Chico, CA 95926: +1 530-801-6170

Services

Engineering
Building Design
Planning Permitting and Environmental Compliance Consulting
Engineering Geology Geotechnical Engineering and Hydrogeology
Environmental Science and Geology
Materials Testing and Special Inspection
Surface Mining and Reclamation Act (SMARA) Compliance
Grant Writing & Funding Development
Fire Recovery
Land Surveying

Careers
About
Contact

Facebook Twitter Instagram Linkedin

Engineering Web Design by Cavallo Agency

Skip to content

Open toolbar

Accessibility Tools

Increase Text
Decrease Text
Grayscale
High Contrast
Negative Contrast
Light Background
Links Underline
Readable Font
Reset

Survey Information

Contact Information

Property Information

Billing Information