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1979 BASSWOOD AVE; CS; CBC2022-0114; Permit
Building Permit Finaled Commercial Permit Print Date: 03/13/2025 Job Address: Permit Type: Parcel#: Valuation: Occupancy Group: #of Dwelling Units: Bedrooms: Bathrooms: Occupant Load: Code Edition: Sprinkled: Project Title: 1979 BASSWOOD AVE, # CS, CARLSBAD, CA 92008 BLDG-Commercial Work Class: 2051403500 Track#: $0.00 Lot#: Project#: Plan#: Construction Type: Orig. Plan Check#: Plan Check#: Tenant Improvement Permit No: Status: CCityof Carlsbad CBC2022-0114 Closed -Finaled Applied: 04/06/2022 Issued: 09/21/2022 Finaled Close Out: 03/13/2025 Final Inspection: 10/02/2024 INSPECTOR: Alvarado, Tony Description: VERIZON: EXISTING CELL SITE MODIFICATIONS (6) ANTENNAS, RADIOS, (3) DIPLEXERS, (2) OVPS, (2) HYBRIFLEX CABLES Applicant: Property Owner: THE DERNA GROUP RACHEL BRUIN 22431 ANTONIO PKWY, # STE Bl60-234 RANCHO SANTA MARGARITA, CA 92688-3932 (805) 215-9444 CARLSBAD UNIFIED SCHOOL DISTRICT 1100 CAMINO DE LAS ON DAS CARLSBAD, CA 92009-3400 (760) 331-5000 FEE BUILDING PLAN CHECK BUILDING PLAN REVIEW-M INOR PROJECTS (LOE) BUILDING PLAN REVIEW-M INOR PROJECTS (PLN) CELL SITE -RAD IO OVER 30 FT. HIGH CERTIFICATE OF OCCUPANCY SB1473 -GREEN BUILDING STATE STANDARDS FEE Total Fees: $1,375.55 Total Payments To Date: $1,375.55 Balance Due: AMOUNT $420.55 $194.00 $98.00 $647.00 $15.00 $1.00 $0.00 Please take NOTICE that approval of your project includes the "Imposition" of fees, dedications, reservations, or other exactions hereafter collectively referred to as "fees/exaction." You have 90 days from the date this permit was issued to protest imposition of these fees/exactions. If you protest them, you must follow the protest procedures set forth in Government Code Section 66020(a), and file the protest and any other required information with the City Manager for processing in accordance with Carlsbad Municipal Code Section 3.32.030. Failure to timely follow that procedure will bar any subsequent legal action to attack, review, set aside, void, or annul their imposition. You are hereby FURTHER NOTIFIED that your right to protest the specified fees/exactions DOES NOT APPLY to water and sewer connection fees and capacity changes, nor planning, zoning, grading or other similar application processing or service fees in connection with this project. NOR DOES IT APPLY to any fees/exactions of which you have previously been given a NOTICE similar to this, or as to which the statute of limitation has previously otherwise expired. Building Division Page 1 of 1 1635 Faraday Avenue, Carlsbad CA 92008-7314 I 442-339-2719 I 760-602-8560 f I www.carlsbadca.gov {cityof Carlsbad COMMERCIAL BUILDING PERMIT APPLICATION B-2 Plan Check ~~ZOU-DI\'-'\ Est. Value PC Deposit Date Job Address 1979 Basswood Avenue Suite: APN: 2051403500 -----· Tenant Name#: Verizon Wireless Lot#: Year Built: -------------------------------- Year Built: __ _ Occupancy:_U __ _ Construction Type: __ _ Fire sprinklersQ'ESQN0 A/C:QYESQNO BRIEF DESCRIPTION OF WORK: Verizon modifications to existing wireless facility. Remove (6) antennas. Install (6) antennas, (6) radios (3) diplexers, (2) OVPs and (2) hybriflex cables. 0 Addition/New: ____________ New SF and Use, __________ .New SF and Use ______ SF Deck, _______ SF Patio Cover, ________ SF Other (Specify) ___ _ [Z]-renant Improvement: existing SF, Existing Use: Wireless Facility Proposed Use: Wireless Facility _____ SF, Existing Use: _______ Proposed Use: ______ _ D Pool/Spa: _____ SF Additional Gas or Electrical Features? ____________ _ D Solar: KW,, ___ Modules, Mounted:ORoof OGround D Reroof: ___________________________________ _ D Plumbing/Mechanical/Electrical Oother: ____________________________________ _ PRIMARY APPLICANT PROPERTY OWNER Name: The Derna Group -Rachel Bruin Name: Carlsbad Unified School District Address: 22431 Antonio Parkway, Suite B160-234 Address: 6225 El Camino Real City: Rancho Santa Margarita State: CA Zip:_9_26_8_8 __ City: Carlsbad State:_C_A __ .Zip: 92009 Phone: 805-215-9444 Phone: , ___________________ _ Email: rbruin@dernagrp.com Email: -------------------- DES I G N PROFESSIONAL CONTRACTOR OF RECORD Name: Tower Engineering Professionals Business Name~ Bf}!2 l/411k11UVl(C4 fr@ r Address: 326 Tryon Road Address: l 'f'.!l(/_j_~J/4Jj ~ City: Raleigh State:_N_c __ .Zip: 27603 City: UJ/ls JJAd State: C,:~ Zip: q Z tTZJ~ Phone: 919-661-6351 Phone: 740 Kl)(/ 581 Z Email: __________________ Email: r ob.f/4,44.(?5/A O;bc(n' <-t11ttZ<4? ,'c' 4-f,w 5:. (404 Architect State License: 77502 CSLB License#: ?Z-3. 26 Class: {0, C/0 Carlsbad Business License# (Required): RLN/2...IW W5 I APPLICANT CERT/FICA TION: I certify that I have read the application and state that the above information is correct and that the information on the plans is accurate. /agree to comply with all City ordinances and State laws relating to building construction. NAME (PRINT): _R_a_c_h_el_B_r_u_in ____ _ SIGN: ~ f3-uait, DATE: 414122 ----------- 1635 Faraday Ave Carlsbad, CA 92008 Ph: 760-602-2719 Fax: 760-602-8558 Email: Building@carlsbadca.gov REV. 07/21 -.-- THIS PAGE REQUIRED AT PERMIT ISSUANCE PLAN CHECK NUMBER: ______ _ A BUILDING PERMIT CAN BE ISSUED TO EITHER A STATE LICENSED CONTRACTOR OR A PROPERTY OWNER. IF THE PERSON SIGNING THIS FORM IS AN AGENT FOR EITHER ENTITY AN AUTHORIZATION FORM OR LETTER IS REQUIRED PRIOR TO PERMIT ISSUANCE. (OPTION A): LICENSED CONTRACTOR DECLARATION: lherebyaffirmunderpenaltyofperjurythatlamlicensedunderprovisionsofChapter9(commencingwithSection7000)ofDivision3 of the Business and Professions Code, and my license is in full force and effect. I also affirm under penalty of perjury one of the following declarations (CHOOSE ONE): 01 have and will maintain a certificate of consent to self-insure for workers' compensation provided by Section 3700 of the Labor Code, for the performance of the work which this permit Is issued. PolicyNo. ______________________________________ _ -OR- ~I have and will maintain worker's compensation, as required by Section 3700 of the Labor Code, for the performance of the work for which thi permit is issued. My workers' compensation ·n ura e carrier and policy number are: lnsuranceCompany Name: <I. Policy No. --"'-'-"--.-.,.,._.'-'"---''--'--"'-+......,"""":..,.... _____________ Expiration Date: -...::+-,µ.....L,~lfL.l."',;l---------- -OR- Ocertificate of Exemption: I certify that in the performance of the work for which this permit is issued, I shall not employ any person in any manner so as to become subject to the workers' compensation Laws of California. WARNING: Failure to secure workers compensation coverage Is unlawful and shall subject an employer to criminal penalties and civil fines up to $100,000.00, In addition the to the cost of compensation, damages as provided for In Section 3706 of the labor Code, Interest and attorney's fees. CONSTRUCTION LENDING AGENCY, IF ANY: I hereby affirm that there is a construction lending agency for the performance of the work this permit is Issued (Sec. 3097 (i) Civil Code). Lender's Name: ____________________ lender's Address: ___________________ _ CONTRACTOR CERT/FICA TION: I certify that I have read the application and state that the above information is correct and that the information on the plans is accurate. /agree to comply with all City ordinances and State laws relating to building construction. NAME (PRINT): JZ), ~011 SIGNATURE: eC? ~ DATE: r~ Note: If the person slgni~g above is ~;a~ agent for the contractor provide a letter of authorization on contractor letterhead. -OR - (OPTION B): OWNER-BUILDER DECLARATION: I hereby affirm that I am exempt from Contractor's License Law for the following reason: n I, as owner of the property or my employees with wages as their sole compensation, will do the work and the structure Is not intended or offered for sale (Sec. i..,a44, Business and Professions Code: The Contractor's License Law does not apply to an owner of property who builds or improves thereon, and who does such work himself or through his own employees, provided that such improvements are not intended or offered for sale. If, however, the building or improvement is sold within one year of completion, the owner-builder will have the burden of proving that he did not build or improve for the purpose of sale). -OR- D1, as owner of the property, am exclusively contracting with licensed contractors to construct the project (Sec. 7044, Business and Professions Code: The Contractor's License Law does not apply to an owner of property who builds or Improves thereon, and contracts for such projects with contractor(s) licensed pursuant to the Contractor's License Law). -OR-□1 am exempt under Business and Professions Code Division 3, Chapter 9, Article 3 for this reason: AND, D FORM B-61 "Owner Builder Acknowledgement and Verification Form• is required for any permit issued to a property owner. By my signature below I acknowledge that, except for my personal residence in which I must have resided for at least one year prior to completion of the Improvements covered by this permit, I cannot legally sell a structure that I have built as an owner-builder if it has not been constructed In its entirety by licensed contractors./ understand that a copy of the applicable law, Section 7044 of the Business and Professions Code, is available upon request when this application is submitted orat the following Web site: http:/ /www.teginfo.ca.gov/calaw.html. OWNER CERTIFICATION: /certify that I have read the application and state that the above information is correct and that the information on the plans is accurate. /agree to comply with all City ordinances and State laws relating to building construction. NAME (PRINT): SIGN: __________ DATE: ______ _ Note: If the person signing above Is an authorized agent for the property owner include form B-62 signed by property owner. 1635 Faraday Ave Carlsbad, CA 92008 Ph: 760-602-2719 Fax: 760-602-8558 Email: Bullding@carlsbadca.gov 2 REV. 07/21 THE □Ei=INA April 4, 2022 City of Carlsbad Building Counter 1635 Faraday Avenue Carlsbad, CA 92008 RE: Building Permit Application Submittal -1979 Basswood Avenue, Carlsbad, CA 92008; APN: 2051403500 Dear Building Staff, Please accept this building permit application to review the proposed modification of the above referenced wireless facility. Please find attached hereto the following submittal documents: • Planning Approval Email • (1) Commercial Building Permit Application • (4) 11"x17" Sets of Stamped and Signed Plans • (2) Structural Analysis' Please feel free to contact me should you have any concerns. Sincerely, ~ !3-u.ait- Rachel Bruin I The Derna Group 22431 Antonio Parkway Suite 8160-234 Rancho Santa Margarita, CA 92688 Email: rbruin@dernagrp.com Phone: (805) 215-9444 D 1944 Kellogg Ave., Suite IO 1, Carlsbad, CA 92008 September 20, 2022 City of Carlsbad 1635 Faraday Ave. Carlsbad, Ca . 92008 Attn: Building Dept. To Whom It May Concern: (760) 804-5812 Please accept this letter as authorization for Rob Thompson of BDR Communications, Inc. to pull permits on behalf of BDR Communications, Inc. (Contractor License #723203). Should you have any questions regarding this authorization, please contact me at (760) 804-5812. Sincerely, Nlt\cW;--- Mark Bergman President BDR Communications, Inc. • 1W INTERWEST A SAFtn"" ._oMPANV DATE: 05/02/2022 JURISDICTION: CARLSBAD PLAN CHECK#.: CB-CBC2022-0114 PROJECT ADDRESS: 1979 Basswood Avenue PROJECT NAME: Verizon Wireless Com TI SET: I D APPLICANT D JURIS. ~ The plans transmitted herewith have been corrected where necessary and substantially comply with the jurisdiction's building codes. D The plans transmitted herewith will substantially comply with the jurisdiction's codes when minor deficiencies identified below are resolved and checked by building department staff. D The check list transmitted herewith is for the applicant's information. The plans are being held at lnterwest until corrected plans are submitted for recheck. D The applicant's copy of the check list is enclosed for the jurisdiction to forward to the applicant contact person. D The applicant's copy of the check list has been sent to the jurisdiction at: Rachel Bruin/ Derna Group ~ lnterwest staff did not advise the applicant that the plan check has been completed. D lnterwest staff did advise the applicant that the plan check has been completed . Person contacted: Telephone#: 805-215-9444 Date contacted: Mail Telephone 0 REMARKS: By: Steven Miller lnterwest (by: ) Email: rbruin@dernagrp.com Fax In Person Enclosures: 04/14/2022 9320 Chesapeake Drive, Suite 208 ♦ San Diego, California 92123 ♦ (858) 560-1 468 ♦ Fax (858) 560-1576 Building Permit Inspection History Finaled C cityof Carlsbad PERMIT INSPECTION HISTORY for (CBC2022-0114) Permit Type: BLDG-Commercial Work Class: Tenant Improvement Status: Closed -Finaled Scheduled Actual Inspection Type Date Start Date 10/02/2024 10/02/2024 BLDG-34 Rough Electrical Checklist Item Application Date: 04/06/2022 Owner: CARLSBAD UNIFIED SCHOOL DISTRICT Issue Date: 09/21/2022 Subdivision: THUM LANDS Expiration Date: 03/31/2025 Address: 1979 BASSWOOD AVE, # CS CARLSBAD, CA 92008 IVR Number: 39843 Inspection No. Inspection Primary Inspector Reinspection Inspection Status 262742-2024 Passed Tony Alvarado Complete COMMENTS Passed BLDG-Building Deficiency October 2, 2024: Yes Thursday, March 13, 2025 BLDG-Final Inspection Checklist Item BLDG-Structural Final BLDG-Electrical Final 1. Rough electrical for telecommunication, Verizon wireless cell site antenna. 2. Remove and replace six existing antennas total quantity with new upgraded technology six new antennas. Like for like , same size, and same location per structural and electrical engineers plans and details specifications-OK. 2627 41-2024 COMMENTS October 2, 2024: Passed Tony Alvarado 1. Rough electrical for telecommunication, Verizon wireless cell site antenna. 2. Remove and replace six existing antennas total quantity with new upgraded technology six new antennas. Like for like , same size, and same location per structural and electrical engineers plans and details specifications-OK. October 2, 2024: 1. Rough electrical for telecommunication, Verizon wireless cell site antenna. 2. Remove and replace six existing antennas total quantity with new upgraded technology six new antennas. Like for like , same size, and same location per structural and electrical engineers plans and details specifications-OK. Complete Passed Yes Yes Page 1 of 1 CARLSBAD CB-CBC2022-0114 05/02/2022 [DO NOT PAY -THIS IS NOT AN INVOICE] VALUATION AND PLAN CHECK FEE JURISDICTION: CARLSBAD PREPARED BY: Steven Miller BUILDING ADDRESS: 1979 Basswood Avenue BUILDING OCCUPANCY: U BUILDING AREA Valuation PORTION ( Sq. Ft.) Multiplier Air Conditioning Fire Sprinklers TOTAL VALUE Jurisdiction Code #N/A 1997 UBC Building Permit Fee .., 1997 UBC Plan Check Fee 'Y Type of Review: Complete Review D Repetitive Fee ...,. Repeats □ Other 0 Hourly EsGil Fee PLAN CHECK#.: CB-CBC2022-0114 DATE: 05/02/2022 Reg . VALUE ($) Mod . □ Structural Only $420.SS I Comments: In addition to the above fee, an additional fee of$ is due ( hour@ $ /hr.) for the CalGreen review. Sheet 1 of 1 Structure ATC Site Name ATC Site Number Engineering Number Proposed Carrier Carrier Site Name Carrier Site Number Site Location County Date Max Usage Result Prepared By: Brad Davenport Airosmith Engineering AMERICAN TOWER$ CORPORATION AIR@ SMITH ENGINEERING Structural Analysis Report 100 ft Monopole 310976 13716185_(3_02 VERIZON WIRELESS SAN CARLSBAD HIGH SCHOOL 123379 \ q 1 q '{6 ~t:,W O Q7:, f\G'V .&- 1979 Bass•.~eed A'ie. CARLSBAD, CA 92008-1109 33.165, -117 .3308 San Diego October 15, 2021 92% Pass Reviewed By: 1011512021 ATC Tower Services LLC· 3500 Regency Parkway, Suite 100 • Cary, NC 27518 • 919-468-0lU Office· 919-466-5414 Fax· www.amerlcantower.com N N 0 N -N ~ -',;;t > 1--0 ~ T"" T"" 0 I N N 0 N 0 en 0 A AMERICAN TOWER' Table of Contents Eng. Number 13716185_C3_02 October 15, 2021 Page.2 Introduction ................................................................................................................................... 3 Supporting Documents .................................................................................................................. 3 Analysis .......................................................................................................................................... 3 Conclusion ..................................................................................................................................... 3 Existing and Reserved Equipment .................................................................................................. 4 Equipment to be Removed ............................................................................................................ 4 Proposed Equipment ..................................................................................................................... 4 Structure Usages ............................................................................................................................ 5 Foundations ................................................................................................................................... 5 Deflection, Twist and Sway* .......................................................................................................... 5 Standard Conditions ...................................................................................................................... 6 Calculations .................................................................... Attached ATC Tower Services LLC· 3500 Regency Parkway, Suite 100 -Cary, NC 27518 -919-468-0lU Office -919-466-5414 Fax -www.americantower.com A AMERICAN TOWER' Introduction Eng. Number 13716185_(3_02 October 15, 2021 Page.3 The purpose of this report is to summarize results of a structural analysis performed on the 100 ft Monopole to reflect the change in loading by VERIZON WIRELESS. Supporting Documents Tower Drawings Valmont Dwg #D-500057 Rev D, dated July 20, 2009 Foundation Drawing Valmont Order #12408-69, dated July 22, 2009 Geotechnical Report Leighton Consulting Project #601998-001, dated October 11, 2007 Analysis The tower was analyzed using American Tower Corporation's tower analysis software. This program considers an elastic three-dimensional model and second-order effects per ANSI/TIA-222. Basic Wind Speed: 96 moh (3-second gust) Basic Wind Speed w/ Ice: No Ice Considered Code: ANSI/TIA-222-H / 2018 IBC / 2019 California Building Code Exposure Category: C Risk Category: II Topographic Factor Procedure: Method 1 Topographic Category: 1 Crest Height (H): Oft Crest Length (L): Oft Spectral Response: Ss = 1.03, S, = 0.37 Site Class: D -Stiff Soil -Default Conclusion Based on the analysis results, the structure meets the requirements per the applicable codes listed above. The tower and foundation can support the equipment as described in this report. If you have any questions or require additional information, please contact American Tower via email at Engineering@americantower.com. Please include the American Tower site name, site number, and engineering number in the subject line for any questions. ATC Tower Services LLC-3500 Regency Parkway, Suite 100 -Cary, NC 27518 -919-468-0112 Office -919-466-5414 Fax -www.amerlcantower.com A AMERICAN TOWER• Existing and Reserved Equipment Elev.1(ft) Qty Equipment MountType 100.0 --Stadium Lights 85.0 1 Generic TMO Incentive Reserve Sector Frame 83.0 --Empty Side Arms 68.0 6 Andrew SBNHH-1D65C T-Arm 57.0 1 Generic 4' HP Dish Flush 3 Fujitsu TA08025-B605 42.0 3 Fujitsu TA08025-B604 Sector Frame 3 KMW KE654L4H6-D 1 Commscope RDIDC-9181-PF-48 Equipment to be Removed Elev.1 (ft) Qty Equipment MountType 70.8 1 Raycap RCMDC-3315-PF-48 6 Ericsson RRUS 12 w/ RRUS A2 -68.0 6 Antel BXA-185063/8CF Proposed Equipment Elev.1 (ft) Qty Equipment MountType 3 Ericsson KRE 105 281/1 3 Ericsson Radio 4408 3 Kaelus DBC0134FlV72-1 68.0 3 Ericsson Radio 4449 -B13&85 T-Arm 3 Raycap RCMDC-3315-PF-48 3 Ericsson RRUS 32 B66A 3 Ericsson RRUS 32 B2 3 Ericsson AIR 6449 B77D/C-Band Eng. Number 13716185_C3_02 October 15, 2021 Page.4 Lines Carrier -- -ATC RESERVED -- (6) 7/8" Coax VERIZON WIRELESS (1) EW90 (1) 1.41" (35.8mm) DISH WIRELESS L.L.C. Hybrid Lines Carrier (1) 1 5/8" Hybriflex (12) 7/8" Coax VERIZON WIRELESS Lines Carrier (3) 1 5/8" Hybriflex VERIZON WIRELESS 1 Contracted elevations are shown for appurtenances within contracted Installation tolerances. Appurtenances outside of contract limits are shown at Installed elevations. Install proposed lines inside the pole shaft. ATC Tower Services LLC· 3500 Regency Parkway, Suite 100 • Cary, NC 27518 • 919-468·0112 Office• 919-466-5414 Fax -www.americantower.com Structure Usages Structural Component Anchor Bolts Shaft Base Plate Foundations Reaction Component Moment (Kips-Ft) Shear (Kips) A AMERICAN TOWER" Controlling Pass/Fail Usage 33% Pass 34% Pass 11% Pass Original Design Analysis Reactions Reactions 1076.0 994.2 16.8 15.5 % of Design 92% 92% Eng. Number 13716185_C3_02 October 15, 2021 Page.5 The structure base reactions resulting from this analysis are acceptable when compared to those shown on the original structure drawings, therefore no modification or reinforcement of the foundation will be required. Deflection, Twist and Sway* Antenna Deflection Sway Elevation Antenna Carrier (ft) (Rotation) (ft) (") Ericsson KRE 105 281/1 Ericsson Radio 4408 Kaelus D8C0134F1V72-1 68.0 Ericsson Radio 4449 -813&85 VERIZON WIRELESS 0.288 0.480 Raycap RCMDC-3315-PF-48 Ericsson RRUS 32 866A Ericsson RRUS 32 82 Ericsson AIR 6449 877D/C-8and 57.0 Generic 4' HP Dish VERIZON WIRELESS 0.203 0.410 *Deflection, Twist and Sway was evaluated considering a design wind speed of 60 mph (3-Second Gust) per ANSI/TIA-222-H ATC Tower Services LLC-3500 Regency Parkway, Suite 100-Cary, NC 27518 -919-468·01:U Office • 919-466-5414 Fax• www.americantower.com A AMERICAN TOWER' Standard Conditions Eng. Number 13716185_(3_02 October 15, 2021 Page.6 All engineering services performed by ATC Tower Services LLC are prepared on the basis that the information used is current and correct. This information may consist of, but is not limited to the following: • Information supplied by the client regarding antenna, mounts and feed line loading • Information from drawings, design and analysis documents, and field notes in the possession of ATC Tower Services LLC It is the responsibility of the client to ensure that the information provided to ATC Tower Services LLC and used in the performance of our engineering services is correct and complete. All assets of American Tower Corporation, its affiliates, and subsidiaries (collectively "American Tower") are inspected at regular intervals. Based upon these inspections and in the absence of information to the contrary, American Tower assumes that all structures were constructed in accordance with the drawings and specifications. Unless explicitly agreed by both the client and ATC Tower Services LLC, all services will be performed in accordance with the current revision of ANSI/TIA-222. All services are performed, results obtained, and recommendations made in accordance with generally accepted engineering principles and practices. ATC Tower Services LLC is not responsible for the conclusions, opinions and recommendations made by others based on the information supplied herein. ATC Tower Services LLC-3500 Regency Parkway, Suite 100 -Cary, NC 27518 -919-468-0112 Office -919-466-5414 Fax -www.amerlcantower.com JOB INFORMATION Asset: Client: 310976, CARLSBAD HIGH REBUILD CA VERIZON WIRELESS Code: ANSI/TIA-222-H ss·-o- ll:.2:... 78'-0" ~ 45'-0 o·o 75" 99 © 2007 -2020 by A TC LLC. All rights reserved. 2s·.3- 3I16 Thick (65KSI) 4·1'-3 1/4.Thick 1,65 KSI) 100--0- 45'.0 SJ16''Thick (55 KSI) Height : 1 00 ft Base Width : 48 Shape : 18 Sides SITE PARAMETERS Base Elev (ft): 0.00 Structure Class: II Taper : 0.30000 (In/ft) Exposure : C Topographic Category: 1 Topographic Feature: Topo Method : Method 1 SECTION PROPERTIES Diameter (in) Shaft Section Length (ft) Across Flats Thick Top Bottom (In) Joint Type Overlap Length (in) Shape 1 2 3 45.000 34.50 41.250 25.10 28.250 18.88 Attach Force Elev (ft) Elev (ft) 100.0 100.0 85.0 85.0 83.0 83.0 83.0 83.0 68.0 68.0 68.0 68.0 68.0 68.0 68.0 68.0 68.0 68.0 68.0 68.0 68.0 68.0 68.0 68.0 68.0 68.0 68.0 68.0 57.0 57.0 55.0 55.0 50.0 50.0 42.0 42.0 42.0 42.0 42.0 42.0 42.0 42.0 42.0 42.0 34.0 34.0 10.0 10.0 48.00 0.313 0.000 18 Sides 99.000 18 Sides 75.000 18 Sides 37.48 0.250 Slip Joint 27.35 0.188 Slip Joint DISCRETE APPURTENANCE Qty Description Stadium Lights Generic TMO Incentive Reserve Empty 3 Curved-Arm Mounts 1 Empty 6 Straight-Arm Mounts 3 Ericsson KRE 105 281/1 3 Ericsson Radio 4408 3 Kaelus DBC0134F1V72-1 3 Ericsson Radio 4449-B13&B5 3 Raycap RCMDC-3315-PF-48 3 Ericsson RRUS 32 B66A 3 Ericsson RRUS 32 82 3 Ericsson AIR 6449 8770/C-Band 6 Andrew SBNHH-1065C 3 Flat T-Arm Generic 4' HP Dish Security Camera Speaker 1 Commscope RDIDC-9181-PF-48 3 Fujitsu TA08025-8605 3 Fujitsu TA08025-B604 3 KMW KE654L4H6-D 3 Generic Flat Light Sector Fram Auxiliary Light ( 4) Enclosure Boxes LINEAR APPURTENANCE Steel Grade (ksi) 65 65 65 Elev Elev Exp To From (ft) 0.0 0.0 0.0 0.0 1.20 + 1.0W 0.90 + 1.0W To (ft) 68.0 68.0 57.0 42.0 1.20 + 1.001 + 1.0Wi 1.20 + 1.0Ev + 1.0Eh 0.90 -1.0Ev + 1.0Eh 1.00 + 1.0W Load Case 1.20 + 1.0W Page 1 of 2 Description 7/8" Coax 1 5/8" Hybriflex EW90 1.41 • (35.8mm) Hybrid LOAD CASES 96 mph wind with no ice 96 mph wind with no ice Wind No No No No 30 mph wind with O" radial ice Seismic Seismic (Reduced DL) 60 mph Wind with No Ice REACTIONS Moment (kip-ft) 956.27 Shear (Kip) 14.95 Model ID : 10505 10/15/2021 11 :58:53 Axial (Kip) 24.56 Asset : Client: Code: 310976, CARLSBAD HIGH REBUILD CA VERIZON WIRELESS ANSI/TIA-222-H © 2007 • 2020 by ATC LLC. All rights reserved. JOB INFORMATION Load Case 0.9D + 1.0W 1.2D + 1.0Di + 1.0Wi 1.2D + 1.0Ev + 1.0Eh 0.9D -1.0Ev + 1.0Eh 1.0D + 1.0W Load Case 1.0D + 1.0W Page 2of 2 Height : 100 ft Base Width : 48 Shape : 18 Sides REACTIONS Moment (kip-ft) 952.58 108.64 416.40 413.15 333.37 DISH DEFLECTIONS Attach Elev (ft) Deflection (in) 57.00 2.333 Shear (Kip) 14.94 1.78 5.99 5.98 5.22 Model ID : 10505 10/15/2021 11 :58:53 Axial (Kip) 18.42 22.71 26.80 14.45 20.47 Rotation (deg) 0.391 ASSET: 310976, CARLSBAD HIGH REBUILD CA CUSTOMER: VERIZON WIRELESS Location: Type and Shape: Manufacturer: Ki (non-service): Ka: Exposure Category: Risk Category: Topo Factor Procedure: Topographic Category: Crest Height: Analysis Method: Site Class: TL(sec): s., Fa, Sda: 1.20 + 1.0W 0.9D + 1.0W 1.2D + 1.0Di + 1.0WI 1.20 + 1.0Ev + 1.0Eh 0.90 -1.0Ev + 1.0Eh 1.00 + 1.0W San Diego County,CA Taper, 18 Sides Valmont 0.95 0.99 C II Method 1 0 ft Equivalent Lateral Force Method D • Stiff Soil 8 1.028 1.200 0.822 ©2007 • 2020 by ATC LLC. All rights reserved. CODE: ENG NO: ANSI/TIA-222-H 13716185_C3_02 ANALYSIS PARAMETERS Height: Base Diameter: Top Diameter: Taper: Rotation: ICE & WIND PARAMETERS Design Wind Speed w/o Ice: Design Wind Speed w/lce: Operational Wind Speed: Design Ice Thickness: HMSL: SEISMIC PARAMETERS 100 ft 48.00 In 18.88 in 0.3000 in/ft 0.000° 96 mph 30 mph 60 mph 0.00 in 191.00 ft Period Based on Rayleigh Method (sec): P: s,, 0.374 Fv, 1.926 Sdt: 0.480 LOAD CASES 96 mph wind with no ice 96 mph wind with no ice 30 mph wind with O" radial ice Seismic Seismic (Reduced DL) 60 mph Wind with No Ice Page 1 of 12 Model Id : 10505 Ce: C, Max: C0 Min: 1.10 0.292 0.292 0.036 10/15/2021 11 :58:57 ASSET: 310976, CARLSBAD HIGH REBUILD CA CODE: ANSI/TIA-222-H 13716185 C3_02 CUSTOMER: VERIZON WIRELESS Slip Sect Length Info (ft) Thick Fy Joint Joint Weight Dia 1-18 2-18 3-18 (In) (ksi) Type len (in) (lb) (in) 45.00 0.3130 41 .25 0.2500 28.25 0.1880 65 65 Slip 65 Slip 0.00 99.00 75.00 6,227 48.00 3,457 37.48 1,315 27.35 Shaft Weight 10,999 SHAFT SECTION PROPERTIES Bottom Elev Area (ft) (ln2) Ix Wit Dlt Dia (in4) Ratio Ratio (in) ENG NO: Elev Area (in) (in2) 0.000 47.37 13,611.0 25.63 153.35 34.50 45.00 33.96 36.750 29.54 5,171.2 25.02 149.90 25.10 78.00 19.72 71.750 16.21 1,510.9 24.24 145.48 18.88 100.00 11.15 Ix (in4) 5,015.0 1,538.4 492.0 Wit Dlt Taper Ratio Ratio (in/ft) 18.02 110.22 0.3000 16.29 100.40 0.3000 16.29 100.40 0.3000 DISCRETE APPURTENANCE PROPERTIES Attach Elev (ft) Description 100.00 85.00 83.00 83.00 68.00 68.00 68.00 68.00 68.00 68.00 68.00 68.00 68.00 68.00 57.00 55.00 50.00 42.00 42.00 42.00 42.00 42.00 34.00 10.00 Totals Stadium Lights Generic TMO Incentive Reserve Empty 6 Straight-Arm Mounts Empty 3 Curved-Arm Mounts Andrew SBNHH-1D65C Ericsson AIR 6449 B77D/C-Band Ericsson RRUS 32 B2 FlatT-Arm Kaelus DBC0134F1V72-1 Ericsson Radio 4449 -B13&B5 Ericsson RRUS 32 B66A Ericsson KRE 105 281/1 Ericsson Radio 4408 Raycap RCMDC-3315-PF-48 Generic 4' HP Dish Security Camera Speaker Generic Flat Light Sector Fram KMW KE654L4H6-D Fujitsu TA08025-B604 Fujitsu TA08025-B605 Commscope RDIDC-9181-PF-48 Auxiliary Light (4) Enclosure Boxes Num Loadings: 24 Load Case Azimuth (deg) : . Elev From (ft) 0.00 0.00 0.00 0.00 Elev To (ft) Qty Description 68.00 68.00 57.00 42.00 6 7/8" Coax 3 1 5/8" Hybriflex 1 EW90 1 1.41" (35.8mm) Hybrid Coax Dia (in) 1.09 1.98 1.32 1.41 ©2007 • 2020 by ATC LLC. All rights reserved. Qty 1 1 6 3 3 3 3 3 3 3 3 3 1 1 1 3 3 3 3 1 1 1 Ka 1.00 0.80 1.00 1.00 0.80 0.80 0.80 0.75 0.80 0.80 0.80 0.80 0.80 0.80 1.00 1.00 1.00 0.75 0.80 0.80 0.80 0.80 1.00 1.00 Vert No lee Ecc Weight EPAa Orientation (ft) (lb) ( sf) Factor 0.000 0.000 0.000 0.000 0.000 0.000 0.000 0.000 0.000 0.000 0.000 0.000 0.000 0.000 0.000 0.000 0.000 0.000 0.000 0.000 0.000 0.000 0.000 0.000 480.00 2500.00 474.00 561.00 66.10 88.00 53.00 250.00 45.10 70.00 50.70 1.80 10.10 21.40 170.00 80.00 80.00 400.00 52.90 63.90 75.00 21.90 80.00 600.00 31 .000 146.00 0 15.180 9.810 11 .350 4.132 2.743 12.900 1.103 1.650 2.720 0.520 0.553 2.512 15.855 3.600 3.600 17.900 11.454 1.962 1.962 1.867 3.600 18.800 1.00 1.00 1.00 1.00 0.70 0.70 0.67 0.67 0.50 0.50 0.67 0.50 0.50 0.67 1.00 1.00 1.00 0.75 0.63 0.50 0.50 1.00 1.00 1.00 55 8,989.20 LINEAR APPURTENANCE PROPERTIES Dist Dist From Weight (lb) 480.00 2500.00 474.00 561 .00 66.10 88.00 53.00 250.00 45.10 70.00 50.70 1.80 10.10 21.40 170.00 80.00 80.00 400.00 52.90 63.90 75.00 21.90 80.00 600.00 8,989.20 Face Exposed EPAa Orientation (sf) Factor 31 .000 146.000 15.180 9.810 11 .350 4.132 2.743 12.900 1.103 1.650 2.720 0.520 0.553 2.512 15.855 3.600 3.600 17.900 11 .454 1.962 1.962 1.867 3.600 18.800 1.00 1.00 1.00 1.00 0.70 0.70 0.67 0.67 0.50 0.50 0.67 0.50 0.50 0.67 1.00 1.00 1.00 0.75 0.63 0.50 0.50 1.00 1.00 1.00 Coax Wt (lb/ft) Flat Max Coax/ Row Dist Between Rows(in) Between Azimuth Cols(in) (deg) (in) To Wind Carrier 0.33 1.3 0.32 1.66 N N N N 0 3 0 0 Page 2 of 12 0 0 0 0 0 0 0 0 0 0 0 0 Model Id : 10505 0 N 0 N 0 N 0 N VERIZON WIREL VERIZON WIREL VERIZON WiREL DISH WIRELESS 10/15/2021 11 :58:57 ASSET: 310976, CARLSBAD HIGH REBUILD CA CODE: ANSI/TIA-222-H CUSTOMER: VERIZON WIRELESS ENG NO: 13716185_C3 02 SEGMENT PROPERTIES (Max Len: 5.ft) Seg Top Description Thick Flat Dia Area Ix Wit D/t F'y s Z Weight Elev (ft) (in) (In) (in2) (ln4) Ratio Ratio (ksl) (in3) (in3) (lb) 0.00 0.3130 48.000 47.374 13,611.00 25.63 153.35 71.3 558.5 0.0 0.0 5.00 0.3130 46.500 45.883 12,366.50 24.78 148.56 72.2 523.8 0,0 793.3 10.00 0,3130 45.000 44,393 11,200.40 23.94 143,77 73.2 490,2 0.0 768.0 15.00 0.3130 43.500 42.903 10,109.90 23.09 138.98 74.2 457.8 0.0 742.6 20.00 0.3130 42.000 41.413 9,092.70 22.25 134.19 75,2 426.4 0.0 717,3 25,00 0.3130 40.500 39,923 8,146.00 21.40 129.39 76.2 396.2 0.0 691.9 30,00 0.3130 39,000 38.433 7,267.50 20.56 124.60 77.2 367.0 0.0 666.6 34.00 0.3130 37,800 37,241 6,612.00 19.88 120.77 78 344.5 0,0 515.0 35.00 0.3130 37,500 36.943 6,454.50 19,71 119.81 78.2 339.0 0,0 126.2 36.75 Bot -Section 2 0.3130 36.975 36,421 6,185.00 19.42 118.13 78,6 329.5 0.0 218.4 40,00 0.3130 36.000 35,452 5,704.50 18,87 115.02 79.2 312.1 0,0 719,8 42.00 0.3130 35,400 34.856 5,421 .60 18.53 113.10 79.6 301,7 0.0 433.4 45.00 Top -Section 1 0.2500 35.000 27,573 4,206.80 23.28 140.00 74 236.7 0.0 636.4 50,00 0.2500 33,500 26.383 3,685.20 22.22 134.00 75.3 216.7 0.0 459.0 55.00 0.2500 32,000 25,193 3,208.60 21.16 128.00 76.5 197.5 0.0 438.8 57.00 0.2500 31.400 24.717 3,030.10 20.74 125.60 77 190,1 0.0 169.8 60,00 0.2500 30.500 24.003 2,775.00 20.10 122.00 77.8 179,2 0,0 248,7 65,00 0.2500 29,000 22.812 2,382.30 19.04 116.00 79 161.8 0.0 398.3 68.00 0.2500 28.100 22.098 2,165.50 18.41 112.40 79.7 151.8 0.0 229.2 70.00 0.2500 27.500 21 .622 2,028.50 17.99 110,00 80.2 145.3 0.0 148.8 71 ,75 Bot -Section 3 0.2500 26.975 21.206 1,913.50 17.62 107,90 80,7 139.7 0.0 127.5 75,00 0.2500 26.000 20.432 1,711 .70 16.93 104.00 81.5 129.7 0.0 406,3 78.00 Top -Section 2 0.1880 25.476 15.089 1,219.10 22.48 135.51 75 94,3 0.0 361 .7 80.00 0.1880 24,876 14,731 1,134.40 21.92 132.32 75.6 89.8 0.0 101 .5 83.00 0.1880 23.976 14,194 1,014.80 21 .08 127.53 76.6 83.4 0.0 147.6 85.00 0.1880 23.376 13.836 939.90 20.51 124.34 77,3 79.2 0.0 95.4 90,00 0.1880 21.876 12.941 769.10 19.11 116.36 78.9 69.2 0.0 227.8 95.00 0.1880 20,376 12,046 620.30 17.70 108.38 80,6 60.0 0.0 212.6 100.00 0.1880 18.876 11.151 492.00 16.29 100.40 82.2 51 .3 0.0 197.3 Totals: 10,999.2 ©2007 -2020 by ATC LLC. 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Page 3 of 12 Model Id : 10505 10/15/2021 11 :58:57 ASSET: 310976, CARLSBAD HIGH REBUILD CA CODE: ANSI/TIA-222-H CUSTOMER: VERIZON WIRELESS ENG NO: 13716185 C3 02 Load Case: 1.2D + 1.0W 96 mph wind with no Ice 19 Iterations Gust Response Factor: 1.10 Dead load Factor: 1.20 Wind Load Factor: 1.00 CALCULATED FORCES Seg Pu Vu Tu Mu Mu Resultant Phi Phi Phi Phi Total Elev FY(·) FX (·) MY MZ MX Moment Pn Vn Tn Mn Deflect Rotation (ft) (kies) (kies) (ft-kles) (ft-kles) (ft-kies) (ft-kies) (kies) (kies) (ft-kies) (ft-kies) (In) (deg) Ratio 0.00 -24.56 -14.95 0.00 -956.3 0.00 956.27 3,038.06 831.41 3,580.90 2,984.75 0 0 0.329 5.00 -23.53 -14.69 0.00 -881 .5 0.00 881.53 2,983.54 805.25 3,359.19 2,838.38 0.05 -0.1 0.319 10.00 -21.82 -14.04 0.00 -808.1 0.00 808.09 2,926.35 779.10 3,144.56 2,692.96 0.21 -0.19 0.308 15.00 -20.86 -13.79 0.00 -737.9 0.00 737.90 2,866.50 752.95 2,937.02 2,548.72 0.46 -0.29 0.297 20.00 -19.93 -13.53 0.00 -669.0 0.00 668.96 2,803.98 726.80 2,736.57 2,405.91 0.82 -0.39 0.286 25.00 -19.04 -13.27 0.00 -601.3 0.00 601.30 2,738.80 700.65 2,543.19 2,264.80 1.28 -0.49 0.273 30.00 -18.17 -13.03 0.00 -535.0 0.00 534.97 2,670.95 674.49 2,356.91 2,125.61 1.85 -0.59 0.259 34.00 -17.41 -12.80 0.00 -482.9 0.00 482.86 2,614.75 653.57 2,212.98 2,015.82 2.38 -0.67 0.247 35.00 -17.24 -12.73 0.00 -470.0 0.00 470.05 2,600.43 648.34 2,177.70 1,988.61 2.52 -0.69 0.243 36.75 -16.96 -12.60 0.00 -447.8 0.00 447.78 2,575.12 639.19 2,116.66 1,941.22 2.78 -0.72 0.238 40.00 -16.05 -12.45 0.00 -406.8 0.00 406.84 2,527.25 622.19 2,005.59 1,854.04 3.3 -0.79 0.226 42.00 -13.37 -10.89 0.00 -382.0 0.00 381.95 2,497.23 611.73 1,938.72 1,800.95 3.64 -0.83 0.218 45.00 -12.57 -10.67 0.00 -349.3 0.00 349.28 1,836.99 483.91 1,518.82 1,314.32 4.18 -0.89 0.273 50.00 -11.88 -10.31 0.00 -295.9 0.00 295.93 1,787.24 463.02 1,390.54 1,223.14 5.15 -0.98 0.249 55.00 -11.21 -10.02 0.00 -244.4 0.00 244.40 1,734.83 442.13 1,267.92 1,133.31 6.23 -1.08 0.223 57.00 -10.79 -9.45 0.00 -224.4 0.00 224.37 1,713.12 433.78 1,220.46 1,097.81 6.7 -1.12 0.211 60.00 -10.46 -9.25 0.00 -196.0 0.00 196.01 1,679.75 421.24 1,150.96 1,045.08 7.42 -1.18 0.194 65.00 -9.94 -9.05 0.00 -149.8 0.00 149.77 1,622.00 400.36 1,039.66 958.70 8.71 -1 .27 0.163 68.00 -7.10 -6.53 0.00 -122.6 0.00 122.63 1,586.07 387.82 975.60 907.86 9.52 -1.32 0.140 70.00 -6.92 -6.45 0.00 -109.6 0.00 109.57 1,561.59 379.47 934.02 874.42 10.08 -1.35 0.130 71.75 -6.77 -6.34 0.00 -98.3 0.00 98.29 1,539.82 372.16 898.38 845.47 10.58 -1 .38 0.121 75.00 -6.28 -6.21 0.00 -77.7 0.00 77.67 1,498.51 358.58 834.03 792.49 11.54 -1.42 0.102 78.00 -5.84 -6.10 0.00 -59.0 0.00 59.05 1,017.92 264.81 604.85 529.86 12.44 -1.45 0.118 80.00 -5.72 -6.00 0.00 -46.8 0.00 46.85 1,002.54 258.53 576.49 509.39 13.05 -1.47 0.098 83.00 -4.32 -5.13 0.00 -28.8 0.00 28.84 978.68 249.11 535.23 479.00 13.99 -1 .5 0.065 85.00 -1.30 -1.42 0.00 -18.6 0.00 18.59 962.23 242.82 508.57 458.98 14.62 -1.51 0.042 90.00 -1.03 -1.24 0.00 -1 1.5 0.00 11.49 919.26 227.11 444.91 409.89 16.22 -1.54 0.029 95.00 -0.78 -1.06 0.00 -5.3 0.00 5.31 873.62 211.41 385.50 362.36 17.83 -1.55 0.016 100.00 0.00 -1.04 0.00 0.0 0.00 0.00 825.31 195.70 330.35 316.66 19.46 -1.56 0.000 ©2007 -2020 by ATC LLC. 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Page 4 of 12 Model Id: 10505 10/15/2021 11 :58:57 ASSET: CUSTOMER: 310976, CARLSBAD HIGH REBUILD CA VERIZON WIRELESS Load Case: 0.90 + 1.0W 96 mph wind with no Ice Gust Response Factor: 1.10 Dead load Factor: 0.90 Wind Load Factor: 1.00 CALCULATED FORCES Seg Pu Vu Tu Mu Mu Resultant Elev FY(·) FX (·) MY MZ MX Moment (ft) (kles) (kles) (ft-kiesl (ft-kles) (ft-kles) (ft-kiesl 0.00 -18.42 -14.94 0.00 -952.6 0.00 952.58 5.00 -17.64 -14.67 0.00 -877.9 0.00 877.88 10.00 -16.35 -14.02 0.00 -804.5 0.00 804.52 15.00 -15.63 -13.76 0.00 -734.4 0.00 734.43 20.00 -14.92 -13.49 0.00 -665.7 0.00 665.66 25.00 -14.25 -13.22 0.00 -598.2 0.00 598.20 30.00 -13.59 -12.98 0.00 -532.1 0.00 532.09 34.00 -13.02 -12.75 0.00 -480.2 0.00 480.18 35.00 -12.90 -12.67 0.00 -467,4 0.00 467.43 36.75 -12.68 -12.54 0.00 -445.2 0.00 445.25 40.00 -12.00 -12.39 0.00 -404.5 0.00 404.50 42.00 -9.99 -10.84 0.00 -379.7 0.00 379.73 45.00 -9.39 -10.62 0.00 -347.2 0.00 347.21 50.00 -8.86 -10.25 0.00 -294.1 0.00 294.13 55.00 -8.36 -9.96 0.00 -242.9 0.00 242.87 57.00 -8.05 -9.39 0.00 -223.0 0.00 222.95 60.00 -7.80 -9.19 0.00 -194.8 0.00 194.76 65.00 -7.41 -8.99 0.00 -148.8 0.00 148.81 68.00 -5.29 -6.48 0.00 -121.8 0.00 121.84 70.00 -5.15 -6.40 0.00 -108.9 0.00 108.87 71 .75 -5.04 -6.30 0.00 -97.7 0.00 97.66 75.00 -4.67 -6.17 0.00 -77.2 0.00 77.19 78.00 -4.34 -6.06 0.00 -58.7 0.00 58.68 80.00 -4.25 -5.96 0.00 -46.6 0.00 46.56 83.00 -3.21 -5.10 0.00 -28.7 0.00 28.68 85.00 -0.97 -1.41 0.00 -18.5 0.00 18.48 90.00 -0.77 -1.23 0.00 -11.4 0.00 11.43 95.00 -0.58 -1 .06 0.00 -5.3 0.00 5.29 100.00 0.00 -1.04 0.00 0.0 0.00 0.00 ©2007 -2020 by A TC LLC. All rights resented. Phi Phi Pn Vn (kies) (kies) 3,038.06 831.41 2,983.54 805.25 2,926.35 779.10 2,866.50 752.95 2,803.98 726.80 2,738.80 700.65 2,670.95 674.49 2,614.75 653.57 2,600.43 648.34 2,575.12 639.19 2,527.25 622.19 2,497.23 611 .73 1,836.99 483.91 1,787.24 463.02 1,734.83 442.13 1,713.12 433.78 1,679.75 421 .24 1,622.00 400.36 1,586.07 387.82 1,561 .59 379.47 1,539.82 372.16 1,498.51 358.58 1,017.92 264.81 1,002.54 258.53 978.68 249.11 962.23 242.82 919.26 227.11 873.62 211.41 825.31 195.70 Page 5 of 12 CODE: ENG NO: ANSI/TIA-222-H 13716185 C3 02 19 Iterations Phi Phi Total Tn Mn Deflect Rotation (ft-kles) (ft-kies) (In) (deg) Ratio 3,580.90 2,984.75 0 0 0.326 3,359.19 2,838.38 0.05 -0.1 0.316 3,144.56 2,692.96 0.2 -0.19 0.305 2,937.02 2,548.72 0.46 -0.29 0.294 2,736.57 2,405.91 0.82 -0.39 0.282 2,543.19 2,264.80 1.28 -0,49 0.270 2,356.91 2,125.61 1.84 -0.59 0.256 2,212.98 2,015.82 2.37 -0.67 0.244 2,177.70 1,988.61 2.51 -0.69 0.240 2,1 16.66 1,941.22 2.77 -0.72 0.235 2,005.59 1,854.04 3,28 -0.78 0.223 1,938.72 1,800.95 3.62 -0.82 0.215 1,518.82 1,314.32 4.16 -0.88 0.270 1,390.54 1,223.14 5.13 -0.97 0.246 1,267.92 1,133.31 6.2 -1 .08 0.220 1,220.46 1,097.81 6.66 -1 .12 0.208 1,150.96 1,045.08 7.39 -1.18 0.191 1,039.66 958.70 8.67 -1.26 0.160 975.60 907.86 9.48 -1.31 0.138 934.02 874.42 10.03 -1 .34 0.128 898.38 845.47 10.53 -1 .37 0.119 834.03 792.49 11.48 -1.41 0.101 604.85 529.86 12.38 -1 .44 0.116 576.49 509.39 12.98 -1 .46 0.096 535.23 479,00 13.91 -1.49 0.064 508.57 458.98 14.54 -1.5 0.041 444.91 409.89 16.13 -1 .53 0.029 385.50 362.36 17.74 -1.54 0.015 330.35 316.66 19.36 -1.55 0.000 Model Id : 10505 10/15/2021 11 :58:57 ASSET: CUSTOMER: 310976, CARLSBAD HIGH REBUILD CA VERIZON WIRELESS Load Case: 1.2D + 1.0Di + 1.0Wl 30 mph wind with O" radial ice Gust Response Factor: 1.10 Ice Dead Load Factor 1.00 Dead load Factor: 1.20 Wind Load Factor: 1.00 CALCULATED FORCES Seg Pu Vu Tu Mu Mu Resultant Phi Elev FY(·) FX (·) MY MZ MX Moment Pn (ft) (klesl (klesl (ft-kiesl (ft-kiesl (ft-kies) (ft-kles) (kies) 0.00 -22.71 -1.78 0.00 -108.6 0.00 108.64 3,038.06 5.00 -21.71 -1.73 0.00 -99.8 0.00 99.75 2,983.54 10.00 -20.08 -1.65 0.00 -91 .1 0.00 91.08 2,926.35 15.00 -19.14 -1.61 0.00 -82.8 0.00 82.82 2,866.50 20.00 -18.23 -1.57 0.00 -74.8 0.00 74.76 2,803.98 25.00 -17.35 -1.52 0.00 -66.9 0.00 66.92 2,738.80 30.00 -16.50 -1.48 0.00 -59.3 0.00 59.30 2,670.95 34.00 -15.76 -1.45 0.00 -53.4 0.00 53.37 2,614.75 35.00 -15.60 -1 .44 0.00 -51.9 0.00 51 .91 2,600.43 36.75 -15.32 -1.42 0.00 -49.4 0.00 49.39 2,575.12 40.00 -14.43 -1.39 0.00 -44.8 0.00 44.78 2,527.25 42.00 -12.02 -1 .23 0.00 -42.0 0.00 41.99 2,497.23 45.00 -11.23 -1 .20 0.00 -38.3 0.00 38.29 1,836.99 50.00 -10.56 -1 .14 0.00 -32.3 0.00 32.31 1,787.24 55.00 -9.91 -1.10 0.00 -26.6 0.00 26.58 1,734.83 57.00 -9.53 -1.04 0.00 -24.4 0.00 24.37 1,713.12 60.00 -9.21 -1.01 0.00 -21.2 0.00 21.25 1,679.75 65.00 -8.70 -0.97 0.00 -16.2 0.00 16.22 1,622.00 68.00 -6.29 -0.72 0.00 -13.3 0.00 13.29 1,586.07 70.00 -6.11 -0.71 0.00 -11.8 0.00 11.85 1,561 .59 71.75 -5.96 -0.69 0.00 -10.6 0.00 10.61 1,539.82 75.00 -5.47 -0.67 0.00 -8.4 0.00 8.37 1,498.51 78.00 -5.04 -0.65 0.00 -6.4 0.00 6.37 1,017.92 80.00 -4.92 -0.63 0.00 -5.1 0.00 5.07 1,002.54 83.00 -3.60 -0.54 0.00 -3.2 0.00 3.17 978.68 85.00 -1.29 -0.17 0.00 -2.1 0.00 2.09 962.23 90.00 -1.02 -0.14 0.00 -1.2 0.00 1.24 919.26 95.00 -0.76 -0.11 0.00 -0.6 0.00 0.55 873.62 100.00 0.00 -0.11 0.00 0.0 0.00 0.00 825.31 ©2007 • 2020 by ATC LLC. 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Page 6 of 12 Phi Vn (kles) 831.41 805.25 779.10 752.95 726.80 700.65 674.49 653.57 648.34 639.19 622.19 611 .73 483.91 463.02 442.13 433.78 421.24 400.36 387.82 379.47 372.16 358.58 264.81 258.53 249.11 242.82 227.11 211.41 195.70 CODE: ENG NO: ANSI/TIA-222-H 13716185_C3 02 17 Iterations Ice Importance Factor 1.00 Phi Phi Total Tn Mn Deflect Rotation (ft-kies) (ft-kies) (in) (deg) Ratio 3,580.90 2,984.75 0 0 0.044 3,359.19 2,838.38 0.01 -0.01 0.042 3,144.56 2,692.96 0.02 -0.02 0.041 2,937.02 2,548.72 0.05 -0.03 0.039 2,736.57 2,405.91 0.09 -0.04 0.038 2,543.19 2,264.80 0.14 -0.06 0.036 2,356.91 2,125.61 0.21 -0.07 0.034 2,212.98 2,015.82 0.27 -0.07 0.033 2,177.70 1,988.61 0.28 -0.08 0.032 2,116.66 1,941.22 0.31 -0.08 0.031 2,005.59 1,854.04 0.37 -0.09 0.030 1,938.72 1,800.95 0.41 -0.09 0.028 1,518.82 1,314.32 0.47 -0.1 0.035 1,390.54 1,223.14 0.58 -0.11 0.032 1,267.92 1,133.31 0.7 -0.12 0.029 1,220.46 1,097.81 0.75 -0.12 0.028 1,150.96 1,045.08 0.83 -0.13 0.026 1,039.66 958.70 0.97 -0.14 0.022 975.60 907.86 1.06 -0.15 0.019 934.02 874.42 1.12 -0.15 0.017 898.38 845.47 1.18 -0.15 0.016 834.03 792.49 1.29 -0.16 0.014 604.85 529.86 1.38 -0.16 0.017 576.49 509.39 1.45 -0.16 0.015 535.23 479.00 1.56 -0.17 0.010 508.57 458.98 1.63 -0.17 0.006 444.91 409.89 1.8 -0.17 0.004 385.50 362.36 1.98 -0.17 0.002 330.35 316.66 2.16 -0.17 0.000 Model Id : 10505 10/15/2021 11:58:57 ASSET: 310976, CARLSBAD HIGH REBUILD CA CUSTOMER: VERIZON WIRELESS Load Case: 1.0D + 1.0W 60 mph Wind with No Ice Gust Response Factor: 1.10 Dead load Factor: 1.00 Wind Load Factor: 1.00 CALCULATED FORCES Seg Pu Vu Tu Mu Mu Resultant Phi Elev FY(·) FX (·) MY MZ MX Moment Pn !fll (kles) (klesl (ft-kles) (ft-kiesl (ft-kies) (ft-klesl (kies) 0.00 -20.47 -5.22 0.00 -333.4 0.00 333.37 3,038.06 5.00 -19.64 -5.13 0.00 -307.3 0.00 307.26 2,983.54 10.00 -18.23 -4.90 0.00 -281.6 0.00 281.61 2,926.35 15.00 -17.44 -4.81 0.00 -257.1 0.00 257.10 2,866.50 20.00 -16.69 -4.72 0.00 -233.0 0.00 233.05 2,803.98 25.00 -15.95 -4.63 0.00 -209.4 0.00 209.45 2,738.80 30.00 -15.24 -4.54 0.00 -186.3 0.00 186.32 2,670.95 34.00 -14.62 -4.46 0.00 -168.2 0.00 168.15 2,614.75 35.00 -14.48 -4.44 0.00 -163.7 0.00 163.69 2,600.43 36.75 -14.25 -4.39 0.00 -155.9 0.00 155.93 2,575.12 40.00 -13.50 -4.34 0.00 -141.7 0.00 141.66 2,527.25 42.00 -1 1.26 -3.79 0.00 -133.0 0.00 132.99 2,497.23 45.00 -10.60 -3.72 0.00 -121.6 0.00 121.61 1,836.99 50.00 -10.03 -3.59 0.00 -103.0 0.00 103.02 1,787.24 55.00 -9.48 -3.49 0.00 -85.1 0.00 85.08 1,734.83 57.00 -9.13 -3.29 0.00 -78.1 0.00 78.10 1,713.12 60.00 -8.86 -3.22 0.00 -68.2 0.00 68.23 1,679.75 65.00 -8.43 -3.15 0.00 -52.1 0.00 52.13 1,622.00 68.00 -6.02 -2.27 0.00 -42.7 0.00 42.68 1,586.07 70.00 -5.87 -2.24 0.00 -38.1 0.00 38.14 1,561 .59 71.75 -5.75 -2.21 0.00 -34.2 0.00 34.21 1,539.82 75.00 -5.34 -2.16 0.00 -27.0 0.00 27.04 1,498.51 78.00 -4.98 -2.12 0.00 -20.6 0.00 20.56 1,017.92 80.00 -4.88 -2.09 0.00 -16.3 0.00 16.31 1,002.54 83.00 -3.70 -1.79 0.00 -10.0 0.00 10.04 978.68 85.00 -1.11 -0.49 0.00 -6.5 0.00 6.47 962.23 90.00 -0.89 -0.43 0.00 -4.0 0.00 4.00 919.26 95.00 -0.67 -0.37 0.00 -1.8 0.00 1.85 873.62 100.00 0.00 -0.36 0.00 0.0 0.00 0.00 825.31 ©2007 • 2020 by ATC LLC. 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Page 7 of 12 Phi Vn (kiesl 831.41 805.25 779.10 752.95 726.80 700.65 674.49 653.57 648.34 639.19 622.19 611.73 483.91 463.02 442.13 433.78 421.24 400.36 387.82 379.47 372.16 358.58 264.81 258.53 249.11 242.82 227.11 211.41 195.70 CODE: ENG NO: ANSI/TIA-222-H 13716185 C3 02 18 Iterations Phi Phi Total Tn Mn Deflect Rotation (ft-kies) (ft-kles) (In) (de9) Ratio 3,580.90 2,984.75 0 0 0.118 3,359.19 2,838.38 0.02 -0.03 0.115 3,144.56 2,692.96 0.Q7 -0.07 0.111 2,937.02 2,548.72 0.16 -0.1 0.107 2,736.57 2,405.91 0.29 -0.14 0.103 2,543.19 2,264.80 0.45 -0.17 0.098 2,356.91 2,125.61 0.65 -0.21 0.093 2,212.98 2,015.82 0.83 -0.23 0.089 2,177.70 1,988.61 0.88 -0.24 0.088 2,116.66 1,941.22 0.97 -0.25 0.086 2,005.59 1,854.04 1.15 -0.27 0.082 1,938.72 1,800.95 1.27 -0.29 0.Q78 1,518.82 1,314.32 1.46 -0.31 0.098 1,390.54 1,223.14 1.8 -0.34 0.090 1,267.92 1,133.31 2.17 -0.38 0.081 1,220.46 1,097.81 2.33 -0.39 0.077 1,150.96 1,045.08 2.59 -0.41 0.071 1,039.66 958.70 3.03 -0.44 0.060 975.60 907.86 3.32 -0.46 0.051 934.02 874.42 3.51 -0.47 0.047 898.38 845.47 3.69 -0.48 0.044 834.03 792.49 4.02 -0.49 0.038 604.85 529.86 4.33 -0.51 0.044 576.49 509.39 4.55 -0.51 0.037 535.23 479.00 4.87 -0.52 0.025 508.57 458.98 5.09 -0.53 0.015 444.91 409.89 5.65 -0.53 0.011 385.50 362.36 6.21 -0.54 0.006 330.35 316.66 6.78 -0.54 0.000 Model Id : 10505 10/15/2021 11 :58:57 ASSET: 310976, CARLSBAD HIGH REBUILD CA CUSTOMER: VERIZON WIRELESS EQUIVALENT LATERAL FORCES METHOD ANALYSIS (Based on ASCE7-16 Chapters 11, 12 and 15) Spectral Response Acceleration for Short Period (Ss): Spectral Response Acceleration at 1.0 Second Period (S1): Long-Period Transition Period (TL -Seconds): Importance Factor (10): Site Coefficient Fa: Site Coefficient F.: Response Modification Coefficient (R): Design Spectral Response Acceleration at Short Period (Sda): Design Spectral Response Acceleration at 1.0 Second Period (Sd1): Seismic Response Coefficient (C.): Upper Limit Cs: Lower Limit Cs: Period based on Rayleigh Method (sec): Redundancy Factor (p): Seismic Force Distribution Exponent (k): Total Unfactored Dead Load: Seismic Base Shear (E): 1.2D + 1.0Ev + 1.0Eh Seismic Height Above Base Weight w. Segment (ft) (lb) (lb-ft) cl£~ 28 97.5 197 75 0.021 27 92.5 213 76 0.021 26 87.5 228 75 0.021 25 84 95 30 0.008 24 81.5 148 45 0.012 23 79 101 29 0.008 22 76.5 362 101 0.028 21 73.375 406 107 0.030 20 70.875 128 32 0.009 19 69 149 36 0.010 18 66.5 247 57 0.016 17 62.5 428 92 0.025 16 58.5 266 52 0.014 15 56 182 34 0.009 14 52.5 470 80 0.022 13 47.5 490 73 0.020 12 43.5 655 88 0.024 11 41 449 56 0.015 10 38.375 745 85 0.024 9 35.875 232 24 0.007 8 34.5 134 13 0.004 7 32 546 49 0.014 6 27.5 706 52 0.014 5 22.5 731 42 0.012 4 17.5 757 31 0.009 3 12.5 782 21 0.006 2 7.5 807 11 0.003 1 2.5 833 3 0.001 Stadium Lights 100 480 189 0.052 Generic TMO Incentive Reserve 85 2,500 798 0.221 Empty 3 Curved-Arm Mounts 83 561 174 0.048 Empty 6 Straight-Arm Mounts 83 474 147 0.041 Ericsson KRE 105 281/1 68 5 1 0.000 Ericsson Radio 4408 68 30 7 0.002 CODE: ENG NO: 1.028 0.374 8 1.000 1.200 1.926 1.500 0.822 0.480 0.292 0.292 0.036 1.100 1.000 1.300 20.480 k 5.980 k Horizontal Force (lb) 125 126 125 50 74 49 167 178 53 60 95 152 87 56 133 122 146 92 141 40 22 82 87 69 52 34 18 5 314 1325 288 244 2 12 ©2007 -2020 by ATC LLC. All rights reserved. Page 8 of 12 Model Id: 10505 ANSI/TIA-222-H 13716185_C3_02 Vertical Force (lb) 269 290 311 130 201 138 494 554 174 203 337 584 363 249 641 669 894 613 1,017 317 183 746 963 998 1,032 1,067 1,102 1,136 655 3,411 765 647 7 41 10/15/2021 11 :58:57 ASSET: 310976, CARLSBAD HIGH REBUILD CA CODE: ANSlrTIA-222-H CUSTOMER: VERIZON WIRELESS ENG NO: 13716185 C3 02 Height Above Horizontal Vertical Base Weight w, Force Force Se9ment (ft} (lb) (lb-ft) c~. (lb) (lb) Kaelus DBC0134F1V72-1 68 135 32 0.009 54 185 Ericsson Radio 4449 -813&85 68 210 50 0.014 83 287 Raycap RCMDC-3315-PF-48 68 64 15 0.004 25 88 Ericsson RRUS 32 B66A 68 152 36 0.010 60 208 Ericsson RRUS 32 82 68 159 38 0.010 63 217 Ericsson AIR 6449 B77D/C-Band 68 264 63 0.018 105 360 Andrew SBNHH-1D65C 68 397 95 0.026 157 541 Flat T-Arm 68 750 179 0.050 298 1,023 Generic 4' HP Dish 57 170 32 0.009 54 232 Security Camera 55 80 15 0.004 24 109 Speaker 50 80 13 0.004 21 109 Commscope RDIDC-9181-PF-48 42 22 3 0.001 5 30 Fujitsu T A08025-B604 42 192 24 0.007 41 262 Fujitsu TA08025-B605 42 225 29 0.008 48 307 KMW KE654L4H6-D 42 159 20 0.006 34 217 Generic Flat Light Sector Frame 42 1,200 153 0.043 255 1,637 Auxiliary Light 34 80 8 0.002 13 109 (4) Enclosure Boxes 10 600 12 0.003 20 819 20,476 3,602 1.000 5,984 27,939 0.90 -1.0Ev + 1.0Eh Seismic (Reduced DL) Height Above Horizontal Vertical Base Weight w, Force Force Se9ment (ft) (lb) (lb-ft) cl!ll (lb) (lb) 28 97.5 197 75 0.021 125 145 27 92.5 213 76 0.021 126 156 26 87.5 228 75 0.021 125 168 25 84 95 30 0.008 50 70 24 81.5 148 45 0.012 74 109 23 79 101 29 0.008 49 75 22 76.5 362 101 0.028 167 266 21 73.375 406 107 0.030 178 299 20 70.875 128 32 0.009 53 94 19 69 149 36 0.010 60 109 18 66.5 247 57 0.016 95 182 17 62.5 428 92 0.025 152 315 16 58.5 266 52 0.014 87 196 15 56 182 34 0.009 56 134 14 52.5 470 80 0.022 133 346 13 47.5 490 73 0.020 122 360 12 43.5 655 88 0.024 146 482 11 41 449 56 0.015 92 330 10 38.375 745 85 0.024 141 548 9 35.875 232 24 0.007 40 171 8 34.5 134 13 0.004 22 99 7 32 546 49 0.014 82 402 6 27.5 706 52 0.014 87 519 5 22.5 731 42 0.012 69 538 4 17.5 757 31 0.009 52 556 3 12.5 782 21 0.006 34 575 2 7.5 807 11 0.003 18 594 1 2.5 833 3 0.001 5 612 Stadium Lights 100 480 189 0.052 314 353 Generic TMO Incentive Reserve 85 2,500 798 0.221 1325 1,839 Empty 3 Curved-Arm Mounts 83 561 174 0.048 288 413 Empty 6 Straight-Arm Mounts 83 474 147 0.041 244 349 Ericsson KRE 105 281/1 68 5 1 0.000 2 4 Ericsson Radio 4408 68 30 7 0.002 12 22 Kaelus DBC0134F1V72-1 68 135 32 0.009 54 100 Ericsson Radio 4449 -B13&B5 68 210 50 0.014 83 154 Raycap RCMDC-3315-PF-48 68 64 15 0.004 25 47 Ericsson RRUS 32 866A 68 152 36 0.010 60 112 Ericsson RRUS 32 82 68 159 38 0.010 63 117 ©2007 -2020 by A TC LLC. All rights resented. Page 9 of 12 Model Id : 10505 10/15/2021 11:58:57 ASSET: 310976, CARLSBAD HIGH REBUILD CA CODE: ANSlfTIA-222-H CUSTOMER: VERIZON WIRELESS ENG NO: 13716185_C3_02 Height Above Horizontal Vertical Base Weight Wz Force Force Segment {ft) (lb) (lb·ft) c12 (lb) (lb) Ericsson AIR 6449 B770/C-Band 68 264 63 0.018 105 194 Andrew SBNHH·1D65C 68 397 95 0.026 157 292 FlatT-Ann 68 750 179 0.050 298 552 Generic 4' HP Dish 57 170 32 0.009 54 125 Security Camera 55 80 15 0.004 24 59 Speaker 50 80 13 0.004 21 59 Commscope RDIDC-9181-PF-48 42 22 3 0.001 5 16 Fujitsu TA08025-B604 42 192 24 0.007 41 141 Fujitsu TA08025-B605 42 225 29 0.008 48 165 KMW KE654L4H6-D 42 159 20 0.006 34 117 Generic Flat Light Sector Frame 42 1,200 153 0.043 255 883 Auxiliary Light 34 80 8 0.002 13 59 (4) Enclosure Boxes 10 600 12 0.003 20 441 20,476 3,602 1.000 5,984 15,061 1.20 + 1.0Ev + 1.0Eh Seismic CALCULATED FORCES Seg Pu Vu Tu Mu Mu Resultant Phi Phi Phi Phi Total Elev FY(·) FX (·) MY MZ Mx Moment Pn Vn Tn Mn Deflect Rotation (ft) (kies) (kies) (ft-kles) (fr-kies) (ft-kies) (ft-kies) (kies) (kies) (kil,!S) (kies) (in) (deg) Ratio 0.00 -26.80 -5.99 0.00 -416.40 0.00 416.40 3,038.06 831.41 3,581 2,984.75 0.00 0.00 0.15 5.00 -25.69 -5.99 0.00 -386.46 0.00 386.46 2,983.54 805.25 3,359 2,838.38 0.02 -0.04 0.15 10.00 -23.80 -5.95 0.00 -356.51 0.00 356.51 2,926.35 779.10 3,145 2,692.96 0.09 -0.08 0.14 15.00 ·22.77 -5.92 0.00 -326.75 0.00 326.75 2,866.50 752.95 2,937 2,548.72 0.20 -0.13 0.14 20.00 -21.77 -5.86 0.00 -297.18 0.00 297.18 2,803.98 726.80 2,737 2,405.91 0.36 -0.17 0.13 25.00 -20.80 -5.79 0.00 -267.88 0.00 267.88 2,738.80 700.65 2,543 2,264.80 0.56 -0.22 0.13 30.00 -20.05 -5.72 0.00 -238.94 0.00 238.94 2,670.95 674.49 2,357 2,125.61 0.82 ·0.26 0.12 34.00 -19.76 -5.69 0.00 -216.08 0.00 216.08 2,614.75 653.57 2,213 2,015.82 1.05 -0.30 0.12 35.00 -19.44 -5.65 0.00 -210.39 0.00 210.39 2,600.43 648.34 2,178 1,988.61 1.11 ·0.31 0.11 36.75 -18.42 -5.51 0.00 -200.51 0.00 200.51 2,575.12 639.19 2,117 1,941.22 1.23 -0.32 0.11 40.00 -17.80 -5.42 0.00 -182.60 0.00 182.60 2,527.25 622.19 2,006 1,854.04 1.46 -0.35 0.11 42.00 -14.46 -4.88 0.00 -171 .76 0.00 171.76 2,497.23 611.73 1,939 1,800.95 1.61 -0.37 0.10 45.00 -13.79 -4.76 0.00 -157.12 0.00 157.12 1,836.99 483.91 1,519 1,314.32 1.85 -0.39 0.13 50.00 -13.04 -4.61 0.00 -133.32 0.00 133.32 1,787.24 463.02 1,391 1,223.14 2.28 -0.43 0.12 55.00 -12.68 -4.53 0.00 -110.26 0.00 110.26 1,734.83 442.13 1,268 1,133.31 2.76 -0.48 0.11 57.00 -12.08 -4.39 0.00 -101.19 0.00 101.19 1,713.12 433.78 1,220 1,097.81 2.97 ·0.50 0.10 60.00 ·11.50 -4.24 0.00 -88.01 0.00 88.01 1,679.75 421.24 1,151 1,045.08 3.29 -0.53 0.09 65.00 -11.16 ·4.15 0.00 -66.80 0.00 66.80 1,622.00 400.36 1,040 958.70 3.86 -0.57 0.08 68.00 •8.01 -3.20 0.00 -54.34 0.00 54.34 1,586.07 387.82 976 907.86 4.23 -0.59 O.Q7 70.00 -7.83 -3.15 0.00 -47.94 0.00 47.94 1,561.59 379.47 934 874.42 4.48 ·0.60 0.06 71.75 -7.28 -2.97 0.00 -42.43 0.00 42.43 1,539.82 372.16 898 845.47 4.70 -0.61 0.06 75.00 -6.79 -2.80 0.00 -32.79 0.00 32.79 1,498.51 358.58 834 792.49 5.12 -0.63 0.05 78.00 -6.65 -2.75 0.00 -24.41 0.00 24.41 1,017.92 264.81 605 529.86 5.53 -0.65 0.05 80.00 -6.45 -2.67 0.00 -18.91 0.00 18.91 1,002.54 258.53 576 509.39 5.80 -0.65 0.04 83.00 -4.91 ·2.07 0.00 -10.90 0.00 10.90 978.68 249.11 535 479.00 6.21 ·0.66 0.03 85.00 ·1.21 -0.58 0.00 -6.75 0.00 6.75 962.23 242.82 509 458.98 6.49 -0.67 0.02 90.00 -0.92 -0.45 0.00 -3.86 0.00 3.86 919.26 227.11 445 409.89 7.20 -0.68 0.01 95.00 -0.65 ·0.32 0.00 -1 .61 0.00 1.61 873.62 211.41 386 362.36 7.91 -0.68 0.01 100.00 0.00 -0.31 0.00 0.00 0.00 0.00 825.31 195.70 330 316.66 8.63 ·0.68 0.00 0.90 -1.0Ev + 1.0Eh Seismic (Reduced DL) CALCULATED FORCES Seg Pu Vu Tu Mu Mu Resultant Phi Phi Phi Phi Total Elev FY (·) FX (·) MY MZ Mx Moment Pn Vn Tn Mn Deflect Rotation (ft) (kies) (kles) (ft-kles) (fr-kles) (ft-kil,!S) (ft-kies l (kies) (kies) (kies) (kies) (in) (deg) Ratio 0.00 -14.45 -5.98 0.00 -413.15 0.00 413.15 3,038.06 831.41 3,581 2,984.75 0.00 0.00 0.14 5.00 -13.85 -5.98 0.00 -383.23 0.00 383.23 2,983.54 805.25 3,359 2,838.38 0.02 -0.04 0.14 10.00 -12.83 -5.93 0.00 -353.35 0.00 353.35 2,926.35 779.10 3,145 2,692.96 0.09 -0.08 0.14 15.00 ·12.27 -5.89 0.00 -323.69 0.00 323.69 2,866.50 752.95 2,937 2,548.72 0.20 ·0.13 0.13 20.00 -11.72 -5.83 0.00 -294.26 0.00 294.26 2,803.98 726.80 2,737 2,405.91 0.36 -0.17 0.13 25.00 -11.20 -5.75 0.00 -265.13 0.00 265.13 2,738.80 700.65 2,543 2,264.80 0.56 -0.21 0.12 ©2007 • 2020 by ATC LLC. All rights reserved. Page 10 of 12 Model Id: 10505 10/15/2021 11 :58:57 ASSET: 310976, CARLSBAD HIGH REBUILD CA CODE: ANSI/TIA-222-H CUSTOMER: VERIZON WIRELESS ENG NO: 13716185_C3_02 Seg Pu Vu Tu Mu Mu Resultant Phi Phi Phi Phi Total Elev FY(·) FX (-) MY MZ Mx Moment Pn Vn Tn Mn Deflect Rotation (ft) (kips) (kips) (ft-kips) (fr-kips) (ft-kips) (ft-kips} (kips) (kips) (kips) (kips) (In) (deg) Ratio 30.00 -10.80 -5.67 0.00 -236.40 0.00 236.40 2,670.95 674.49 2,357 2,125.61 0.81 -0.26 0.12 34.00 -10.64 -5.64 0.00 -213.72 0.00 213.72 2,614.75 653.57 2,213 2,015.82 1.04 -0.29 0.11 35.00 -10.46 -5.60 0.00 -208.08 0.00 208.08 2,600.43 648.34 2,178 1,988.61 1.10 -0.30 0.11 36.75 -9.91 -5.46 0.00 -198.28 0.00 198.28 2,575.12 639.19 2,117 1,941.22 1.22 -0.32 0.11 40.00 -9.58 -5.37 0.00 -180.54 0.00 180.54 2,527.25 622.19 2,006 1,854.04 1.44 -0.35 0.10 42.00 -7.78 -4.83 0.00 -169.80 0.00 169.80 2,497.23 611. 73 1,939 1,800.95 1.59 -0.36 0.10 45.00 -7.42 -4.71 0.00 -155.30 0.00 155.30 1,836.99 483.91 1,519 1,314.32 1.83 -0.39 0.12 50.00 -7.01 -4.56 0.00 -131 .73 0.00 131. 73 1,787.24 463.02 1,391 1,223.14 2.26 -0.43 0.11 55.00 -6.82 -4.48 0.00 -108.92 0.00 108.92 1,734.83 442.13 1,268 1,133.31 2.73 -0.48 0.10 57.00 -6.50 -4.34 0.00 -99.95 0.00 99.95 1,713.12 433.78 1,220 1,097.81 2.94 -0.50 0.10 60.00 -6.18 -4.19 0.00 -86.92 0.00 86.92 1,679.75 421.24 1,151 1,045.08 3.26 -0.52 0.09 65.00 -6.00 -4.10 0.00 -65.96 0.00 65.96 1,622.00 400.36 1,040 958.70 3.83 -0.56 0.07 68.00 -4.30 -3.16 0.00 -53.67 0.00 53.67 1,586.07 387.82 976 907.86 4.19 -0.58 0.06 70.00 -4.21 -3.11 0.00 -47.34 0.00 47.34 1,561 .59 379.47 934 874.42 4.43 -0.60 0.06 71.75 -3.91 -2.93 0.00 -41.90 0.00 41.90 1,539.82 372.16 898 845.47 4.65 -0.61 0.05 75.00 -3.65 -2.76 0.00 -32.38 0.00 32.38 1,498.51 358.58 834 792.49 5.07 -0.62 0.04 78.00 -3.57 -2.71 0.00 -24.10 0.00 24.10 1,017.92 264.81 605 529.86 5.47 -0.64 0.05 80.00 -3.46 -2.64 0.00 -18.68 0.00 18.68 1,002.54 258.53 576 509.39 5.74 -0.65 0.04 83.00 -2.64 -2.05 0.00 -10.77 0.00 10.77 978.68 249.11 535 479.00 6.15 -0.66 0.03 85.00 -0.65 -0.57 0.00 -6.68 0.00 6.68 962.23 242.82 509 458.98 6.43 -0.66 0.02 90.00 -0.49 -0.44 0.00 -3.82 0.00 3.82 919.26 227.11 445 409.89 7.12 -0.67 0.01 95.00 -0.35 -0.32 0.00 -1.59 0.00 1.59 873.62 211.41 386 362.36 7.83 -0.68 0.01 100.00 0.00 -0.31 0.00 0.00 0.00 0.00 825.31 195.70 330 316.66 8.54 -0.68 0.00 (§)2007 -2020 by A TC LLC. All rights reserved. Page 11 of 12 Model Id : 10505 10/15/2021 11 :58:57 ASSET: 310976, CARLSBAD HIGH REBUILD CA CUSTOMER: VERIZON WIRELESS ANALYSIS SUMMARY Baa"llaa!l Shear Shear Axial Moment FX FZ FY MX Load Case (klesl (kiesl (kles) (ft-kiQs) 1.2D + 1.0W 14.95 0.00 24.56 0.00 0.9D + 1.0W 14.94 0.00 18.42 0.00 1.2D + 1.0Di + 1.0Wi 1.78 0.00 22.71 0.00 1.2D + 1.0Ev + 1.0Eh 5.99 0.00 26.80 0.00 0.9D -1.0Ev + 1.0Eh 5.98 0.00 14.45 0.00 1.0D + 1.0W 5.22 0.00 20.47 0.00 ©2007 • 2020 by A TC LLC. All rights reserved. Page 12 of 12 CODE: ENG NO: Moment Moment MY MZ (ft-klesl (tt-kiesl 0.00 956.27 0.00 952.58 0.00 108.64 0.00 416.40 0.00 413.15 0.00 333.37 Model Id : 10505 ANSI/TIA-222-H 13716185_C3_02 Ma21 !.!saga Elev Interaction (ftl Ratio 0.00 0.33 0.00 0.33 0.00 0.04 0.00 0.15 0.00 0.14 0.00 0.12 10/15/2021 11 :58:57 310976 • Cerlsbad High Rebulld CA, CA (ANSI/TIA-222-H) Pole Dimensions Number of Sides Diameter Thickness Orientation Offset Number of Sides Diameter, ll Thickness 18 48 In 5/16 In Base Plate 18 . 62.18 In 21/2 In Grade AS72•50 Yield Strength, Fy so ksl Tensile Strength, Fu 65 ksl Clip N/A In Orientation Offset Anchor Rod Detail d ~=0.5 Clear Distance 3 In Applied Moment, M u 183,0 k Bending Stress, ct,Mn 1630.4 k Original Anchor Rods Arrangement Radial Quantity 12 Diameter, Ill 21/4 in Bolt Circle 55.24 in Grade A615-75 Yield Strength, Fy 75 ksl Tensile Strength, Fu 100 ksi Spacing 14.5 In Orientation Offset Applied Force, Pu 77.2 k Anchor Rods, ct,Pn 243.6 k A AM■RICANTOW■R' Base Plate & Anchor Rod Analysis Base Reactions Moment, Mu Axial, Pu Shear, Vu Neutral Axis \ -... -------~,o , , 994.2 24.6 15.S 120 k-ft k k X;\C·E\Carlsbad Hlah Rebuild CA, CA {310976)\Structural lnfo\Monopole.8ase-Plate•1nd•Anchor-Rod.v2.2 11:52 AM 10/15/2021 Report Capacities Component Capacity R•ult Base Plate 11% Pass Anchor Rods 33% Pass Dwyldag Che<ked By: 5/14/2020 Calculations for Monopole Base Plate & Anchor Rod Analysis Reaction Distribution Geometric Properties Shear Moment Reaction Factor Vu Mu Gross Individual Threads Moment Section Area Net Area Inertia per Inch of Inertia k k-ft ln2 ln1 ln4 # ln4 Base Forces 15.5 994.2 1.00 Pole 46.5798 2.5878 0.0845 13242.39 Anchor Rod Forces 15.5 994.2 1.00 Bolt 3.9761 3.2477 0.8393 4.5 13624.59 Additional Bolt (Grpl) Forces Boltl Additional Bolt (Grp2) Forces Bolt2 Dywldag Forces Dywidag Stiffener Forces Stiffener Base Plate Anchor Rods Shape 18 Anchor Rod Quantity, N 12 Width, W 62.18 in Rod Diameter, d 2.25 In Thickness, t 2.5 In Bolt Circle, BC 55.24 In Yield Strength, Fy 50 ksi Yield Strength, Fy 75 ksl Tensile Strength, Fu 65 ksi Tensile Strength, Fu 100 ksl Base Plate Chord 39.527 In Applied Axial, Pu 77.2 k Detail Type d Applied Shear, Vu 1.0 k Detail Factor 0.50 Compressive Capacity, <l>Pn 243.6 k Clear Distance 3 Tensile Capacity, <j)Rnt 0.317 OK Interaction Capacity 0.326 OK E•ternal Base Plate Chord Length AA 39.811 In Additional AA 5.000 in Section Modulus, Z 70.017 in3 Applied Moment, Mu 183.0 k-ft Bending Capacity, cj)Mn 3150.8 k-ft Capacity, Mu/<j)Mn 0.058 OK Chord Length AB 39.068 In Additional AB 5.000 In Section Modulus, Z 68.857 ln3 Applied Moment, Mu 154.3 k-ft Bending Capacity, <!>Mn 3098.6 k-ft Capacity, Mu/cj)Mn 0.050 OK Bend Line Length 23.188 in Additional Bend Line 0.000 In Section Modulus, Z 36.231 in3 Applied Moment, Mu 183.0 k-ft Bending Capacity, <j)Mn 1630.4 k-ft Capacity, Mu/<j)Mn 0.112 OK Internal Base Plate Arc Length 0,000 In Section Modulus, Z 0.000 ln3 Moment Arm 0.000 In Applied Moment, Mu o.o k-ft Bending Capacity, cj)Mn 0.0 k-ft Capacity, Mu/<j)Mn 8618 Westwood Center Drive, Suite 315, Vienna, VA 22182 703.27 6. 1100 • 703.27 6. 1169 fax info@sitesafe.com • www.sitesafe.com The Derna Group, LLC on behalf of Verizon Wireless ~Q Site ID -123379 _ATC#31097.6C<i:,S '1.\\'l.'l. Assessment Purpose -Vz A\_~d \ 3~i~ Site Name -CARLSBAD HIGH-<'{ __ ;, C;_ Q,-..i 5' :\ \ • ,~0 Site Compliance Report c"u'\,.Q • 1979 Basswood Ave. CARLSBAD, CA 92008 Latitude: N33-9-54.00 Longitude: Wl 17-19-50.88 Structure Type: Monopole Report generated date: April 14, 2022 Report by: Hannah Jackson Customer Contact: Tanner Young Verizon Wireless is compliant and will remain compliant upon implementation of the proposed changes. © 2022 Site Safe, LLC, Vienna, VA > 1--0 (<g) Sit~!!~!! The Derna Group, LLC on behalf of Verizon Wireless CARLSBAD HIGH -123379_ATC#310976 Radio Frequency (RF) Site Compliance Report 1979 Basswood Ave., CARLSBAD, CA 92008 8618 Wes~oo Ce t Ive ••uite .tS :jlen"'- 703.276.1100 • lnfo@sitesale.com (<g_) SiteSafe A ~Comp.,flY Table of Contents 1 EXECUTIVE SUMMARY ...................................................................................... 3 2 SITE COMPLIANCE ............................................................................................ 4 2.1 SITE COMPLIANCE STATEMENT ............................................................................. 4 2.2 ACTIONS FOR SITE COMPLIANCE ......................................................................... 4 3 ANALYSIS .......................................................................................................... 5 3.1 RF EXPOSURE DIAGRAM •••••••••••••••••••••••••••• ································"······················ 5 4 ANTENNA INVENTORY ..................................................................................... 9 5 REVIEWER CERTIFICATION ............................................................................. 12 APPENDIX A -STATEMENT OF LIMITING CONDITIONS ......................................... 13 APPENDIX B -ASSUMPTIONS AND DEFINITIONS .................................................. 14 GENERAL M ODEL ASSUMPTIONS ............................................................................. 14 USE OF GENERIC ANTENNAS .................................................................................. 1 4 D EFINITIONS .......................................................................................................... 15 APPENDIX C -RULES & REGULATIONS ................................................................... 17 EXPLANATION OF APPLICABLE RULES AND REGULATIONS ............................................ 17 OCCUPATIONAL ENVIRONMENT EXPLAINED .............................................................. 17 APPENDIX D -GENERAL SAFETY RECOMMENDATIONS ....................................... 18 ADDITIONAL INFORMATION .................................................................................... 19 APPENDIX E -REGULATORY BASIS ........................................................................ 20 FCC RULES AND REGULATIONS .............................................................................. 20 APPENDIX F -SAFETY PLAN AND PROCEDURES ................................................... 22 • 8618 Westwood Center Drive• Suite 315 • Vienna, VA 22182 703.276.1100 • lnto@sltesafe.com (<g) SiteSafe A ~Comp.iflY 1 Executive Summary The Derna Group, LLC on behalf of Verizon Wireless has contracted with Site Safe, LLC (Sitesafe), an independent Radio Frequency (RF) regulatory and engineering consulting firm, to determine whether the proposed communications site, 123379 _ATC#31097 6 -CARLSBAD HIGH, located at 1979 Basswood Ave., CARLSBAD, CA, is in compliance with Federal Communications Commission (FCC) rules and regulations for RF exposure. This report contains a detailed summary of the RF environment at the site including: • Diagram of the site • Inventory of the make/ model of all antennas • Theoretical MPE based on modeling This report addresses exposure to radio frequency electromagnetic fields in accordance with FCC rules and regulations for all individuals, classified in two groups, "Occupational or Controlled" and "General Public or Uncontrolled." Verizon Wireless is compliant with FCC rules and regulations, as described in OET Bulletin 65, and will remain compliant upon implementation of the proposed changes. Verizon Wireless proposes to make modifications to a n existing site. The proposed antennas are noted as "Proposed" in the antenna table under Section 4. This document and the conclusions herein are based on the information provided by Verizon Wireless. If you have any questions regarding RF safety and regulatory compliance, please do not hesitate to contact Sitesafe's Customer Support Department at (703) 276-1100. 8618 Westwood Center Drive • Suite 315 • Vienna, VA 22182 703.276.1100 • lnfo@sitesafe.com Page 3 {<g) SiteSafe A~Comp.,,iy 2 Site Compliance 2.1 Site Compliance Statement Upon evaluation of the cumulative RF exposure levels from all operators at this site, Sitesafe has determined that: Verizon Wireless is compliant with FCC rules and regulations, as described in OET Bulletin 65, and will remain compliant upon implementation of the proposed changes. The compliance determination is based on theoretical modeling, RF signage placement recommendations, proposed antenna inventory and/or the level of restricted access to the antennas at the site. Any deviation from the Verizon Wireless proposed deployment plan could result in the site being rendered non-compliant. 2.2 Actions for Site Compliance Based on common industry practice and our understanding of FCC and OSHA requirements, this section provides a statement of recommendations for site compliance. If required, RF alert signage recommendations have been proposed based on theoretical analysis of MPE levels. Where applicable, barriers can consist of fencing combined with RF alert signage. Verizon Wireless is compliant with FCC rules and regulations and will remain compliant upon implementation of the_proposed changes. 8618 Westwood Center Drive• Suite 315 • Vienna, VA 22182 703.276.1100 • lnfo@sltesale.com Page 4 (<g_) SiteSafe A ~Comp.,,ry 3 Analysis 3.1 RF Exposure Diagram The RF diagram(s) below display theoretical percentage of the Maximum Permissible Exposure for all systems at the site. These diagrams use modeling as prescribed in OET Bulletin 65 and assumptions detailed in Appendix B. The key at the bottom of each diagram indicates if percentages displayed are referenced to FCC General Public Maximum Permissible Exposure (MPE) limits. Color coding on the diagram is as follows: % of FCC Public Exposure Limit 0-5 5-100 100-500 500-5000 5000+ This table displays the maximum theoretical percentage of the FCC's General Public MPE limits: General Public Levels: Exposure Type: Maximum Spatial Average Reference Level: Antenna Ground Verizon Wireless: 39,275.7% <1% Composite: 39,275.7% <1% Note: On the diagrams shown below, each level is marked with a height. For all diagrams that are marked as Spatial average 0' -6', the modeling program will spatially average the exposure within the area six feet above each set level. This provides an accurate spatial average of the percentage of the FCC's MPE limits within an accessible area. In the RF exposure simulations below, all heights are reflected with respect to the main site level. In most rooftop cases, this is the height of the main rooftop, and in other cases, this may be ground level. Each different area, rooftop, or p latform level is labeled with its height relative to the main site level. Exposure is calculated appropriately based on the relative height and location of that area to all antennas. The analyzed elevations in the RF exposure simulations are as follows: • GROUND LEVEL = 0' • TOWER = 100' • Z = 1 0' 8618 Westwood Center Drive• Suite 315 •Vienna.VA 22182 703.276.1100 • info@sltesale.com Page 5 (Feet) 0 5.2 www.sltesafe.com 4/14/2022 5:00:02 PM 10.4 VZWEQPAD RF Exposure Simulation For: CARLSBAD HIGH Composite View 0-5 DOOR 1 "of FCC Pu bile: Exposure Limit ~, ~ TOWER= 100' GROUND LEVEL = O' 5-100 100-500 500-5000 5000+ • AT&TMC>hJTYUC • VCIIIZONWIRU(SS T•M08ll( 0 SPl'UNT O DISH O UNl!:NOWN CAARl(I' • No-slcn Exlstln1 &■trier BarrNlrS1tna1e Le1end • @ Notke Proposed 8urler/Sl1n Caution • Warning Remove Barrler/si1n X Sitesafe OET ·6S Model Near Field Boundary: 1.5 • Aperture Reflection Factor: 1 Spatially Averaged HORIZONTAL GP MPE DISTANCE 15 108' AND NO NEARBY STRUCTURES (Feet) 0 15.4 www.sitesafe.com 4/14/2022 5:18:36 PM 30.8 RF Exposure Simulation For: CARLSBAD HIGH Antenna Level = 68' AGL 0-5 HORIZONTAL GP MPE DISTANCE IS 105' AND NO NEARBY STRUCTURES "of FCC OccupaUorNI Expo,ure Limit 5-20 20-100 100-1000 1000+ HORIZONTAL GP MPE DISTANCE IS 106' AND NO NEARBY STRUCTURES • AT&TMOlllllTVlLC l•MOIMlC O SPIIINI O DtSH 0 UNKNOWN CAfU~l(R • No-sign blstlna Barrier BarrluSlgna1e Le1end • Notice Proposed Barrier/Sign @ Caution • Warnin& Remo..,e Barrier/Sign X Sitesafe OET-65 Model Near Field Boundary: 1.5 • Aperture Reflection Factor: 1 Spatially Averaged 0 l I (Feet) 17.9 www.sitesafe.com 4/14/2022 5:30:01 PM 35.8 RF Exposure Simulation For: CARLSBAD HIGH Elevation View +-i l + I l t i- I i ]_ i- TOWER= 100' OWER LIGHTS = 98' RIZON ANTENNAS CL= 68' Z= 10' GROUND LEVEL = 0' 1 "of FCC Public Exposure Limit 0-5 5-100 100-500 500-5000 5000+ • ATlTM081ll1Vl.1C • VUll~WIII.EI.US T MO&n.E o SPfUNl o omt o UN~NOWN CAft"ICI\ • No-sign Exlstln1 Barrier Barrier Si1na1e Le1end • @ Notice Caution Proposed Barrier/Sign • Warnrna Remove Bartler/Slan X + -1- --+- ! -1- t Sitesafe OET-65 Model Near Field Boundary: 1.5 • Aperture Reflection Factor: 1 Single Level (0) (<g) SiteSafe A~ Comp.JflY 4 Antenna Inventory The Antenna Inventory shows a ll transmitting antennas at the site. This inventory was provided by the customer and was utilized by Sitesafe to perform theoretical modeling of RF exposure. The inventory coincides with the site diagrams in this report, identifying each antenna's location at 123379_ATC#310976 -CARLSBAD HIGH. The antenna information collected includes the following information: • Licensee or wireless operator name • Frequency or frequency band • Transmitter power-Transmitter Power Output {"TPO"), Effective Radiated Power ("ERP"), or Equivalent Isotropic Radiated Power {"EIRP") • Antenna manufacturer make, model, and gain For other carriers at this site, the use of "Generic" as an antenna model, or "Unknown" for an operator means the information with regard to carrier, their FCC license and/or antenna information was not available nor could it be secured while on site. Equipment, antenna models and nominal transmit power were used for modeling, based on past experience with radio service providers. 8618 Westwood Center Drive• Suite 315 • Vienna, VA 22182 703.276.1100 • lnlo@sitesale.com Page 9 Ant ID 1 2 3 3 3 4 4 4 4 5 6 7 7 7 8 8 8 8 (<g) SiteSafe ACJwrlJ:rC~ The following antenna inventory was provided by the customer and was utilized to create the site model diagrams: Antenna Make TX Operator and Model Type Freq (MHz) VERIZON WIRELESS Ericsson AIR6449 Panel 3700 (PROPOSED) VERIZON WIRELESS Ericsson KRE 105 Panel 3550 (PROPOSED) 281/1 VERIZON WIRELESS Andrew SBNHH-Panel 751 1D65C VERIZON WIRELESS Andrew SBNHH-Panel 850 1D65C VERIZON WIRELESS Andrew SBNHH· Panel 1900 1D65C VERIZON WIRELESS Andrew SBNHH-Panel 751 1D65C VERIZON WIRELESS Andrew SBNHH· Panel 850 1D65C VERIZON WIRELESS Andrew SBNHH-Panel 2100 1D65C VERIZON WIRELESS Andrew SBNHH-Panel 2100 1D65C VERIZON WIRELESS Ericsson AIR6449 Panel 3700 (PROPOSED) VERIZON WIRELESS Ericsson KRE 105 Panel 3550 (PROPOSED) 281/1 VERIZON WIRELESS Andrew SBNHH-Panel 751 1065C VERIZON WIRELESS Andrew SBNHH-Panel 850 1D65C VERIZON WIRELESS Andrew SBNHH-Panel 1900 1D65C VERIZON WIRELESS Andrew SBNHH· Panel 850 1D65C VERIZON WIRELESS Andrew SBNHH-Panel 2100 1D65C VERIZON WIRELESS Andrew SBNHH-Panel 2100 1D65C VERIZON WIRELESS Andrew SBNHH-Panel 751 1D65C AZ Hor Ant Ant Power Technology (Deg) BW Len Gain Power Type (Oej:j) (rt) (dBd) 5G 130 12.0 2.8 23.55 40.00 TPO LTE/CBRS 130 65.0 0.7 9.41 5.00 TPO LTE 130 66.0 8 14.13 40.00 TPO LTE 130 64.0 8 13.63 40.00 TPO LIE 130 65.0 8 15.54 40.00 !PO LTE 130 66.0 8 14.13 40.00 TPO LIE 130 64.0 8 13.63 40.00 TPO LTE/AWS1 130 63.0 8 16.19 40.00 TPO LTE/AWS3 130 63.0 8 16.19 40.00 TPO SG 250 12.0 2.8 23.55 40.00 TPO LTE/CBRS 250 65.0 0.7 9.41 5.00 TPO LTE 250 66.0 8 14.13 40.00 TPO LTE 250 64.0 8 13.63 40.00 TPO LTE 250 65.0 8 15.54 40.00 TPO LTE 250 64.0 8 13.63 40.00 TPO LTE/AWS1 250 63.0 8 16.19 40.00 TPO LTE/AWS3 250 63.0 8 16.19 40.00 TPO LIE 250 66.0 8 14,13 40.00 TPO 8618 Westwood Center Drive • Suite 315 • Vienna, VA 22182 703.276.1100 • info@sitesafe.com Page 10 Power TX Misc Total Units Count Loss ERP (Watts) Watt B 0.00 72468.62 Watt 4 0.00 174,59 Watt 2 0.00 2070.57 Watt 2 0.00 1845.4 Watt 4 0.00 5729.54 Watt 2 0.00 2070.57 Watt 2 0.00 1845.4 Watt 2 0.00 3327.29 Watt 2 0.00 3327.29 Watt 8 0.00 72468.62 Watt 4 0.00 174.59 Watt 2 0.00 2070.57 Watt 2 0.00 1B45.4 Watt 4 0.00 5729.54 Watt 2 0.00 1845.4 Watt 2 0.00 3327.29 Watt 2 0.00 3327.29 Watt 2 0.00 2070.57 z MDT EDT (ft) (Deg) (Deg) 68 0 0 68 0 0 68 0 0 68 0 0 68 0 0 68 0 0 68 0 0 68 0 0 68 0 0 68 0 0 68 0 0 68 0 0 68 0 0 68 0 0 68 0 0 68 0 0 68 0 0 68 0 0 Ant ID 9 9 9 10 10 10 10 11 12 13 Antenna Make TX AZ HOf Ant Ant Power Power TX Misc Total z OperatOf and Model Type Freq Technology (Deg) BW Len Gain Power Type Units Count Loss ERP (ft) (MHz) (Deg) (tt) (dBd) (Watts) VERIZON WIRELESS Andrew SBNHH· Panel 751 LIE 10 66.0 8 14,13 40,00 TPO Watt 2 0.00 2070.57 68 1D65C VERIZON WIRELFSS Andrew SBNHH· Panel 1900 LIE 10 65,0 8 15.54 40.00 TPO Watt 4 0.00 5729,54 68 1D65C VERIZON WIRELESS Andrew SBNHH· Panel 850 LIE 10 64,0 8 13.63 40.00 !PO Watt 2 0,00 1845.4 68 1D65C VERIZON WIRELESS Andrew SBNHH· Panel 2100 LTE/AWSl 10 63.0 8 16.19 40,00 !PO Watt 2 0,00 3327.29 68 1D65C VERIZON WIRELESS Andrew SBN HH. Panel 2100 LTE/AWS3 10 63.0 8 16.19 40,00 TPO Watt 2 0.00 3327.29 68 1D65C VERIZON WIRELESS Andrew SBNHH-Panel 751 LIE 10 66,0 8 14.13 40,00 !PO Watt 2 0,00 2070.57 68 1D65C VERIZON WIRELESS Andrew SBNHH-Panel 850 LIE 10 64,0 8 13.63 40,00 !PO Watt 2 0.00 1845,4 68 1D65C VERIZON WIRELESS Ericsson KRE 105 Panel 3550 LTE/CBRS 10 65,0 0,7 9,41 5.00 !PO Watt 4 0.00 174,59 68 (PROPOSED) 281/1 VERIZON WIRELESS Ericsson AIR6449 Panel 3700 5G 10 12.0 2.8 23,55 40.00 TPO Watt B 0.00 72468,62 68 (PROPOSED) VERIZON WIRELESS Generic Aperture 18000 180 2 2 37.66 0.01 TPO Watt 1 0.00 58,34 57 Note: The Z reference indicates antenna height above the ground level unless otherwise indicated. ERP values provided by the client and used in the modeling may be greater than are currently deployed. For additional modeling info,mation, refer to Appendix 8. Proposed equipment is tagged as (Proposed) under Operator or Antenna Make and Model. 8618 Westwood Center Drive • Suite 315 • Vienna, VA 22182 703.276.1100 • info@sitesafe.com Page 11 MDT EDT (Deg) (Deg) 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 C<g) SiteSafe A ~C01"Pi1'1Y 5 Reviewer Certification The reviewer whose signature appears below hereby certifies and affirms: That I am an employee of Site Safe, LLC, in Vienna, Virginia, at which place the staff and I provide RF compliance services to clients in the wireless communications industry; and That I am thoroughly familiar with the Rules and Regulations of the Federal Communications Commission (FCC) as well as the regulations of the Occupational Safety and Health Administration (OSHA), both in general and specifically as they apply to the FCC Guidelines for Human Exposure to Radio Frequency Electromagnetic Fields; and That I have thoroughly reviewed this Site Compliance Report and believe it to be true and accurate to the best of my knowledge as assembled by and attested to by Hannah Jackson. April 14, 2022 8618 Westwood Center Drive • Suite 315 • Vienna, VA 22182 703.276.1100 • info@sitesafe.com Page 12 Young Min Kim (<g_) SiteSafe A~Comp.,/l}' Appendix A -Statement of Limiting Conditions Sitesafe will not be responsible for matters of a legal nature that affect the site or property. Due to the complexity of some wireless sites, Sitesafe performed this analysis and created this report utilizing best industry practices and due diligence. Sitesafe cannot be held accountable or responsible for anomalies or discrepancies due to actual site conditions (i.e., mislabeling of antennas or equipment, inaccessible cable runs, inaccessible antennas or equipment, etc.) or information or data supplied by Verizon Wireless, the site manager, or their a ffiliates, subcontractors or assigns. Sitesafe has provided computer generated model(s) in this Site Compliance Report to show approximate dimensions of the site, and the model is included to assist the reader of the compliance report to visualize the site area, and to provide supporting documenta tion for Sitesafe's recommendations. Sitesafe may note in the Site Compliance Report any adverse physical conditions, such as needed repairs, observed during the survey of the subject property or that Sitesafe became aware of during the normal research involved in performing this survey. Sitesafe will not be responsible for any such conditions that do exist or for any engineering or testing that might be required to discover whether such conditions exist. Because Sitesafe is not an expert in the field of mechanical engineering or building maintenance, the Site Compliance Report must not be considered a structural or physical engineering report. Sitesafe obtained information used in this Site Compliance Report from sources that Sitesafe considers reliable and believes them to be true and correct. Sitesafe does not assume any responsibility for the accuracy of such items that were furnished by other parties. When conflicts in information occur between data provided by a second party and physical data collected by Sitesafe, the physical data will be used. 8618 Westwood Center Drive• Suite 315 • Vienna, VA 22182 703.276.1100 • lnfo@sltesale.com Page 13 {<g_) SiteSafe A~Com/J,111Y Appendix B -Assumptions and Definitions General Model Assumptions In this site compliance report, it is assumed that all antennas are operating at full power at all times. Software modeling was performed for all transmitting antennas located on the site. Sitesafe has further assumed a l 00% duty cycle and maximum radiated power. The site has been modeled with these assumptions to show the maximum RF energy density. Sitesafe believes this to be a worst-case analysis, based on best available data. Areas modeled to predict exposure exposure greater than l 00% of the applicable MPE level may not actually occur but are shown as a worst-case prediction that could be realized real time. Sitesa fe believes these areas to be safe for entry by occupationally trained personnel utilizing appropriate personal protective equipment (in most cases, a personal monitor). Thus, at any time, if power density measurements were made, we believe the real- time measurements would indicate levels below those depicted in the RF exposure diagram(s) in this report. By modeling in this way, Sitesafe has conservatively shown exclusion areas -areas that should not be entered without the use of a personal monitor, carriers reducing power, or performing real-time measurements to indicate real-time exposure levels. Use of Generic Antennas For the purposes of this report, the use of "Generic" as an antenna model, or "Unknown" for an operator means the information about a carrier, their FCC license and/or antenna information was not provided and could not be obtained while on site. In the event of unknown information, Sitesafe will use our industry specific knowledge of equipment, antenna models, and transmit power to model the site. If more specific information can be obtained for the unknown measurement criteria, Sitesafe recommends remodeling of the site utilizing the more complete and accurate data. Information about similar facilities is used when the service is identified and associated with a particular antenna. If no information is available regarding the transmitting service associated with an unidentified antenna, using the antenna manufacturer's published data regarding the antenna's physical characteristics makes more conservative assumptions. Where the frequency is unknown, Sitesafe uses the closest frequency in the antenna's range that corresponds to the hig hest MPE, resulting in a conservative analysis. 8618 Westwood Center Drive• Suite 315 • Vienna, VA 22182 703.276.1100 • lnfo@sitesafe.com Page 14 (<g_) SiteSafe A Q,,dlliJ{'Con>p,111Y Definitions 5% Rule -The rules adopted by the FCC specify that, in general, a t multiple transmitter sites actions necessary to bring the area into compliance with the guidelines are the shared responsibility of all licensees whose transmitters produce field strengths or power density levels at the area in question in excess of 5% of the exposure limits. In other words, any wireless operator that contributes 5% or greater of the MPE limit in an area that is identified to be greater than l 00% of the MPE limit is responsible for taking corrective actions to bring the site into compliance. Compliance -The determination of whether a site complies with FCC standards with regards to Human Exposure to Radio Frequency Electromagnetic Fields from transmitting antennas. Decibel (dB) -A unit for measuring power or strength of a signal. Duty Cycle -The percent of pulse duration to the pulse period of a periodic pulse train. Also, may be a measure of the temporal transmission c haracteristic of an intermittently transmitting RF source such as a paging antenna by dividing average transmission duration by the average period for transmission. A duty cycle of l 00% corresponds to continuous operation. Effective (or Equivalent) Isotropic Radiated Power (EIRP) -The product of the power supplied to the antenna and the a ntenna gain in a given direction relative to an isotropic antenna. Effective Radiated Power (ERP) -The product of the power supplied to the antenna and the antenna gain in a given direction relative to a half-wave dipole antenna. Gain (of an antenna) -The ratio, usually expressed in decibels, of the power required at the input of a loss-free reference antenna to the power supplied to the input of the given antenna to produce, in a given d irection, the same field strength or the same power density at the same distance. When not specified otherwise, the gain refers to the direction of maximum radiation. Gain may be considered for a specified polarization. Gain may be referenced to an isotropic antenna (dBi) or a half-wave dipole (dBd) antenna. General Population/Uncontrolled Environment -Defined by the FCC as an area where RF exposure may occur to persons who are unaware of the potential for exposure and who have no control over their exposure. General Population is also referenced as General Public. Generic Antenna -For the purposes of this report, the use of "Generic" as an antenna model means the antenna information was not provided and could not be obtained while on site. In the event of unknown information, Sitesafe will use its industry specific knowledge of antenna models to select a worst-case scenario antenna to model the site. Isotropic Antenna -An antenna that is completely non-directional. In other words, an antenna that radiates energy equally in all directions. 8618 Westwood Center Drive• Suite 315 • Vienna, VA 22182 703.276.1100 • lnfo@sltesafe.com Page 15 (<g) SiteSafe A Q""1:!i!t{'Comp.,f!Y Maximum Measurement -This measurement represents the single largest measurement recorded when performing a spatial average measurement. Maximum Permissible Exposure (MPE) -The rms and peak electric and magnetic field strength, their squares, or the plane-wave equivalent power densities associated with these fields to which a person may be exposed without harmful effect and with acceptable safety factor. Occupational/Controlled Environment -Defined by the FCC as an area where RF exposure may occur to persons who are aware of the potential for exposure as a condition of employment or specific activity and can exercise control over their exposure. OET Bulletin 65 -Technical guideline developed by the FCC's Office of Engineering and Technology to determine the impact of RF exposure on humans. The guideline was published in August 1997. OSHA (Occupational Safety and Health Administration) -Under the Occupational Safety and Health Act of 1970, employers are responsible for providing a safe and healthy workplace for their employees. OSHA's role is to promote the safety and health of America's working men and women by setting and enforcing standards; providing training, outreach and education; establishing partnerships; and encouraging continual process improvement in workplace safety and health. For more information, visit www.osha.gov. Radio Frequency Exposure or Electromagnetic Fields -Electromagnetic waves that are propagated from antennas through space. Spatial Average Measurement -A technique used to average a minimum of ten ( l 0) measurements taken in a ten ( l 0) second interval from zero (0) to six (6) feet. This measurement is intended to model the average energy a 6-foot tall human body will absorb while present in an electromagnetic field of energy. Transmitter Power Output (rPO) -The radio frequency output power of a transmitter's final radio frequency stage as measured at the output terminal while connected to a load. 8618 Westwood Center Drive• Suite 315 • Vienna, VA 22182 703.276.1100 • info@sltesafe.com Page 16 <<g) SiteSafe A a=&' CQmf)iJny Appendix C -Rules & Regulations Explanation of Applicable Rules and Regulations The FCC has set forth guidelines in OET Bulletin 65 for human exposure to radio frequency electromagnetic fields. Specific regulations regarding this topic are listed in Part 1, Subpart I, of Title 47 in the Code of Federal Regulations. Currently, there are two different levels of MPE -General Public MPE and Occupational MPE. An individual classified as Occupational can be defined as an individual who has received appropriate RF training and meets the conditions outlined below. General Public is defined as anyone who does not meet the conditions of being Occupational. FCC and OSHA Ru les and Regulations defi ne compliance in terms of total exposure to total RF energy, regardless of location of or proximity to the sources of energy. It is the responsibility of all licensees to ensure these guidelines are maintained at all times. It is the ongoing responsibility of a ll licensees composing the site to maintain ongoing compliance with FCC rules and regulations. Individual licensees that contribute less than 5% MPE to any total area out of compliance are not responsible for corrective actions. OSHA has adopted and enforces the FCC's exposure guidelines. A building owner or site manager can use this report as part of an overall RF Health and Safety Policy. It is important for building owners/site managers to identify areas in excess of the General Population MPE and ensure that only persons qualified as Occupational are granted access to those areas. Occupational Environment Explained The FCC definition of Occupational exposure limits apply to persons who: • are exposed to RF energy as a consequence of their employment; • have been made aware of the possibility of exposure; and • can exercise control over their exposure. OSHA guidelines go further to state that persons must complete RF Safety Awareness training and must be trained in the use of appropriate personal protective equipment. In order to consider this site an Occupational Environment, the site must be controlled to prevent access by any individuals classified as the General Public. Compliance is also maintained when any non-occupational individuals (the General Public) are prevented from accessing areas indicated as Red or Yellow in the attached RF exposure diagram. In addition, a person must be aware of the RF environment into which they are entering. This can be accomplished by an RF Safety Awareness class, and by appropriate written documentation such as this Site Compliance Report. All Verizon Wireless employees who require access to this site must complete RF Safety Awareness training and must be trained in the use of appropriate personal protective equipment. 8618 Westwood Center Drive• Suite 315 • Vienna, VA 22182 703.276.1100 • info@sltesafe.com • Page 17 Appendix D -General Safety Recommendations The following are general recommendations appropriate for any site with accessible areas in excess of 100% General Public MPE. These recommendations are not specific to this site. These are safety recommendations appropriate for typical site management, building management, and other tenant operations. 1. All individuals needing access to the main site (or the area indicated to be in excess of General Public MPE) should wear a personal protective monitor (PPM), successfully complete proper RF Sa fety Awareness training, and have and be trained in the use of appropriate personal protective equipment. 2. All individuals needing access to the main site should be instructed to read and obey all posted placards and signs. 3. The site should be routinely inspected and this or similar report updated with the addition of any antennas or upon any changes to the RF enviro nment including: • adding new antennas that may have been located on the site • removing of any existing antennas • changes in the radiating power or number of RF emitters 4. Post the appropriate NOTICE, CAUTION, or WARNING sign at the main site access point(s) and other locations as required. Note: Please refer to RF Exposure Diagrams in Section 3.1 to inform everyone who has access to this site that beyond posted signs there may be levels in excess of the limits prescribed by the FCC. In addition to RF Advisory Signage, a RF Guideline Signage is recommended to be posted at the main site access point(s). The signs below are examples of signs meeting FCC guidelines. £. NOTICE £ •--l"lllt-• IIWIIOPIIIQIIMC)YIIIMIICJl-ffl ............ ,._.llllzlS l ... fllillJ _....,. ... M ______ lt_ ·----·------. ==---_...,, ___ _ .,. __ ,.,.._..., __ ................... 11,.--------·---------•o.-------..-- NOTICE Radio ffll"""""'I' fttM•• M)'oncl 1'IIJI po/,o\<MY....-.,.,,cc lll""ffl1 pu.-c .. _..,.. ll!!OIL :-"i::;-::-:.:.-:: ....,._ - AcAUTION ~ &llyi>nd 1111) po1t1t• lt@dk> 11,i,q-.;y-i ti 1t11t •lt.o n\AV-dfCC n.11H for h1,,.-, ~UIO. Flllllyw,;,~fJ,MilJan..,._,.._,...,-1 ,U;<t~to,"00!\WfU;,,.I..,_ '-'fM-'"'C't •eo.~ 8,yol,d ffi,iS p<M!l; Rldfo.l,,oqtw-.cr rMf<ls >I ,tn ~• 0•~0<1U.OF<;r.1~IH >o<-11 9K~lf0. r.a,HJIA..,, ....... ~.-....,..,.,.... ... ~~.'J<O!l.lf\l•lt_,,.~, ~,c:..u,fty ........ ...,.A.,Y 5. Ensure that the site door remains locked (or appropriately controlled) to deny access to the general public if deemed as policy by the building/site owner. 6. For a General Public environment the five color levels identified in this analysis can be interpreted in the following manner: • Gray represents areas predicted to be at 5% or less of the General Public MPE limits. The General Public can access these areas with no restrictions. 8618 Westwood Center Drive• Suite 315 • Vienna, VA 22182 703.276.1100 • lnfo@sltesale.com Page 18 (<g) SiteSafe A ~Comp.,f1.Y • Green represents areas predicted to be between 5% and l 00% of the General Public MPE limits. The General Public can access these areas with no restrictions. • Blue represents areas predicted to be between l 00% and 500% of the General Public MPE limits. The General Public should be restricted from accessing these areas. • Yellow represents areas predicted to be between 500% and 5000% of the General Public MPE limits. The General Public should be restricted from accessing these areas. • Red represents areas predicted to be greater than 5000% of the General Public MPE limits. The General Public should be restricted from accessing these areas. 7. For an Occupational environment the five color levels identified in this analysis can be interpreted in the following manner: • Gray represents areas predicted to be at l % or less of the Occupational MPE limits. Workers can access these areas with no restrictions. • Green represents areas predicted to be between l % and 20% of the Occupational MPE limits. Workers can access these areas with no restrictions. • Blue represents areas predicted to be between 20% and l 00% of the Occupational MPE limits. Workers can access these areas assuming they have basic understanding of EME awareness and RF safety procedures and understand how to limit their exposure. • Yellow represents areas predicted to be between 100% and 1000% of the Occupational MPE limits. Workers can access these areas assuming they have basic understanding of EME awareness and RF safety procedures and understand how to limit their exposure. Transmitter power reduction and/or time-averaging may be required. • Red represents areas predicted to be greater than l 000% of the Occupational MPE limits. These areas are not safe for workers to be in for prolonged periods of time. Special procedures must be adhered to, such as lockout/tagout or transmitter power reduction, to minimize worker exposure to EME. 8. Use of a Personal Protective Monitor (PPM): When working around antennas, Sitesafe strongly recommends the use of a PPM. Wearing a PPM will properly forewarn the individual prior to entering an RF exposure area. Keep a copy of this report available for a ll persons who must access the site. They should read this report and be aware of the potential hazards with regards to RF and MPE limits. Additional Information Additional RF information is available at the following sites: h ttps: //www.fee.gov/genera I/radio-freq u ency-safety-0 https://www.fcc.gov/engineering-technology/electromagnetic-compatibility- division/radio-frequency-safety/faq/rf-safety OSHA has additional information available at: https: //www.osha.gov/SLTC/radiofreq ue ncyradiation/index.h tm I 8618 Westwood Center Drive• Suite 315 • Vienna, VA 22182 703.276.1100 • info@sifesafe.com Page 19 (<g_) SiteSafe A Q18JI!flrC<lmp.,f/Y Appendix E -Regulatory Basis FCC Rules and Regulations In 1996, the Federal Communications Commission (FCC) adopted regulations for evaluating the effects of RF exposure in 47 CFR § 1.1307 and 1.1310. The guideline from the FCC Office of Engineering and Technology is Bulletin 65 ("OET Bulletin 65"), Evaluating Compliance with FCC Guidelines for Human Exposure to Radio Frequency Electromagnetic Fields, Edition 97-01, published August 1997. Since 1996 the FCC periodically reviews these rules and regulations as per their congressional mandate. FCC regulations define two separate tiers of exposure limits: Occupational or "Controlled environment" and General Public or "Uncontrolled environment". The General Public limits are generally five times more conservative or restrictive than the Occupational limits. The General Public limits apply to accessible areas where workers or the general public may be exposed to Radio Frequency (RF) electromagnetic fields. Occupational or Controlled limits apply in situations in which persons are exposed as a consequence of their employment and where those persons exposed have been made fu lly aware of the potential for exposure and can exercise control over their exposure. An area is considered a Controlled environment when access is limited to these aware personnel. Typical criteria are restricted access (i.e. locked or alarmed doors, barriers, etc.) to the areas where antennas are located coupled with proper RF hazard signage. A site with Controlled environments is evaluated with Occupational limits. All other areas are considered Uncontrolled environments. If a site has no access controls or no RF hazard signage it is evaluated with General Public limits. The theoretical modeling of the RF electromagnetic fields has been performed in accordance with OET Bulletin 65. The Maximum Permissible Exposure (MPE) limits utilized in this analysis are outlined in the following diagram: FCC Limits for Maximum Permissible Exposure (MPE) Plane-wave Equivalent Power Density 1000 ~------------ -Occupational --General Public "e 100 u ~ .S 10 +----...,,___~------- ~ 'iii C: a, 0 ~ ~ 0.1 +------------- 0.01 ._ ______ ------ 0 10 100 1,000 10,000 Frequency (MHz) Limits for Occupational/Controlled Exposure (MPE) 8618 Westwood Center Drive• Suite 315 • Vienna, VA 22182 703.276.1100 • into@sitesafe.com Page 20 (<g) SiteSafe A Q,;,,I!JJrCotnpJ/IY Frequency Electric Magnetic Power Averaging Time IE I 2, Range Field Field Density (S) I H 12 or S (minutes) (MHz) Strength (E) Strength (mW/cm2) (V/m) (H)(A/m) 0.3-3.0 614 1.63 (100)* 6 3.0-30 1842/f 4.89/f (900/f2)* 6 30-300 61.4 0.163 1.0 6 300-1500 f/300 6 1500-5 6 100,000 Limits for General Population/Uncontrolled Exposure (MPE) Frequency Elect ric Magnetic Power Averaging Time IE I 2, Range Field Field Density (S) I H 12 or S (minutes) (MHz) Strength (E) Strength (mW/cm2) (V/m) (H) (A/m) 0.3-1.34 614 1.63 (100)* 30 1.34-30 824/f 2.19/f (180/f2)* 30 30-300 27.5 0.073 0.2 30 300-1500 f/1500 30 1500-1.0 30 100,000 f = frequency in MHz *Plane-wave equivalent power density 8618 Westwood Center Drive• Suite 315 • Vienna, VA 22182 703.276.1100 • lnfo@sitesafe.com Page 21 (<g) Sit·e Safe A ~C0111PJ'1Y Appendix F -Safety Plan and Procedures The following items are general safety recommendations that should be administered on a site by site basis as needed by the carrier. General Maintenance Work: Any maintenance personnel required to work immediately in front of antennas and / or in areas indicated as above 100% of the Occupational MPE limits should coordinate with the wireless operators to disable transmitters during their work activities. Training and Qualification Verification: All personnel accessing areas indicated as exceeding the General Population MPE limits should have a basic understanding of EME awareness and RF Safety procedures when working around transmitting antennas. Awareness training increases a worker's understanding to potential RF exposure scenarios. Awareness can be achieved in a number of ways (e.g. videos, formal classroom lecture or internet-based courses). Physical Access Control: Access restrictions to transmitting antennas locations is the primary element in a site safety plan. Examples of access restrictions are as follows: • Locked door or gate • Alarmed door • Locked ladder access • Restrictive Barrier at antenna (e.g. Chain link with posted RF Sign) RF Signage: Everyone should obey all posted signs at all times. RF signs play an important role in properly warning a worker prior to entering into a potential RF Exposure area. Assume all antennas are active: Due to the nature of telecommunications transmissions, an antenna transmits intermittently. Always assume an antenna is transmitting. Never stop in front of an antenna. If you have to pass by an antenna, move through as quickly and safely as possible thereby reducing any exposure to a minimum. Site RF Exposure Diagram(s): Section 3 of this report contains RF Diagram(s) that outline various theoretical Maximum Permissible Exposure (MPE) areas at the site. The modeling is a worst-case scenario assuming a duty cycle of 100% for each transmitting antenna at full power. This analysis is based on one of two access control criteria: General Public criteria means the access to the site is uncontrolled and anyone can gain access. Occupational criteria means the access is restricted and only properly trained individuals can gain access to the antenna loc a tions. 8618 Westwood Center Drive • Suite 315 •Vienna.VA 22182 703.276.1100 • info@sitesafe.com Page 22 Hazardous Materials Questionnaire County of San Diego, Department of Environmental Health and Quality PO Box 129261, San Diego, CA 92112-9261 (858) 505-6700 (800) 253-9933 www.sdcdehq.org Business Name Verizon Wireless Project Address 1979 Basswood AVE Applicant Rachel Bruin Business Contact Verizon Wireless City CARLSBAD Applicant E-Mail rbruin@dernagrp.com State CA Record ID #: Not in System Plan Check#: DEH2022-HHMBP-011670 Balance Due: $73.00 Telephone# Zip Code 92008 Applicant Telephone# Plan File# APN# 205-140-35-00 The following questions represent the facility's activities, NOT the specific project description. PART 1· EIRE DEPARTMENT· HAZARDOUS METERIALS DIVISION· OCCUPANCY CLASSIFICATION: (Not required for projects within the City of San Diego.) Indicate by selecting the Item, whether your business will use, process, or store any of the following hazardous materials. If any of the Items are selected, Applicant must contact the Fire Protection Agency with jurisdiction prior to plan submittal. Occupancy Rating: U Facility's Square Footage (including proposed project): 0 D Explosive or Blasting Agents D Organic Peroxides D Water Reactives D Corrosives D D D Compressed Gases Flammable/Combustible Liquids Flammable Solids D D D Oxidizers Pyrophorics Unstable Reactives D Cryogenics D Other Health Hazards D Highly Toxic or Toxic Materials D None of These IE Radioactives PART n: SAN PIEGO COUNTY DEPARTMENT OF ENVIRONMENTAL HEALTH -HAZARDOUS MATERIALS DIVISION IHMDI: If the answer to any of the questions Is yes, applicant must contact the County of San Diego Hazardous Materials Division, in person at 5500 Overland Ave., Suite 110, San Diego, CA 92123, or by phone at (858) 505-6700 prior to issuance of a building permit. FEES ARE REQUIRED. Project Completion Date: YES NO 1. IE D 2. 0 IE 3. 0 4. 0 5. 0 6. 0 7. 0 8. 0 IE 0 IE IE IE IE Is your business listed on the reverse side of this form? (check all that apply). Will your business dispose of Hazardous Substances or Medical Waste in any amount? Will your business store or handle Hazardous Substances in quantities equal to or greater than 55 gallons, 500 pounds, or 200 cubic feet? Will your business handle carcinogens or reproductive toxins in any quantity? Will your business use an existing, or install an underground storage tank? Will your business store or handle Regulated Substances (CalARP)? Will your business use or install a Hazardous Waste Tank System (Title 22, Article 10)? Will your business store petroleum in tanks or containers at your facility with a total storage capacity equal to or greater than 1,320 gallons? (California's Aboveground Petroleum Storage Act). 0 0 0 CalARP Exempt CalARP Required CalARP Complete Review Date: PART Ill: SAN DIEGO COUNTY AIR POLLUTION CONTROL DISTRICT IAPCDI: If the answer to Question #1 is 'Yes' and the answer to Question #2 Is 'No', the applicant must contact the APCD prior to the issuance of a building or demolition permit. If any answer to Questions #3, #4, or #5 is 'Yes', the applicant must contact the APCD prior to the issuance of a building or demolition permit. If the answer to Question #3 or #4 is 'Yes', the applicant may need to submit an asbestos notification form to the APCD at least 10 working days prior to commencing demolition or renovation (some residential projects may be exempt from the notification requirements). Contact the APCD at 10124 Old Grove Road, San Diego, CA 92131 or telephone (858) 586-2600 for more information. YES NO 1. 0 IE 2. 0 0 3. 0 0 4. 0 IE Will any existing building materials be disturbed as part of this project? (If the answer is 'Yes', an asbestos survey may be required.) Has a survey been performed to determine the presence of asbestos containing materials? Will the project involve handling or disturbance of any asbestos containing materials? Will the project Involve the removal of any load supporting structural member? 5. 0 IE Will the subject facility or construction activities include operations or equipment that emit or are capable of emitting an air contaminant? (See the APCD factsheet at http://www.sdapcd.org/infolfacts/permlts.pdf 6. 0 0 (ANSWER ONLY IF QUESTION 5 IS 'YES') Will the subject facility be located within 1,000 feet of the outer boundary of a school (K through 12)? Search the California School Directory at http://www.cde.ca.gov/re/sd/ for public and private schools or contact the appropriate school district. Briefly describe business activities: Wireless Telecommunlcatlons Facility Briefly describe proposed project: Verizon modifications to existing tower. • REMOVE (6) ANTENNAS· INSTALL (6) ANTENNAS· INSTALL (6) RRUs· INSTALL (3) DIPLEXERS· INSTALL (2) OVPa· I declare under penalty of perjury that to the best of my knowledge and belief, the responses made herein are true and correct. IE; Fees Acknowledged: Iii Rachel Bruin 5/9/2022 Name of Owner or Authorized Agent Date FOR OFFICIAL USE ONLY FIRE DEPARTMENT OCCUPANCY CLASSIFICATION: BY: DATE: __________ _ EXEMPT OR NO FURTHER INFORMATION RELEASED FOR BUILDING PERMIT BUT NOT FOR RELEASED FOR OCCUPANCY REQUIRED OCCUPANCY COUNTY-HMO• APCD COUNTY-HMO APCD COUNTY-HMO APCD ~,~Of';\11 f9 ~EVIEWf D M Martinez SIONATURf ' 5/20/202') l),\Tf. .... n .. •A stamp in this box only exempts businesses from completing or updating a Hazardous Materials Business Plan. Other permitting requirements may still apply. DEHO HMO HMBP Questionnaire v 2.0 (8/2021) Prinlecfon: Sr.1012022@ 12:36 PM