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Home My WebLink AboutCD 2019-0015; T-MOBILE CARLSBAD INN; Consistency Determination (CD)• CITY OF CARLSBAD APPLICATION FORM FOR CONSISTENCY DETERMINATION APPLICATION CITY USE ONLY Original Project Number: IL\" .2: 1 _,. O 4;-A Development Number: De. v Zo I ~ -o , c;-o Consistency Determination Number: l.;D :z& t 9 -Oo »S-- PROJECT NAME: T-MOBILE SD06298A Assessor's Parcel Number(s) and Address: 203-252-04 ------------------------------ Des c rip ti on of proposal (add attachment if necessary): REMOVE 3 ANTENNA$ 3 TMAS, INSTALL 6 ANTENNAS INSTALL 3 NEW RADIOS & CABLES Would you like to orally present your proposal to your assigned staff planner/engineer? Yes D □ ><No Please list the staff members you have previously spoken to regarding this project. If none, please so state. TERI DELCAMP -PRONCIPAL PLANNER OWNER NAME (Print): AP WIRELESS GP RESORTS MAILING ADDRESS: 9373 TOWN CENTER DRIVE CITY, STATE, ZIP: SAN DIEGO CA 92721 TELEPHONE: 877-232-27 40 EMAIL ADDRESS: NA *Owner's signature indicates permission to conduct a preliminary review for a development proposal. IN THE PROCESS OF REVIEWING THIS APPLICATION IT MAY BE NECESSARY FOR MEMBERS OF CITY STAFF TO INSPECT AND ENTER THE PROPERTY THAT IS THE SUBJECT OF THIS APPLICATION. I/WE CONSENT TO ENTRY FOR THIS PURPOSE. I CERTIFY THAT I AM THE LEGAL OWNER AND THAT ALL THE ABOVE INFORM TION IS TRUE AND CORRECT TO THE BEST OF MY KN Lcc:,,.-....-7 7125119 DATE APPLICANT'S REPRESENTATIVE (Print): INFINIGY APPLICANT NAME (Print): T-MOBILE WEST CORPORATION MAILING ADDRESS: VISTA SORRENTO PKWY CITY, STATE, ZIP: SAN DIEGO cA TELEPHONE: 949-562-8645 EMAIL ADDRESS: ABUCHEN@INFINIGY.COM I CERTIFY THAT I AM THE LEGAL REPRESENTATIVE OF THE OWNER AND THAT ALL THE ABOVE INFORMATION IS TRUE AND CORRECT TO THE BEST OF MY KNOWLEDGE. ISi Andrew Buch~ 7126119 SIGNATURE DATE ----------------------------MA I LING ADDRESS: 26455 RANCHO PKWY SOUTH CITY, STATE, ZIP: LAKE FOREST AC 92630 TELEPHONE: 949-562-8645 EMAIL ADDRESS: abuchen@infinigy.com I CERTIFY THAT I AM THE LEGAL REPRESENTATIVE OF THE APPLICANT AND THAT ALL THE ABOVE INFORMATION IS TRUE AND CORRECT TO THff EST OF MY KNOWLEDGE. -rst Andrew Buch~£ ------112611"--------------··--··-·-· SIGNATURE DATE FEE REQUIRED/DATE FEE PAID: ~11<..\--• 112--9/IY- RECEIVED BY: JUL 2 9 2019 CITY OF CA1-<.LSBAD P-16 Page 2 of 2 Revised 02/28/18 ,,,. ..... PROJECT DESCRlPTlON -REPS L600 V~ THIS PROJECT I\ICLL.CES lHE "'10JIFIC.ATICN5 To AN E:XISTI\IG T-M8BILE WIRELESS f.1-,CILl'T'r', II\CLJ)II\G • RELCCATE (j) (E) 56" AIR?1 PAI\EL ANTENNAS (1 PER SECTOR) • REMOVE: (J) EXISTING 56" AIR21 PANEL ANTE:N'JAS (' ?E~ SE::::TCR) • REMOVE (3) EXISTING Tl.IA (1 PER SECTOR) • INSTALL (3) \lf:11/ 56" AIR37 PA\IEL At-.TEN\IA5 (' ::>ER SE::::TCR; • INSTALL {.3) NEw t.8" FFHH 0ANE:L ;!..\ITENNAS (1 PE:R SECTOR) • INSTALL {3) NEW RADIC 4449 871+9.2 .,lo.T ,"'.\ITEI\NA (1 PER SECTOR) • ACD (:?) NEW 895630 • ACD (12) DC POWER &: :1s) FElER CABLES • UPDATE A/C 9REAl<ER A\IJ WIRING ,a..s REQUIRED p,::_,_,.-::~,,FO ~'"'(_-__ '•. . •· -., - AUG O "! 2019 r-1TV OF CARLSBAD \....,,.. -. -. ,..., ,i -' \ ' • \ ,_ ___, • ..,,' • ~ • "-" I" _.,_.-~-........ ~-- Section 6409(a) Modification Worksheet For Wireless Towers on Private Property Purpose: This worksheet serves to assist the City of Carlsbad to determine whether a proposed collocation or modification to an existing wireless tower on private property qualifies as an eligible facilities request and/or would cause a substantial change as defined by the FCC. Instructions: Applicants must complete this worksheet and submit it with an application for a Section 6409(a) modification to collocate or modify transmission equipment on an existing wireless tower on private property submitted for approval pursuant to Section 6409(a) of the Middle Class Tax Relief and Job Creation Act of 2012 (47 U.S.C. § 1455(a)). Any proposed modification submitted for approval pursuant to Section 6409(a) must answer two general questions: ( 1) is the proposed modification an eligible facilities request and if so, (2) will it cause a substantial change? Section 1 addresses the eligible facilities request question and Sections 2 through 7 address the substantial change questions. In general, any "NO" answer in Section 1, or any "YES" answer in Sections 2 through 7 will disqualify the proposed modification from Section 6409(a). The City may deem any application without a completed worksheet incomplete. If a response to any question requires additional space, applicants may attach additional pages to this worksheet so long as the responses are clearly labeled with the number that corresponds with the question. Questions about this worksheet should be submitted to the Planning Division at planning@carlsbadca.gov. Applicant Name: ___ T-_M_O_B_I_LE_W_E_S_T_C_O_R_P_O_RA_T_I_O_N ______________ _ Phone: 949-562-8645 Email: __ a_b_uc_h_e_n_@_in_fi_n_ig_y_.c_o_m ______ _ Project Address: __ 3_0_0_1_c_a_r_ls_b_a_d_B_o_u_le_v_ar_d_, _c_a_rls_b_a_d_C_a_92_o_o_a ____________ _ T-MOBILE SD06298A Applicant's Site ID: _____________________________ _ ELIGIBLE FACILITIES REQUEST Section 1. EXISTING FACILITY 1.1. 1.2. 1.3. Has the tower been deployed in accordance with the applicable siting and zoning regulations in effect when the deployment occurred? Does the application include copies of the initial siting/zoning permit or regulatory approval issued in connection with this site? Does the application include a copy of the most recent permit or regulatory approval issued in connection with this site? ll: YES D NO ~ YES D NO D< YES D NO If the answer Line 1.2 or Line 1.3 is "NO" explain why the relevant permits and/or regulatory approvals are not attached: 6049(a) Modification Worksheet For Towers page 1 / 4 03/18 \ --~ 1.3. Will the proposed modification maintain (and NOT replace) the existing cl( YES □ NO tower structure? SUBSTANTIAL CHANGE FACTORS Section 2. HEIGHT INCREASES Rule: A modification substantially changes a wireless tower on private property if it increases the height of the tower as it existed on February 22, 2012 by more than 10% or 20 feet (whichever is greater). 47 C.F.R. § 1.40001 {b){7)(i). 2.1. Provide the following measurements: 2.1.1. overall height after the modification or collocation: 2.1.2. tower height on February 22, 2012: 2.1.3. subtract Line 2.1.1 by Line 2.1.2: 2.1.4. multiply Line 2.1.2 by 0.1: 2.2. Is the measurement in Line 2.1.3 greater than 20 feet AND greater than the measurement in Line 2.1.4? Section 3. WIDTH INCREASES 47'-4" feet 47'-4" feet 0 feet 4.74 feet DYES ;'@<NO Rule: A modification substantially changes a wireless tower on private property if it adds an appurtenance that protrudes from the tower by more than 20 feet or by the width of the tower at the level of the appurtenance (whichever is greater). 47 C.F.R. § 1.40001(b){7)(ii). 3.1. Provide the following measurements: 3.1.1. furthest distance that any proposed appurtenance would protrude from the tower: 3.1.2. existing tower width at the level of the new appurtenance(s): 3.1.3. subtract Line 3.1.1 by Line 3.1.2: __ O ___ feet fr:::: / 3.2. Is the measurement in Line 3.1.3 greater than 20 feet AND greater than the measurement in Line 3.1.2? DYES Wai Section 4. EQUIPMENT CABINETS Rule: A modification substantially changes a wireless tower on private property if it involves more than four (4) new equipment cabinets. 47 C.F.R. § 1.40001 {b){7)(ii). 4.1. 4.2. Provide the number of new equipment cabinets in the proposed modification: Is the quantity in Line 4.1 greater than four (4)? 6049(a) Modification Worksheet For Towers page2/4 0 DYES ~ NO 03/18 Section 5. NEW EXCAVATION OR DEPLOYMENT AT GROUND LEVEL Rule: A modification substantially changes a wireless tower on private property if it entails any excavation or deployment outside the current boundaries of the leased or owned property surrounding the tower and any access or utility easements related to the site. 47 C.F.R. §§ 1.40001 (b)(6), 1.40001 (?)(iv). 5.1. Mark the appropriate box(es) if the project plans contain the following items. Mark any box "N/A" if the item is not part of the scope of work for the proposed modification: D Ylearrent boundaries of the area that the carrier/infrastructure provider leases or owns, including access and utility easements □ N.A,6.11 proposed equipment deployed on the ground □ N~11 proposed ground disturbance (excavation, trenching, boring, digging, etc.) 5.2. Describe all proposed ground disturbance and proposed equipment deployed on the ground: 5.3. NA Will any new ground disturbance or equipment deployed on the ground be outside the leased or owned areas, including any easements for access or utilities? DYES ~ NO Section 6. CONCEALMENT ELEMENTS Rule: A modification substantially changes a wireless tower on private property if it would defeat the concealment elements of the tower. 47 C.F.R. § 1.40001(b)(7)(v). 6.1. Mark the appropriate box(es) if the application contains the following items: 6.2. 6.3. 6.4. □ Full-color photo simulations that depict how the site appears now and how it will appear after the proposed project □ Project plans that depict and call out all existing and proposed concealment elements (painting, stealth techniques, camouflaging, integration, etc.) Describe the existiog concealment elements and/or technigues: ANTENNAS TO BE"FLUSH MOUNTED TO BUILDING/HOTEL FACADE Describe the proposed concealment elements and/or techniques and how, if at all, the proposed modification would alter the existing concealment elements: ANTENNAS TO BE FLUSH MOUNTED TO BUILDING/HOTEL FACADE Will the proposed modification defeat the existing concealment elements of the tower? D YES ti NO 6049(a) Modification Worksheet For Towers page 3 / 4 03/18 Section 7. COMPLIANCE WITH PRIOR PERMIT CONDITIONS Rule: A modification substantially changes a wireless tower on private property if it does not comply with conditions associated with the siting approval for the original construction or subsequent modification(s) of the tower. Noncompliance with prior permit conditions related to height, width, equipment cabinets and excavation would not cause a substantial change to the extent the condition is more restrictive than the applicable FCC thresholds (described in Sections 2 through 5 of this worksheet). 47 C.F.R. § 1.40001 {b){7)(vi). 7.1. Mark the appropriate box(es) if the application contains all the following items: 7.2. 7.3. 7.4. [E Copies of all prior permits and other regulatory approvals issued in connection with this site CI All conditions of approval applicable the corresponding prior permits and other regualtory approvals Identify the condition(s) corresponding to a prior permit or regulatory approval that the proposed modification would violate: NA Identify the condition(s) corresponding to a prior permit or regulatory approval that the proposed modification would violate, but condition(s) would be preempted by a "NO" answer in Line 2.2, 3.2, 4.2 or 5.3 of this worksheet: NA Are there any conditions identified in Line 7 .2 that do not appear in Line 7.3? D YES If NO PREPARER'$ CERTIFICATION I have read and I understand this worksheet and all its instructions. All my responses on this worksheet are true, accurate and based on my personal knowledge about the proposed project to which this worksheet corresponds. I understand that the City of Carlsbad will rely on my responses to evaluate whether to process this application in accordance with the FCC's regulations under 47 C.F.R. § 1.40001 et seq., and I acknowledge that any inaccuracies may result in the application being deemed incomplete or the request for approval pursuant to Section 6409(a) being denied. Applicant Name: __ A_N_D_R_E_W_B_U_C_H_E_N _____ _ Applicant Signature: _IS-,-/_A_N_D_R_,,E..,W,--.B_u_c_H_E_N_..,,,.... ______ . Date· ~-· 6049(a) Modification Worksheet For Towers page 4 / 4 7/12/19 03/18 INFINIGY 2 SD06298A -•.•-· r-,.,. TH E SOLUTIONS A RE EN0Lt55 CARLSBAD INN 3001 CARLSBAD BLVD CAR L SBAD , CA 92008 (N) T-MOBILE PANEL ANTENNA (2 PER SECTOR, 6 TOTAL) ~··Mobile· RECElvr - JUL 2 9 2019 L~ , , ) PLANNING DIV,_ ., ~ V IE W 1 I LOO KI N G NORTH WEST SD06298A THE SOLUTIONS ARE ENDLESS CARLSBAD INN 3001 CARLSBAD BLVD CARLSBAD , CA 92008 ~··Mobile· (N) T-MOBILE·-PANEL.ANTENNA (2 PER SECTOR, 6 TOTAL) VIEW 2 I LOOKI NG SOUTHWEST INFINIGY 2 SD06298A THE SOLUTIONS ARE ENDLESS CARLSBAD INN ~ · ·Mobile· 3001 CARLSBAD BLVD CARLSBAD, CA 92008 VIEW 3 I LOOKING SOUTHWEST