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1926 SWALLOW LN; ; CBC2021-0346; Permit
Building Permit Finaled {city of Carlsbad Commercial Permit Print Date: 03/13/2023 Job Address: 1926 SWALLOW LN, CARLSBAD, CA 92009-4138 Permit No: Status: CBC2021-0346 Closed -Finaled Permit Type: BLDG-Commercial Work Class: Tenant Improvement Parcel#: Valuation: Occupancy Group: #of Dwelling Units: 2150521301 Track#: $7,000.00 Lot#: Project#: Plan#: Bedrooms: Construction Type: Bathrooms: Orig. Plan Check#: Occupant Load: Plan Check#: Code Edition: Sprinkled: Project Title: Description: SPRINT: CELL SITE MODIFICATION TO EXISTING SDG&E POLE (E-REVIEW) Applicant: MD7 LLC OBO SPRINT DELILAH BRUZEE 10590 W OCEAN AIR DR, # 300 SAN DIEGO, CA 92130 (858) 799-0575 FEE BUILDING PLAN CHECK FEE (manual) BUILDING PLAN REVIEW -MINOR PROJECTS (LDE) BUILDING PLAN REVIEW -MINOR PROJECTS (PLN) CELL SITE -RADIO OVER 30 FT. HIGH FIRE Special Equipment (Ovens, Dust, Battery) SB1473 -GREEN BUILDING STATE STANDARDS FEE STRONG MOTION -COMMERCIAL (SMIP) Total Fees : $1,820.51 Total Payments To Date: $1,820.51 Applied: 09/09/2021 Issued: 05/03/2022 Finaled Close Out: 03/13/2023 Final Inspection: 11/18/2022 INSPECTOR: Alvarado, Tony Contractor: DAVIES ELECTRIC CO INC 9085 KENAMAR DR SAN DIEGO, CA 92121-2421 (858) 578-7454 Balance Due: AMOUNT $420.55 $194.00 $98.00 $647.00 $458.00 $1.00 $1.96 $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 { City of Carlsbad COMMERCIAL BUILDING PERMIT APP LI CATION B-2 CBC202 l -0346 Plan Check ________ _ Est. Value PC Deposit 9-9-21 Date Job Address 1926 Swallow Ln. Carlsbad, CA 92009 Suite: _____ APN: 215-052-13-01 Tenant Name#: Sprint Lot#: 1 Year Built: 1982 ------------------------------- Year Built: 1982 Occupancy: __ _ Construction Type:_V_-B __ Fire sprinklers0ES(!}NO A/C:QYES(!}NO BRIEF DESCRIPTION OF WORK: Sprint cell site modification to an existing SDF&E steel pole Remove 3 antennas, 1 mount, 2 cabinets, & 3 RRUs, Install 9 antennas, 9 RRUs, 3 antennas mounts, 2 cabinets within existing equipment enclosure D Addition/New: ____________ New SF and Use, __________ New SF and Use _______ SF Deck, _______ SF Patio Cover, SF Other (Specify) ___ _ 0Tenant Improvement: _____ SF, _____ SF, Existing Use: _______ Proposed Use: ______ _ Existing Use: Proposed Use: ______ _ D Pool/Spa: _____ SF Additional Gas or Electrical Features? ____________ _ D Solar: ___ KW, ___ Modules, Mounted: ORoof OGround D Re roof: ____________________________________ _ D Plumbing/Mechanical/Electrical Oother: _____________________________________ _ PRIMARY APPLICANT PROPERTY OWNER Name: Delilah Bruzee, MD?, LLC obo Sprint Name: West Bluff North Home Owners Association Address: 10590 W. Ocean Air Drive, Suite 300 Address: 5651 Palmer Way Suite A City: San Diego State: CA Zip:,_9_21_3_0 __ City: Carlsbad State: CA Zip:_9_20_1_0 __ _ Phone: 858-799-0575 Phone: 760-603-9404 X115 Email: dbruzee@md7.com Email: cshipp@propadvantage.com DESIGN PROFESSIONAL Name: Telecommunications Engineering & Architecture Management Address: 8213 SNOW HILL RD City: OOL TEWAH Phone: (423) 680-6541 State:_T_N __ Zip: 37363 CONTRACTOR OF RECORD Business Name: 111D D ~\J\. v~ ~\. t. t. \. n <.... Address: '\b ~ ~ \l~"-°'-,J'(\ ~ Dr\ V l... City: ~-,I"\ D\~v State: (/\ Zip: °"d"'\&'\ Phone: ~ ~ ~ ·-S -i 4d ~ 7 \,t,$'"\ Email: chadrobertson@telecom.team Email: Architect State License: ___________ CSLB L_ic_e_n-se_#_:~~~-~ .... lo:~<6~(£)~~.,,~-1--_ -_ -_-C-la_s_s_:_-_"'(5:_-_.\--~~-0--_~~0~~~-=- Carlsbad Business License# (Required): _______ _ APPLICANT CERTIFICATION: 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. I agree to comply with all City ordinances and State laws relating to building construction. NAME (PRINT): Delilah Bruzee obo Sprint SIGN: ;i)efiiaf,, [i)w,zu DATE: 09/01 /21 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: (j{,C <f'(J a-\ -03i~ 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): D1 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. ______________________________________ _ n :~ and will maintain worker's compensation, as required by Section 3700 of the Labor Code, for the pe~rm'l,nce of the work for which th~s permit is issued. ~:orkers' compr nsation insuranH carrier and pol[cy number are: lnsuranceCompany Name: WV \,,\f.,,;> Q.-~ :); f', '>"'-f ""'r-<..,I!. Policy No. Pr O \ \.Q \ · :J ~ "\. U O (o Expiration Date: _____________ _ -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 CERTIFICATION: I certify that I have read the application an state that t the information on the plans is accurate. I agree to comply with all City a dinances above information is correct and that State laws relating to building construction. NAME (PRINT): \ \II"'\ s L°'""'"'-SIGNATURE:~:.-----l.,,'-....;,_ ____ DATE: __ s:_/_1 _/_t_J_ Note: If the person signing above is an authorized agent for the contractor provide a le -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. ~44, 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 or at the following Web site: http:Ilwww.leginfo.ca.gov/ cal aw. html. OWNER 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. I 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: Building@carlsbadca.gov 2 REV. 07/21 Building Permit Inspection History Finaled {city of Carlsbad Permit Type: Work Class: Status: Scheduled Date 11/18/2022 PERMIT INSPECTION HISTORY for (CBC2021-0346) BLDG-Commercial Application Date: 09/09/2021 Owner: Tenant Improvement Issue Date: 05/03/2022 Subdivision: CARLSBAD TCT#79-28 Closed -Finaled Expiration Date: 05/17/2023 Address: 1926 SWALLOW LN IVRNumber: 35792 CARLSBAD, CA 92009-4138 Actual Inspection Type Start Date Inspection No. Inspection Status Primary Inspector Reinspection Inspection 11/18/2022 BLDG-34 Rough Electrical 196909-2022 Passed Tony Alvarado Checklist Item BLDG-Building Deficiency COMMENTS November 18, 2022: 1. T-Mobile new cell site. Remove and replace existing sprint electrical power pole mounted antennas and electrical equipment. 2. Existing T-Mobile cell-site equipment room. New updated cell site located in equipment room-approved. 3. Like for like, same size and same location, updated with new cell site antennas and equipment, per electrical engineer plans and detail specifications - approved. 4. no permit inspection record card/sheet on site. BLDG-Final Inspection 196910-2022 Passed Tony Alvarado Complete Passed Yes Complete Friday, November 18, 2022 Page 1 of 2 PERMIT INSPECTION HISTORY for (CBC2021-0346) Permit Type: BLDG-Commercial Work Class: Tenant Improvement Status: Scheduled Date Closed -Finaled Actual Inspection Type Start Date Checklist Item BLDG-Structural Final BLDG-Electrical Final Friday, November 18, 2022 Application Date: 09/09/2021 Owner: Issue Date: 05/03/2022 Subdivision: CARLSBAD TCT#79-28 Expiration Date: 05/17/2023 IVRNumber: 35792 Address: 1926 SWALLOW LN CARLSBAD, CA 92009-4138 Inspection No. Inspection Status Primary Inspector Reinspection Inspection COMMENTS November 18, 2022: 1. T-Mobile new cell site. Remove and replace existing sprint electrical power pole mounted antennas and electrical equipment. 2. Existing T-Mobile cell-site equipment room. New updated cell site located in equipment room-approved. 3. Like for like, same size and same location, updated with new cell site antennas and equipment, per electrical engineer plans and detail specifications - approved. 4. no permit inspection record card/sheet on site. November 18, 2022: 1. T-Mobile new cell site. Remove and replace existing sprint electrical power pole mounted antennas and electrical equipment. 2. Existing T-Mobile cell-site equipment room. New updated cell site located in equipment room-approved. 3. Like for like, same size and same location, updated with new cell site antennas and equipment, per electrical engineer plans and detail specifications - approved. 4. no permit inspection record card/sheet on site. Passed Yes Yes Page 2 of2 MD/ Date: August 31, 2021 ATTN: Antonette Ocampo MD? 10590 W. Ocean Air Drive, Suite 300 San Diego, CA, 92130 Subject: Carrier Designation: Engineering Firm Designation: Site Data: Structure Information: To Antonette Ocampo, Tower Evaluation Report T-Mobile Equipment Change-Out Carrier Site Name: Carrier Site Number: TEAM Project ID: ·1·::nm TELECOMMUNICATIONS ENGINEERING & ARCHITECTURE MANAGEMENT SD08149A SD08149A SD08149A-Palomar 1926 Swallow Ln., Carlsbad, CA 92009, San Diego County Latitude 33.10888797, Longitude -117.26833280 Structure Type: Mount Elevation: Mount Width & Type: Monopole Transmission Tower 47 ft. 7 ft T-Arm Mount TEAM is pleased to submit this "Tower Evaluation Report" to determine the structural integrity of T-Mobile's antenna mounting system and with the proposed appurtenance and equipment addition on the above-mentioned supporting structure. Analysis of the antenna mounting system as a tie-off point for fall protection or rigging is not part of this document. The purpose of the analysis is to determine acceptability of the mounting system stress level under the proposed equipment. Based on our analysis we have determined the stress level to be: This analysis has been performed in accordance with the 2019 California Building Code (2018 IBC), based upon an ultimate 3-second gust wind speed of 96 mph. Applicable Standard references and design criteria are listed in Section 2 - Analysis Criteria. Respectfully Submitted by: Professional Engineer CA License #: C90242 • lW INTERWEST 09/21/2021 4:22:57 AM Tower Evaluation Report TABLE OF CONTENTS 1) INTRODUCTION 2) ANALYSIS CRITERIA Table 1 -Proposed Equipment Configuration Information 3) ANALYSIS PROCEDURE Table 2 -Documents Provided 3.1 } Analysis Method 3.2) Assumptions 4) ANALYSIS RESULTS 5) APPENDIX A Additional Information & Supporting Documents March 4, 2021 SD08077A Page2 Tower Evaluation Report 1) INTRODUCTION March 4, 2021 SD08077A Page3 The existing 125.3ft monopole transmission tower has been evaluated based on the proposed antenna configuration on the existing mounting system. T-Mobile proposes to replace all existing antenna and mount equipment with (9) new antennas and (9) new radio units (3 per sector) on a new T-arm mount frame. Loads have been summarized for the existing and proposed antennas for analysis by transmission tower engineers. 2) ANALYSIS CRITERIA Building Code: TIA-222 Revision: Risk Category: Ultimate Wind Speed: Exposure Category: Topographic Factor at Base: Topographic Factor at Mount: Ice Thickness: Wind Speed with Ice: 2019 CBC/ 2018 IBC TIA-222-H II 96 mph C 1 1 0.0 in 30 mph Table 1 -Final Equipment Configuration Mount Antenna Centerline Centerline (ft) (ft) 47.0 47.0 2) ANALYSIS PROCEDURE Table 2 -Documents Provided Document T-Mobile RFDS Construction Drawings Site Photos Structural Analysis Mount Analysis Construction Drawings 3.1) Analysis Method Number of Antennas 3 3 3 3 3 3 Antenna Mount/ Antenna Model Modification Manufacturer Details Ericsson AIR6449 841 (Active Antenna - Massive MIMO) Andrew HBXX-65 A2M (Quad) 7 ft T-Arm RF APXV AALL24 43-U-NA20 (Octa) Mounts Ericsson Radio 4449 871+885 Ericsson Radio 4424 825 Ericsson Radio 4415 866A Remarks Reference Site ID: SD08149A Dated 01/06/2021 SAC Dated 11/14/2018 TEAM Dated O 1/15/2021 LETS Enoineerino Dated 12/29/2018 TEAM Dated 02/10/2021 TEAM Dated 03/02/2021 RISA-3D (Version 17.0), a commercially available analysis software package, was used to create a three- dimensional model of the antenna mounting system and calculate member stresses for various loading cases and TEAM Load Calculation Spreadsheets was used in this evaluation. This analysis was performed in accordance with T-Mobile's SOW. Tower Evaluation Report 3.2) Assumptions March 4, 2021 SD08077A Page4 1) The antenna mounting system was properly fabricated, installed and maintained in good condition in accordance with its original design and manufacturer's specifications. 2) The configuration of antennas, mounts, and other appurtenances are as specified in Table 1 and the referenced drawings. 3) All member connections are assumed to have been designed to meet or exceed the load carrying capacity of the connected member unless otherwise specified in this report. 4) Steel grades have been assumed as follows, unless noted otherwise: Channel, Solid Round, Angle, Plate ASTM A36 (GR 36) HSS (Rectangular) ASTM 500 (GR B-46) Pipe ASTM A53 (GR 35) Connection Bolts ASTM A325 5) The analysis will be required to be revised if the existing conditions in the field differ from those shown in the above-referenced documents or assumed in this analysis. No allowance was made for any damaged, missing, or rusted members. 4) ANALYSIS RESULTS The proposed antenna equipment and mounting system based upon gravity, wind and seismic loads can be found in the appended pages. The locations of the proposed antennas, RRH's are provided in the lasted mount analysis report and construction drawings. The installation must be performed in accordance with the details shown in construction documents produced by Telecommunications Engineering & Architecture Management (TEAM) and as required by the approving jurisdiction. Tower Evaluation Report EXISTING WIND, GRAVITY AND SEISMIC LOADS EPAN Appurtenance Name Elevation Qty. Ka q, (psf) (ft2) APXVSPP18-C-A20 47.0 3 0.90 23.94 4.66 ALU 1900MHz RRU 47.0 3 0.90 23.94 2.24 TOTAL FORCES PER SECTOR (LBS) PROPOSED WIND, GRAVITY AND SEISMIC LOADS EPAN Appurtenance Name Elevation Qty. Ka q, (psf) (ft2) AIR 6449 B41 47.0 3 0.90 23.94 5.09 HBXX-6516DS-A2M 47.0 3 0.90 23.94 5.19 APXVAALL24_ 43-U-NA20 47.0 3 0.90 23.94 18.22 Radio 4449 B71 +B85 47.0 3 0.90 23.94 1.76 Radio 4424 B25 47.0 3 0.90 23.94 1.79 Radio 4415 B66A 47.0 3 0.90 23.94 1.79 TOTAL FORCES PER SECTOR (LBS) MOUNT-TO-TOWER CONNECTION REACTIONS Side Gravity Front Connection Type Reaction Reactions Reactions (lbs) (lbs) (lbs) max 550.901 1086.219 1010.668 Connection 1 min -550.901 447.212 -1010.668 EPAr (ft2) 3.11 2.93 EPAr (ft2) 2.17 2.90 7.86 1.42 0.92 0.92 Side Moment (lbs-ft) -1104.21 -2823.932 Front Side Wind Wind (lbs) (lbs) 111.55 74.46 53.69 70.21 165.24 144.68 Front Side Wind Wind (lbs) (lbs) 121.85 52.05 124.25 69.38 436.21 188.19 42.11 34.07 42.74 21.98 42.74 21.98 809.90 387.66 Moment March 4, 2021 SD08077A Page5 Gravity Seismic Loads Forces (lbs) (lbs) 69.50 15.16 44.00 9.60 113.50 24.76 Gravity Seismic Loads Forces (lbs) (lbs) 104.00 22.69 30.60 6.68 122.80 26.79 74.90 16.34 44.00 9.60 44.00 9.60 420.30 91.70 Front about Y Moment (lbs-ft) (lbs-ft) 1428.336 1236.172 -1428.727 -1024.906 Tower Evaluation Report PROPOSED MOUNT EXISTING CONFIGRUATION March 4, 2021 SD08077A Page 6 Tower Evaluation Report APPENDIX A ADDITIONAL CALCULATIONS & SUPPORTING DOCUMENTS March 4, 2021 SD08077A Page 7 ASCE. AMERICAN SOCIETY OF CIVIL ENGINEERS Address: No Address at This Location Wind Results: Wind Speed: 10-year MRI 25-year MRI 50-year MRI 100-year MRI Data Source: Date Accessed: ASCE 7 Hazards Report Standard: ASCE/SEI 7-16 Risk Category: 11 Soil Class: D -Default (see Section 11.4.3) Elevation: 292.27 ft (NAVO 88) Latitude: 33.108888 Longitude: -117 .268333 ;~ s, ' "1,t;, I -,... ! a ,;J ,i sa~,~ '-cab · PO•J,IE'I ~-:. SCll\~·P..iA'· 96 Vmph 67Vmph 72 Vmph 77 Vmph 82Vmph ASCE/SEI 7-16, Fig. 26.5-18 and Figs. CC.2-1-CC.2-4 Fri Feb 05 2021 r Value provided is 3-second gust wind speeds at 33 ft above ground for Exposure C Category, based on linear interpolation between contours. Wind speeds are interpolated in accordance with the 7-16 Standard. Wind speeds correspond to approximately a 7% probability of exceedance in 50 years (annual exceedance probability= 0.00143, MRI = 700 years). Site is not in a hurricane-prone region as defined in ASCE/SEI 7-16 Section 26.2. Mountainous terrain, gorges, ocean promontories, and special wind regions should be examined for unusual wind conditions. https:/ /asce ?hazardtool .online/ Page 1 of 3 Fri Feb 05 2021 ASCE. AMERICAN SOCIETY OF CIVIL ENGINEERS Seismic Site Soil Class: Results: Ss : S1 Fa : Fv : SMs SM1 D -Default (see Section 11.4.3) 0.987 So1 N/A 0.359 TL : 8 1.2 PGA: 0.432 N/A PGAM : 0.518 1.184 FPGA 1.2 N/A le 1 Sos 0.789 Cv : 1.293 Ground motion hazard analysis may be required. See ASCE/SEI 7-16 Section 11.4.8. Data Accessed: Fri Feb 05 2021 Date Source: USGS Seismic Design Maps https:/ /asce ?hazardtool .online/ Page 2 of 3 Fri Feb 05 2021 ASCE. AMERICAN SOCIETY OF CIVIL ENGINEERS Ice Results: Ice Thickness: Concurrent Temperature: Gust Speed: Data Source: Date Accessed: 0.00 in. 25 F 30 mph Standard ASCE/SEI 7-16, Figs. 10-2 through 10-8 Fri Feb 05 2021 Ice thicknesses on structures in exposed locations at elevations higher than the surrounding terrain and in valleys and gorges may exceed the mapped values. Values provided are equivalent radial ice thicknesses due to freezing rain with concurrent 3-second gust speeds, for a 500-year mean recurrence interval, and temperatures concurrent with ice thicknesses due to freezing rain. Thicknesses for ice accretions caused by other sources shall be obtained from local meteorological studies. Ice thicknesses in exposed locations at elevations higher than the surrounding terrain and in valleys and gorges may exceed the mapped values. The ASCE 7 Hazard Tool is provided for your convenience, for informational purposes only, and is provided "as is" and without warranties of any kind. The location data included herein has been obtained from information developed, produced, and maintained by third party providers; or has been extrapolated from maps incorporated in the ASCE 7 standard. While ASCE has made every effort to use data obtained from reliable sources or methodologies, ASCE does not make any representations or warranties as to the accuracy, completeness, reliability, currency, or quality of any data provided herein. Any third-party links provided by this Tool should not be construed as an endorsement, affiliation, relationship, or sponsorship of such third-party content by or from ASCE. ASCE does not intend, nor should anyone interpret, the results provided by this Tool to replace the sound judgment of a competent professional, having knowledge and experience in the appropriate field(s) of practice, nor to substitute for the standard of care required of such professionals in interpreting and applying the contents of this Tool or the ASCE 7 standard. In using this Tool, you expressly assume all risks associated with your use. Under no circumstances shall ASCE or its officers, directors, employees, members, affiliates, or agents be liable to you or any other person for any direct, indirect, special, incidental, or consequential damages arising from or related to your use of, or reliance on, the Tool or any information obtained therein. To the fullest extent permitted by law, you agree to release and hold harmless ASCE from any and all liability of any nature arising out of or resulting from any use of data provided by the ASCE 7 Hazard Tool. https:/ /asce 7hazardtool .online/ Page 3 of 3 Fri Feb 05 2021 DATE: March 4, 2021 ·1·--CARRIER: T-Mobile ~ " I SITE ID: SD08149A TYPE: Analysis Criteria PROJECT INFORMATION CODE STANDARDS Client: T-Mobile Building Code: 2018 IBC Site Number: SD08149A Antenna Standard: TIA-222-H Engineer: DJ Structure Standard: TIA-222-H WIND AND ICE DATA SITE INFORMATION Ultimate Wind CVu1J: 96 mph Risk Category: II Design Wind (V): N/A mph Exposure Category: C Ice Wind (Vice): 0 mph Topographic Category: 1 Base Ice Thickness (tD: 0.00 in Site Class: D-Stiff Soil Flat Pressure: 45.49 psf Ground Elevation: 292 ft Round Pressure: 27.30 psf Ice Wind Pressure: 0.00 psf MOUNT INFORMATION SEISMIC DAT A Mount Type: T-Arm Short-Period Accel. (S5): 0.99 g Num Sectors: 3 1-Second Accel. (S1): 0.36 g Mount Centerline AGL: 47.0 ft Short-Period Design (S05): 0.73 Antenna Centerline AGL: 47.0 ft 1-Second Design (S01): 0.40 Tower Height AGL: 125.5 ft Short-Period Coeff. (Fa): 1.11 1-Second Coeff. (Fv): 1.68 Amplification Factor (ap): 1.00 TOPOGRAPHIC DATA Response Mod. (Rp): 2.00 Topo Feature: N/A Overstrength (.n0): 1.00 Slope Distance: N/A ft Crest Distance: N/A ft Crest Height: N/A ft FACTORS Directionality Fact. (Kct): 0.95 Ground Ele. Factor (Ke): 0.99 Rooftop Speed-Up (K5): 1.00 Topographic Factor (l<zJ: 1.00 Gust Effect Factor (Gh): 1.00 Load Calculator _v4.8.1 DATE: March 4, 2021 ·1·-~m CARRIER: T-Mobile :.r, I SITE ID: SD08149A TYPE: Equipment Loads Calculations APPURTENANCE INFORMATION Appurtenance Name I Elevation Qty. I Ka I ( f) I Height q, ps linl I I I I Wind F I Wind F I Width (in) Depth (in) EPAN (ft2) EPAr (ft2) llh~l z llh~l x Weight I Seismic F llbsl llbsl AIR 6449 B41 47.0 3 0.90 23.94 33.1 20.5 8.3 5.09 2.17 121.85 52.05 104.00 22.69 - HBXX-6516D5-A2M 47.0 3 0.90 23.94 50.9 12.0 6.5 5.19 2.90 124.25 69.38 30.60 6.68 --APXVAALL24_ 43-U-NA20 47.0 3 0.90 23.94 95.9 24.0 8.5 18.22 7.86 436.21 188.19 122.80 26.79 --Radio 4449 B7l+B85 47.0 3 0.90 23.94 17.9 13.1 10.6 1.76 1.42 42.11 34.07 74.90 16.34 Radio 4424 B25 47.0 3 0.90 23.94 17.0 14.0 7.2 1.79 0.92 42.74 21.98 44.00 9.60 Radio 4415 B66A 47.0 3 0.90 23.94 17.0 14.0 7.2 1.79 0.92 42.74 21.98 44.00 9.60 --- - - APXVSPP18-C-A20 47.0 3 0.90 23.94 72.0 11.8 7.9 4.66 3.11 111.55 74.46 69.50 15.16 -ALU 1900MHz RRU 47.0 3 0.90 23.94 23.0 13.0 17.0 2.24 2.93 53.69 70.21 44.00 9.60 - - - - - - - - - - - - - - - - - - - - - - Load Calculator _v4.8.l MD/ Date: August 24, 2021 ATTN: Antonette Ocampo MD? 10590 W. Ocean Air Drive, Suite 300 San Diego, CA, 92130 Subject: Carrier Designation: Engineering Firm Designation: Site Data: Structure Information: To Antonette Ocampo, Mount Analysis Report T-Mobile Equipment Change-Out Carrier Site Name: Carrier Site Number: TEAM Project ID: ·1·::nm TELECOMMUNICATIONS ENGINEERING & ARCHITECTURE MANAGEMENT SD08149A SD08149A SD08149A-Palomar 1926 Swallow Ln., Carlsbad, CA 92009, San Diego County Latitude 33.10888797, Longitude -117.26833280 Structure Type: Mount Elevation: Mount Width & Type: 125.5 ft Monopole 47 ft. 7 ft T-Arm Mount TEAM is pleased to submit this "Mount Analysis" to determine the structural integrity of T-Mobile's antenna mounting system and with the proposed appurtenance and equipment addition on the above-mentioned supporting structure. Analysis of the antenna mounting system as a tie-off point for fall protection or rigging is not part of this document. The purpose of the analysis is to determine acceptability of the rooftop mounting system stress level under the proposed equipment. Based on our analysis we have determined the stress level to be: T-Arm Mount Sufficient This analysis has been performed in accordance with the 2019 California Building Code (2018 IBC), based upon an ultimate 3-second gust wind speed of 96 mph. Applicable Standard references and design criteria are listed in Section 2 - Analysis Criteria. Respectfully Submitted by: Professional Engineer CA License #: 7 ft T-Arm Mount Analysis TABLE OF CONTENTS 1) INTRODUCTION 2) ANALYSIS CRITERIA Table 1 -Proposed Equipment Configuration Information 3) ANALYSIS PROCEDURE Table 2 -Documents Provided 3.1 ) Analysis Method 3.2) Assumptions 4) ANALYSIS RESULTS Table 3 -Mount Component Stresses vs. Capacity 4.1 ) Recommendations 5) APPENDIX A Wire Frame and Rendered Models 6) APPENDIX B Software Input Calculations 7) APPENDIX C Software Analysis Output 8) APPENDIX D Supplemental Drawings August 24, 2021 SD08149A Page2 7 ft T-Arm Mount Analysis 1) INTRODUCTION These are 7 ft T-Arm mounts located on a monopole. 2) ANALYSIS CRITERIA Building Code: TIA-222 Revision: Risk Category: Ultimate Wind Speed: Exposure Category: Topographic Factor at Base: Topographic Factor at Mount: Ice Thickness: Wind Speed with Ice: 2019 CBC/ 2018 IBC TIA-222-H II 96 mph C 1 1 0.0 in 30 mph T bl 1 F" IE a e -ma :quIpmen on Igura I0n tC f f Mount Antenna Number Antenna Centerline Centerline of (ft) (ft) Antennas Manufacturer 3 Ericsson Mount/ Antenna Model Modification Details AIR6449 841 (Active Antenna - Massive MIMO) 3 Andrew HBXX-6516DS-A2M (Quad) 7 ft T-Arm 47.0 47.0 2) ANALYSIS PROCEDURE Table 2 -Documents Provided Document T-Mobile RFDS Construction Drawinqs Site Photos Structural Analysis Standoff Specifications 3 3 3 3 Collar Mount Specifications 3.1) Analysis Method RFS APXV AALL24 43-U-NA20 (Octa) Mounts Ericsson Radio 4449 871+885 Ericsson Radio 4424 825 Ericsson Radio 4415 866A Remarks Reference Site ID: SD08149A Dated 01/06/2021 SAC Dated 08/08/2021 TEAM Dated 01/15/2021 LETS Engineering Dated 12/29/2018 Model#: MT-197-12 Commscope Model #: MC-RM3060-4 Commscope August 24, 2021 SD08149A Page3 RISA-3D (Version 17.0), a commercially available analysis software package, was used to create a three- dimensional model of the antenna mounting system and calculate member stresses for various loading cases. This analysis was performed in accordance with T-Mobile's SOW. 7 ft T-Arm Mount Analysis August 24, 2021 SD08149A Page4 3.2) Assumptions 1) The antenna mounting system was properly fabricated, installed and maintained in good condition in accordance with its original design and manufacturer's specifications. 2) The configuration of antennas, mounts, and other appurtenances are as specified in Table 1 and the referenced drawings. 3) All member connections are assumed to have been designed to meet or exceed the load carrying capacity of the connected member unless otherwise specified in this report. 4) Steel grades have been assumed as follows, unless noted otherwise: Channel, Solid Round, Angle, Plate ASTM A36 (GR 36) HSS (Rectangular) ASTM 500 (GR B-46) Pipe ASTM A53 (GR 35) Connection Bolts ASTM A325 5) The analysis will be required to be revised if the existing conditions in the field differ from those shown in the above-referenced documents or assumed in this analysis. No allowance was made for any damaged, missing, or rusted members. 4) ANALYSIS RESULTS Table 3(a) -Mount Component Stresses vs. Capacity (T-Arm Mount, All Sectors) Notes Component Critical Centerline (ft) % Capacity Pass/ Fail Member 1,2 Face Horizontals HP1 47.0 49.8 PASS 1,2 Standoff Members MP4 47.0 29.0 PASS 1,2 Mount Pipes MP2 47.0 46.1 PASS 1,2 Connection Check --47.0 20.2 PASS Structure Rating (max from all components) = 49.8% Notes: 1) See additional documentation in "Appendix C -Software Analysis Output" for calculations supporting the % capacity consumed. 2) All sectors are typical 4.1) Recommendations The proposed T-arm mounts have sufficient capacity to carry the proposed loading configuration. 7 ft T-Arm Mount Analysis APPENDIX A WIRE FRAME AND RENDERED MODELS August 24, 2021 SD08149A Page5 ~ Z X Envelope Only Solution T-Mobile TEAM SD08149A Proposed Configuration Aug 23, 2021 at 4:54 PM SD08149A.r3d ~ Z X Member Code Checks Displayed (Enveloped) Envelope Only Solution T-Mobile TEAM SD08149A Member Stresses Code Check ( Env) No Cale > 1.0 .90-1.0 .75-.90 .50-.75 0.-.50 Aug 23, 2021 at 4:54 PM SD08149A.r3d ~ Z X Envelope Only Solution T-Mobile TEAM SD08149A Boundary Conditions Aug 23, 2021 at 4:55 PM SD08149A.r3d ~ Z X Loads: BLC 1, Self Weight Envelope Only Solution T-Mobile TEAM 15.3Ib -61.4Ib SD08149A -52Ib I -521 Self Weight Aug 23, 2021 at 4:55 PM SD08149A.r3d ~ Z X Loads: BLC 2, Wind Load AZI 000 Envelope Only Solution T-Mobile TEAM SD08149A Wind Load AZI 000 Aug 23, 2021 at 4:55 PM SD08149A.r3d ~ Z X ~ -34.69Ib ~ -34.69Ib Loads: BLC 3, Wind Load AZI 090 Envelope Only Solution T-Mobile TEAM -94.1Ib ~ -94.1Ib SD08149A Wind Load AZI 090 Aug 23, 2021 at 4:55 PM SD08149A.r3d ~ Z X Loads: BLC 7, LM1 Envelope Only Solution T-Mobile TEAM -500I SD08149A LM1 Aug 23, 2021 at 4:55 PM SD08149A.r3d ~ Z X Loads: BLC 8, LM2 Envelope Only Solution T-Mobile TEAM SD08149A LM2 Aug 23, 2021 at 4:55 PM SD08149A.r3d ~ Z X Loads: BLC 9, LM3 Envelope Only Solution T-Mobile TEAM SD08149A LM3 Aug 23, 2021 at 4:55 PM SD08149A.r3d ~ Z X Loads: BLC 11, L V1 Envelope Only Solution T-Mobile TEAM -2 0lb SD08149A LV1 Aug 23, 2021 at 4:55 PM SD08149A.r3d ~ Z X Loads: BLC 12, L V2 Envelope Only Solution T-Mobile TEAM -2501 -250lb SD08149A LV2 Aug 23, 2021 at 4:55 PM SD08149A.r3d 7 ft T-Arm Mount Analysis APPENDIXB SOFTWARE INPUT CALCULATIONS August 24, 2021 SD08149A Page 6 ASCE. AMERICAN SOCIETY OF CIVIL ENGINEERS Address: No Address at This Location Wind Results: Wind Speed: 10-year MRI 25-year MRI 50-year MRI 100-year MRI Data Source: Date Accessed: ASCE 7 Hazards Report Standard: ASCE/SEI 7-16 Risk Category: 11 Soil Class: D -Default (see Section 11.4.3) Elevation: 292.27 ft (NAVO 88) Latitude: 33.108888 Longitude: -117 .268333 ;~ s, ' "1,t;, I -,... ! a ,;J ,i sa~,~ '-cab · PO•J,IE'I ~-:. SCll\~·P..iA'· 96 Vmph 67Vmph 72 Vmph 77 Vmph 82Vmph ASCE/SEI 7-16, Fig. 26.5-18 and Figs. CC.2-1-CC.2-4 Fri Feb 05 2021 r Value provided is 3-second gust wind speeds at 33 ft above ground for Exposure C Category, based on linear interpolation between contours. Wind speeds are interpolated in accordance with the 7-16 Standard. Wind speeds correspond to approximately a 7% probability of exceedance in 50 years (annual exceedance probability= 0.00143, MRI = 700 years). Site is not in a hurricane-prone region as defined in ASCE/SEI 7-16 Section 26.2. Mountainous terrain, gorges, ocean promontories, and special wind regions should be examined for unusual wind conditions. https:/ /asce ?hazardtool .online/ Page 1 of 3 Fri Feb 05 2021 ASCE. AMERICAN SOCIETY OF CIVIL ENGINEERS Seismic Site Soil Class: Results: Ss : S1 Fa : Fv : SMs SM1 D -Default (see Section 11.4.3) 0.987 So1 N/A 0.359 TL : 8 1.2 PGA: 0.432 N/A PGAM : 0.518 1.184 FPGA 1.2 N/A le 1 Sos 0.789 Cv : 1.293 Ground motion hazard analysis may be required. See ASCE/SEI 7-16 Section 11.4.8. Data Accessed: Fri Feb 05 2021 Date Source: USGS Seismic Design Maps https:/ /asce ?hazardtool .online/ Page 2 of 3 Fri Feb 05 2021 ASCE. AMERICAN SOCIETY OF CIVIL ENGINEERS Ice Results: Ice Thickness: Concurrent Temperature: Gust Speed: Data Source: Date Accessed: 0.00 in. 25 F 30 mph Standard ASCE/SEI 7-16, Figs. 10-2 through 10-8 Fri Feb 05 2021 Ice thicknesses on structures in exposed locations at elevations higher than the surrounding terrain and in valleys and gorges may exceed the mapped values. Values provided are equivalent radial ice thicknesses due to freezing rain with concurrent 3-second gust speeds, for a 500-year mean recurrence interval, and temperatures concurrent with ice thicknesses due to freezing rain. Thicknesses for ice accretions caused by other sources shall be obtained from local meteorological studies. Ice thicknesses in exposed locations at elevations higher than the surrounding terrain and in valleys and gorges may exceed the mapped values. The ASCE 7 Hazard Tool is provided for your convenience, for informational purposes only, and is provided "as is" and without warranties of any kind. The location data included herein has been obtained from information developed, produced, and maintained by third party providers; or has been extrapolated from maps incorporated in the ASCE 7 standard. While ASCE has made every effort to use data obtained from reliable sources or methodologies, ASCE does not make any representations or warranties as to the accuracy, completeness, reliability, currency, or quality of any data provided herein. Any third-party links provided by this Tool should not be construed as an endorsement, affiliation, relationship, or sponsorship of such third-party content by or from ASCE. ASCE does not intend, nor should anyone interpret, the results provided by this Tool to replace the sound judgment of a competent professional, having knowledge and experience in the appropriate field(s) of practice, nor to substitute for the standard of care required of such professionals in interpreting and applying the contents of this Tool or the ASCE 7 standard. In using this Tool, you expressly assume all risks associated with your use. Under no circumstances shall ASCE or its officers, directors, employees, members, affiliates, or agents be liable to you or any other person for any direct, indirect, special, incidental, or consequential damages arising from or related to your use of, or reliance on, the Tool or any information obtained therein. To the fullest extent permitted by law, you agree to release and hold harmless ASCE from any and all liability of any nature arising out of or resulting from any use of data provided by the ASCE 7 Hazard Tool. https:/ /asce 7hazardtool .online/ Page 3 of 3 Fri Feb 05 2021 DATE: August 23, 2021 ·1·--CARRIER: T-Mobile ~ " I SITE ID: SD08149A TYPE: Mount Analysis PROJECT INFORMATION CODE STANDARDS Client: T-Mobile Building Code: 2018 IBC Site Number: SD08149A Antenna Standard: TIA-222-H Engineer: CRM Structure Standard: TIA-222-H WIND AND ICE DATA SITE INFORMATION Ultimate Wind CVu1J: 96 mph Risk Category: II Design Wind (V): N/A mph Exposure Category: C Ice Wind (Vice): 0 mph Topographic Category: 1 Base Ice Thickness (tD: 0.00 in Site Class: D-Stiff Soil Flat Pressure: 45.49 psf Ground Elevation: 292 ft Round Pressure: 27.30 psf Ice Wind Pressure: 0.00 psf MOUNT INFORMATION SEISMIC DAT A Mount Type: T-Arm Short-Period Accel. (S5): 0.99 g Num Sectors: 3 1-Second Accel. (S1): 0.36 g Mount Centerline AGL: 47.0 ft Short-Period Design (S05): 0.73 Antenna Centerline AGL: 47.0 ft 1-Second Design (S01): 0.40 Tower Height AGL: 125.5 ft Short-Period Coeff. (Fa): 1.11 1-Second Coeff. (Fv): 1.68 Amplification Factor (ap): 1.00 TOPOGRAPHIC DATA Response Mod. (Rp): 2.00 Topo Feature: N/A Overstrength (.n0): 1.00 Slope Distance: N/A ft Crest Distance: N/A ft Crest Height: N/A ft FACTORS Directionality Fact. (Kct): 0.95 Ground Ele. Factor (Ke): 0.99 Rooftop Speed-Up (K5): 1.00 Topographic Factor (l<zJ: 1.00 Gust Effect Factor (Gh): 1.00 Load Calculator _v4.8.1 DATE: August 23, 2021 ·1·-~m CARRIER: T-Mobile :.r, I SITE ID: SD08149A TYPE: Mount Analysis APPURTENANCE INFORMATION Appurtenance Name I Elevation Qty. I Ka I ( f) I Height qz ps linl I I 2 I 2 I Wind Fz I Wind Fx I Weight I Seismic F Width (in) Depth (in) EPAN (ft ) EPAr (ft ) llh~l llh~l llbsl llbsl AIR 6449 B41 47.0 3 0.90 23.94 33.1 20.5 8.3 5.09 2.17 121.85 52.05 104.00 22.69 - HBXX-6516D5-A2M 47.0 3 0.90 23.94 50.9 12.0 6.5 5.19 2.90 124.25 69.38 30.60 6.68 --APXVAALL24_ 43-U-NA20 47.0 3 0.90 23.94 95.9 24.0 8.5 18.22 7.86 436.21 188.19 122.80 26.79 --Radio 4449 B7l+B85 47.0 3 0.90 23.94 17.9 13.1 10.6 1.76 1.42 42.11 34.07 74.90 16.34 Radio 4424 B25 47.0 3 0.90 23.94 17.0 14.0 7.2 1.79 0.92 42.74 21.98 44.00 9.60 Radio 4415 B66A 47.0 3 0.90 23.94 17.0 14.0 7.2 1.79 0.92 42.74 21.98 44.00 9.60 --- - - - - - - - - - - - - - - - - - - - - - - - - - Load Calculator _v4.8.l 7 ft T-Arm Mount Analysis APPENDIXC SOFTWARE ANALYSIS OUTPUT August 24, 2021 SD08149A Page 7 Company Designer Job Number Model Name T-Mobile TEAM SD08149A Member Primary Data Label I Joint J Joint K Joint 1 HP1 N9 N8 2 M2 N88 N10 3 M3 N11 N12 4 MP4 N10 N13 5 M7 N19 N18 6 MP1 N20 N21 7 M7A N19A N88 8 MP2 N20A N21A 9 M11 N27 N26 10 MP3 N28 N29 Hot Rolled Steel Properties Label E [i;,sil G [i;,sil 1 A992 2.9e+7 1.115e+7 2 A36 Gr.36 2.9e+7 1.115e+7 3 A572 Gr.SO 2.9e+7 1.115e+7 4 AS00 Gr.B RND 2.9e+7 1.115e+7 5 AS00 Gr.B Rect 2.9e+7 1.115e+7 6 A53 Gr.B 2.9e+7 1.115e+7 7 A1085 2.9e+7 1.115e+7 Hot Rolled Steel Design Parameters Label Shaoe Lenathfinl 1 HP1 3.0" Pioe 80 2 M3 4.0" Pioe 18 3 MP4 4.0" Pioe 10 4 MP1 2.0" Pioe 96 5 MP2 2.0" Pioe 96 6 MP3 2.0" Pioe 96 Hot Rolled Steel Section Sets 1 2 3 Basic Load Cases Lbv~[inl 40 9 48 48 48 Rotatel_dfilj) Section/Shaoe Tvoe Desian List 3.0" Pioe Beam Pioe RIGID None None 4.0" Pioe Beam Pioe 4.0" Pioe Beam Pioe RIGID None None 2.0" Pioe Beam Pioe RIGID None None 2.0" Pioe Beam Pioe RIGID None None 2.0" Pine Beam Pine Nu Therm (/1 E .. .Densit lb/f... Yield[i;,si) Rv .3 .65 490 50000 1.1 .3 .65 490 36000 1.5 .3 .65 490 50000 1.1 .3 .65 527 42000 1.4 .3 .65 527 46000 1.4 .3 .65 490 35000 1.6 .3 .65 490 50000 1.4 Lbzzfinl Lcomo toQ[inl Lcomo botlin) L-tora ... Kv_y 40 Lbvv 40 40 9 Lbvv 9 9 Lbvv 48 Lbvv 48 48 48 Lbvv 48 48 48 Lbvv 48 48 Aug 24, 2021 12:54 PM Checked By: CTR Material Desian Rules A53 Gr.B Tvoical RIGID Tvoical A53 Gr.B Tvoical A53 Gr.B Tvnical RIGID Tvoical A53 Gr.B Tvoical RIGID Tvoical A53 Gr.B Tvoical RIGID Tvoical A53 Gr.B Tvnical Fu[i;,sil Rt 65000 1.1 58000 1.2 65000 1.1 58000 1.3 58000 1.3 60000 1.2 65000 1.3 Kzz Cb Function Lateral Lateral Lateral Lateral Lateral Lateral BLC Descriotion Cateaorv X Gravitv Y Gravitv Z Gravitv Joint Point Distributed Area{Me ... Surface(P ... 1 Self Weiaht DL -1 9 2 Wind Load AZI 000 WLZ 9 1 3 Wind Load AZI 090 WLX 9 1 4 Ice Weiaht OL1 5 Wind + Ice Load AZI ... OL2 6 Wind + Ice Load AZI ... OL3 7 LM1 LL 1 8 LM2 OL4 1 9 LM3 OLS 1 10 LM4 OL6 11 LV1 OL7 1 12 LV2 OL8 2 RISA-3D Version 17.0.4 [D:\ ... \ ... \ ... \ ... \ ... \Structural\04. Mount Analysis -rerun\RISA 3D\SD08149A.r3d] Page 1 Company Designer Job Number Model Name Basic Load Cases (Continued) T-Mobile TEAM SD08149A Aug 24, 2021 12:54 PM Checked By: CTR BLC Descrigtion Cateoorv X Gravitv Y Gravitv Z Gravitv Joint Point Distributed Area(Me ... Surface(P ... 13 LV3 OL9 14 Seismic Load AZI 000 ELZ 9 15 Seismic Load AZI 090 ELX 9 16 BLC 2 Transient Area .. None 5 17 BLC 3 Transient Area .. None 9 Load Combinations Descrigtion Sol PD SR BLC Fact BLC Fact BLC Fact BLC Fact BLC Fact BLC Fact BLC Fact BLC Fact BLC Fact BLC Fact .. ... . .. ... ... ... ... ... ... ... ... ... ... 1 1.4D Yes y DL 1.4 2 1.2D + 1W .. . Yes y DL 1.2 WL2 1 3 1.2D + 1W .. . Yes y DL 1.2 WL2 .866 w ... .5 4 1.2D + 1W .. . Yes y DL 1.2 WL2 .5 w ... .866 5 1.2D + 1W .. . Yes y DL 1.2 w ... 1 6 1.2D + 1W .. . Yes y DL 1.2 WL2 -.5 w ... .866 7 1.2D + 1W .. . Yes y DL 1.2 WL2 -.866 w ... .5 8 1.2D + 1W .. . Yes y DL 1.2 WL2 -1 9 1.2D + 1W .. . Yes y DL 1.2 WL2 -.866 w ... -.5 10 1.2D + 1W .. . Yes y DL 1.2 WL2 -.5 w ... -.866 11 1.2D + 1W .. . Yes y DL 1.2 W ... -1 12 1.2D + 1W .. . Yes y DL 1.2 WL2 .5 W ... -.866 13 1.2D + 1W .. . Yes y DL 1.2 WL2 .866 W ... -.5 14 15 16 17 18 19 20 21 22 23 24 25 26 1.2D + 1.0 .. Yes y DL 1.2 OL1 1 27 1.2D + 1.0 .. Yes y DL 1.2 OL1 1 OL2 1 28 1.2D + 1.0 .. Yes y DL 1.2 OL1 1 OL2 .866 OL3 .5 29 1.2D + 1.0 .. Yes y DL 1.2 OL1 1 OL2 .5 OL3 .866 30 1.2D + 1.0 .. Yes y DL 1.2 OL1 1 OL3 1 31 1.2D + 1.0 .. Yes y DL 1.2 OL1 1 OL2 -.5 OL3 .866 32 1.2D + 1.0 .. Yes y DL 1.2 OL1 1 OL2 -.866 OL3 .5 33 1.2D + 1.0 .. Yes y DL 1.2 OL1 1 OL2 -1 34 1.2D + 1.0 .. Yes y DL 1.2 OL1 1 OL2 -.866 OL3 -.5 35 1.2D + 1.0 .. Yes y DL 1.2 OL1 1 OL2 -.5 OL3 -.866 36 1.2D + 1.0 .. Yes y DL 1.2 OL1 1 OL3 -1 37 1.2D + 1.0 .. Yes y DL 1.2 OL1 1 OL2 .5 OL3 -.866 38 1.2D + 1.0 .. Yes y DL 1.2 OL1 1 OL2 .866 OL3 -.5 39 1.2D + 1.5 .. Yes y DL 1.2 LL 1.5 WL2 .103 40 1.2D + 1.5 .. Yes y DL 1.2 LL 1.5 WL2 .089 W ... .051 41 1.2D + 1.5 .. Yes y DL 1.2 LL 1.5 WL2 .051 W ... .089 42 1.2D + 1.5 .. Yes y DL 1.2 LL 1.5 W ... .103 43 1.2D + 1.5 .. Yes y DL 1.2 LL 1.5 WL2 -.051 W ... .089 44 1.2D + 1.5 .. Yes y DL 1.2 LL 1.5 WL2 -.089 w ... .051 45 1.2D + 1.5 .. Yes y DL 1.2 LL 1.5 WL2 -.103 46 1.2D + 1.5 .. Yes y DL 1.2 LL 1.5 WL2 -.089 w ... -.051 47 1.2D + 1.5 .. Yes y DL 1.2 LL 1.5 WL2 -.051 w ... -.089 RISA-3D Version 17.0.4 [D:\ ... \ ... \ ... \ ... \ ... \Structural\04. Mount Analysis -rerun\RISA 3D\SD08149A.r3d] Page 2 Company Designer Job Number Model Name T-Mobile TEAM SD08149A Load Combinations (Continued) Aug 24, 2021 12:54 PM Checked By: CTR escrmtIon 0 .. . .. . .. act... act... act... act... act... act... act... act... act... D . . S I PD SR BLCF BLCF BLCF BLCF BLCF BLCF BLCF BLCF BLCF BLCF act... 48 1.2D + 1.5 .. Yes y DL 1.2 LL 1.5 W ... -.103 49 1.2D + 1.5 .. Yes y DL 1.2 LL 1.5 WLZ .051 W ... -.089 50 1.2D + 1.5 .. Yes y DL 1.2 LL 1.5 WLZ .089 W ... -.051 51 1.2D + 1.5 .. Yes y DL 1.2 OL4 1.5 WLZ .103 52 1.2D + 1.5 .. Yes y DL 1.2 OL4 1.5 WLZ .089 W ... .051 53 1.2D + 1.5 .. Yes y DL 1.2 OL4 1.5 WLZ .051 W ... .089 54 1.2D + 1.5 .. Yes y DL 1.2 OL4 1.5 w ... .103 55 1.2D + 1.5 .. Yes y DL 1.2 OL4 1.5 WLZ -.051 w ... .089 56 1.2D + 1.5 .. Yes y DL 1.2 OL4 1.5 WLZ -.089 w ... .051 57 1.2D + 1.5 .. Yes y DL 1.2 OL4 1.5 WLZ -.103 58 1.2D + 1.5 .. Yes y DL 1.2 OL4 1.5 WLZ -.089 W ... -.051 59 1.2D + 1.5 .. Yes y DL 1.2 OL4 1.5 WLZ -.051 W ... -.089 60 1.2D + 1.5 .. Yes y DL 1.2 OL4 1.5 W ... -.103 61 1.2D + 1.5 .. Yes y DL 1.2 OL4 1.5 WLZ .051 W ... -.089 62 1.2D + 1.5 .. Yes y DL 1.2 OL4 1.5 WLZ .089 W ... -.051 63 1.2D + 1.5 .. Yes y DL 1.2 OL5 1.5 WLZ .103 64 1.2D + 1.5 .. Yes y DL 1.2 OL5 1.5 WLZ .089 W ... .051 65 1.2D + 1.5 .. Yes y DL 1.2 OL5 1.5 WLZ .051 W ... .089 66 1.2D + 1.5 .. Yes y DL 1.2 OL5 1.5 W ... .103 67 1.2D + 1.5 .. Yes y DL 1.2 OL5 1.5 WLZ -.051 W ... .089 68 1.2D + 1.5 .. Yes y DL 1.2 OL5 1.5 WLZ -.089 w ... .051 69 1.2D + 1.5 .. Yes y DL 1.2 OL5 1.5 WLZ -.103 70 1.2D + 1.5 .. Yes y DL 1.2 OL5 1.5 WLZ -.089 w ... -.051 71 1.2D + 1.5 .. Yes y DL 1.2 OL5 1.5 WLZ -.051 w ... -.089 72 1.2D + 1.5 .. Yes y DL 1.2 OL5 1.5 w ... -.103 73 1.2D + 1.5 .. Yes y DL 1.2 OL5 1.5 WLZ .051 w ... -.089 74 1.2D + 1.5 .. Yes y DL 1.2 OL5 1.5 WLZ .089 w ... -.051 75 1.2D + 1.5 .. Yes y DL 1.2 OL6 1.5 WLZ .103 76 1.2D + 1.5 .. Yes y DL 1.2 OL6 1.5 WLZ .089 w ... .051 77 1.2D + 1.5 .. Yes y DL 1.2 OL6 1.5 WLZ .051 w ... .089 78 1.2D + 1.5 .. Yes y DL 1.2 OL6 1.5 W ... .103 79 1.2D + 1.5 .. Yes y DL 1.2 OL6 1.5 WLZ -.051 W ... .089 80 1.2D + 1.5 .. Yes y DL 1.2 OL6 1.5 WLZ -.089 W ... .051 81 1.2D + 1.5 .. Yes y DL 1.2 OL6 1.5 WLZ -.103 82 1.2D + 1.5 .. Yes y DL 1.2 OL6 1.5 WLZ -.089 W ... -.051 83 1.2D + 1.5 .. Yes y DL 1.2 OL6 1.5 WLZ -.051 W ... -.089 84 1.2D + 1.5 .. Yes y DL 1.2 OL6 1.5 W ... -.103 85 1.2D + 1.5 .. Yes y DL 1.2 OL6 1.5 WLZ .051 W ... -.089 86 1.2D + 1.5 .. Yes y DL 1.2 OL6 1.5 WLZ .089 W ... -.051 87 1.2D + 1.5L Yes y DL 1.2 OL7 1.5 88 1.2D + 1.5L Yes y DL 1.2 OL8 1.5 89 1.2D + 1.5L Yes y DL 1.2 OL9 1.5 90 (1 .2+0.2S ... Yes y DL 1.345 ELZ 1 91 (1 .2+0.2S ... Yes y DL 1.345 ELZ .866 ELX .5 92 (1 .2+0.2S ... Yes y DL 1.345 ELZ .5 ELX .866 93 (1 .2+0.2S ... Yes y DL 1.345 ELX 1 94 (1 .2+0.2S ... Yes y DL 1.345 ELZ -.5 ELX .866 95 (1 .2+0.2S ... Yes y DL 1.345 ELZ -.866 ELX .5 96 (1 .2+0.2S ... Yes y DL 1.345 ELZ -1 97 (1 .2+0.2S ... Yes y DL 1.345 ELZ -.866 ELX -.5 98 (1 .2+0.2S ... Yes y DL 1.345 ELZ -.5 ELX -.866 99 (1 .2+0.2S ... Yes y DL 1.345 ELX -1 100 (1.2+0.2S ... Yes y DL 1.345 ELZ .5 ELX -.866 101 (1.2+0.2S ... Yes y DL 1.345 ELZ .866 ELX -.5 102 (0.9-0.2Sd .. Yes y DL .755 ELZ 1 103 (0.9-0.2Sd .. Yes y DL .755 ELZ .866 ELX .5 104 (0.9-0.2Sd .. Yes y DL .755 ELZ .5 ELX .866 RISA-3D Version 17.0.4 [D:\ ... \ ... \ ... \ ... \ ... \Structural\04. Mount Analysis -rerun\RISA 3D\SD08149A.r3d] Page 3 Company Designer Job Number Model Name T-Mobile TEAM SD08149A Load Combinations (Continued) Aug 24, 2021 12:54 PM Checked By: CTR escrmtIon 0 .. . .. . .. act... act... act... act... act... act... act... act... act... D . . S I PD SR BLCF BLCF BLCF BLCF BLCF BLCF BLCF BLCF BLCF BLCF act... 105 (0.9-0.2Sd .. Yes y DL .755 ELX 1 106 (0.9-0.2Sd .. Yes y DL .755 ELZ -.5 ELX .866 107 (0.9-0.2Sd .. Yes y DL .755 ELZ -.866 ELX .5 108 (0.9-0.2Sd .. Yes y DL .755 ELZ -1 109 (0.9-0.2Sd .. Yes y DL .755 ELZ -.866 ELX -.5 110 (0.9-0.2Sd .. Yes y DL .755 ELZ -.5 ELX -.866 111 (0.9-0.2Sd .. Yes y DL .755 ELX -1 112 (0.9-0.2Sd .. Yes y DL .755 ELZ .5 ELX -.866 113 (0.9-0.2Sd .. Yes y DL .755 ELZ .866 ELX -.5 Joint Loads and Enforced Displacements ~-----~J=o=in=t L=a=b=el ________ L=D=M~----~D=ir=e=ct=io~n --~M=a nitude[(lb,lb-ft)Jin,rad)Jlb*s11 ••• No Data to Print ... Member Area Loads (BLC 2 : Wind Load AZ/ 000) 1 Joint A N80A Joint B N56 Joint C N129A Member Area Loads (BLC 3 : Wind Load AZ/ 090) I 1 I Joint A N56 Joint B N130 Joint C N132 Member Point Loads (BLC 1 : Self Weight) Member Label Direction 1 MP1 y 2 MP3 y 3 MP2 y 4 MP2 y 5 MP2 y 6 MP3 y 7 MP1 y 8 MP3 y 9 MP2 y Member Point Loads (BLC 2 : Wind Load AZ/ 000) Member Label Direction 1 MP1 z 2 MP3 z 3 MP2 z 4 MP2 z 5 MP2 z 6 MP3 z 7 MP1 z 8 MP3 z 9 MP2 z Member Point Loads (BLC 3 : Wind Load AZ/ 090} Member Label Direction 1 MP1 X 2 MP3 X 3 MP2 X Joint D N79A Joint D N129A Direction Distribution Ma nitude[ps PZ Open Structure -27.3 Direction Distribution Magnitude[Qfil] PX !Open Structure! -27.3 7 Maanitudeflb_,lb-ftl Locationlin %1 -52 6 -15.3 23 -61.4 6 -74.9 42 -44 42 -44 42 -52 33 -15.3 73 -61.4 90 Magnitude[lb,lb-ftl Location[in,%1 -60.93 6 -62.12 23 -218.1 6 -42.11 42 -42.74 42 -42.74 42 -60.93 33 -62.12 73 -218.1 90 Maanitudeflb lb-ftl Location fin.% l -26.03 6 -34.69 23 -94.1 6 RISA-3D Version 17.0.4 [D:\ ... \ ... \ ... \ ... \ ... \Structural\04. Mount Analysis -rerun\RISA 3D\SD08149A.r3d] Page 4 Company Designer Job Number Model Name T-Mobile TEAM SD08149A Member Point Loads (BLC 3 : Wind Load AZ/ 090) (Continued) Member Label Direction Maanitudeflb lb-ftl 4 MP2 X -34.07 5 MP2 X -21 .98 6 MP3 X -21.98 7 MP1 X -26.03 8 MP3 X -34.69 9 MP2 X -94.1 Member Point Loads (BLC 7: LM1) Member Label Direction Magnitude[lb lb-ft 1 MP1 y -500 Member Point Loads (BLC 8 : LM2) Member Label Direction Ma nitude lb lb-ft 1 MP2 y -500 Member Point Loads (BLC 9 : LM3) Member Label Direction Ma nitude lb lb-ft 1 MP3 y -500 Member Point Loads (BLC 11: LV1) Member Label Direction Ma nitude lb lb-ft 1 HP1 y -250 Member Point Loads (BLC 12 : L V2) Member Label Direction Ma nitude[lb lb-ft 1 HP1 y -250 2 HP1 y -250 Member Point Loads (BLC 14 : Seismic Load AZ/ 000) Member Label Direction Maanitudeflb lb-ftl 1 MP1 z -22.69 2 MP3 z -6.68 3 MP2 z -26.79 4 MP2 z -32.68 5 MP2 z -19.2 6 MP3 z -19.2 7 MP1 z -22.69 8 MP3 z -6.68 9 MP2 z -26.79 Member Point Loads (BLC 15 : Seismic Load AZ/ 090) Member Label Direction Magnitude[Lb_,lb-ftl 1 MP1 X -22.69 2 MP3 X -6.68 3 MP2 X -26.79 4 MP2 X -32.68 5 MP2 X -19.2 6 MP3 X -19.2 7 MP1 X -22.69 8 MP3 X -6.68 9 MP2 X -26.79 Aug 24, 2021 12:54 PM Checked By: CTR Locationfin %1 42 42 42 33 73 90 Location[in, % %50 Location in% %50 Location in % %50 Location in,% %50 Location[in, % 0 %100 Locationfin.%1 6 23 6 42 42 42 33 73 90 Location[in, %1 6 23 6 42 42 42 33 73 90 RISA-3D Version 17.0.4 [D:\ ... \ ... \ ... \ ... \ ... \Structural\04. Mount Analysis -rerun\RISA 3D\SD08149A.r3d] Page 5 Company Designer Job Number Model Name T-Mobile TEAM SD08149A Aug 24, 2021 12:54 PM Checked By: CTR Envelope A/SC 15th(360-16): LRFD Steel Code Checks Member Shage Code Check Loc .. LC Shear ... Locfinl Dir LC ohi*Pnc [ .. ! hi*Pnt [L.,Rhi*Mn v ... ohi*Mn z ... Cb Egn_ 1 HP1 PIPE 3.0 .498 40 48 .113 40 45 61439.76 65205 5748.75 5748.75 1 H1-1b 2 MP2 PIPE 2.0 .461 48 8 .034 48 8 ~6521.424 32130 1871 .625 1871.625 1 H1-1b 3 MP4 PIPE 4.0 .290 10 45 .307 10 48 93033.107 93240 10631.25 10631 .25 1 ... . H3-6 4 MP1 PIPE 2.0 .181 48 8 .015 48 8 ~6521.424 32130 1871 .625 1871.625 1 H1-1b 5 MP3 PIPE 2.0 .106 48 8 .013 48 8 ~6521.424 32130 1871 .625 1871.625 1 H1-1b 6 M3 PIPE 4.0 .000 9 8 .000 9 8 93072.381 93240 10631.25 10631 .25 1 H1-1b RISA-3D Version 17.0.4 [D:\ ... \ ... \ ... \ ... \ ... \Structural\04. Mount Analysis -rerun\RISA 3D\SD08149A.r3d] Page 6 DATE: 8/23/2021 ·1·-~m :.r, I CARRIER: T-Mobile SITE ID: SD08149A TYPE: Mount Analysis Mount-to-Tower Connection Check RISA Model Data Nodes (labeled per RISA) Orientation (orientation is normal & outward from tower) N13 0 Tower Connection Bolt Checks Any moment resistance?: Bolt Quantity per Reaction: dx (in) (Delta X of typ. bolt config. sketch) : dy (in) (Delta Y of typ. bolt con fig. sketch) : Bolt Type: A32SN I Bolt ct> (in): Required Tensile Strength (kips): Required Shear Strength (kips): Tensile Strength/ bolt (kips): Shear Strength/ bolt (kips): Tensile Capacity Overall: Shear Capacity Overall: I I I I yes 4 6 6 0.625 8.7 10.1 20.7 12.4 10.5%* 20.2% Connection Orientation Graphic 1so0 210° 1so0 240° .. -120° "•·····1·········... 9,1c::: ... ·········t······~ 300° '>(_ v so• ,_ ___ - 330° 30° o• Typical Bolt Config. Sketch (may not be actual CNX) ' (CJ I~ 1 r ~ r ~ W2 J J .... ~ .,J © ' ~ ,l_d. ~ 7- *Note: Tension reduction not required if tension or shear capacity< 30% Version 2. 7 ft T-Arm Mount Analysis APPENDIXD SUPPLEMENTAL DRAWINGS August 24, 2021 SD08149A PageB ITEM PART NO. DESCRIPTION QTY. WEIGHT MT1971201 12" SINGLE SUPPORT ARM 40.17 LBS 2 MT197H HARDWARE KIT (ITEM 3 3 GB-0524A 5/8" X 2-1 /2" GAL V BOLT KIT (A325 4 0.53 LBS 0 ~~ ¢4.5[114.3] 12.12[307.9] j NOTES: 1. ALL METRIC DIMENSIONS ARE IN BRACKETS. -- @ @ @ @ -- 10.0 254] T;~sp~:a~n;oi~ ~~~~~\°'c\1 ~~d ~cr~~ri:J onlyforthespecificpurpooecuthcrizedinwrilingby AndrewCorporction. Ali DIMENSIONS ARE IN INCHES u.a.s. TOLERANCES UNLESS OTHERWISE SPECIFIED: .X = ± .12 ANGLES ±l REV. A .XX = ± .06 FRACTIONS ±1/32 .IOOI= ± .03 REMCNE BURRS AND BREAK EDGES .005 DO NOT SCALE THIS PRINT REVISIONS ZONE DESCRIPTION BY DATE INITIAL RELEASE MSM ll/20/09 18.0[45 7.2] MSM I of I MT-197-12 •. -TP NTS 12" SINGLE SUPPORT ARM KIT 11/20/09 A36, A53 ASSEMBLY DRAWING REVISICll: GALV Al23 A 41.85 LBS ~ WESTCHESTER, IL. 60154 f---------1?vJi[[l}{§)ffi(},f!ll ® U.S.A. 2 1 Hazardous Materials Questionnaire County of San Diego, Department of Environmental Health and Quality PO Box 129261, San Diego, CA 92112-9261 Record ID #: Not in System Plan Check#: DEH2021-HHMBP- 010159 (858) 505-6700 (800) 253-9933 www.sdcdehq.org Business Name Business Contact Telephone# Plan File# Sprint Sprint PCS Project Address City Zip Code APN# 1926 Swallow Ln Carlsbad I State CA 920094138 215-052-13-01 Applicant Applicant E-Mail Applicant Telephone# Delilah Bruzee dbruzee@md7.com The following questions represent the facility's activities, NOT the specific project description. PART I: FIRE 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: Facility's Square Footage (including proposed project): □ Explosive or Blasting Agents □ Organic Peroxides □ Water Reactives □ Corrosives □ Compressed Gases □ Oxidizers □ Cryogenics □ Other Health Hazards □ Flammable/Combustible Liquids □ Pyrophorics □ Highly Toxic or Toxic Materials □ None of These □ Flammable Solids □ Unstable Reactives □ Radioactives PART 11: SAN DIEGO COUNTY DEPARTMENT OF ENVIRONMENTAL HEALTH -HAZARDOUS MATERIALS DIVISION {HMDl:lf 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. ~ □ 2. □ ~ 3. □ ~ 4. □ ~ 5. □ ~ 6. □ ~ 7. □ ~ 8. □ ~ 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). □ CalARP Exempt □ CalARP Required □ CalARP Complete Review Date: PART 111: SAN DIEGO COUNTY AIR POLLUTION CONTROL DISTRICT (APCDl: 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. 1. 2. 3. 4. YES NO □ ~ □ □ □ □ □ ~ 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. 6. □ □ ~ □ 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/info/facts/permits.pdf (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: Cell site modification Briefly describe proposed project: Remove 3 antennas, 3 RRUs, 1 chain mount, 2 cabinets, all batteries and unused cables. Install 9 antennas, 3 sector mounts, 9 RRUs, 4 HCS cables, 1 I declare under penalty of perjury that to the best of my knowledge and belief, the responses made herein are true and correct. ~; Fees Acknowledged: ~ Delilah Bruzee OBO Sprint 6/3/2021 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 ,.,\ OFW;D 0~ ~~ a RE\11 EV\i'ED O S. Khalid SIG/11,0,TU"lE 6/4/2021 D,1..TE. uur. *A stamp in this box.Q!lb,t exempts businesses from completing or updating a Hazardous Materials Business Plan. Other permitting requirements may still apply. DEHQ_HMD_HMBP _Questionnaire v 1.34 (2/2021) Printed on: 6/4/2021 @ 8:59 AM