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Home My WebLink About21-103709-Eligible Facilities Checklist-09-03-2021-V1Bulletin 081 – September 24, 2018 Page 1 of 3 k:\Handouts\Eligible Facilities Request ELIGIBLE FACILITIES SUBMITTAL REQUIREMENTS Eligible Facilities Request DEPARTMENT OF COMMUNITY DEVELOPMENT 33325 8th Avenue South Federal Way, WA 98003-6325 253-835-2607; Fax 253-835-2609 www.cityoffederalway.com Site Address: ___ Parcel #: Project Name: Use this checklist to help gather all of the required information and documents in order to submit an eligible facilities request pursuant to Federal Way Revised Code (FWRC) 4.24.020. Please note, incomplete applications will not be accepted. Submitted  Completed Eligible Facilities Checklist (following)  Check, cash, Visa/MasterCard for applicable fees  Site Plan – Three Copies 1.Minimum plan size of 11” X 17”. 2.North arrow. 3.Drawn to scale, dimensioned, and labeled. 4.Building footprint(s), including square footage. 5.Location and dimensions of existing structures, property lines, sidewalks, easements, street edges, mechanical equipment, fencing, rockeries, and retaining walls.  Elevation – Three Copies 1.Minimum plan size of 11″ x 17″. 2.Drawn to scale, dimensioned, and labeled. 3.Front, rear, and side (labeled as north, south, east, and west) building elevation of existing and proposed structures. 4.Height of structure calculations. 5.Roof-top and ground based mechanical equipment screen details. Applicant NAME PRIMARY PHONE MAILING ADDRESS E-MAIL CITY STATE ZIP FAX FILE NUMBER ____ ____ - ____ ____ ____ ____ ____ ____ - AD Date PDF copies submitted online. ATC 410158 - Verizon Upgrade - 13683206 205-235-6784Katie Kyle - Authorized Agent 2918 Clairmont Avenue South Birmingham AL 35205 kkyle@craftongroup.com 1712 S 356th St, Federal Way, WA 98003-8312 282104-9125 ATC 410158 - Verizon Upgrade - 13683206 Please call/email for payment. 2 1 1 0 3 7 0 9 09/03/2021 Bulletin 081 – September 24, 2018 Page 2 of 3 k:\Handouts\Eligible Facilities Request ELIGIBLE FACILITIES CHECKLIST Proposed modifications to an existing tower or base station must meet at least one of the three threshold criteria below for an eligible facilities request. For definitions please refer to FWRC 19.256.020. Check all that apply. ____ Collocation of new transmission equipment ____ Removal of transmission equipment ____ Replacement of transmission equipment Is the proposed modification a substantial change as defined in FWRC 19.256.020? To determine, fill in the appropriate information below. If the application does not meet all of the criteria below, then the project does not qualify as an eligible facility and it is unnecessary to complete this form. To determine the correct review process, refer to FWRC Chapter 19.256, “Wireless Communication Facilities.” Criteria 1 • For towers other than towers in the public rights-of-way, it does not increase the height of the tower by more than 10 percent, or by the height of one additional antenna array, with separation from the nearest existing antenna not to exceed 20 feet, whichever is greater. • For other eligible support structures, it does not increase the height of the structure by more than 10 percent, or more than 10 feet, whichever is greater. Criteria 2 • For towers other than towers in the public rights-of-way, it does not involve adding an appurtenance to the body of the tower that would protrude from the edge of the tower more than 20 feet, or more than the width of the tower structure at the level of the appurtenance, whichever is greater. • For other eligible support structures, it does not involve adding an appurtenance to the body of the structure that would protrude from the edge of the structure by more than six feet. Criteria 3 • For any eligible support structure, it does not involve installation of more than the standard number of new equipment cabinets for the technology involved, but not to exceed four cabinets; or, • For towers in the public rights-of-way and base stations, it does not involve installation of any new equipment cabinets on the ground if there are no pre-existing ground cabinets associated with the structure; or • It does not involve installation of ground cabinets that are more than 10 percent larger in height or overall volume, than any other ground cabinets associated with the structure. Existing height of the structure: __________ (ft/ in) Proposed height of the structure: __________ (ft/ in) Distance of proposed array from nearest array: ___________ (ft/ in) What is the existing width of the structure at the level of the appurtenance? __________________ (ft/ in) What is the proposed distance the appurtenance will protrude from the structure? ______________ (ft/ in) How many new equipment cabinets are proposed? _______________________________________ There will be no changes to tower height. 120 ft No Change No Change There will be no changes to appurtenance. No Change None Bulletin 081 – September 24, 2018 Page 3 of 3 k:\Handouts\Eligible Facilities Request Criteria 4 • For all existing facilities, it does not entail any excavation or deployment outside the current site. Criteria 5 • For all existing facilities, the modification does not defeat the concealment elements of the eligible support structure. Criteria 6 • The modification complies with conditions associated with the siting approval of the construction, or modification of the eligible support structure or base station equipment; provided, however, that this limitation does not apply to any modification that is noncompliant only in a manner that would not exceed the thresholds identified above. Will any excavation or equipment installation occur outside of the current site of the structure?  Yes  No Please describe any existing and proposed concealment elements: ____________________________________ __________________________________________________________________________________________ Will the proposal increase the visibility of the facility?  Yes  No Identify known conditions associated with previous approvals of the existing facility. __________________________________________________________________________________________ __________________________________________________________________________________________ Will the proposal violate any of the above conditions?  Yes  No If yes, explain: _____________________________________________________________________________ _________________________________________________________________________________________ To Be Completed By Staff Is this an Eligible Facility Request?  Yes  No Does the proposal constitute a substantial change?  Yes  No In accordance with FWRC 4.24.020, this application is hereby:  Approved  Denied ___________________________________________ ___________________________ Director, Community Development Department Date There will be no changes to existing concealment elements. 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