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19-104265FImsNumBER Applicant Sarah Baird, Crown Castle, on behalf of T-Mobile Seattle WA 98109 Site Address: 292, -18th Ave S., Federal Way, WA 98003 - - Use this checklist to help gather all of the required information and documents[norder tusubmit eneligible facilities request pursuant to Federal Way Revised Code (FWRC) 4.24.020. Please note, incomplete applications Bulletin 081 — September 24, 2018 Page I of 3 k:\Handouts\Eligible Facilities Request Is the proposed modification a substantial change as defined in FWRC 19.256.020? To determine, fill in the 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 • Fortovveootherthantovversinthepub|icrights'of-vva&i16uesnotincneasetheheightofthetowerbymore 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, nrmore than 1Ofeet, whichever isgreater. Existing height ofthe structure: fU5'(ft/in) Proposed height ofthe structure: (ft/in) Distance of proposed array from nearest array: ___2�_(t/in) 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. w For other eligible support structures, it does not involve adding an appurtenance to the body of the structure that would protrude from the edge u[the structure bymore than six feet. What is the existing width of the structure at the level of the appurtenance? 5' (ft/ in) What is the proposed distance the appurtenance will protrude from the structure? 5' (ft/ in) 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 onthe ground ifthere are nupre-existing ground cabinets associated with the structure; or * |tdoes not involve installation ofground cabinets that are more than 1Dpercent larger inheight oroverall volume, than any other ground cabinets associated with the structure. How many new equipment cabinets are proposed? -11)�jhgLw—cabinomoigbkl�klklgm�� Bulletin 081 — September 24, 2018 Page 2 of 3 k:\Handouts\Eligible Facilities Request Criteria 0 For all existing facilities, 'it does not entail any excavation or deployment outside the current site. Criteria 5 ~ 10 For all existing facilities, the modification does not defeat the concealment elements of the eligible support structure. Please describe any existing and proposed concealment elements: �R�jnt&"Mwt=Atr-b Will the proposal increase the visibility of the facility? 0 Yes FA No 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 exce tke thresholds identified above. I identify known conditions associated with previous approvals of the existing facility. Will the proposal violate any of the above conditions? 0 Yes 9 No If yes, explain: is this an Eligible Facility Request? Does the proposal constitute osubstantial change? O Yes A No |naccordance with RNR[4.24.020 this application bhereby: (Qiper6or, Corn mb� Development Department Approved El Denied M z // ? Date Bulletin 081 — September 24, 2018 Page 3 of 3 k:\Handouts\Eligible Facilities Request N C C%OO* City of Federal Way Department of Community Development 33325 81h Ave S Federal Way, WA 98003 RECEIVED CrTY OF ,1. "NAY COMMUMTY DEVELOPMEN7 LU,: Eligible Facilities Request to modify equipment on a communications tower located at: 29208 18TH AVE S., FEDERAL WAY, WA 98003 Crown Site Number: 880427 / Crown Site Name: SEATTLE QVVEST - SEA123 Customer Site Number: SE04037 / Application Number: 489178 Phone: (206) 336-3204 Fax: wmcrowncastle,corn Crown Castle USA Inc. ("Crown Castle") on behalf of T-Mobile West LLC ("T-Mobile") is submitting the attached Eligible Facilities Request application to modify transmission equipment on a telecommunications tower located at 29208 i8TH AVE S., FEDERAL WAY, WA 98003 in CITY OF FEDERAL WAY, WA (the "SEATTLE QWEST - SEA-123 Tower"). Section 6409 of the Middle Class Tax Relief and Job Creation Act Of 2012, Commonly known as the "Spectrum Act" (Pub. Law No. 112-96,126 Stat 156), mandates that state and local governments "may not deny, and shall approve, any eligible facilities request for a modification of an existing wireless tower or base station that does not substantially change the physical dimensions of such tower or base station." Additionally, if "the reviewing State or local government determines that the application is incomplete" [they] "must provide written notice to the applicant within 3o days of receipt of the application, clearly and specifically delineating all missing documents or information." Under federal law, an Eligible Facilities Request is deemed granted with written notification in sixty (6o) days after an application is filed with a local jurisdiction, excluding tolling. T-Mobile proposes to modify the "SEATTLE QWEST - SEA123 Tower" as follows: Replace (3) antennas and (3) RR Vs; and remove (4) RF modules on existing tower. T-Mobile also proposes replace (i) cabinet and (1) CSR; remove (i) cabinet; and install (7) modules within existing compound. I Itemized list of submittal documents: 0 (1) Cover Letter a (1) Eligible Facilities Request 0 (3) Overall Site Plan 0 (3) Site Plan 0 (3) Elevations 0 (1) Check for $141. 00 - . . . A . - - If & * 1505 Westlake Ave N Phone: (206) 336-3204 1(ft�; R M &NO Seattle, WA 98109 Fax: 0*4 www.crowncastle.com i..ASTLE jjjgXjOjj[jrW-jj=rJMTMMsAtjous a_mwaval of requests to modify existing personal wireless service facilities. If you should require more information regarding the Spectrum Act, please do not hesitate to contact me with your questions. Sincerely, Sarah Baird Sarah.Baird@crowncastle.com (2o6) 336-3204 S CrownCastlexom F:om: William Golding Sent: Thursday, September l2'20I99:I6AM To: 'sauah.boivd@crowncast|e.com' Sub�ec� Eligible Facilities Requests Attachments: Eligible Facilities Requestpdf, Site P|an.pdf, Eligible Facilities Request.pdt Site P|an.pdf at 1741 S 3 5 6'1' ST, Federal Way, WA 98003 (Parcel 282104-9178) as well as on a telecommunications tower located at 29208 18"' Ave. S, Federal Way, WA 98003 (Parcel 304020-0065). The original requests with signatures/enclosures are being mailed to you as well. you have questions regarding electrical pennits. Will Golding Planning Intern 33325nmAvenue South Federal Way, WA90003-6325 I s,-Rp_IKLA�v—,A PROPERTY LINES AND STRUCTURES HAVE f BEEN DIGITIZED FROM PREVIOUS PLAN { SETS OR FROM ASSESSORS MAPS.. CROWN CASTLE USA INC, HAS NOT COMPLETED A SITE SURVEY AND THEREFORE MAKES NO CLAIMS AS TO p THE ACCURACY OF INFORMATION DEPICTED ON THIS SHEET f f p P p P f p P { P V/ W { NON L L n V � P { { OVERALL SITE SCALE: -1"-0• (Fuu, SIZE) N O& m a a. To 12920 SE 38TH STREET BELLEVUE, WA 98006 CCCROWN "n CASTLE NORTH, SUITE 800 wom 1505 WESTLAIIT�AVENUE SEATTLE, WA 98109 R./ IRELE M 156$ CALLS AVANZAL@A SARI CCLEMBNTE CA 92 s (eas) see -saga T-MOBILE SITE NUMBER: SE04037A BU #: 880427 SEATTLE QWEST - SA123 •I FEDERAL0I G f i ISSUED FOR: .EV DATF DRNN DFSCP.IT CION 0"/e IPIu5ly''� .. A 06(21/2019 KZ 90%FOR REVIEW JAC 0 06/22/2019 RR 100%FOJR SUB,=AL JAC t 08(24{2019. 7B 10REVISED 0 ; � r DATE SIGNED: 08/29/19 A" x YT dSA VdOLA71ON OF LAW FOR ANY FERSON, LwL.ESS THEY ARE ACd'IIvG UNDER THE DIItECI CIN OF A LICENSED PROFESSIONAL ENGINFM TO ALTFR THIS DOCC'.LIF2''T. SHEET NUMBER: REVISION: • }".. - _. x ,. Y— x ^^^^•--- x ...__...... x X X x X x x X X i� :. i s (E) UTILITY FRAME (lYP)^—�^' % ��TT {E) UTILITY FRAME {TYP)--^^�^^ mm 12920 SE 38TH STREET ,� x �. BEIJ_EVUE, WA 98006 x X .x + a t CROWN tE} GENERATOR .(E) GENERATOR ^� �..".....=1 -"`"-- S'c�-. CASTLE 1505 WESTLAKE AVENUE NORTH, SUITE 800 SEATTLE, WA 98109 msq i S \ 11D7 CALLS AYANEll60 �N CA 826T3 (449)389-682h i x � (E) CONCRETE PAD F: (E) CONCRETE PAD 4 d x, Y 4 ' x ++ se w+ T MOBTLE SITE NU MBER: vBER.fi µ SE04037A �'= BU #: 880427 SEATTLE QWEST - SA123 x :.e,.. '.* (E) ICE BRIDGE (TYP) (E) ICE BRIDGE (TYP) & 2920 - 18TH AVENUE, SOUTH, X L x �� FEDERAL, WAY, WA 98003 L-� r _ EXISTING 98'-0° MONOPOLE * ° (E} CONCRETE PAD ¢q- "" " (E) CONCRETE PAD (E) 98'-0" MONOPOLE , ,« (E) 98°-0" MONOPOLE er ,. mISSUED FOR: EV IftDATF:.�T DRtPN DFSCRR'CIOAIJFS/QA s� . RT A 06j2 %2QI9 IC 0°/FO9R RE.^VIEJAG U 08/22/2019�RR 100/ FOR SUA4IIITAL JAC 63j29j2019 � T8 100/ REVISED iAC t T— (E) T-MOBILE CABINET � (E) T-MOBILE CABINET (E) T-MOBILE' (E)T-MOBIL'. "�"`(E) T-MOBILE FEEDLINES 7 B"x11'-6',,.-=.{E) T-MOBIL FEEDliNES (1)(E) HYBRID & (12)(E) COAX LINES CONCRETE PAD CONCRETE PAD RO REMAIN -DH y (E) T-MOBILE CABLE TRAY r _ ----• (E) T-MOBILE CABLE TRAY v �._.........:.yt AwtATTd.•T (E) T-MOBILE CSR 77as u I � {) � s +r�rz=[F �-�- (N) r-MOBILE NORIA \ .m7.3sk" " SARM TO BE REMOVED i\ f SEC µ CSR 7270 SAS-Nxp \ SSC I� L-.. CABINET CABINS? \� TO REMAIN.,.. �\.. TO REMAIN (nsp i�^k,R�3NUE PU330'.ELL HPL3 v A' EXPn.F&S+Cra Ci CaE3 (1) TOTAL wJ ,C^°�fr6 :.E+ . , (E) T-MOBILE COVP (2) AAMIN, (1� rX. (1) ASIL, (1) �'A � r Xa0'3ktE 'R \ sy.. 4Rh(ir: AS1B, (2) A@IA Aitpn"7 R \ •• Fzpvxcrm Da[c 10-14-2020 DATE SIGNED: 09/29/19 T- )soLf i (E) dt^ FCOA CONCRETE CONCRETE d CABINET PAD PAD -:: (E) T-MOBILE TO BE ?'.t';mM;Y ,r^^.(E) FENCE COVP (E) FENCE viiek •.�.". ri x 9i -.— Y, x x .•. ,.. LESSTHEA'A7EA a`TNGUNDF 5"^W'k DIRECF 2�a'•, dv".: d 2:4 is`"•'. ._ LRQI.OFALI ENSM PROFFMI DER`EN LTC'dlFER,at3;i OF A LI TO ALTHR THIS DOCL'47F.N: �EFR, EXISTING SITE PLAN ,�,„"`a RECEIVED SHEET NUMBER: --REVISION: NEt SITE �q p'r`1;:_.; KALE 5. -a ....,les -�a {{i�xn ZE7 �'' • F FEDERALWAY COMMUNITY DELPE "T a laMobilem a a RE ELEV, 12920 SE 38TH STREET BETJ-EVUE, WA 98006 OF STRUCTURE: --98-0- HEICHT Of EX7NEx"ISTI'MIG MCL C' EL4V CROWN IV L 71 115a MCL'ISCC CASTLE 05 WESTLAKE AVENUE NORTH, SUITE BOO (N) T-MOBILE EQUIPMENT--,, (E) T-MOBILE EQUIPMENT TO BE REMOVED EXISTING ANTENNA TIP HEIGHT (3) COMMSCOPE "444%-R3 ANTENNAS & {E) ANTENNA 7iP HEIGHT SEA=, WA 98109 N (5) NOKIA AHLOA ANTENNA 3) SBNHH ANTENNAS�\ %6 FRLB MOUNTED TO (3) FRIA EXISTING ANTENNA TIP HEIGHT 10 "Oul"I's EXISTING All _ TIP HEIGHT 1�nl ��' ELEV, ;t,74'-O' FXFB 'L�- -=;,7--.- MOUNTED TO EXISTING MOUNTS —EXISTING T-MOBILF Ll�� ELFV = 72'-0" Ml S, d MR, (E) T-MOBILE EQUIPMENT TO REMAIN (E) T-MOBILE EQUIPMENT TO REMAINWIRELESSW ANTENNAS (3) TMBXX ANTENNAS (3) TMBXX ANTE Nt t387 CALII.Iff AVANZAOO (3) FRIG (3) FRG , SAN 0LEMENTlECAW8T3")3R9-824 6) TMA'S 6) TMA'S (12) DIPLEXERS (12) D1PLEX-R (3) FHFB (`M) FHF6 MOUNTED TO EXISTING OUNTS -A- MOUNTED TO EXISTING MOUNTS EXISTING Mck ----ELEV = 63'-0'EL.."Uis-o T-MOBILE SITE NUMBER: SE04 37 BU #: 880427 SEATTLE QWEST - SEA123 29208 - 18TH AVENUE, SOUTH, FEDERAL WAY, WA 98003 EXISTING 98'-0" MONOPOLE LNIST8LLER NOTE,;, ISSUED FOR: TOWER DOES NOT HAVE CLIMBING y —; ' DESCRIPTION IDES /QA FACILITIES - MANUFT REOUIRED FOR ELEVATED WORK, REV EATI� A 0612112019 1JAC LNEAA� 0FOR i —AC ALL NEW EQUIPMENT TO BE PAINTED To 7- 03/29/2019 TIE lCUXREVISED JAC (E) T-MOBILE FEEDUNES TO REMAIN (E) MATCH EXISTING (E) T-MOBILE FEDUNIES TO REMAIN HYBRID (1)(E) HYBRID (12) COAX LINES 9 (12) COAX LINES EXISTING MCL LL TTIN—rmcLmll* LE77 2 �-O� ELEV- 25-0" IF -l" (E) 98--0- MONOPOLE (E) 98'-0- MONOPOLE: Fs m6- D,t,: 1044-20 DATE SIGNED: 08/29/19 rr IS A VIOLATION OF LAW FOR ANY PERSON ILWLF.SSTHEY ARE ACTING UNDFRTfIEDRIEC1iON OFAIJFLNIFL PR TO ALTER j /-7-\ EXISTING SOUTHEAST ELEVATION NEW SOUTHEAST ELEVATION RECEIVED SHEETNUMBER: REVISION: .4 NOT TO SCALE SCALE: NOT SCALE ,SCE E: SEP CITY OF FED W9f COMMUNrTY DEVELOPMEM