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Report (160) C1:10: C RQW N CASTLE 1505 Westlake Avenue North Suite 800 Phone: (206) 336-2889 Seattle,WA,WA 98109 Fax wwwcrowncastlecom ED August 2,2018 Et C E r. CITY OF TIGARD,OR 1�U G l)i 8 13125 SW Hall Blvd CITY OF TIGARD Tigard,OR 97223 UILD1NG DIVISION RE: Eligible Facilities Request to modify equipment on a communications tower located at: 10185 SW Cascade Avenue,PORTLAND,OR,97223 Crown Site Number:874140/Crown Site Name:Progress Customer Site Number:PO01339B/Application Number:444030 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 10185 SW Cascade Avenue,PORTLAND,OR 97223 in CITY OF TIGARD,OR(the"Progress 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." T-Mobile proposes to modify the"Progress Tower"as follows: Replacing(3)panel antennas,(3)RRUs,and(i) hybrid cable at too'elevation Itemized list of submittal documents: • Cover letter&Certification of Non-Substantial Changes to Tower • Building Permit Application Form • Collocation-supplemental questionnaire • Construction drawings,stamped and signed by Oregon-registered engineer(3) • Structural calculations,stamped and signed by Oregon-registered engineer(2) • Check for fees($245.64) T-Mobile is committed to working cooperatively with all jurisdictions around the country to secure expeditious approval 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, / 111/ ✓1J Amanda Nations Amanda.Nations.Contractor@crowncastle.com (206)336-2889 The Foundation for a Wireless World. CrownCastte.com 1 ELIGIBLE FACILITIES REQUEST CERTIFICATION FOR NON-SUBSTANTIAL CHANGES TO A WIRELESS TOWER NOT LOCATED WITHIN A PUBLIC RIGHT OF WAY 1) Address of the Wireless Tower: 10075*SW Cascade Blvd, Tigard, OR 9700: ECFivEn 2) The height(measured in feet above ground level) of the existing Tower as originally A U G Q I approved, including any modifications approved prior to February 22, 2012: 117'-5".CITy 11riGAR UILDM DJVNNNfN, 3) What is the height(measured in feet above ground level) at which the modifications to the Transmission Equipment will occur on the Tower? 100' 4. What will be the height(measured in feet above ground level) of the existing Tower after the modifications to the Transmission Equipment are installed? 117'-5" 5) Effect of modifications of Transmission Equipment on Tower height: (A)Will the modifications in Transmission Equipment (addition, removal or replacement of Transmission Equipment)result in increasing the height above ground level of the existing Tower? n Yes I1 No (B) Will the modifications in Transmission Equipment result in increasing the height above ground level of the existing Tower by more than: (i) 10% of the height of the existing Tower, as originally approved, including any modifications approved prior to February 22, 2012; or(ii)twenty feet above the height of the existing Tower, as originally approved, including any modifications approved prior to February 22, 2012, whichever height increase is greater? ❑ Yes Fl No 6) Will the modifications in Transmission Equipment(measured at the height above ground level where the Transmission Equipment will be attached to the tower) result in any Transmission Equipment protruding horizontally from the edge of tower by more than twenty (20) feet or by more than the existing width of the tower at that height, whichever of these dimensions is greater? ❑ Yes No 7) Will the proposed changes in Transmission Equipment involve excavation or placement of new equipment outside the existing Tower site or outside any access or utility easements currently related to the site? ❑ Yes FINo 8) Will the proposed modification in Transmission Equipment involve installation of more than the standard number of new equipment cabinets for the technology involved, but not to exceed four? n Yes FiNo Non-Substantial Change Certificate for Towers Not Within A Public Right of Way National Development 2015.3 404 9) Will the proposed modification in Transmission Equipment defeat the existing concealment elements of the Tower? ❑ Yes Fl No (10) Prior Conditions of Approval (A)Will the proposed modification in Transmission Equipment comply with conditions of approval imposed on the Tower prior to February 22, 2012? ZYes No (B)If the answer to 10(A) is "No," is the non-compliance due solely to any of the conditions addressed in questions 5-9 above? El Yes fNo If the answer to either question 5A or 5B is "No", and the answers to questions 6-9 are "No", and the answer to either 10A or B is "Yes" then the proposed modifications do not substantially change the physical dimensions of the existing Tower. Please provide a brief explanation, if necessary, to clarify any answer. Explanatory Comments (If Needed): Question No. Comment: This certification is dated this 2 day ofAugust, 2018. 1/144.0.- s % / Signature k 1 ‘u o L-S St?g.c i Name & Title Non-Substantial Change Certificate for Towers Not Within A Public Right of Way National Development 2015.3 i 11111 City of Tigard AU 2018COMMUNITY DEVELOPMENT DEPARTMENT TIGARD (In OF TIGARD Collocation - Supplemental Qift!te PROPERTY ADDRESS /D1 FOR S1AFI t sr. ()NIA Location of collocation: 1 5 SW Cascade Blvd M t T-Mobile Zone Name of provider: le Amanda Nations,Crown Castle Approved Contact name: ❑ Not Approved Collocating antennas on: By: 4.--g Date: 0/4/1/42) 0 Existing tower Reason not approved: ❑ Existing non-tower structure Is this a new provider? ❑ Yes © No Other providers currently collocating on same tower or structure: (:\community Development\Land Use Applications\02_Forms and Templates\Land Use Applications\Future Forms Rev.12/14/2017 yes Indicate the previous approval: (SDR,MMD#) ANTENNA INFORMATION Existing: New: Hei ht of antennas : 1oo' oo' g (sq. ft) Height of antenna(s): (sq. ft.) paint to match monopole paint to match monopole Color of antenna(s): Color of antenna(s): paint to match monopole paint to monopole Color of equipment: Color of equipment: Accommodating equipment: N/A Accommodating equipment: N/A (i.e.dishes) (i.e.dishes) Will new accessory equipment be installed? ® Yes ❑ No Location of new accessory equipment? ® Within previously approved fenced area ® Within existing structure O Other location: (Please describe) Will landscaping be removed to accommodate the accessory equipment? 0 Yes p No If yes,describe here: / ArIPCNA7/ t...Pc'C\ 0 h. S (2 / I a Applicant's signature Print name Date City of Tigard • 13125 SW Hall Blvd. • Tigard,Oregon 97223 • wwwtigard-or.gov • 503-718-2421 • Page 1 of 1 R0 1 N 1505 Westlake Avenue North Suite 800 Phone: (206) 336-2889 Seattle,WA,WA 98109 Fax wwwcrowncastle.com Cr CASTLE RECEIVED August 2,2018 _ CITY OF TIGARD,OR AUG( 1018 13125 SW Hall Blvd CITY OF TIGARD Tigard,OR 97223 BUILDING DIVISION RE: Eligible Facilities Request to modify equipment on a communications tower located at: 10185 SW Cascade Avenue,PORTLAND,OR,97223 Crown Site Number:874140/Crown Site Name:Progress Customer Site Number:POo1339B/Application Number:444030 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 10185 SW Cascade Avenue,PORTLAND,OR 97223 in CITY OF TIGARD,OR(the"Progress 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." T-Mobile proposes to modify the"Progress Tower"as follows: Replacing(3)panel antennas,(3)RRUs,and(i) hybrid cable at ioo'elevation Itemized list of submittal documents: • Cover letter&Certification of Non-Substantial Changes to Tower • Building Permit Application Form • Collocation-supplemental questionnaire • Construction drawings,stamped and signed by Oregon-registered engineer(3) • Structural calculations,stamped and signed by Oregon-registered engineer(2) • Check for fees($245.64) T-Mobile is committed to working cooperatively with all jurisdictions around the country to secure expeditious approval 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, Amanda Nations Amanda.Nations.Contractor@crowncastle.com (206)336-2889 The Foundation for a Wireless World, CrownCastle.con ELIGIBLE FACILITIES REQUEST CERTIFICATION FOR NON-SUBSTANTIAL CHANGES TO A WIRELESS TOWER NOT LOCATED WITHIN A PUBLIC RIGHT OF WAY14ECS IVED 1) Address of the Wireless Tower: _10075 SW Cascade Blvd, Tigard, OR 9700 AUG 2 h i 2) The height (measured in feet above ground level) of the existing Tower as originally approved, including any modifications approved prior to February 22, 2012: 117'-5"j; 3)What is the height(measured in feet above ground level) at which the modificatns o the � 1 Transmission Equipment will occur on the Tower? 100' 4. What will be the height(measured in feet above ground level) of the existing Tower after the modifications to the Transmission Equipment are installed? 117'-5" 5)Effect of modifications of Transmission Equipment on Tower height: (A)Will the modifications in Transmission Equipment(addition, removal or replacement of Transmission Equipment) result in increasing the height above ground level of the existing Tower? n Yes VI No (B) Will the modifications in Transmission Equipment result in increasing the height above ground level of the existing Tower by more than: (i) 10% of the height of the existing Tower, as originally approved, including any modifications approved prior to February 22, 2012; or(ii)twenty feet above the height of the existing Tower, as originally approved, including any modifications approved prior to February 22, 2012, whichever height increase is greater? n Yes ®No 6) Will the modifications in Transmission Equipment(measured at the height above ground level where the Transmission Equipment will be attached to the tower) result in any Transmission Equipment protruding horizontally from the edge of tower by more than twenty(20) feet or by more than the existing width of the tower at that height, whichever of these dimensions is greater? 111 Yes .1 No 7) Will the proposed changes in Transmission Equipment involve excavation or placement of new equipment outside the existing Tower site or outside any access or utility easements currently related to the site? ❑ Yes n No 8) Will the proposed modification in Transmission Equipment involve installation of more than the standard number of new equipment cabinets for the technology involved, but not to exceed four? n Yes N No Non-Substantial Change Certificate for Towers Not Within A Public Right of Way National Development 2015.3 9) Will the proposed modification in Transmission Equipment defeat the existing concealment elements of the Tower? Yes ®No (10) Prior Conditions of Approval (A)Will the proposed modification in Transmission Equipment comply with conditions of approval imposed on the Tower prior to February 22, 2012? ® Yes ❑ No (B)If the answer to 10(A) is "No," is the non-compliance due solely to any of the conditions addressed in questions 5-9 above? n Yes n No If the answer to either question 5A or 5B is "No", and the answers to questions 6-9 are "No", and the answer to either 10A or B is "Yes" then the proposed modifications do not substantially change the physical dimensions of the existing Tower. Please provide a brief explanation, if necessary, to clarify any answer. Explanatory Comments (If Needed): Question No. Comment: This certification is dated this 2 day ofAugust, 2018. • (kerv - i I Signature P5 N /P "o k-S. c i k.6,5(, Name & Title Non-Substantial Change Certificate for Towers Not Within A Public Right of Way National Development 2015.3