Fill - Free fillable Town of Sahuarita Planning & Building Department 375 (Town of Sahuarita) PDF form

January 2017

Town of Sahuarita

Planning & Building Department

375 W. Sahuarita Center Way

Sahuarita, Arizona 85629

(520) 822-8866

http://www.sahuaritaaz.gov

Eligible Wireless Facility Modification Process

Applications for Eligible Wireless Facility Modifications per Section 6409(a) of the Spectrum Act

are subject to a 60-day “shot clock,” or review timeframe. Due to the short timeframe for these

application types, the Town of Sahuarita requires that your complete application include all

items necessary for permitting of the structure, including Planning & Zoning clearance review,

Building Safety Plan review, and any grading or right-of-way use permits that may be necessary

for your particular application. Application submittal will be to the Building Safety Division. Any

application submitted without all of the necessary components will be deemed incomplete and

will not be accepted for substantive review. A list of missing items will be provided.

Staff strongly recommends scheduling a Development Review Committee (DRC) meeting with

Town staff to ensure a smooth application process.

The Planning & Building Department is committed to providing excellent customer service and

as such has provided application checklists for Eligible Wireless Facility Modification zoning

applications and for Building Safety Plan review. Please carefully review these checklists to

ensure a complete submittal.

Should you have any questions about this process or the required application materials, please

contact Planning & Zoning at (520) 822-8852 or Building Safety at (520) 822-8866.

To determine whether your modification will require a Right of Way Permit or a grading permit,

please contact Public Works at (520) 344-7100.

Page 1 of 2

December 29, 2016

Town of Sahuarita

375 W. Sahuarita Center Way

Sahuarita, Arizona 85629

520-822-8866

http://www.sahuaritaaz.gov

Building Safety Submittal Checklist for

Eligible Wireless Facility Modifications

The following items are required and submittals must be complete before accepted for review.

For current codes and amendments please visit our website at: http://sahuaritaaz.gov/buildingsafety

 Completed Town of Sahuarita Permit Application

 Permit application can be found online at http://sahuaritaaz.gov/buildingsafety

 Property owners email address is required

 Sign and date the application

 Plan check fee must be paid at time of submittal

 Complete Planning & Zoning submittal is required at the time of building plan submittal. See

the Planning & Zoning Submittal Checklist for Eligible Wireless Facility Modifications.

 3 Copies of Drawings (minimum 11 x 17, no reduced 24 x 36 sheets accepted)

 Cover sheet with index

 Site Plan

o Show location of all modifications

 Elevation of modifications

 Foundation Plan, if required

o Structural details for the cell tower modification attachments

 Electrical Plan

 2 Copies of Structural Calculations

 All modifications to communication towers, poles, and collocation structures must be

structurally engineered by an Arizona registered engineer to show they meet the

requirements of the building code.

 A report from an Arizona registered engineer describing the capacity of the tower,

including the number and type of antennas that it can accommodate.

The following items are required with the SECOND resubmittal and must be complete before

accepted for review. All plan review comments must be addressed.

 Planning & Zoning Resubmittal, addressing all first review comments (if required)

 Copy of Contractor’s Bond Certificate if over $50,000 construction cost

 Completed Contractor Form

 Provide contractor/subcontractor’s ROC license number

 Any business doing work in the Town of Sahuarita requires a business license. There is

currently no cost for a business license. Please contact the Town Clerk’s office at 520-

822-8801 for further assistance.

Page 2 of 2

December 29, 2016

Note:

• A DRC meeting is available if you would like to meet with Planning & Zoning, Public Works,

Fire and Building Safety to discuss items specific to your project. Please contact 520-822-8855

to schedule a meeting.

• If the building owner does not own the property, a letter from the property owner giving

permission to build is required.

• If special inspections are required, the special inspection registrant must be on the Town of

Sahuarita’s approved list located on the Town’s website. Contact Mike Washburn at

mwashburn@sahuaritaaz.gov

to add a registrant.

• A Pre-Construction meeting may be required as the first inspection depending on the scope of

modifications.

Last Revision Date 08/20/2015 Building Permit Appl. Form Sahuarita 06

Permit Application

Town of Sahuarita

Planning & Building Department

375 West Sahuarita Center Way

Sahuarita, Arizona 85629

(520) 822-8866 / Fax (520) 822-8876

Job Address:

Valuation:

Assessor’s Parcel No.:

Subdivision & Lot No.:

Description of Work (Use):

Please provide:

RESIDENTIAL

Owner: *Owner’s Email Address:

Floor sf________________

Owner’s Address:

Garage/carport sf_________

City, State, Zip Code: Phone No. : *Fax No.:

Patios/Porches sf_________

Applicant:

Fire sprinklers Y____ N____

Applicant’s Address:

Water meter size___________

City, State, Zip Code: Phone No.: Fax No.:

Contractor:

COMMERCIAL

Contractor’s Address:

Floor sf_________________

City, State, Zip Code: Phone No.: Fax No.:

Patio/Porch sf____________

Contractor’s License No.: Sahuarita Business License No.:

Construction type_________

Registrant (Architect / Engineer):

Occupancy group_________

Registrant’s Address:

Occupant load___________

City, State, Zip Code:

Fire sprinklers Y____N____

Registrant’s License No.: Phone No.: Fax No.:

Water meter size_________

Application is hereby made to the Building Official for permit subject to the conditions and restrictions set forth on his/

her application.

I hereby certify that I have read and examined this permit application and know the same to be true and correct. All

provisions of laws and ordinances governing this type of work will be complied with whether specified herein or not. The

granting of a permit does not presume to give authority to violate or cancel the provisions of any other Federal, State,

County or Town laws regulating construction or the performance of construction.

Application expires 365 days from date of submittal per Section 105.3.2 of the International Building Code and

Section R105.3.2 of the International Residential Code.

Signature of Authorized Applicant Date

Date Received:

Contact Person:_____________________________Phone:________________E-Mail:__________________________

(Please Print)

*The owner’s email or fax is required. The owner will be copied on the plan review comments when they are

emailed to the applicant for all residential and commercial projects.

Revised 11/2016

Town of Sahuarita

Planning & Zoning Division

375 W. Sahuarita Center Way

Sahuarita, Arizona 85629

Phone: (520) 822-8855

www.sahuaritaaz.gov

Submittal Checklist for Eligible Wireless Facility Modifications

Case No. ___________________

I certify that the Eligible Wireless Facility Modification packet submitted is complete and

accurate, and that all required supporting information as specified in the submittal checklist is

provided. Further, I understand that this application is being accepted provisionally and that if

the submittal is inaccurate or determined incomplete; the application will be rejected by the

Town. Further processing of the packet will not continue until the submittal is determined

complete by the Town.

________________________________________________

Applicant or Agent Signature Date

DELIVERABLES – To be submitted to Building Safety

Complete Building Safety application packet, including application, plans, and fees

(see Building Safety Submittal Checklist for complete list)

Completed Eligible Wireless Facility Modification zoning checklist (this form)

Completed Eligible Wireless Facility Modification zoning application

Zoning review fees

Letter of Authorization from the Wireless Carrier allowing the applicant to submit on

their behalf

Letter of Authorization from the Property Owner and Support Structure Owner

approving the modifications on their property/structure

An attestation that the proposed facility modification is subject to review under

Section 6409(a) of the Spectrum Act

A signed statement from a qualified person, together with his/her qualifications, that

provides expected radio frequency emissions levels from the antenna array(s), and

certifies that these emissions comply with FCC standards not only at ground level

below the Wireless Communication Facility, but also wherever terrain or placement

of buildings would cause exposure. The statement shall also certify that both

individually and cumulatively, and with any other existing facilities located on or

immediately adjacent to the proposed facility, that the proposal complies with FCC

standards.

Revised 11/2016

Site plan, elevations, antenna details, and equipment layout (2 copies)

Set of plans and conditions of approval from the original permit and any

entitlements (including Conditional Use Permit or other zoning approval) applicable

to the property or support structure

N/A

If the modification will result in a height increase: Dimensioned plans or

drawings showing the height of the support structure as originally approved and

constructed, or as of the most recently approved modification prior to February 22,

2012, whichever height is greater

N/A

If the modification is on a concealed or camouflaged facility: A statement

describing the existing concealment or camouflage elements and demonstrating

that the proposed modification will not defeat the concealment or camouflage

N/A

If the modification will alter exterior dimensions or appearance of the support

structure: Color photo simulations with a minimum size of 8.5”x11”. The photo

simulations shall include “before” and “after” renderings of the site, its

surroundings, and the proposed facility and antennas at maximum height, and any

structures, vegetation, or topography that will screen the proposed facility from

multiple public viewpoints. Public viewpoints selected for the simulations should be

located approximately a half-mile, 1 mile, and 2 miles from the proposed facility,

with an accompanying map showing where each photo was taken. If the

modification is on a building, all elements of the proposed project must additionally

be shown in one or more close-in photo simulations.

N/A

If the modification will protrude from the edge of a non-tower structure:

Dimensioned plans or drawings showing the edge of the eligible support structure.

N/A

If the modification will include excavation or deployment beyond the current

site or would result in a protrusion beyond existing equipment or a non-tower

support structure: A legal description and a scaled drawing showing the site

boundaries, the existing tower or base station, and the proposed location,

elevation, and dimensions or the new or replacement equipment.

N/A

If structural hardening is proposed: A technical report by an Arizona registered

engineer demonstrating that the hardening conforms to code requirements.

N/A

If the modification is to a tower: A stamped report by an Arizona registered

engineer demonstrating that the tower with the modifications will comply with

applicable structural, electrical, and safety codes, including wind speed, and

describing the general structural capacity of the tower with the modifications.

If the modification is to a base station: A stamped report by an Arizona

registered engineer demonstrating that the base station with the modifications will

Revised 11/2016

N/A

comply with applicable structural, electrical, and safety codes.

N/A

If the modification requires alteration to the support structure, excavation,

installation of new equipment cabinets, or any other activities impacting or

altering the land, existing structures, fencing, or landscaping on the site: A

detailed site plan and drawings are also required, showing the items listed in Site

Plan Requirements below.

All plans, including elevations, on CD in pdf, jpeg, or tiff format, labeled and dated

Reductions of all plans, including color elevations or renderings (1 copy) 11” x 17”

SITE PLAN REQUIREMENTS

Title block at bottom right corner, including:

• Label the plan as “Site Plan”

• Name and address of development

• A brief legal description of the property, including lot numbers, subdivision

name and recording information, section, township and range reference

(G&SRM, Pima County, Arizona)

• The new project number, in bold print larger than the cross-reference

numbers

Sheet numbers in bottom right corner (example: “Sheet 1 of 5”)

Name, address, and phone number of developer and owner

Name, address, phone number, and professional seal of architect/engineer or firm

preparing the plans.

Related case numbers for the site such as conditional use permit, etc.

Date of drawing and/or last revision

Scaled (3” = 1 mile) location map showing:

• The subject property identified and centered within a one square mile area

• Identify major streets, rivers, and town limits within the square mile area

Legal description and lot numbers

Gross and net area of the site

Revised 11/2016

Scale: 1.0 acre or less 1” = 10’

1.0 - 5.0 acres 1” = 20’

5.1 - 20 acres 1” = 40’

20 acres or more 1” = 100’ (Other scales as approved by staff)

Bar scale

North arrow

Legend, describing all symbols and line work used

Zoning district(s) for project area and adjacent parcels

All ground planes labeled, i.e. asphalt, concrete, decomposed granite, etc.

Any proposed modifications to the eligible support structure

Provide location, identification, and dimensions of the following site elements:

Existing eligible support structure, transmission equipment, and equipment cabinets

Proposed transmission equipment to be collocated or to replace existing

transmission equipment

Any new equipment cabinets and their intended uses.

Landscape and parking areas

Fences, walls, and screening, indicating height, length, color, and materials, and any

other existing structures on the site

Any areas where excavation is proposed, showing the elevations, depths, and width

of the proposed excavation and materials and dimensions of the equipment to be

placed in the excavated area.

Landscape areas, including proposed plantings and irrigation systems (these items

may need to be shown on a separate sheet for legibility)

Existing and proposed ingress/egress points and intersections, including width

Revised 11/2016

ELEVATION REQUIREMENTS

Scale – minimum of 1/8” or as approved by staff

Bar scale

Detailed elevations for the transmission equipment and support structure impacted

by the modification, with cardinal orientation labeled

Dimensions of the support structure, including overall height and width

Location, dimensions, materials, and colors (including reflectivity) of principal

support structure or building elements – antennas, camouflage elements, walls,

windows, doors, etc.

Color renderings or similar illustrations, with cardinal orientation labeled

Eligible Wireless Facility Modification Application Page 1 of 4 July 2016

Town of Sahuarita

Planning & Building Department

375 W. Sahuarita Center Way

Sahuarita, Arizona 85629

Phone: 520 822-8855

http://www.sahuaritaaz.gov

Eligible Wireless Facility Modification Application

This application is for wireless

facility modifications eligible under Section 6409(a) of the

Spectrum Act. All other wireless applications require the Wireless Communication Facility Review

Application. Staff review of this application may result in a determination that the proposal is not

an Eligible Wireless Facility Modification, and, in that event, the application will be denied and a

standard Wireless Communication Facility Review Application must be submitted.

PART I: APPLICATION SUMMARY

Name of project site, if any:

Site Address:

Located in Right-of-Way: Yes No Site Acreage:

Zoning: Assessor’s Parcel #:

Property Owner:

Mailing Address:

Phone #: Email:

Wireless Carrier:

Contact Person:

Mailing Address:

Phone #: Email:

Agent:

Mailing Address:

Phone #: Email:

Eligible Wireless Facility Modification Application Page 2 of 4 July 2016

PART II: MODIFICATION DETAILS

Your responses to the following questions will help to ensure that the correct process is used in

reviewing your modification.

Proposed Action:

Check the applicable option(s).

Replace transmission equipment

Remove transmission equipment

Collocate transmission equipment

Other: _________________________

Project Description:

Be as specific as possible. Attach extra sheets if necessary.

Does this request include the modification of

an existing wireless tower or base station?

Yes

Will you be switching out the support structure?

Yes

Will this facility require structural hardening?

Yes

Does this modification require deployment or

excavation beyond the established site

boundaries:

Yes

Has the facility (including the support structure, base station, and all associated equipment) been

modified since February 22, 2012?

Yes

If yes, provide a brief description of the modifications (attach extra sheets if necessary):

Does the request increase the height of the

tower or support structure from the original

zoning approval, or from any modification

approved prior to February 22, 2012?

Yes, by _______ft. and ______%

Does the request add an appurtenance to the

tower or support structure which will protrude

from the edge of the originally approved tower

or structure or from any modification approved

prior to February 22, 2012?

Yes, by _______ft.

Does your request include the installation of new equipment cabinets?

Yes If yes, how many? ________

Will any of the existing cabinets increase more than 10% in height or volume?

Yes

Eligible Wireless Facility Modification Application Page 3 of 4 July 2016

Is the facility considered a concealed or camouflaged facility?

Yes

If yes, please describe how the current proposal avoids defeating the facility’s concealment or

camouflage elements:

Will the modification comply with the

conditions of approval of the Conditional Use

Permit or zoning clearance for the facility?

Yes

Will there be any modifications to a backup

generator, battery backup system, fire

suppression equipment, or fuel storage tank

associated with the project?

Yes

No

Existing structure and antenna colors:

Will new antennas be painted to match the

existing structure?

Yes

If no, please explain:

Will the antennas be screened?

Yes

No

If yes, please describe the screening to be

provided:

Will the antennas be flush-mounted to the structure on which they are located? Yes No

If no, please explain:

Application is hereby made to the Planning and Building Department with the conditions and

restrictions set forth on this application. I hereby certify that I have read and examined this

application and know the same to be true and correct. All provisions of laws and ordinances

governing this type of work will be complied with whether specified herein or not. The approval of

this application does not presume to give authority to violate or cancel the provisions of

any other

Federal, State, County, or Town laws.

Zoning Fee:

Applicant’s signature:

Date:

Eligible Wireless Facility Modification Application Page 4 of 4 July 2016

PART III: REVIEW PROCESS

Below are the steps you are required to take for review of your Section 6409(a) Eligible Wireless Facility

Modification Application. Note that steps taken by staff, such as routing of your application to other

departments, are not shown here.

The following steps are required of you, the applicant:

• Ensure that your modification complies with Section 6409(a) requirements prior to submitting

your application (see STC 18.62

• Submit a complete application (see checklist) and fees

• Provide revised documents as required by staff

The applicable review timeframe is 60 calendar days. The timeframe may be tolled by mutual agreement

or when the Town determines that an application is incomplete. To toll the timeframe for

incompleteness, the Town must notify the applicant in writing within 30 days, delineating all missing

documents or information. The timeframe begins running again when the applicant makes a

supplemental submission. Following the supplemental submission, the Town will notify the applicant

within 10 days if the supplemental submission did not provide the information identified in the original

notice of incompleteness. The timeframe may be tolled in the same manner for subsequent submittals.

The Town of Sahuarita will provide you with clarification of its interpretation or application of statutes,

ordinances, codes, or authorized substantive policy statements as requested.

If you have any questions or require assistance throughout the application process, you may contact

Anna Casadei at (520) 822-8854 or acasadei@sahuaritaaz.gov.

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