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Home My WebLink About1070 Broadway - ApplicationCI�oS'.3� � �-� _�`;��;�,..::� � COMMUNITY DEVELOPMENT DEPARTMENT • 5O1 PRIMROSE ROAD • BURLINGAME, CA 94010 p: 650.558.7250 • f: 650.696.3790 • www.burlingame.org APPLICATION TO THE PLANNING COMMISSION Type of application: ❑ Design Review ❑ Variance ❑ Conditional Use Permit ❑ Special Permit PROJECT ADDRES O Please indicate the contact person for this project � APPLICANT project contact person ❑ OK to send electronic copies of documents ❑ Name: �us , �i M�hv .4i-�1� M A�.) Address: �� SanSoMa .S'�— $��OC� City/State/Zip: �� r+�-i5�o ,(_./� al`i�v�j Phone: �J.3O) �11'i —�1S'-�-�— Fax ❑ Parcel #: �Z�O" �3 � — Zno ❑ Other: PROPERTY OWNER project contact person O OK to send electronic copies of documents ❑ Name: �� ' Address: �pi� .j�c-�;�iu,� , / City/State/Zip: �,��,.,� �� i.� , �j�o) 0 Phone: �b -�'`�t -L1Z00 ,%� 657� - �i93 -S.SII Fax: E-mail: � 1Si-,��hq.�J "` � —ca�a , �o� E-mail: ARCHITECT/DESIGNER pro�ectcontactPerson OK to send electronic copies of documents Name: Addres: City/State/Zip: sar Rq�v�pn . L�' °��i3 Phone: � � —6�S i- — q�2.33 Fax: E-mail ��CEIVE� .JUN 2 6 2012 CITY OF BURLINGAME CDD-PLANNING DIV. I�iZ.0 ; '�' �� Nw tun� �T�+o� ' , � AFFADAVIT/SIGNATURE: I hereby certify under penalty of perjury that the information given herein is true and correct to the best of my knowledge and ief. Applicant's signature: Date: (��LS�d l Z T I am aware of the pro ed application and hereby authorize the above applicant to submit this application to the Planning Commission. Property owner's ignature: Date: S�c 4�,,,1�, ) L. 6/�r (� � 2. �o I 1 Z Date submitted: yt Verification that the project architect/designer has a valid Burlingame business license will be required by the Finance Department at the time application fees are paid. ❑ Please mark one box above with an X to indicate the contact person for this project. S:\Handouts\PC Application 2008-B.handout * Burlingame Business License #: 10/02/2012 16:43 6505794211 MICHAEL HARVEY PAGE 01 C�� COMMUNITY DEVBLOPMENT DEPAaTN1ENT • 501 PRIMROBE ROAD � BURLINGAME, CA 94010 p: AB0.868.7230 • f: �i0.89e.9780 � www.0urlingAme.org APPLICATION TO THE PLANN�NG COMMISSION Typo of appNcatlon: O Dseign Review O V�rlance ❑ Conditional Use Permlt � 3peciel Permit ❑ Parcel #; � Other PROJECT ADOR�S3: � Pleass Iqdlca9e the contact peraon for this proJeot � APPI.ICANT projaet oonte�t p��son o OK to ��nd �bctranla copin of dooumsnte O Name: 1'�1UL .� Mtr1u �i�l M Al� Addres9: U� �„td�s �- ��yp� City/Statelzip: N�r+►Ts co _, L,l� qytaY, Phone: �O � ' j13 �„�� „ PROPERIY OWNER proJsct contaet po�on � OK ta osnd dactronlc caplae of daumonts O Name; Cli�t �� .. Address: �_!% Ciry/State/Zlp: ,,,rl;,,� �, �No10 �„ . Phone: � � 3�'i —W1•Q4 668 • �(83 �65'I I �ax; Fex; . , E-mail: ic� "mre . aovl E-mail: ARCHITBCTIDESIGNER pr�«a�avntact�non OK W sand electronta aopl�� ol daaumonu� Name: Addresf City/State/zlp: ��t� i�r.{� . �� LS'8 3 _ Pt�one; �l3 �66'�I- — q?.33 Fax; E-mail: : , _ .,s �r ?;�,� � '�y� � :, _ ocr _..� <<�,, •�- . ' -�+e �'i;?�_i>�.-.:�,,. : � __ �-.., . � � AFFADAVITISIQNATURE: 1 hereby certily under penelty of perJury that the informafion given hereln is tn,e end correct to the besi of my knowledge and iaf. ApPlicant'B slgnature: patsr d��.��1 Z _, I am aware of the pro ed n and hereb horize d e above appliaant to submlt this appllcatlon to the Planning Commisslon, � • Property owner's Ignature: • �ate; f� � Z ��` * VeMfleatlon fhat the project archltacUdeslgne� has a valld Burlingeme bu;lness license will be ►equi�ed by Ihe Finance Department a! the tlme appllceUon �ess are paid. O PleaeA mark ona 6ox above wlth an X tp Indlcate the coMaCt per9on for thls proJect, S:�HendoutalPC Application 200&9.handout �r gu�iingame 8usiness Llcense #: � � at&t AT&T Mobility 4430 Rosewood Building 3 Pleasanton CA 94588 �ECEIVED JUN 26 201� June 13, 2012 RE: Agent Authorization at AT&T Mobility Site CITY OF BURLINGAME CDD-PLANNING DIV. Jimmy Stillman of Modus Inc. is an authorized representative of AT&T Mobility Corporation (aka New Cingular Wireless PCS, LLC) and may act on AT&T Mobility's behalf as its agent for the purpose of site development activity regarding the AT&T including leasing, site design and obtaining governmental permits and approvals to construct, maintain and operate mobile/wireless communications facilities. The undersigned understands that the application may be denied, modified or approved with conditions and those conditions or modifications must be complied with prior to issuance of permits or approvals. , i Dan Stilwell Area Manager Construction & Engineering, AT&T Mobility USA � Prou7 Sponsor of �he U.5 Olympic Team '� at&t � I�ECEIVE� April 9, 2010 .JUN 2 6 20i2 Wireless Capital Partners 11900 Olympic Bivd., suite 400 Los Angeles, CA 90064 CITY OF BURLINGAME CDD-PLANNING DIV. AT&T Wire(ess Site: CNU0530/ SF0530 (FA #100959� 1) 2010 POR Property Address: 1070 Broadway. Burlingame, CA Dear Jennifer Matkins, �.�� Via Ovemight Delivery AT&T is in the process of conducting minor enhancement modifications to its above referenced communications facility and this courtesy notification serves to provide notification of this work. Essentially, the work will improve AT&T's network for our customers that use and rely on our service and the scope of work is as follows; � 1. SectorA,B, & C swap position#4 dummy antenna to 4 pori. 2. Add (1) 3498 cabinef. 3. Add 3 RRU ancillary units, either inside fhe /eased premises or adjacent to the antennas, in a non-visible location. � 4, Add 6 fiber lines. This work shall be conformance with agreement in place and will not require additional lease space, nor shall affect other nearby or co- located telecommunicaiions facilities. We anticipate the above described work will be performed within the next 30-90 days antl will take a few days to complete. By signing below or on the following page serves as consent of the work described above. Additionally, please provide a confact who the contractors may contact when a formal schedule has been determined to arrange for a 48 hours advance notification/access if required as well as not interfere with your property's planned operations. Please provide us with a represeniative and iheir contact information should 48 hours advance notice or access arrangements need io be made so that we may limit any interference with your property's planned operations. Furthermore, this "consent" serves as authorization for AT&T Wireless to apply for all the necessary entiflements to obtain legal permission through the local jurisdiction if necessary. Please contact me if you have questions, comments or require additional information and may be reached at (925) 895-3576 or cvillarreal@realcomassoc.com. Sincerely, �t�ii.� 2/il��vtect� Cynthia Villarreal Approved ContractorforAT&T Page 1 of 2 � �� at&t �� cEivEa JUN 2 6 "t�:,i! CITY OF BURLINGAME CDD-PLANNING DIV. Acknowledged and Approved by: �Gl��a _ Signature Date �0 h. c I—� �� ..(�6Yi Ze�.� �2kS QYl Print Name and Title April 9, 2010 AT&T Wireless Site: CNU0530/ SF0530 (FA #10095911) 2010 POR Property Address: 1070 Broadway. Burlingame, CA *Please provide below name, phone number and/or email address to provide 48 hrs notice of above modification schedule and confractors assigned. Comments and Point of Cantact: � 1�.e— !—�r� v-e�c�. 6 �0 — �r? � — Upon completion of the above please forward the signed letter to: Cynthia Villarreal - Project Manager Email Address (Preferred Communications): cvillarreal@realcomassoc.com Fax Number: 925-425-0347 Mail: 3825 Hopyard Rd, Suite 182, Pleasanton, CA 94566 cc: John Owens, Ericsson Site Acquisition Manager Page 2 of 2 �;,� a � � �� ,. a� ..� June 25, 2012 To City of Burlingame 501 Primrose Road Burlingame, CA 94010 �ECEIVED �uN 2 6 20�� From Jimmy Stillman 1 15 Sansome St. #1400 B San Francisco, CA 94104 CITY OF BURLINGAME CDD-PLANNING DIV. RE: Administrative Use Permit for a Modification to an Existing AT&T Wireless Telecommunication Facility at 1070 Broadway (APN: 026-131-200) Modus Corp, on behalf of AT8�T Mobility Corp (Cingular Wireless PCS, LLC) respectfully submits an Administrative Use Permit application for a modification to an existing wireless telecommunication site at 1070 Broadway (APN: 026-131-200). Please find the following contents detailed below: • Brief Project Description • Completed Planning Permit Application Form • Responses to the "Contents of the Permit Application (Section 25.77.060) • Letter of Authorization • Photo Simulations • RF Emissions Report • Coverage Maps • Map of Existing Sprint Sites in Burlingame • List of Addresses of All Existing Sprint Sites in Burlingame • Check for $1,850.00 • Two (2) Sets of 24" X 36" Plans • Three (3) Sets of 12" X 18" Plans • One (1) Set of Reduced Sized Plans (1 1"X17") If you require any additional materials for this application, please do not hesitate to contact me at (530) 913-9577 or jstillman@modus-corp.com. Sincerely, %Jimmy A. Stillman, Authorized Land Use Planning Agent for AT8�T Mobility Modus Corp 1 15 Sansome St. # 1400 San Francisco, CA 94104 (530) 913-9577 jstillman@modus-corp.com