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Home My WebLink AboutHLP2016-0088ll "e77L. } i�li HELICOPTER LIFT PERMIT Issue Date: January 8, 2016 PROJECT DESCRIPTION: Helicopter Lift, January 9, 2016, 10:00 a.m. "Wrico Stamping" PROJECT # (817) 410 -3010 www.mygov.us �\ HLP -16 -0088 Inspections Permits City of Grapevine P.O. Box Grapevine, , TX TX 76099 LOCATION TENANT 650 Industrial Blvd, Wrico Stamping Grapevine, TX 76051 p in 9 LEGAL Grapevine Industrial Park Elk n/a Lot 9a (817) 410 -3165 Voice (817) 410 -3012 Fax CONTRACTOR INFORMATION 5 State Helicopters Inc — APPLICANT NAME Linda Norman OWNER "APPLICANT PHONE NUMBER 1 -972- 636 -1300 Griffiths Holdling Corp APPROVAL CITY MANAGER YES APPROVAL DEVELOPMENT SERVICES YES APPROVAL RISK MANAGEMENT YES County Tarrant DATE & TIME OF HELICOPTER LIFT 2016 -01 -09 10:00 am Zoning LI - Light Industrial MYGOV.US City of Grapevine I HELICOPTER LIFT PERMIT I HLP -16 -00881 Printed 01/08116 at 11 :00 a.m. Page 1 of 1 City of Grapevine P.O. Box 95104 Grapevine, TX 76099 (817) 410 -3165 Voice (817) 410 -3012 Fax CONTRACTOR C & S Air, Inc State ID # TACLB26092E P.O. Box 162721 Fort Worth, TX 76161 (817) 477 -2665 Phone (817) 473 -1734 Fax (817) 707 -8821 Mobile OWNER Griffiths Holdling Corp 2717 Niagara Ln N Minneapolis, MN 55447 -4844 MECHANICAL PERMIT B,F,H,M,S,U (SF) Issue Date: December 22, 2015 PROJECT DESCRIPTION: Install New RTU's Into Addition " Wrico Stamping" PROJECT # (817) 410 -3010 www.mygov.us MEBFH -15 -4617 Inspections Permits LOCATION TENANT LEGAL 650 Industrial Blvd, Wrico Stamping Grapevine Industrial Park Elk Grapevine, TX 76051 nia Lot 9a AVAILABLE INSPECTIONS • MISC. Mechanical Inspection (required) • Mechanical Rough (required) • Mechanical Ceiling (required) • Mechanical Duct (required) • Mechanical Final (required) INFORMATION County Tarrant Square Footage 19530 Zoning LI - Light Industrial FEES TOTAL e $ 227.30 Mechanical Permit W /Building Permit BF $ 227.30 PAYMENTS TOTAL = $ 227.30 C & S Air, Inc (Derek Okeefe) Check on 12/22/2015 ($227,30) Note: CK #1141 NOTICES ALL work must be done in compliance with the 2006 INTERNATIONAL MECHANICAL CODE. PLAN SUBMITTAL: WHEN PLANS ARE REQUIRED BY CODES, ORDINANCES, OR AS DETERMINED BY THE BUILDING OFFICIAL, THREE (3) SETS OF PLANS SHALL BE SUBMITTED IN HARD COPY FORMAT. ENGINEER SEALED PLANS AND CALCULATIONS SHALL BE SUBMITTED AS REQUIRED BY CODES, ORDINANCES OR WHERE OTHERWISE REQUIRED BY STATE LAW. READ AND SIGN I HEREBY CERTIFY THAT THE FOREGOING IS CORRECT TO THE BEST OF MY KNOWLEDGE AND ALL WORK WILL BE PERFORMED ACCORDING TO THE DOCUMENTS APPROVED BY THE BUILDING DEPARTMENT AND IN COMPLIANCE WITH THE CITY OF GRAPEVINE CODES REGULATING CONSTRUCTION. IT IS UNDERSTOOD THAT THE ISSUANCE OF THIS PERMIT DOES NOT GRANT OR AUTHORIZE ANY VIOLATION OF ANY CODE OR ORDINANCE OF THE CITY OF GRAPEVINE. I FURTHER CERTIFY THAT ALL WORK THAT IS REQUIRED TO COMPLY WITH ANY FEDERAL, STATE, AND / OR LOCAL LAW REGARDING ENERGY MYGOV.US City of Grapevine I MECHANICAL PERMIT B,F,H,M,S,U {SF) I MEBFH -15 -46171 Printed 01/06/16 at 5:18 p.m. Page 1 of 3 CONSERVATION WILL BE PERFORMED IN ACCORDANCE WITH THOSE LAWS, AND THAT VERIFICATION OF ENERGY CODE COMPLIANCE SHALL BE SUBMITTED TO THE CITY UPON REQUEST. Signature Date MYGOV.US City of Grapevine I MECHANICAL PERMIT B,F,H,M,S,U {SF} I MEBFH -15 -4617 I Printed 01/06/16 at 5:18 p.m. Page 2 of 3 January 6, 2016 The attached application is for a Helicopter Lift Request. Please sign the attached memo and forward packet to the City Manager's Office. Once City Manager has signed please return to Connie Cook, Development Services. Melanie Hill, Risk Manager Bruno Rumbelow, City Manager Thank you, Connie Cook Development Services (817) 410 -3158 Permit will not be issued until FAA APProval has been received. MEMORANDUM CITY OF GRAPEVINE, TEXAS TO: BRUNO RUMBELOW, CITY MANAGER MELANIE HILL, RISK MANAGER FROM: SCOTT WILLIAMS, DEVELOPMENT SERVICES DIRECTOR / BUILDING OFFICIAL SUBJECT: HELICOPTER LIFT REQUEST DATE: JANUARY 6, 2016 Attached is a request for a helicopter lift are scheduled for January 9, 2016 at X830 A.M., for 650 Industrial Blvd., if it meets your approval, please sign below: /o; 00 OACCook\HelicopterMemorudum HOLD HARMLESS AND INDEMNITY AGREEMENT PROJECT ADDRESS: Wrico Stamping, 650 Industrial Blvd., Grapevine, Tx. 76063 NATURE OF OPERATION: Air lifting Air Conditioning Units DATE OF OPERATION: 1-9-2016. I, Linda Norman. the undersigned, representing 5 -State Helicopters, Inc., binding my heirs, executors, administrators, administrators, estate and assigns, do hereby agree to completely and wholly release, indemnify the hold harmless the city of Grapevine, its officers, agents, Independent contractors, and employees from any and all claims, damages, Harm personal injury, including death, property damage, lawsuits and judgments, including court costs, expenses and reasonable attorney's fees, and all other expenses resulting from any and all activities conducted within the city of Grapevine, Texas. It is the understanding of all parties that this release, indemnity, and hold harmless agreement shall apply whether or not the claims, damages, harm, personal injury, including deaths, property damage, lawsuits, judgments, court costs, attorney's fees and any other expenses arise from the negligence of whatever nature, omissions, willful and intentional acts of this individual, company or company's officers, agents, employees, independent contractors, other representatives, invitee, licensee, or guests. I the undersigned individual and/or company or company's officer certifies, warrants and represents that the individual whose signature appears below is duly authorized to execute this agreement on behalf of the firms, corporation partnership or other entity who will operate within the city of Grapevine, Texas. In witness whereof, this agreement has been executed this & rh day and (month) 1111M Shp 2016 COMPANY: 5 -STATE HELICOPTERS, INC. BY: LINDA NORMAN (printed) _1,. 0411 ATtirm R Af TITLE: OWNER (simature) (1" J4in,,� STATE OFj�, COUNTY OF,< This instrument was acknowledged before me on this the Z, X4 _DayoV,,,.,_ 2016 NOTARY PUBLIC IN AND FOR THE STATE OF Ty, • c My commission expires 1 v! .• 24 i signature. - �� LINDA MAE VA WT µr eamnww €y*" Mry 8, 2077 KP�� 0 Caledonian Insurance Group, Inc. Certificate of insurance Ccstlf eso, Ni nbe': • This is vocenlfy that Iltapolicy(im) ofinsurnoccas described below hove been issued so be Insured for wham thew CerliBesie1s sweated and tsrue,n muscat this time, This Cce ficateis issued (orinfonnaionanlyandennfersna rights upon theholder. Thu Cemlicm< neither aff metrwly not negatively ameruls. amends or ulmn the coverage affoNci by such policylies) or binders) stated herein. This conifmals cancels and supersedes all previously Issued renificates. Certificate Holder: City of Grapevine PO Box 95104 Grapevine, TX 76051 Named Insured: 5- Stare Helicopters. Inc. Coverages 285 BLackland Road Aircraft Liability Roysc City,TX 75189 4746 Policy Type: Aircraft Hull & Liability and Aviation General Liability Policy Policy Period; February 01, 2015 to February 01. 2016 both days at 2:01 am Local Standard Time at the addresn of the Named Insured shown Cargo Legal Liability above. losurcr(s): Company Policy Nola). CerliBate Provisions StmNcr Insurance Company through Berkley Aviation, LLC Aircraft Covered: Sikorsky S58T, N4XY: Sikorsky S58T, N6BL Coverages & Limit Aircraft Liability Coverage Limit Combined Sin &Ie Limit Bodily Injury, including Personal Injury and Property $10,000,000 each axurrence as respects Sikorsky S -SBBT and Sikorsky S -58ET Damage Liabilny(FAcluding Passenger Liability) type uircm0. Cargo Legal Liability Coverage Limit Cargo Legal Liability including Slung Lords 5500,000 each occurrence. subject to a deductible of 51,000 each claim. CerliBate Provisions Additional Insured h is agreed that the Certificate Holder is included as an Additional lnsurcd under the Aircraft Liability Coverogcs, but only to the extent of liability vicariously imposed upon the Certificate Holder solely as the result ofan act or omission of the Named Insured of its employces in connection with the Named Insurcd's Aircraft operations, subject to all policy terms, conditions and exclusions. k—�� Cerd(katte Dalet 1/22/2015 gn0mrized Representative 3023 Both Avenue S.E., Suite 300 Mailing Addreas: P.O. Box 60, Mcrpx Island, Washington 98(140 -0060 Phone: (206)232 -9870. Fax: (206) 232 -9515 5- STATE HELICOPTERS INC. "AERIAL CRANE SERVICE" 285 BLACKLAND ROAD ROYSE CITY, TEXAS 75189 972 - 636 -4009 800 - 543 -8442 FAX 972- 636 -1300 FAA CERT. LDUL599B PROCEDURES REQUEST PER 8900.1 CHG. 89 Congested Area Plan DATE: 1 -6 -2016 5 -STATE HELICOPTERS, INC. If a problem or safety hazard exists 285 Blackland Rd. the ground persons /crew with radios will Royse City, Texas 75189 notify the pilot to move the helicopter to a 972 - 636 -4009 safe area 800 -543 -8442 972 - 636 -1300 FAX CONTRACTOR: C & S Air Inc. 2214 FM 1187 98 Mansfield, Texas 76063 JOB SITE: Wrico Stamping 650 Industrial Blvd Grapevine, Texas 76051 HEIGHT OF BUILDING: 40 Ft. TOTAL OF LIFTS: 5 rtu's up 2160 lbs DATE OF LIFTS: Time; approx. S-39-am /D. 6'C /Im N6BL, N4XY, N6VY SIKORSKY S -58T STANDARD CATEGORY PILOT: Bradford S. Ladue Comm. Cert.. 2760587 PILOT: Scott Bradford Ladue Comm. Cert. 3250744 Length of the cables estimated 75 Ft. CONTACTED: DFW Airport: FAA: City of Grapevine: Scott Williams 817410 -3158 (Connie Cook) Police: Supervisor: Karen Ballard 817 -410 - 8127 {� �y /i.'i CJ l LC / LA->1c2r SIGNATURE OF RES ONSIBLE COMPANY OFFICIAL 2016-01-07 08:41 FAA NTX FSDO 2142778570 >> 9726361300 5- S'I All: I IFLICOPTIRS INC'. "AERIAL C'RANL: SLRVIC V.- 285 BL.ACKLAND ROAD ROYSL CI'FYJ I:XAS 75189 972- 636 -4009 8110.543-8442 FAX 972-630-1300 FAA CERT. LINA.59(?B PROC1': )HMS R EQ1 dLS I' ER 8900.1 (110. X9 C•ongestcd Area Plan DATE: 1-6-2010 5- STATI: HI LIC'OI''I'ERS. INC. 285 Blackland Rd. Ruyse Cily. Texas 75181) 972-636 -4009 800.543 -9442 972. 636.1300 FAX CONTRACTOR: C 2 S Air Inc. 2214 FM 1 187 88 A•lanslield. Teas 76063 JOB SI "1T: Wrico Slamping 6501nduslrial Blvd Cirapev ioe. 'Pmts 760 1 FIF101-ff OF BIIILDINU:40 Ft, TO1'AI.OF LIFT'S; 5 rtu'S up 2160 lhs Ifa problem or scdot) ilward csisls the ground personsrircw Wilh radius mill notif ;v the pike to move the helicopter to a sale area MR. N4XY. N6VY SIKORSKY S -581' SIANDARDCAIFGORY Ill L0 Bradlin•d S. LOU Comm. Cell• .2760587 1'I1.0'f: Scutt Brudlhrd Laduo Comm. Cerl. 32514744 Length of the cables estimated 75 H. P 1/4 DATE car LILTS: APPROVED 1.16 -1016 with rain date of I- 17-2016 Nrxs $W�9 I approx. 8:311 am $Y. �- - DATi r : CON I'A( I M): DFW Airlwrl: FAA: ( City of Grapevine: Scott W dliams 817 - 410.31 159 (C'onnic ('uuk) Police: 5ulwrvisor: Karen Ballard 317. 410 -8127 t..r„1 t.� SWNATURri OF RN S1`ONSIHI.1 COMPANY t)FI IC'IAL DATE: 1 -6 -2016 5 -STATE HELICOPTERS, INC. 285 BLACKLAND ROAD ROYSE CITY, TEXAS 75189 972 - 6364009 800- LIFT442 FAX 972 -636 -1300 FAA CERTIFICATE # LDUL -599B CONGESTED AREA PLAN - EXTERNAL LOAD LIFT TO: FAA OFFICE: NORTH TEXAS FSDO 214- 277 -8500 JOB SITE Wrico Stamping 650 Industrial Blvd Grapevine, Texas 76051 SCHEDULED DATE AND TIME OF OPERATION: 4;3llam- CONTRACTOR: C &S Air Inc. 2214 FM 1187 98 Mansfield, Texas 76063 f -(?- /G /0, Cc?A 1» 1- (62016 itlr ' CONTACT PERSON: Derek 817 -477 -2665 Cell: 817- 707 -8821 AIRCRAFT: S -58T N -6BL , N4XY , N6VY STANDARD CATEGORY PILOT: BRADFORD S. LADUE COMM CERT. # 2760587 SCOTT BRADFORD LADUE COMM. CERT. #3250744 LOADS: NUMBER TYPE WEIGHTS 5 rtu's 2160 lbs CARRYING HAZARDOUS MATERIAL: no DESCRIPTION: CONTACTS: DFW Airport: FAA: City of Grapevine: Scott Williams 817410 -3158 (Connie Cook) Police: Supervisor. Karen Ballard 817410 -8127 1 SIGNATURE OF RESPONSIBLE COMPANY OFFICIAL 2016 -01 -07 12:58 FAA NTx FSDO 2142778570 >> 9726361300 P 3/5 <.'%IAII III -LIC )PIFRS.Id( :8 > III -WK1 \\1)IMAI) ROYSI•. ( I FY, I I \ \s 7j180 472•636 -40114 8011.1 It 1 4 I, i A\ 972-6.36-1100 I \.A ( I.!( I It I(-A 11', c I.1)t;,•58yB DA I I : I •6•2016 ('UA)(iI.SI I.I) ARL:\ I'L• \\ I.\ II RNA 14 )V 11,11. 1 It):IA.AI)iH(I NOR] II IFXAS I SUf) :14- .77 -K,nl' APPROVED NTX F 0 SW19 A III til 11, y - \Cricn SlampinP (lift ludu %vial 1110 DATE—.'-- r• Z i b Orppoinc. I 760.51 xau;uu ONI-R A CI Oil t A:S Air Inc. "1.4 1 M 1187'•48 \len.licid, f:�,t�7606; •I'M7-3t1I4r m1(t ntirtln"4-f -4-* - ?(Llliix}+IM'rk (()\ I':\C' I MAN \. j) td 81 ?- 477• ?fi65 (01: 817.707 88? 1 AIRCRAH S -5 %I K-61i1 . K4XY , \6VY \ IAKhARI)(A I'I.(iOKN' 111101: BRAIWORI)S,LAN TC•ORI61C R1,it?740j87 SCOilI II(AOIOIll)IAM1.CCt\IM0Ill ++2140744 IOAIK NVNIIlllt I\'PI. UIKdIIs ? rtu'� :160 I6� L. ARRYI \'f 1 I W -ARIMI IS MM Iil(IAL : no DI-SCRIH IOti: (ONIACIS ( ' t ih ul'(irapct ntc: Saa1 1\'illintm 817410.31 S8 CC unnw (+atA) 1'uliac: Sulxnisur: K;uun Ballard 817.410.8127 Sit NA I'I RI' 01 RI SPl )\SI IM; C tMPANY OF I ICIAI 2016 -01-07 12:57 FAA NTX FSDO 2142778570 >> 9726361300 2016.01.07 08:41 FAA NIX FSDO 2142778510 ,), 4726361300 AI HIM 1, RA \I \I III, 1( "1 28 ±t .m Imm) im-N, t'II\', I \\ \7iINN IA\ I A \ 1, *—R1 I ul I ,'T'3 111 s I %I (71 I s 1 1'11( tiNU11 I t -{It >;v ;)A if I (.•allf, 1:1 I1 1111 if ()!11111\.1 \i XI III• iy l.gd5' 1 I)\; 1W I(,1 144Alf llu 22 IQU \111. I• \U Ind.,.: !PK1111III Ill �;I IAM1 -:111 I(1111 t)P1111�. L'e _ I •lis ^tb oC'.. .,11. r,¢tnlx '• \dl r.rris P. •11 - -I !o -10 v .'.a' by :iur1Kr to a ,.rlt ,I:or ;SI \d \'I b.\ i \IV,INtsnY \.tkl oil r t �'Ir 011.0 c 1,11L0: 1.111,, It.%,III, 1'a1C ,1:r1�u(I 1�. ?u1h I in7C..1111quN. B 111 .lit P 1/5 P '/4 APPROVEd` -• NTX.FS, ... $W 19 BY:- DATE- -Z llr.rnr Iln : 2016 -01 -07 12:58 FAA NTX FSDO 2142778570 >> 9726361300 5 -NIAIF 111 11( I11'11It>I $ 284 141 M KI AN Itc).\U Ito) SE ('i I 1 . I I XAN 7� 18`) ')7' -h �a.lunll 8uu- �- Ll- Baa.'. 1 0110 '110 01 IFS I I'I It 8011(1 I ('I Ili 89 l',nt�t��lyd:lrr:1 Platt 1) \I I I -(, -'o l O > -SI \II, III 1 K (WII kS, I \(' Hlacl.l:utd Rd Rut rt'11t. I SO 8011-54.1-N442 N7 -'. -h ip.J(Ill'1 8011. G.J t -8a 7.'. 972- 616- 1j(f11I 1\ ((IN IKA( It)k: ('K\ \a'Inr '11 1 Al 118 -�:N JOH Si l I \\ ricn Siampinf.l bill ludu.lr1,11 Ilhd i ir:IpCt ❑R', ; a \II, 'bU'. ; Iil 16111 01 111 II DIN(i. 401 t. IOI \I OI LII I S. till'`, ul, ? 166 Ilia 1),111 111 I II 1, I- I r, -2U I (. we11++r1 „+-d ❑er+�1: F- i3.?tt}h- / I ' !c If a pwhlrnt ,11 "Alct+ harard c. .Nigh 11tc pound Iwson, art, ttith radltn trill n..,llk 16; I,ilo1 1t� mhtr the hcllvyurr tt, a "alr arcu \6141 . \-i $ ', \Y,\'\ I'll l ) I _ H r.1d ilm d <. I ad Ue l'onim. Ccrt '1760587 I'1I 11 i . ,, -„u IIF,t hI rd I ;1duc I rni!lll „I 14c iahlc. rurotaled 7? 1 1, APPROVED NTX FS 0 SW19 BY." DATE.'— a 1.7 \ c . r(INIM ill): - "\ . ('if) ul I I1.1110 mr `a,u \\ it Imins 817 -a 10 -.i 158 I('onnic (rol I Polirc: Supert isor Kiiren Hallurd .417-411)-9127 1,,..., ( 1, v- : n k t- SRAA I I Ill ()I kl ti11O\NII l I (O\IP.% \\' OI I I('1 \1 P 2/5 NARRATIVE OF PLAN OF OPERATIONS: 5 -STATE HELICOPTERS, INC. Congested Area Plan Job Site: Wrico Stamping 650 Industrial Blvd Grapevine, Texas 76051 DATE OF JOB: I 1 6 015 END OF JOB: i ENCLOSED ON SKETCH ATTACHED TO THIS REQUEST Flight path from the staging area to where the equipment is placed on the building will be cleared of unauthorized persons. Estimated of how many floors of the building will be penetrated if the load is released at the maximum height when lifted above the roof is none. But for safety reasons the area of the building being lifted over will be vacant. Estimated Length of cable in feet: Approximately 75 feet. Emergency landing area: Unless otherwise noted on the plot plan, the helicopter landing area and pick up site will be the emergency landing area. Additional Information: This is a existing Building with a new construction add on. The section of the Building being lifted over will be vacant during the lifting of equipment. No unauthorized persons will be allowed into the operational area of the job site during the lifting of the equipment to the roof. The parking lot on the south side of the building will be used for landing, staging, and emergency area. Helicopter landing area will be secured before the helicopter arrives and will remain secured until the helicopter has left the area. Contractor and superintendent of the job site will close the operation area so no unauthorized persons will be allowed into the parking lot during the lift. The path between the staging area and where the units will be placed on the roof will be clear. No unauthorized persons will be allowed in the lifting area. Safety briefings that are given by 5 State Helicopters crew will be given before the lifting begins. The operational area will be surveyed by 5 State Helicopters crew for any safety hazards before the lifting of the equipment begins. If any safety hazards exist the contractor will be required to eliminate the hazard before the lifting of equipment begins. 5 State Helicopters crew has radio's and will taking with the pilot at all times during the lifting process. If for any reason there should be a safety factor arise they will immediately alert the pilot . The pilot will move the helicopter to a safe area until the risk has been corrected. Lifting area could be anywhere inside the operational area due to the contractor and or superintendent moving the equipment before the helicopter arrives. Flight path will be within operational area. SIGNATURE OF RESPONSIBLE COMPANY OFFICIAL 2016 -01 -07 12:58 FAA NTX FSDO 2142778570 >> 9726361300 P 4/5 VAIMA I IVI• III pl AN 111-014 RA I11> \S. 3•S I A I I I II:I Il •1)P 1 1 RS. INN ('ongosled Area Plan ,lob 4ity: IN reo Stamping hurl Indu+irial lihd { irnpr%inc, I eVa i60> I APPROVED NZ)iF7SD SW19 r BY I)9II 1)1 .1(114: ✓•- k(,? tNYr .e�Mrniminlr:•n►- }�{•�r.?y}y i 'J -�. LINO t )F fi t )I l DATE:--- h\t'I 0SLU UN SKI I( 11 A I I ACI11 1) 10 1 HIS RFQI II -VI 1 11,;61 path lionl Ihv slagin;, area to Owe the cyugwucni I. pl;tced on the buildinp w ill he chard of un:unhoriied persoas. I slunaled of litm man% Iluors of 111V building „ill he pcnetr;aed it the hind IN rcka`cd at life m;niuwm hoeht when filled al>t,%: the fool n none. Ilu1 fill sale%% Icav,n, the area of the budding hciup Idled oevt w Ill Ile vacant. +limated I cnglh of cahlc in feel. ApproNiauftcly -5 lie( I mergene,% handing area! 1 InlLm oilwm iav allied till die 111411 plan, the helicopter lauding urea and pick up sac• %till he the cnmrg",.t landma mca. Additional Inlornunion: 1 lit, {. it esi+tiug Huildmt %% ills a nco connb uelion add on, I he section dllic fitilldmg hciup lilted It%cr % % ill lie %acatil during 11w Ithinp of ryuquncnl. No unawhurvcd penoue %% ill by :dlot%cd into the olverwional arch 0'Ilte doh site during the hlting,d'Ihc equipincnl la file 1`0111 1lte pafking till till the south side ollhe building %till he used (or landine. +wgmp. and vmerganc> arva. I leliva11ter land Ill p area wdl he wcurcd before the heli,.opier urfi%v%told %%III remain secured unfit file helicopter till, tell tile area ( aniRlclor .Ind +rlpvi imcndent ol'Ihe (o6 site will %losc div opermio i area so tin uu;uulloriied peroon, 1% ill he alla%wd into the pocking till during the lift, I he path da•itwen the slaving area and %% here (tic unit+ „ill he placed on Ihv rool• %% ill he clear No noamhonteJ perswts it Ill he all0acd ill (lie lilting area Sales limfings that are got of hl 5 Stale I leliiopters crca %% ill be giwii helore life lifting hcgins. 1 he o!)cruional area %sill be sun -v)ed h% 5 Wale I lchtl%pivrs crew for am sul'cly haiards Ivliorc the lifling olthv equipment lMglll+ 11'any .alit% h:vatds e%i +t the contraclor will Im rvquired to eliminate Ihv fi vard h6vc dlv lilifngoi' equipment begins. 5 Sane Ile Iiccry%A•rs cro% has radio'. and w ill ufkine +%i Ill Ilse Pd)till all lime, during III lifting pnteess. 11' fi,r and reason ihcrc should be It saIvI% I' it: tfit arm, the% %%III inunediateh alert Ihv Pilo( . 111a: pilot a dl nw%c the helicopter It- a sale aria until the rink has liken coireovd. Lilting urea eoldd he um alien insufc file operntion:d :fruit due it, the n+uiratior and n1` superin radial ...%•n„ Ilw ,•n„ I . ,. 111 1..1: n,. i.. !,..I' ,on<•, ! -!: ^ht to J.., 71 b. .. sees �� .,. I r ' , SIG \ -11I RI H RI �PU\SIBI l COMPANY ORICIAl. PAGE 5 -STATE HELICOPTERS, INC. Congested Area Plan JOB SITE: Wrico Stamping 650 Industrial Blvd Grapevine, Texas 76051 DATE OF JOB: _ /" ci._ 116 TrkUE alpmximata4y_&10am 101'G019M There are power lines and light poles in the area but, will not cause a safety hazard to the lift. TODAY'S DATE: 1 -6 -2016 PLAN PREPARED BY: Linda Norman Should a weather, mechanical or material delay be experienced this CAP is approved for the date and time lifted above plus 10 days. "with this extension 5 State Helicopters, Inc. will re- notify all Contacts listed on CAP FAA: NORTH TEXAS FSDO APPROVED BY: FAA STAMP: THIS COMPANY COMPLIES WITH THE "CODE OF ETHICS: OF THE HELICOPTER ASSOCIATION OF AMERICA. 2016 -01 -07 12:59 FAA NTX FSDO 2142778570 >> 9726361300 P 5/5 P UIL J >•til':\II IIIIIt(W Ili1.I\t'. Congcstad Arc:t Plan Jt41 5111: A ricer Slantpntt: 00111,141.11 ml Iiltd tlrlpc%tnc. Ics;n •AtliI f{ti11:..a}tptu�ilu�lil)_s;u I hart ow pnstcr lines and Iighl pules in Iha area 1101. %I ill not cause a +,111111 haiard to the 1iII. I ( )DA 'S 1) \ I I : 1- 6.21116 VI..AN PRI PARI D lit" Should a %watitcr. mceh:utic:d it matcn.d darn he c\pericncc.l this ('.w is 0pprmcd for the data and lints liticd ahut c plus III dai s. v'nilh IlIk C,,Icn >ion 5 Slaw I Iclicuptcn. Inc, till rc•nutil all Contacts k led un ('MI FAA: Volt I I I I I X:\5 I-SDO APPROVED N7XKf -§D W19 BY: _. DATE: w, I u ,. u. I IIls tYMIIA \1' OM11'1 It \1 \\ I I II 1111 '•( )1 )1 1 II 1 11 11( S: !11 1111 1 IF]. 10 W R qtr . �► IlRllr r... w_7 „'r•Q� :- it i�� t3s Ila Mp 1 DATE OF LIFT: Bin ISn TIME • .. SEEN 1 ��ii.l� • C7 Illlll i Mag 13.00 Wed Jon 06 14:56 2016 Scale 1:62,500 (at center) 1 Miles am Club [COPTER WILL NOT BE E J 125 FT. ABOVE A 40 FT. m N IA DING WHEN AIR G NG < PMENT TO THE ROOF. z $ r WILL BE IN ONTACT I CONTROL TOWER. N by w2m �w \ p f MQ 4R)ES ` .� `Emlo CRIES -izr' H t 8 `C k1Gotf And Ragaat - T�pf��'' p \j / Hyatt N — Local Road Small Town — Trail — Airfield Interstate/Limited Access Park[Reservation Major Connector 'y'�Sched Service Airport State Route Locale Exit + Private Airport Railroad Cemetery Point of Interest County Boundary �E re KArid Raguet Club - W69ft 3. i I_-E aROOKSwRe �I E CONTINENTAL J --_ - -. GGD I - n n 26 5 STATE HELICOPTERS, INC. ,__ X ,_ 1114 — FRITCHARD CANDLE m HARVESTMOCN COVE CREEK SCIi If WILLOW gv evJWQ*Ay z 4 Z G Tre 2a �N 0 WRICO STAMPING zr m N y� 650 INDUSTRIAL BLVD 2 r GRAPEVINE, TX, 76051 `s 2001 DeLDme. Street Atlas USA; C 2001 GDT, lnc_ Rel. 0112001 m fy )14 Q� Mag 15.00 Wed Jan 06 14:412016 DATE OF LIFT: Scale 1:15,625 (at center) HEATHEN Access 1000 Feet - - - - Major Connector � " " - -` State Route alEtsEA FAA: N32° 55.918' $ Railroad TIME APPROX.44e W97n 06.154' 11 FERN RiverfCanal SURK u W COLLEGE BERKLEY Y\114 OXFORD LN :ESTER EATON tN W HUDGINS aROOKSwRe �I E CONTINENTAL n n 26 A D m Z Z 2a � I Si 0 w >� zr MUSTANG on > 2 2001 DeLDme. Street Atlas USA; C 2001 GDT, lnc_ Rel. 0112001 m fy Mag 15.00 Wed Jan 06 14:412016 Local Road Scale 1:15,625 (at center) O Interstate/Limited Access 1000 Feet - - - - Major Connector 500 Meters " " - -` State Route FAA: Railroad Water RiverfCanal m m MUSTANG CRORatos c 3 o le,�� If 5 STATE, HELICOPTERS, INC. 9"SMAL - d'? 2001 DeLorme. Street Atlas USA: ,r 2001 GDT, Inc„ Rel. 0112001 Mag 16.0D Wed Jan D6 14:06 2016 — Local Road Scale 1:1,963 (at center) State Route 200 Feet 50 Meters ry a t I y "I � I 1 I La i - ) 9 �I Tre.l� t I N v .2 I 1 ! J bperAit orv» I flr en ! rHss E31 n' \4 s - Cr _ p H U ? I" �I`Ln�td:Nq a rKl ti !4 ) Sray ror G-DT ly TrQss" ) rmeryer„ey @ �I grt9 Ss 9"SMAL - d'? 2001 DeLorme. Street Atlas USA: ,r 2001 GDT, Inc„ Rel. 0112001 Mag 16.0D Wed Jan D6 14:06 2016 — Local Road Scale 1:1,963 (at center) State Route 200 Feet 50 Meters ry a 5 STATE HELICOPTERS, INC. IMA lrmusrrtw \ L' 1 t I i � I t' l d¢KET LOOP I i6 Q'%re A? y i IC1 a f 1 `w t ,E � !! s t, ea)llg7p� 1 /{ f�I E Sirml Atlas USA: C 2001 GUT, Inc.. Rel, 0112001 WA i V 2001 DeLonnt. Mag 17.00 Wed Jan 06 13:58 2016 — Local Road Scale 1:3,906 (at center) O Interstate /Urnited Access 200 Feet State Route 100 Meters - Exit _ Railroad Water IMA lrmusrrtw \ L' 1 t Page 1 of 1 Linda Norman From: "Linda Norman" < Date: Thursday, January 07, 2016 11:48 AM To: < Attach: 2016 -01- 06- 15- 31- 16- 01.pdf Subject; Fw: Request to enter into DFW Airspace All the same below will remain Date request is being changed to: t. 1 -9 -2016 G( Time: approximately. 10:00 am From: Linda Norman Sent: Wednesday, January 06, 2016 3:39 PM To: ; Subject: Request to enter into DFW Airspace See Attachment 5 State Helicopters, Inc. is requesting to enter into DFW Airspace for the purpose of air lifting equipment to the roof at. Wrico Stamping 650 Industrial Blvd Grapevine, Texas 76051 Date: 1.16 -2016 Time; approx. 8:30 am Helicopter. Sikorsky S68T Call Sign: N4xy or N6bl or N6vy Pilot: Bradford Scott Ladue Comm. Cert. 2760587 Scott B, Ladue Comm. Cart. 3250744 Pilot will request to enter into DFW Airspace. When permission is given the pilot will let the control tower know when he is over the site. Pilot will be landing on the ground for approximately 30 minutes to get crew on the roof and rig the helicopter for lifting. Then the pilot will radio the control tower and ask for permission to lift up and start lifting. (5 lifts) lifting time approximately 15 minutes. When the lifting is complete the pilot will radio the control tower and let the control tower know he has completed the lift and will be setting the helicopter on the ground to load crew and rigging equipment (approximately 30 minutes) Then the pilot will radio the control tower and ask for permission to lift up and depart to the east and leave DFW Airspace. 5 State Helicopters Inc. Linda Norman Tel:972- 636 -4009 Fax:972 -636 -1300 Cell: 214- 212.6062 www.5state.com 1/712016 ITRANSMISSION VERIFICATION REPORT TIME : 01/07/2016 12:06 NAME : 5 STATE HELICOPTERS FAX : 9726361300 TEL : 9726361300 SER.# : A3J152697 DATE,TIME 01/07 12:05 FAX NO. /NAME 18174103260 :00:29 PAGE(S) 02 RESULT OK MODE STANDARD ECM 5 -STATE HELICOPTERS, INC. 285 BLACKLAND RD ROYSE CITY, TEXAS 75189 972 - 636 -4009 972 -636 -1300 FAX linda@5state.com Linda NormanL�t' ci" 7 MC° City. of Grapevine, Texas Dispatch C ha k q 6 Att: Supervisor Karen Ballard And all supervisors Ref: 5 -State 14elicopters, Inc. landing for purpose of air lift equipment: 5 -State Ilelicopters, Inc. will be in the city of Grapevine, Texas Date: /D: 00AI1 For the purpose of air lifting air conditioning units to the roof of: Location: WOO Stamping 650 Industrial Blvd Grapevine, Texas 76051 This memo is to let Communications! dispatch know the helicopter will be at the site from approximately 8:30 am to approximately 10:00 am If you have any questions please call Linda Norman, at 972- 636 -4009 or cell at 11A 111 CAEn