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Home My WebLink AboutHLP2016-4025 HELICOPTER LIFT PERMIT Issue Date:October 18,2016 PROJECT DESCRIPTION:Helicopter Lift,October 19,2016 at 1:30 p.m.with Rain Date of October 20,2016 -" at 1:30 p.m."Mercedes-Benz" 1� PROJECT# (817)410-3010 WWW.mygov.us \" HLP-16-4025 Inspections Permits City of Grapevine P.O. Box 95104 LOCATION TENANT LEGAL Grapevine,TX 76099 4301 Lakeside Pkwy. Mercedes-Benz Learning Mercedes Benz Elk 1 Lot 1 (817)410-3165 Voice Grapevine, TX 76051 Performance Center No. 1691Baker,James M Tr 1 (817)410-3012 Fax Acres 31-211 CONTRACTOR INFORMATION 5 State Helicopters Inc —APPLICANT NAME Linda Norman OWNER "APPLICANT PHONE NUMBER 1-972-636-1300 City Of Grapevine APPROVAL CITY MANAGER YES APPROVAL DEVELOPMENT SERVICES YES APPROVAL RISK MANAGEMENT YES County Dallas DATE&TIME OF HELICOPTER LIFT 2016-10-19 01:30 pm RAIN DATE FOR HELICOPTER LIFT 2016-10-20 01:30 pm Zoning LI-Light Industrial MYGOV.US City of Grapevine I HELICOPTER LIFT PERMIT I HLP-1640251 Printed 10/18/16 at 3:04 p.m. Page 1 of 1 MECHANICAL PERMIT B,F,H,M,S,U {SF) �11��il3G�1 3 i7 Issue Date:September 21,2016 PROJECT DESCRIPTION:Install HVAC System&Duct Work For New Commercial Construction."Mercedes Benz Learning Performance Center,. PROJECT# (817) 410-3010 www.mygov.us MEBFH-16-3633 Inspections Permits City of Grapevine P.O.Box 95104 LOCATION TENANT LEGAL Grapevine,TX 76099 4301 Lakeside Pkwy. Mercedes-Benz Learning Mercedes Benz Elk 1 Lot 1 (617)410-3165 Voice Grapevine, TX 76051 Performance Center No. 1691 Baker, James M Tr 1 (617)410-3012 Fax Acres 31-211 CONTRACTOR INFORMATION Air Source Heating and Air Conditioning County Dallas State ID#TACLA93262C Square Footage 59215 1501 Mariposa Zoning LI-Light Industrial Mesquite,TX 75150 (972)329-1446 Phone FEES TOTAL=$596.51 Mechanical Permit IN/Building Permit $596.51 OWNER B,F City Of Grapevine PAYMENTS TOTAL=$596.51 PO Box 95104 Grapevine,TX 76099-9704 Air Source Heating and Air Conditioning (Steve L. Turner) AVAILABLE INSPECTIONS Check on 0912112016 ($596.51) • MISC. Mechanical Inspection (required) Note: CK#20467 • Mechanical Rough(required) NOTICES Mechanical Vent Hood (1st Wrap)(required) Mechanical Ceiling (required) ALL work must be done in compliance with the 2006 INTERNATIONAL Mechanical Duct(required) MECHANICAL CODE. Mechanical Vent Hood(2nd Wrap) (required) Mechanical Final(required) 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. MYGOV.US City of Grapevine I MECHANICAL PERMIT B,F,H,M,S,U{SF)I MEBFH-16-3633 I Printed 10118/16 at 3:00 p.m. Page 1 of 3 GRAPEVINE T E X A S October 14, 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 F_A 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: OCTOBER 14, 2016 Attached is a request for a helicopter lift scheduled for October 19, 2016 at 1:30 P.M., for 4301 Lakeside Parkway with rain date of October 20, 2016 at 1:30 P.M. if it meets your approval, please sign below: Bruno Rumbelow, City Manager Melanie Hill, Risk Manager O:\CCook\HelicopterM emmandum HOLD HARMLESS AND INDEMNITY AGREEMENT PROJECT ADDRESS: Mercedes-Benz (new construction) 4301 Lakeside Pkwy, Grapevine, Tx. 75019 NATURE OF OPERATION: (air lifting air conditioning uinits) DATE OF OPERATION: 10-19-2016 with rain date of 10-20-2016 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 day and (month) &_1 , 016 COMPANY: 5-STATE HELICOPTERS, INC. BY: LINDA NORMAN (printed) o TITLE: OWNER (signature) � STATE OF r s. COUNTY OF This instrument was acknowledged before me on this the /fr n Day of 61 2016 NOTARY PUBLIC IN AND FOR THE STATE OF KSFa c My commission expires�/,gr signature EEEI ■a W McGriff, Seibels & Williams, Inc. Certificate of Insurance Certificate No. Rev.Date:Jan 15,2016 This is to certify that the policy(ies)of insurance as described below have been issued to the Insured for whom this Certificate is executed and islane in force at this time.This Certificate is issued for information only and confers an rights upon the holder.This Certificate neither affirmatively nor negatively amends,extends or alters the coverage afforded by such policy(in)or binder(s)stated herein.This certificate cancels and supersedes all previously issued certificates. Certificate Holder: City of Grapevine PO Box 95104 Grapevine,TX 76051 Named Insured: 5-State Helicopters,Inc.and California Helicopter Airways,Inc. 285 Blackland Road Royse City,TX 75189-4746 Policy Type- Aircraft Hull&Liability and Aviation General Liability Policy Policy Period: February 01,2016 to February 01,2017 both days at 12:01am Local Standard Time at the address of the Named Insured shown above Insurer(s): Company Policy No(s). StarNet Insurance Company through Berkley Aviation,LLC Aircraft Covered: Sikorsky S58T,N4XY;Sikorsky S58T,N6BL Coverage&Limits Aircraft Liability Coverage Limit Combined Single Limit Bodily Injury,including Personal Injury and 510,000,000 each occurrence as respects Sikorsky S-58BT and Sikorsky Property Damage Liability(Excluding Passenger Liability) S-58ET type aircraft. Cargo Legal Liability Coverage Limit Cargo Legal Liability including Slung Loads S500,000 each occurrence,subject to a deductible of S 1,000 each claim. Certificate Provisions Additional Insured It is agreed that the Certificate Holder is included as an Additional Insured under the Aircraft Liability Coverages,but only to the extent of liability vicariously imposed upon the Certificate Holder solely as the result of an act or omission of the Named Insured or its employees in connection with the Named Insured's Aircraft operations,subject to all policy terms,conditions and exclusions. I -c..�J. Auth rizedRme atative - 3023 80th Avenue S.E.,Suite 300 Mailing Address:P.O.Box 60,Mercer Island Washington 98040-0060 Certificate No: Page I of I Phone:(206)232-9870.In:(206)232-9515 60274 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. 412 Congested Area Plan DATE: 10-14-2016 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 N6BL, N4XY CONTRACTOR: Air Source 1501 Mariposa SIKORSKY S-58T Mesquite, Texas 75150 STANDARD CATEGORY JOB SITE: Mercedes -Benz(new construction) 4301 Lakeside Pkwy PILOT: Bradford S. Ladue Grapevine, Texas 75019 Comm. Cert. . 2760587 PILOT: Scott Bradford Ladue Comm. Cert. 3250744 HEIGHT OF BUILDING: 30 Ft. Length of the cables estimated 75 Ft. TOTAL OF LIFTS: 46 rtu's and fans 5000 lbs and down in weight DATE OF LIFTS: 10-19-2016 with rain date of 10-20-2016 Time: approximately 1:30 pm CONTACTED: City of Grapevine,Texas: Mr. Scott Williams(Connie Cook) 817-410-3158 Dispatch: Supervisor: Karen Ballard 817-410-8127 DFW Airport: FAA: Wayne Eckenrode 972-615-2650 , Keith Alexander 972-615-2615, Gio Vanni Dipierro 972-615-2605 Greg Juro 972-615-2550 SIGNATURE OF SPONSIBLE COMPANY OFFICIAL Linda Norma] �� /�_ i 5-STATE HELICOPTERS. INC. 285 BLACKLAND ROAD ROYSE CITY,TEXAS 75189 972-6364009 800-LIFT-442 FAX 972-636-1300 FAA CERTIFICATE# LDUL-5998 DATE: 10-14-2016 CONGESTED AREA PLAN-EXTERNAL LOAD LIFT TO: FAA OFFICE: North Texas FSDO 214-277-8500 JOB SITE Mercedes-Benz (new construction) 4301 Lakeside Pkwy Grapevine, Texas 75019 SCHEDULED DATE AND TIME OF OPERATION: 10-19-2016 with rain date of 10-20-2016 Approximately 1:30 pm CONTRACTOR: Air Sourse 1501 Lakeside Pkwy Grapevine, Texas 75019 CONTACT PERSON: Steve Turner 972-329-1446 AIRCRAFT: S-58T N-6BL,N4XY STANDARD CATEGORY PILOT: BRADFORD S. LADUE COMM CERT.#2760587 SCOTT BRADFORD LADUE COMM.CERT.#3250744 LOADS: NUMBER TYPE WEIGHTS 46 rtu's and fans 5000 Ibs and down in weight CARRYING HAZARDOUS MATERIAL : no DESCRIPTION: CONTACTS: City of Grapevine,Texas: Mr. Scott Williams(Connie Cook) 817-410-3158 Dispatch: Supervisor: Karen Ballard 817-410-8127 DFW Airport: FAA: Wayne Eckenrode 972-615-2650,Keith Alexander 972-615-2615, Gio Vanni Dipierro 972-615-2605 Greg Juro 972-615-2550 SIGNATURE OF RE ONNLLE COMPANY OFFICIAL Linda Norman/`'� �� NARRATIVE OF PLAN OF OPERATIONS: 5-STATE HELICOPTERS,INC. Congested Area Plan Job Site: Mercedes -Benz (new construction) 4301 Lakeside Pkwy Grapevine,Texas 75019 DATE OF JOB: 10-19-2016 with rain date of 10-20-2016 END OF JOB: 10-19-2016 with rain date of 10-20-2016 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 new construction Building. The Building 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 North side of building 1 and south side of building 2 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 SPO SIBLE COMPANY OFFICIAL Linda Norman 5- S-1 A'I 1: 1 IFLICOPTERS INC. AERIAL CRANI' SIM110E" 285 IIIACKIAND ROAD ROYSI: CITY. TEXAS 75189 972-636-4009 800-541-8442 IAX972-630-13100 FAA CI R 1'. LIRT59913 PROCLIA RLS I&QUEST PER 8900.1 CI IG. 412 Conuested Area Man DAFF: 10-14-2016 5-S'IAFE1 HFHCOFIFKS. INC. 11'a problem or safer v hazard exists 285 Iflackland Rd. the ground persons crew With radios frill Ro*%.s,: Cit TL:xas 7i 189 ninify the pilot to more the helicopter to ;j sale area 800-543-8441 972-616-1300 FAX N6131.. N4XY COM RAC]OR: Air Source I�()I Mariposa SIKORSKY S-58'1' Nlesquitc. Texas 75 150 STANDARD CATEGORY JOB SH F: Mercedes - Ben/ (nc« cunsti 4301 L;ike.idc I'kN%\ Grapine. femt, 7DO19 P11-0f: BradIZ)rd S. Ladue Gripes Comm. Cert, . 2760587 P11.01 : Scott Bradlord LadUe Comm. Cert. 3250744 IILIGIJ FOF BUILDING: 310 Ft. Length of the cables estimated 75 Ft. ,IOIAI,OI LIFTS: 46 ilu',N and fiffls 5f)00 lb� and down in %wipfij DA 11, OF LIFTS: S: 10-14-2016 NNith rain date of 10-20-2016 Him: approximatet) 13() pirl Co\I A( I F D: Uik of(irzille%inc. I cml,: Swif Wjllianis lConnic Cook)817-410-3158 Dispatch: ',uperx kor: Karen Ballard 81'-410-811'7 IM %4 Airport: I AA: \3 a%ne lxkenrode Q7°-61 1_650 . Keith Alexander 972-615-2615. (iii) Vanni Dipicrro()72-015-2605 Grelp Jura 972-615-2550 SIGNA TIRE OF 14ESPONSIBI.F. COMPANY OFFICIAL Linda Norman 1 Ji- APPROVED SY. Z DATE: PAGE 4 5-STATE HELICOPTERS,INC. Congested Area Plan JOB SITE: Mercedes- Benz(new construction) 4301 Lakeside Pkwy Grapevine,Texas 75019 DATE OF JOB: 10-19-2016 with rain date of 10-20-2016 TIME: approximately 1:30 pm There are power lines and light poles in the area but,will not cause a safety hazard to the lift. TODAY'S DATE: 10-14-2016 PLAN PREPARED BY : Linda Norm 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. 5 STATE HELICOPTERS, INC :Lewisville 12, MERCEDES-BE- NZ r foun. m 4301 LAKESIDE PKWY "11 J y GRAPEVINE,TEXAS 75019 Its E 50 M hall('e It+ III LJ�\ BOZO POI '� POi EST Vf� \\ T ocRg Point DATE OF LIFT: 10-19-2016 N31-0 59.O53' 2 f TIME: APPROXIMATELY W970 01.838' ♦llralnut Grove Park lim p m M Q6A 1 ;30 PM F. °z .� aa86 WITH RAIN DATE OF 10-20-2016 rc c c1J BE TV MI ILL NOT R c edge Par HELICOPTER W ' ��+ c / - ni y Ills o vE DPI MORE THAN 125 FT. k Grove Pa k 6 <fqp Qz I m n Sandy Lake 444 u r r ABOVE A 30 FT.BUILDIN'G WHEN r zsl( o P.P. h t Co 1 AIR LIFTING EQUIPMEN Silver Law �+, k TO �_ COP LL j1(f 382 m LLJ I X11 UP THE ROOF. �rapevirl-e \ \\ p m �` F " 11 \ z m • o La PILOT WILL BE IN Y-'^ CONTACT y� p 6°� WITH DFW CONTROL "_° Y RD 30 TOWER D IIas/Ft orth Intern nal �- ran o. < w F ` ribble iHNB'Q I 360 TZr„ LL �'Fqc `A"ROYAL N EROYAL LN 1'p qLf� m 121 FTC �y .� r ° M �ers halgl ?pJ�J l[I]{I ,Cole VI lea= PtD R Q � I nr rk Trinin Rl, 26 I' B ^ 121 BON RD - lII d ylll � '. tt< 3� Highland A bz� q PA#ER RD ID CITIES �.O .WL 2 S R E ♦ / ,2. 360 u �,/ / Calil'om 00 lIn r R1ylr, 'I I� III �II y '> RD n 4 ...-.. _.. 200 .. 71. Mag 12.00 Fri Oct 10:05 — Local Road — Airfield Scale 1:1:125,OD0(at ai center) — Trail Geographic Feature 2 Miles Olnterstate/Limited Access Park/Reservation 2 km Major Connector Schad Service Airport State Route Locale Exit Cemetery Railroad County Boundary Small Town Water AT - _- QV y Sv� i it __--------------- Yv I„ I l e I I z 1 I ° . I I �V_ II 1 • I I � I I II I I � TRANSMISSION VERIFICATION REPORT TIME 10/14/2016 09:21 NAME 5 STATE HELICOPTERS FAX 9726361300 TEL 9726361300 SER.# A3J152697 AE 10114 09:20 FAX J FAX X NO.N0./(NAME 18174103260 PAGE(S}N 000:00:47 /L RESULT 5 MODE STANDARD ECM 5-STATE BELICOPTEKS, INC. ..�,. 285 BLACKLAND RD ROYSE CITY, TEXAS 75189 972-636-4009 �- �� itr' 972-636-1300 FAX Linda Norman - City of Grapevine,Texas Att: Karen Ballard and.all Supervisors Ref 5-State Helicopters,Inc. landing fbr purpose of air lift equipment: 5-State Helicopters,Inc. will be in the city of Grapevine,Texas Date: 10-19-2016 with rain date of 10-20-2016 For the purpose of air li£ling air conditioning runts to the roof of: Location: Mercedes-Benz 4301 Lakeside Pkwy Grapevine,Texas 75019 This memo is to let Communications/dispatch know the helicopter will be at the site from approximately 1:30 pm to approximately 4:00 pm If you have any questions please call Linda Dorman at 972-636-4009 or cell at 214-212-6062. Page 1 of 1 Linda Norman 7� , From: "Linda Norman"< Date: Friday,October 14,2016 10:14 AM To: < Attach: 2016-10-14-10-10-49-0Lpdf Subject: Request to enter into DFW Airspace See Attachment Mercedes—Benz 4301 Lakeside Pkwy Grapevine,Texas 75019 Date: 10-19-2016 rain date of 10-20-2016 Time: approximately 1:30 pm Helicopter. Sikorsky S58T Call Sign: N4xy or N6bl or N6vy Pilot: Bradford s Ladue Comm. Cert. 2760587 Scott B. Ladue Comm. Cert. 3250744 Pilot will request to enter into DFW Airspace. When permission is granted the pilot will let the control tower know when he is landing for approximatley 30 minutes to rig the helicopter and getting crew on the roof. Then the pilot will radio the control tower and ask for permission to lift up and start lifting. (42 lifts) approximatley 1 hour 20 minutes) When the lifting is completed the pilot will let the control tower know he has completed the lifting and will be landing on the ground for approximately 30 minutes to load crew and rigging equipment. Then the pilot will radio the control tower and ask for permission to lift up and depart and leave DFW airspace 5 State Helicopters Inc. Linda Norman Tel:972-6364009 Fax:972-636-1300 Cell:214-212-6062 www.5state.com 10/14/2016