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Home My WebLink AboutHLP2025-003796ADDRESS 3000 Grapevine Mills Pkwy., 525 Grapevine, TX 76051 LEGAL Grapevine Mills Addition Blk 1 Lot 1r3 S Sea Life Center Aquarium PERMIT HOLDER Susan Bitros 5 State Helicopters Inc (972) 636-4009 COLLABORATORS •Susan Bitros 5 State Helicopters Inc (972) 636-4009 OWNERS •Grapevine Mills Mall Lp (317) 636-1600 TENANTS •Sea Life Center Aquarium (212) 512-9600 INFORMATION FIELDS **APPLICANT NAME (Individual)Susan Bistros **APPLICANT PHONE NUMBER 9726364009 DATE & TIME OF HELICOPTER LIFT 10/07/2025 7:30 AM RAIN DATE FOR HELICOPTER LIFT 10/17/2025 7:30 PM READ AND SIGN Any changes to the date of the lift (not including the rain date) will require a new application to be submitted and reviewed. October 02, 2025 Signature Date City of Grapevine PO Box 95104 Grapevine, Texas 76099 817) 410-3166 Helicopter Lift Permit Project # 25-003796 Project Description: Helicopter Lift Permit October 7th with Raindate of October 17th for "Sea Life Center Aquarium" Issued on: 10/02/2025 at 11:57 AM MYGOV.US 25-003796, 10/02/2025 at 11:57 AM Issued by: Connie Cook Page 1/2 ��w�� '�� ~��0 ��*��~� --� '-�--' ��m~�`��m�~��m��=~m m—��"~~�mm PQ8mx95184 �� 0 � � v^^ ��=n�N� .~�~.~~.~_ �� Gnapnvine.Temm76OSS — 817)410-3166 Project # 25~003615 Project Description: Replacement of3O'1onChiller and a25' mnRTU^SeaL|feCemurAquuhum^ Issued on: O9/3O/2O25at1:4oPM ADDRESS INSPECTIONS 1 3UUOGrapevine Mills 1 Mechanical Final Pkwy..525 � Grapevine, TX76O51 INFORMATION FIELDS LEGAL —APPLICANT NAME (!ndividua|) Jonathan Mashburn Grapevine Mills Addition B|h1 Lot 1r3 °°APPL|CANTPHONE NUMBER 8178000340 S VALUATION 80000 Sea Life Center Aquarium Is DuctVVork BeinA !neta||e�? NO PERMIT HOLDER FEE TOTAL PAID DUE Jonathan Mashburn Mechanical Permit Fee Fort Worth Heat &Air $G87UU �G87OD �G87OO (Value) � � � (817)800-0340 TOTALS $G87�DO $G878U $O�O8 COLLABORATORS ~ Jonathan Mashburn READ AND SIGN Fort Worth Heat &Air | HEREBY CERTIFY THAT THE F(}REG0NG|SCORRECT TOTHE BEST OF (817)8DO-O34D MY KNOWLEDGE AND ALL WORK WILL BE PERFORMED ACCORDING T[} THE DOCUMENTS APPROVED BY THE BUILDING DEPARTMENT AND IN OWNERS COMPLIANCE WITH THE CITY [)FGRAPEVINE CODES REGULATING ~Grapsvinm Mills K4uH CONSTRUCTION. IT IS UNDERSTOOD THAT THE ISSUANCE DFTHIS PERMIT Lp DOES NOT GRANT C}R AUTHORIZE ANY VIOLATION (}FANY CODE OR ORDINANCE OF THE CITY [}FGRAPEVINE. (317)636-1600 | FURTHER CERTIFY THAT ALL WORK THAT IS REQUIRED TUCOMPLY WITH ANY FEDERAL STATE, AND/OR LOCAL LAW REGARDING ENERGY �EN�0�� ' ' CONSERVATION WILL BE PERFORMED IN ACCORDANCE WITH THOSE ~ Sea Life Center LAVVS, AND THAT VERIFICATION OF ENERGY CODE COMPLIANCE SHALL BE Aquarium SUBMITTED TOTHE CITY UPON REQUEST. September 3O.2U25 Signature Date Page1/2 INSUPANCE COMPANIES 3353 Peachtree Road NE, Suite 1000 Atlanta, GA 30326 Certificate of Insurance Certificate Holder: CITY OF GRAPEVINE 200 S MAIN STREET GRAPEVINE, TX 76051 Named Insured: 5-STATE HELICOPTERS. INC., CENTERPOINTE AEROSPACE, UH-60 EXPRESS. INC., AND AVIATION RESOURCES HOLDINGS LLC 285 BLACKLAND ROAD ROYSE CITY, TX 75189-4746 Policy Period: From: FEBRUARY 15, 2025 To: FEBRUARY 15, 2026 Policy Number: SASICOM60184925-05 Issuing Company: STARR INDEMNITY 8t LIABILITY COMPANY This is to certify that the policy(ies) listed herein have been issued providing coverage for the listed insured as further described. This certificate of insurance is not an insurance policy and does not amend, extend, or alter the coverage afforded by the policy(ies) listed herein. Notwithstanding any requirement, term or condition of any contract, or other document with respect to which this certificate of insurance may be concerned or may pertain, the Insurance afforded by the policy(ies) listed on this certificate is subject to all the terms, exclusions, and conditions of such policy(ies). Aircraft: Year Make and Model 1957 SIKORSKY S-58BT Reg Insured No. Value N4XY $ 650,000 Deductibles NIM / IM $ 10% OF IV/10% OF IV Liability Limit $ 5,000,000 CSL INCL PAX THE CERTIFICATE HOLDER IS A COMMERCIAL AVIATION CUSTOMER OF THE NAMED INSURED, AND, IN THEIR NON -OPERATIONAL CAPACITY AS SUCH. IS PROVIDED THE FOLLOWING: THE CERTIFICATE HOLDER IS INCLUDED AS ADDITIONAL INSURED, BUT SOLELY AS RESPECTS THE OPERATIONS OF THE NAMED INSURED. THE INSURANCE EVIDENCED BY THIS CERTIFICATE SHALL NOT APPLY TO, AND NO PERSON OR ORGANIZATION TO WHICH COVERAGE IS EVIDENCED IN THE CERTIFICATE SHALL BE INSURED FOR BODILY INJURY OR PROPERTY DAMAGE WHICH ARISES FROM THE DESIGN, MANUFACTURE, MODIFICATION, REPAIR, SALE, OR SERVICING OF AIRCRAFT BY THAT PERSON OR ORGANIZATION. Certificate Number: 181.1 Issued By and Date: MARCH 12,2025 (GD) By Starr 10200 (6/06) (Authorized Representative) ATE: September 30, 2025 TO: FAA OFFICE North Texas FSDO TRTIE �HELICOPTERS AMCRAMESEflUICES CAP# 100725 REFERENCE:JCONGESTEDJ/ CONTINGENCY - SAFETY PLAN [SATE: October 7, 2025 ADDRESS: Grapevine Mills Mall-525 TIME F E:7:30AM - 9:30AM 3000 Grapevine Mills Pkwy Grapevine, TX 76051 O • M Me M111 IBM* Fort Worth Heat & Air 308 N. Beach Fort Worth, TX 76111 CONTACT: Mike Mashburn PHONE NUMBER' 817-881-6546 ** SHOULD A WEATHER, MECHANICAL OR MATERIAL DELAY BE EXPERIENCED, THIS PLAN IS APPROVED FOR ABOVE LISTED DATE PLUS 14 CALENDAR DAYS. ** AIRCRAFT INFORMATION: N6BL C N4XY N9VY N170MC N60A PILOT INFORMATION: ROBERT SMITH EVAN DEWAN STEFAN HILTBRUNNER SIKORSKY S-58T TRANSPORT CATEGORY SIKORSKY S-58T TRANSPORT CATEGORY SIKORSKY S-58T TRANSPORT CATEGORY MESSERSCHMITT TRANSPORT CATEGORY SIKORSKY UH-60A RESTRICTED CATEGORY COMMERCIAL CERTIFICATE # 3493515 COMMERCIAL CERTIFICATE # 3720738 ATP # 3211956 PREPARED BY: Susan Bitros e4ao� Digitally signed by BRICE BRICE WILLIAM wILLIAM DOMMES DOMMES Date:2025.09.30 APPROVED BY: 15:10:26-05'00' OPERATING CERTIFICATE #LDUL599B 285 BLACKLAND ROAD FATE, TEXAS 75189 (972) 636-4009 OFFICE@SSTATE.COM WWW.SSTATE.COM C . TATE �HELICOPTERS AIRCRMESERVUS •MA pip] ilk] 12 1 M HAZMAT: YES (DOT-SP 16606 & DOT-SP 20490) NO - XX ROOFTOP UNITS MATERIALS EQUIPMENT WEIGHT RANGE 350 -3.000 PERCENTAGE OF LIFT ABILITY OF AIRCRAFT 71% LOAD AERODYNAMIC: YES NO XX LENGTH OF ATTACHING GEAR (FROM HOOK TO BOTTOM OF LOAD) 85' BUILDING OCCUPIED DURING LIFT: YES NO (if yes see narrative) *IF YES, ESTIMATED LOAD PENETRATION OF FLOORS NONE AREA CONSIDERED CONGESTED: YES NO OPERATING CERTIFICATE # LDUL599B 285 BLACKLAND ROAD FATE, TEXAS 75189 (972) 636-4009 WWW.SSTATE.COM BRICE Digitally signed by BRICEWILLIAM WILLIAM DOMMES Date: 2025.09.30 DOMMES 15:10:50 -05'00' . 5�C4'TRTIE HELICOPTERS ApIg1ANESENVINS CONGESTED COMMERCIAL AREA � ^ CONGESTED RESIDENTIAL AREA CONGESTED AREA PROBABILITY/POSSIBILITY This is congested area operations. Items are located in staging area(s) on either transportable vehicles or ground surface. Item(s) to be placed on building/structure roof top(s) or designated areas. Direct flight path(s) from staging area(s) to placement area(s) will occur unless otherwise notated on provided maps. Lift(s) amount(s), description(s), order and placement could be altered by contractor personnel, however, pick up site and drop site shall not be outside the parameter of this request. Helicopter landing area(s) will be secured at all times (prior, during and departure). Flight path(s) during lift operations inside the designated operational area(s) will remain clear of unauthorized personnel, equipment, obstacles at all times. Flight path(s) will remain within operational area(s) at all times. The operational area(s) has been surveyed for hazard(s) and mitigated to the lowest risk level acceptable to, or able to obtain, by both 5 State Helicopters, Inc. and contractor(s). Should a unforeseen, or additional hazard(s) surface, lifting will immediately halt till the hazard(s) have been rectified or mitigated. Primary means of communication via radio will be maintained constantly during the operation. Secondary means of communication via hand signals will be immediately incorporated should radio communications fail. Appropriate ATC communications will be maintained by pilot in all possible and/or feasible situations. Digitally signed BRICE 285 BLACKLAND ROAD byBRICE WILLIAM WILLIAM FATE, TEXAS 75189 DOMMES ��MMES Date:2025.09.30 (972) 636-4009 15:11:12-05'00' WWW.5STATE.COM I ATE HELICOPTERS AIR CRANE 285 BLACKLAND ROAD FATE, TEXAS 75189 (972) 636-4009 office@Sstate.com www.Sstate.com Notification of Grapevine, TX City Officials 5 State Helicopters has contacted the following city officials about the lift to be performed on October 7, 2025: 3000 Grapevine Mills Pkwy Ste. 525 Grapevine, TX 76051 City Manager: Connie Cook 817-410-3155 :112 0 pk - Subject: 5 State Helicopter Lift of HVAC Equipment 7 October 2025 in Grapevine, Texas at approximately 7:30AM-9:30AM. Police: Mike Hamlin 817-410-3225 1H Subject: 5 State Helicopter Lift of HVAC Equipment 7 October 2025 in Grapevine, Texas at approximately 7:30AM-9:30AM. Fire: Darrell Brown 817-410-4400 .06"'-ICDGC hzl" I , Subject: 5 State Helicopter Lift of HVAC Equipment 7 October 2025 in Grapevine, Texas at approximately 7:30AM-9:30AM. ATC: Dallas Fort Worth Intl. Airport 972-615-2650 I � �' � � f jd -: "' -, !7 C 1 1 P 1 . t? ' 5 State Helicopters lift operations 4 miles North of DFW on October 7, 2025. Best Regards, 5 State Helicopters Digitally signed BRICE by BRICE WILLIAM WILLIAMDOMMES DOMMES Date:2025.09.30 15:11:31 -05'00' Grapevine Mills -Sea Life 3000 Grapevine Mills Pkwy #525 Grapevine, TX 76051 BRICE Digitally Date Of Lift: signed by- 10/07/2025 WILLIAM BRICE WILLIAM DOMMES x DOMME Date: Time: 2025.09.30 7:30AM S 15:12:06-05'00` _° #11 r 320 57' 57.6" N # ' u 970 02 38.5 W Grapevine Mills -Sea Life 3000 Grapevine Mills Pkwy #525 Grapevine, TX 76051 Date of Lift: 10/07/2025 BRICE Digitally signed by BRICE WILLIAM Time: WILLIAM DOMMES 7:30AM Date: 2025.09.30 DOMMES 15:12:39-05'00' I LI PROJECT ADDRESS: iu ? III 1�1!11111 y111,1111 1 111111 !111 1111111111 iiiiii�11111 In IiIII Ip! I I I DATE OF OPERATION: -7 - 0 7 �1' with rain date of I C� "' ' with a 10 day grace period for each date mentioned, 1, Shawn Harris, the undersigned, representing 5-State Helicopters, Ibinding my heirs, executors, administrators, estate and assigns, do hereby agree to completely and wholly release indemnify the hold harmless the citX of Granevine, its ?,nd, all claims, damages, 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. whether or not the claims, damages, harm, personal Injury, including deat�s, 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. 1, the undersigned individual and/or company company's officer, certifies, warrants and represents that tI irf*ivi®ru�?l wk-*se sig%ature-r;tIIIfe2rs keltw is fuly,?ut)i_irizel t+ exay.,te tXis -?greeii-ient,,*6 t*half ify-b*, firms, corporation, partnership or other entity who will operate within the city of Grapevine, Texas. 30%jfflj� In witness whereof, this agreement has been executed this COMPANY: S-STATE HELICOPTERS, ltt C. BY: Shawn Harris (printed) Shawn FJ "'rd, TITLE: OWNER (signature) STATE OF XA -COUNTY OF _JR0LKZ1AJ 1, This instrument was acknowledged before me on this the 30thday of September 2025 NOTARY PUBLIC IN AND FOR THE STATE Or[E) (&S XV My commission exRifes Signature + OF