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Home My WebLink AboutHLP2018-0838 GRAPEVINE T G X A S March 1, 2018 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 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: MARCH 1, 2018 Attached is a request for a helicopter lift scheduled for March 5, 2018 at 7:30 A.M., for 3000 Grapevine Mills Pkwy #259 if it meets your approval, please sign below: cl--'� , City Manager Development Services Director Risk Manager O:ACCook\HelicopterMemorandum 7 HELICOPTER LIFT PERMIT uAp '11 Issue Date:March 2,2018 F�1 k S ,t ti' PROJECT DESCRIPTION:Helicopter Lift,March 5,2018 at 7:30 a.m. " PROJECT# (817) 410-3010 www.mygov.us HLP-18-0838 Inspections Permits City of Grapevine — — LOCATION TENANT LEGAL P.O.Box 3000 Grapevine Mills Pkwy. Cunningham Research Grapevine Mills Addition Blk 1 TX Grapevine,,TX 76099 Suite#259 Lot 1r3 (817)410-3165 Voice Grapevine,TX 76051 *41307097* (817)410-3012 Fax CONTRACTOR INFORMATION 5 State Helicopters Inc **APPLICANT NAME Chase Lutjen OWNER **APPLICANT PHONE NUMBER 9726361300 Grapevine Mills Mall Lip APPROVAL CITY MANAGER YES APPROVAL DEVELOPMENT SERVICES YES APPROVAL RISK MANAGEMENT YES County Tarrant DATE&TIME OF HELICOPTER LIFT 2018-03-05 07:30 am Zoning CC-Community Commercial MECHANICAL PERMIT (VALUE) Issue Date: February 28,2018 PROJECT DESCRIPTION: Replace(1)10-TON, Electric Air Conditioning Roof Top Unit"Cunningham Research" � PROJECT# (817) 410-3010 www.mygov.us MECH-18-0837 Inspections Permits City of Grapevine P.O.Box 95104 LOCATION TENANT LEGAL Grapevine,TX 76099 3000 Grapevine Mills Pkwy. Cunningham Research Grapevine Mills Addition Blk 1 (817)410-3165 Voice Suite#259 Lot 1 r3 (817)410-3012 Fax Grapevine,TX 76051 *41307097* CONTRACTOR INFORMATION North Texas Mechanical Square Footage State ID#TACLA5328C VALUATION 15000 P.O. Box 1475 Keller,TX 76244 FEES TOTAL=$ 162.00 (817)482-1647 Phone Mechanical Permit Fee{Value} $ 162.00 (817)337-9940 Fax (817)819-1497 Mobile PAYMENTS TOTAL=$162.00 North Texas Mechanical(David A. Vest) OWNER Other on 0212812018 ($162.00) Note:CC7087 Grapevine Mills Mall Lp NoTlces 225 W Washington St Indianapolis, IN 46204-6120 ALL work must be done in compliance with the 2006 INTERNATIONAL ph. (317)636-1600 MECHANICAL CODE. AVAILABLE INSPECTIONS PLAN SUBMITTAL: WHEN PLANS ARE REQUIRED BY CODES, Mechanical Final (required) 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 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 M5,s i McGriff, Seibels & Williams, Inc. Certificate of Insurance Certificate No. 82775 Rev.Date:Jan 31,2018 This is to certify that the policy(ics)of insurance as described below have been issued to the Insured for whom this Certificate is executed and is/are in force at this time.This Certificate is issued for information only and confers no rights upon the holder.This Certificate neither affirmatively nor negatively amends,extends or alters the coverage afforded by such policy(ies)or binders)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. 285 Blackland Road Fate,TX 75189-4146 Policy Type: Aircraft Hull&Liability and Aviation General Liability Policy Policy Period: February 01,2018 to February 01,2019 both days at 12:O1am Local Standard Time at the address of the Named Insured shown above Insurer(s): Company Policy Nola). 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 $10,000,000 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 $500,000 each occurrence,subject to a deductible of$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. Auth r zedRep ntative 7525 SE 241h Street,Suite 520,Mercer Island,Washington 98040 Certificate No: Page 1 of 1 Phone:(206)232-9870-Fax:(206)232-9515 82775 HOLD HARMLESS AND INDEMNITY AGREEMENT PROJECTADDRESS: Grapevine Mills Mall 3000 Grapevine Mills Pkwy Suite 519 Grapevine,TX 76051 NATURE OF OPERATION:Air lifting air conditioning units DATE OF OPERATION: 05 March 2018 with rain date of 06 March 2018 I, Billy Walker,the undersigned, representing 5-State Helicopters, Inc., binding my heirs,executors, 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, 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 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 of Wiutll 2011b COMPANY;5-STATE HELICOPTERS, INC. BY: BILLY WALKER(printed) 311\ T �.1a11�er- TITLE: OWNER (signature) �_ �—�-- STATE OF 1eX?S C UNTYOF F.oc."W (J This instrument was acknowledged before me on 9. on this the day of MArOA 201 NOTARY PUBLIC IN AND FOR THE STATE OF-7 t� S My commission expires Ju 232t ( ROBERT L. MCMILLAN, JR Lof.;'y Public,5la1e of Teras t' ` fv`:y C!wnmiasicn E3:niip5 Signature Jufy 23, 2019 5 STATE HELICOPTERS 285 Blackland Rd.,Fate,Texas 75189 (o)972-636-4009 off ce(a 5state.com (f)972-636-1300 Congested Area Plan FAA CERT.LDUL599B DATE: February 27, 2018 TO: FAA OFFICE: North Texas FSDO 214-277-8500 REFERENCE: Congested Area Plan Request Date/Time of Job: Job Site: Contractor: March 5, 2018 Grapevine Mills Mall North TX Mechanical 07:30-09:00 3000 Grapevine Mills Pkwy 1302 N Cowan Ave Ste C Cable Length: Grapevine, TX 76051 Lewisville, TX 75057 Approx. 85 Feet Contact: David 817-819-1497 David 817-819-1497 Aircraft Registration: N-613L,N4XY Aircraft Type: S-58T Standard Category Pilots: Dennis A. Banks ATP# 3369851 Scott B. Ladue Commercial Certificate#3250744 Hazardous Material: No Description: N/A Height of Building: 40 Load Description: Number,Type& Weight Helicopter lift of RTU's 8 @ 2,000 lbs. *If a problem or safety hazard exists the crew will contact the pilot to cease operations& move the aircraft to a safe area using two-way radios, or hand and arm signals* City of Grapevine Contacts Development Connie Cook Fire Darrell Brown Services ccook @grapevinetexas.gov Chief dbrown @grapevinetexas.gov 817-410-3155 817-410-4400 Dispatch 972-564-7600 Police Eddie Salame Chief esalame @grapevinetexas.gov 817-410-3204 Fire Marshall Russell Batchelor ATC Dallas Fort Worth Intl. Airport ratchelor @grapevinetexas.gov 817-410-4420 972-615-2615 A as—e Lutjen 5 State Helicopters 1 Approved: David M. Metz, Aviation Safety Inspector 03/01/2018 5 STATE HELICOPTERS 285 Blaeldand Rd.,Fate,Texas 75189 (o)972-636-4009 of5ce(a 5state.com (f)972-636-1300 Congested Area Plan FAA CERT.LDUL599B DATE: February 27, 2018 Date/Time of Job: Job Site: Contractor: March 5, 2018 Grapevine Mills Mall North TX Mechanical 07:30-09:00 3000 Grapevine Mills Pkwy 1302 N Cowan Ave Ste C Cable Length: Grapevine, TX 76051 Lewisville, TX 75057 Approx. 85 Feet Contact: David 817-819-1497 David 817-819-1497 Narrative Plan of Operations: Flight path from the staging area to where the equipment is placed on the building will be cleared of unauthorized persons. Estimate 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. 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 existing construction in a commercial area. 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 East side of the building will be used for landing 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 lifting begins. The operational area will be surveyed by 5 State Helicopters crew for any safety hazards before lifting of equipment begins. If any safety hazard exists, the contractor will be required to eliminate the hazard before lifting of equipment begins. 5 State Helicopters crew have radios and will be communicating with the pilot 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. Chase'Lutje- r n 5 State Helicopters Approved: David M. Metz, Aviation Safety Inspector 03/01/2018 5 STATE HELICOPTERS 285 Blackland Rd.,Fate,Texas 75189 (o)972-636-4009 officea,5state.com (f)972-636-1300 Congested Area Plan FAA CERT.LDUL599B DATE: February 27, 2018 Date/Time of Job: Job Site: Contractor: March 5, 2018 Grapevine Mills Mall North TX Mechanical 07:30-09:00 3000 Grapevine Mills Pkwy 1302 N Cowan Ave Ste C Cable Length: Grapevine, TX 76051 Lewisville, TX 75057 Approx. 85 Feet Contact: David 817-819-1497 David 817-819-1497 There are power lines and light poles in the area but, the will not cause a safety hazard to the lift. Plan Prepared By: Chase Lutjen: Should a weather, mechanical or material delay be experienced this CAP is approved for the date and time lifted above plus 10 days. **S State Helicopters,Inc, will re-notify all Contacts listed on the CAP if an extension is required** FAA: North Texas FS/DO 2114-277-8500 APPROVED BY: Appr�o ed Day . Metz, Aviation Safety Inspector 03/01/2018 FAA STAMP: THIS COMPANY COMPLIES WITH THE "CODE OF ETHICS:OF THE HELICOPTER ASSOCIATION OF AMERICA 3 5 State Helicopters 285 Blackland Rd.,Fate,TX 75189 (o)972-636-4009 office(7a,5state.com (f)972-636-1300 Notification of Grapevine City Officials 5 State has contacted the following city officials with the date and time of the lift to be performed on March 5, 2018: 3000 Grapevine Mills Pkwy Grapevine,TX 76051 Development Services Assistant: Connie Cook Your message has been delivered to the following recipients: ccook @grapevinetexas.gov (ccook @grapevinetexas.gov) Subject: 5 State Helicopter Lift of HVAC Equipment 05 March 2018 in Grapevine Texas at approximately 07:30-09:00. Police: Eddie Salame Your message has been delivered to the following recipients: esalame @grapeyinetexas.goy (esalame @grapevinetexas.gov) Subject: 5 State Helicopter Lift of HVAC Equipment 05 March 2018 in Grapevine Texas at approximately 07:30-09:00. Fire Chief: Darrell Brown Your message has been delivered to the following recipients: dbrown@grapevinetexas.gov (dbrown @grapeyinetexas.goy) rfrisinger @grapeyinetexas.goy (rfrisinger @grapevinetexas.gov) Subject: 5 State Helicopter Lift of HVAC Equipment 05 March 2018 in Grapevine Texas at approximately 07:30-09:00. ATC: Dallas Fort Worth Intl. Airport Your message has been delivered to the following recipients: Subject: 5 State Helicopters lift operations 4 miles North of DFW. Best Regards, Lutjen 5-State Helicopters Approved: David M. Metz, Aviation Safety Inspector 03/01/2018 0 � 2 \ # \ \ ^ q } \ ] � $ q ■ 2 ( � \ J , $ a I { & ? ; � � $ CD q > e § CL AW44 >1 _ q ^ $ - \ 0 E 4 2> $ ( ¥ < , ® ƒ § & | \ (D (D \ \ 0 10_ k } £ i ! b ) \ \ 4 a / § / / 2 : ( { } \ / \ ® > > » \ \\ \ j \ / \ m / / V w } z � s c Ad'a lit a °� s ±4z dP�`G w S Royal Ln A� C a� 5 I4G `c , L1'vzkvleN Oe � y 8 m F �14G ¢1 tbJ =q y 11Q.tav I eL FMId sUlW auµada..j O a x Enchanted way d r W O sa w,naee�LL. 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