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Home My WebLink AboutHLP2019-4167 �_ -rT E X A S '"� UI* October 15, 2019 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. Location: 3000 Grapevine Mills Pkwy #220 — Kate Spade New York October 22, 2019 at 8:00 a.m. with a Rain Date of October 24, 2019 at 8:00 a.m. 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: OCTOBER 15, 2019 Attached is a request for a helicopter lift scheduled for October 22, 2019 at 8:00 a.m. with a rain date of October 24, 2019, for 3000 Grapevine Mills Pkwy. #220 — Kate Spade New Y ork if it meets your approval, please sign below: City Manager r Risk Manager Development Services Director 0:\CCook\He1icopterMemormdum p { 1' HELICOPTER LIFT PERMIT ,;�'iR'l�F�INE Issue Date:October 21,2019 PROJECT DESCRIPTION:Helicopter Lift-October 22,2019 with Rain date of October 24th @ 8:00 a.m. "Kate Spade New York" �r j PROJECT# (617) 410-3010 www.mygov.us HLP-19-4167 Inspections Permits City of Grapevine P.O.Box 95104 LOCATION TENANT LEGAL Grapevine,TX 76099 3000 Grapevine Mills P p kwy. Kate Spade New York Grapevine Mills Addition Blk 1 �817)410-3165 Voice Suite#220 Lot 1 r3 �817)410-3012 Fax Grapevine,TX 76051 CONTRACTOR INFORMATION 5 State Helicopters **APPLICANT NAME Susan Bitros 285 Blackland Rd. **APPLICANT PHONE NUMBER 9726364009 Fate,TX 75189 APPROVAL CITY MANAGER YES (972)636-4009 Phone 634009 APPROVAL DEVELOPMENT SERVICES YES APPROVAL RISK MANAGEMENT YES OWNER County Tarrant Grapevine Mills Mall Lp DATE &TIME OF HELICOPTER LIFT 2019-10-22 08:00 am RAIN DATE FOR HELICOPTER LIFT 2019-10-24 08:00 am Zoning CC-Community Commercial ---11:, MECHANICAL PERMIT{VALUE) �� 1�F� �; Issue Date:September 19,2019 .y PROJECT DESCRIPTION:Install 1 RTU 8.5 ton Install 1 curb adapter New duct work for the RTU"Kate Spade New York" PROJECT# (817)410-3010 WWW.mygov.US MECH-19-3769 Inspections Permits City of Grapevine P.O.Box 95104 LOCATION TENANT LEGAL Grapevine,TX 76099 3000 Grapevine Mills Pk p coy. Kate Spade New York Grapevine Mills Addition BIk 1 (817)410-3165 Voice Suite#220 Lot 1 r3 (817)410-3012 Fax Grapevine,TX 76051 CONTRACTOR INFORMATION Quality 1 Energy Systems Is Duct Work Being Installed? YES State ID#TACLA10760E Square Footage 1500 10874 Plano Rd. Suite D VALUATION Dallas,TX 75238 31000 (214)348-9588 Phone FEES TOTAL=$306.00 (214)348-9588 Mobile Mechanical Permit Fee(Value) $306.00 OWNER PAYMENTS TOTAL=$306.00 Grapevine Mills Mall Lp Quality 1 Energy Systems(Mohammad 225 W Washington St Gharbieh) ($306.00) Indianapolis, IN 46204-6120 Cc on 0911912019 ph.(317)636-1600 NOTICES ALL work must be done in compliance with the 2006 INTERNATIONAL AVAILABLE INSPECTIONS MECHANICAL CODE. • Mechanical Duct(required) • MISC. Mechanical Inspection(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. 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. MYGOV.US City of Grapevine I MECHANICAL PERMIT{VALUE)I MECH-19-3769 I Printed 10/15/19 at 10:27 a.m. Page 1 of 3 .sm McGriff, Seibels & Williams, Inc. Certificate of Insurance Certificate No.95503 Rev.Date:Feb 20,2019 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 is/am 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 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. 285 Blackland Road Fate,TX 75189-4746 Policy Type: Aircraft Hull&Liability and Aviation General Liability Policy Policy Period: February 15,2019 to February 15,2020 both days at 12:01 am Local Standard Time at the address of the Named Insured shown above Insurer(s): Company Policy No(s). Endurance American Insurance Company through W.Brown and Associates NAC6022721/NAF6022722 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 S-58ET type aircraft. Cargo Legal Liability Coverage Limit Cargo Legal Liability including Stung Loads $500,000 each occurrence,subject to a deductible of$2,500 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 Id zedRepre mativr 7525 SE 24th Street,Suite 520,Mercer Island,Washington 98040 Certificate No: Page 1 of Phone:(206)232-9870-Fax:(206)232-9515 95503 HOLD HARMLESS AND INDEMNITY AGRFf MLNI PROJFCT ADDRESS- NATURE Or OPERATION,Helicopter external lift operation of Roof Top Units to budding roof t t DATE OF OPERATION: with tain date of - with a 10 day grace period for � each date mentioned I, OmarSepeda,the undersigned, representing S-State Helicopters,Inc ,binding my hens,executors, administrators,estate and assigns.do hereby agree to completely and wholly release mdernndy the hold harmless the rrty of Grapevine, its o}titers, agents, independent contractor,,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 alf 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. 1,the undersigned individual and/or company company's officer,certifies,warrants and represents that the individual whose signature appears below is duty authorbed 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 L IW (p day of Q9M f 2019 COMPANY: 5�57ATE HELICOPTERS, INC. i BY: OmarSepeda(printed) OMA Sap TITLE: 5 State Representative(signature) STATE OF -*r9-X!ftS „_COUNTYOF ROG(C W&(,IL, j This instrument was acknowledged before me on this the 1 4�ay of_Q @1-. 7plg i NOTARY PUBLIC IN AND FOR THE STATE OKTf}fj. . Mycom issio expires12. ` , ;,,d(.,I ,r iasta• .S t SF;natu / y4 r r�lCOt'Vio .1 HELICIPOS am�m�s DATE: October 15, 2019 TO: FAA OFFICE North Texas FSDO REFERENC CONGESTED CONTINGENCY-SAFETY PLAN DATE/TIME OF JOB JOBSITE INFORMATION CONTRACTOR INFORMATION DATE: October 22, 2019 ADDRESS: Grapevine Mills Mall- Kate Spade Quality One Energy Systems TIME FRAME:08:00.11:00 3000 Grapevine Mills Pkwy#220 10870 Plano Rd. Grapevine, TX 76051 Dallas, TX 75238 JOBSITECONTACT: Mohammad Gharbieh CONTACT: Mohammad Gharbieh PHONE NUMBER: 214-7255-981 1 PHONE NUMBER: 214-725-9811 "SHOULD A WEATHER,MECHANICAL OR MATERIAL DELAY BE EXPERIENCED,THIS PLAN IS APPROVED FOR ABOVE LISTED DATE PLUS 14 CALENDAR DAYS. '* AIRCRAFT INFORMATION: N6BL SIKORSKY S-S8T TRANSPORT CATEGORY N4XY SIKORSKYS-58T TRANSPORT CATEGORY PILOT INFORMATION: SCOTTLaDUE COMMERCIAL CERTIFICATE If3250744 BRAD LaDUE COMMERCIAL CERTIFICATE #2760587 DENNIS BANKS AIRLINE TRANSPORT CERTIFICATE #3369851 i � y PREPARED BY: Susan BItros !i ,Io.^ ; !r s T =zvWq' �APPROVED BY: DATE: OPERATING CERTIFICATE If LDULS998 285 BLACKLAND ROAD FATE,TEXAS 75189 (972) 636-4009 s EmNLIUM mcsww5 'TE w LOAD DESCRIPTION HAZMAT: YES NO XX XX ROOFTOP UNITS MATERIALS EQUIPMENT OTHER: NUMBER OF TOTAL LIFTS (RANGE) 1 5 WEIGHT RANGE 500 1,800 PERCENTAGE OF LIFT ABILITY OF AIRCRAFT 43% LOAD AERODYNAMIC: YES_ NO XX LENGTH OF ATTACHING GEAR (FROM HOOK TO BOTTOM OF LOAD) 85' BUILDING OCCUPIED DURING LIFT: YES NO XX ' IF YES, ESTIMATED LOAD PENETRATION OF FLOORS NONE AREA CONSIDERED CONGESTED: YES XX NO APPROVED NTX FSDO SVyl9 BY: < a DATE: OPERATING CERTIFICATE# LDULS99B 28S BLACKLAND ROAD FATE,TEXAS 75189 (972)636.4009 . ATE x�ucorrexs NtNENrR6 XX CONGESTED COMMERCIAL AREA CONGESTED RESIDENTIALAREA 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) could be altered by contractor personnel but will remain inside outlined operational area(s). 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. Narrative: Due to the job-site being an existing Mall we classify this to be a potential congested area. However, all entrances will be blocked and controlled by security personnel so that no unauthorized persons shall enter or cross the operational area. APPROVED NTX FSDO SWJ 9 BY: -- DATE:_ 285 BLACKLAND ROAD FATE,TEXAS 75189 (972)636-4009 285 SLACKLAND ROAD HE FATE,(972)636-4009 9 NEL1COPiENS niaatsarcrc Notification of Grapevine City Officials 5 State Helicopters has contacted the following city officials about the lift to be performed on October 22, 2019: 3000 Grapevine Mills Pkwy. Grapevine, TX 76051 City Manager: Connie Cook 817-410-3155 Your message has been delivered to the following recipients: 'Susan Batte' ( Subject: 5 State Helicopter Lift of HVAC Equipment 22 October 2019 in Grapevine,Texas at approximately 08:00-11:00. Police: Mike Hamlin 817-410-3225 Your message has been delivered to the following recipients: ' Subject: 5 State Helicopter Lift of HVAC Equipment 22 October 2019 in Grapevine,Texas at approximately 08:00-11:00. Fire Chief: Darrell Brown 817-410-4400 Your message has been delivered to the following recipients: Subject: 5 State Helicopter Lift of HVAC Equipment 22 October 2019 in Grapevine, Texas at approximately 08:00-11:00. ATC: Dallas Fort Worth Intl. Airport 972-615-2605 Your message has been delivered to the following recipients: ' Subject: 5 State Helicopters lift operations 4 miles North East of DFW. Best Regards, y/ 5 State Helicopters APPROVED NTX FSDO SW19,, BY: DATE: t,ltr6a -- Ir aa� - Al 4,9 6� IV p 6B � Ax 4'pUe W � 1 � W i a � • i & -�f` �.Axr'i ♦ r d: a".-- i��, ♦' L ,. AL ar MOM, V1 �t � •• t V c00 � Ql i< • a Ln NX Ln M x • ♦• ♦ 4 ` c a rn f p ^ N a A q a A .j Q `� N Ln O g m q C a • r: , Q O a Y N N CD C9 Y co C9 0 f— o M w ¢ p > m U UpCc w gg c5 ME —00 ` ~G112I` a 0 m o 0 c a - 3 ¢ 0 m > a s v o oLL z 3 O a Yl IA aw Lo_'t .y Gi �^ >~ NNW O I a ° j W: �'oN-�¢ T �N oZ Z ,n�n T �w rao Cl p� �_v WWI gr.. 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