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Home My WebLink AboutHLP2020-0867 `,7�t HELICOPTER LIFT PERMIT 4711' `` INE, Issue Date:March 4,2020 eI F 1 A ,,� PROJECT DESCRIPTION:Helicopter Lift-March 5,2020 with Rain date of March 12,2020 @ 7:300 a.m. I 'Books-A-Million" PROJECT# (817) 410-3010 WWW.mygov.us HLP-20-0867 Inspections Permits City of Grapevine P.O.Boz 95104 LOCATION TENANT LEGAL Grapevine,TX 76099 3000 Grapevine Mills Pkwy.wy. Books-A-Million Grapevine Mills Addition Bilk 1 (817)410-3165 Voice Suite#408 Lot 1r3 (817)410-3012 Fax Grapevine,TX 76051 Books-A-Million CONTRACTOR INFORMATION 5 State Helicopter's "APPLICANT NAME Susan Bitros 285 Blackland Rd. "APPLICANT PHONE NUMBER 9726364009 Fate, TX 75189 APPROVAL CITY MANAGER YES (972)636-4009 Phone APPROVAL DEVELOPMENT SERVICES YES APPROVAL RISK MANAGEMENT YES OWNER County Tarrant Grapevine Mills Mall Lp DATE&TIME OF HELICOPTER LIFT 2020-03-05 07:30 am RAIN DATE FOR HELICOPTER LIFT 2020-03-12 07:30 am Zoning CC-Community Commercial MECHANICAL PERMIT {VALUE} Issue Date: March 4,2020 PROJECT DESCRIPTION: Replace 25 TON Package Unit(includes RTU)'Books-A-Million"[HLP 2020-0867] PROJECT# (817) 410-3010 www.mygov.us MECH-20-0848 Inspections Permits City of Grapevine LOCATION TENANT LEGAL Grapevine,,TTX 76099 P y' ooP P.O.Box 3000 Grapevine Mills Pkwy. Bks-A-Million Grapevine Mills Addition BlBilk1 X I Suite#408 Lot 1 r3 (817)410-3165 Voice Grapevine, TX 76051 Books-A-Million (817)410-0012 Fax CONTRACTOR INFORMATION Nextech Central, LLC (MECH) Is Duct Work Being Installed? NO State ID#TACLA22933E Square Footage 1045 S John Rodes Blvd VALUATION 43727 MELBOURNE, FL 32904 (321)473-0435 Phone FEES TOTAL=$420.54 (321)727-0922 Fax (321)473-0435 Mobile Mechanical Permit Fee{Value) $420.54 PAYMENTS TOTAL=$420.54 OWNER Nextech Central, LLC(MECH) (Robert Bull) ($420.54 Grapevine Mills Mall Lp Cc on 03/04/2020 ) 225 W Washington St NOTICES Indianapolis, IN 46204-6120 ALL work must be done in compliance with the 2006 INTERNATIONAL ph. (317)636-1600 MECHANICAL CODE. AVAILABLE INSPECTIONS PIAN SUBMITTAL:WHEN PLANS ARE REQUIRED BY CODES, � Mechanical Duct(required) � 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 ao - u8&? GIRUAO' ,k ab- �qs ..T E X A S LL., February 28, 2020 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#408 — Books A Million March 5, 2020 at 7:30 a.m. with a Rain Date of March 12, 2020 at 7:30 a.m. Melanie Hill, Risk Manager Bruno Rumbelow, City Manager �v 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: FEBRUARY 28, 2020 Attached is a request for a helicopter lift scheduled for March 5, 2020 at 7:30 a.m. with a rain date of March 12, 2020 for 3000 Grapevine Mills Pkwy. #408 — Books-A-Million if it meets your approval, please sign below: � l — City Manager Risk Manager 1 � ,-Development Services Director O:\CCookW elicopterMemormdum �a W McGriff, Seibels & Williams, Inc. Certificate of Insurance Certificate No. 106976 Rev.Date:Feb 26,2020 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/are in force at this time.This Certificate is issued for information only and confers no rights upon the holder.This Certificate neidror 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 75189-4746 Policy Type: Aircraft Hull&Liability and Aviation General Liability Policy Policy Period: February 15,2020 to February 15,2021 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 NAC6030702/NAF6030703 Aircraft Covered: Sikorsky S58T,N4XY;Sikorsky S58T,N6BL Coverage&Limits Aircraft Liability Coverage Limit Combined Single Limit Bodily Injury,including Personal Injury and $5,000,000 each occurrence as respects Sikorsky S-58BT and Sikorsky S- Property Damage Liability 58ET type aircraft. Cargo Legal Liability Coverage Limit Cargo Legal Liability including Slung Loads $500,000 each occurrence,subject to a deductible of$2,500 each claim. Autlr riwdRcprcsentative 7525 SE 24th Street,Suite 520,Mercer Island,Washington 98040 Certificate No: Page 1 of 1 Phone:(206)232-9870-Fax:(206)232-9515 106976 HOLD HARMLESS AND INDEMNITY AGREEMENT PROJECT ADDRESS: Grapevine Mills Mall-Books A Million-408 3000 Grapevine Mills Pkwy Grapevine,TX 76051 NATURE OF OPERATION: Helicopter external lift operation of Roof Top Units to building roof. DATE OF OPERATION: 05 March 2020 with rain date of 12 March 2020 with a 10 day grace period for each date mentioned. 1,Shawn Harris, 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 andjudgments, including court casts, 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 2[day of1 G� -U z C7 COMPANY: 5-STATE HELICOPTERS, INC. BY: (printed) VN TITLE: OWNER �(signature) STATE OF I/7 / COUNTY OF Q4 � ' �� This instrument was acknowledged before me on this the day of 30478' NOTARY PUBLIC IN AND FOR THESTATEOF My commission expires ( ( 1�l 17��7�� r Z Signatur Janus Johnson } '1011tY Public,Sfefe o!Tex, V ! • GNOI _y.ID 12398879-4 " Exp.02/18/M xeu�oPlExs MOIY[!®Ril DATE: _February 27,2020 TO: FAA OFFICE North Texas FSDO REFERENC CONGESTED CONTINGENCY-SAFETY PLAN DATE/TIME OF JOB JOBSITE INFORMATION CONTRACTOR INFORMATION DATE: March 5, 2020 ADDRESS: CMS Mechanical TIME FRAME: 07:30-09:00 Grapevine Mills Mall - Books A Million 2414 N. Elm St. 3000 Grapevine Mills Parkway Denton, TX 76201 Grapevine, TX 76051 1DBSITE CONTACT: Joe Villarreal CONTACT: Joe Villarreal PHONE NUMBER: 321-313-3259 PHONE NUMBER: 321-313-3259 "SHOULD A WEATHER,MECHANICAL OR MATERIAL DELAY BE EXPERIENCED,THIS PLAN IS APPROVED FOR ABOVE LISTED DATE PLUS 14 CALENDAR DAYS.'• AIRCRAFT INFORMATION: N68L SIKORSKY S-58T TRANSPORT CATEGORY WXY SIKORSKY S-S8T TRANSPORT CATEGORY PI LOT INFORMATION: SCOTTLaDUE COMMERCIAL CERTIFICATE #3250744 BRAD LaDUE COMMERCIAL CERTIFICATE If 2760587 � •11 PREPARED BY: Susan BltroS /".,.i,.•l,�d14�j(— APPROVED IM FSDO SW19 APPROVED BY: DATE: 3 OPERATING CERTIFICATE#LDUL599B 285 BLACKLAND ROAD FATE,TEXAS 75189 (972)636-4009 N 285 BLACKLAND ROAD �'L[ FATE,TEXAS 75189 (972)636-4009 &WHEwUUMERS February 27, 2020 Connie Cook, City of Grapevine Attention: City Manager Reference: 5 State Helicopters Landing and Operations This letter,with the location, dates, and time of a helicopter external load operation that is being flown by 5 State Helicopters, Inc. is to ensure there are no restrictions or regulations preventing the helicopter from landing within the city limits of Grapevine, Texas. Date/Time of Job: Location: Contractor: March 5, 2020 Grapevine Mills Mall-Books A CMS Mechanical Million#408 7:30-9:00 3000 Grapevine Mills Parkwa 2414 N. Elm St. Gra evine, TX 76051 Denton, TX 76201 Helicopter Type: Sikorsky N4XY (Blue),N613L (Red) TRANSPORT CATEGORY Pilot: Scott Ladue or Bradford Ladue 5 State Helicopters, Inc. assures the City of Grapevine, Texas that it will comply with all State, Federal and local regulations, holds and required permits and is licensed to do the type of work as described in this request. 5 State Helicopters, Inc. agrees to provide a Certificate of Insurance with liability coverage of$5,000,000.00 showing the City of Grapevine as an additional insured. Please feel free to contact 5 State Helicopters with any questions and/or concerns that you may have. 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