The URL can be used to link to this page

Home My WebLink AboutHLP2020-1569City of Grapevine P.O. Box 95104 Grapevine, TX 76099 (817) 410-3165 Voice (817) 410-3012 Fax HELICOPTER LIFT PERMIT Issue Date: May 15, 2020 PROJECT DESCRIPTION: Helicopter Lift - May 16, 2020 with Rain date of May 23, 2020 @ 7:00 a.m. "Trade Group" PROJECT # HLP-20-1569 (817) 410-3010 Inspections www.mygov.us Permits LOCATION TENANT LEGAL 2900 Genesis Way Grapevine, TX 76051 The Trade Group, LLC The Blk 1 Lot 1 No. 586James Gibson Survey Tr 2j CONTRACTOR 5 State Helicopter's 285 Blackland Rd. Fate, TX 75189 (972) 636-4009 Phone OWNER 2nd Ip Lp INFORMATION **APPLICANT NAME Susan Bitros **APPLICANT PHONE NUMBER 9726364009 APPROVAL CITY MANAGER YES APPROVAL DEVELOPMENT SERVICES YES APPROVAL RISK MANAGEMENT YES County Tarrant DATE & TIME OF HELICOPTER LIFT 2020-05-16 07:00 am RAIN DATE FOR HELICOPTER LIFT 2020-05-23 07:00 am Zoning BP - Business Park MYGOV.US City of Grapevine | HELICOPTER LIFT PERMIT | HLP-20-1569 | Printed 05/15/20 at 9:22 a.m. Page 1 of 1 4 r .NINE MECHANICAL PERMIT{VALUE} r L R A f] a T-I N F Issue Date:May 8,2020 1 l t s PROJECT DESCRIPTION:HVAC for New Construction"The Trade Group LLC" PROJECT# (817)410-3010 WWW.mygov.us l MECH-20-1582 Inspections Permits City of Grapevine LOCATION TENANT LEGAL P.O.Box 95104 2900 Genesis Way The Trade Group,LLC The BIk 1 Lot 1 Grapevine,TX 76099 Grapevine,TX 76051 No.586James Gibson Survey (817)410-3165 Voice Tr 2j (817)410-3012 Fax CONTRACTOR INFORMATION Venture Mechanical, Inc. Is Duct Work Being Installed? YES State ID#TACLA020255E Square Footage 187660 1644 West Crosby Road VALUATION 700000 Carrollton,TX 75006 - (972)871-1300 Phone FEES TOTAL=$3,427.00 (972)871-1301 Fax (214)587-7997 Mobile Mechanical Permit Fee{Value} $3,427.00 PAYMENTS TOTAL=$3,427.00 OWNER Venture Mechanical,Inc. (Co-President Sam 2nd Ip Lp Petty) ($3,427.00) 1434 Patton PI Ste 190 Cc on 05✓08/2020 Carrollton,TX 75007 NOTICES ALL work must be done in compliance with the 2006 INTERNATIONAL AVAILABLE INSPECTIONS MECHANICAL CODE. ► Mechanical Duct(required) ► Mechanical Ceiling(required) PLAN SUBMITTAL:WHEN PLANS ARE REQUIRED BY CODES, ► Mechanical Rough(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. MYGOV.LIS City of Grapevine I MECHANICAL PERMIT{VALUE)I MECH-20-1582 I Printed 05/08/20 at 9:41 a.m. Page 1 of 3 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: MAY 7, 2020 Attached is a request for a helicopter lift scheduled for May 16, 2020 at 7:00 a.m. with a rain date of May 23, 2020 at 7:00 a.m. for 2900 Genesis Way — Trade Group, if it meets your approval, please sign below: City Manager Risk Manager s � Development Services Director �'7Ma�' Ito 0ACCooMeGcopterMemorandum • K I 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 neither affirmatively nor negatively amends,extends or alters the coverage afforded by such pohcy(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 15,2020 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. Auth rizedRepreWntative 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: Trade Group 2900 Genesis Way Grapevine,TX 76051 NATURE OF OPERATION:Helicopter external lift operation of Roof Top Units to building roof. DATE OF OPERATION: 16 May 2020 with rain date of 23 May 2020 with a 10 day grace period for each date mentioned. I,Susan Bitros,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 k4day of /�'� 2t't18vTD•-WZ COMPANY:5-STATE HELICOPTERS, INC. BY:Susan Bitros(printed) Z� S TITLE:Operations Manager(signature) /� STATE OF � C� COUNTY OF l "ll— This instrument was acknowledged before me on this the day of �83�-a0a1Q NOTARY PUBLIC IN AND FOR THE STATE OFC. My Comm* n expir s L a�`j,r o;;�., AMY LYNN GABRIELSKI x�sP•�r�'n:Notary Public,State of Texas Signature Comm.Expires 04-23-2024 0,44TOoO Notary ID 132449876 285 BLACKLAND ROAD FATE, TEXAS 75189 (972) 636-4009 office@5state.com www.5state.com May 6, 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. Helicopter Type: Sikorsky S58T, Kawasaki BK 117, Sikorsky UH-60 TRANSPORT CATEGORY Call Sign: N4XY (Blue), N6BL (Red), N170MC (Yellow) or N112HC (Green) Pilots: Bradford Ladue, Robert Smith, Steven Phelps or Shawn Harris 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. Office: 972-636-4009 Please sign and e-mail back to: SINCERELY, APPROVED / DISAPPROVED BY____________________________ DATE________________________ Date / Time of Job: Location: Contractor: May 16, 2020 Trade Group Venture Mechanical 7:00-12:00 2900 Genesis Way 1644 W. Crosby Rd Grapevine, TX 76051 Carrollton, TX 75006 DATE: ________________ TO: FAA OFFICE_________________________ REFERENCE: CONGESTED / CONTINGENCY - SAFETY PLAN AIRCRAFT INFORMATION: N6BL SIKORSKY S-58T TRANSPORT CATEGORY N4XY SIKORSKY S-58T TRANSPORT CATEGORY PILOT INFORMATION: BRAD LaDUE COMMERCIAL CERTIFICATE # 2760587 OPERATING CERTIFICATE #LDUL599B 285 BLACKLAND ROAD FATE, TEXAS 75189 (972)636-4009 PREPARED BY:_____________________________________________ APPROVED BY:_____________________________________________ ** SHOULD A WEATHER, MECHANICAL OR MATERIAL DELAY BE EXPERIENCED, THIS PLAN IS APPROVED FOR ABOVE LISTED DATE PLUS 14 CALENDAR DAYS. ** May 6, 2020 North Texas FSDO May 16, 2020 07:00 12:00 Mike Lucas214-224-0359 Venture Mechanical1644 W. Crosby Rd.Carrollton, TX 75006 Trade Group 2900 Genesis WayGrapevine, TX 76051 Mike Lucas214-224-0359 Susan Bitros ROBERT SMITH COMMERCIAL CERTIFICATE # 3493515 N170MC KAWASAKI BK-117 TRANSPORT CATEGORY NEUCRPIERS DATE: May 6, 2020 TO: FAA OFFICE North Texas FSDO REFERENCE:CONGESTED CONTINGENCY-SAFETY PLAN DATE/TIMEOFJOB JOBSITE INFORMATION CONTRACTOR INFORMATION DATE: May 16, 2020 ADDRESS: Trade Group Venture Mechanical TIMEFRAME:07:00-12:00 2900 Genesis Way 1644 W. Crosby Rd. Grapevine, TX 76051 Carrollton, TX 75006 JOBSITE CONTACT: Mike Lucas CONTACT: Mike Lucas PHONENUMBER: 214-224-0359 PHONE NUMBER: 214-224-0359 SHOULD A WEATHER,MECHANICAL OR MATERIAL DELAY BE EXPERIENCED,THIS PLAN IS APPROVED FOR ABOVE LISTED DATE PLUS 14 CALENDAR DAYS. "" AIRCRAFT INFORMATION: N6BL SIKORSKYS-SBT TRANSPORT CATEGORY N4XY SIKORSKYS-SST TRANSPORT CATEGORY N170MC KAWASAKIBK-117 TRANSPORT CATEGORY PILOT INFORMATION: BRAD LaDUE COMMERCIAL CERTIFICATE N2760587 ROBERTSMITH COMMERCIAL CERTIFICATE 113493515 PREPAREDBY: Susan BItros da4!'6A'V— ACCEPTED APPROVED BY: BY: DAT o s !S llo OPERATING CERTIFICATE NLDUL599B 285 BLACKLAND ROAD FATE,TEXAS 75189 (972) 636-4009 285 BLACKLAND ROAD FATE, TEXAS 75189 (972)636-4009 LOAD DESCRIPTION HAZMAT: YES _______ (DOT-SP 16606) NO ________ ________ ROOFTOP UNITS ________ MATERIALS ________ EQUIPMENT ________ OTHER:_____________________ NUMBER OF TOTAL LIFTS (RANGE) ______ -_______ WEIGHT RANGE _________ - __________ PERCENTAGE OF LIFT ABILITY OF AIRCRAFT ________ LOAD AERODYNAMIC: YES _____ NO ______ LENGTH OF ATTACHING GEAR (FROM HOOK TO BOTTOM OF LOAD) _____________ BUILDING OCCUPIED DURING LIFT: YES _______ NO _______ * IF YES, ESTIMATED LOAD PENETRATION OF FLOORS _________ AREA CONSIDERED CONGESTED: YES _______ NO ________ OPERATING CERTIFICATE # LDUL599B XX XX 25 45 300 3,000 XX 71% 85' XX NONE XX �z i w3 IE Y � I offi-At'd boo rj i f •i � J� _� �. C Q 21 0 b t R r 1 M r-1 Y Ln o ji o .,. _ � � Q' N ~ ' Nr+-uyw:i n C .J -a0 Q N � Np c M F- N L 00 F- 0 F y SCEiJ�A: S — C O N O1 w O C O 1 - IF y ►-� � � o � y V O I�s OC" C N O � L C g f f VE 0 N 0 O :3 O 4d m ri t ,fit ..• �• � NN - �` as0 o leg St DIM C2 �Cr7 �y!_r Zin ❑-c.s D HI N w.M�.,a � � ASSy-! .. IMTAQt1YYiEf31�11 r'1 {, ail N i + �� # �� •tea. �� Fiji t n �.a' C .. `m o Fs � r coCL r-� O C N $ N ` WE OIre i Ca F- N C� Do H O *- * Z 3j n n Ln o N n m cn c� Enchanted Way E M 6cjlh ca Let 4 V[H �� .ra o � ° c .� o ` C� Cr) > o N a o a 4) o ca o 2 F`- N C7 D o H o m 285 BLACKLAND ROAD FATE, TEXAS 75189 (972) 636-4009 NARRATIVE PLAN OF OPERATION EXISITING / ONGOING “NEW” CONSTRUCTION IN COMMERCIAL AREA NON-CONGESTED This is continuing “NEW” construction in a commercial area. 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. 285 BLACKLAND ROAD FATE, TEXAS 75189 (972) 636-4009 Notification of Grapevine City Officials 5 State Helicopters has contacted the following city officials about the lift to be performed on May 16, 2020: 2900 Genesis Way Grapevine, TX 76051 City Manager: Connie Cook 817-410-3155 Your message has been delivered to the following recipients: ' Subject: 5 State Helicopter Lift of HVAC Equipment 16 May 2020 in Grapevine, Texas at approximately 07:00-12:00. Police: Mike Hamlin 817-410-3225 Your message has been delivered to the following recipients: ' Subject: 5 State Helicopter Lift of HVAC Equipment 16 May 2020 in Grapevine, Texas at approximately 07:00-12:00. Fire Chief: Darrell Brown 817-410-3225 Your message has been delivered to the following recipients: ' Subject: 5 State Helicopter Lift of HVAC Equipment 16 May 2020 in Grapevine, Texas at approximately 07:00-12:00. 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 of DFW on 05/16/2020. Best Regards, 5 State Helicopters