What it approves
Installation of Patient Loading and Utility System (PLUS)
What the certificate says
From the PDF’s text layer, without the form’s printed wording. Layout and order may differ; the PDF is the record.
Number SA03476CH
This certificate, issued to LifePort, LLC 1610 Heritage Street Woodland, WA 98674 Part 23 of the Federal Aviation Regulations.
Original ProductType Certificate Number: A78EU Make: Pilatus Aircraft, Ltd Model: Pilatus PC-12/47, PC-12/47E
Description of the Type Design Change: Installation of Patient Loading and Utility System (PLUS) in accordance with Standard Aero Master Data List (MDL) EGR-855-00 Revision E, dated November 10, 2016, or later Federal Aviation Administration (FAA) approved revision, and LifePort, LLC, MDL -855-01, Revision AA, dated March 27, 2020, or later FAA Approved revision.
Limitations and Conditions: Approval of this change in type design applies to the above model aircraft only.
This approval should not be extended to other aircraft of these model series on which other previously approved modification are incorporated unless the installer determines that the relationship between this change and any other previously incorporated approved modifications, including changes in type design, will introduce no adverse effect upon the airworthiness of that aircraft. FAA-approved Airplane Flight Manual Supplement (AFMS) Document Number EGR-855-11-001, Revision F, dated April 03 2020, or later FAA-approved revision, is a required part of this modification. A copy of this certificate and AFMS must be maintained as part of the permanent records for the modified aircraft.
If the holder agrees to permit another person to use this certificate to alter the product, the holder shall give the other person written evidence of that permission.
Date of application: May 28, 2015 Date reissued: September 28, 2015: May 13, 2016;
November 30, 2016;
December 6, 2016; May 10, 2019 Date of issuance: September 11, 2015 Date amended: November 18, 2016; June 4, 2020
FAA FORM 8110-2 (5/14) PAGE 1 OF 3 PAGES By direction of the Administrator
(Signature)
For Acting Manager, Seattle ACO Branch (Title)
Transfer the ownership of Supplemental Type Certificate Number
to (Name of Transferee)
(Address of Transferee)
(Number and Street)
(City, State, and ZIP Code)
from (Name of Grantor) (Print or Type)
(Address of Grantor)
(Number and Street)
(City, State, and ZIP Code)
Signature of Grantor (In Ink):
U.S. GPO: 1987-763-289
Number SA03476CH
LifePort, LLC.
Issued: September 11, 2015 Reissued: September 28, 2015: May 13, 2016; November 30, 2016; December 6, 2016; May 10, 2019 Amended: November 18, 2016; June 3, 2020
Certification Basic: Based on Title 14 Code of Federal Regulations (14 CFR) §§ 21.115 and 21.101, and the FAA policy for significant changes in FAA Order 8110.48, the certification basis for the PILATUS AIRCRAFT LTD PILATUS PC-12/47 and PC-12/47E PLUS is as follows:
a) The type certification basis for PILATUS AIRCRAFT LTD PILATUS PC-12/47 and PC-12/47E, is shown on Type Certificate Data Sheet (TCDS) A78EU for parts not changed or not affected by the change.
b) The certification basis for parts changed or affected by the change since the reference date of application, May 28, 2015, is based upon TCDS A78EU. Based on 14 CFR §§ 21.11 5 and 21.101, and the FAA policy for significant changes in FAA Order 8110.48, the certification basis for this modification was determined to be:
Regulations at the amendment level in TCDS A78EU
23.1(a, b)(23-34), 23.301(a-d)(23-42), 23-301(a-d)(23-48), 23.303(Org), 23.305(a, b)(Org), 23.305(a)(23-45),
23.307(a, b)(Org), 23.337(23-48), 23.561(a, b, e)(23-36), 23.561(b(2, 3))(23-48), 23.562(a, b)(23-36),
23.601(Org), 23.603(a, b)(23-23), 23.605(a)(23-23), 23.607(23-17), 23.607(c)(23-48), 23.609(a, b)(Org),
23.611(23-7), 23.613(a-c)(23-45), 23.615(a-c)(23-7), 23.619(23-7), 23.625(a, d)(23-7), 23.785(a, b, d, g, i-k, m,
n)(23-36), 23.807(23-36), 23.815(23-34), 23.853(a, c)(23-34), 23.1301(a-d)(23-20), 23.1309(a, b)(23-41),
23.1351(a, b)(23-34), 23.1351(b(2, 3))(23-49), 23.1357(a)(23-20), 23.1357(a)(23-43), 23.1411(a, b)(23-36),
23.1413(23-36), 23.1431(Org), 23.1431(a, b)(23-49), 23.1438(a-c)(23-20), 23.1441(a-c)(23-9), 23.1443(23-9),
23.1447(c-f)(23-30), 23-1519(Org), 23.1529(23-26), 23.1541(a, b)(23-21), 23.1581(a, b, d, e)(23-34), 23.1589(a,
b)(23-13).
-END-
FAA FORM 8110-2 (5/14) PAGE 3 OF 3 PAGES
ADs that name this STC · 0
An AD can apply because an STC is installed, or mention one in its text.
Approved models · 2
Every issue · 6
DRS keeps each issue of an STC as its own record, with its own certificate and attachments.
| Date | Status | Files |
|---|---|---|
| June 4, 2020 | Amended, current | Certificate |
| December 6, 2016 | Reissued, earlier issue | Certificate |
| November 30, 2016 | Reissued, earlier issue | Certificate |
| May 13, 2016 | Reissued, earlier issue | Certificate |
| September 28, 2015 | Reissued, earlier issue | Certificate |
| September 11, 2015 | Issued, earlier issue | Certificate |