What it approves
Installation of a Supplement Oxygen System.
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 SR02136LA
This certificate, issued to LifePort, LLC 1610 Heritage Street Woodland, Washington 98674
Part 29 of the Federal Aviation Regulations.
Original Product Type Certificate Number: R00002RD Make: AGUSTA Model: AB139 and AW139
Description of the Type Design Change: Installation of a Supplemental Oxygen System in accordance with FAA Approved Master Drawing List MDL-842-00, Revision R, dated October 27, 2015, or later Federal Aviation Administration (FAA) approved revision. Maintained in accordance with ICA EGR-842-12, Revision B, dated September 13, 2018, or later FAA-accepted revision. Operated in accordance with RFMS EGR-842-11, Revision A, dated April 30, 2008.
Limitations and Conditions: Approval of this change in type design applies to the above model rotorcraft only.
This approval should not be extended to other rotorcraft of this model series unless the installer determines that the relationship between this change and any other previously incorporated approved modifications will introduce no adverse effect upon the airworthiness of that rotorcraft.
A copy of this certificate, ICA, and RFMS must be maintained as part of the permanent records for the modified rotorcraft.
Date of application: June 21, 2007 Date reissued: May 10, 2019 Date of issuance: May 1, 2008 Date amended: October 12, 2018
FAA FORM 8110-2 (5/14) PAGE 1 OF 3 PAGES By direction of the Administrator
(Signature)
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 SR02136LA
LifePort, LLC Issued: May 1, 2008 Reissued: May 10, 2019 Amended: October 12, 2018
A copy of this certificate, and the RFMS, must be maintained as part of the permanent records of the modified rotorcraft. Document No. EGR-842-12, Instructions for Continued Airworthiness for the Supplemental Oxygen Installation in the Agusta AB/AW139 Series Helicopter, Chapter 4, FAA Approved Airworthiness Limitations Section dated September 13, 2018 is required as part of this installation.
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.
Certification Basis: Certification basis is set forth in Type Certificate Data Sheet R00002RD.
- 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 · 3
DRS keeps each issue of an STC as its own record, with its own certificate and attachments.
| Date | Status | Files |
|---|---|---|
| May 10, 2019 | Reissued, current | Certificate |
| October 12, 2018 | Amended, earlier issue | Certificate |
| May 1, 2008 | Issued, earlier issue | Certificate |