STC SR04169CH

Supplemental type certificate · LifePort LLC

Holder
LifePort LLC · United States
Status
Current · Reissued
Status date
May 10, 2019
Applied
December 14, 2016
Product
Aircraft · Rotorcraft
Certification basis
Part 21, Part 27
Data sheet
TCDSH9EU

From FAA DRS, with our copy of the certificate PDF. DRS record last changed December 6, 2025.

What it approves

Installation of a Medical Interior

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 SR04169CH

This certificate, issued to LifePort, LLC 1601 Heritage Street Woodland, WA 98674

Part 27 of the Federal Aviation Regulations. (See Page 3 for complete certification basis) Original ProductType Certificate Number: H9EU Make: Airbus Helicopters Model: EC130T2

Description of the Type Design Change: Installation of a Medical Interior in accordance with StandardAero Master Data List EGR-879-000, Revision E, dated May 11, 2017, or later FAA Approved revision, and LifePort Master Drawing List (MDL) MDL-879-00, Revision E, dated May 11, 2017, 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 Rotorcraft Flight Manual Supplement (FMS) Document Number EGR-879-011-001, Revision B, dated March 2, 2017, or later FAA-approved revision, is a required part of this modification. A copy of this certificate and RFMS must be maintained as part of the permanent records for the modified aircraft.

If the holder agree 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: December 14, 2016 Date reissued: July 26, 2017; May 10, 2019 Date of issuance: May 12, 2017 Date amended:

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 SR04169CH

LifePort, LLC Issued: May 12, 2017 Reissued: July 26, 2017; May 10, 2019 Amended:

Certification Basis: Based on Title 14 Code of Federal Regulations (14 CFR) §§ 21.115 and FAA policy for significant changes in FAA Order 8110.48, the certification basis for the Airbus Helicopters, EC130T2 Installation of a Medical Interior is as follows:

a) The type certification basis for Airbus Helicopters, EC130T2 is shown on TCDS H9EU 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, December 14, 2016, is based upon TCDS H9EU. Based on 14 CFR §§ 21.115 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 H9EU

27.1(a, b)(27-0), 27.301(a-c)(27-0), 27.303(27-0), 27.305(a, b)(27-0), 27.307(a, b)(27-26), 27.561 (a-d)(27-32,

27.452(a, d)(27-25), 27.601(a, b)(27-1, 27.603(a-c)(27-16), 27.605(a, b)(27-16), 27.609(a, b)(27-0), 27.611(ac(27-0), 27.613(a-e)(27-26, 27-619(a, b)(27-0), 27.625(a-c)(27-0), 27.777(b)(27-0), 27.785(a-c, e, f, i-k)(27-25,

27.853(a, b)(27-17), 27.1301(a-d)(27-0), 27.1307€(27-0), 27,1309(a, c, d)(27-21), 27.1351(a, b)(27-13),

27.1357(a, c)(27-13), 27.1365(a, b)(27-0), 27.1367(a-c)(27-0), 27-1541(a, b)(27-0), 27.1581(a-d)(27-14),

27.1583(27-16), 27.1585(a)(27-21).

- 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.

No AD in this release names this STC

Approved models · 1

MakeModelData sheet
Airbus HelicoptersEC 130 T2H9EU

Every issue · 3

DRS keeps each issue of an STC as its own record, with its own certificate and attachments.

DateStatusFiles
May 10, 2019Reissued, currentCertificate
July 26, 2017Reissued, earlier issueCertificate
May 12, 2017Issued, earlier issueCertificate