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UNITED STATES of AMERICA
1 NATIONALITY AND
N212JE
2 MANUFACTURER AND MODEL
Culfstream Aerospace Corporation
6V-SP (C550)
3 AIRCRAFT SERIAL
NUMBER
5(73
4
CATEGORY
5 AUTHORITY AND BASIS FOR ISSUANCE
This airworthiness certificate is issued pursuant to 49 U S C § 44704 and certifies that, as of the date of issuance, the aircraft to which
issued has been inspected and found to conform to the type certificate therefor, to be in condition for safe operation, and has been
shown to meet the reouirements of the applicable comprehensive and detailed airworthiness code as provided by Annex 8 to the
Convention on International Gve Aviation, except as noted herein
Exception"
Trans p ort
Exemption No. 7946 I FAR 25.813 (c) I. Mid-Cabin Doors Between Passenger Compartments.
Exemption No. 8004, 8142 I FAR 25.901 (c) j, Uncontrollable High Thrust Failure Conditions.
Exemption No. 10044 I FAR 25.1447 (c) (I) 1, Passenger Oxygen Equipment Deployed at 15,000 feet.
6 TERMS AND CONDITIONS
Unless sooner surrendered, suspended. revoked. or a termination date is otherwise estaolished by the FAA, this airworthiness certificate
s effective as tong as the maintenance. preventative maintenance, and alterafions are performed in accordance with Parts 21, 43, and
91 of the Federal Aviation Regutations. as appropriate. and the aircraft is registered m the Unled States
R 07 MAR 2008
Brent Archibald
ODA-511131-CE
Any ale:abort reproduction, or misuse of this certificate may be punishable by a fine not exceeding $1.000 or imprisonment not exceeding 3 years or both.
FAA Form 8100.2 (04.11) Supersedes Previous Edition
ISOZ/LZ/xdS SV Pind000S
EFTA01329067
SDNY_GM_02757283
SUBJECT TO PROTECTIVE ORDER PARAGRAPHS 7, 8, 9, 10, 15, and 17
EFTA_00244205
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SON Y_GM_02757284
SUBJECT TO PROTECTIVE ORDER PARAGRAPHS 7, 8, 9, 10, 15, and 17
noshz/xdv so readspav
EFTA 00244206
EFTA01329069
SDNY_GM_02757285
SUBJECT TO PROTECTIVE ORDER PARAGRAPHS 7, 8, 9, 10, 15, and 17
EFTA_00244207
EFTA01329070
SZOZ/LZ/xdV so Pelde**If
SDNY_GM_02757286
SUBJECT TO PROTECTIVE ORDER PARAGRAPHS 7, 8, 9, 10, 15, and 17
EFTA_00244208
EFTA01329071
SDNY_GM_02757287
SUBJECT TO PROTECTIVE ORDER PARAGRAPHS 7, 8, 9, 10, 15, and 17
EFTA_00244209
EFTA01329072
0
U.S. Doptimant
el TiGriportston
Federal Arleta:in
arithastratiou
Special Registration Number
N550GP
Aircraft Make and Model
GULFSTREAM AEROSPACE GV-SP (G350)
Present Registration Number
N2I2JE
Serial Number
5173
Issue Date:
Feb 24, 2021
ICAO AIRCRAFT ADDRESS CODE FOR NSSOGP - 516C0017
N550GP LLC
2131 E CONVENTION CENTER WAY
STE 222
ONTARIO CA
91764-5496
ILl
IlliiiiilliiiIiilililiiliillildilliililiilil
Ill
This is you au homy to change
the United States registration
ameba on the above describe!
aircraft to the special
registration number shoat
Carry duplicate of this form
aircraft together with the
old registration certificate as
wain authority to opus the
aircraft pending receipt of revised
certificate of aircraft registraticrs
The taint FAA Perm $1 30.6,
Appliestion For Airworthiness
oat tile is dated:
Mar 07.7005
The atrworth inns dossilkatket
and category:
SID TRANSP
INSTRUCTIONS:
SIGN AND RETURN THE ORIGINAL of ibis form to the Civil Aviation Registry, Aircraft Registration Branch, within S days
after the special registration amber is placed on the aircrafL A revised certificate of aircraft registration will then be Swat
Obtain a revised certificate of airworthiness from your newest Flied Standards District Office.
The authority to use the special amber expira: Feb 24, 2022
CERTIFICATION: trendy
ire the aircraft described above.
Signature of Owner. ....----7
that the special registration number wan placed
RETURN FORM TO:
Civil Aviation Registry
Aircraft Registration Branch
P.O. Box 25504
Oklahoma City, Oklahoma 73125-0504
_
_,---C<
?
Tide of Owner
Cp/s/- n
e.;4216(47
VCI(4'
Date Placed on Averaft:
3 - I 9 -*Val
AC FORM 505044 (5/2005) faipsooln rftlietti ESSu
SDNY_GM_02757288
SUBJECT TO PROTECTIVE ORDER PARAGRAPHS 7, 8, 9, 10, 15, and 17
Y
•
a.
67
to
SZOZ/LZ/xdV
EFTA 00244210
EFTA01329073
SDNY_GM_02757289
SUBJECT TO PROTECTIVE ORDER PARAGRAPHS 7, 8, 9, 10, 15, and 17
EFTA_0024421 I
EFTA01329074
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DEPARTMENT Of TRANWORTATICN - FEDERAL AVIATION ADMNISTRATION
lliSsONECIN•
Must Co in eta M.
emit Mum OPIDNOP7
NATIONALITY AND
REGISTRATION MARKS N 2121E
$173
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ICAO Akan AbatesCa $0340675
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2151 E CONVENTION CENTER WAY
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U.S. Department
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Federal *Nab=
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we OF RSA
February 24, 2021
EAPPIATION DATE February 29, 2024
I
/: /
,./.......
AOINNISTRA TOR
p.n. MIN 01:01% Semis. r.esnets
U.S. Departrnenl
Of Transporlabon
Federal Aviation
Administration
Miltxo Replay
PU. EN 21504
Omorassess OF 7317S00
Official Ilinin•O•
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2151 E CONY!
STE 222
ONTARIO CA 9
TZ0Z/LVidEf SG PoldaDDV
EFTA01329075
SDNY_GM_02757291
SUBJECT TO PROTECTIVE ORDER PARAGRAPHS 7, 8, 9, 10, 15, and 17
EFTA 00244213
EFTA01329076
ft,
U.S. Opt want
el Tgenportston
Federal Aviatkm
Atirainistranon
Special Registration Number
N550OP
Aircraft Make and Model
GULFSTREAM AEROSPACE GV-SP (G350)
Patient Registration Number
N212JE
Serial Nienbee
5173
Issue Date:
Feb24, 2021
ICAO AIRCRAFT ADDRESS CODE FOR N550GP - 51600017
N550GP LLC
2131 E CONVENTION CENTER WAY
STE 222
ONTARIO CA
91764-5496
ILL
Illinlilluiliiiililsiliilisliiilliilihilil
Ill
This rs you Authority to change
the United States (saner:Sion
number on the above describe]
aircraft to the special
registration number sham
Carry duplicate of this hew in the
aircraft *saber with the
old regurtneicei certifeate as
maim authority to opus the
aircraft median receipt of raised
certificate of aircraft registration.
The bent FAA Form $1 304,
Appal:melon For Airworthiness
0 fie is dated:
Mar 07.2005
The airworth inns death:Wks
and category:
TIM TRANSP
INSTRUCTIONS:
SIGN AND RETURN THE ORIGCNA I. of this form to the Civil Aviation Registry, Aircraft Registration Branch, within 5 days
after the special registration wisher is placed on the aircraft. A revised certificate of aircraft registration will then be Issued.
Obtain a revised certificate of airworthiness from your nearest Flight Standards Dania Office.
The authority to use the special amber capita: Feb 24, 2022
CERTIFICATION: locality
m the aircraft desniboil stove.
Sigissiure of Oweet .....--- 7
that the special registration nuenba was pawed
RETURN FORM TO:
Civil Aviation Registry
Aircraft Registration Branch
P.O. Box 25504
Oklahoma City, Oklahoma 73125-0504
_
___,--S<
?
Title of Owner
CHISF bidA.244(4? O/Were
Date Placed on Ammar 3-i 9 - 01Da I
AC FORM 505044 (54•05) Sopenales ?mists Edam
SDNY_GM_02757292
SUBJECT TO PROTECTIVE ORDER PARAGRAPHS 7, 8, 9, 10, 15, and 17
Accepted GS Apr/27/2021
EFTA 00244214
EFTA01329077
SDNY_GM_02757293
SUBJECT TO PROTECTIVE ORDER PARAGRAPHS 7, 8, 9, 10, 15, and 17
EFTA_00244215
EFTA01329078
N550GP, LLC
2151 E. Convention center Way #222
Ontario, Ca 91764
March 18, 2021
Khera Turner, Chief Inspector
Aviation Maintenance Group, Inc.
8352 Kimball Avenue
Chino, Ca 91708
Dear Khera:
The undersigned is the owner of the certain Gulfstream Aerospace aircraft, GV-SP
(G550), serial no. 5173, tail no. N212JE (the Aircraft). This letter will authorize
Khera Turner, Chief Inspector for Aviation Maintenance Group, Inc. as the
Company's legal representative to sign for all FAA applications and other
document necessary to obtain the requested standard Airworthiness Certificate.
The undersigned hereby certifies to be the Company's Chief Financial Officer and
is authorized in the governing documents of the company to grant authorities set
forth above and is authorized to act independently in connection with all FAA
related matters.
If you have any question, do not hesitate to contact the undersigned.
Sincerely,
./..,
Richard Munkvold
Chief Financial Officer
{Notary page follows}
SDNY_GM_02 757294
SUBJECT TO PROTECTIVE ORDER PARAGRAPHS 7, 8, 9, 10, 15, and 17
i 1
2
szoz4z/xdv
EFTA_002442 1 6
EFTA01329079
CIVIL CODE § 1189
A notary public or other officer completing this certificate verifies only the identity of the individual who signed the
document to which this certificate is attached, and not the truthfulness. accuracy, a validity of that document
State of California
,
)
County of 3O1v-t been cIrdi no
t
)
On niClienk lel 00)?
before me,
zfl 1-4;IIS'f 1 0 ncria
pith7l(r,
Date
Hero Insert Name and nt of he
I
Officer
personally appeared
I)
1 Cik a 1421 ill Wel i'S \ID (01
Name(s) of Signer(s)
who proved to me on the basis of satisfactory evidence to be the person(s) whose name(s) Is/are
subscribed to the within instrument and acknowledged to me that he/she/they executed the same in
his/her/their authorized capacity(es), and that by his/her/thoir signature(s) on the instrument the person(s),
or the entity upon behalf of which the person(s) acted, executed the instrument.
1,1
G. Li0i
VET:Edema
14.
Nsoitanr
Commission
yeertard'in.„ co6uenz
comm. Expires Oct IS. 2020
I certify under PENALTY OF PERJURY under the laws
of the State of California that the foregoing paragraph
is true and correct.
WITNESS my hand and official seal.
" -111c. noti
Corn cn6Ston
Signature
eiCkeenckeol
utuerk— -1-t)
u
EXCL.L.--tn c,areteif
/4-•
.
Place Notary Seal Above
OP77ONAL
Signature of
of Notary Public
Though this section is optional, completing this information can deter alteration of the document or
fraudulent reattachment of this form to an unintended document.
Description of Attached Document
Title or Type of Document:
Document Date:
Number of Pages:
Signer(s) Other Than Named Above:
Capacity(ies) Claimed by Signerts)
Signer's Name:
O Corporate Officer — litle(s):
O Partner — O Limited O General
O Individual
O Attorney in Fact
O Trustee
O Guardian or Conservator
O Other:
Signer Is Representing:
Signer's Name:
O Corporate Officer — Title(s):
O Partner — O Limited O General
O Individual
O Attorney in Fact
O Trustee
O Guardian or Conservator
O Other:
Signer Is Representing:
O2016 National Notary Association • www.NationalNotary.org - 1-800-US NOTARY (1.800.876.6827) Item 15907
SDNY_GM_02757295
SUBJECT TO PROTECTIVE ORDER PARAGRAPHS 7, 8, 9, 10, 15, and 17
EFTA_00244217
EFTA01329080
45
US Department
Of Transportation
(Airframe, Powerplant, Propeller, or Appliance)
Federal Aviation
Administration
corm hopo..a
OIABN3 2123-0023
1 irsorroor_ .
F leaCrot i ,”.Pg Wind"'
For FAA Use Only
INSTRUCTIONS: Print or type all entries. See rite 14 CFR § 43.9, Pal 43 Appendix B. and AC 43.9-1 (or subsequent revision thereof) for
instructions and disposition of this form. This report is required by law (49 U.S.C. §44701). Faure to report can result in a civil penalty for
each such violation. 49 U.S.C. §46301(a))
Nationality and Registration Mark
N212JE
Serial No.
5173
1. Aircraft
Make
Gulfsbearn
Model
G550
Series
i Name (As shown on registration certificate)
2. Owner
I PLAN D LLC
Address (As shown on registration certificate)
6100 RED HOOK QUARTER B3
ST THOMAS VIRGIN ISLANDS USA 00802
3. For FAA Use Only
4. Type
5. Unit Identification
Repair
Alteration
Unit
Make
Model
Serial No.
•
Z
AIRFRAME
(As Oast:1100d in Item 1 above)
0
0
POWERPLANT
ID
0
PROPELLER
0
0
APPLIANCE
Type
Manufacturer
6. Conformity Statement
A. Agency's Name and Address
B. Kind of Agency
U.S. Certificated Mechanic
I Manufacbser
GA.C. GLYNCO
Foreign certificated Mechanic
C. Certificate No.
550 CONNOLE STREET
X
Certificated Repair Station
BRUNSWICK, GA 31525
Certificated Maintenance Organization
FAA CRS GR4D216M
E. I certify that the repair and/or alteration made to the unit(s) identified in item 5 above and deserted on the reverse or attachments hereto
have been made in accordance with the requirements of Pert 43 of the U.S. Federal Aviation Regulations and that the information
furnished herein is true and coifed to the best of my knowledge.
Extended range
fuel per 14 CFR
ID
Part 43 App. Et
Signature/Date of Authorized Individual
r
Jason Tighe
/
01/15/20
7. Approval for Return to Service
Pursuant to the authority given persons specified below, the unit identified in item 5 was inspected in the manner prescribed by The
Administrator of the federal Aviation Administration and is
al Approved
O Rejected
BY
FAA Flt Standards
Inspector
Manufacturer
Maintenance Organization
Persons Approved by Canadian
Department of Transport
FAA Designee
X Repair Station
Inspection Authorization
Other (Specify)
Certificate or
Designation No.
FAA CRS GRAD216.4
Signature/Date of Authorized Individual
Jason Tighe
/
01/15/20
FM Form 337 twee)
SDNY_GM_02757296
SUBJECT TO PROTECTIVE ORDER PARAGRAPHS 7, 8, 9, 10, 15, and 17
EFTA_00244218
EFTA01329081
NOTICE
Weight and balance or operating limitation changes shall be entered in the appropriate aircraft recad. An alteration must be
compatible with all previous alteration to assure continued conformity with the applicable alnvorthiness requirements.
8. Degeriptbe of Work Accomplished:
(If more space is required, attach additional sheets. Identify Mt, aircraft nabonatity and registration mark and des Wok *mottled.)
MODEL: G550
SERIAL NO.: 5173
REGISTRATION NO.: N212JE
ACTT: 5747.2
ACTL: 1348
DATE COMPLETED: 01115120
Reference: Gulfstream Aerospace Corporation Workorder Number: SC5270
Item 7.3 = Per Customer Request Return LH Divan, LH Divan Cabinets, LH And RH #3 Fwd Facing Seats
And LH Cabin Ledge To Original Configuration.
Resolution: Complied with interior reconfiguration to original interior installation per drawing CE528000057-
SA rev B. Ref 8110-3 dated 12/20/2019
END
K
Additional Sheets Are Attached
FAA Fon 337 (1OM)
SDNY_GM_02757297
SUBJECT TO PROTECTIVE ORDER PARAGRAPHS 7, 8, 9, 10, 15, and 17
EFTA 00241219
EFTA01329082
0
US Deportment
Of Transportation
(Airframe, Powerplant, Propeller, or Appliance)
Federal Arleen
Administration
r
e
.
P
o
w
e
a
d
C
M
O
S
;
1
1
3
0
,
X
0
0
r &Mel
eon new kis
For FAA Use Only
INSTRUCTIONS: Print or trio all mutes. See Tee 14 CFR § 43.9. Part 43 Appendix B. rd AC 43.9-1 (or subsequent revision thereof) for
instructions and disposition of this form. Ibis mat is roared by law (49 U.S.C. §44701). Failure to report can result in s civil penalty for
each such *Aston. (9 U.S.C. §46301(s))
I. Aircraft
Nationality and Reglebalto Mark
I4212JE
Serial No.
5173
Make
Gulfatream
Model
I Sobs
0550
l
2. Owner
Name (As shone on regkindion colikete)
ELAN D US
Address (As crown on registrabon certficafe)
6100 RED HOOK QUARTER B3
ST THOMAS VIRGIN ISLANDS USA 00602
S. Fer FAA Use Only
4. Typo
& Unit Identification
Unit
Make
Mode
Segal No.
Repair
Alteration
a
D
b
I
AIRFRAME
(As dented nem abom)
0
0
POWERPLANT
0
0
PROPELLER
IN
O
Type
APPUANCE
Martibitaxer
Il. Cenktrmity Stained
A.Ajencys Name and Address
B. land of Agency
U.S. Carat SI MacMrec
j Manufacturer
GAS. GLYNCO
Canceled Meohanc
C. Cerligtate No.
550 CONNOLE STREET
X
GAeoed Repair Station
BRUNSWICK, GA. 31525
Cortilloswo stainienanca Orem/moor
FAA CRS GRUM 641
E. Icy* mat the war anOor alteration made to the units) kienefled in Item 5 stove anc demand on the reverse or attachments hereto
have been made In accordance et the requirements of Poi 43 of the U.S. Fedene Av Won Regulations and that the iniormebon
&meshed herein is bus and correct to the best of my knoMedge.
Extended range
fuel per 14 CFR
0
Part 43 App. B
Signature/Date of Authorized Individual
Jason Tighe
/
01/15/20
7. Approval for Return to Service
Pursuant to the authority given persons specified below. the unit identified in item 5 was inspected in the manner prescribed by One
Administrator of the federal Aviation Administration end is
CC Approved
0 Rejected
se
FAA Flt. Standards
Inspector
Manufacturer
Maintenance Organization
PS110111S Approved by Canadian
Department Of Transport
FM Neches
X Repair Station
•
losptelon Aultodzetton
Other (Spicily)
Corncrib or
Oesignetbn No.
FAA CRS OR4021041
Signature/Date of Authorized Individual
Jason Tighe
I
01/1920
ager
\
FM Fats 337 (1
)
SDNY_DM_027572913
SUBJECT TO PROTECTIVE ORDER PARAGRAPHS 7, 8, 9, 10, 15, and 17
EFTA_00244220
EFTA01329083
r
cor
N0TICE
Weep:* and Waft, CV °Dorothy Inteflon dung's WWI be entered in the appropriate aloe mord. An stenefon must be
npotoble nes ell preNous alterations to assure continued confer/My nett the applicable einrathiness requirements.
8. Description of Wont Actunplishsci:
Of awe spas Is rawarod. math addlaxial flak Identify War alrorart nationalty and reglerralica mark and OM work compkilad.)
MODEL: G550
SERIAL NO.: 5173
REGISTRATION NO.: N212JE
ACTT: 5747.2
ACTL: 1348
DATE COMPLETED: 01/15/20
Reference: Gulfstream Aerospace Corporation Workorder Number: SC5270
Item 7.3 = Per Customer Request Return LH Divan, LH Divan Cabinets, LH And RH e3 Fwd Facing Scats
And LH Cabin Ledge To Original Configuration.
Resolution: Complied with interior reconfiguration to original interior installation per drawing CE528000057-
SA rev B. Ref 8110-3 dated 12/20/2019
0
Additional Shoe Ne Matched
tee cam 337 (10-03)
SDNY_GM_02757299
SUBJECT TO PROTECTIVE ORDER PARAGRAPHS 7, 8, 9, 10, 15, and 17
EFTA_00241221
EFTA01329084
CERTO 69 08
2019GV-SP SN5173-01
U.S. DEPARTMENT Of TRANSPORTATION
il OATC
12/20/2019
AMCRAFT OR AIRCRAFT COMPONENT MOMRCATIO6
3 MAK!
GuEstmern
3 NO0EL NO
GV-SP
4 rriTe Wren, Redid. Iffiltopao
elc.I
Aimlane
I NAM! Or APPLICANT
IJST OF DATA
C. IOINTIFICA non
r TALI
CE528000()STSA
REV: 8
12/20/2019
__END—
FLOORPLAN SN 5173
END
Notes.
for engineering design data only. It indicates the data listed above
only with the regulates' specified by paragraph and
below as 'Applicable Requirements? (Compliance with
not listed here may be reqt ired). This form does not constitute
all the engineering design data sacessary for substantiation of
requirements for the entire atteration/repair.
aspects of the data listed abode are approved herein Electrical
included in this approval.
1. This approval is
demonstrates compliance
subparagraph listed
additional regulations
FM approval of
compliance to necessary
2. Only the structural
aspects are not
• PURPOSE Or 04TA
In support of major alteration on Guffstream GV-SP SN 5173.
I
APPLICAILE RIOutREmINTS iii•• AH40 4 Two440
14 CFR Parts 25.601 And' 25-0
25.609 (at 11. (2) (3) (b) ands 25-3
25.603(a) (b) Ccl And' 25-46
25.611 Aadt 25-23
25.605(a) Amdt 25-46
10. CERTIFICATION
of appointment wide
applicable requireme
l flAtaiTheretcee
-Under
14
is or
authority vested by direction of the Administrator and in accordance with conditions and limitations
CFR 133, dam listed above and on attached sheets numbeted g, hays bean examined in accordance with
the Airworthiness Standards listed.
Recommend apploval of these data
Approve these data
tia••••
X
III.WatAlUalell OF EtMONATED ENOMEERIC REARESERTATIYMM
12. oasomnota
it OASSIFICATIOrethe
Noss D. Rot laqh
DERT -510267-CP
Structures
FAA FORM 11104 (03,10) SUPERSEDES PREVIOUS EDITION
SDNY_GM_02757300
SUBJECT TO PROTECTIVE ORDER PARAGRAPHS 7, 8, 9, 10, 15, and 17
EFTA_00244222
EFTA01329085
SDNY_GM_02757301
SUBJECT TO PROTECTIVE ORDER PARAGRAPHS 7, 8, 9, 10, 15, and 17
EFTA_00244223
EFTA01329086
0
US Department
Of Transportation
(Airframe, Powerplant, Propeller, or Appliance)
Federal Aviation
Administration
Gem ma 2120.0020
"mot
Eliistuciriuuruhune
For FAA Us* Only
INSTRUCTIONS: Prin or type all entries See Title 14 CFR § 43.9. Part 43 Appendix B. and AC 419-1 (or subsequent revision thereof) for
instructions and disposition of this form This report is required by law (49 U.S.C. §44701). Failure to report can result in a civil penalty for
each such violation. (49 U.S.C. §46301(a))
Nationality and Registration Mark
N212JE
Serial No.
6173
1. Aircraft
Make
Gulfstream
Model
6660
Serves
2. Owner
Name (As shown on registration certificate)
PLAN CI LSO
Address (As shown on registration certificate)
6100 RED HOOK QUARTER B3
ST THOMAS VIRGIN ISLANDS USA 00802
3. For FAA Use Only
4. Type
6. Unit Identification
Repair
Alteration
Unit
Make
Model
Serial No.
El
AIRFRAME
(As described in Horn 1 above)
•
•
POYiERRANT
0
0
PROPELLER
0
•
Type
APPLIANCE
Manufacturer
6. Confomilty Statement
A. Agency's Name and Address
B. Kind of Agency
U.S. Certificated Mechanic
I Manufacturer
G.A.C. GLYNCO
Foreign Certificated Mechanic
C. Certificate No.
550 CONNOLE STREET
X
Certificated Ran! Station
BRUNSWICK, GA. 31525
Certificated Maintenance Organization
FAA CRS GR413216M
D
I certify that the repair andror alteration made to the und(s) identified in item S above and described on the reverse a attachments hereto
have been made in accordance with the requirements of Pan 43 of the U.S Federal Aviation Regulations and that the information
furnished herein is true and correct to the best of my knowledge.
Extended range
fuel per 14 CFR
Part 43 App. El
O
Signature/Date of Authorized Individual
Jason Tighe
I
01/15/20
7. Approval for Return to Service
Pursuant to the authority given persons specified below, the unit identified in item S was Inspected in the manner presated by the
Administrator of the federal Aviation Administration and is
ID Approved
0 Rejected
ler
FAA Flt. Standards
Inspector
Manufacturer
Maintenance Organization
Persons Approved by Canadian
Department of Transport
FAA Designee
X Repair Station
Inspection Authorization
Other (Specify)
Certificate or
Designation No.
FAA CRS GR4D216M
Signature/Date of Authorized Individual
Jason Tighe
I
0M5/20
orm
SDNY_GM_02757302
SUBJECT TO PROTECTIVE ORDER PARAGRAPHS 7, 8, 9, 10, 15, and 17
EFTA_00244224
EFTA01329087
NOTICE
Weight and balance or operating limitation changes shall be entered in the appropriate aircraft record. An alteration must be
compatible with all previous alterations to assure continued conformity with the applicable airworthiness requirements.
8. Description of Work Accomplished:
Of more spaces reputed. attach additional sheets Identify with aircraft nattonakty and registration mark and date work completed )
MODEL: G550
SERIAL NO.: 5173
REGISTRATION NO.: N212JE
ACTT: 5747.2
ACTL: 1348
DATE COMPLETED: 01/15/20
Reference: Gulfstream Aerospace Corporation Workorder Number: SC5270
Item 37.3 = R/H Zone I Rib 9 outbd rib foot aft stgr 13 has area of disbond.
Resolution: Trimmed out area as per RFA RFA No.CS613899-2.4.I. Fabricated -11 filler from 0.050 2024-13
Lot number LT19-201086.I PO number DAPO19-05366.2 as per SE55502139 REV -. Installed -11 filler per
Notes 9 and 19. Inspected for disbonds 5.0 in. around each rivet installed in the —T4 temper per model specific
NDTPM 05-00-00 Procedure I, "Horizontal Stabilizer Lowe rSkin Resonance C-Scan - NDT Procedure with
no defects noted. 8100-9 In Support.
END
0
Additional Sheets Are Attached
FM Form 337 (10-06)
SDNY_GM_02757303
SUBJECT TO PROTECTIVE ORDER PARAGRAPHS 7, 8, 9, 10, 15, and 17
EFTA_00244225
EFTA01329088
0
us orimmen
or Trap:moon
(Airframe. Powerplent, Propeller, or Appliance)
leant Avinlen
Aanintstradea
O
i
l
i
O
W
2
I
2
S
0
0
2
0
bp eaMOIII
ElettORICTIOdlite MIAMI
w mauls Only
INSTRUCTIONS: Print or type at entries. See Title 14 CFR §43.9, Part 43 Appendix B. and AC 43.9-1 (or subsequeM revision thereof) for
instructions and disposban of 0* form. This report Is required by law (49 U.S.C. §44701). Failure to report can react in a civil penalty for each
such violation. (49 U.S.C. §46301(a))
1. Aircraft
Nationality and Regestrabon Mark
N212JE, USA
- --
-
Serial No. 5173
G ke
MOdel
GV-SP (G550)
Series G550
2. Owner
Name (As shown or:registration certiacate)
Plan D, L.W.
Address (As shown on reg)sfradon certificate)
Moms 6100 Red Heat Oa ael
cc,
Sr neap
Sena uSIA
Li,
00002
can" um
3. For FAA IJSCOnN
4. Typo
5. Unit Idendfication
Repair
Alteration
Una
Make
Model
Serial No.
O
0
AIRFRAME
OutESTIREAuranOSACE
5173
(As Oasalbed in Item 1 above)
O
O
PONERPLANT
O
•
PROPELLER
O
o
APPLIANCE
Type
Illanulactuzer
5 Conformity Statement
A. Agency's Name and Address
B. Knit of Agency
MY,*
Lividan Jai Carle
U S Certificated Methane
I alartheterer
Actarri. 4"•••••••••••
Foreign Graft-Med ME'I(C
C. Certificate No.
my
Towson,
Am PO
UnkindRepair Staten liaiROS.IF
CRS IMJR053F
bat
07•01
taro* USA
Connoted itarterence Organization
D. fortify that the repair ander alteration made to the unids) identified in kern 5 above arid described on the reverse or atm itmems hereto
have been made In accordance vAth the requirements of Part 43 of MS U.S. Federal Meatier, Regulatices and that the information
furnished herein is true and correct to the best el my knot/edge.
Extended range fuel
per 14 CFR Part 43
O
App. B
Signatse/Dete of Authorized Individual
-
/eilakif
7. Approval for Return to Service
Pursuant to the authority green persons spected below, the unit Idenbfied In tem S was inspected in the manner prescribed by the
Administrator of the Federal Aviation Administration and is
fl Approved
TT/erected
BY
FM Fri. Standards
Inspector
M anufacturer
Maintenance Organization
Peace's ApptewedlarCanadan
Depettmers a Tramoort
FAA Designee
X
Repair Station
Inspection ALthenzabon
Other (Specify)
Certificate or
Signature/Date of Authorized Individual
Designation No. CRS
IMJR053F
a
017/0 , /0/7
FAA Form 337 (10/06)
Page I
SDNY_GM_02757304
SUBJECT TO PROTECTIVE ORDER PARAGRAPHS 7, 8, 9, 10, 15, and 17
EFTA_00244226
EFTA01329089
NOTICE
Weight and balance or operating limitation changes shall be entered in the appropriate aircraft record. An alteration must be
compatible with all previous alterations to assure continued conformity with the aPPliCablesiAsnfrnineSs requirements.
e. Description of Work Accomplished
0 more space o requited attach eddelonel sheets. (dente win Werth nationeMy and registrebon men end Me week completed.)
Go-So (0550)-5173
5731.5AFTT 1315 CYC
USA- Netea
06firnAte
Nationality end Registration Mark
Coto
Incorporated STC ST02893AT- Installation of LoPresti (Whelen) Taxi Lighting system
(LSM-500-125 Rev K dated 01/28/19).
This Alteration replaces the existing taxi lights (3) with new assemblies. The functionality of the
systems remain unaltered.
Airworthiness Limitations:
There are no new or additional airworthiness limitations associated with this equipment or
installation.
There is no required Airplane Flight Manual Supplement required for this Alteration.
There is no effect to the MEL for relief, the systems are functionally the same as the existing taxi
and landing light systems.
Instructions for Continued Airworthiness:
Reference the LoPresti (Whelen) Instructions for Continued Airworthiness section of Installation
Manuals LSM-500-125 Rev K, or later.
This Supplemental Type Certificate is designed to satisfy the requirements of 14 CFR 25.1529
"Instructions for Continued Airworthiness" associated with this design.
Refer to the Aircraft Maintenance Manual for the Aircraft Scheduled Maintenance Program
otherwise the scope and detail of FAR 43, Appendix 0 will apply.
Weight and balance changes:
Taxi lights- (-3 installation) +2.74 lbs, moment +315.46 in-lbs.
The aircraft Weight and balance has been revised for this Alteration.
Electrical Load Analysis:
Taxi lights- (-3 installation) Reduction of 17.49 amps to system.
Wiring changes have been incorporated into the aircraft records and noted on the Load Analysys.
Accomplished an evaluation of the inter-relationship between the systems listed above and the
Type Certificated produce in accordance with 14 CFR Parts 25.1301(d), 25.1431(c) and they have
been found to be operating satisfactory and that there is no adverse effect on any other component,
system, or the airworthiness of this aircraft.
- - -
END-------
ClAcidtbonal Sheets Aro Attached
FM Form 337 (10/06)
Page 2
SDNY_GM_02757305
SUBJECT TO PROTECTIVE ORDER PARAGRAPHS 7, 8, 9, 10, 15, and 17
EFTA_00244227
EFTA01329090
l iir
e
uS 0444404.4
Cr rh , en"
(Airframe, Powerplant, Propeller, or Appliance)
fan
Minion
Aclaryilsbalon
OM No 200.0020
Op. SOI/2016
recicac iruicag r4,,,,bn
roe FAA Use Oar
INSTRUCTIONS. Print or type all entries. See Title 14 CFR §43.9. Part 43 Appendix S. and AC 43.9-1 (or subsequent revision thereof) for
instructions nd disposition of this form. This report is required by law (49 U.S.C. §44701). Failure to report can resift in a civi penalty for each
such violation (49 U.S.C. §46301(a))
1. Aircraft
Nationality and Registration Mark
N212JE, USA
Serial No. 5173
Make GULFSTREAM AEROSPACE
Model
GV-SP (G550)
Senes G550
2. owner
Name (As snown on regiztratron cectIcate)
Plan D. LLC.
Address (As shown on registration ceaficore)
X40(0411 6100 Rid 1400i Curie 145
Cry
St Donn
Sad USVI
20
40402
Catty
USvl
3. For FAA Use Only
4. Type
S. Unit Identification
Repair
Alteration
Una
Make
Model
Serial No.
.
El
AIRFRAME
(As desaibod In born l above)
SliS
D
p
POWERPLANT
•
•
PROPELLER
0
0
APPLIANCE
Type
runtrectunw
6. Conformity Statement
A_ Agency's Name and Address
B. Kind of Agency
eon
mosso Merle
U. S Crylifcaled Methane
I Marciedurer
Mans Is 44444 •4"4
Emir Cecoccaleci Methane
C. Certificate No.
XXXITXXO
NJ
Crated Row Staten
CRS IMJR053F
WO
2.
01604
Casey
USA
CMIC0100 morrenence CfSIOnaryOn
D. !certify that the repair andlor alteration made to the unit(s) identified in tem S above and described on the reveru or attachments hereto
have been made In accordance wah the requirements of Part 43 of the U.S. Federal Aviation Regutabons and that the information
furnished herein Is true and correct to the best of my knowledge.
Extended range fuel
K
poy 148 CFR Part 43
AM
Signature/Da
of Authonzed Intl dual
A
l
gO l,
T. Approval for Return to Service
Pursuant to the authority given persons specified below. the unit identified in tem 5 was inspected n the manner prescribed by the
Administrator of the Federal Aviation Administration and it
plApproved
Rejected
BY
FAA Fs Standards
Inspector
Manufacturer
Maintenance Organization
Persons APpromobyConecian
Oepstrrert of Transpart
FAA Designee
x Repair Station
Inspection Authorization
Other (Speofy)
Cattaloor
lo
No. CRS
IMJR053F
Signature/Date
-
Authorized Individual
•
/1/.3 0/9..0 ICI_
FAA Form 337 (10/06)
Page I
SDNY_GM_02 757306
SUBJECT TO PROTECTIVE ORDER PARAGRAPHS 7, 8, 9, 10, 15, and 17
EFTA_00244228
EFTA01329091
NOTICE
Weight and balance or operating larefelien changes shot be entered el the 0,00,00/ate aircraft record An aeration min be
compatible with all previous alterations to assure continued conformity with the applicable airocithiness requirements.
8. Description of Work Accomplished
gt more sone is required. attach addgonal sheets. Identify loth naafi netienahly and registration mark end dale teak comp/elect)
Gv4P 0550)ain 5173
599].5 asp UMW*
USA M212£
30 Aft. 2019
Nalonakty and Ftegisusbon Mstk
Dais
Incorporated STC ST02893AT- Installation of LoPresti (Whelen) Landing Light System (Installation
Manual LSM-500-126 Rev J dated 01/29/19, -3 installation kit).
This Alteration replaces the existing Landing lights (2) with new assemblies and installs new power
converters and Ballasts. The functionality of the system remain unaltered.
Airworthiness Limitations:
There are no new or additional airworthiness limitations associated with this equipment or
installation.
There is no required Airplane Flight Manual Supplement required for this Alteration.
There is no effect to the MEL as for relief, the system is functionally the same as the existing
landing light system.
Instructions for Continued Airworthiness:
Reference the LoPresti (Whelen) Instructions for Continued Airworthiness section of Installation
Manual LSM-500-126 Rev J, or later.
This Supplemental Type Certificate is designed to satisfy the requirements of 14 CFR 25.1529
"Instructions for Continued Airworthiness" associated with this design.
Refer to the Aircraft Maintenance Manual for the Aircraft Scheduled Maintenance Program.
Weight and balance changes:
The aircraft Weight and balance has been revised for this Alteration.
Electrical Load Analysis:
Landing lights- (-3 installation) Reduction of 4.9 amps to system.
Wiring changes have been incorporated into the aircraft records and noted on the Load Analysis.
The STC and provided documentation have been added to the permanent aircraft records.
Accomplished an evaluation of the inter-relationship between the systems listed above and the
Type Certificated product in accordance with 14 CFR Parts 25.1301(a) and 25.1431(c) and they
have been found to be operating satisfactory and that there is no adverse effect on any other
component, system, or the airworthiness of this aircraft.
--END
=Additional Sheets Aro Attafled
FM Form 337 (10/06)
Parr ")
SDNYGivl_02757307
SUBJECT TO PROTECTIVE ORDER PARAGRAPHS 7, 8, 9, 10, 15, and 17
EFTA_00244229
EFTA01329092
SW
(Airframe, Powerplant, Propeller, or Appliance)
SW -
31A6 No. 2120-0020
Exp W3112014
-
electienie Tense rine
Fat FM Ine Onif
US 01*.irmeal
0 Panto-boon
Federal Anneon
Adraniattalon
I
INSTRUCTIONS: Print or type all entries. See FAR 43.9 Appendix B, and AC 43.9-1 (o subsequent revision thereof) for
instructions and disposition of this form. This report is required by law (19 U.S.C. 44701). Failure to report can result in a civil
penally for each such violation. (49 U.S.C. 46301(a)).
1. Aircraft
Nationality and Registration Mark
Serial No.
USA N212JE
5173
Model
Series
Mike
l
Gulfstream Aerospace
GV-SP (G550)
2. Owner
Name (As shown on registration certificate)
Plan D LLC
Address (As shown on registration certificate)
Address 6100 Red Hook Quarter B3
city
St Thomas
sm.
Foreign
zio 00802
Cowry Virgin Islands
3. For FAA Use Only
,
:
I
I
4. Type
6. Unit Identification
Repair
AlteratIo
Unit
Make
Model
Serial No
AIRFRAME
-------
(As described in item 1 above)
O
O
POWERPLANT
K
D
PROPELLER
O
O
APPLIANCE
It"
laisiesineow
6. Conformity Statement
A. Agency's Name and Address
B. Kind of Agency
Manufacturer
International Jet Interiors
U.S. Certificated Mechanic
C. Certificate No.
2221 Smithtown Ave
Foreign Certificated Mechanic
Ronkonkoma, New York
X Certificated Repair Station
I CRS 11JR439Y
11779 USA
Certificated Maintenance
i
D. I certify that the repair and/or alteration made to the unit(s) identified in Item 6 above and described on the reverse or
attachments here to have been made In accordance with the requirements of Part 43 of the U.S. Federal Aviation Regulations and
that the information furnished herein Is true and correct to the best of my knowledge.
Extended range fuel per
14 CFR Pan 43
O
App. B
Signature/Date
d
Jay Masser 9127/2018
7. Approval for Return to Service
Pursuant to the authority given persons specified below, the unit identified in item 6 was nspected In the manner prescribed by the
Administrator of the Federal Aviation Administration and is
0 APPROVED
0 REJECTED
FAA Ftt. Standards
Inspector
Manufacturer
Maintenance Organization
Persons Approved by Canadian
Departmeot of Transport
BY
FAA Designee
X Repair Station
Inspection Authorization
Other (Speed))
Certificate or
Designation No.
CRS I1JR439Y
Signature/Date of Authoriz
Thomas Norden 9/27/2018
ividual
( IL
FAA Form 337 !IOC*)
SDNY_GM_02757308
SUBJECT TO PROTECTIVE ORDER PARAGRAPHS 7, 8, 9, 10, 15, and 17
EFTA_00244230
EFTA01329093
NOTICE
Weight and balance or operating limitation changes shall bo entered in the appropriate aircraft record. An alteration must be compatible with
a/I previous alterations to assure continued conformity with the applicable airworthiness requirements
8. Description
(If more
It Accomplished
the
FAA/DER
2) Removed
Dwg
Switch
3) Fabricated
7/11/18.
4) Removed
panels
211007
329681-17
5) Reupholstered
accordance
dated
8/2/18
6) The
116.
02FP
FANDER
(DERT-230453-CE).
7) Installed
Twilight
dated
8) Stripped
Bum
Biberstein
9) Stripped
348675.18
(DERV
10) Fabricated
Dwg
Landing".
II) Removed
LED
"Installation
of Work Accomplished
space is required, attach additional shoots, identify with aircraft nationality and registration mark and date work accomplished)
USA N2I2JE
Date 9/27/2018
Nationality and Registration Mark
the following modifications/alterations as listed below to an existing executive interior in accordance with
below listed International Jet Interiors Drawings. All listed Structural drawings below were approved via (attached)
Form 8110-3 dated 9/24/2018, (attached) by Robert F. Clossin (DERT-230227-CE).
Ul
wall
25-
via
TP
DRAWING NUMBER
REV
111-G550-5173-02
IR
111.0550.$173-03
IR
1NSTL-DIVAN MOD
1754-ST-001
IR
INTERIOR MODIFICATIONS - GULFSTREAM MODEL GV-SP, SN 5173
the existing R/H Cabin Divan (P/N 2523.700.0I-(04)) and End Arms and modified ledge in accordance with
No. 1.11-G530-5173,433; Rev R. dated 7/11118. Stowed the existing RAI and UH Ledge Cabin Audio/Call/Shade
panels (8 Ea. Rockwell Collins P/N 2501-2) behind Lower side wall panels LH & RH side at FS 420.0.
new replacement LH Cabin Divan End Arms in accordance with 111 Dwg No. IJI.0550.5173-03. Rev IR. dated
the existing RH Cabin Fwd. Side Wall Table Frame and Side Wall Bump Out Panel and fabricated new side
in accordance with Ill Dwg No. 111-6550.5173-02, Rev IR, dated 7/I 1/18. Composite material Hermes Fabric
M 16 — Toile Decoration Grege, (same material) has been previously burnt, reference Skandia burn report TPt/
dated 8/22/17.
the LH Divan (Outer Dress Cover Only) with Cowtan & Tout Fabric: 18905-01, EMI Natural. In
with Aviation Consulting & Engineering Solutions Inc. Substantiation Report No. A072618-01SR Rev IR
8/2/18, ACES drawing No. A0100001 Rev R dated 1/23/13, and ACES drawing No. GVSP-090039 Rev IR dated
approved via FAA/DER 8110.3 dated 2/7/18 (attached) by David S. Molnar (DERT-510260-CE).
cabin Divan seat cushions have been fireblocked in accordance with FAA Title 14 CFR 25.853 (a) (c) amendment
Reference Aviation Consulting & Engineering Solutions Inc. (ACES) fire blocking Test Plan report No. A072518.
Rev IR dated 7/25/18 and Oil Burner Test Results report No. A072518-02FR Rev IR dated ft/3/18 and approved
form 8110-3 (attached) dated 7/25/18 and 9/6/18 by Jeff A. White (DERT-230318-CE and Herschel E. Loepp
new Replacement Floor Covering in the Main Cabin with Glen Eden Carpet: 5201 Hand-Tufted Color: B788
and 8789 Twilight. Reference Certificate of Flammability Testing by CA Aviation, LLC. Test Report No. 83278
7/30/18 in accordance with FAA Title 14 CFR 25.853 (a) Arndt 25-116 Appendex F, Part 1(a) (I) (ii).
and recovered existing Headliner and PSU Panels with Lao Piana Fabric: A8730RS 001, Panjab Shaded White.
report TP 348675-18 Rev A dated 9/17/18 approved via FAA/DER Form 8110-3 dated 9/17/18 (attached) by Jane
(DERV-832780-CE). Skandia Inc. composite burn spec No. I.
and recovered existing Aft Lavatory Storage Area with Tapis Fabric: 0263 Woodhue Grospoint. Burn report
Rev A dated 9/17/18 approved via FAA/DER Form 8110-3 dated 9/17/18 (attached) by Jane Biberstein
-832780-CE). Skandia Inc. composite bum spec No. 8.
a LH mid-cabin removable (Loose Equipment) divider at the forward divan arm rest in accordance with Ill
No. 111-6550-5173-03, Rev IR, dated 7/11/18. Divider placarded "Must be Stowed During Taxi, Takeoff and
the existing WE Aerospace Cabin 5800 Series Fluorescent Lamps and installed Aircraft Lighting International
Lamps (L5800-XXX-YY series) and Lamp Holders (PN N5120B) on yin accordance with ALI Aerospace
Instructions" Rev A, dated 11120/17.
0 Additional Sheets No Attached
cam
SDNY_GM_02757309
SUBJECT TO PROTECTIVE ORDER PARAGRAPHS 7, 8, 9, 10, 15, and 17
EFTA_0O24423 I
EFTA01329094
NOTICE
Weight and balance or operating limitation changes shall be entered in the appropriate aircraft record An alteration must be compatible with
all previous alterations fo assure continued conformity with the applicable airworthiness requirements.
8. Description of Work Accomplished
(If more space is required, attach additional sheets. Identity with aircraft nationality and registration mark and date work accomplished )
USA
N2I2JE
Nationality and Registration Mark
Dater/27/2018
12) The Aircrafts Weight & Balance Manual has been updated (report dated 9/20/2018) and a Supplement to Cabin Interior
Equipment List has been provided to customer.
13) A logbook entry has been made reflecting this alteration.
14) This Refurbishment/Repair/Alteration to the existing Cabin Interior furnishings requires No Schedqled Maintenance Tasks
or Airworthiness Limitations, refer to the OEM Maintenance Manual, and all other existing !CA's. fflie Aircraft's Scheduled
Maintenance Program is not altered by this repair/refurbishment.
The work described, has been founcho'be in conformity with the above mentioned approved data and continues to meet the
airworthiness criteria under which it was originally certificated. Work Order No. 18147, on file at this agency, covers the
above described work.
0 Additional Sheets Are Attached
FAA Form 337 (10-06)
SDNY_GM_02757310
SUBJECT TO PROTECTIVE ORDER PARAGRAPHS 7, 8, 9, 10, 15, and 17
EFTA_00244232
EFTA01329095
SDNY_GM_02757311
SUBJECT TO PROTECTIVE ORDER PARAGRAPHS 7, 8, 9, 10, 15, and 17
EFTA_00244233
EFTA01329096
,
1. DATE
•
July 25. 2018
2 MARE
Gulfstream Aerospace
Corporation
3 MODEL NO.
GV-SP
4 TYPE Minya Engine. Piraper. at)
Aircraft
1
S. NAME OF APPLICANT '
International Jet Interiors
I
UST OF DATA
6. IDENTIFICATION
7, tins
REPORT:
A072518-02FP
Rev. IR 07/25/18
....m...t.
END
i
FLAMMABILITY AND OIL BURNER TEST PLAN - 4-PLACE DIVAN -
GULFSTREAM AEROSPACE CORPORATION MODEL GV-SP SN 5173
Note:
1. Approval of test results Is required.
. _
at. =
=====.
END
....
Za .akaa ......
',Zan
i
Test pan approval only. In support of a major alteration to Gulfstream Aerospace Corporation Model GV-SP SN 5173.
9 APPLICABLE REOLAREMENTS psi spectie weans)
14 CFR §§ 25.853(aXc) at Amendment 25-116
I
10. CERTIFICATION
Pat 153. dada Wed Nova
win appIcatio metwanioNa
(FOAM Then:40M
-)Mar adhonly veiled by drecOon Of Ma Arinator and ii Accordance althccochnora arid lenlaiensolapponlmenl under 14 CFR
and on idladvd Omits nuntiesad Nov_ bre been mandned m accordance *IN talablehed onxiadwes and lound lo comply
al de Alestellansa Standards bled.
0 INcomniand approval of these data
I
CD APPIAN' Ness Beta
12. DESIGNATION NUWERNS)
Aviation Consulting 4 Engineering Solutions. Inc.
Jeff A. White
22 /0
DEBT-230318-CE
I
Structures
r
h
i
FAA Fonn11104 (03/11) SUPERSEDES PREVIOUS EDITION
RU
SDNY_GM_02757312
SUBJECT TO PROTECTIVE ORDER PARAGRAPHS 7, 8, 9, 10, 15, and 17
EFTA_00244234
EFTA01329097
•
SDNY_GM_02757313
SUBJECT TO PROTECTIVE ORDER PARAGRAPHS 7, 8, 9, 10, 15, and 17
EFTA_00244235
EFTA01329098
1. DATE
August 8, 2018
I
2. MAKE
Gulfstream Aerospace
Corporation
3. MODEL NO.
GV-SP
4. TYPE (Ain% &Va. Pr0Peae. a)
Aircraft
5. NAME OF APPLICANT
International Jet Interiors
LIST OF DATA
6. rDENTWICATION
7. TITLE
REPORT:
A072518-02FR
Rev. IR 08/03/18
END
:=
an
FLAMMABILITY AND OIL BURNER TEST RESULTS - 4-PLACE DIVAN -
GULFSTREAM AEROSPACE CORPORATION MODEL GV-SP SN 5173
Notes:
1. The flammability aspects only of the above listed data we approved hemin
I
. This approval is for
the engineering design data only. It indicates tho data listed above deMonstrates compliance
only with the regulations specified by paragraph and subparagraph listed below as 'Applicable
Requirements'
2.
This form does not constitute FM approval of all the engineering dateinecessary for
substantiation of compliance to necessary requirements for tie entire alteration/repair.
Compliance with additional regulations is required.
I
iii===
== = =
END
2====rallelatillirMS4Vill2
=se == mem=
. ---__—_-
- - a - ==
I
i
I
In support of a major alteration to Guffstream Aerospace Corporation Model GV-SP SN 5173.
9. APPLICABLE REQUIREMENTS (Lisi WeediC Seeter0)
14 CFR 55 25.853(e)(c) at Amendment 25-116
10 CERTIFICATION41Mo eutheAly vested by *coon d the Adrowistralw and in oceofeanc• win creates and Imitators of aopeoratrent under II CFR
Pan lel data rated stove and on stashed sheets renew) Note have been eawraled in wares who esinashed procrehret and toted to comely
wet apleable rechiremetts of to Alwordlnen StandaritS Wed
0
Repairenend approval of thole data
I
I Ave) Thertdare
0
APPrOVII then fin
TED ENGINEERING REPRFtENTATIVE(S)
12. DESIGNATION NuMBERS(S)
13. CLASSIFICATION(SI
Structires
I
Potable Certsultong &
"oils
Inc.t gif
He
E. Loepp
5.
aree4-PP
DERT-230453-CE
I
FAA EOM 81104 Mlle) SUPERSEDES PREVIOUS EIXTVON
RLI
SDNY_GM_02757314
SUBJECT TO PROTECTIVE ORDER PARAGRAPHS 7, 8, 9, 10, 15, and 17
EFTA_00244236
EFTA01329099
SDNY_GM02757315
SUBJECT TO PROTECTIVE ORDER PARAGRAPHS 7, 8, 9, 10, 15, and 17
EFTA_00244237
EFTA01329100
I DATE
I
AugustZ 2018
I
2. MACE
Gulfstream Aerospace
Corporation
3. MOOEL NO.
GV-SP
4. TYPE (Ant
Enema Propel or, eta)
Aircraft
internatioilal Jet Interiors
LLST OF DATA
B.I0ENTIFCATON
7. TITLE
•
Report:
A072818-01SR
Rev. IR 08/02/18
Drawings:
GVSP-090039
Rev. IR 08/02/18
A0100001
Rev. R 01/23113
ENO
.c......mr...,
I
-SUBSTANTIATION REPORT-DRESS COVER REPLACEMENT-4-?LACE DIVAN -
GULFSTREAM AEROSPACE CORPORATION MODEL GV-SP SN 5173
GULFSTREAM GV-SP DRESS COVER REPLACEMENT 4-PLACE DISN
'PLACARDS
i
Notes:
1. Structural approval of the seat installations is not included as part of this 8110-3.
2. This approval is for engineering design data only. It indicates the data listed above
demonstrates compliance only with the regulations specified by paragraph and
subparagraph listed below as 'Applicable Requirements.'
3. This form does not constitute FAA approval of all the engineering data necessary for
substantiation of compliance to necessary requirements for the en* alteration/repair.
Compliance with additional regulations such as 14 CFR §§ 25.803(a), 25.813(c2ii),
25.815, 25.853(a)(c), 25.1411(b), and 25.1561(c) are beyond the scope of this design
data. Additional approvals may be required.
END
r.
—
NWERNMI:M====.170=95=======laZtaa,tittrIZ:=2flattl1=1.=.
I
I
In support of a major alteration to Gulfstream Aerospace Corporation Model GV-SP SN 5173.
9. APPLICABLE REQUIREMENTS (Liss spatifie saclons)
14 CFR §§25.561(b1). .562(a1),. .603(a), .785(b)(c), and .1541(a1Xb1)(b2) through Amendment 25r98.
10. CERTIFICATION Grdef bueneelty
Pad M. din listed abOve and en beached
Sib apples/ nipulremend of Ts Airworthiness
0
Ratammead
I elm Thorekrts
el Approve these
vested try tInctien of VseAdmenslralor arch In SCCOnlanCe
shoe Tendered none_ have been eicarrined
vAil ConallOnS and linflabom of smonlmatft under 14 CFR
in ace0tdanCe with eStabithed priXeCluree WC bird 10 <elf*
i
I
Standards IfsPel
approval of NOS! data
data
12. DESIGNATOR NUMBERS(S)
13. CLASSIFICATION(S)
DAVID S. MOLNAR .2x2 t.oc---i
icz
..„.
DERT-510260-CE
STRUCTURES
..-----
i
I
FAA Form 81 104 (03110) SUPERSEDES PREVIOUS EDITION
SDNY_GM_02757316
SUBJECT TO PROTECTIVE ORDER PARAGRAPHS 7, 8, 9, 10, 15, and 17
EFTA_00244238
EFTA01329101
SDNY_GM_02757317
SUBJECT TO PROTECTIVE ORDER PARAGRAPHS 7, 8, 9, 10, 15, and 17
EFTA_00244239
EFTA01329102
1.DATr
September 24, 2018
I
2 MAKE
Gulfstream
3.MODEL NO.
GV- SP
4 TYPE p.m,* hone, reepron, ere)
Aircraft
5.NAME OF APPLICANT
International )et Interiors
Ronkbnkcima, NY
LIST OF DATA
6.IDENTIFICATION I
7.TITLE
Document
IJI-G550-5173-02
Rev. IR, 7/11/18
IM-G550-5173-03
Rev. IR, 7/11/18
Report:
1754-ST-001
Rev. IR, 9/24/18
Title
Instl-Ledge-Sidewall Mod
Instl-Divan Arm Mod
Interior Modifications - Gulfstream Model GV-SP, S/N 5173
Note(s): 1. This approval is for engineering design data only. It indicates the data listed
above demonstrates compliance only with the regulations specified by paragraph
and subparagraph listed below as Applicable Requirements. This form may not
constitute FAA approval of all the engineering data necessary for substantiation of
compliance to necessary requirements for the entire alteration.
2. This approval is for Gulfstream GV-SP, S/N 5173 only.
I
I
8.PURPOSE OF DATA
To present the irate for modification data in support of a major alteration on Gulfstream Model
GV-SP, S/N 5173.
9.APPLICABLE REQUIREMENTS (List specific sections)
I
14 CFR Part 25.301(a)(c) [Arndt. 25-23), 25.303 [Amdt. 25-23), 25.305(a)(b) [Arndt. 25-86],
25.307(a) [Arndt. 25.72), 25.341(a) [Arndt. 25.72], 25.561(a)(b)(c)(d) [Arndt. 25-91),
25.601 (No Arndt.), 25.603(a)(b)(c) (Amdt. 25-46), 25.605(a) [Arndt. 25-46),
25.607(a)(b) [Arndt. 25-23), 25.609(a)(b) (No Amdt.], 25.625(a)(b)(c) [Amdt.25-72),
25.787 (a)(b) [Amdt. 25.51), 25.789(a)(Amdt. 25-46), and 25.1541(a)(b) [No Arndt.)
Ref TCDS AI2EA, Rev. 49
10. CERTIFICATION • Under authority vested by direction
of appointment under III CFR Part IX). dais listed above
accordance will, established procedures and found to
O
Recommend approval of these
of the Administrator
and on attached
comply with applicable
data
end in accordance with conditions
sheets numbered
N/A
liav:e
and limitations
been examined in
Standards listed.
requirements of the Airworthiness
I (ve) Therefore
r
Approve these dais
52 DESIGNATi0NNUMBERSM
53 CLASSIFICATIONS)
Robert F. Clossin
e.,444.
-
I
DERT-230227-CE
Strtictures - Interiors
14 CFR Part 23 & 25
•
FAA Form 8110.3 13510) SUPERSIOES PREVIOUS 1DITION
SDNY_GM_02757318
SUBJECT TO PROTECTIVE ORDER PARAGRAPHS 7, 8, 9, 10, 15, and 17
EFTA_00244240
EFTA01329103
SDNY_GM_02757319
SUBJECT TO PROTECTIVE ORDER PARAGRAPHS 7, 8, 9, 10, 15, and 17
EFTA_00244241
EFTA01329104
1. DATE
09/17/2018
2. MAKE
Gull stream
3. MODEL NO.
G550
/ Typo (Ampere. Enght. Propels.. et)
Airplane
International Jet Interiors
LIST OF DATA
& IDENTIFICATION
7.11TLE
TP 348675-18
Rev A
Dated 9/17/2018
Skanda, Inc. Flammability Test Report
Bunsen Burner Testing:
Test Specimen Part Numbers:
P/N 01 (Represents: Headliner and PSU Panels)
P/N 08 (Represents: Aft Lay Closets)
Notes:
i
1) Work accomplished under Skandia Inc. WO N 348675-18. Ref Document ID 101649.
2) Flammability test witnessing only, does nal constitute installation approval of the
materials.
8. PURPOSE OF DATA
Demonstration of compliance with material flammability requirements in support of Major Repair &
Al eration for SIN 5173
9. APPUCABLE REOUREMENTS (List speck Sections)
14 CFR Pan 25.853 (a) Arnd 25-116 Appendix F Pan I (a)(1)(i)
la CERTIFICATION • Under authority vested by direction of the Administrator
appoiMment under 14 CFR Part 183, data listed above arid on attached
in accordance with established procedures and found to comply meth applicable
O Recommend approval of these data
I (
Therefore X
Approve these data
and in accordance with conditions
sheets numbered
and limitations al
' have Dean examined
Standards listed.
;
TIC
requirements of the Ainvonhiness
13. CIANNFICAMS)
11. SI
TURE(S) OF DE
t4GINEERING REPR
AT IVE
DESIGNATION
12.
NUMSER(S)
C
X IIIIPI
DR
netB
rstein
DERV-832780-CE
Structural Special
FAA Fo
0-3
man
SDNY_GM_02757320
SUBJECT TO PROTECTIVE ORDER PARAGRAPHS 7, 8, 9, 10, 15, and 17
EFTA 00244242
EFTA01329105
SDNY_GM_02757321
SUBJECT TO PROTECTIVE ORDER PARAGRAPHS 7, 8, 9, 10, 15, and 17
EFTA_00244243
EFTA01329106
BRIAN FOSS
242 SERRA DR.
WHITE LAKE, MI 48386
E-MAIL
TEST REPORT NO: 83278
TEMP: 73° HUMID: 51% FLAME 15156°
CONDITIONING DATE: 07/27118
CONDITIONING TIME: 9:30 AM
TF.ST DATE: 07/30/18
TEST TIME: 10:00 AM
MATERIAL IDENTIFICATION: Carpet: Glen Eden Wool Carpet: Custom 5201 Hand-Tufted
Color: 0788 Custom Twilight-Wool. B789 Custom Twilight-Wool RoII' 76979
APPLICATION: DATA SHEET/ PON 7944
12 Second Vertical Ignition: 14 CFR 25.853 (a) Amdt. 25-116 Appendix F. Pan I (a) (1) (ii).
Requirements: IS see. extinguish time: 8 inch bum length: 5 sec drip extinguish time:
Extinguish Time: 0.0
Burn Length: 0.1
: Drip Extinguish Time: None
Extinguish Time: 0.0
Bum Length: 0.1
Drip Extinguish Time: None
Extinguish Time: 0.0
Bum Length: 0.1
Drip Extinguish Time: None
Extinguish Time:
Bum Length:
Drip Extinguish Time:
Extinguish Time:
Burn Length:
Drip Extinguish Time:
Extinguish Time:
Bum Length:
Drip Extinguish Time:
AVERAGE
0.00
COMMENTS:
PASSED: X
AVERAGE 0.10
FAILED:
AVERAGE 0.00
Testing Witnessed and Approved By: Brian Foss Engineering Designee: Structures (Flammability Only)
SDNY_GM_02757322
SUBJECT TO PROTECTIVE ORDER PARAGRAPHS 7, 8, 9, 10, 15, and 17
EFTA_0O244244
EFTA01329107
SDNY_GM_02757323
SUBJECT TO PROTECTIVE ORDER PARAGRAPHS 7, 8, 9, 10, 15, and 17
EFTA_00244245
EFTA01329108
1 I I
105 I NGIN -
IWALJ nnut
N Y 11 int,
FOR
INTERNATIONAL
5800 LED LAMP, P/N L5800-XXX-YY
and
N5120B Lamp Holder
Manufactured By:
REV A
November 20, 2017
Aircraft Lighting International, Corporation, PROPRIETARY NOTICE
This document contains information of a confidential and proprietary nature to Aircraft Lighiing
International, Corporation (-ALI), constitutes trade secret for the purpose of the Trade Seciket and
Freedom of Information Act, and is provided in confidence for the sole purpose of enabling the recipient
to evaluate the information disclosed by ALI for the sole purpose of installation of part number 15800-
XX.Ar-YY. The recipient assumes custody and contra and agrees that this document and its aicompanying
enclosures/exhibits will not be copied, manufactured, sold, used for Inventions or discovery, reproduced,
in whole or in part, nor its contents revealed or disclosed in any manner to any third party without prior
written consent of ALL As oldie date of this cover letter no right has, now, currently or in the future,
been granted to disclose or use any information contained In this document.
®Copyright 2017 Aircraft lighting International. Corporation. all rights reserved.
Page 1 of 7
Document No.IINST4.5800
SDNY_GM_02757324
SUBJECT TO PROTECTIVE ORDER PARAGRAPHS 7, 8, 9, 10, 15, and 17
EFTA_00244246
EFTA01329109
SDNY_GM_02757325
SUBJECT TO PROTECTIVE ORDER PARAGRAPHS 7, 8, 9, 10, 15, and 17
EFTA 00244247
EFTA01329110
IMO PAM 0, •Isf
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SDNY_GM_02757326
T TO PROTECTIVE ORDER PARAGRAPHS 7, 8, 9, 10, 15,
EFTA_00244248
EFTA01329111
SONY_GM_02757327
T TO PROTECTIVE ORDER PARAGRAPHS 7, 8, 9, 10, 15,
EFTA_00244249
EFTA01329112
..entD MRS
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SDNY_GM_02757328
T TO PROTECTIVE ORDER PARAGRAPHS 7, 8, 9, 10, 15,
EFTA_00244250
EFTA01329113
SONY_GM_02757329
T TO PROTECTIVE ORDER PARAGRAPHS 7, 8, 9, 10, 15,
EFTA_0024425 I
EFTA01329114
Plan D LLC
6100 Red Hook Quarter B3
St Thomas VI VI 00802
ODA-511131-CE
Gul (stream Aerospace Corporation
Savannah, Georgia 31402-2206
As the owner /certificate operator of Gulfstream Aerospace Corporation GV-SP (G550) , Serial Number
5173, registration N415LM, I am requesting a Replacement Standard Airworthiness Certificate due to
change of Registration from N4I5LM to N212JE as authorized by AC form 8050-64 issued on 23 AUG
2017.
The registration markings have ban affixed to the aircraft in accordance with 14 CFR 45, subpart C.
Regards,
Title:
m 4W Ag Est
RAN A ac.
Date c
-/ S
—01-O/
SDNY_GM_02757330
SUBJECT TO PROTECTIVE ORDER PARAGRAPHS 7, 8, 9, 10, 15, and 17
EFTA_00244252
EFTA01329115
SDNY_GM_02757331
SUBJECT TO PROTECTIVE ORDER PARAGRAPHS 7, 8, 9, 10, 15, and 17
EFTA _00244253
EFTA01329116
Gulfstream
27 FEB 2018
ODA-GR4R-2018-08
Mr. Brian Cole
Aviation Safety Inspector (AW)
DOT/FAA/ATL FSDO-11
1701 Columbia Ave
College Park, GA 30337
Corporation, Aircraft Model GV-SP(G550), Serial No. 5173, registration N415LM, due to
registration change to N212JE.
Attachments: Replacement 8100-2 data package.
A Replacement Standard Airworthiness Certificate was issued for subject aircraft due to
registration change on 27 FEB 2018.
Brent Archibald
ODA-511131-CE
Gulfstream Aerospace Corporation
Savannah, Ga.
ATL FSDO-1 I
•I 1 3 201$
P.O. Boa 2206 • Savannah. GA 31002-2206 USA • Telephone (912) 965-3000 • gulfatrom.com
SDNY_GM_02757332
SUBJECT TO PROTECTIVE ORDER PARAGRAPHS 7, 8, 9, 10, 15, and 17
EFFA_00244254
EFTA01329117
[I
1 i -O:124 . ITA
•
SONY GM 02i57333.:
SUBJECT TO PROTECTIVE ORDER PARAGRAPHS 7, 8, 9, 10, 15, and 17
EFTA_00244255
EFTA01329118
Memorandum
Date:
To:
From:
Subject:
Federal Aviation
Administration
March 14, 2018
Aircraft Registry, AFS-750
Fdmundo Rolon, ASI; SO-11
Reissued Airworthiness Certificate
Please be advised that a replacement Airworthiness Certificate was issued by Brent
Archibald, ODA-511131-CE, fora Gulfstream G550 aircraft, S/N 5173, due to an "N"
number change from N415LM to N212JE.
A copy of the FAA Form 8100-2 and the letter authorizing an agent to sign for the owner,
are attached.
kNY_GM_02757a34
SUBJECT TO PROTECTIVE ORDER PARAGRAPHS 7, 8, 9, 10, 15, and 17
EFTA_00244256
EFTA01329119
SDNY_GM_02757335
SUBJECT TO PROTECTIVE ORDER PARAGRAPHS 7, 8, 9, 10, 15, and 17
EFTA_00244257
EFTA01329120
0
US Dammam
el ingspatuma
(Airframe, Powerplant. Propeller, or Appliance)
Rectal Midge
Mosisigracke
Form Approved
OMB No. 2120-0020
II/302007
Electronic Tracking Number
For FAA La Only
INSTRUCTIONS: Print or type all entries. See Title la CFR 643.9. Pan 43 Appendix B. and AC 43.9-I (or subsequent revision thereof) for
instructions and disposition of this form. This report is required by law (49 U.S.C. 444701). Failure to report can result in a civil pawky for each such
violation. (49 U.S.C. 446301(d)
I. Aircraft
Nationality and Registration Mask
N4I5LM
Serial No.
$173
Make
GULFSTREAM
Model
GV-SP (0550)
Series
2. Owner
Name (As shown on reisislrodon canficate)
PLAN D LLC.
Address (At shown on registration eenilierue)
Address 6100 RED HOOK Quarter 93
City
St. Thomas Virgin Island
Zip
00802
Country USA
3. For FAA Use Only
4. Type
5. Unit Identification
Repair
Alteration
Unit
Make
Model
Serial No.
0
AIRFRAME
(4, descnbed in hem I abate)
0
0
POWERPLANT
0
0
PROPELLER
0
APPLIANCE
Type
•
Manufacturer
6. Conformity Statement
A. Agency's Name nd Address
B. Kind of Agency
Name
Address
City
Zip
Gulfstream At-manes C0ro0rati00
U.S. Certified Mechanic
I Manufacturer
Cifts_ennUct_SUPP9BBoad
,avannah
State
Foreign Cati fled Mechanic
C. Certificate No.
GA
X Certificated Repair Station
FAA CRS GR4R216M
31408
Country USA
Certificated Maintenance Organization
D. I entity dm the repair enclitic alteration made to the trans identified in item 5 above and described on he reverse or attachments hereto have been made in
accordance with the requirements of Pan 43 of the U.S. Federal Aviation Regulations and that the information furnished herein is true and comet to the
best of my knowledge.
Extended range fud
pa 14 CFR Part 43
App. B
❑0
Signature/Date of Authorized Individual_ •
,
leci ‘ tC4.._
0 .•:- ' t
Carlos A. Davila
03/082018
7. Approval for Return to Service
Pursuant to the authority given persons specified below, he unit identified in item S was inspected in the manner prescribed by the
Administrator of the Federal Aviation Administration and is
El APPROVED
0
REJECTED
BY
FAA Flt. Standards
Inspector
Manufacturer
Maintenance Organization
Persons Approved by Canadian
Department of Transport
FAA Designee
X Repair Station
Inspection Authorizations
Other (S),een59
Certificate or
Designation No.
FAA CRS GR4R2 I 6M
SignamrdDate of Authorized Individual
Carlos A. Davila
03/08/2018
I
cm 3371mmem
EQF 100 -(CG) 04/16
SDNY_GM_02757336
SUBJECT TO PROTECTIVE ORDER PARAGRAPHS 7, 8, 9, 10, 15, and 17
EFTA_00244258
EFTA01329121
NOTICE
Weight and balance or operating kmitation changes shall be entered in the appropriate aircraft record. An alteration must be
compatible with all previous alterations to assure continued conformity with the applicable sinronniness requirements.
8. Description of Work Accomplished
more space is recurred. enact ackstronal shoots Identity with avatar nationarity and registration mark and date wore canna:Sod
01118.1201 8
Nstonalny and Raga:mon Mark
Dale
Reference: Gulfstream Aerospace Corporation Work Order No. SC521661
1.
Installed JetConneX (ICA-Band) High Speed Data System with Satcom Direct Router in accordance
with STC No. ST03238AT-D, under Index List No. GC41 3038007, Rev. R, using Configuration
List Nos. GC5I 3038034, Rev. A and GC5I 3038035, Rev. NC, with minor deviations under
Gulfstream Engineering Drawing List No(s). CE51 4960797, Rev. B-E. (electrical) and CE52
005173, Rev. C (mechanical).
•
Reference Gulfstream Document No. GC51 303A004, Rev. F for Maintenance Requirements —
Instructions for Continued Airworthiness.
•
Airplane Flight Manual Supplement No. GC51 303M005, Rev. F applies and has been inserted
into the Airplane Flight Manual.
•
Reference Gulfstream Document No(s). GC51 3030007, Rev. NC for the Ground Test Plan.
•
Reference Electrical Load Analysis No. GC5I 4696768, Rev. NC and GC41 429G002, Rev.
NC for details of electrical loads from modifications accomplished under this work order.
2. Updated the Equipment List section of the Weight and Balance Manual.
3. Weight and Balance data has been revised and inserted into the Weight and Balance Manual.
End
K Additional Sheets Are Attached
FM Fpm 337 poos)
EQF 100 - (CG) 04/16
SDNY_GM_02 757337
SUBJECT TO PROTECTIVE ORDER PARAGRAPHS 7, 8, 9, 10, 15, and 17
EFTA_00244259
EFTA01329122
0_,
mi. •
(Airframe, Powerplant, Propeller, or Appliance)
US Depanmen
ce 1 qtnicefietcn
hen, known
Admaistrahon
OMB No 2120.0020
Eva'S/31/2014
7,800'91.nel
FM FAA use eery
INSTRUCTIONS: Print or type all entries. See FAR 43.9 Appendix El, and AC 43.9.1 (or subsequent revision thereof) for
instructions and disposition of this form. This report is required by law (49 U.S.C. 44701). Failure to report can result in a civil
penalty for each such violation. (49 U.S.C. 46301(a)).
1. Aircraft
Nationality and Registration Mark
USA N415LM
I Serial No.
5173
Model
Series
Make
Gulfstream Aerospace
GV-SP (G550)
2. Owner
Name (As shown on registration certificate)
Plan 0 LLC
Address (As shown on registration certificate)
ACI*••• 6100 Red Hook Quarter 83
car
St Thomas
slat
Foreign
nn 00Ma
rn.nwViroin island%
3. For FAA Use Only
4. Type
6. Unit Identification
Repair
Altered°
Unit
Make
Model
Serial No.
0
--
e
0
AIRFRAME
---------
(As described in Item 1 above)
0
POWERPLANT
0
0
PROPELLER
0
0
APPLIANCE Tn.
tiwwww
6. Con entity Statement
A. Agency's Name and Address
B. Kind of Agency
I Manufacturer
International Jet Interiors
2221 Smithtown Ave
Ronkonkoma, New York
11779 USA
U.S. Certificated Mechanic
C. Certificate No.
Foreign Certificated Mechanic
CRS I1JR439Y
X Certificated Repair Station
Certificated Maintenance
D. I certify that the repair and/or alteration made to the unit(s) identified in item S above and described on the reverse or
attachments here to have been made in accordance with the requirements of Part 43 of the U.S. Federal Aviation Regulations and
that the information furnished herein is true and correct to the best of
nowiedge.
Extended range fuel per
14 CFR Part 43
0
App. B
Signature/Date of Authori
In
idu
Jay Massar 8/31/2017
7. Approval for Return to Service
Pursuant to the authority given persons specified below, the unit Identified in item 6 was nspected in the manner prescribed by the
Administrator of the Federal Aviation Administration and Is
(8) APPROVED
0 REJECTED
FAA Flt. Standards
Inspector
I
Manufacturer
Maintenance Organization
Persons Approved by Canadian
Department of Transport
BY
FAA Designee
X Repair Station
Other (Specify)
Inspection Authorization
Cent
Designation
cute or
No.
Signature/Date of Autho ize ndivid
CRS I1JR439V
Thomas Norden 8/3112 01 7
IL\IV
L--
FAA Form 337 ,i,
SDNYGtvl_02757338
SUBJECT TO PROTECTIVE ORDER PARAGRAPHS 7, 8, 9, 10, 15, and 17
EFTA_00244260
EFTA01329123
NOTICE
Weight and balance or operating limitation changes shall be entered in the appropriate aircraft record An alteration must be compatible with
all previous alterations to assure continued conformity with the appiscaM airworthiness requirements
8. Description of Work Accomplished
(If more space is required. attach additional sheets. Identity with aircraft nationality and registration mark and date work accomplished)
USA 'NM 5LM
Date 8! 1/2017
Nationality and Registration Mari
I) Accomplished the following modifications/alterations/refurbishment as listed below to an existing executive interior in
accordance with the below listed International Jo Interiors Drawings. All listed Structural drawings were approved via
(attached)
DRAWING NUMBER
REV
IMMO I13
IR
IRGSSOSIMA
IR.
ARMREST COVER INSTL•DIVAN CABINET
UIGSSOSIMB
IR
IlIGSSOSIMC
IR
IlIGSSOSIMD
IR
SEAT MOD INSTL
IIIGSSOSI TIE
IR
LIICMOSI LW
IR
UIGSSOSI73G
IR
UIGSSOSIMH
IR
UIGSSOSIM)
IR
2) Reupholstered the eight (8) existing Single Cabin Seats with Spinneybeck leather: P/N 0457VPI 12235FT, Velluto Pelle
Color 0457, D/L I12235FT. In accordance with Aviation Consulting & Engineering Solutions Inc. Substantiation Report
No. A061917-03SR Rev IR dated 8252017, ACES drawing No. CV-010039 Rev A dated 2/28/2017 and ACES drawing
A0100001 Rev R dated 1/23/13, and approved via FAA/DER 8110-3 dated 8/28/2017 (attached) by David S. Molnar
(DERT-510260-CE).
3) Reupholstered the LH & RH Divan with Nobilis Fabric: 10493-05, Stella and Spinneybeck leather: P/N
0457VP112235FT, Velluto Pelle Color 0457, D/L I I2235FT. In accordance with Aviation Consulting & Engineering
Solutions Inc. Substantiation Report No. A061917-03SR Rev IR dated 8252017, ACES drawing No. CV-010019 Rev H
dated 2/28/2017 and ACES drawing A0100001 Rev R dated 1/23/13, and approved via FAA/DER 8110-3 dated 8282017
(attached) by David S. Molnar (DERT-510260-CE).
4) All eight (8) cabin single passenger seats, Two (2) divans, and one (I) observer scat cushions have been fireblocked in
accordance with FAA Title 14 CFR 25.853 (a) (c) amendment 25.116. Reference Aviation Consulting & Engineering
Solutions Inc. (ACES) fire blocking Test Plan report No. A061917-03FP Rev A dated 8/16/2017 and Oil Burner Tat
Results report No. A061917-03-0I FR Rev IR dated 8/21/2017 approved via FAA/DER form 8110-3 (attached) dated
8/17/2017 and 8/21/2017 by Herschel E. Loepp (DERT-230453-CE).
5) The existing cockpit crew seats were reupholstered (outer cover only) with Spinneybeck Leather: PN 0457VPI12235FT-
Velluto Pelle, Color 0457, D/L. 112235Ff Deadatus and Garrett Sheepskin: Shearling-White PN S510, D/L 85847. In
accordance with Aviation Consulting & Engineering Solutions Inc. Substantiation Report No. A061917-03SR Rev IR
dated 8/25/2017, and ACES drawing GVSP-090024 Rev IR dated 8/25/2017. and approved via FAA/DER 8110-3 dated
828/2017 (attached) by David S. Molnar (DERT-510260-CE).
6) All cabin PAX seats and Crew restraints have been re-webbed by C&M Marine Aviation Services Inc. (FAA/CRS
V05R749Y) Reference 8130-3 dated 7/8/17 and 6/14/17. Each belt is tagged and identified as meeting FAA-MO-Cite,
requirements.
7) The existing cockpit observer seat was reupholstered (outer cover only) with Spinneybeck Leather: PN 6043ADI I 2152FT-
Andes Color 6043 D/L 11215217. In accordance with Aviation Consulting & Engineering Solutions Inc. Substantiation
Report No. A0619I7-03SR Rev IR dated 8/25/2017, and ACES drawing GVSP-090024 Rev IR dated 8/25/2017, and
approved via FAA/DER 8110-3 dated 828/2017 (attached) by David S. Molnar (DERT-510260-CE).
8) Stripped and recovered the existing Fwd Cabin Bulkheads, Fwd Cabin Pocket Door, Cabin Lower Side wall Panels, and
Magazine Racks with Hermes Fabric: 211007 MI6 — Toile Decoration Grege. Burn report TPN 329681-17 Rev A dated
8/22/17 approved via FAA/DER Form 8110.3 dated 8/22/17 (attached) by Jane Biberstein (DERY-832780-CE). Skandia
Inc. composite burn spec No. 4 and 18.
0 Additional Sheets Are Attached
FAA Form 337 00-00
SDNY_GM_02757339
SUBJECT TO PROTECTIVE ORDER PARAGRAPHS 7, 8, 9, 10, 15, and 17
EFTA_00244261
EFTA01329124
NOTICE
Weight and belanCe or operating limitation changes shaft be entered in the appropnate aircraft record. An alteration must be compatible with
aThowvious alterations to assure continued conformity with the applicable airworthiness requirements.
8. Description of Work Accomplished
(If more space is required, attach additional sheets, Identify with aircraft nationality and registration mark and date wont accomplished )
USA
N 10415LAI
Nationality and Registration Mark
9) Covered the existing veneered handrails on the PSUNalance Panels in the Cabin area with Tapis Ultraleather: YLIR3145 —
Parchment, Lot: N, Roll #136. Bum report TP# 329681-17 Rev A dated 8/22/I7 approved via FAA/DER Form 8110-3
dated 8/22/17 (attached) by Jane Biberstein (DERV-832780-CE). Skandia Inc. composite burn spec No. 13.
le) Stripped and recovered the existing Fwd and Aft Lavatory Potty Seat with Spinneybeck leather: PN 0457VP I 12235FT -
Velluto Pelle Color 0457 D/L II2235Ff. Burn report TPH 329681-17 Rev A dated 8/22/I7 approved via FAA/DER Form
•
8110.3 dated 8/22/17 (attached) by Jane Biberstein (DERY-832780-CE). Skandia Inc. composite burn spec No. 3.
II) Stripped and recovered the existing Aft Lavatory Deck with Wisonan Laminate: I 573KF2133548120 - Frosty White. Burn
report TN( 329681.17 Rev A dated 8/24/17 approved via FAA/DER Form 8110-3 dated 8/24/17 (attached) by Jane
Biberstein (DERY-832780-CE). Skandia Inc. composite bum spec No. 15.
12) Upholstered the new Divan End Arm Covers with Spinneybeck leather: PM 0457VP1 I 2235FT, Velluto Pelle Color 0457.
D/L I I2235FT. Bum report TPN 329681-17 Rev A dated 8/22/17 approved via FAA/DER Form 8110-3 dated 8/22/17
(attached) by Jane Biberstein (DERV-832780-CE). Skandia Inc. composite burn spec No. 3.
13) Installed new Replacement Floor Covering in the Entryway, Main Cabin, Galley, Lavatory, and Floor Ducts with Glen
Eden Carpet: Custom 5201 Hand-Tufted and solid Cut Pile, Color: W037 Twilight-Wool. Burn report 'FPO 329681-17 Rev
A dated 8/22/17 approved via FAA/DER Form 8110-3 dated 8/22/17 (attached) by Jane Biberstein (DERV-832780-CE).
Skandia Inc. composite burn spec No. 6 & 7.
14) Stripped and recovered the Entry Door/Airstair with AerMat ST/1 003/1003/20R/54 Ribbed Black. Burn report IPM
329681.17 Rev A dated 8/22/I7 approved via FAA/DER Form 8110-3 dated 8122/17 (attached) by Jane Biberstein (DERV-
832780-CE). Skandia Inc. composite burn spec No. 2.
15) Fabricated a new replacement Mid and All Cabin Curtain with Hennes Fabric: 211007 M 16 - Toile Decoration Gregc.
Burn report TIM 329681.17 Rev A dated 8/22/17 approved via FAA/DER Form 8110.3 dated 8/22/17 (attached) by Jane
Biberstein (DER Y-832780-CE). Skandia Inc. composite bum spec No. 5 and 17.
16) Modified the Fwd Crew Galley Sleeve to accommodate a Small Coffee Maker (loose Equipment). Installed a new
IlOv/60Hz provisional outlet. Wiring was performed by Hawthorne Global Aviation Services (FAA/CRS EW7R379W)
WO 24798 Logbook Supplement dated 8/25/2017.
I7) Complied with BIE Service Bulletin No. SB-2524.524.25.355 Rev A. Title: "Replacement footrest with legrest" to the
existing (2Ea) cabin scats P/N 2524.524.01-50809. SN 071219-07 and P/N 2524.524.01.5031 A, SN 071219.04.
Date 8/31/2017
IS) All affected areas of the aircraft interior have been placarded in accordance with applicable FAA regulations.
19) The aircraft's Weight & Balance Manual has been updated (report dated 8/31/2017) and has been provided to customer.
20) A logbook entry has been made reflecting this alteration.
21) this Refurbishment/Repair/Alteration to the existing Cabin Interior furnishings requires No Scheduled Maintenance Tasks
or Airworthiness Limitations, refer to the OEM Maintenance Manual, and all other existing ICA's. The Aircraft's Scheduled
Maintenance Program is not altered by this repair/refurbishment.
22) The work described, has been found to be in conformity with the above mentioned approved data and continues to meet the
airworthiness criteria under which it was originally certificated. Work Order No. 17126, on file at this agency, covers the
above described work.
Ea Additional Sheets Are Attached
FAA Form 332 (10.061
SDNY_GM_02757340
SUBJECT TO PROTECTIVE ORDER PARAGRAPHS 7, 8, 9, 10, 15, and 17
EFTA_00244262
EFTA01329125
SDNY_GM02757341
SUBJECT TO PROTECTIVE ORDER PARAGRAPHS 7, 8, 9, 10, 15, and 17
EFTA_00244263
EFTA01329126
g.
5
I.
I. DATE
August 17, 2017
2. MAKE
Gulfstream Aerospace
Corporation
3 MOOD NO.
GV-SP
4 TYPE Meese Enda,. Pap s... at)
Aircraft
International Jet Interiors
1ST OF DATA
7 TITLE
REPORT:
A061917-03FP
Rev. A 08/16/17
END
=
_
GULFSTREAM AEROSPACE CORPORATION MODEL GV-SP (G550) SN 5173
Note:
1. Approval of test results is required.
END
_
Test plan approval only, in support of a major alteration to Gutfstrearn Aerospace Corporation Model GVSP (0550)
SN 5173.
9 APPLICABLE REOUIREMENTS (List specAc sections)
14 CFR SS 25.853(a)(c) at Amendment 25-116
10. CERTIFICATION -Under onset
Psi M. dRa ailed above and on aPeched
eel appireble reeve weer Owe Anneethiness
0
R•Ecennassri
vested by deecten dine AdintrosIndor and In accordance se tandems and Illyamreare ol appcliemonl wider 14 GEN
sheets numbered None . have been examined In natant
with established procedures and lows] to campy
Standards kited.
approval of these data
data
i two Thonsem
0 Approve these
TED ENmsEERING R
I
PIMSENTeuvElei
12 DESIGNATION NUMBERSIS)
is. mASSiFICATIONIel
Aeabon Consulting
oep a
idnc.
Herschel E L
p
anti)
DERT-230453-CE
Structures
C.
FAA Pone 01104 (03/10) SUPERSEDES PREVIOUS EDITION
RLI
SDNY_GM_02757342
SUBJECT TO PROTECTIVE ORDER PARAGRAPHS 7, 8, 9, 10, 15, and 17
EFTA 00244264
EFTA01329127
SDNY_GM_02757343
SUBJECT TO PROTECTIVE ORDER PARAGRAPHS 7, 8, 9, 10, 15, and 17
EFTA_00244265
EFTA01329128
1. DATE
August 21. 2017
AIRCRAFT OR AIRCRAFT COMPONENT IDENT1FICATKM
2. MAKE
Gulfstream Aerospace
Corporation
3 MODEL NO
GV-SP
4. TYPE (Aka**. Engine Propel, etc.)
Aircraft
5. NAME Of APPLICANT
International Jet Interiors
UST OF DATA
6. IDENTIFICATION
7. TITLE
REPORT:
A081917-03FR
Rev. IR 08/21(17
==
.c.
END
===vssessrvves
GULFSTREAM AEROSPACE CORPORATION MODEL GV-SP (6550) SN 5173
Notes:
1.
The flammability aspects only of the above list&J data are approved herein. This approval is
only for the engineering data. It indicates the data listed above demonstrates compliance only
with the regulations specified by paragraph and subparagraph listed below as 'Applicable
Requirements.'
2.
This form does not constitute FAA approval of all the engineering data necessary for
substantiation of compliance to necessary requirements for the entire aeration/repair.
Compbance with additional regulations is required.
=2=.11”
saaaaaramalinazsavax3 m a mmm atazaza .........
END
ass=
==riiiir.unnsualv
..
atri==a
=C
arc=
In support of a major alteration to Gulfstream Aerospace Corporation Model GV-SP (6550) SN 5173.
9 APPLICABLE REQUIREMENTS (Um specific actions)
14 CFR §§25.853(aXc) at Amendment 25-118
10 CERTIFICATION Under aufhority
Prt 153, data Stied abaft and en scathed
we. MOWS. eknaresnefts of ihe einvonhinares
K Recommed
I (Wo ThowelOrt
0
Approve
vested by *amen a/ the Ado narrator and in scccedance
shams wawa! Rao° have been ciamarl
with ceneldnen and Imeallons Of appoternenl unece le CFR
in accoMaxa worn MINIMS procedures and found to =trek
,
Stantanis aped.
approval of these data
than data
12 DESIGNATION NUMBERS(S)
13. CLASSEIGATIOM51
Amason Consulting re:n
citolibosa, InE. I)
Herschel E Loops)
I t.
DERT-230453-CE
Structures
FAA Form $110.3 (03110) SUPERSEDES PREVIOUS EENTION
Rio
SDNY_GM_02757344
SUBJECT TO PROTECTIVE ORDER PARAGRAPHS 7, 8, 9, 10, 15, and 17
EFTA_00244266
EFTA01329129
SDNY_GM_02757345
SUBJECT TO PROTECTIVE ORDER PARAGRAPHS 7, 8, 9, 10, 15, and 17
EFTA_00244267
EFTA01329130
VS DEPAH imtN I OF TRANSPORTATON
I DATE
August 28, 2017
2 MAKE
Gulfstream Aerospace
Corporation
3 MODEL NO
GV-SP
4. I TrE (Asa* Engine. Propels v, 04c)
Aircraft
5 NOISE OF APPLICANT
International Jet Interiors
LIST OF DATA
0 IDENTIFICATION
7 WILE
Report:
A061917-03SR
Rev. IR 08/25/I7
Drawings:
GVSP-090024
Rev IR 0825/17
GV-010019
Rev. H 02/28/17
CV-010020
Rev. A 11/30/12
(3V4110039
Rev. A 02/28/17
G1/010040
Rev. IR 03/02/15
A0100001
Rev R 01/23/13
END
se
SUBSTANTIATION REPORT - SEAT CUSHION a DRESS COVER REPLACEMENT - SEATING
PRODUCTS - GULFSTREAM AEROSPACE CORPORATION MODEL GV•SP SN 5173
GULFSTREAM GV/GV•SP CUSHION ASSY 4 PLACE DIVAN
GULFSTREAM GV CUSHION ASSY 4 PLACE DIVAN TOOLS
GULFSTREAM GV 8 UV-SP CUSHION ASSY PASSENGER SINGLE SEAT
GULFSTREAM GV 8 GV-SP CUSHION ASSY TOOLS PASSENGER SINGLE SEAT
PLACARDS
Notes:
I. Structural approval of the seal installations is not included as pan of this 8110-3.
2. This aPPrOual is for engineering design data only. It indicates the data listed above demonstrates
Compliance Only with the legUlahOns Speafiecl by paragraph and subparagraph listed below as
• -Applicable Requirements."
3. This form does not constitute FAA approval of all the engineering data necessary for
substantiation of compliance to necessary, JequIrements for the entire allerationfrepair.
Compliance with additional regulations such as 14 CFR §§ 25.803(a). 25.813(021). 25.815,
25.853(a)(c). 25.1411(b), and 25.1561(c) are beyond the scope of this design data. Additional
approvals may De required.
..woo
.s
so
ae
PND
. 37.xam:r.zacs=
-- - -
a. PURPOSE OF DATA
In support of a major alteration to Gulfstream Aerospace Corporation Model GV-SP SN 5173.
9. APPLICABLE REOUIRE ME NTS (tsI Sosonit sonars)
14 CFR §§ 25.561(b1). .562(a1), .603(a). .785(b)(c). and .1541(a1)(b1)(02) through Amendment 25-98.
lo Cenretcshou •lirter aultienly ,w.3“1 by freCtion 01 the Arlin:Ws*, 3n.14., arityd4eiC4 will coodoons KO Imiabons ii apvontencoi Life( 14 (JR
Pan 153. data kited NARK ono on aMthtO sheets numbered Ne • Ktve been enmir4:4 . OCC140JeWa' wtri 44.1.0600,1POCUIL49. 4430 bona ID WM*
A4I, opplca14.9 teVollierrOMS a 33 Anon/5mm Standards kmans
0 Ref Ommend approval of these data
I fne.) Maeda gi Approve these data
I1 SIGNATURE(S) OE DESIGNATED ENGINEERING REPRESENI Ai rvp(s)
I2 DESIGNATION NUMSERS(S)
DAVID S MOLNAR - Ca ..\
_
•
b
r
i tsk...Th- --...
DERT-510260CE
STRUCTURES
FAA Form at les (031101 SUPERSEDES PREVIOUS EDITION
SDNY_GM_02757346
SUBJECT TO PROTECTIVE ORDER PARAGRAPHS 7, 8, 9, 10, 15, and 17
EFTA_00244268
EFTA01329131
SDNY_GM_02757347
SUBJECT TO PROTECTIVE ORDER PARAGRAPHS 7, 8, 9, 10, 15, and 17
EFTA_00244269
EFTA01329132
U.S. DEPARTMENT Or MIANSPORTATICH
1 DATE
August 24, 2017
2. SAKE
Gulfstream Aerospace
Corporation
3. MODEL NO.
4 TYPE OFF144. EnPnv. Pone. wai
GV-SP s/n 5173
Airplane
6. NAME OF APPLICANT
International Jet Interiors
Ronkonkona, NY
LIST OF DATA
6 IDENTIFICATION
1 TIME
Drawings:
IJIG5505173A Rev IR
IJIG55051738 Rev IR
IJIG5505173C Rev IR
Reports:
IJIG5505173SA Rev IR
Addendum A 08/22/17
IJIG5505173SA Rev IR
Addendum B 08/22/17
IJIG5505015SA Rev IR
Addendum C 08/22/17
Structures Note:
Armrest Cover Inge - Divan Cabinet
sht 1 -4 dated 07/06/17
LH Fwd Crew Galley Mod Insti
sht 1 -4 dated 07/06/17
Monitor Mod Intl - LH Fwd
sht 1 - 5 dated 07/06/17
Structural Analysis Divan Cabinet Armrest Cover Installation Gulfstream Aerospace
Corporation GVSP
Structural Analysis LH Fwd Crew Galley Mod Installation Gutfstream Aerospace
Corporation GV-SP
Structural Analysis LH Fwd Monitor Mod Installation Gulfstream Aerospace Corporation
GV-SP
1) The structural aspects only of the above listed data are approved herein. This
approval is only for the engineering data. It indicates the data listed above demonstrates
compliance only with the regulations specified by paragraph and subparagraph listed
below as 'Applicable Requirements".
2) This form does not constitute FAA approval of all the engineering design data
necessary for substantiation of compliance to necessary requirements for the entire
alteration. The requirements of Electrical Systems and Equipment and Flammabiity are
not included in this approval and may require separate approval.
3) Satre interior compliance inspection is not included in this approval and requires
separate approval.
a. PURPOSE OF DATA
To provide type data for FAA approval of structure In support of major alteration for Gulfitream OV-SP ski 5173.
a AP/VC...MILE REDIAREMENTE (Larl Spica emPard)
14 CFR Part 25, Arndt 25-1 through 25-98 as specified in TCDS Al2EA;
Paragraphs: 25.301(a-b) Arndt 25-23, 25.303 Amdt 25-23, 25.305(a, b) Arndt 25-54, 25.307(a) Amdt 25-72.
25.341 Arndt 25-0, 25.561 Arndt 25-23, 25.601 Amdt 25-0, 25.603 Arndt 25-46, 25.605(a) Arndt 25-46,
25.609(a) Amdt 25-0, 25.611 Arndt 25-23, 25.613(a. b, d) Arndt 25-72, 25.619 Arndt 25.23,
25.625(a-c) Amdt 25-72, 25.787(a, b) Arndt 25-51, 25.789(a) Amdt 25-46.
10. CERTIFICATC14 • Under audiattry vested by ditacdon a/ Ms Adrriammor end in &Call:WOO with conalbons and radiant d addffinnad andel 14 CFR
PM 163. daft lad Wove and an Mailed WIWI Oufabelecl j
hem been canned in accordance wan establahml precedunes end band lo comply Mn
applicable dapandnard; al Me Anscrtnhess Stands/0s Wed
0 Recommend approval al these data
1 Or1/41) Therefore
23 Appian these data
It. SIONATUFtE/SI OF DESIGNATED ENGINEERING REPRESENTATivEi31
12. OEM:NATION NUMBERSO)
IF CIAERIFICATIONiF 1
Donald E. Shepherd, Jr.
I
6..m.e.1/14,01.4.4c,77
DERT-230307-CE
Structures
FAA Form 6110.3 (03/10) SUPERSEDES PREVIOUS EDITOR
Ist-INIO
-A.
SDNYGlvl02757348
SUBJECT TO PROTECTIVE ORDER PARAGRAPHS 7, 8, 9, 10, 15, and 17
EFTA_00244270
EFTA01329133
SDNY_GM_02757349
SUBJECT TO PROTECTIVE ORDER PARAGRAPHS 7, 8, 9, 10, 15, and 17
EFTA_00244271
EFTA01329134
VS DEPARTMENT OF11TANSPORTATION
1. DATE
August 23, 2017
2. MAKE
Gulfstream Aerospace
Corporation
3. MODEL NO.
GV-SP s/n 5173
4. TYPE (Alm* Erre. ProteNo. No)
Airplane
& NAME OF APPLICANT
International Jet Interiors
Ronkonkona, NY
UST OF DATA
6. IDENTIFICATION
7 ?ME
Drawings:
IJIG5505173D Rev IR
IJIG5505173E Rev IR
IJIG5505173F Rev IR
Reports:
IJIG5505173SA Rev IR
Addendum D 08/22/17
IJIG5505173SA Rev IR
Addendum E 08/18/17
IJIG5505015SA Rev IR
Addendum F 08/18/17
Structures Note:
Seat Mod Instl
sht 1 - 5 dated 08/04/17
Switch Mod Ins!' - Divan
sht 1 - 4 dated 07/31/17
LH Aft Galley Mod Insti
sht 1 - 4 dated 07/06/17
Structural Analysis Cabin Pallet Installation Gulfstream Aerospace Corporation GV-SP
Structural Analysis Passenger Switch Relocation in Cabin of Gulfstream Aerospace
Corporation GV-SP
Structural Analysis LH Aft Galley Mod Installation Gulf stream Aerospace Corporation
GVSP
1) The structural aspects only of the above listed data are approved herein. This
approval is only for the engineering data. It indicates the data listed above demonstrates
compliance only with the regulations specified by paragraph and subparagraph listed
below as "Applicable Requirements".
2) This form does not constitute FAA approval of all the engineering design data
necessary for substantiation of compliance to necessary requirements for the entire
alteration. The requirements of Electrical Systems and Equipment and Flammability are
not included In this approval and may require separate approval.
3) Aircraft interior compliance inspection is not included in this approval and requires
separate approval.
PURPOSE OF DATA
To provide type data for FM approval of structure in support of major alteration for Gulistream GV-SP sin 5173.
to. AMICABLE REQUIREMENTS (IM Meta
)
14 CFR Part 25, Arndt 25-1 through 25-98 as specified in TCOS Al2EA
Paragraphs: 25.301(a-b) Arndt 25-23. 25.303 Amdt 25-23, 25.305(a. b) Amdt 25-54, 25.307(a) Amdt 25-72.
25.341 Amdt 25-0, 25.561 Amdt 25-23, 25.601 Amdt 25-0, 25.603 Amdt 25-46, 25.605(a) Amdt 25-48,
25.609(a) Amdt 25-0, 25.611 Arndt 25-23, 25.613(a, b, d) Amdt 25-72. 25.619 Amdt 25-23,
25.625(a-c) Amdt 25-72, 25.787(a, b) Amdt 25-51, 25.789(a) Arndt 25-46.
10. CERTIFCATION - Meet whom
Ponies. dam Mad Move ana an visaed
Om Ma/oddness
vesle6 by doecur d the MeraNalmta and m acecederee MI maims an0 iteltaloas of aceoldnmni tat 14 CFR
ahem n mewed Sa_ ham ten emend M accadanca MI establahad mamelures and lend to mayfly wah
SUAdvds ad.
approval of that dab
that data
MIMS repuernane of
0
Racommand
I vs) Thmiora
0 Approve
II. SONATURE(3) OF DESIGNATED ENGINEERING REPRESENTATIVE(31
12. DESIGMADON tdulAKRIM(S)
Donald E. Shepherd, Jr.
leuditgeritad",./
.
DERT-230307-CE
Structures
FM Fens 5110-3 (03/10) SUPERSEDES PREviOuSENTION
SDNY_GM_02757350
SUBJECT TO PROTECTIVE ORDER PARAGRAPHS 7, 8, 9, 10, 15, and 17
EFTA_00244272
EFTA01329135
SDNY_GM_02757351
SUBJECT TO PROTECTIVE ORDER PARAGRAPHS 7, 8, 9, 10, 15, and 17
EFTA_00244273
EFTA01329136
FEDERAL AVIATICN ADIAINSTRATICte
1. DATE
August 24, 2017
Z MARE
Gulfstream Aerospace
Corporation
3. MODEL NO.
GVSP s/n 5173
4. TYPE (Ant•P. Eight Prom,* ea)
Airplane
5. MIMEO F APPLICANT
International Jet Interiors
Ronkonkona, NY
UST OF DATA
7 TITLE
t IDEMIFICATCM
Drawings:
IJIG5505173 Rev IR
IJIG5505173J Rev IR
IJIG5505173G Rev IR
IJIG5505173H Rev IR
Reports:
IJIG5505173SA Rev IR
dated 08/23/17
IJIG5505173SA Rev IR
Addendum G 08/22/17
IJIG5505015SA Rev IR
Addendum H 08/22/17
Structures Note:
Interior Mod Intl
sht 1 - 3 dated 07/24/17
Placard Mod Watt
slit 1 - 5 dated 08/01/17
RH Aft Galley Mod Intl
slit 1 -5 dated 07/06/17
Alt Vanity Mod Intl
slit 1 -7 dated 08103/17
Structural Analysis Interior Mod Instl Gulfstream Aerospace Corporation GV-SP
Structural Analysis RH Aft Galley Mod Installation Gulfstream Aerospace Corporation
GV-SP
Structural Analysis Aft Vanity Mod Installation Gulfstream Aerospace Corporation GV-
SP
1) The structural aspects only of the above listed data are approved herein. This
approval is only for the engineering data. It indicates the data listed above demonstrates
compliance only with the regulations specified by paragraph and subparagraph listed
below as "Applicable Requirements'.
2) This form does not constitute FAA approval of all the engineering design data
necessary for substantiation of compliance to necessary requirements for the entire
alteration. The requirements of Electrical Systems and Equipment and Flammability are
not included in this approval and may require separate approval.
3) Aircraft interior compliance inspection is not included in this approval and requires
separate approval.
a. PURPOSE OF DATA
To provide type data for FAA approval of structure in support of major alteration for Gulf stream GV-SP sin 5173.
Et APPLICABLE RECRARVAENTS (UN Wale seellene)
14 CFR Part 25, Arndt 25-1 through 25-98 as specified In TCDS Al2EA:
Paragraphs: 25.301(a-b) Amdt 25-23, 25.303 Amdt 25.23.25.305(a, b) Arndt 25-54, 25.307(a) Amdt 25-72,
25.341 Amdt 25-0, 25.561 Arndt 25-23, 26.601 Arndt 25-0, 25.603 Arndt 25-46, 25.605(a) Arndt 25-46.
25.609(a) Arndt 25-0, 25.611 Arndt 25-23, 25.613(a, 0. 0) Arndt 25-72, 25.619 Arndt 25-23,
25.625(a-c) Amdt 25-72, 25.787(a. b) Arndt 25-51. 25.789(a) Amdt 25-48, 25.1541(a, b) Amdt 25-0.
10. CERTIFICATION - Uncle DuPont,/ heated try datcp0a 0 Re Adrninarsafior and In acceedarce eld, Conlon. and *maroons Of apeoteneant are- II CFR
PIK 103. data brad above and on atta:',ea 5heetsrumbeed jEd... have teen 'ammo In accoptanot wen eatablished Noce:Non and found ba comply wet
boplabee rectiwnents of PO Ainsten -.ass Standards Latta
H Recommend approval of thine data
I (04TherelOre
w Approve these data
11. SIGNATUREISI Of DESIGNATED ENGINEERING REPRESENTATNEIS)
12. DESIGNATION NUMBERS(S)
13. CLASSIFICATIONIS)
Done E.
d,
dints(
DERT-230307-CE
Structures
FAA Form 51104 (0110) SUPERSEDES PREVIOUS MOON
ninP3
SDNY GM_02757352
SUBJECT TO PROTECTIVE ORDER PARAGRAPHS 7, 8, 9, 10, 15, and 17
EFTA_00244274
EFTA01329137
SONY_GM02757353
SUBJECT TO PROTECTIVE ORDER PARAGRAPHS 7, 8, 9, 10, 15, and 17
EFTA_00244275
EFTA01329138
I. DATE
08/24/2017
2. MAKE
Gulf stream Aerospace
3. MODEL NO.
GV-SP
4. Type 049,44,4. fare. &cosh.. etc I
Airplane
5. NAME OF APPUCANT
International Jet Interiors
UST OF DATA
9. IDENTIFICATION
7. TITLE
TP 329681.17
Rev A
Dated 8/24/2017
Skandia, Inc. Flammability Test Report
.
Bunsen Burner Testing
Test Specimen Pan Number
15 (Represents Potty Deck)
Notes:
1) Work accomplished under Skandia Inc. WO tg 329681.17. Ref Document ID 100619
2) Flammability test witnessing only, does not constitute installation approval of the
materials.
8. PURPOSE OF DATA Demonstration al Compliance with matenal flammability requirements in support of Major Repair 8
Alteration for Sitil 5173
9. APPLICABLE REOUIREMENTS (List spec& sections)
14 CFR Pan 25.853 (a) Arndt 25.118 Appendix F Part I (8)(1)(0)
10. CERTIFICATION - Under authority vested by direction
appointment under 14 CFR Part 183. data listed above
in accordance with established procedures and found to
O
Recommend approval of those
( e) Therefore
$,.. Approve these data
of the Administrator and in accordance with conditions
and on attached sheets numbered
and limitations of
have been examined
Standards hstcd.
comply with applicable requirements of the Airworthiness
data
it S NATURE(S) OF DE
13. CLASSIFICATION(S)
A
REPRESEIMATIVE
CA
-
Ja o Bib° rstein
LAL —ORRY-832790-CE
Structural Special
FAA Form
P£RSEDES PREVIOUS EDITION
SDNY_GM_02757354
SUBJECT TO PROTECTIVE ORDER PARAGRAPHS 7, 8, 9, 10, 15, and 17
EFTA_0O244276
EFTA01329139
SDNY_GM_02757355
SUBJECT TO PROTECTIVE ORDER PARAGRAPHS 7, 8, 9, 10, 15, and 17
EFTA_00244277
EFTA01329140
1. DATE
08/22/2017
2. MAKE
Gulf stream Aerospace
3. MOOEL NO.
GV-SP
& Type (4mrils Err" Thaler. it)
Airplane
& NAME OF APPLICANT
International Jet Interiors
UST OF DATA
6. IDENTIFICATION
E TITLE
TP 329681.17
Rev A
Dated 8/22/2017
Skancha, Inc. Flammability Test Report
Bunsen Burner Testing
Test Specimen Part Numbers
2 (Represents Airstair)
3 (Represents Potty Seats. Divan End Arms)
4 (Represents Lower Side Panels)
5 (Represents Mid Cabin Curtain)
6 (Represents Floor Covering)
7 (Represents Floor Covering - Ducts)
13 (Represents Handrails, Galley 8 Alt Lay and PSUs)
14 (Represents Galley 8 Lay Countertops)
16 (Represents Tables)
17 (Represents Aft Cabin Curtain)
18 (Represents Cabin Bulkhead Covers)
Notes:
1) Work accomplished under Skandia Inc. WO II 329681-17, Ref Document ID 100611.
2) Flammability test witnessing only, does not constitute installation approval of the
materials.
Demonstration 01 compliance with material flammability requirements in Support of Major Repair 8
Alteration for SiN 5173
9. APPLICABLE REOUREMENTS (Lisf spec& sections)
14 CFR Part 25.853 (a) Arndt 25-116 Appendix F Part I (a)(1)(i)
14 CFR Part 25.853 (a) Arndt 25-116 Apex F Part I (a)(1Kii)
la CERTIFICATION - Under authority vested by direction of the Administrator
appointment under 14 CFR Pail 183, data listed above and on attached
in accordance with established procedures and found to comply with applicable
0
Recommend approval of these data
ON
Thereon)
‘)3( Approve these data
and in accordance with conditions
sheets numbered
and limitations of
have been examined
Standards listed.
requirements Of the Airworthiness
11. SI
TURE(S) OF Dian
En ENGINEERING REPRESE
ATIVE
Ia.DESIGNATION NUMEIER(S)
13. CLASSIFICATION(S)
i,4
)1/4t\>
ti
\CS
:
CAS )
D
a n@ Biberstein
DERV-832780-CE
Structural Special
FAA Form
(03/10) SUPcRSEDES PREVIOUS EDITION'
SDNY_GM_02757356
SUBJECT TO PROTECTIVE ORDER PARAGRAPHS 7, 8, 9, 10, 15, and 17
EFTA _00244278
EFTA01329141
SDNYGM02757357
SUBJECT TO PROTECTIVE ORDER PARAGRAPHS 7, 8, 9, 10, 15, and 17
EFTA_00244279
EFTA01329142
ale
(Airframe, Powerplant. Propeller, or Appliance)
US 0irotivorl
ci Troosponolol
Fidefill AVilififlei
AdmInisiration
;)Me NO. 2120-0020
leiscooNo
ExpS/31/2014
Troddrp Wirer
For FAA LIM 0otr
INSTRUCTIONS Print or type all entries. See FAR 43.9 Appendix 8, and AC 43.9-1 (or subsequent revision thereof) for instructions
and disposition o this form. This report is required by law (49 U.S.C. 44701). Failure to report can result in a civil penalty for each well
violation (49 U.S C. 48301(a)).
1. Aircraft
Nationally and Registration Mark
USA N415LM
Serial No.
5173
Model
GV-SP
Series
G550
Make
Gutfstream Aerospace
2 Owner
Name (As shown on registration certificate)
Plan D LLC
Address (As shown on registration militate)
Mem 6100 Red Hook Quarter 83
city
ST Thomas
wax Virgin Islands
to
00802
roux,. USA
3. For FAA Use Only
4. Type
6. Unit Identification
Repair
Alteration
Unit
Make
Model
Serial No.
0
0
AIRFRAME
(As described in item 1 above)
0
0
POWERPLANT
0
0
PROPELLER
CI
CI
APPLIANCE
is"
Vatholas
S. Con onnity Statement
A. Agency's Name and Address
B Kind of Agency
Manufacturer
International Jet Interiors
U.S. Certificated Mechanic
C. Certificate No
2221 Smithtown Ave
Foreign Certificated Mechanic
Ronkonkoma, New York
x Certificated Repair Station
CRS 11JR439Y
11779 USA
Certificated Maintenance Organization
D. I certify that the repair and/or alteration made to the unit(s) identified in item 5 above and described on tne reverse or attachments hereto
have been made in accordance with the requirements of Part 43 of the U.S. Federal Aviation Regulations and that the information
furnished herein is true and correct to the best of my knowledge
Extended range fuel per
Signature/Date of Authorized I
I
14 CFR Pan 43
0
APR B
Jay Massar
5/5/2017
7. Approval for Return to Service
Pursuant to the authority given persons specified below, the unit identified in item 5 was inspected in the manner prescribed by the
Administrator of the Federal Aviation Administration and is
ES) APPROVED
0 REJECTED
FM Fil Standards
Inspector
Manufacturer
Maintenance Organization
Persons Approved by Canadian
Department of Transport
BY
FM Designee
X Repair Station
Inspection Authorization
Other (Specify)
Cenifi ate or
Designation No
Signature/Date of Authorized In widual
CRS I1JR439Y
Thomas Norden 5/5/2017
FAA Form 337 'co.
SDNY_Gli4_02757358
SUBJECT TO PROTECTIVE ORDER PARAGRAPHS 7, 8, 9, 10, 15, and 17
EFTA_00244280
EFTA01329143
NOTICE
Weight and balance or operating limitation changes shall be entered in the appropriate aircraft recoil/ An alteration must be compatible with
all previous alterations to assure continued Conformity with the applicable airworthiness requirements
8. Description of Work Accomplished
of more SpaCe is required. attach additional sheets. Identify with aircraft nationality and registration mark and date work accomplished
USA
N4151.M
Date
Nationality and Registration Mark
515i2017
I) Temporarily removed the RH Number 6 Passenger Single Seat for maintenance AMP P/N 2524.524.01(5067A). (GAC P/N
GC522080749.05).
2) Calculated a new aircraft W & B report dated 5/5/2017 for the removal of the R/H Number 6 Passenger Single Seat.
establishing new Basic Empty Weight and CG.
3) The airerafts updated Weight and Balance report has been provided to customer.
4)
A logbook entry has been made reflecting this alteration.
5) Work Order No. 17124, on file at this agency, covers the above described work.
No further entries.
K Additional Sheets Are Attached
FAA Form 337 (10-06)
SDNY_GM_02757359
SUBJECT TO PROTECTIVE ORDER PARAGRAPHS 7, 8, 9, 10, 15, and 17
EFTA_0024428 I
EFTA01329144
La* stain duet
,.
CEPARTIOENT a
mthlealf, asd)
I 1 IniNY.I It•SM 1•50.
MIKAN
Colinas GV.SP(65511)
101CAYT WU,
IMMO
5173
• CARebb
Triune
0 *daft
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litulaCt
ftisseinie slaw ••••••••••DIC IWNIPII•Va•t MONO. no..
*1~
4. 0
...".""'"a""••••••••••••••••••••
•••••••••• ewes awn
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mei.' Ike — OWN
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• R•100•200001,04
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•••••••••••••Monat
(R.1497/21.511
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mat
••••••1••••••••=adgat• opeagennall.lan •
t•SCINWS• VA'S
1•10000•44:04ma Ind ~ASS Fgt.% sealiteMaall
ba
gairfrioelmf.•••411n
ars readenill•••M illas.••••••••
Sipiratogam••••••••
InSll 4••
inetoto fa Mil0111•••
Ands P. Low
1004401
WP-27.0AN
SON Y_GM_02757360
T TO PROTECTIVE ORDER PARAGRAPHS 7, 8, 9, 10, 15,
EFTA_00244282
EFTA01329145
SDNY_GA4_02757361
ECT TO PROTECTIVE ORDER PARAGRAPHS 7, 8, 9, 10, 15, at
EFTA_00244283
EFTA01329146
.007.0 suns C. MOW
DEPARTMENT OF GW4PORTATION-FEDEM. AVIATION ADMINSTPASON
:Pin We
01111.00. NMI
N4011.0
.....c.....Mo
Golfstream GV-SP (GSSS)
14/Cla Min
KS:
Tramper,
API
•
%Mai
4.1.11:4
onimionna antinne
ISC Faro,.
nal
tonnund
WM
lining do
fon Unit 14•0•00:1/ din.
Lumpish TN. "a
Lapdog
Ns. NW
Facapila?4.
lannunklinninne
art:fl
'Wm IS
MY:NO
ann.*
anal Iv ME .M1
Senn
planet
tIMIPOn•011b
SY* Fakes OS'S
(t) Se
Fain Obeli
Inn In:I
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•OrmientlitO.0041.0%inflera inigt
nine
n :One Nunn: ea/Mr
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(k)
no/NM Sinn
II
In
nteinfon WIN
••14 spiii/•=bation.MODJOXIINt
MM. IMMO*
e
Tu Na Pan
tower ••••••• SIM
/26•8
Jostle P. Lea
27-OAK
SONY GM 02757362
T TO PROTECTIVE ORDER PARAGRAPHS 7, 8, 9, 10, 15,
EFTA_00244284
EFTA01329147
SONY_G6.4_02757363
T TO PROTECTIVE ORDER PARAGRAPHS 7, 8, 9, 10, 15,
EFTA_00244285
EFTA01329148
SIC STOI822AT-D APU fire bottle
I con Aaron.,
OM No 21204:020
I imam
isactronclralting Nunts
US Department
Department
For
FAA
Use Only
Of
Of Transportation
(Airframe, Powerplant, Propeller, or Appliance)
Federal Aviation
ministration
INSTRUCTIONS: Prin or type all entries. See Title 14 CFR § 43.9. Part 43 Appendix e. and AC 43.9-1 (or subsequent revision thereof) for
instructions and disposition of this form. This report is required by law (49 U.S.C. §44701). Failure to report can result in a civil penalty for
each such violation (il9 U S C §48301(a))
1. Aircraft
Nationality and Registration Mark
N401HB
Serial No.
5173
Make
Gulfstream Aerospace
Model
GV-SP (G650)
Series
N/A
2. Owner
Name (As shown on registration certificate)
Address (As shown on registration certificate)
7799 EARHART RD.
OAKLAND, CA
UNITED STATES
94621-4543
3. For FAA Us* Only
4. Type
5. Unit Identification
Repair
Alteration
Unit
Make
Model
Serial No.
0
0I
AIRFRAME
(As described in Item I above)
)
0
0
POWERPLANT
0
•
PROPELLER
0
0
Type
APPLIANCE
Manufacturer
6. Conformity Statement
A. Agency's Name and Address
B. Kind of Agency
Gulfstream Aerospace Corporation
4150 Donald Douglas Drive
Long Beach, CA
90808 USA
U.S. Certificated Mechanic
I Manufacturer
Foreign Certificated Mechanic
C. Certificate No.
X
Certificated Repair Station
FAA CRS EC3R470L
Airframe Class 4, Limited Powerplant,
Limited Accessory. Limited NOT,
Radio Class 1.2.3
Certificated Maintenance Organization
D. I certify that the repair and/or alteration made to the unit(s) identified in item 5 above and described on the reverse or attachments hereto
have been made in accordance vrith the requirements of Part 43 of the U.S. Federal Aviation Regulations and that the information
furnished herein is true and correct to the best of my knowledge.
Extended range
fuel per 14 CFR
0
Part 43 App. B
Signature/Date of Authorized rKlividUal
Calvin Lewis
.
June 28, 2013
..-1.4
7. Approval for Rittu
to Service
Pursuant to the authority given persons specified below, the unit identified in item 5 was inspected in the manner prescribed by the
Administrator of the federal Aviation Administration and is
IXI Approved
0 Rejected
et
FAA Ft Standards
Inspector
Manufacturer
Maintenance Organization
Persons Approved by Canadian
Department of Transport
Designee
X Repair Station
Inspection Authorization
Other (Specify)
Cenifi
(
eatFeMor
Designation No.
FAA CRS EC3R470L
Signature/Date o Authorized Individual
Rene Omelet;
COr
June 28, 2013
'arm
I
SDNV_GM_02757364
SUBJECT TO PROTECTIVE ORDER PARAGRAPHS 7, 8, 9, 10, 15, and 17
EFTA_00244286
EFTA01329149
NOTICE
Weight and balance or operating limitation changes shall be entered in the appropriate aircraft retonl. An alteration must be
compatible with all previous alterations to assure continued conformity with the applicable airworthiness requirements.
•
8. Description of Work Accomplished:
(If more space q required, attach additional sheets. Identify with aircraft nationality and registration mark and date work completed.)
MODEL: GV-SP (G550)
ACTT: 3,708.6
SERIAL NO.: 5173
ACTL: 816
TAIL NO.: N401HB
DATE BEGUN: June 24, 2013
WORK ORDER NO.: SC12946
DATE COMPLETED: June 28, 2013
Relocated previously installed spare APU Fire Bottle in accordance with Gulfstream Aerospace Corporation
Index List GC514428001 Rev 'P' (-507 Configuration) and STC ST01822AT-D amended July 13, 2011.
Reference Gulfstream Aerospace Corporation CB 133A and ACB 10A
• There are no cockpit procedural changes as a result of this installation.
• Instructions for Continued Airworthiness contained in Gulfstream Aerospace Corporation document
CE52442A000 Rev 'A' has been provide to the operator.
The aircrafts weight and balance / equipment list has been revised. Reference Gulfstream Aerospace
Corporation report no. CE550WR5173 Rev 'B'.
The impact of this change on aircraft electrical load is negligible.
This system found not to interfere with other existing onboard systems.
THE END
K
Additional Seems Aro Attached
FAA Form 337 (1046)
SDNY_GM02 757365
SUBJECT TO PROTECTIVE ORDER PARAGRAPHS 7, 8, 9, 10, 15, and 17
EFTA_00244287
EFTA01329150
Nniteb Stales of America
!nutriment of fEransportation - Xeberal Ablation Atuninistration
Supplemental `Tuve Tertificate
(giontittuation Sheet)
./Viendese ST01822AT-D
Date Amended: July 31, 2011
ifsiejearthiv,
The Certification Basis for Gulfstream Model CV is defined as:
(I) Title 14 CFR Part 25 dated February I, 1965, including Amendments 25.1 through 25.81 as defined by the
TCDS Al2EA for all areas not affected by the change.
(2) Title 14 CFR Part 25 dated February I, 1965, including Amendments 25-I through 25.98 for the change and
all areas affected by the change. The following lists the Federal Aviation Regulations complied with through
Amendment Level 25.98:
25.1, 25.29, 25.301, 25.303, 25.305, 25.307, 25.561, 25.601, 25.603, 25.605, 25.609, 25.613, 25.619, 25.625,
25.901, 25.903 .25.1195, 25.1197, 25.1199, 25.1201, 25.B01,25.1309, 25.1316, 25.1321, 25.1322, 25.1351,
25.1353,25.1357,25.1431, 25.1438, 25.1519, 25.1529, 25.1541, 25.1581, 25.1585.
The Certification Basis for Culfstream Model CV-SP is defined as:
Title 14 CFR Part 25 dated February 1,1965, including Amendments 25-1 through 25-98 as defined by the TCDS
Al2EA.
...END...
Any alttr.ttw
sun of ant •
not •
Mt I Y•
• w tell,
MA Pool alt0-3-3110-63)
HMI 3 or 3 P
Thin
07 b• Ceinfiffer•O In OCCONalia WICI. tM .31.43.
SDNY_GM_02757366
SUBJECT TO PROTECTIVE ORDER PARAGRAPHS 7, 8, 9, 10, 15, and 17
EFTA_00 2 44288
EFTA01329151
SDNY_GM02757367
SUBJECT TO PROTECTIVE ORDER PARAGRAPHS 7, 8, 9, 10, 15, and 17
EFTA_00244289
EFTA01329152
,United Aloes of America
Pepartmeot of Zrironsportntion
AebernI cAbiation Aontinistratian
Supplemental Zupe Certificate
..46mAie ST01822AT-D
..eks aen44ar.le 44valle
Gulfstream Aerospace Corporation
500 Gulfstream Road
Savannah, GA 31408
ceotra•
(Aar is 44 pa dia.*•/4 , 44,4avaiwro4edwal 44 tanlahaa4 anal aoaalhivaa
4(v tea w y "1; A
arolatiVI nolo4 44 amore.-414,64"3,44,easaa4 Vglity
o/.64 Federal Aviation
gariet4a. ..9g.
ti e 4 £la/s ..9revi A I 2EA
rearle4, ca•hAteataw 444
astatagitteed.s.k.
Ataakt.
_attack.
*See Page 3
deiodrie
A 12EA
Gulfstream
GV & GV-SP
given/44a.* a/Sre EZWira arearnyfll' Installation of an APU Fire Bottle in accordance with Gulfstream Aerospace
Corporation Index List GC5 14428001 Rev 1, dated July 31, 2011 or later FAA approved revision.
FAA accepted Airplane Flight Manual Supplement, GC51442M00 I, dated April 8, 1999 or later FAA approved
revision is required for fully operational configurations (non-spare). For the model GV, Instructions for Continued
Airworthiness, GC51442A001, Revision C, dated September 28, 2010 or later FAA accepted revision is required, and
must be made available to the operator at the time of installation. For the model GV-SP, Instructions for Continued
Airworthiness, CE52442A000, Revision A, dated October 04, 2010 or later FAA accepted revision is required, and
must be made available to the operator at the time of installation.
ZeP14/0404.1 and feed4414,a4:
I. The installer must determine whether this design change is compatible with previously approved
modifications.
2. If the holder agrees to permit another person to use this certificate to alter a product, the holder must give the
other person written evidence of that permission.
(4.44ea/s cat e44 ..ileyseohisfr dais ea 4:14
444,.. sa/norataaerecnvada en 40174e/oelie
2649 al/Innattlialna'
January 19, 1999
ge41, •o4aral
eAl.ieurikaa.
April 08, 1999
Javroa Jairsevosead nave
a ionsenallea dale
Ooteweil0 P.Volaate60
410 ../georthaaaateto vv.
ark. eaie....4/ July 11, 2011
,.4,. aaite.4tai 0/44./.5,i4,:”Lidaat•
(Signarant)
William S WhitIo Jr.
ODA Lad Adminisntor. ODA-511'31.CE
Gultsarcam Aerospace Coiperala
Savannah. Georgia
(Tide)
Any OICerotle• Of Chin ceri177Z:iir it paalahabla by a lino or not fAceediag Al.000. or InprIonsinan nO) taCnOing ) mere. or Nth.
.4 taw itte•ms•uo
a.;
cat* say ore bran err
lame.
SDNY_GM_02757368
SUBJECT TO PROTECTIVE ORDER PARAGRAPHS 7, 8, 9, 10, 15, and 17
EFTA 00244290
EFTA01329153
SDNYGM02757369
SUBJECT TO PROTECTIVE ORDER PARAGRAPHS 7, 8, 9, 10, 15, and 17
EFTA_0024429 I
EFTA01329154
VAIL Vane Mena
DEPARTMENT OF TFWGPORTADONfi(D91AL AVIATION ACOAINISIPATION
I
I SWIJACIUM11410110X1
I ArralMiall.
4 taw,40“
litartIWOCONSICI
man
NMIHII
GeNNyesis GV-SP (GSM
M73
Tramped
Elan:MT MO
iffaii•Cf
rs••••••••••••••ommi soon SOH OS nalloall
as Vs darano.lo oohs*
oloilliolsocaltorTatimS• Nolo olluirbroinals Imillurerob war. Slabs
Ono bane wren too mono
ailonuou. to aim "whom Fro *not 40•••••••
Cannon. roe.
mac
nun.
'ASKS,
o. , 940 15.1113 K) Door Mime pornefler coops Monti
• re prim %cc NM 13,1101 (I) Nagle taste ( stria
Liar.*
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I TO PROTECTIVE ORDER PARAGRAPHS 7, 8, 9, 10, 15,
EFTA_00244292
EFTA01329155
SONY_Ghl_02757371
T TO PROTECTIVE ORDER PARAGRAPHS 7, 8, 9, 10, 15,
EFTA_00244293
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T TO PROTECTIVE ORDER PARAGRAPHS 7, 8, 9, 10, 15,
EFTA_00244294
EFTA01329157
SONY_Ghl_02757373
T TO PROTECTIVE ORDER PARAGRAPHS 7, 8, 9, 10, 15,
EFTA _00244295
EFTA01329158
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.........
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I find that the aircraft meets the requirements for, and have reinstated the standard
airworthiness certificate shown above in accordance with order 8130.29
dated June 29, 2007.
SDNY_GM_02757374
SUBJECT TO PROTECTIVE ORDER PARAGRAPHS 7, 8, 9, 10, 15, and 17
EFTA_OO244296
EFTA01329159
SDNY_GM02757375
SUBJECT TO PROTECTIVE ORDER PARAGRAPHS 7, 8, 9, 10, 15, and 17
EFTA_00244297
EFTA01329160
Batman Safety Handle
0
US Department
Of Transportation
(Airframe, Powerplant, Propeller, or Appliance)
Federal Aviation
Administration
Fen ACOnY*4
OMB Ho 21/0.0020
11/30/7C07
ekOant Tatar, Mine
For FAA Use Onty
INSTRUCTIONS: Prin or type all entries. See Title 14 CFR § 43.9. Part 43 Appendix D. and AC 43.9-1 (or subsequent revision thereof) for
instructions and disposition of this form. This report is required by law (49 U.S.C. §44701). Failure to report can result in a civil penalty ter
each such violation. (49 U.S.C. §46301(a))
1. Aircraft
Nationalityand Registration Mark
N401HB
Serial No.
6173
Make
Gulfstream Aerospace
Model
GV-SP (G660)
Series
N/A
2. Owner
Name (As shown on registralion cerlicale)
Chevron USA Inc.
Address (As shown on regis(refionantbeele)
6001 Bollinger Canyon RD
San Ramon, CA 94583-2324
United States
3. For FAA Use Only
4. Type
5. Unit Identification
Repair
Alteration
Unit
Make
Model
Serial No.
El
gil
AIRFRAME
(As described in Item I above)
0
0
POWERPUVIT
0
0
PROPELLER
0
El
APPUMCE
Type
Manufacturer
6. Conformity Statement
A. Agency's Name and Address
B. Kind of Agency
Gulfstream Aerospace Corporation
4150 Donald Douglas Drive
Long Beach, CA
90808 USA
U.S. Certificated Mechanic
I Manufacturer
Foreign Certificated Mechanic
C. Certificate No.
X
Certificated Repair Station
FAA CRS EC3R470L
Airframe Class 4. Limited Powerplant.
Limited Accessory, Limited NOT.
Radio Class 1,2.3
Certificated Maintenance Organization
D. I certify that the repair and/or alteration made to the unfts) identified in item 5 above and described on the reverse or attachments hereto
have been made in accordance with the requirements of Part 43 of the U.S. Federal Aviation Regulations and that the information
furnished herein is true and correct to the best of my knowledge.
Extended range
fuel per 14 CFR
Part
Part 43 App. B
•
Signature/Date of Authorized)
. . ual
—.....2
B=
-
David A. Cecil, Airworthiness Inspector
February 25, 2011
7. Approval for Return to Service
Pursuant to the authority given persons specified below, the unit identified in item 5 was inspected in the manner prescribed by the
Administrator of the federal Aviation Administration and is
El Approved
0 Rejected
ay
FAA Ft Standards
Inspector
Manufacturer
Maintenance Organization
Persons Approved by Canadian
Department of Transport
FAA Designee
X Repair Station
Inspection Aut •
on
(SPOCitY)
Certificate or
Designation No.
FAA CRS EC3R470L
Signature/Date of Au hotized Individ <I
•
Ronald S. Reece, Quality Control Anal
February 25. 2011
FAA Form 337 (10-06)
SONYGfil_02757376
SUBJECT TO PROTECTIVE ORDER PARAGRAPHS 7, 8, 9, 10, 15, and 17
EFTA _00/4-4198
EFTA01329161
NOTICE
Weight and balance oroperaling limitation changes shall be entered in fhe appropnate aircraft record. An alteration must be
compatible with all previous alterations to assure continued conformity with the applicable sinvorthiness requirements.
8. Description of Work Accomplished:
of more space is required. attach additional sheets. Identify with aircraft nationality and registratte mark and date work completed.)
MODEL: GV-SP (G550)
SERIAL NO.: 5173
TAIL NO.: N40 I FIB
WORK ORDER NO.: SC9549
ACTT: 2.0.).).4
ACTL: 457
DATE BEGUN: February 19, 201 1
DATE COMPLETED: February 25, 2011
Accomplished modification to the Baggage Compartment to incorporate 2 new Safety Handles P/N: 682-3000
at fuselage stations 693.32 and 735.58 WL 106.08 in accordance with Gulfstream Aerospace Corporation FAA
DER approved data list CE524960076 Rev. 'A', 'Data List — Interior /Avionics / Mechanical (Service,1'.
Above structure modification (Baggage Compartment Safety Handle) data approved under ODA -511131-CE
project no. TA-04-2011-0010. FAA form 8100-9 data approval by FAA AR-E- I 076, (Structure).
Aircraft weight and balance has been revised and is contained in Gulfstream Aerospace Corporation Report No.
CESSOWR5173 Rev. `--1.
Aircraft equipment list remains unchanged.
The impact of these changes on aircraft electrical load is negligible.
These systems found not to interfere with other existing onboard systems.
The End
K
Additional Sheets Are Attached
FAA Form 337 (1046)
SDNY_GM_02757377
SUBJECT TO PROTECTIVE ORDER PARAGRAPHS 7, 8, 9, 10, 15, and 17
EFTA_00244299
EFTA01329162
FAA Prefect NO
TA-04-2011-0010
MAKE
Gulfs tress
MODEL NO.
CV-SP
TYPE (Mane. Erne. Putonr, Mt)
Aircraft
NAME OF AFFontrumffi4ONZATION In
Gulfsnen
laarespaess Corporation
ODA-511131-CE
LIST OF DATA
IDENTIFICATION
TTTLE
GAC Data
Data List
- Interior
/Avionics
/ Mechanical 'Service)
End of Data
01524960076 Rev A
Dated: 2/24/11
mete: leas °airstream Organization Doslipeataan Authorisation approves tans data.
This constitute. Plea lippreval of the sales alteration data listed and an
not intallstion
data. The systems an equipannt ninon on not inland .
Valid only for adlatraas CV-SP all 51.71.
Pont In structural, aspects only of the shove l lend data ass approvid herein.
Rota: 7113.0 approval is any fox the toginserirq design data end is not
instellatioe data.
mote: Din alteration hap no impact on the in (structural spelt.).
Support of Major Alteration
to Gulfstream
GV-S? SN 5173 to accomplish the Safety
Handle Installation
in the Baggage Compartment.
APPUCABLE REOUNIPATENTS Oat stink anon
laCM Part 25, Paragraphs 25.301, 25.303, 25 .305 (a) (b) , 25.603, 25.605 and 25.607.
&wept aa noted, all applicable requirements are to amendment 25-1 through 26.9E as established
in SODS Allah, Pension 35.
ant In accordance .tan toe ocadkicoli and Imitators
rumbaed
None
Inv boon oinantid In °cup/dam:Own
of auttionzatkm unit 1.1 CFR. data
eindshed procedures and found
CERTIFICADM - At diNtlad by theAdmit/debtor
Wed above ad on ettached note
to canary WM usalcable requirements a the Airsortheates Standards Med.
approval of these data
these data
.
Recommend
I (I4ITIntrafera: l:
Apprise
ego nX.5) or
aro Rineallawninvars)
HAAR
cintantaincere
DAIS
JJ
.
Jon O. Nguyen
IP
AR-E-1076
Stiurtme
rem 24,201:
pinta gam ODA-511131-CH
FAA farm 81004 (242)
SDNY_GM_02757378
SUBJECT TO PROTECTIVE ORDER PARAGRAPHS 7, 8, 9, 10, 15, and 17
EFTA 00244300
EFTA01329163
SDNY_GM_02757379
SUBJECT TO PROTECTIVE ORDER PARAGRAPHS 7, 8, 9, 10, 15, and 17
EFTA_00244301
EFTA01329164
(A*
0
US Department
Of Transponation
(Airframe, Powerplant, Propeller, or Appliance)
Federal Aviation
Administration
r
o
a
n
A
.
*
r
t
.
c
0/40 No 21 TO-0O20
11/30/007
Nevem. incite wire
For FAA use Only
INSTRUCTIONS: Print or type al entries. See Title 14 CFR § 43.9, Part 43 Appendix B. and AC 43.9.1 (or subsequent revision
thereof) for instructions and disposition of this form. This report is required by law (49 U S.C. §44701). Failure to report can result in a
civil penalty for each such violation. (49 U.S.C. §463O1(a))
Nationality and Registration Mani
4O1HB
Serial No.
5173
1. Akar*
Make
Model
I Series
GV-SP (G55O)
2. Owner
Name (As shown on registrabon certificate)
CHEVRON USA INC
Address (As show, on registration certificate)
6001 BOLLINGER CANYON RD
SAN RAMON CA 94583.2324
3. For FAA Use Only
4. Type
5. Unit Identification
Repair
Alteration
tine
Make
Model
Serial Nc
O
a
NRFRAME
described in Item 1 above'
(As
0
0
wowEFtMANT
0
El
PROPELLER
•
O
Type
APPLIANCE
manufactufer
6. Conformity Statement
A. Agency's Name and Address
B. Kind of Agency
Guifstream Aerospace Corporation
W6365 Discovery Drive
Appleton, WI 54914
U.S. Certificated Mechanic
I Manufacturer
Foreign Certificated Mechanic
C. Certificate No.
X
Certificated Repair Station
G1FR1OOY
Certificated Maintenance
Organization
D. leerily that the repair anctior alteration made to the units) identified in item 5 above and described on the reverse or attachments
hereto have been made in accordance with the requirements of Pan 43 of the U.S. Federal Aviation Regulations and that the
hibernation furnished herein is true and correct to the best of my knowledge.
Extended range
fuel per 14 CFR
O
Part 43 App. B
Signature/Date of Authorized Individual
David L. Wellnitz i0, 46•2 1e,...ezi4)
•
01722/2010
7. Approval for Return to
vio
Pursuant to the authority given persons specified below, the unit identified in item 5 was Inspected in the manner prescribed
by the Administrator of the federal Aviation Administration and is
tR1 Approved
O Rejected
BY
FM Fit. Standards
Inspector
I
Manufacturer
Maintenance Organization
Persons Approved by Canadian
Department of Transport
FAA Designee
X Repair Station
Inspection Authorization
. Other (Specify)
Certificate or
Designation No. G1FR1OOY
Signature/Date of Authorized Individual
David L weenie44,4e-be h )814:-..
07/2212010
FAA Farm 337 (10-06)
SDNY_Givi02757380
SUBJECT TO PROTECTIVE ORDER PARAGRAPHS 7, 8, 9, 10, 15, and 17
EFTA 00244302
EFTA01329165
NOTICE
Weight and balance limitation changes shall be entered in the appropriate aircraft record. An alteration must be
compatible with all previous aerations to assure continued conformity with the applicable airworthiness
requirements.
a Description of Work Accomplished
(ti more soave is remised. attach additional sheets wen* with aircraft nationality and registration mark and one work completed;
installed a HoneyweiVEMS HD-710 combined SATCOM Swill Broadband High Sneed Oata System in accordance with
Gulfstream Aerospace STC ST03737AT-D issued 10/09/2009.
Instructions for Continued Airworthiness Reference Gulfsrrearn Aerospace Corp instructions for Continued AirworMiness
Document No. GCSI 303A011 dated 09/16/2009
Deviations are DER approved on the following listed GAC Drawing by Peter Jobe . AR-E-1063 on FAA 0100-B form dated
0122/2010.
pRAWING
SYSTEM
GC51 1030304. key B
SATCOM
Modified Galley Cabinet Trash Container removing lid in accordance with GAC Engineering NIECO-A09371 - NIECO to
GC528200509 - Placard Location and NIECO A09369 • NIECO to GPM30800158i -301 - Galley Assy. Aft Uri of WIWI are
DER approved by Bill Riley. AR•E-1067 on FM 8100-9 form dated 01/22/2010. Reference GAC Fire Containment
Similarity Report No. CE528023003 dated °Imam.
Modified Cabin Audio System in accordance with GAC Engineering Drawing GC51 5010326, Rev. A - Cabin Audio of
which are DER approved by Peter Jobe . AR-E-1063 on FAA 8100-9 form dated 01122/2010.
Modified Cabin Drnvash and Downwash Lighting In accordance with GAC Engineering Drawing GC5810316. Rev. A -
Cabin Effect Lights of which are DER approved by Peter Jobe , AR-E-1063 on FAA 8100-9 town dated 0122/2010.
Reworked Cabin Curtain In accordance With GAC Engineering NIECO-L02208 - NIECO to GC522880035 (A) • Pnvacy
Curtain Installation of which are DER approved by Sill Riley. AR•E-1067 on FM 8100-9 form dated 01/2212010.
The Aircraft Weight & Balance is negligible.
END
Additions( Sheets are attached.
SDNY_GM_02757381
SUBJECT TO PROTECTIVE ORDER PARAGRAPHS 7, 8, 9, 10, 15, and 17
EFTA_00244303
EFTA01329166
P44
0
US Depaiment
OlTransponarior,
(Airframe, Powerplant, Propeller, or Appliance)
Federal Aviation
Administration
Form *won<
I Bervoric Tradung NtOrtelf
OW No 1120-0020
1,0207
For FAA Use Only
INSTRUCTIONS: Print or type at entries. See Titie 14 CFR § 43.9. Part 43 Appendix B, and AC 43.9-1 (or subsequent revision
thereof) for instructions and disposition of this form. This report is required by law (49 U.S.C. §44701). Failure to report can result in a
civil penalty for each such violation. (49 U.S.C. §46301(e))
1. Aircraft
Nationality and Registration Mark
401HB
Serial No.
5173
Make
Model
1 Series
GV-SP (G550)
2 Owner
.
Name (As shown on registration certificate)
CHEVRON USA INC
Address (As shown on registration certificate)
6001 BOLLINGER CANYON RD
SAN RAMON CA 94583-2324
3. For FAA Use Only
4. Type
5. Unit Identification
Repair
Alteration
Unit
Make
Model
Serial No.
0
0
AIRFRAME
(As described in Rem 1 above)
0
0
POWERPLANT
.
O
PROPELLER
0
0
APPLIANCE
Type
Manufacturer
6. Conformity Statement
A. Agency's Name and Address
B. Kind of Agency
Gulfstream Aerospace Corporation
W6365 Discovery Drive
Appleton, WI 54914
U.S. Certificated Media/tie
I Manufacturer
i Foreign Certificated Mechanic
C. Certificate No.
X I Certificated Repair Station
G1 FR1007
i Certificated Maintenance
Organization
O.
I certify that the repair and/or alteration made to the unit(s) identified in item 5 above and described on the reverse or attachments
hereto hinfe been made in accordance with the requirements of Part 43 of the U.S. Federal Aviation Regulations and that the
information furnished herein is true and correct to the best of my knowledge.
Extended range
Pa r
14 CFR
Part 43 App. B
•
Signature/Date of Authorized Individual
.....--..
Tim Gorski
07/10/2009
T. Approval for Return to Service
Pursuant to the authority given persons specified below, the unit identified in item 5 was inspected in the manner prescribed
by the Administrator of the federal Aviation Administration and is
OM Approved
0 Rejected
BY
FAA Flt. Standards
Inspector
i
Manufacturer
Maintenance Organization
Persons Approved by Canadian
Department of Transport
FM Designee
I X Repair Station
Inspection Authorization
Other (Specify)
Certificate or
Designation No. G1FR100Y
Signature/Date of Auth ' ed
dividual
Tim Gorski -7:
07/10/2009
FAA Form 337 (10-06)
SDNY_GM_02757382
SUBJECT TO PROTECTIVE ORDER PARAGRAPHS 7, 8, 9, 10, 15, and 17
EFTA_00244304
EFTA01329167
NOTICE
Weight and balance limitation changes shall be entered in the appropriate aircraft record. An alteration must be
compatible with all previous alterations to assure continued conformity with the applicable airworthiness
requirements.
8 Description of Work Accomplished
(It more space is required. attach additional sheets. Identify wen aircraft nationality and registration mark and date work completed)
Removed existing Phone System Components installing an Aircell Axons II Iridium Satellite Telephone in accordance with
Gulfstream Aerospace STC ST03633AT-D issued 04/02/2008.
Airplane Flight Manual Supplement, GC51 203M002 Rev.- dated 04/022008 is required for this approval and is inserted
in the applicable Airplane Flight Manual.
Instructions for Continued Airworthiness: Reference Gulfstream Aerospace Corp. Instructions for Continued Airworthiness
Document No. GC61 203A002 Rev.— dated 02/152008.
Structural devialions are DER approved in accordance with Structural Drawing List CE520000082. Rev.- - Structural 81 1 0-
3 Dive. List GV-SP SM 5173 of which the Structural aspects are DER approved by William T. Riley. DERV-831142-CE on
FAA 8110.3 form dated 07/09/2009.
Electrical deviations are DER approved in accordance with the following Electrical Dravnngs, of which are DER approved
by Brent J. Cattanach DERT-410335-CE on FAA 8110-3 forms dated 07/09/2009.
DRAWING
SYSTEM
CE51 2030052
SATCOM (IRIDIUM), Rev.-
CE51 3910007
R EER CB Panel (MOD), Rev.-
CE51 3940353
Aux CB Panel (MOD). Rev. B
GC51 4270282
FAX Interface. Rev. A
GC51 5040322
Cabin Display (AIRSHOW), Rev. A
REPORT
CE514693037
SYSTEM
Electrical Load Supplement for S/N 5173. Rev.-
Electronic Cable used complies with the bum testing requirements of FAR 25.889 (a)(4) Amendment 25-113 Appendix F
Pan I (a)(3) which is DER approved by Gary Palmer, DERV-605430-CE on FAA 8110-3 form dated 08/28/2009 .
Installed an Aircell Satellite Interface Unit (Stu) to interface the existing SATCOM System in accordance with Structural
Drawing List CE520000082, Rev.- - Structural 8110-3 Drw. List GV-SP S/N 5173 of which the Structural aspects are DER
approved by William T. Riley. DERY-831142-CE on FM 8110-3 form dated 07/092009.
.
Installed an Access Door for the existing Water System Valve in accordance with Structural Drawing List CE520000082,
Rev.- - Structural 8110-3 Ong. List GV-SP S/N 5173 of which the Structural aspects are DER approved by William T.
Riley. DERV-831142-CE on FAA 8110-3 form dated 07/09/2009. Weight and Balance is negligible.
Installed a Logbook Holder located aft of Pilot's Seat in accordance with Structural Drawing List CE520000082,
Rev.- - Structural 8110-3 Drw. List GV-SP S/N 5173 of which the Structural aspects are DER approved by William T.
Riley. DERV-831142-CE on FM 8110-3 form dated 07109/2009. Weight and Balance is negligible.
Relocated Cockpit Pencil Holders to left and right-hand Side Console in accordance with Structural Drawing List
CE520000082, Rev.- - Structural 8110-3 Ong. List GV-SP S/N 5173 of which the Structural aspects are DER approved by
William T. Riley, DERV-831142-CE on FM 8110-3 form dated 07/09/2009. Weight and Balance is negligible.
Complied with ASC 080 dated 05/212009 - Wings (ATA 57) ModIfication-Wing Rear Beam-Flight Spoiler Actuator
Attachment Point and ASC 080 AMD 1 dated 08/22/2009 Wings (ATA 57) Modification-Wing Rear Beam-Flight Spoiler
Actuator Attachment Point.
The Aircraft Equipment List has been revised.
The Aircraft Weight d Balance has been recomputed and Weight and Balance Manual has been revised.
ND
O Additional Sheets are attached
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SUBJECT TO PROTECTIVE ORDER PARAGRAPHS 7, 8, 9, 10, 15, and 17
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SUBJECT TO PROTECTIVE ORDER PARAGRAPHS 7, 8, 9, 10, 15, and 17
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T TO PROTECTIVE ORDER PARAGRAPHS 7, 8, 9, 10, 15,
EFTA_00244309
EFTA01329172
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FAA Form 8100.2g. /al tommteatv r••
CO
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I find that the aircraft meets the requirements for, and have reinstated the standard
airworthiness certificate shown above in accordance with order 8130.29
dated June 29, 2007.
SDNY_GM_02 757388
SUBJECT TO PROTECTIVE ORDER PARAGRAPHS 7, 8, 9, 10, 15, and 17
EFTA_00244310
EFTA01329173
SDNY_GM_02757389
SUBJECT TO PROTECTIVE ORDER PARAGRAPHS 7, 8, 9, 10, 15, and 17
EFTA_0024131 I
EFTA01329174
US Department of Transportation
Federal Aviation Administration
Los Angeles - Manufacturing
Inspection District Office
3960 Paramount Blvd.
Lakewood. CA 907124137
N40IHB
S/N: 5173
MODEL: GV-SP (G550)
1. No person may operate this aircraft unless Form 8130-7 is displayed at the cabin or cockpit entrance and
visible to passengers or flightcrew members.
2. No person may operate this aircraft for other than the purpose of Showing Compliance with Regulations,
to accomplish the flight operation outlined in the program letter dated March 7, 2008 which describes
compliance with Title 14 Code of Federal Regulations (14 CFR), section 21.193(d), and has been made
available to the pilot in command of the aircraft. In addition, this aircraft must be operated in accordance
with applicable air traffic and general operating rules of the 14 CFR part 91, any special NOTAMS and or
temporary flight restrictions imposed, and all additional limitations herein prescribed under the provisions
of § 91.319(i).
3. All flights must be conducted within the geographical area described as follows: In the warning areas
identified as W291, W289 and restricted areas only if prior permission is obtained from the using or
controlling agency as required by § 91.133 (a), also in a easterly direction to the Albuquerque, NM VOR
waypoint and back to KLGB and in a northerly direction to the Point Reyes, CA VOR waypoint, not to
exceed 1500 nautical miles of Long Beach Municipal Airport defined as the base of operations for flight
tests conducted under this experimental special airworthiness certificate. The designated area must be
over open water or sparsely populated areas having light air traffic. The size of the area must be that
required to safely conduct the type of anticipated maneuvers and tests. Except for take-off and landings
this aircraft must not be operated over densely populated areas or in congested airways. Alternate airports
that may be used for takeoffs and landings are: Palm Springs, California (KPSP) and Victorville,
California (KVCV).
4. When changing between operating purposes of a multiple-purpose certificate, the operator must determine
that the aircraft is in a condition for safe operation and appropriate for the purpose intended. A record
entry will be made by an appropriately rated person to document that finding in the aircraft logbook.
5. This aircraft must not be operated unless it is inspected and maintained in accordance with appropriate
military technical publications and/or manufacturer's recommendations. The owner/operator must select,
establish, identify, and use an inspection program as set forth in § 91.409(c), (f), (g), and (h). This aircraft
is maintained in accordance with Gulfstream G550 Computerized Maintenance Program revision 10, in
compliance with Title 14 CFR part 91.409(e), (f) (3) "a current inspection program recommended by the
manufacturer." Inspections are recorded in the aircraft maintenance records.
6. The pilot in command of this aircraft must hold an appropriate category/class rating. If required for the
type of aircraft to be flown, the pilot in command also must hold either an appropriate type rating or a
letter of authorization issued by an FAA Flight Standards Operations Inspector.
7. This aircraft may be operated under VFR, day and/or night.
8. This aircraft may be operated under IFR, and must be properly equipped for instrument flight in
accordance with § 91.205. All systems must be verified and tested under VMC prior to IMC operations.
9. No person may operate this aircraft for carrying persons or property for compensation or hire.
10. No person may be carried in this aircraft during flight unless that person is essential to the purpose of the
flight.
SDNY_GM_02757390
SUBJECT TO PROTECTIVE ORDER PARAGRAPHS 7, 8, 9, 10, 15, and 17
EFTA 00244312
EFTA01329175
SDNYGM_02757391
SUBJECT TO PROTECTIVE ORDER PARAGRAPHS 7, 8, 9, 10, 15, and 17
EFTA _002443B
EFTA01329176
N401HB
S/N: 5173
MODEL: GV-SP (G550)
I1. The pilot in command of this aircraft must advise each passenger of the experimental nature of this
aircraft, and explain that it does not meet the certification requirements of a standard certificated aircraft.
12. This aircraft must contain the placards, markings, and flight manual supplements, etc., (or other operating
instructions developed for an STC modification) required by § 91.9.
13. This aircraft is prohibited from acrobatic flight, that is, an intentional maneuver involving an abrupt
change in the aircraft's attitude, an abnormal attitude, or abnormal acceleration not necessary for normal
flight, except for stalls identified in Gulfstream's flight test document Quality Assurance Procedure QAP
9.5 revision 7.
14. This aircraft must not be used for glider towing, banner towing or intentional parachute jumping.
15. No person must operate this aircraft unless within the preceding 12 calendar months it has had a condition
inspection performed in accordance with appendix D to part 43, or other FAA-approved programs, and
was found to be in a condition for safe operation. This inspection will be recorded in the aircraft
maintenance records.
16. Only FAA-certificated mechanics with appropriate ratings as authorized by § 43.3 may perform
inspections required by these operating limitations.
17. Inspections must be recorded in the aircraft maintenance records showing the following, or a similarly
worded statement: "I certify that this aircraft has been inspected on (insert date) in accordance with the
scope and detail of appendix D to pan 43, or other FAA-approved programs and found to be in a
condition for safe operation." The entry will include the aircraft's total-time-in-service, and the name,
signature, certificate number, and type of certificate held by the person performing the inspection.
18. If aircraft, engine, or propeller operating limitations arc exceeded, an appropriate entry will be made in
the aircraft records.
19. This aircraft must not be operated unless it is maintained and inspected in accordance with the
requirements of part 43.
20. This aircraft must display the word "EXPERIMENTAL" in accordance with § 45.23(b).
21. The pilot in command of this aircraft must notify air traffic control of the experimental nature of this
aircraft when operating into or out of airports with operating control towers. The pilot in command must
plan routing that will avoid densely populated areas and congested airways when operating VFR.
22. This aircraft does not meet the requirements of the applicable, comprehensive, and detailed airworthiness
code as provided by Annex 8 to the Convention on International Civil Aviation. The owner/operator of
this aircraft must obtain written permission from another country's CAA prior to operating this aircraft in
or over that country. That written permission must be carried aboard the aircraft together with the U.S.
airworthiness certificate and, upon request, be made available to an FAA inspector or the CAA in the
country of operation.
23. Aircraft instruments and equipment installed and used under § 91.205 must be inspected and maintained
in accordance with the requirements of Part 43 and 91. Any maintenance or inspection of this equipment
must be recorded in the aircraft maintenance records.
SDNY_GM_02757392
SUBJECT TO PROTECTIVE ORDER PARAGRAPHS 7, 8, 9, 10, 15, and 17
EFTA 00244314
EFTA01329177
SDNY_GM_02757393
SUBJECT TO PROTECTIVE ORDER PARAGRAPHS 7, 8, 9, 10, 15, and 17
EFTA 00241315
EFTA01329178
lame.
Prentiss, DAS INSPECTION AR
Gu
m Aerospace Corporation
DA
271-NM
N40IHB
S/N: 5173
MODEL: GV-SP (G550)
24. Application must be made to the Los Angeles Manufacturing Inspection District Office for any revision of
these operating limitations.
25. Section 47.45 requires that the FAA Aircraft Registry must be notified within 30 days of any change in
the aircraft registrant's address. Such notification is to be made by submitting Form 8050-1 to AFS-750 in
Oklahoma City, Oklahoma.
26. These limitations must be coordinated with the local Flight Standards District Office having responsibility
for the geographical area of operation.
27. Special airworthiness certificate FAA form (8130-7) issued March 10, 2008 is invalid after date of April
10, 2008.
q./40.04"
Date
SDNY_GM_02757394
SUBJECT TO PROTECTIVE ORDER PARAGRAPHS 7, 8, 9, 10, 15, and 17
EFTA 00244316
EFTA01329179
SDNYGM02757395
SUBJECT TO PROTECTIVE ORDER PARAGRAPHS 7, 8, 9, 10, 15, and 17
EFTA_00244317
EFTA01329180
Gulfstream
MICA COMPANY
March 7,2008
Gulfstream Aerospace Corporation
Designated Alteration Station DAS-100271-NM
4150 Donald Douglas Drive
Long Beach, CA 90808
Attention: Mr. James D. Prentiss. DAS Inspection AR
Sin 5173, NI 0411B Program Letter
Reference: 14 CFR pans 21.35. 91.319. 91.407. 91.409, FAA Orders 8110.4. 8130.2, 8130.29
Dear Sir:
This letter, along with FAA Form 8130-6 application, is our request for a special airworthiness certificate, experimental category for
Gulfstream Aerospace model GV-SP (G550). serial number 5173. registration number N104110.
The registered owner of the above is CULFSTREAM AEROSPACE CORP, 500 GULFSTREAM RD MSC B-I6, SAVANNAH CA
31408-9643. The reason for the experimental certificate is for showing compliance to Title 14 CFR pan 25 for the passenger cabin interior.
A minimum of two (2) test flights will be required to accomplish the evaluation of the passenger cabin interior to include:
I. A "Card Flight" that consists of a completion flight test in accordance with Gulfstream Quality Assurance Procedure QAP 9.5, Rev
- 7" or later approved revisions, to satisfy the applicant's responsibilities under 14 CFR section 21.35 (a) (2). (3). The purpose of
this flight is to validate the aircraft systems and IFR flight envelope, using only minimal crew (pilot/copilot/technician), to establish
safe aircraft operation and to ensure the aircraft conforms to original type design following major alteration (i.e., cabin interior
installation), prior to conducting the "Cold Soak Flight", carrying additional personnel.
2.
A "Cold Soak Flight" that consists of:
•
EMI testing.
•
Passenger cabin sound evaluation.
•
Cabin temperature survey.
•
Fit, form and function evaluation of the cabin interior furnishings and systems.
The test flights will be conducted over sparsely populated areas having light air traffic, as directed by ATC. Base of operations will be Long
Beach Municipal Airport. Long Beach, CA, and test flights will be conducted within 1,500 nautical miles radius of the base of operation
remaining within the borders of the United States. Alternate airports that may be used for take-offs and landings are: Palm Springs. CA
(KPSP) and Victorville, CA (KVCV).
The aircraft will be flown by appropriately rated pilots and will be operated in accordance with GV-SP (G550) Airplane Flight Manual
Revision 23 dated 21 December 2007.
The aircraft is maintained in accordance with 14 CFR pan 91.409 (I) (3), Gulfstream Aerospace Corporation computerized maintenance
program. Aircraft is properly equipped for day or night IFR operation. Application for day or night IFR operation is requested.
This certificate is to be in effect for 30 days from the date of issuance.
Please do not hesitate to contact me regarding any matter relative to the above.
Sincerely,
la n Willis
Qua ity Analyst
Gulfstream Aerospace Corporation
encls.
415C Donald
Dodglas
Drive.
Long Beach.
Goldoni..
90808
• Telephone
• gyi JJJJJ am.com
SDNY_GM_02757396
SUBJECT TO PROTECTIVE ORDER PARAGRAPHS 7, 8, 9, 10, 15, and 17
EFTA_0024131
EFTA01329181
SDNY_GM_02757397
SUBJECT TO PROTECTIVE ORDER PARAGRAPHS 7, 8, 9, 10, 15, and 17
EFTA 00241319
EFTA01329182
VA ()AO
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US Department
Of Tionsportation
(Airframe, Powerplant, Propeller, or Appliance)
Federal Aviation
Administration
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For FAA Use Only
INSTRUCTIONS: Pun or type an entries. See Title 14 CFR § 43.9, Part 43 Appendix B, and AC 43.9-1 (or subsequent revision thereof) for
instructions and disposition of this form This report is required by law (49 U.S.C. §44701). Failure to report can result in a civil penalty for
each such violation. (9 U.S.C. §46301(a))
1. Aircraft
Nationality and Registration Mark
N401HB
Serial No.
6173
Make
Gulfstream Aerospace
Model
CV-SP (6550)
Series
NIA
.
2 Owner
Name (As shown on registration certificate)
Address (As shown on registration certifcate)
500 CULFSTREAM ROAD MSC B-16
SAVANNAH, GA 31408-9643
3. For FAA Use Only
4. Type
6. Unit Identification
Repair
Alteration
Unit
Make
Model
Serial No
CI
E
AIRFRAME
(As described in Item 1 above)
0
0
POVVERPLANT
0
•
PROPELLER
0
0
Type
APPLIANCE
Manufacturer
6. Conformity Statement
A. Agency's Name and Address
B. Kind of Agency
Gulfstream Aerospace Corporation
4150 Donald Douglas Drive
Long Beach, CA
90808 USA
U.S. Certificated Mechanic
I Manufacturer
Foreign Certificated Mechanic
C. Certificate No.
X
Certificated Repair Station
FAA CRS EC3R470L
Airframe Class 4. Limited Powerplant,
Limited Accessory. Radio Class 1.2.3
Certificated Maintenance Organization
D. I certify that the repair andror alteration made to the un I(s) identified in item 5 above and described on the reverse or attachments hereto
have been made in accordance with the requirements of Part 43 of the U.S. Federal Aviation Regulations and that the information
furnished herein is true and correct to the best of my knovAedge.
Extended range
fuel per 14 CFR
Pan 43 App. B
E
Si nature/Date of
Individual
cc-7-7-v,-, /
.
allies Rapp
Senior
a
-71eas Inspector /
03/21108
7. Approval for Return to Service
Pursuant to the authority given persons specified below, the unit identified in Hem 5 was inspected in the manner prescribed by the
Administrator of the federal Aviation Administration and is
0
Approved
CI Rejected
el'
FM Flt. Standards
Inspector
Manufacturer
Maintenance Organization
Persons Approved by Canadian
Department of Transport
FM Designee
X Repair Station
Inspection Authorization
Other (Specify)
Certificate or
Designation No.
FAA CRS EC3R470L
Sig
/Date o A I ri
-6-1
so
Ilia
CluaYty
Individual
ARalyst /
03121/08
FAA Form 337110061
SONY_DM_02 757398
SUBJECT TO PROTECTIVE ORDER PARAGRAPHS 7, 8, 9, 10, 15, and 17
EFTA_00244320
EFTA01329183
NOTICE
•
Weight and balance or operating limitation changes shall be entered in the appropriate aircraft record. An alteration must be
compatible with all previous alterations to assure continued conformity with the applieabie airworthiness requirements.
8. Description of Work Accomplished:
(If more space Is required, attach lekkhonal sheets. Identify wah aircraft nabonakly and regisnakon mark and dale work completed.)
MODEL: OV-SP (O550)
SERIAL NO.: 5173
TAIL NO.: N401HB
WORK ORDER NO.: FP2471
ACTT: 17.8
ACTL: 5
DATE BEGUN: November 15, 2007
DATE COMPLETED: March 21, 2008
THE FOLLOWING
ITEMS WERE
The following systems were installed per the Supplemental Type Certificates shown. Minor deviations, where
necessary, are shown on the deviation data indicated. The flight manual supplements were added to the airplane
flight manual as required.
I.
2.
ITEM
SYSTEM
R
ORIGINAL
ST00892LA
ST01373LA-D
ORIGINAL
CERTIFICATION
DATA
VSC Master
Dwg List
No. 127 Rev. 'K'
IL GC5I5058010
DEVIATION
DATA
ARMS
Emergency Vision Assurance System
(EV AS) (Vision Safe Corporation)
Model 107 STC-049 & 107 STC-050
External Camera System (GAC)
N/A
GC5 I 5056137
VSC Supplement
No. I dated
Nov. 8, 2004
GC51505M007
-501, -503. -505
•
6C545056029
3.
P.D.R. Quick Access Recorder (GAC)
ST01775LA-D
IL GC514208000
GC514206002
WA
-501
4.
Passenger Oxygen System
ST026%AT-D
IL GCS 14538000
GC527126168
GC51453M004
(GAC)
-103
5.
Interior Emergency Lighting (GAC)
ST02697AT-D
IL GCS 14868002
GC514866337
N/A
GC528566064
6.
Broad Band Multi-Link (BBML) (GAC)
ST02796AT-D
IL GCS 13038002
GCS 13036071
GC51303M003
-505•
GC54303604 I
7. Alt Window Shade Installation (GAC)
ST03290AT-D
IL GCS 15068000
GC515066130
GCS I 506M002
-551
GC522 166040
8.
16-Passenger Cabin Interior (GAC)
ST02083LA-D
IL. 6C520008595
N/A
GC52000M068
'The STC S1'02796AT-D for the -505 Installation is for Wireless LAN only. No wiring provisions have been
installed for Broadband Multi-link (BBML) High Speed Data (HSD) system.
Interior furnishing material as noted in TAR 25.853 & 25.855 Compliance Evaluation' no. 00528020290 Rev.
'B' installed as part of the cabin interior STC ST02083LA-D, meets the flammability requirements of 14 CFR
Parts 25.853 and 25.855.
All seat cushions as noted in Seandla, Inc. Fireblocking Flammability Test Report no. 17254, Rev. 'A' installed
as part of the cabin interior STC ST02083LA-D meet the fire blocking requirements of 14 CFR Parts
25.853(C), ISO C-127 TYPE A & ISO C-39B TYPE 1.
Note: Cleaning of interior fabrics and materials may affect the flame retardant
characteristics required by CFR Title 14 Parts 25.853 and 25.855.
Interior insulation materials installed in the fuselage as noted in Gulf stream engineering report 'Thermal /
Acoustic Insulation Material FAR 25.856 Compliance Report' no. GC028020004 Rev. 'E' installed as part of
STC ST02083LA-D, meets the flame propagation requirements of 14 CFR Part 25.856 (a).
N Additional Sheets Are Attached
FAA Form 137 (1045)
SDNYGIvl_02757399
SUBJECT TO PROTECTIVE ORDER PARAGRAPHS 7, 8, 9, 10, 15, and 17
EFTA_00244321
EFTA01329184
(FAA Form 337 continued)
MODEL: GV-SP (6550)
SERIAL NO.: 5173
TAIL NO.: 1,140111B
WORK ORDER NUMBER: PP247 I
Page 2 of 4
For maintenance requirements and Instructions for Continued Airworthiness in accordance with the 14 CFR
Part 25.1529, consult the Gulfstream Aerospace Corporation GV-SP (G550) Maintenance Manuals,
Completion Center Wiring Diagram Manual or below Gulfstream Aerospace Corporation document no's.:
I.
ITEM SYSTEM
ORIGINAL STC
DOCUMENT NO.
Emergency Vision Assurance System (EVAS) (Vision Safe
Corporation) Model 107 STC-049 & 107 STC-050
ST00892LA
VSC Document
No. 8017
2. External Camera System (GAC)
ST0I373LA-D
GC52916A008
3. F.D.R. Quick Access Recorder (GAC)
ST01775LA-D
GC5I420A000
4. ATG Window Shade Installation (GAC)
ST03290AT-D
GC5 1506A002
5. Oxygen System (GAC)
ST02696AT-D
GC51453A003
6. Emergency Lighting (GAC)
ST02697AT-D
GC51486A002
7. Broad Band Multi-Link (BBML) (GAC) (Wireless LAN Only)
ST027%AT-D
GC51303A002
8.
16-Passenger Cabin Interior (GAC)
ST02083LA-D
GC5280 I A485
Installed the following modifications, including but not limited to the: entertainment system, lighting system,
water & waste systems, cabin environmental control system, galley & lavatory amenities, cabin electrical
system, and communications system in accordance with the following Gulfstream Aerospace Corporation
Data Lists:
1. DL GC5 14960338 Rev. `H"Avionics /Electrical Wiring Diagrams'
2. DL GC544960033 Rev. `.1' Avionics / Mechanical'
• FAA Form 8110-3 data approvals by FAA DER DERT-605009-NM (Systems & Equipment - Meth), FAA
DER DERT-6061 I6-NM (Systems & Equipment — Chart C2) and FAA DER DERY-606135-NM
(Structures)
• Reference Gulfstream Aerospace Corporation report no. GC52801A524 Rev. '--"Maintenance
Requirements Instructions for Continued Airworthiness Form 337 Approval' for maintenance requirements
and Instructions for Continued Airworthiness. The installed equipment is required to be operational unless
otherwise specifically listed on the M.E.L. for the aircraft.
• Reference the above listed Data Lists for the details of the modifications performed.
Accomplished an evaluation of the changes in the cockpit configuration as required by T.C.D.S. AI2EA note
12, in accordance with the following Gulfstream Aerospace Corporation drawings:
1. Instrument Panel Layout, drawing no. GC514040324 Rev. 'N/C'
2. Pedestal Layout, drawing no. GC5 14050349 Rev. 'N/C'
3. Overhead Panel Layout, drawing no. GCS 14080339 Rev. `A'
•
FAA Form 8110.3 data approval by FAA DERY-606181-NM (Flight Test Pilot).
Aircraft has been weighed, and the weight & balance manual and the equipment list have been revised.
Reference Gulfstream Aerospace Corporation report no. GC550WR5173 Rev. `A'.
Accomplished an electrical load analysis and structural stress analysis. Reference the following Gulfstream
Aerospace Corporation report numbers:
1. GCS 14696362 Rev. -
'Electrical Load Analysis'
2. GC524965173 Rev. -' Stress Substantiation'
SDNY_GM_02757400
SUBJECT TO PROTECTIVE ORDER PARAGRAPHS 7, 8, 9, 10, 15, and 17
EFTA_00244322
EFTA01329185
(FM Form 337 continued)
MODEL: GV-SP (G550)
TAIL NO.: N40IHB
SERIAL NO.: 5173
WORK ORDER NUMBER: FP2471
Page 4 of 4
Installations of the above listed modifications covered on Gulfstream Aerospace Corporation Master Index List
IL GC514910271 Rev. 'O'.
.......
Installed the following major Gulfstream Aerospace Corporation Aircraft Service Changes:
I. A.S.C. 052
'Indicating/ Recording (ATA 3!) Planeview Avionics Enhancement'
2. A.S.C. 065
'Navigation (ATA 34) Runway Awareness Advisory System (RAAS)- Installation'
3. A.S.C. 906
'Recording/Indicating (ATA 3!) Plainview Master Operating System Software Update'
Installed dual element antenna and associated system wiring provisions for XCVR, LRU's, Cabin
Telecommunications Router, WiFi antennas, Airshow Update Interface, and Satcom Interface Unit for an
Aircell Axxcess EZ System. Provisions are capped and stowed in accordance with drawing requirements.
Modification accomplished in accordance with the following Gulfstream Aerospace Corporation Data List's:
I. DL GC5 14960338 Rev. `H' Avionics/ Electrical Wiring Diagrams'
2. DL GC544960033 Rev. `I"Avionics / Mechanical'
This installation consists of the following major component:
Description
Manufacture
Part No.
Part Approval Basis
Antenna, Iridium
Sensor Systems
S67-1575-165
TSO C I 29a
• Instructions for continued airworthiness contained in Gulfstream Aerospace Corporation report no.
GC52801A524 Rev. ' •-• has been provided to the operator.
• FAA Form 8110-3 data approvals by FAA DER DERT-605009-NM (Systems & Equipment - Mech), FAA
DER DERT-606I16-NM (Systems & Equipment — Chart C2) and FAA DER DERY-606135-NM
(Structures)
-------- ----------------------
-----
-----
Accomplished an evaluation of the inter-relationship between the systems listed above and the Type
Certificated product in accordance with 14 CFR Parts 25.1301 (d), 25.1431 (c) and they have been found to be
operating satisfactory and that there is no adverse effect on any other component, system, or the airworthiness
of this aircraft.
THE END
SDNY_GM02757401
SUBJECT TO PROTECTIVE ORDER PARAGRAPHS 7, 8, 9, 10, 15, and 17
EFTA_00244323
EFTA01329186
sib
Attila Stein Of America
glee rebnent of Sransparlation - Aateral Ablation franninistrutinn
$upplemental Type (Jlertificate
..47/40143e ST00892LA
.9?6.1 Sier,togae :mak.
Vision Safe Corporation
46-217 Kahuhipa Street
Kaneohe, HI 967445011
naciar drat 44 aiisse.
a t4 4".• eado..14 .04/geraw:nantawit mat tt. 4,...444......../...evaws
riest yvansead
Avon
eseA4 et4 at,railithow
"reamometi
./42wie • 0/64 Ynewl.ignediert.A,rarns.
SiviseeliSrame 9.7ire 6,4,4w4 Aged".
„Mode:
11.-• in I lie v. "94 3 7r
fer• kis War
Installation of Emergency Vision Assurance System (EVAS) in accordance with FAA Approved Vision
Safe Corporation Master Drawing Lists. Master Drawing Lists and FAA approved Airplane Flight Manual
Supplements required for the modification are listed on FAA Approved Model List No. ST00892LA or later
FAA Approved Revisions.
*
*See Attached FAA Approved Model List
No. ST00892LA
2'enzemiens ta.seighssed..tos.i.- Flight Crew training requirements are listed on the Master Drawing List.
The installation should not be incorporated in any aircraft unless it is determined that the interrelationship
between this installation and any previously approved configuration will tot introduce any adverse effect
upon the airworthiness of the aircraft. The approval of this modification applies to the above noted airplane
model series only. If the bolder 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.
.924 arystalevata .146 Jefratistr das. sys.tetsts Lf. 44“..- gerenewrf.teierANIPS;') a VAN aldolier
•
1•13(
4334.34,d0.11CAMPAir.1170 OR Agninsaffnes slab
eskeenmise.nolzIaseaC40.44.. Ada"-
Scient/gridaleis
Aisle eyeirsienay. • August 16, 1999
goo etalaali
f .
31/4
1.14inal • December 15, 1999
eyet.4../Kiaa•alea-
..t6c1-y-
"<r4adIl
(Signature)
agcr, Systems & Equipment Branch
Los Angeles Aircraft Certification Office
(Se.)
4 . 4.1./
Si cos :yowl es4 arah, 3 r ay or 41
nu mg. 3110•3,19-3111
Par
of
3
lane.
SONY_GM_02757402
SUBJECT TO PROTECTIVE ORDER PARAGRAPHS 7, 8, 9, 10, 15, and 17
EFTA_00244324
EFTA01329187
. - .
SDNY_GM_02757403
SUBJECT TO PROTECTIVE ORDER PARAGRAPHS 7, 8, 9, 10, 15, and 17
EFTA_00244325
EFTA01329188
m
IpJ
IN
IJ
to
co
H
H
3D
0
3D
3D
-0
3D
3D
-0
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9D
Fi cn
Oz
1-4 '0
tru
= 4
I_a
FAA Approved Model List (AML) No. ST00892LA
For
Installation of Emergency Vision Assurance System
Issued Date: December 15, 1999
Item
Aircraft Make and
Model
Type
I
Certificate
Number
Certification
Basis
FAA Approved Master Drawing
FAA Approved AFM Supplement
List
Amendment
Date
Number
Revision mate
20
AIRBUS A318
A28NM i FAR Part 25
Master Drawing List
Number 138
AFM Supplement No.
I
"F" / 01/138/04 or
later FAA approved
revision
"B" / 10/16/03 or later
FAA approved
revision
September I, 2004
21
GULFSTREAM
GV-SP
AI2EA
I
I
FAR Part 25
Master Drawing List
Number 127
AFM Supplement No.
1
9" / 05/10/04 or later
FAA approved
revision
"1" / 11/8/04 or later
FAA approved
revision
November 10,
2004
22
AVCRAFT
AEROSPACE GMBH
DORNIER 328-300
A45NM I
FAR 21.29,
Part 25,
See Type
Certificate Data
Sheet
Master Drawing List
Number 402
AFM Supplement No.
1
"B" / 04/20/04 or later
FAA approved
revision
"Original" / 12/10/04
or later FAA approved
revision
December 28,
2004; January 14,
2005
Page 8 of 10
EFTA01329189
SDNY_GM_02757405
SUBJECT TO PROTECTIVE ORDER PARAGRAPHS 7, 8, 9, 10, 15, and 17
EFTA_00244327
EFTA01329190
3.11111O
WI Auntie..
Pepurtment of ?Ernnspnrtatinn - Prebend Ablation Abininistration
Supplemental `Type Tertificate
fraTenleve ST01373LA-D
rk.-.4,106 -zsaw.014.
Gulfstream Aerospace Corporation
4150 Donald Douglas Drive
Long Beach, California 90808
croeirAi the/ ar efoonate a. z6 4,0te demimAe
Algreriewrer•rhoLl cora
tearelotArvhi eta
twfrearla•vos defier& me yterrititortfeern a.€ .4
moVerreogefirarou. nyerererresio (/Stn
25.
Federal Aviation .A.,444.4kvs.. *Certification basis is set forth in Type Certificate Data Sheet TCDS
4.3.4-teconewv
A l2EA
Gulfstream
GV-SP
ghlertale."
fylY3/71. .VANdia. Pi-27, r e Installation of a Securaplane External Camera System in
accordance with approved Gulfstream Aerospace Corporation Index List GC515058010, Revision "AL",
dated October 3, 2006 or later FAA approved revision.
..c..&:yeastay.4 .7.9...1K;volathes•
FAA Approved Airplane Flight Manual Supplement GC51505M007, original release, dated August 20,
2003 or later approved FAA approved revision, is required and must be carried in the aircraft on all flights.
The installer must determine whether this design change is compatible with previously approved
modifications. The approval of this modification applies to the above noted airplane model series only. A
copy of this STC must be included in the permanent records of the modified aircraft. If the holder agrees
to permit another person to use this certificate to alter a product, the holder must give the other person
written evidence of that permission.
•
earepezecto era
Jewrtoriteve 4.1a tra.terell de ease 414e• eyyreerregederarreour
rereheamowerierevre Jat+OIVII71,1 IrreettiOP a Ifterosiew.lires Flaa
PeArefehle eadesiLe
40 ae4
• .4:61thgt446164e00 /de
../414thmalowienes
.(14.(4- la r acia4c.... February 6, 2003
rAmmensov•
August 20, 2003
reds one:Jaarwe.•
Y.ta• wad:
October 12, 2006
zger9.41.--4,an-
L/M;#9,
(SMinn:we)
•
Randall A. Wood
DAS Administrator. DAS-100271-NM
(Tole)
Any etailf1011 of thu eernfitarr LI ponoloabte by a fine of not afltilIV
$1.000, or toopruontent not equity 1 'vars. 01 Sink
SDNY_GM_02 757406
SUBJECT TO PROTECTIVE ORDER PARAGRAPHS 7, 8, 9, 10, 15, and 17
EFTA_00244328
EFTA01329191
SDNY_GM_02757407
SUBJECT TO PROTECTIVE ORDER PARAGRAPHS 7, 8, 9, 10, 15, and 17
EFTA_00244329
EFTA01329192
•
DATE
March 19. 2008
MAKE
Gulfstream Aerospace
MODEL NO.
GV-SP
TYPE ()Implant. Radio. lielscopier. etc.)
Airplane
Gulfstream Aerospace Corp.
LIST OF DATA
IDENTIFICATION
TITLE
GAC DRAWINGS:
Deviation Data List — External Camera System. Securaplane.
GC545056029 Rev. 8
Dated 02/19/08
This approval indicates the data listed above demonstrates compliance only with the regulations
specified by paragraph and subparagraph listed below as "Applicable Requirements? .
Compliance to additional regulations not listed here may be required. This form
does not constitute FM approval of all the data necessary for substantiation of compliance
to necessary requirements for the entire alterationlrepair.
(DETAIL DESIGN AND STRUCTURAL APPROVAL ONLY)
End of data.
PURPOSE OF DATA
In support of Form 337 Alteration. Securaplane Camera system Installation. Substantiate Deviations to STC
ST01373LA-D. Aircraft SIN 5173 only.
APPLICABLE REQUIREMENTS (Lin specific sections)
14CFR Part 25, Paragraphs 25.301, 25.303, 25.305(aXb), 25.307(a), 25.561, 25.603, 25.605. 25.607, 25.613.
CERTIFICATION - Under authority vested by direction of the Administrator and in accordance with conditions and limitations
of appointment under Pan 183 of the Federal Aviation Regulations, data listed above and on attached sheets numbered
None
have
been examined in accordance with established procedures and found to comply with applicable requirements of the Federal Aviation Regulations.
I (SW) Therefore
=
Recommend Approval of these data
I=I Approve these data
CLASSIFICATiON
n
John D. Nguyen
DERY-606135-NM
ititviey‘...m
__
Structures
FAA Form 8110.3 ( 1 1.70)SUPERSEDES PREVIOUS EDITION
GPO 901-613
SDNY_GM_02757408
SUBJECT TO PROTECTIVE ORDER PARAGRAPHS 7, 8, 9, 10, 15, and 17
EFTA_00244330
EFTA01329193
SDNY_GM_02757409
SUBJECT TO PROTECTIVE ORDER PARAGRAPHS 7, 8, 9, 10, 15, and 17
EFTA_0024433
EFTA01329194
DATE
Match 20, 2008
MAKE
Gulfstream Aerospace
MODEL NO.
GV-SP
TYPE (Airplane, Radio, Helaeopier, ere )
Airplane
Gulfstream Aerospace Corp.
LIST OF DATA
IDENTIFICATION
TITLE
GAC DRAWINGS:
Deviation
(AVIONICS
Data List - External Camera System, Securaplane
GC51 505 6137 Rev. "A"
This approval indicates the data listed above demonstrates compliance only with the
regulations specified by paragraph and subparagraph listed below as "Applicable
Requirements". (Compliance to additional regulations not listed here may be
required.) This form does not constitute FAA approval of all the data necessary for
substantiation of compliance to necessary requirements for the entire alterationkepair.
PURPOSE OF DATA
Substantiates minor wiring deviations to STC ST0I373LA-D. Aircraft S/N 5173 only.
APPLICABLE REQUIREMENTS (lot specific stetsons)
FAR 25.130I(a)(b)(c), 25.1309(b), 25.1353(a), and 25.1431(c)
CERTIFICATION - Under authority
of appointment under Part 183
have
vested by direction of the Administrator and in accordance with conditions and
of the Federal Aviation Regulations. data listed above and on attached sheets numbered
been examined in accordance with established procedures and found to comply with applicable requirements
Approval of these data
these data
limitations
of the Federal Aviation Regulations.
I (We) Therefore
P
Recommend
x Approve
TED E
I
CLASSIFICATION
DERT-606I I6-NM
Systems & Equipment
Michael B. Kambourian
Chart C2
FAA Form 8110-3 (11.70) SUPERSEDES PREVIOUS EDITION
GPO 9014313
SDNY_GM_02757410
SUBJECT TO PROTECTIVE ORDER PARAGRAPHS 7, 8, 9, 10, 15, and 17
EFTA 00244332
EFTA01329195
SDNYGM_02757411
SUBJECT TO PROTECTIVE ORDER PARAGRAPHS 7, 8, 9, 10, 15, and 17
EFTA _00244333
EFTA01329196
t.
Short. Pmt atticrifil
epartmcnt of gliransportaition - Li,cbcral A6intinn (Multi tt istration
$upplemental Zgin aertifirzxte
dirtitideve ST01775LA-D
Gulfstream Aerospace Corporation
4150 Donald Douglas Drive
Long Beach, California 90808
ntriciai dont, ewSve as £6 *vie eAvri enr ity4seartriv,reeor44,/ erria
geos44z/.4nree awl
Arveritieerse 46eyeenn OJ vser,Aratvw, meani4
fnernintaftne‘n
ininnennffnal
0/Wietel
25* eyed.
Federal Aviation .iftralr'..dev“. *Certification basis is set forth in Type Certificate Data Sheet TCDS
61-ejnotaltiantren/ . 9,5-yrr no-101ren...460.4...
Al2EA
Gulfstream
GV-SP
falayalias °Acne ..6/4steinee ifetarre Installation of an Avionica Inc. Miniature Quick Access Data
Recorder (miniQAR) in accordance with approved Gulfstream Aerospace Corporation Index List
GC514208000, Revision "C", dated September 27, 2006 or later FAA approved revision.
tiga ifesdawv..i.. The installer must determine whether this design change is compatible
with previously approved modifications. The approval of this modification applies to the above noted
airplane model series only. A copy of this STC must be included in the permanent records of the modified
aircraft. If the holder agrees to permit another person to use this certificate to alter a product, the holder
must give the other person written evidence of that permission.
,97.4 ententerArle. nad.6& etyyrerbery thda eat " e richt /4 t64eZtAre wrennyettettnernsonrear
906/
traleterzenwfarel Jernysesge/itri Ann eti t dew a kianaiialica rifle
odayae8a tatairaViazi e
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.Fainizejxualan ...g.snewasaitaztievii.
§64. e/ryptentreave
v.4. 414..easen•
March 30, 2006
October 11, 2006
4?fre.4......eurernt4.-
/M(
e
(Stinature)
.Randall A. Wood ___
_
PAS Administrator. DAS-100271-NM
(Inte)
Any etteretoort of thu (twine:. is prnutudir 6y e fine of not eraninv 11,000. N rsprttononent not rerenfow S ran, or bout
rY Von ntoa
410. in
Pon I
of
•flu errtsfutatr mover trans! ernvi
etinaente wIe 'Fig lee?
SONY_GM_02757412
SUBJECT TO PROTECTIVE ORDER PARAGRAPHS 7, 8, 9, 10, 15, and 17
EFTA_00244334
EFTA01329197
SDNY_GM_02757413
SUBJECT TO PROTECTIVE ORDER PARAGRAPHS 7, 8, 9, 10, 15, and 17
EFTA_00244335
EFTA01329198
I
DATE
March 20, 2008
MAKE
Gulfstream Aerospace
MODEL NO.
GV-SP
TYPE (Airplane. Radio. Helicopter. at)
Airplane
Gulfstream Aerospace Corp.
LIST OF DATA
IDENTIFICATION
TITLE
GAC DRAWINGS
Deviation
(AVIONICS
Data List — F.D.R. Quick Access Recorder
GCS! 420 6002 Rev. "--"
This approval indicates the data listed above demonstrates compliance only with the
regulations specified by paragraph and subparagraph listed below as "Applicable
Requirements". (Compliance to additional regulations not listed here may be
required.) This form does not constitute FAA approval of all the data necessary for
substantiation of compliance to necessary requirements for the entire alteration/repair.
PURPOSE OF DATA
Substantiates minor wiring deviations to SIC ST01775LA-D. Aircraft SIN 5173 only.
APPLICABLE REQUIREMENTS gut specific inflow)
FAR 25.1301(aftbftc), 25.1309(b), 25.1353(a), 25.1357(a)(c) and 25.1431(c)
CERTIFICATION - Under authority
of appointment under Pan 183
have
vested by direction of the Administrator and in accordance with conditions and
of the Federal Aviation Regulations, data listed above and on attached sheets numbered
been examined in accordance with established procedures and found to comply with applicable requirements
Approval of these data
these data
limitations
of the Federal Aviation Regulations.
I (We) Therefore
C
Recommend
Approve
RATED N NEE
DESIGNATION NUMBER($)
CLASSIFICATION
------.7
DERT-606116-NM
Systems & Equipment
Michael B. Kambourian —
Chart C2
FAA Form 8110.3 (11-70) SUPERSEDES PREVIOUS EDITION
GPO 90t-613
SDNY_GM_02757414
SUBJECT TO PROTECTIVE ORDER PARAGRAPHS 7, 8, 9, 10, 15, and 17
EFTA_00244336
EFTA01329199
J
A
SDNY GM 02757415
SUBJECT TO PROTECTIVE ORDER PARAGRAPHS 7, 8, 9, 10, 15, and 17
EFTA_00244337
EFTA01329200
thaittagatel ej AM=
Department of Transportation — FederatAttittrign Alf/friniFtratiOn
Supplemental 'Type Certificate
This catificate
Number ST02696AT-13
Gulfstream Aerospace Corporation
P.O. Box 2206
Savannah, Georgia 31402-2206
certifier Mat t& Mange in the type desiiptfir btu foffourin ay product with Mc antitations ant corufitions
therefore as spec:fire I harem meets Me airworthiness requirements of Tart 25 of the Facile Aviation
Regufatitms
Original findatt—Type Certificate *neer:
Al2EA
Make:
Culture=
Math
GV-SP
Description tf Type Dalin Chivvy Installation of a Passenger Oxygen System in accordance with
Gulfstream Aerospace Corporation Index List GC51 4538000, Revision B, dated August 05, 2003,or later
FAA approved revision. FAA approved Airplane Flight Manual Supplement, GCSI 453M003, Revision
NC. dated August 19, 2003, or later FAA approved revision is required for the -101 configuration. FAA
approved Airplane Flight Manual Supplement, GCS? 453M004, Rev. NC, dated September 21, 2004, or
later FAA approvednvision is required for the -103 configuration. FAA approved Airplane Flight Manual
Supplement, GCSI 453M005, Rev. NC, dated Dezember 20. 2004, or later FAA approved revision is
required for the -105 configuration.
Limitations and Contlitionr: Compatibility of this design change with previously approved modifications
must be determined by the installer. If the holder agrees to permit another person to use this certificate to
alter the product, the holder shall give the other person vnitten evidence of that permission.
.
.
.
.
.
'Mit certificate and the supporting data which is the twister anroval sisal/. remain in effect wititnavesufend
suspended nooksi or a termination date is otherwise established by the Administrator if the frandAviation
subthricfrug.
Date of application : February 17, 2003
Dow nissuu f
Date of issuance :
August 19, 2003
Date ammded:
September 21, 2004, December 20, 2004
By direction of the
Omar
lose Mora-Vargas
DAS Administrator
DAS-511131-CE
(Mk)
y aft•est4.10 et Ma. Wein ccccc cc
•••••••Gell-S • 5. 0..0.-IeLnaleast
art
IAA ti
. 111.1•311•481
MI
I
at
I Mae
Tan nnitltlp
ass 4
teaastemil N
seed7
SDNY_GM_02757416
SUBJECT TO PROTECTIVE ORDER PARAGRAPHS 7, 8, 9, 10, 15, and 17
EFTA 00244338
EFTA01329201
SDNY_GM_02757417
SUBJECT TO PROTECTIVE ORDER PARAGRAPHS 7, 8, 9, 10, 15, and 17
EFTA_00244339
EFTA01329202
DATE
March 19, 2008
MAKE
Gulistream Aerospace
MODEL NO.
GV-SP
TYPE (Airplane. Radio. Helicopter. etc.)
Airplane
Gulfstream Aerospace Corp.
LIST OF DATA
IDENTIFICATION
TITLE
GAC DRAWINGS:
Deviation Index List - Oxygen System
GC527 126168 Rev. S
Dated 12/05/07
This approval indicates the data listed above demonstrates compliance only with the regulations
specified by paragraph and subparagraph listed below as 'Applicable Requirements.' .
Compliance to additional regulations not listed here may be required. This form
does not constitute FM approval of all the data necessary for substantiation of compliance
to necessary requirements for the entire alteratioNrepair.
(DETAIL DESIGN AND STRUCTURAL APPROVAL ONLY)
End of data.
PURPOSE Of DATA
In support of Form 337 Alteration. Oxygen Equipment Layout. Substantiate Deviations to STC ST02696AT-D. Aircraft
SIN 5173 only.
APPLICABLE REQUIREMENTS (List specific Seel ion!)
14CFR Part 25. Paragraphs 25.301, 25.303, 25.305(a)(b), 25.307(a), 25.561, 25.603, 25.605. 25.607, 25.613, 25.789.
CERTIFICATION - Under authority vested by direction of the Administrator and in accordance with conditions and limitations
of appointment under Pan 183 of the Federal Aviation Regulations• data listed above and on attached sheets numbered
None
have
been examined in accordance with established procedures and found to comply with applicable requirements of the Federal Aviation Regulations.
I erWe) Therefore
CD Recommend Approval of these data
n
Approve these data
TE? ENGINEERING REPRESENTATIVE(S)
CLASSIFICATION
John D. Nguyen
DERY-606135-NM
Structures
_........../°.-------
FAA Form 8110.3
I •701SIMERSEDES PREVIOUS EDITION
GPO 901411
SDNY_GM_02757418
SUBJECT TO PROTECTIVE ORDER PARAGRAPHS 7, 8, 9, 10, 15, and 17
EFTA 00244340
EFTA01329203
SDNY_GM_02757419
SUBJECT TO PROTECTIVE ORDER PARAGRAPHS 7, 8, 9, 10, 15, and 17
EFTA_00244341
EFTA01329204
DATE
19-Mar-08
MAKE
Gulfstream Aerospace
MODEL NO.
GV-SP
TYPE (Airplane. Raw. Helicopter. etc.)
Airplane
(T.C. A I 2EA)
Gulfstream Aerospace Corp.
LIST OF DATA
IDENTIFICATION
TITLE
GAC DOCUMENT.
Deviation Index List — Oxygen System
GCS2 7126168 Rev "B"
(Dated 05-Dec-07)
This approval indicates the data listed above demonstrates compliance only with the regulations
specified by paragraph and subparagraph listed below as 'Applicable Requirements."
(Compliance to additional regulations not listed here may be required.) This form
(does not) constitute FAA approval of all the data necessary for substantiation of compliance
to necessary requirements for the entire alteration/repair.
(DETAIL DESIGN APPROVAL ONLY)
PURPOSE OF DATA
To support FAA form 337 for minor installation deviations to STC ST02696AT-D for Serial Number 5173 only.
APPLICABLE REQUIREMENTS (WI specific sections)
14 CFR §25.869(c), 25.1301(a), (b), 25.1309(a), 25.1441(b), 25.1453(a), (b)
CERTIFICATION - Under authority vested by direction of the Administrator and in accordance with conditions and limitations
of appointment under Pan 183 of the Federal Aviation Regulations, data listed above and on attached sheets numbered
N/A
have been examined in accordance with established procedures and found to comply with applicable
requirements of the Federal Aviation Regulations.
I (We) Therefore
NI Recommend Approval of these data
n
Approve these data
CLASSIFICATION
DERT-605009-NM
Systems and Equipment-Meth
4
2es—l— A a, _.,..c-,.
Kelvin K. Arakaki
FAA Form 8110-3 (11-70) SUPERSEDES PREVIOUS EDITION
GPO 901-613
SDNY_GM_02757420
SUBJECT TO PROTECTIVE ORDER PARAGRAPHS 7, 8, 9, 10, 15, and 17
EFTA 00244342
EFTA01329205
SDNY_GM_02757421
SUBJECT TO PROTECTIVE ORDER PARAGRAPHS 7, 8, 9, 10, 15, and 17
EFTA_00244343
EFTA01329206
thritd :taw ifAsesca
alipartment el -tympana:km — Tedemolviation Mminutration
SuppThmentarType Certricate
Num6er Sr:32697*Lp
'This certificate issurA t to
Gulfstream Aerospace Corporation
P.O. Box 2206
Savannah, Georgia 31402-2206
amps-that the charye in the type desigtfor tfte.figrosving product with tAt EllialtiollS and conditions
thenfore at ipeafied hereon man tie airworthintus aptinnear of Orr 25 of thy Itedsraolvtatton
fauLattorts.
Origiegat Praefuez -Toe Certificate Warr:ben
Al lEA
944
Gulfstream
%odif
GV-SP
ma certrin ef*pe Ouija awe Installation of Interior Ernagency Lights in accordance with Gulfstrearn
Aerospace Corporation Index List GC51 4868002, Rev. B, dated August 06, 2003, as later FAA approved
revision.
Zasitatioar andansaftivir Compatibility of this design change with previously approved modifications
must be determined by the installer. 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.
•
'This cen0Catee and cis support* ate whicCis the &sir for cravat shaff remain in effect untif surrnufered,
napenefee4 mrohei or a termination Lau is otfunvise maraud by the Mideristnitor of the TelenstAviation
,Mminutrattan.
Oats of appacaticn
Apnt 07,2003
Cate of issuance :
August 20, 2003
Oat &sank
Oats sad:
Guy twain! etas
lose Mora-Varga
DAS Administrator
DAS-511131-CE
01110
mr altarnlae at via iiiiiii
ett. I. pv•II.Serae wenn
eat az:neite. h.e.)0.• • Ivrhaspee. awe ...Irons; t non. or Yti.
ha pers saw.; isi-so
nag t a I raina
••••Itzsate say** srostsreso Ls ansediar• ale na
SDNY_GM_02757422
SUBJECT TO PROTECTIVE ORDER PARAGRAPHS 7, 8, 9, 10, 15, and 17
EFTA_00244344
EFTA01329207
SDNYGMJI2757423
SUBJECT TO PROTECTIVE ORDER PARAGRAPHS 7, 8, 9, 10, 15, and 17
EFTA_00244345
EFTA01329208
DATE
March 19, 2008
MAKE
Gulatream Aerospace
MODEL NO.
GV-SP
TYPE (Airplane. Radio. Helicopter. etc.)
Airplane
Cult-stream Aerospace Corp.
LIST OF DATA
IDENTIFICATION
TITLE
GAC DRAWINGS:
Deviation Index List — Interior Emergency Lighting
GC528566064
Rev. A
Dated 03/17108
This approval indicates the data listed above demonstrates compliance only with the regulations
specified by paragraph and subparagraph listed below as "Applicable Requirements." .
Compliance to additional regulations not listed here may be required. This form
does not constitute FAA approval of all the data necessary for substantiation of compliance
to necessary requirements for the entire alteration/repair.
(DETAIL DESIGN AND STRUCTURAL APPROVAL ONLY)
End of data.
PURPOSE OF DATA
In support of Form 337 Alteration, Interior Emergency Lighting Installation. Substantiate Deviations to STC
ST02697AT-D. Aircraft S/N 5173 only.
APPLICABLE REQUIREMENTS (List specific sections)
14CFR Part 25, Paragraphs 25.301, 25.303, 25.305(a)(b), 25.307(a), 25.561, 25.603, 25.605. 25.607, 25.613, 25.789.
CERTIFICATION - Under authonty vested by direction of the Administrator and in accordance with conditions and limitations
of appointment under Pan 183 of the Federal Aviation Regulations, data listed above and on attached sheen numbered
None
have
been examined in accordance with established procedures and found to comply with applicable requirements of the Federal Aviation Regulations.
I we Therefore
CI Recommend Approval of these data
EL Approve these data
CLASSIFICATION
John D. Nguyen
DERV-606135-NM
Structures
FAA Form 8110-3 ( 1-70) SUPERSEDES PREVIOUS EDITION
GPO 901-613
SDNY_GM_02757424
SUBJECT TO PROTECTIVE ORDER PARAGRAPHS 7, 8, 9, 10, 15, and 17
EFTA 00244346
EFTA01329209
SDNY_GM_02757425
SUBJECT TO PROTECTIVE ORDER PARAGRAPHS 7, 8, 9, 10, 15, and 17
EFTA_00244347
EFTA01329210
•
•
DATE
19-Mar-08
MAKE
Gulfstream Aerospace
MODEL NO.
GV-SP
TYPE (Airplane. Radio. lklicopter. sic.)
Airplane
(T.C. AI2EA)
Gulfstream Aerospace Corp.
LIST OF DATA
IDENTIFICATION
TITLE
GAC DOCUMENT.
Deviation Index List — Interior Emergency Lighting
GC52 8566064 Rev "A"
(Dated 17-Mar-08)
This approval indicates the data listed above demonstrates compliance only with the regulations
specified by paragraph and subparagraph listed below as 'Applicable Requirements?
(Compliance to additional regulations not listed here may be required.) This form
(does not) constitute FAA approval of all the data necessary for substantiation of compliance
to necessary requirements for the entire alteration/repair.
(DETAIL DESIGN APPROVAL ONLY)
PURPOSE OF DATA
To support FAA form 337 for minor installation deviations to STC 5102697AT-D for Serial Number 5173 only.
APPLICABLE REQUIREMENTS (Lot specific swoons)
14 CFR § 25.811(b).(c),(d).(eXI)(2Xii),(g), 25.812(a)( I ).(b)(1),(e), 25.1301(a),(b),(c) & 25.1309(a).
CERTIFICATION - Under authority vested by direction of the Administrator and in accordance with conditions and limitations
of appointment under Part 183 of the Federal Aviation Regulations, data listed above and on attached sheets numbered
N/A
have been examined in accordance with established procedures and found to comply with applicable
requirements of the Federal Aviation Regulations.
I (We) Therefore
En Recommend Approval of these data
ED Approve these data
CLASSIFICATION
DERT-605009-NM
Systems and Equipment•Mech
Kelvin . Arakaki
FAA Form 8110.3 (11.70) SUPERSEDES PREVIOUS EDITION
GPO 901413
SDNY_GM_02757426
SUBJECT TO PROTECTIVE ORDER PARAGRAPHS 7, 8, 9, 10, 15, and 17
EFTA_00244348
EFTA01329211
SDNY_GM_02757427
SUBJECT TO PROTECTIVE ORDER PARAGRAPHS 7, 8, 9, 10, 15, and 17
EFTA_00244349
EFTA01329212
DATE
March 20 2008
MARE
Gulfstream Aerospace
MODEL NO
GV-SP
TYPE (Airplane. Radio. Iklicopter. tic )
Airplane
Gulfstream Aerospace Corp.
LIST OF DATA
IDENTIFICATION
TITLE
GAC DRAWINGS:
Deviation
(AVIONICS
Data List — Interior Emergency Lighting
GCSI 486 6337 Rev. "A"
r
This approval indicates the data listed above demonstrates compliance only with the
regulations specified by paragraph and subparagraph listed below as "Applicable
Requirements". (Compliance to additional regulations not listed here may be
required.) This form does not constitute FAA approval of all the data necessary for
substantiation of compliance to necessary requirements for the entire alteration/repair.
PURPOSE OF DATA
Substantiates minor wiring deviations to STC ST02697AT-D. Aircraft SENA 5173 only.
APPLICABLE REQUIREMENTS (Lot specific small
FAR 25.1301(a)(144), 25.1309(b) and 25.1431(c)
CERTIFICATION - Under authority
of appointment under Pan 183
have
vested by direction of the Administrator and in accordance with conditions and
of the Federal Aviation Regulations. data listed above and on attached sheets numbered
been examined in accordance with established procedures and found to comply with applicable requirements
Approval of these data
these data
limitations
of the Federal Aviation Regulations.
1 (We) Therefore
CI Recommend
Approve
IGNATE E
INEERIN
CLASSIFICATION
_
k
•
DERT-606116-NM
Systems & Equipment
Michael B. Kambourian
Chart C2
FAA Form 8110-3 (11.70) SUPERSEDES PREVIOUS EDITION
GPO 901-613
SDNY_GM_02757428
SUBJECT TO PROTECTIVE ORDER PARAGRAPHS 7, 8, 9, 10, 15, and 17
EFTA 00244350
EFTA01329213
SDNY_OM_02757429
SUBJECT TO PROTECTIVE ORDER PARAGRAPHS 7, 8, 9, 10, 15, and 17
EFTA 00244351
EFTA01329214
unit sums nInnena
'Department of Transportation — Te&rallistrriation Administration
SupplementalType Cert
cate
Tis certificate issue:Ito
Number ST02796AT-D
Gulfstreans Aerospace Corporation
P.O. Box 2206
Savannah, Georgia 31402-2206
certifies that the change in the type denim for thefolIonav race with the Smitationt and conditions
deafens as specified hereon meets the airworthiness requirements of an IS of the TederalAviation
Itsguratioiu.
Originateroduct-rrype Certificate Wunder:
AI2EA
9iia&
Gulfstrearn
2ioder
ati.gp
macriptism of Type aingn Change Installation of Broad Band Multi-Link (BBEL) System, in accordance
with Gulfstream Aerospace Corporation Index List GC51 3038002, Revision N, dated May 31, 2006, or
later FAA approved revision
FAA approved Airplane Flight Manual Supplement, GCS] 303M006,
Revision NC, dated hme 05, 2006, or later FAA approved revision is required for the -507 and -901
configuration.
Limitations Intl Con&tionr Compatibility of this design change with previously approved modifications
must be determined by the installer. If the holder agrees to permit another person to use this certificate to
alter the product, the bolder shall give the other person written evidence of that permission.
'This certificate cage supporting &ea which is the 6asis for approval:Eastmain in era waif sunning
suspended nook,: f or a termination date is otherwise established 6y as Administrator eche Tedezrat.AMatian
Administration
mate of application : November 03, 2004
(Date ranged:
'Date of lung=
r January 21, 2005
'Vase minuted:
June 06, 2005, lime OS, 2006,
Wy §ion of
,Idissinistratos
d
a
ti
Jose Mora-Vargas oceZe
DAS Administrator
DAS-511131-CE
alt mime at tau earUnnesL
sualahabli by • (no of an act onal 0,00 • n
h AW ninler
roc aew4SW 1 yam. w meth.
a NOY
Tait o.nUint. an In stas•terrad L ravine
with Pat 31.1f.
SDNY_GM_02757430
SUBJECT TO PROTECTIVE ORDER PARAGRAPHS 7, 8, 9, 10, 15, and 17
EFTA_00244352
EFTA01329215
SDNY_GM_02757431
SUBJECT TO PROTECTIVE ORDER PARAGRAPHS 7, 8, 9, 10, 15, and 17
EFTA_00244353
EFTA01329216
GATE
March 19, 2008
MAKE
Culfstream Aerospace
MODEL NO.
GV-SP
TYPE (Airplane. Radio. I klicopter. etc.)
Airplane
Gulfstream Aerospace Corp.
LIST OF DATA
IDENTIFICATION
TITLE
GAC DRAWINGS:
Deviation Data List — Broad Band Multi-Link (BBML)
GC543036041 Rev. B
Dated 02/19/08
This approval indicates the data listed above demonstrates compliance only with the regulations
specified by paragraph and subparagraph liSted below as 'Applicable Requirements." .
Compliance to additional regulations not listed here may be required. This form
does not constitute FAA approval of all the data necessary for substantiation of compliance
to necessary requirements for the entire alteration/repair.
(DETAIL DESIGN AND STRUCTURAL APPROVAL ONLY)
End of data.
PURPOSE OF OATA
In support of Form 337 AlteratiOn, BBML (Wireless LAN w/ high speed data) system Installation. Substantiate Deviations
to STC ST02796AT-D. Aircraft S/N 5173 only.
APPLICABLE REQUIREMENTS (Lill specific secgions)
14CFR Pan 25. Paragraphs 25.301. 25.303. 25.305(a)(b), 25.307(a). 25.561, 25.603, 25.605, 25.607, 25.613. 25.789.
CERTIFICATION - Under authority vested by direction of the Administrator and in accordance with conditions and limitations
of appointment under Pan 183 of the Federal Aviation Regulations, data listed above and on attached sheets numbered
-
None
have
been examined in accordance with established procedures and found to comply with applicable requirements of the Federal Aviation Regulations.
I Plie) Therefore
0
Recommend Approval of these data
0
Approve these data
CLASSIFICATION
John D. Nguyen
l AAOnn4"„_....---
------
DERY-606135-NM
Structures
FAA Form 8110.3 (1140 SUPERSEDES PREVIOUS EDITION
GPO 9014313
SDNY_GM_02757432
SUBJECT TO PROTECTIVE ORDER PARAGRAPHS 7, 8, 9, 10, 15, and 17
EFTA 00244354
EFTA01329217
SDNY_GM_02757433
SUBJECT TO PROTECTIVE ORDER PARAGRAPHS 7, 8, 9, 10, 15, and 17
EFTA_00244355
EFTA01329218
DATE
March 20, 2008
MAKE
Gulfstream Aerospace
MODEL NO.
GV-SP
TYPE (Ai?plane. Radio. fielocopter. ac)
Airplane
Gulfstream Aerospace Corp.
LIST OF DATA
IDENTIFICATION
TITLE
GAC DRAWINGS:
Deviation Data List - Broad Band Multi-Link (BBML) (Wireless LAN W/High Speed Data)
GC51 303 6071 Rev. "--"
This approval indicates the data listed above demonstrates compliance only with the
regulations specified by paragraph and subparagraph listed below as "Applicable
Requirements". (Compliance to additional regulations not listed here may be
required.) This form does not constitute FAA approval of all the data necessary for
substantiation of compliance to necessary requirements for the entire aherationfrepair.
(AVIONICS SYSTEMS DATA APPROVAL ONLY)
PURPOSE OF DATA
Substantiates minor wiring deviations to STC ST02796AT-D. Aircraft S/N 5173 only.
APPLICABLE REQUIREMENTS (List speak section)
FAR 25.1301(a)(bXc), 25.1309(b), 25.B53(a), and 25.143I(c)
CERTIFICATION - Under authority vested by direction of the Administrator and in accordance with conditions and limitations
of appointment under Pill 183 of the Federal Aviation Regulations, data listed above and on attached sheets numbered
have been examined in accordance with established procedures and found to comply with applicable requirements
of the Federal Aviation Regulations.
I (We) Therefore
C] Recommend Approval of these data
ri
rove these data
TED E
IN
RING
ESENTATIVE(S)
CLASSIFICATION
DERT-606 I 16-NM
Systems & Equipment
Michael H. Kamtourian
Chart C2
FAA Form 8110-3 (11-70) SUPERSEDES PREVIOUS EDITION
GPO 901.613
SDNY_GM_02757434
SUBJECT TO PROTECTIVE ORDER PARAGRAPHS 7, 8, 9, 10, 15, and 17
EFTA_00244356
EFTA01329219
SDNYGMJ32757435
SUBJECT TO PROTECTIVE ORDER PARAGRAPHS 7, 8, 9, 10, 15, and 17
EFTA_00244357
EFTA01329220
thittatatts °Pimento
(Department of Transportation -- Tederat Aviation Administration
Supp &mental' Type Certificate
This catificate issued to
Number STO329OAT-D
Gulfstream Aerospace Corporation
500 Gulfstream Road
Savannah, Georgia 31407
artifiesehat ths-cfgange in the type desitqnfor:thefoffowininduct with the hantationt and conditions
therefore as specified hereon meets the airworthiness requirements of Tan 25 of the feleralitvistiort
iteguktions.
orgqinattPmetuct-tpe Certificate *Wither
A 12EA
2fiset
Gulfstream
9dloifst
GIV-X & GV-SP
0ecription el)pe asign Cleave Installation of Cabin Window Shades (ATG) in accordance with
Gulfstream Aerospace Corporation Index List GC51 5068000, Revision A, dated November 16, 2006, or
later FAA approved revision. FAA approved Airplane Flight Manual Supplement, GC41506M004,
Revision NC, dated November 21, 2006, or later FAA approved revision is required for -401, -403, -405,
.407, -409, -411 and -413 configurations. FAA approved Airplane Flight Manual Supplement,
GC51506M002, Revision NC, dated November 21, 2006, or later FAA approved revision is required for
-501, -503, -505, -507 end -509 configurations.
Limitations andContstiont The installer must determine whether this design change is compatible with
previously approved modifications. 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.
Ihnerstificate emit& supporting data which it the bosh forapprood shaft remain in effect urstifsgorersderaC
suspetvfa4 revoked or a termination at. is otherwise atabasfied by the fishninisinsior of the farendfliiiaiiiii
Administration
pate cf application. June 08.2006
pate of issuance November 21, 2006
pate mingled:
pate amended
) 1111.
ar
tsisastwet
mee M. Arthur
DAS Administrator
DAS-5111310E 12;
(ride)
May elrenclaaotillla
artitIcac• la possamw. baptism of *et emeolley 11.000. or Isapalmaisant no standby 1 non.
oe both
na Pa. •11.0.3(10.410)
flea I
el I par
TO • c••11/
a•y ter trees tag
SDNY_GM_02757436
SUBJECT TO PROTECTIVE ORDER PARAGRAPHS 7, 8, 9, 10, 15, and 17
EFTA_00244358
EFTA01329221
SDNYGM_02757437
SUBJECT TO PROTECTIVE ORDER PARAGRAPHS 7, 8, 9, 10, 15, and 17
EFTA_00244359
EFTA01329222
DATE
March 20, 2008
MAKE
.
Gulfstream Aerospace
MODEL NO.
GV-SP
TYPE (Airplane. Radio. Helicopter. etc )
Airplane
Gul (stream Aerospace Corp.
LIST OF DATA
IDENTIFICATION
TITLE
GAC DRAWINGS:
Deviation Data List - Electric Window Shade last, ATG
GC5I 506 6130 Rev. "Jr
This approval indicates the data listed above demonstrates compliance only with the
regulations specified by paragraph and subparagraph listed below as "Applicable
Requirements". (Compliance to additional regulations not listed here may be
required.) This form does not constitute FAA approval of all the data necessary for
substantiation of compliance to necessary requirements for the entire alteration/repair.
(AVIONICS SYSTEMS DATA APPROVAL ONLY)
PURPOSE OF DATA
Substantiates minor wiring deviations to STC ST03290AT.D. Aircraft S/N 5173 only.
APPLICABLE REQUIREMENTS (tut specific sections)
FAR 25.1301(aXb)(c), 25.1309(b), 25.1353(a), 25.1357(aXc) and 25.1431(c)
CERTIFICATION - Under authority vested by direction of the Adminisuator and in accordance with conditions and limitations
of appointment under Pan 183 of the Federal Aviation Regulations, data listed above and on attached sheets numbered
have been examined in accordance with established procedures and found to comply with applicable requirements
of the Federal Aviation Regulations.
I (We) Therefore
CI Recommend Approval of these data
Approve these data
RATED
G EERI
'REPRESENTATIVE(S)
CLASSIFICATION
a
DERT-606116-NM
Systems & Equipment
Michael B. Kambounan
Chan C2
AA Form 8110.3 (11-70) SUPERSEDES PREVIOUS EDITION
GPO 901413
SDNY_GM_02757438
SUBJECT TO PROTECTIVE ORDER PARAGRAPHS 7, 8, 9, 10, 15, and 17
EFTA_00244360
EFTA01329223
SDNY GM 02757439
SUBJECT TO PROTECTIVE ORDER PARAGRAPHS 7, 8, 9, 10, 15, and 17
EFTA_00244361
EFTA01329224
DATE
March 19. 2008
MAKE
Gultstream Aerospace
MODEL NO.
GV-SP
TYPE (Airplane. Radio. Helicopter. etc.)
Airplane
Gulf-stream Aerospace Corp.
LIST OF DATA
IDENTIFICATION
TITLE
GAC DRAWINGS:
Deviation Data List — Window Shade Installation — ATG
GC522 166040 Rev. C
Dated 03/17/08
This approval indicates the data listed above demonstrates compliance only with the regulations
specified by paragraph and subparagraph listed below as 'Applicable Requirements: .
Compliance to additional regulations not listed here maybe required. This form
does not constitute FAA approval of all the data necessary for substantiation of compliance
to necessary requirements for the entire alteration/repair.
(DETAIL DESIGN AND STRUCTURAL APPROVAL ONLY)
End of data.
PURPOSE OF DATA
In support of Form 337 Alteration. Window Shade Installation. Substantiate Deviations to STC ST03290AT-D.
Aircraft SIN 5173 only.
APPLICABLE REQUIREMENTS (Liss specific section)
14CFR Part 25, Paragraphs 25.301, 25.303, 25.305(a)(b), 25.307(a), 25.561. 25.603. 25.605. 25.607. 25.613. 25.625.
25.789.
CERTIFICATION - Under authority vested by direction of the Administrator and in accordance with conditions and limitations
of appointment under Pan 183 of the Federal Aviation Regulations, data listed above and on attached sheets numbered
None
have
been examined in accordance with established procedures and found to comply with applicable requirements of the Federal Aviation Regulations.
1 (AVErTherefore
C
Recommend Approval of these data
1=i Approve these data
CLASSIFICATION
John D. Nguyen gitvisnit z,,L__......_----- DERY-606135-NM
Structures
FAA Form 8110-3 (11.10) SUPERSEDES PREVIOUS EDITION
GPO 901-613
SDNY_GM_02757440
SUBJECT TO PROTECTIVE ORDER PARAGRAPHS 7, 8, 9, 10, 15, and 17
EFTA 00244362
EFTA01329225
SDNY_GM_02757441
SUBJECT TO PROTECTIVE ORDER PARAGRAPHS 7, 8, 9, 10, 15, and 17
EFTA_00244363
EFTA01329226
DATE
I 9-Mar-OS
MAKE
Gulfstream Aerospace
MODEL NO.
GV-SP
TYPE (Airplane. Radio. Helicopter. etc.)
Airplane
(T.C. A I2EA)
Gulfstream Aerospace Corp.
LIST OF DATA
IDENTIFICATION
TITLE
GAC DOCUMENT:
Deviation Data List — Window Shade Ins!! - ATG
GC522 I 66040 Rev "C"
(Dated 17-Mar-08)
This approval indicates the data listed above demonstrates compliance only with the regulations
specified by paragraph and subparagraph listed below as 'Applicable Requirements.'
(Compliance to additional regulations not listed here may be required.) This form
(does not) constitute FAA approval of all the data necessary for substantiation of compliance
to necessary requirements for the entire alteration/repair.
(DETAIL DESIGN APPROVAL ONLY)
PURPOSE OF DATA
To support FAA form 337 for minor installation deviations to STC ST03290AT-D for Serial Number 5173 only.
APPLICABLE REQUIREMENTS (Los specific section()
14 CFR §25.! 301(a),(b),(c).
CERTIFICATION - Under authority vested by direction of the Administrator and in accordance with conditions and limitations
of appointment under Part 183 of the Federal Aviation Regulations, data listed above and on attached sheets numbered
N/A
have been examined in accordance with established procedures and found to comply with applicable
requirements of the Federal Aviation Regulations.
1(Ile) Therefore
CI Recommend Approval of these data
CI Approve these data
CLASSIFICATION
,t# (f,. A (:4
2-2
DERT-605009-NM
Systems and Equipment-Mech
Kelvin K. Arakaki
FAA Form 8110.3 (11.70) SUPERSEDES PREVIOUS EDITION
GPO 901413
SDNY_GM_02757442
SUBJECT TO PROTECTIVE ORDER PARAGRAPHS 7, 8, 9, 10, 15, and 17
EFTA 00244364
EFTA01329227
SDNY GM 02757443
SUBJECT TO PROTECTIVE ORDER PARAGRAPHS 7, 8, 9, 10, 15, and 17
EFTA_00244365
EFTA01329228
!Midi States Of America
Atpartmint of transportation - gliebtral Ablation glibministration
$upplentental Type (I:Certificate
Argentless ST02083LA-D
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Gulfstream Aerospace Corporation
4150 Donald Douglas Drive
Long Beach, California 90808
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Al 2EA
.4t5a4.- Gulfstream
GV-SP, S/N 5173 Only
eve/Oa:en /Re's g?iosixa Wave Installation of a 16-passenger cabin interior hi accordance with
Gulfstream Aerospace Corporation Index List GC520008595, Revision "G", dated March 19, 2008 or later
FAA approved revision.
-Wundaiiivat and Wend deers
FAA Approved Airplane Flight Manual Supplement GC52000M068, original release, dated March 20,
2008 or later FAA approved revision, is required and must be carried in the aircraft on all flights.
You cannot use descriptive data about this design change to duplicate other products. This approval is
limited to only the installation made in Gulfstream Model GV-SP Serial No. 5173. This STC does not
permit manufacturing of parts for multiple installations. A copy of this STC must be included in the
permanent records of the modified aircraft.
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Randall A. Wood
DAS Administrator. DAS-100271-NM
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SDNY_GM_02 757444
SUBJECT TO PROTECTIVE ORDER PARAGRAPHS 7, 8, 9, 10, 15, and 17
EFTA_00244366
EFTA01329229
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SDNY_GM_02757445
SUBJECT TO PROTECTIVE ORDER PARAGRAPHS 7, 8, 9, 10, 15, and 17
EFTA_00244367
EFTA01329230
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TETLE
Index List
t
- Interior Passenger Cabin (STC)
AMBER
GC52 0008595
REVISION
G
LEFT
1 of 2
NN a. omega PA • C S COMPANY
WEE ARMEE
Gulfstream
[WEL EFEECOVITE
GV-SP
SERaL NUMBER LF MIAOW
5173
PROJECT ROARER
DAS 3531A1
PROPRIETARY NOTCE., We data Rs lefonsita
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illicbsei basis la proprisumey ito Oaten Anise. Comerslitat
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REV
APPROVAL Mr and EPALEE0
RAW
-
K Naberman
07/30/07 Original Release
A
K. Naberman
10/09/07 1. GC51O008084 was rev —: 2. GC52O008596 was rev —; 3. Added GC52204K459; 4. 00028020004 was rev D;
Es
K. Naberman
11/01/07 1. GC5100O8084 was rev A; 2. GC5200O8596 was rev A; 3. Added GC52O0OKroa;
C
K Naberman
12/20/07 1. GC510O08084 was rev 8; 2. GC520O08596 was rev B; 3. Added GC528O2029O; 4. Added GC52000K525;
D
K Naberman
01/24/08 1. GC520O08596 was rev C;
E
K Naberman
02/19/08 1. GC510008084 was rev C; 2. GC52OO08596 was rev E; 3. GC528020290 was rev —; 4. Added 17254;
F
K. Naberman
03/10/08 1. GC5100O8084 was rev D; 2. GC52O0O8596 was rev F; 3. GC528020290 was rev A;
G
KACA—
03/19/08 1. GC510008084 was
was GC52O00K525; 5.
rev E; 2. GC52OO08596 was rev G; 3. GC52204K459 was rev —; 4. GC52000K526
Added GC52000K529; 6. Added GC52000K530; 7. Added GC520O0K533;
STC1
agate
Aerospace Corponidon
Long Beath. California 90808
DA
DAS
TE
1 1 j' 474litlin
_4/20
DAS Fonn
EFTA01329231
SDNYGM02757447
SUBJECT TO PROTECTIVE ORDER PARAGRAPHS 7, 8, 9, 10, 15, and 17
EFTA_00244369
EFTA01329232
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TITLE
Index List - Interior Passenger Cabin (STC)
NUMBER
REVISION
PEET
GC52 0008595
G
2 of 2
EllOPIECTSIDI NOTICE TEN Ps -
lalws•IlLe dladmed Pats b pospiebry ECENINENE Straw. IPENEENN
NODE PE Es set RN ENE Esonlasl PEP Lla IQ NEEPENI. ad. w dlideNd to EWE wisoui wins INNEOPEENtElferson Amgen CLEEENEN
UST NUMBER
REVISION
DEO IIAL
GC51 000 8084
F
G Data list - Avionics! Electrical Passenger Cabin (STC)
GC52 000 8596
J
G Data List - Interior Passenger Cabin (STC)
ILSPOCNTE0 DOCULEMIS
GC52 801 A485
—
— Instructions for Continued Airworthiness
GC52 496 5173
-
-
Stress Substantiation
GC55 0WS 5173
—
— Weight & Balance Statement
GC51 000 E121
—
— Electrical Load Statement
GC52 204 K459
A
G 14 CFR Part 25 Compliance Evaluation Report
C-5420
A
-- FAR 25.853(e) Compliance Evaluation
GC52 802 0290
B
F FAR 25.853 & 25.855 Compliance Evaluation
17254
A
E Skandla, Inc. Fireblocking Flammability Test Report
GC02 802 0004
E
A Thermal / Acoustic Insulation Flammability
GC52 000 K491
—
-- Functional Hazard Assessment
GC51 498 K061
—
— Wire Routing Zonal Safety Assessment
GC52 000 M068
—
— Airplane Flight Manual Supplement - Cabin/Galley Master Switch Operation
BC-5173
—
— Aircraft Emergency Card
V-5173
—
— Aircraft Egress Video
GC51 496 6057
—
— Ground Test Plan! Report Avionics / Electrical Drawing List
GC51 468 G086
—
— Ground Test Plan / Report EMI / EMC, Gulfstream GV-SP, SIN 5173
GC52 718 0000
F
-- Ground Test Plan / Report Mechanical Systems
GC52 000 K526
—
G COTS Component Report - Router. US Robotics, USR8200
GC52 000 K529
—
G COTS Component Report - Microwave Oven. Sharp, R-21LTF
GC52 000 K530
-
G COTS Component Report - Facsimile Transceiver, Brother, MFC-420CN
GC52 000 K533
-
G COTS Component Report - External Hard Drive, US Robitcs, USR8800
DAS Form IL-1
EFTA01329233
SDNY_GM_02757449
SUBJECT TO PROTECTIVE ORDER PARAGRAPHS 7, 8, 9, 10, 15, and 17
EFTA 00244371
EFTA01329234
-
DATE
19-Mar-08
MAKE
Gulfstream Aerospace
MODEL NO.
GV-SP
TYPE (Airplane. Radio, Helicopter. fie )
Airplane
(T.C. Al2EA)
Gulfstream Aerospace Corp.
LIST OF DATA
IDENTIFICATION
TITLE
GAC DOCUMENT
Data List — Avionics/Mechanical
GC54 4960033 Rev IT'
(Dated 18-Mar-08)
This approval indicates the data listed above demonstrates compliance only with the regulations
specified by paragraph and subparagraph listed below as -Applicable Requirements'
(Compliance to additional regulations not listed here may be required.) This form
(does not) constitute FAA approval of all the data necessary for substantiation of compliance
to necessary requirements for the entire alteration/repair.
(DETAIL DESIGN APPROVAL ONLY)
PURPOSE OF DATA
To support FAA form 337 approval of the Avionics/Mechanical design data for Serial Number 5173 only.
APPUCABLE REQUIREMENTS gin spec,* secant)
14 CFR § 25.1301(a),(b).
CERTIFICATION - tinder authority vested by direction of the Administrator and in accordance with conditions and limitations
of appointment under Pan IS) of the Federal Aviation Regulations, data listed above and on attached sheets numbered
N/A
have been examined in accordance with established procedures and found to comply with applicable
requirements of the Federal Aviation Regulations.
I (We) Therefore
-
Recommend Approval of these data
El Approve these data
CLASSIFICATION
DERT-605009-NM
Systems and Equipment-Meth
4
,4<aci.=._..
-
,
Kelvin K. Arakaki
FAA Form 8110-3 (11-70) SUPERSEDES PREVIOUS EDITION
GPO 90t413
SDNY_GM_02757450
SUBJECT TO PROTECTIVE ORDER PARAGRAPHS 7, 8, 9, 10, 15, and 17
EFTA 00244372
EFTA01329235
SDNY_GM_02757451
SUBJECT TO PROTECTIVE ORDER PARAGRAPHS 7, 8, 9, 10, 15, and 17
EFTA_00244373
EFTA01329236
DATE
March 20, 2008
MAKE
.
Gullstream Aerospace
MODEL NO.
GV-SP
TYPE (Airplane. Radio. Helicopter. etc.)
Airplane
Gull-stream Aerospace Corp.
LIST OF DATA
IDENTIFICATION
TITLE
GAC DRAWINGS:
Data List - Avionics / Mechanical
Completion Stress Report for GV-SP Serial No. 5173
(Section 2.3 8 Section 3)
GC544960033
Rev. J
Dated 03/18/08
GAC REPORT:
GC524965173 Rev. --
Dated 03/20/08
This approval indicates the data listed above demonstrates compliance only with the regulations
specified by paragraph and subparagraph listed below as "Applicable Requirements.' .
Compliance to additional regulations not listed here may be required. This form
does not constitute FAA approval of all the data necessary for substantiation of compliance
to necessary requirements for the entire alteration/repair.
(DETAIL DESIGN AND STRUCTURAL APPROVAL ONLY)
End of data.
PURPOSE OF DATA
In support of Form 337 Approval of the Avionics / Mechanical design data for Serial Number 5173 only.
APPLICABLE REQUIREMENTS (List specific section)
14CFR Part 25, Paragraphs 25.301, 25.303, 25.305(a)(b), 25.307(a), 25.365(a)(b)(d), 25.561, 25.571(a)(b), 25.603,
25.605, 25.607, 25.613, 25.619, 25.787(a)(b), 25.789.
CERTIFICATION - Under authority vested by direction of the Administrator and in accordance with conditions and limitations
of appointment under Part 183 of the Federal Aviation Regulations, data listed above and on attached sheets numbered
None
have
been examined in accordance with established procedures and found to comply with applicable requirements of the Federal Aviation Regulations.
I pelerThaefore
M
Recommend Approval of these data
© Approve these data
SIGNATURE(S) OF OESIGNAT 0 E GINEERING REPRESENTATIVE(S)
CLASSIFICATION
John D. Nguyen
I
/
A
DERY-606135-NM
Structures
FAA Form 8110.3 (11.70) SUPERSEDES PREVIOUS EDITION
GPO 901-613
SDNY_GM_02757452
SUBJECT TO PROTECTIVE ORDER PARAGRAPHS 7, 8, 9, 10, 15, and 17
EFTA_00244374
EFTA01329237
I
SDNY_GM_02757453
SUBJECT TO PROTECTIVE ORDER PARAGRAPHS 7, 8, 9, 10, 15, and 17
EFTA_00244375
EFTA01329238
DATE
March 20, 2008
MAKE
Gulislream Aerospace
MODEL NO
GV-SP
TYPE (Airplane. Radio. Helicopter. etc)
Airplane
Gulatream Aerospace Corp.
LIST OF DATA
IDENTIFICATION
TITLE
SAC DRAWINGS:
Data List
Report -
(AVIONICS
- Avionics / Electrical Wiring Diagrams
Electrical Load Analysis
GC5 1 496 0338 Rev. "H"
GAC REPORT:
GCS I 469 6362 Rev. "--"
This approval indicates the data listed above demonstrates compliance only with the
regulations specified by paragraph and subparagraph listed below as "Applicable
Requirements". (Compliance to additional regulations not lined here may be
required.) This form does not constitute FAA approval of all the data necessary for
substantiation of compliance to necessary requirements for the entire alteration/repair.
PURPOSE OF DATA
Substantiates cockpit and cabin modifications. Aircraft SM 5173 only.
APPLICABLE REQUIREMENTS Wig specific sections)
FAR 25.1301(a)(b)(c), 25.1309(b), 25.1351(a), 25.1 353(a), 25.1 352(a)(c)(dXe) and 25.1431(c)
CERTIFICATION - Under authority
of appointment under Pan 183
have
vested by direction of the Administrator and in accordance with conditions and
of the Federal Aviation Regulations, data listed above and on attached sheets numbered
been examined in accordance with established procedures and found to comply with applicable requirements
Approval of these data
these data
limitations
of the Federal Aviation Regulations.
1=1
I (W.) Therefore
Recommend
EN Approve
TED E
N
RING
PRESENTATIVE(S)
CLASSIFICATION
DERT-606116-NM
Systems & Equipment
Michael B. Kambourian
Chart C2
FAA Form 8110-3 (11.70) SUPERSEDES PREVIOUS EDITION
GPO 901.613
SDNY_GM_02757454
SUBJECT TO PROTECTIVE ORDER PARAGRAPHS 7, 8, 9, 10, 15, and 17
EFTA_00244376
EFTA01329239
SDNY_GM_02757455
SUBJECT TO PROTECTIVE ORDER PARAGRAPHS 7, 8, 9, 10, 15, and 17
EFTA_00244377
EFTA01329240
DATE
-3- /41.• O6
MAKE
Gulfstream
MODEL NO.
GV-SP
TYPE (Airplane. Radio. Helicopter. etc.)
Airplane
Gulfstream
LIST OF DATA
IDENTIFICATION
TITLE
GAC DRAWINGS:
GC514040324 Rev. "N/C"
(Dated 8/30107)
GC514050349 Rev. "N/C"
(Dated 9/25/07)
GC514080339 Rev. "A"
(Dated 11/13/07)
Instrument Panel Layout - S/N 5173
Pedestal Layout - S/N 5173
Overhead Panel Layout - S/N 5173
This approval indicates the data listed above demonstrates compliance only with the
regulations Specified by paragraph and subparagraph listed below as "Applicable
Requirements1Compliance to additional regulations not listed here may be required.)
This form (does not) constitute FM approval of all the data necessary for substantiation of
compliance to necessary requirements for the entire alteration/repair.
This includes verification that these deviations have no impact on crew workload,
cockpit noise or lighting on S/N 5173.
PURPOSE OF DATA
To support FAA Form 337 Approval of Miscellaneous Modifications of Serial Number 5173.
APPLICABLE REQUIREMENTS (List specc section)
FAR 25.1301(a), (b), (c) and (d) (No Arndt), 25.1303(a), (b) and (c) (Amdt 25-90), 25.1307(a), (b), (c), (d) and (e)
(Amdt 25-72), 25.1309(a) and (c) (Arndt 25-41), 25.1381(a) and (b) (Amdt. 25-72) and 25.1555(a) (No Amdt)
CERTIFICATION - Under authority vested by direction of the Administrator and in accordance with conditions and limitations
of appointment under Pan In of the Federal Aviation Regulations, data listed above and on attached sheets numbered
have been examined in accordance with established procedures and found to comply with applicable requirements
of the Federal Aviation Regulations.
I (We) Therefore
MI Recommend Approval of these data
83 Approve these data
DESIGNATION NUMBERS}
ciAssicicAtioN
—
DERY-606181-NM
Flight Test Pilot
L. Blaine Hammond
FAA Form 8110.3 (11-70) SUPERSEDES PREVIOUS EDITION
GPO 901.613
SDNYGM_02757456
SUBJECT TO PROTECTIVE ORDER PARAGRAPHS 7, 8, 9, 10, 15, and 17
EFTA_00244378
EFTA01329241
SDNY GM 02757457
SUBJECT TO PROTECTIVE ORDER PARAGRAPHS 7, 8, 9, 10, 15, and 17
EFTA_00244379
EFTA01329242
Gulfstream
A
GENERAL
DYNAMICS
COMPANY
FAA FORM 337 APPROVAL
GV-SP (G550)
S/N5173
Report No: GC52 801A524
PREPARED BY: ( --
6
4
Robert E. Ebbat
Technical Writer
APPROVED BY:
Matthew W. Norton
Certification Project
Specialist
/4
./../4.1ri 87
03.
t El, OS
DATE
5 7-1
f —
DATE
PROPRIETARY NOTICE: This data and information disclosed herein is proprietary data of Gulfstream Aerospace Corporation.
Neither this data nor the data contained herein shall be reproduced, used, or disclosed to others without written authorization of
Gulfstrearn Aerospace Corporation.
SDNY_GM_02757458
SUBJECT TO PROTECTIVE ORDER PARAGRAPHS 7, 8, 9, 10, 15, and 17
EFTA 00244380
EFTA01329243
SDNY GM 02757459
SUBJECT TO PROTECTIVE ORDER PARAGRAPHS 7, 8, 9, 10, 15, and 17
EFTA 00241381
EFTA01329244
Gulfstream•
GC52 801A524
Rev. -
REV
LTR
REV
BY
APPROVAL
DATE
—
—
--
03-18-08
Initial Release
Effectivity: GV-SP (0550)
March I8.2008
SDNY_GM_02757460
SUBJECT TO PROTECTIVE ORDER PARAGRAPHS 7, 8, 9, 10, 15, and 17
EFTA 00244382
EFTA01329245
SDNY_GM_02757461
SUBJECT TO PROTECTIVE ORDER PARAGRAPHS 7, 8, 9, 10, 15, and 17
EFTA 00244353
EFTA01329246
Gulfstream.
Rev. -
GC52 801A524
PAGE
DATE
March 18/08
ii
March 18/08
iii
March 18/08
1
March 18/08
2
March 18/08
3
March 18/08
Effectivity: GV-SP (6550)
ii
March 18, 2008
SDNY_GM_02757462
SUBJECT TO PROTECTIVE ORDER PARAGRAPHS 7, 8, 9, 10, 15, and 17
EFTA 00244384
EFTA01329247
SDNY_GM_02757463
SUBJECT TO PROTECTIVE ORDER PARAGRAPHS 7, 8, 9, 10, 15, and 17
EFTA_00244385
EFTA01329248
Gulfstream-
GC52 801A524
PARAGRAPH
COMPANY
Rev. •
PAGE
1.0
INTRODUCTION
1
2.0
DESCRIPTION
1
3.0
1
4.0
1
5.0
1
6.0
2
7.0
2
8.0
DIAGRAMS
2
9.0
2
10.0
2
11.0
DATA
2
12.0
2
13.0
2
14.0
2
15.0
3
16.0
REVISIONS
3
Effectivity: GV-SP (G550)
iii
March 18, 2008
SDNY_GM_02757464
SUBJECT TO PROTECTIVE ORDER PARAGRAPHS 7, 8, 9, 10, 15, and 17
EFTA 00244386
EFTA01329249
SDNY GM 02757465
SUBJECT TO PROTECTIVE ORDER PARAGRAPHS 7, 8, 9, 10, 15, and 17
EFTA 002443R7
EFTA01329250
Gulfstream•
Rev
GC52 801 A524
1.0
Introduction:
Modification of an aircraft by this FAA Form 337 obligates the Aircraft Operator to include the maintenance
information provided by this document in the operators Aircraft Maintenance Manual and the operators Aircraft
Scheduled Maintenance Program. The intent of these Instructions for Continued Airworthiness is to comply with
FAR 25.1529 and 43.13(a)
This modification consists of alterations that were accomplished in conjunction with the installation of a custom
interior on SIN 5173. These alterations were done in accordance with Gulfstream Aerospace Corporation Data
Lists. Avionics/Mechanical GC54 4960033 Rev. H. and Gulfstream Aerospace Corporation Data Lists.
Avionics/Electrical Wiring Diagrams GC51 4960338 Rev. G
This system has been analyzed by the MSG-3 Analysis process and has been determined to be Non-
Maintenance Significant Items (Non-MSI). As a Non-MSI. there is no scheduled MSG-3 maintenance tasks
associated with this installation.
2.0
Description:
The following are part of these alterations:
Installation of Securaplane Security 500 System UHF Antenna at GVFS 714.00
Installation of Aircell Indium Satellite Telephone Antenna at GVFS 346.00
3.0
Control, Operation Information:
N/A
4.0
Servicing Information:
There is no servicing required for this installation.
5.0
Maintenance Instructions:
A General Visual Inspection of the Line Replaceable Units and associated wring for condition/deterioration will
be performed as pan of the normal airplane zonal inspections as defined in Chapter 5 of the AMM.
NOTE: Fatigue and Damage Tolerance structural inspection requirements are satisfied by the airplane
structural inspections as defined in Chapter 5 of the AMM.
Refer to the Gulfstream GIV Aircraft Maintenance Manual, ATA Chapter 5, Time Limits /Maintenance Checks.
and GIV MRB Report - Structural Maintenance Program and Zonal Inspection Program (ZIP) for recommended
periodic structural inspections. The Gulfstream GIV Corrosion Prevention and Control Manual should also be
referenced for established corrosion prevention and control procedures.
Effectivity: GV-SP (G550)
Page I
Febmary 22, 2008
SDNY_GM_02757466
SUBJECT TO PROTECTIVE ORDER PARAGRAPHS 7, 8, 9, 10, 15, and 17
EFTA ({)244388
EFTA01329251
SDNY_GM_027574B7
SUBJECT TO PROTECTIVE ORDER PARAGRAPHS 7, 8, 9, 10, 15, and 17
EFTA_00244389
EFTA01329252
Gulfstreams
GC52 801 A524
6.0
Trouble Shooting Information:
Refer to the Completion Center Wiring Diagrams Manual
7.0
Removal and Replacement Information:
Rev. -
MANUFACTURER
PART NUMBER
DESCRIPTION
A.
Securaplane
444-DMC-57.1
UHF Antenna
Securaplane 500 Security System
B.
Sensor Systems
S67.1575-165
Aircell Iridium Satellite Telephone Antenna
For removal and installation procedures for above antennas, reference The Gulfstream G550 Maintenance
Manual, ATA Chapter 23-12-03 VHF Antennas Removal/Installation.
8.0
Diagrams:
The wiring diagrams associated with these alterations are contained in Appendix 1.
9.0
Special Inspection Requirements:
None required.
10.0 Application of Protective Treatments:
WA
11.0 Data:
NIA
12.0 Ust of Special Tools:
N/A
13.0 Commuter Category Aircraft:
N/A
14.0 Recommended Overhaul Periods:
N/A
Effectivity: GV-SP (G550)
Page 2
February 22, 2008
SDNY_GM_02757468
SUBJECT TO PROTECTIVE ORDER PARAGRAPHS 7, 8, 9, 10, 15, and 17
EFTA 00241390
EFTA01329253
SDNY_GM_02757469
SUBJECT TO PROTECTIVE ORDER PARAGRAPHS 7, 8, 9, 10, 15, and 17
EFTA 00244391
EFTA01329254
Gulfstream•
Rev. -
GC52 801A524
15.0 Airworthiness Limitation:
The Airworthiness Limitations Section is FAA approved and specifies maintenance required under §§ 43.16
and 91.403, of the Federal Aviation Regulation, unless an altemative program has been FAA approved.
'No airworthiness limitations associated with this type design change.'
16.0 Revisions:
Revisions shall be recorded on the Log of Revisions sheet. The revised document will be distributed as
required.
Effectivity: GV-SP (G550)
Page 3
February 22, 2008
SDNY_GM_02757470
SUBJECT TO PROTECTIVE ORDER PARAGRAPHS 7, 8, 9, 10, 15, and 17
EFTA_00244392
EFTA01329255
SDNY_GM_02757471
SUBJECT TO PROTECTIVE ORDER PARAGRAPHS 7, 8, 9, 10, 15, and 17
EFTA_00244393
EFTA01329256
DEPARTMENT OF TRANSPORTATION—FEDERAL AVIATION ADMINISTRATION
I NANOMAINT AM)
tilAitUFACIUSTIS AND MODEL
3 AISICSArt SERIAL
a CATEGORY
HUNKS
N401110
Callon sm CV-SP (G5501
5173
Transport
TN; einrorthlmss antifireie is issued weave& to she lederol AYH' , Oil Act el 1934 ord ceor•res that, at of IN
dole el isteence. the &Tubb so alt‘ck ;mod hot teen Inspected end Ectend le conform to Ow liP.
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eel** lea ••cepl es mond herein.
Interaionsi
6 1ERNS AND C0.40111EMS
Unless sooner ornittidertd. rotpendrd. revolted. or o lefIlliPOPOS dole is orhenvise •sroblitivd by Ne Adminittc0100.
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DatE Of dinfACT
RIneit/2007
red STENICSONAIRT
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OESiCHATICIAI NUMBER
esedermed in etrotelence mint Pons 21. 43. end 91 el elm redoccd Ay,.
Intelationt. at OKHOOlcielt. end ten
-' sale Is reeisiered in the United Slate,
Any oneresion. nurroduction. es masa* of this (*.like*
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S.
FM Fern 1100-21, •ai restmoste IAA r
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Exemption No. 7946 25213 le) Door Between passenger comportments
Exemption No. 5004 25.901 ic) Single Failure Criteria
Farmntinn Nn RIA2 '14 OM lel clasp, feline firiterd.
....•••••••••••••••
SDNY_GM_02757472
SUBJECT TO PROTECTIVE ORDER PARAGRAPHS 7, 8, 9, 10, 15, and 17
EFTA_00244394
EFTA01329257
SDNY_GM_02757473
SUBJECT TO PROTECTIVE ORDER PARAGRAPHS 7, 8, 9, 10, 15, and 17
EFTA_00244395
EFTA01329258
Replacement Airworthiness Certificate
I am requesting a replacement Airworthiness Certificate for the following aircraft:
Descri.tion of Aircraft
Registered Owner: GULFSTREAM AEROSPACE CORP
500 GULFSTREAM RD MSC B-16
SAVANNAH GA 31408-9643
Make: Gulfstream
Serial Number: 5173
Model: GV-SP (G550)
Registration Mark: N40I HB
My Airworthiness Certificate:
Was lost (explain the circumstances below)
Is mutilated
Is unreadable (certificate attached)
Other ex lain the circumstances below
Explain the circumstances. Certificate was reported to be on board aircraft after pre-
flight the morning of March 27, 2008. On arrival to Boise Idaho, Gulfstream Transition
Support personnel reported the certificate was not on the airplane.
I hereby declare that all of the above statements are true.
Marc
Date
Signs e
Marc McCune, Quality Control Supervisor
Name and Title (Print)
SONY GM_02757474
SUBJECT TO PROTECTIVE ORDER PARAGRAPHS 7, 8, 9, 10, 15, and 17
EFTA 00244396
EFTA01329259
SDNYGM_02757475
SUBJECT TO PROTECTIVE ORDER PARAGRAPHS 7, 8, 9, 10, 15, and 17
EFTA 00244397
EFTA01329260
MNrtCO 5 ono OI AMERICA
1 Naldmialv AND
14441.419001 PARRS
N40114B
5 AUNIORel v AND 1•14 FOR e5SeaMt
•
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, to the Federal Aviglien Act el 195E end ~fifes thee. O t el the
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1 AIRCRAFT 1CMAL
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a CA (Doty
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Exemption No. 7946 25413 (e) Door Beinen pannier compartment
Exempiion No. SOU 8.9011) S Mile Failure Criteria
FormMion No A142 IS 901 IM SietIc feller. reknit
A li inn AND fund1105
unless ~ea
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AIRCRAFT IN ACCORDANCE WITH Malta
G:DE
USGOVERMAINT PORES OFFICE 200E-46S443
. -
757476
SUBJECT TO PROTECTIVE ORDER PARAGRAPHS 7, 8, 9, 10, 15,
SDNY_Gta_02 and 17
EFTA_00244398
EFTA01329261
SDNY_GM_02757477
SUBJECT TO PROTECTIVE ORDER PARAGRAPHS 7, 8, 9, 10, 15, and 17
EFTA_00244399
EFTA01329262
FAA FORM 8130-6, APPLICATION FOR U.S. AIRWORTHINESS CERTIFICATE
Form APProved
0
APPLICATION FOR
U9 0•914MAN
ad Trarapprialon
Errol AvlaU44
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DATE
10/31/2007
TITLE
Paul D. Jacobs
Certification Inspector
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SUBJECT TO PROTECTIVE ORDER PARAGRAPHS 7, 8, 9, 10, 15, and 17
EFTA_00244400
EFTA01329263
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SUBJECT TO PROTECTIVE ORDER PARAGRAPHS 7, 8, 9, 10, 15, and 17
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EFTA_00244404
EFTA01329267
SONY GM 02757483
I TO PROTECTIVE ORDER PARAGRAPHS 7, 8, 9, 10, 15
EFTA_00244405
EFTA01329268
FAA FORM 8130-6, APPLICATION FOR U.S. AIRWORTHINESS CERTIFICATE
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Gulfstrearn Aerospace Corp.
3 MICRO T MODEL DEMNATiON
GV-SP
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2007
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