Faa Form 8130-6, Application For Us - U.s. Department Of Transportation
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1
2FOR TRAINING PURPOSES ONLY
FAA FORM 8130-6, APPLICATION FOR U.S. AIRWORTHINESS CERTIFICATE
Form Approved O.M.B. No. 2120-0018
Expiration Date 05/31/2011
APPLICATION FOR
INSTRUCTIONS - Print or type. Do not write in shaded areas; these are for FAA
use only. Submit original only to an authorized FAA Representative. If additional
U.S. Department
U.S. AIRWORTHINESS
of Transportation
space is required, use attachment. For special flight permits complete Sections
CERTIFICATE
II, VI, and VII as applicable.
Federal Aviation
Administration
1. REGISTRATION MARK
2. AIRCRAFT BUILDER’S NAME
3. AIRCRAFT MODEL DESIGNATION
4. YR. MFR.
FAA CODING
(Make)
N18CE
Light-Flight Corp
LF-1-A
96
5. AIRCRAFT SERIAL NO.
6. ENGINE BUILDER’S NAME
7. ENGINE MODEL DESIGNATION
(Make)
LF010
0-360
Lycoming
8. NUMBER OF ENGINES
9. PROPELLER BUILDER’S NAME
10. PROPELLER MODEL DESIGNATION
11. AIRCRAFT IS
(Make)
(Check if applicable)
One
Wood Built
Good-1
IMPORT
APPLICATION IS HEREBY MADE FOR:
(Check applicable items)
X
X
A 1
STANDARD AIRWORTHINESS CERTIFICATE
(Indicate category)
NORMAL
UTILITY
ACROBATIC
TRANSPORT
COMMUTER
BALLOON
OTHER
B
SPECIAL AIRWORTHINESS CERTIFICATE
(Check appropriate items)
7
PRIMARY
9
LIGHT-SPORT
Airplane
Power-Parachute
Weight-Shift-Control
Glider
Lighter than Air
(Indicate Class)
2
LIMITED
1
CLASS I
5
PROVISIONAL
(Indicate class)
2
CLASS II
1
AGRICULTURE AND PEST CONTROL
2
AERIAL SURVEY
3
AERIAL ADVERTISING
RESTRICTED
(Indicate operation(s)
3
4
FOREST
5
PATROLLING
6
WEATHER CONTROL
(Wildlife conservation)
to be conducted)
0
OTHER
(Specify)
1
RESEARCH AND DEVELOPMENT
2
AMATEUR BUILT
3
EXHIBITION
4
AIR RACING
5
CREW TRAINING
6
MARKET SURVEY
0
TO SHOW COMPLIANCE WITH THE CFR
7
OPERATING
KIT BUILT AIRCRAFT
(Primary Category)
8A
Existing aircraft without an airworthiness certificate & do not meet § 103.1
EXPERIMENTAL
(Indicate operation(s)
4
OPERATING
8B
Operating Light-Sport Kit-built
to be conducted)
8
LIGHT-SPORT
Operating light-sport previously issued special light-sport category airworthiness
8C
certificate under § 21.190
UNMANNED
9A
RESEARCH AND DEVELOPMENT
9C
CREW TRAINING
9
AIRCRAFT
9B
MARKET SURVEY
1
FERRY FLIGHT FOR REPAIRS, ALTERATIONS, MAINTENANCE, OR STORAGE
SPECIAL FLIGHT PERMIT
2
EVACUATE FROM AREA OF IMPENDING DANGER
(Indicate
operation to be conducted, then complete
8
3
OPERATION IN EXCESS OF MAXIMUM CERTIFICATED TAKE-OFF WEIGHT
Section VI or VII as applicable on reverse side)
4
DELIVERING OR EXPORTING
5
PRODUCTION FLIGHT TESTING
6
CUSTOMER DEMONSTRATION FLIGHTS
C
6
MULTIPLE AIRWORTHINESS CERTIFICATE
(Check ABOVE “Restricted Operation” and “Standard” or “Limited” as applicable)
A. REGISTERED OWNER
IF DEALER, CHECK HERE
(As shown on certificate of aircraft registration)
NAME
ADDRESS
Light Flight Corp
1801 Airport Rd., Wichita KS 67209
B. AIRCRAFT CERTIFICATION BASIS
(Check applicable blocks and complete items as indicated)
AIRCRAFT SPECIFICATION OR TYPE CERTIFICATE DATA SHEET
AIRWORTHINESS DIRECTIVES
(Give No. and
(Check if all applicable ADs are complied with and give the number
X
Revision No.)
of the last AD SUPPLEMENT available in the biweekly series as of the date of application)
ASWI Rev-1
96-23
AIRCRAFT LISTING
SUPPLEMENTAL TYPE CERTIFICATE
(Give page number(s))
(List number of each STC incorporated)
N/A
N/A
C. AIRCRAFT OPERATION AND MAINTENANCE RECORDS
CHECK IF RECORDS IN
TOTAL AIRFRAME HOURS
EXPERIMENTAL ONLY
(Enter hours flown since last certificate issued
X
COMPLIANCE WITH
2.0
3
or renewed)
14 CFR section 91.417
D. CERTIFICATION - I hereby certify that I am the registered owner (or his agent) of the aircraft described above, that the aircraft is registered with the Federal Aviation Administration in
accordance with Title 49 of the United States Code 44101 et seq. and applicable Federal Aviation Regulations, and that the aircraft has been inspected and is airworthy and eligible for the
airworthiness certificate requested.
DATE OF APPLICATION
NAME AND TITLE
SIGNATURE
(Print or type)
K.D. Good
11/25/98
K.D. Good, Director, Q.A.
A. THE AIRCRAFT DESCRIBED ABOVE HAS BEEN INSPECTED AND FOUND AIRWORTHY BY:
(Complete the section only if 14 CFR part 21.183(d) applies)
14 CFR part 121 CERTIFICATE HOLDER
CERTIFICATED MECHANIC
CERTIFICATED REPAIR STATION
(Give
(Give Certificate No.)
(Give Certificate
2
3
6
Certificate No.)
No.)
AIRCRAFT MANUFACTURER
(Give name or firm)
5
DATE
TITLE
SIGNATURE
THE CERTIFICATE REQUESTED
(Check ALL applicable block items A and B)
A. I find that the aircraft described in Section I or VII meets requirements for
4
AMENDMENT OR MODIFICATION OF CURRENT AIRWORTHINESS CERTIFICATE
B. Inspection for a special flight permit under Section VII
FAA INSPECTOR
FAA DESIGNEE
was conducted by:
CERTIFICATE HOLDER UNDER
14 CFR part 65
14 CFR part 121 OR 135
14 CFR part 145
DATE
MIDO/FSDO
FAA INSPECTOR’S SIGNATURE or DESIGNEE’S
FAA INSPECTOR’S CERTIFICATION FILE REVIEW
OFFICE
SIGNATURE AND NO.
SIGNATURE
4
1
FAA Form 8130-6 (04-2011) All Previous Editions Superseded
Electronic Format -PDF
Page 1 of 2
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