Steps to Get an Airworthiness Inspection For an Amateur Built

 

 A. Forms you need.1.      The form 8050-1 request for n number  See example C.2.      A copy of form 8050-2 Bill of Sale showing your purchase.   See Example D.3.      Form 8130-12 Afadavit of amateur built status.

4.      A Program letter (shown below)

5.      A copy of the aircraft drawings or photos.

6.      A copy of the Weight and Loading chart

7.      A copy of the registration card you got using the 8050-1 of step 1

 B. Forms you will have to fill out.1.      Application for Airworthiness, see sample A2.      A program letter,  see sample B

 

C.  Contact a DAR near you and arrange an inspection.

1.      It is the builder's responsibility to have this aircraft inspected by a DAR [Designated Airworthiness Inspector] and receive an Airworthiness Certificate before the aircraft is flown.2.      The DAR will want to see copies of the following forms to prepare for the inspectiona.       a. 8130-6 Application for Airworthiness

b.      8130-12 Afadavit of Amateur Builld

c.     Program letter.

d.      Registration card 8050-3.

e.   Drawings or Photos

f.   Weight and balance.

g.  A complete set of builder records showing you built 51% or more.

 D.      When the inspection is complete, you will have the following to carry in the aircraft:1.      Certificate of Airworthiness, 8130-7 (Completed by DAR). This must be visible in a plastic holder.2.      Registration Card, 8050-3, (Or the pink page of the 8050-1 within 120 days of its signoff date.)3.      Operating Limitations specific for your aircraft and prepared by the DAR.4.      Weight and Loading information.

 

 

 

 

Experimental Amateur Built Aircraft

 

Program Letter

 

Date ____________

 

To: DAR

 

In accordance with 14CFR §21.191(g), I request a Special airworthiness for my aircraft for the purpose of  Amateur Built Aircraft.  The aircraft description is as follows:

 

Builder’s Name (Make):________________________________ Number: N ________

 

Model:  ______________________________Serial Number:_________________

 

No of Engines: _1 __    No. of Seats: ___

 

YES  NO      I enclosed FAA For 8130-6, Application for Airworthiness Certificate, with Section I,  II, and III complete

(X  )  (    )

 

YES  NO    I possess AC Form 8050-3, Certification of Aircraft Registration. Or appropriate Pink copy of 8050-1.

( X )  (    )

 

YES  NO    I enclosed a drawing or photographs of the aircraft.

(  X )  (    )

 

YES  NO    The aircraft has been weighed the most forward and aft center of gravity positions are

( X  )  (    )    within the established limits.  A copy of the weight and loading report is included with this letter.

 

YES  NO     The marking requirements of 14 CFR § 45 have been complied with; including permanent

 ( X  )  (    )    attachment of a fireproof identification (data) plate, permanent applications of appropriate registration marks and the word  “EXPERIMENTAL” displayed near each entrance.

 

YES  NO     The following placard is displayed in the cockpit in full view of all occupants

                         (not required for single place aircraft):

( X  )  (    )     “PASSENGER WARNING – THIS AIRCRAFT IS EXPERIMENTAL Amateur Built AIRCRAFT AND DOES NOT COMPLY WITH FEDERAL SAFETY REGULATIONS FOR STANDARD AIRCRAFT”

 

YES  NO       The instruments and equipment listed in 14 CFR § 91.205 have been installed,

 ( X   )  (    )      appropriate to the operations which I intend to conduct.  I intend to conduct VFR Day Operations

 

YES  NO    Instruments range marking and other applicable operating limitations have been installed

( X   )  (    )     as required by 14 CFR §91.9

 

YES  NO    An Emergency Locator Transmitter (ELT) has been installed, if required, per 14 CFR § 91.207 (An ELT is not required for PPCs or WSC)

(    )  (    )

 

YES  NO    The powerplant installation has undergone at least one hour of ground operation at various

 (  X  )  (    )    speeds from idle to full power to determine and ensure that all systems are operating properly. 

            THE TIME ASSOCIATED WITH GROUND OPERATIONS HAS BEEN RECORDED AS A LOGBOOK ENTRY.

 

YES  NO   This aircraft as a Type Certificated (TC) engine/propeller combination?

(    )  ( X   )   If yes, please list what aircraft (s) the approved combination is normally found on below? 

                TC aircraft, engine, and/or propeller combination data:______________________

 

YES  NO    All applicable Airworthiness Directives (AD’s) for engine, propeller or appliances been complied with?

( X   )  (    )

 

YES  NO    THE FOLLOWING STATEMENT OF SIMILARLY WORDED STATEMENT HAS

( X   )  (    )   BEEN RECORDED and SIGNED, IN THE AIRCRAFT LOGBOOK, “I certify that this aircraft has been inspected (insert date) in accordance with the scope and detail of 14 CFR Part 43, appendix D and found to be in a condition for safe operation.”

 

********This aircraft will be available for inspection at the location noted, and directions are as follows:

Address: ______________________________________________________________________

 

Directions: ____________________________________________________________________

 

I request airworthiness certification and operating limitations be issued permitting me to operate the aircraft within the following geographical area for flight testing.  My initial flights will determine engine reliability and flight control characteristics. 

 

Within a 25 mile radius of my base airport which is _______________________ designator _______

 

My residence telephone number is:  ( _________________________  )  

 

My daytime business telephone number is: (  _______________________ )

  

SIGNED:  ____ __________________________________________Owner