' UNITED STATES OF AMERICA DEPARTMENT OF TRANSPORTATION FEDERAL AVIATION ADMINISTRATION air ggerrcp Certificate AVIATION INSTRUMENT SERVICE INT'L, INC. 8223 44TH AVENUE WEST, SUITE A MUKILTEO, WASHINGTON 98275 +ha-')lm&&, - Repair Station dt;t INSTRUMENT ACCESSORY (03-01-1990) @ indefinitely..9&& May 4,1972 Seattle FSDO \- j mi# &trtifitiite is not ar~nsftrab[t, AND ANY MAJOR CHANGE IN THE BMUC FACILITIES, OR IN THE LOCATION THEREOF, SHALL BE IMMEDIATELY REPORTED TO THE APPROPRIATE REGIONAL OFFICE OF THE FEDERAL AVIATION ADMINISTRATION Any alterntiolr of this certpcate is punishable by afirz of trot exceedilrg$l,ooo, or itnprisolrmnrt not exceediilrg3 years, or both FAA Form 8000-4 (147) SUPERSEDES FAA FORM 390. Electronk F ~ms (PDF)
US. Department of Transnortation Admlnislration Part A HQ CONTROL DATE 1101 Issuance and Applicability 1111612004 002 Definitions and Abbreviations 11116/2064 003 Ratings and Llrnltations i)1!3012004 OOJ Sumlnary of Special Allthorimtions and Limitations 09/23! 1958 007 Designated Persons 12/19/2006 449 Antidrug and Alcohol Misuse Prevention Program 0711712009 EFFECTIVE DATE AMENDMENT NLMBER 3 2 I Print Date: 10129i2009 -I Certificate No.: llhr614n Aviation Instrulnent Service Int'l, Inc.
US. Department Operations Spd~cations - - - A001. Issuance and A~plicability HQ Control: 11/16/04 HQ Revision: 050 a. These operations specifications are issued to Aviation lnstmment Service lnt'l, Inc., a Domestic Repair Station, pursuant to Title 14 Code of Federal Regulations (CFR) Section 145.53. The repair station cenificate holder shall conduct operations in accordance with CFR Part 145 and these operations specifications. The certificate holder's address: Fixed Location: 8223 44th Avenue West Suite A Mukiltw, WA 98275 b. The holder of these operations specifications is the holder of Certificate Number II6R614N and shall hereafter be referred to as the certif~cate holder. c. These operations specifications are issued as part of this Repair Station Certificate, and are in effect as of the Date Apprwal is effective. This certificate and operations specifications shall remain in effect until the domestic repair station cm1cate is surrendered, suspended, or revoked. d. The repair station specified on these operations specifications performs maintenance andlor alteration of aircraft andlor aeronautical products to be installed on aircraft under the terms and conditions of a Bilateral Anation Safety Agreement and associated Maintenance lrnplementation Procedures between the and a Foreign National Aviation Authority identified in Advisory Circular 145.8. The certificate holder is authorized to use only the business name which appears on the certificate to conduct the operations described in subparagraph a. Delegated authorities: None Print Date: 11/29/2004 AOO1-1 Certificate No.: I16R614N Aviation Lnstrument Service Int'l. lnc.
U.S. Department I. Issued by the. 2. These are approved by direction of the Administrator. Principal Avionics Inspector NMO 1 3. Date Approval is effective: 11/29/04 Amendment Number: 3 eby accept and receive the in this paragraph FAA Accountable Manager, 145 Date: 11/29/04 Print Date: 11/29/2004 A001-2 Certificate No.: II6R614N Aviation Instrument Senice Int'l, Inc.
U.S. Department AOOZ. Definitions and Abbreviations HQ Control: 11/16/04 HQ Revision: 050 Unless otherwise defined in these operations specifications, all words, phrases, definitions, and abbreviations have identical meanings to those used in tlre Title 14 Code of Federal Regulations (CFR) Regulations and Title 49 United States Code as cited in Public Law 103-272, as amended. Additionally, the definitions listed below are applicable to operations conducted in accordance with these operations specifications. Bilateral Aviation Safety Agreement (BASAI Certificate Holder An executive agreement concluded between the United States and a foreign country for the purpose of promoting aviation safety; also known as an Agreement for the Promotion of Aviation Safety. In these operations specifications the tern "certificate holder" shall mean the holder of the repair station certificate described in these operations specifications in Part A paragraph A001 and any of its otficers, employees, or agents used in the conduct of operations under this certificate. - CFR Code of Federal Regulations Class ratine Domestic Reoair Station Exemation PAA Accountable Manaeer FAA Form 8000-4-1 Foreien Reoair Station Geograobic Authorization As used with respect to the certification, ratings, privileges, and limitation of aircraft within a category having similar operating characteristics. A certificated repair station located in the United States. An authonzation that permits an alternate means of compliance with a specific CFR The exemption must meet the procedural requ~rements of CFR 14, Part 11. A person designated by tl~e certificated repair station who is responsible for and has authority over all repair station operations that are conducted under 14 CFR Part 145, including ensuring that the repair station's personnel follow the regulations and serving as the primary contact with the FAA. The FAA Forn 8000-4-1 has been replaced with the form contained within this operations specifications application (OPSS) for the generation of the 14 CFR Part 145 Repair Station. A certificated repair station located outside of the United States. An approval provided to a foreign repair station to perform mlintenance support under contract for a U.S. air carrier, or operator of U.S. - registered aircraft under 14 CFR Part 129, at a location other than the repair station facility. A geographic authorization 1s issued by the FAA to respond to the need of a U.S. air carrier or Part 129 ioreign operator for maintenance at a station where the frequency and scope of that maintenance does not warrant permanently staffing and equipping the station for its accomplishment. Print Date: 11/29/2004 A002-1 Certificate No.: I16R614N Aviation Instrument Service Int'l, Inc.
U.S. Department European Aviation Safety Authority EASA Accountable Manager Limited Ratinq Limited Ratines - Specialized Services Line Maintenance Maintenance Maintenance Implementation Procedures (MIP) - MOE Preventive Maintenance - RSM Substantial Maintenance The manager who has corporate authority for ensuring that all maintenance required by the customer can be financed and carried out to the standard required by the EASA full member Authority. Rating issued to repair stations for the performance of maintenance on particular makes and models of airframes, powerplants, propellers. radios, instruments, accessories, andlor parts. Rating issued for a special maintenance fundon when the function is performed in accordance with a specification or data acceptable to the Administrator. Any unscheduled maintenance resulting from unforeseen events; or scheduled checks where certain servicing andlor inspections do not require specialized training, equipment, or facilities. The inspection, overhaul, repair, preseniation. and the replacement of parts, bnt exclndes preventive maintenance. Procedures for implementing the provisions of a BASA that apply to maintenance. Maintenance Organization Exposition - Pertains to Joint Aviation Authority member countries that use an MOE in place of a Repair Station Manual and a Quality Control Manual. As defined in Appendix A subparagraph (c) of 14 CFR Part 43 Quality Control Manual Repair Station Manual Any activity involving a C-check (routine airframe maintenance) or greater maintenance; any engine maintenance requiring case separation or teardown; andlor major alterations or major repairs performed on airframes, engines, or propellers. Print Date: 11/29/2004 A002-2 Ceaif~cate No.: 116R614N Aviation Instrument Service Int'l, Inc.
U.S. Depallment of Transpollation 1. Issued by the. 2. These O~erations S~ecifications are ~ DDIOV~~ Lw direction of the Administrator A A A Principal Avionics inspector 3. Date Approval is effective: 11/29/04 Amendment Number: 2 accept and receive the in thus paragraph. I -.- Young, RqMt., FAA Accountable Manager, 145 Date: 11/29/04 Print Date: 11/29/2004 A002-3 Certificate No.: 116R614N Aviation Instrument Semice Int'I, Inc.
U.S. Deparlment Federal Avialion A003. Ratings and Limitations HQ Control: 01/30/04 HQ Revision: 010 The Certificate Holder is authorized the following Ratings andlor Limitations: Class Ratings Instrument Class I: Mechanical Instrument Class 2: Electrical Instrument Class 3: Gyroscopic Instrument Class 4: Electronic Accessory Class 3: Electronic Accessories Limited Ratings Ratine None Authorized Manufacturer Make / Model Limitations Limited Ratings - S~ecialized Services Ratine None Authorized. Specifications Limitations 1. lssued by the. ions Specifications are approved by direction of the Administrator. McKee, Kevin W. Principal Avionics lnspector NMO 1 3. Date Approval is effective: 2113104 Amendment Number: 1 4. I hereby accept and receive the in this paragraph. f-) oung, Ro FAA Accountable Manager, 145 Date: 2113104 Print Date: 2/13/2004 AOO3-1 Certificate No.: I16R6 14N Aviation lnstrurnent Service lnt'l, Inc.
V.S. Department A004. Summary of Special Authorizations and Lin~itations HQ Control: 9/23/1998 HQ Revision: 010 a. The certificate holder, in accordance with the reference paragraphs, is authorized to: Conduct operations chosing to have an antidrug and alcohol misuse prevention program Reference Paraeraphs A449 b. The certificate holder is not arithorized and shallnot: Use Exemptions. Use an approved electronic recordkeeping system andlor electronic signature. Perform maintenance with JAA ratings where the scope of work is authorized by the appropriate JAA form 3. Perform work, including continuous operations. at additional locations other than at its primary fixed location. Perform maintenance in accordance with foreign repair station geographic authorizations. Perform work, excluding continuous operations, at additional locations other than at its primary Fixed Location. Perform line maintenance for certificate holders conducting operations under 14 CFR Parts 121, 125, and 135, and for foreign carriers or foreign persons operating a U.S: registered aircraft in common carriage under 14 CFR Part 129. A005 A025 A060 A101 B050 Dl00 Dl07 1. lssued by the. 2. These are approved by direction of the Administrator. NMO 1 3. Date Approval is effective: 2/13/04 Amendment Number: 1 accept and receive the in thls paragraph. FAA Accountable Manager, 145 Date: 2!13104 Print Date: 2/13/2004 AOO4-1 Certificate No.: II6R614N Aviation lnstmment Service 1nt1I, Inc.
U.S. Deparlment A007. Designated Persons HQ Control: 12119106 HQ Revision: 030 a. The personnel listed in the following table are designated to off~cially apply for and receive operations specifications for the certificate holder indicated below. Table 1 -Designated Persons to Apply for and Receive Authorizations Title I Name 1 Parts Authorized FAA Accountable Manager, 145 1 Young, Robert D., I A b. The following personnel listed in Table 2 are designated by the certificate holder to receive Information for Operators (INFO) messages for the certificate holder as indicated below. A receipt for the information by an operator or person is not required. 1Name Table 2 -Designated to Receive INFO Messages.- Receive Young, Robert D. aviationinst~ument@hotmail.c om 425 347-7677 ALL 1. Issued by the. 2. Support information reference: 3. These are approved by direction of the Adminislrator. Principal Avionics Inspector NMOl 4. Date Approval is effective: 414107 Amendment Number: 2 y accept and receive the in this paragraph. - -..., Youne, ~oberyd, FAA Accountable Manager, 145 Date: 414107 Print Date: 51712007 A007-1 Certificate No.: II6R614N Aviation Instrument Service Int'l, Inc.
US. Department A449. Antidrug and Alcohol Misuse Prevention Program HQ Control: 0711712009 HQ Revision: OOa a. The Part 145 repair station ce~tificate holder has elected to implement an Antidrug and Alcohol Misuse Prevention Program, because the certificate holdrr perfomis safety-sensitive fi~nctions for a 14 CFR Part 121, and 135 certificate bolder and/or for a 14 CFR Pan 91 operator collducting operations under Section 91.147. b. The certificate holder certifies that it will comply with the requirements of 14 CFR Part 120 and 49 CFR Part 40 for its Antidrug and Alcohol Misuse Prewntion Program. c. Antidrug and Alcohol Misuse Prevention Program rrcords are maintained and available for inspection by the FAA's Drug Abatement Compliance and Enforcement Inspectors at the location listed in Tablr 1 below: Telephone Number: Address: Address: City: State: Zip code: Table 1 Location & Telephone of Antidrug and Alcohol Misuse Prevention Program Records: A2 d. Limit~tions and Provisions. (1) Antidrug and Alcohol Misuse Prevention Prograrn inspections and enforcement activity will br conducted by the Drug Abatemrnt Division. Questions regarding these programs should be directed to the Drug Abatement Division. (2) The certificate holder is responaihle fiir updating tlri oyr!atii~ns specificatio~i a.he11 any of the following changes occur: (a) Location or phone number where the Antidrug and Alcohol Misuse Prevention Program Records are kept. (b) If the certificate holder's number of safety-sensitive employees goes lo 50 and above, or falls below 50 safe@-seirsitive employees. (3) The certificate holder with 50 or inore employees pertbrming a safety-sensitive function on Jai~uary I of the calendar year must snbarit an a~inual report to the Dmg Abatement Division of the FAA. (4) The ce~tificatr holder with fewer than 50 employees pertbrming a safety-sensitive fi~nction on January I of any calendar year must submit an annual repolt upon request of the Administrator, as specified in the regulations. The certificate holder has fewer than 50 safety-sens~tive employees. Print Date: I012912009 A449-1 Certificate No.: II6R614N Aviation Instrument Service Int'l, Inc.
U.S. Department 1. Issued by the. 2. Support information reference: Rule change (14 CFR part 120) 3. These are approved by direction of the Administrator. 4. Date Approval is effective: 10/2912009 Amendment Number: 3 5. I hereby accept and receive the in this paragraph. % g, Robert D.,, President Print Date: 1012912009 4149-2 Certificate No.: 116R614N Aviation Instrument Service Int'l. Inc.