FORM 734-1860 (6-16) STK# 320520

CONTACT NAMECARRIER FAX NUMBER MCTD ACCOUNT NUMBER DATEPHONE NUMBER

MAILING ADDRESS STATE ZIPCITY

OREGON MULTI-JURISDICTIONAL PERMIT APPLICATIONCONTINUOUS OPERATION VARIANCE PERMIT (COVP)

VEHICLE INFORMATION - ONE VEHICLE PER PERMITLICENSE PLATE STATE UNIT NUMBERCOMPLETE VINMAKEYEAR

Not all types of permits are available from all road authorities. See Map 4 for which COVP permits are allowed in each road authority.

CHECK BELOW FOR PERMITS NEEDED

Extended weight and/or overlength (code 13)

Truck tractor/semitrailer overwidth and legal weight, 80,000 lbs (code 01)

Heavy haul overwidth and overweight, 98,000 lbs (code 03)

Unladen heavy haul truck tractor/semitrailer w/jeep and /or booster (code 39)

Truck tractor/semitrailer 70/80 permit (code 30)

Truck and trailer overwidth and legal weight (code 32)

Legal weight truck and heavy haul trailer overwidth and overweight, 80,000 lbs (code 34)

Heavy haul truck and trailer overwidth and overweight, 98,000 lbs (code 36)

Long logs, poles and pilings (code 06)

Manufactured Home, Mobile and Modular Unit (code 09)

Overseas marine container combinations (code 12)

CHECK BELOW FOR THE APPROPRIATE ROAD AUTHORITIES REQUIRED. ALL THE ROAD AUTHORITIES ARE FOR THE VEHICLE ABOVE.

ODOT STATE

BAKER CO. (01)

BENTON CO. (02)

CLACKAMAS CO. (03)

CLATSOP CO. (04)

COLUMBIA CO. (05)

COOS CO. (06)

CROOK CO. (07)

CURRY CO. (08)

DESCHUTES CO. (09)

$8.00

$8.00

$8.00

$8.00

$8.00

$8.00

$8.00

$2.75

$8.00

$8.00

UMATILLA CO. (30)

UNION CO. (31)

WALLOWA CO. (32)

WASCO CO. (33)

WASHINGTON CO. (34)

WHEELER CO. (35)

YAMHILL CO. (36)

CITY OF PORTLAND (51)

TOTAL FEE

$7.50

$8.00

$8.00

$8.00

$8.00

$8.00

$8.00

$2.75

LANE CO. (20)

LINCOLN CO. (21)

LINN CO. (22)

MALHEUR CO. (23)

MARION CO. (24)

MORROW CO. (25)

MULTNOMAH CO. (26)

POLK CO. (27)

SHERMAN CO. (28)

TILLAMOOK CO. (29)

$8.00

$8.00

$8.00

$8.00

$8.00

$8.00

$8.00

$8.00

$8.00

$8.00

DOUGLAS CO. (10)

GILLIAM CO. (11)

GRANT CO. (12)

HARNEY CO. (13)

HOOD RIVER CO. (14)

JACKSON CO. (15)

JEFFERSON CO. (16)

JOSEPHINE CO. (17)

KLAMATH CO. (18)

LAKE CO. (19)

$5.75

$8.00

$8.00

$2.75

$8.00

$8.00

$8.00

$8.00

$2.75

$8.00

Check appropriate payment method. If you wish to pay with credit card, include fax number above. DO NOT leave credit card information on this form.

PAYMENT METHOD

CREDIT CARD CHECK

PERMIT EFFECTIVE DATE

(REVISED 06-2016)

CARRIER INFORMATION

PAGE 1 OF 4

FORM 734-1860 (6-16) STK# 320520

Extended Weight and/or Overlength Permit (Code 13): Authorizes operations to exceed the maximum legal weight of 80,000 pounds up to a maximum of 105,500 pounds provided the combination has the proper axles and spacing to haul the weight. Axle weights must be legal. Bridge weights must conform to either Weight Table 1 or 2. This permit is also issued for certain type of combinations to exceed legal length.

Splash and spray devices are required on combinations exceeding 80,000 pounds when operating on highways that are wet, including those surfaces that have rain, frost, ice, sleet or snow.

Extended Weight

Heavy Haul Overwidth & Overweight 98,000 lbs. Permit (Code 03): Authorizes movement of an overwidth and/or overweight load on a truck-tractor semitrailer combination. The maximum gross weight authorized by this permit is 98,000 lbs, not to exceed 43,000 lbs. on a tandem axle or 21,500 lbs. on a single axle and not to exceed the wheelbase weights authorized by Permit Weight Table 3.

Overwidth & Legal Weight 80,000 lbs. Permit (Code 01): Authorizes movement of an overwidth and legal weight load on a truck-tractor semitrailer combination. The maximum gross weight authorized by this permit is 80,000 lbs, not to exceed 34,000 lbs. on a tandem axle or 20,000 lbs. on a single axle and not to exceed the wheelbase weights authorized by Permit Weight Table 1.

Unladen Heavy Haul Truck Tractor/Semitrailer w/Jeep and /or Booster Permit (Code 39) Authorizes the unladen movement of a combination with up to a 62' semitrailer when accompanied by a jeep and/or booster. The combination must include truck-tractor, semitrailer, jeep and/or booster. Jeep and/or booster may be decked. If jeep & booster are both decked, weights must comply with Weight Table 1.

Heavy Haul/Overwidth

Unladen heavy haul Truck tractor/semitrailer w/jeep

and /or booster

Overseas Container Permit (Code 12): Authorizes the transportation of an overseas container with jeep and or booster in the combination. See Permit for approved routes, and authorized overall lengths.

Overseas Container

PAGE 2 OF 4

FORM 734-1860 (6-16) STK# 320520

Heavy Haul/Overwidth

70/80 Permit

Long Logs, Poles or Pilings

Toter/Manufactured or Mobile/Modular Unit

Overwidth & Legal Weight 80,000 lbs. Permit (Code 32): Authorizes movement of an overwidth and legal weight load on a truck trailer combination. The maximum gross weight authorized by this permit is 80,000 lbs, not to exceed 34,000 lbs. on a tandem axle or 20,000 lbs. on a single axle and notto exceed the wheelbase weights authorized by Permit Weight Table 1.

Heavy Haul Overwidth & Overweight 80,000 lbs. Permit (Code 34): Authorizes movements where Permit Weight Table 3 applies to trailer hauling single non-divisible item only. All other combinations of groups of axles and gross weight must conform to Permit Weight Table 1.

Heavy Haul Overwidth & Overweight 98,000 lbs. permit (Code 36): Authorizes movement of an overwidth and/or overweight load on a truck & trailer combination. The maximum gross weight authorized by this permit is 98,000 lbs, not to exceed 43,000 lbs. on a tandem axle or 21,500 lbs. on a single axle and not to exceed the wheelbase weights authorized by Permit Weight Table 3. The power unit must be unladen.

Truck Tractor w/Semitrailer 70/80 Permit (Code 30): Authorizes a truck-tractor/semitrailer combination to have a total overall length of 80 feet with a load length of a single item up to 70 feet. Authorizes rear overhang of up to 1/2 of the wheelbase. Wheelbase is measured from the center of steering axle to the center of the last axle of the semitrailer. Rear overhang is measured from the center of the last axle on the semitrailer to the rear most part of the load. No item may be loaded in multiple causing the overlength. The semitrailer shall not exceed 53 feet in length except by single trip permit. Exception: Laminated wood products & wooden I-beams may be loaded in multiples providing not more than 49% of each item by length or weight overhangs the rear of the trailer and is not longer than the longest laminated wood product or wooden I-beam.

Long Logs, Poles & Pilings and Structural Members Permit (Code 06): Authorizes the transportation of long logs, poles, piling, and structural members on certain types of truck and trailer combinations. See permit for authorized combinations, approved routes, and authorized overall lengths.

Manufactured Home, Mobile/Modular Unit Permit (Code 09): This permit authorizes the movement of mobile homes or modular units exceeding 8'6” in width or 45 feet in length. The maximum width, inclusive of eaves, is 14 feet. Pilot vehicle requirements are based on the extreme width of the unit inclusive of eaves. Modular units must be transported on a truck-tractor and semitrailer combination. The semitrailer shall not exceed 53 feet in length except by single-trip permit.

PAGE 3 OF 4

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04

(503) 397-5090

05

29

(503) 842-341934

(503) 846-7623 (503) 988-3582

2614

(541) 386-2616

03

(503) 650-3248

36

(503) 434-7370

27

(503) 623-9287

21

(541) 574-1202

02

(541) 766-6821

22

(541) 967-3919

24

(503) 584-7710

20

(541) 682-6902

10

(541) 440-4481

06

(541) 396-7660

08

(541) 247-709717

(541) 474-5460

15

(541) 774-8184

18

(541) 883-4696

09

(541) 388-6581

16

(541) 475-4459

33

(541) 506-2640

28

(541) 565-3271

11

(541) 384-3998

35

(541) 763-2911

07

(541) 447-4644

19

(541) 947-6048

13

(541) 573-6356

23

(541) 473-5191

12

(541) 575-0138

01

(541) 523-6417

31

(541) 963-1016

32

(541) 426-333230

(541) 278-5512

25

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Map 4(REVISED 4-16)

0 50 100 Miles

COUNTYBOUNDARY

! !

Legend

Interstate

U.S. Routes

Oregon Routes

Oregon Department of TransportationCOVP ROAD AUTHORITY

"

Produced by ODOT - GIS Unit(503) 986-3154 - APRIL 2016

GIS No. 23-51