Mobile Food Unit Application

Complete the checklist below and provide all applicable items.

Expect a Minimum 2 Week Turnaround

Mobile Food Unit Owner Name:*

Name of Business:*

Owner Cell#:*

Please enter a valid phone number.Format: (000) 000-0000.

Owner Email:*

example@example.com

Site Location:*

Street Address

Street Address Line 2

City

Is your Mobile Food Unit blocking at fire department access road?*

Yes-If yes, contact the Fire Marshal's Office for further discussionNoI don't know-Ask the Fire Marshal's Office to verify

Is your Mobile Food Unit 5' away from lot lines, buildings or structures, other food carts, combustible materials, vehicles? (Oregon Fire Code section 319.2.4)*

YesNo- If no, contact the Fire Marshal's Office for further discussion

Are you using a Generator? If "yes", the following applies per Oregon Fire Code section 319.2.6; No refueling while operating, Not operated in an enclosed area, Vehicle-mounted generators are installed, used and maintained according to listing and manufacturer's instructions.*

Yes, I acknowledge above requirements are metNo, I am not using a generator

All Exits must meet the following Oregon Fire Code section 319.2.7; Means of egress are clear and unobstructed, two exits are provided, and customer service window is appropriately sized for egress.*

Yes, I acknowledge above requirements are metNo, I don't meet this standard for exit compliance

All electrical appliances and devices meet the following Oregon Fire Code section 319.2.8; used and maintained in accordance with NFPA 70, listed and labeled, modified or damaged electrical has been repaired or replaced, approved covers for all switches, electrical outlet boxes, and proper use of temporary wiring.*

Yes, I acknowledge all electrical meets this sectionNo, I don't meet electrical standards listed above

Cooking Oil Storage meets the following Oregon Fire Code section 319.2.12.3; metallic and nonmetallic cooking oil storage system components shall include, but are not limited to, piping, connections, fittings, valves, tubing, hose, pumps, vents, and other related components used for the transfer of cooking oil.*

Yes, I acknowledge cooking oil storage meets this sectionNo, I don't meet this sectionNot applicable for my mobile food unit

LP Gas Systems meet Oregon Fire Code section 319.2.13; components inspected annually, maximum aggregate volume of 200 pounds, containers securely mounted and restrained, container manufacture in compliance with NFPA 58, container installation complies with NFPA 58, system piping protected to prevent tampering, impact damage, and damage from vibration, listed LP gas alarm installed.*

Yes, I acknowledge the LP Gas System meets this section requirementsNo, I don't meet this sectionNot applicable for my mobile food unit, I don't use LP Gas

Compressed Natural Gas Systems meet Oregon Fire Code Section 319.2.15; containers supply only cooking fuel, meets maximum aggregate volume, container is properly protected, container constructed properly, containers supply transportation and cooking fuel, piping properly protected, methane alarms present.*

Yes, I acknowledge the CNG system meets this section requirementsNo, I don't meet this sectionNot applicable for my mobile food unit, I don't use CNG

Solid Fuel Cooking meets Oregon Fire Code Section 319.16; Dedicated hood system provided, 2.5 gallon water extinguisher and Class K extinguisher, fuel properly located, outdoor storage, fuel properly separated, ash properly removed, carbon monoxide alarms as required.*

Yes, I acknowledge the Solid Fuel Cooking meets this section requirementsNo, I don't meet this sectionNot applicable for my mobile food unit, I don't cook with Solid Fuel

Inspection, Testing, and Maintenance per Oregon Fire Code Section 319.2.18, check all that apply to your Mobile Food Unit:*

Fire protection systems and devices tested by qualified professionalExhaust system inspected, tested, and maintained every six monthsFuel gas system tested or replaced every 5-12 yearsNo appliances connected to fuel gas systems without a current satisfactory fuel gas inspectionI don't have any of these systems

Does your Mobile Food Unit have a Hood Suppression System:*

YesNo-If "No", Does the food that you are preparing create smoke or grease laden vapors, a Type 1 Hood Suppression System is required.

If applicable, when did the hood suppression system have it's annual service test?

Upload a copy of the hood suppression system test documentation here (you may take a photo as well):

If available, please upload a site plan as to where you will be serving food from your Mobile Food Unit.

Provide a copy of the County Health Department certificate: *

Signature*

Date*

Date

Clackamas Fire-Fire Marshal's Office contact # 503-742-2660