Mobile Food Unit Plan Review Application Packet (Portland, Oregon)
This is the official Mobile Food Unit Plan Review Application Packet from Multnomah County Environmental Health Services. You can fill it in its original layout in your browser or with an AI assistant, then download it to review, sign and submit to the agency.
Form details
- Issuer
- Multnomah County Environmental Health Services
- Jurisdiction
- Portland, Oregon
- Type
- Food truck and mobile vending permits
- Questions
- 373
- Last mapping review
- 2026-10-02
Official blank PDF from Multnomah County Environmental Health Services ↗
What this form asks
- Plan Review Application Date (date)
- Mobile Unit Class (choose one)
- Construction Type (choose one)
- 1. Spoken Languages: English (checkbox)
- 1. Spoken Languages: Spanish (checkbox)
- 1. Spoken Languages: Thai (checkbox)
- 1. Spoken Languages: Lao (checkbox)
- 1. Spoken Languages: Vietnamese (checkbox)
- 1. Spoken Languages: Chinese (Cantonese) (checkbox)
- 1. Spoken Languages: Arabic (checkbox)
- 1. Spoken Languages: Korean (checkbox)
- 1. Spoken Languages: Somali (checkbox)
- 1. Spoken Languages: Russian (checkbox)
- 1. Spoken Languages: Other (checkbox)
- 1. Spoken Languages: Other (Specify)
- License History: If Yes, Last Year of Operation
- License History: County and State Last Licensed In
- License Plate #
- License Plate State
- VIN #
- Address of Mobile
- Address of Mobile: Zip
- POD Name
- Operator Name
- Operator Phone
- Home Mailing Address
- Social Media
- Operating Hours: Sun From
- Months of Operation: All Year (checkbox)
- Months of Operation: Mar (checkbox)
- Months of Operation: Apr (checkbox)
- Months of Operation: May (checkbox)
- Months of Operation: Jun (checkbox)
- Months of Operation: Jul (checkbox)
- Months of Operation: Aug (checkbox)
- Months of Operation: Sept (checkbox)
- Months of Operation: Oct (checkbox)
- Months of Operation: Nov (checkbox)
- Months of Operation: Dec (checkbox)
- Meals Served Each Day: Breakfast (checkbox)
- Number of Meals Served Each Day (Projected): Breakfast (number)
- Meals Served Each Day: Lunch (checkbox)
- Number of Meals Served Each Day (Projected): Lunch (number)
- Meals Served Each Day: Dinner (checkbox)
- Number of Meals Served Each Day (Projected): Dinner (number)
- Plan Review Fee Amount ($) (number)
- Date Signed (date)
- Applicant: Print Name
- Attached Documents: A. Complete Menu (checkbox)
- Attached Documents: B. Floor Plan (checkbox)
- Attached Documents: C. Table 1: Food handling procedures (checkbox)
- Attached Documents: C. Table 2: Material list (checkbox)
- Attached Documents: C. Table 3: Refrigeration/Freezer capacity (checkbox)
- Attached Documents: C. Table 4: Hot holding units (checkbox)
- Attached Documents: C. Table 5: Plumbing (indirect drain, p-trap, etc.) (checkbox)
- Attached Documents: C. Table 6: 3-compartment sink measurements (checkbox)
- Attached Documents: C. Table 7: Fresh water tank measurements (checkbox)
- Attached Documents: C. Table 8: Wastewater tank dimensions (checkbox)
- Attached Documents: C. Table 9: Sanitizing (checkbox)
- Attached Documents: D. Wastewater disposal form (checkbox)
- Attached Documents: E. Restroom agreement form (checkbox)
- Attached Documents: F. Mobile unit operating license application (checkbox)
- Floor Plan Includes: Hand wash sink (checkbox)
- Floor Plan Includes: 3-compartment sink with drain boards; include dimensions (L x W x D) of interior of sink basin (checkbox)
- Floor Plan Includes: Indirect drain and p-trap for 3-compartment sink (checkbox)
- Floor Plan Includes: Food preparation sink (if applicable) (checkbox)
- Floor Plan Includes: Water pump and hot water heater (checkbox)
- Floor Plan Includes: All equipment in unit (refrigeration/freezer type/model, cooking equipment, hood vent, etc.) (checkbox)
- Floor Plan Includes: Fresh water tank: size and location (checkbox)
- Floor Plan Includes: Wastewater tank: size and location (checkbox)
- Explain how fruits and veggies will be washed
- How will you thaw frozen foods?
- What is done with leftovers?
- Food Held Out of Temperature: If yes, list foods held out of temperature during service
- Raw or Undercooked Food: If yes, list food
- Other procedures, please explain
- If no, describe how you will control for pest problems
- Table 3 Reach in refrigerator (under counter): Make/Model of Unit
- Table 3 Refrigerator (stand up): Make/Model of Unit
- Table 3 Pop top sandwich refrigerator: Make/Model of Unit
- Table 3 Reach-in freezer (under counter): Make/Model of Unit
- Table 3 Freezer (stand up): Make/Model of Unit
- Table 3 Fridge/Freezer (stand up): Make/Model of Unit
- Table 3 Other cold holding storage: Make/Model of Unit
- Liquid Producing Equipment Drains Indirectly into Wastewater Tank: Espresso Machine (checkbox)
- Liquid Producing Equipment Drains Indirectly into Wastewater Tank: Cup Washer (checkbox)
- Liquid Producing Equipment Drains Indirectly into Wastewater Tank: Ice Machine (checkbox)
- Liquid Producing Equipment Drains Indirectly into Wastewater Tank: Tap tray (beer, etc.) (checkbox)
- Liquid Producing Equipment Drains Indirectly into Wastewater Tank: Other (checkbox)
- Liquid Producing Equipment: Other (Specify)
- Table 2: Other Material Type (list)
- Table 4 Steam tables: Make/Model of Unit
- Table 4 Steam tables: Power Source (E, G, P or O)
- Table 4 Other hot holding storage: Power Source (E, G, P or O)
- What type of ventilation system do you have? (choose one)
- Ventilation System: Other (Specify)
- Table 5 Plumbing Fixtures: 3-compartment sink (checkbox)
- Table 5 Plumbing Fixtures: Indirect plumbing on 3-compartment sink (checkbox)
- Table 5 Plumbing Fixtures: P-trap (checkbox)
- Table 5 Plumbing Fixtures: Hand sink (checkbox)
- Table 5 Plumbing Fixtures: Running hot and cold water (checkbox)
- Table 5 Plumbing Fixtures: Mechanical pump (checkbox)
- Table 5 Mechanical Pump: PSI (number)
- Table 5 Plumbing Fixtures: Hot water heater (checkbox)
- Table 5 Hot Water Heater: How many gallons? (number)
- Table 5 Plumbing Fixtures: Food preparation sink, indirectly plumbed (not required) (checkbox)
- Table 5 Plumbing Fixtures: Backflow prevention device (checkbox)
- Table 6 3-Compartment Sink Basin: Length (in) (number)
- Table 6 3-Compartment Sink Basin: Width (in) (number)
- Table 6 3-Compartment Sink Basin: Depth (in) (number)
- Table 6: How many drain boards (number)
- Where will washing of equipment, utensils, etc. take place: Mobile unit 3-compartment sink (checkbox)
- Where will washing of equipment, utensils, etc. take place: Commissary (you wash dishes inside a licensed commissary or restaurant kitchen) (checkbox)
- Where will washing of equipment, utensils, etc. take place: Commissary (dropping off dirty dishes to be washed by restaurant staff, picked up clean) (checkbox)
- Table 7 Fresh Water Tank: Length (in) (number)
- Table 7 Fresh Water Tank: Width (in) (number)
- Table 7 Fresh Water Tank: Depth (in) (number)
- Table 7 Fresh Water Tank: Capacity in gallons (number)
- Table 7 Fresh Water Tank: Tank Location
…and 253 more.
Review, sign and submit
PaperPorter fills the form but does not submit it or approve anything. Signatures, initials and staff-only areas are left for the right person. Confirm current fees, attachments and filing instructions with Multnomah County Environmental Health Services.
Other Portland forms
- Mobile Unit: Restroom Agreement Form Multnomah County Environmental Health Services
- Application for Sidewalk Vending Cart Permit Portland Bureau of Transportation
- Warehouse Operating License Application Multnomah County Environmental Health Services
- Mobile Unit: Wastewater Disposal Form Multnomah County Environmental Health Services
- Business Registration Form (Form REG): City of Portland Business License Tax, Multnomah County Business Income Tax, Metro SHS Business Income Tax City of Portland Revenue Division
- Mobile Unit Commissary Use Verification Form Multnomah County Environmental Health Services
- Mobile Food Unit Operating License Application Multnomah County Environmental Health Services
Food truck and mobile vending permits in other places
- Acknowledgment of New Application Requirements Denver
- Affidavit of Commissary Denver
- Retail Mobile Food Establishment Plan Review Packet Denver
- DBPR HR-7006, Plan Review for Mobile Public Food Service Establishment Florida
- DBPR HR-7022 – Commissary Services Notification Florida
- DBPR HR-7031, Application for Mobile Public Food Service Establishment License with Plan Review Florida
- DBPR HR-7036, Application for Mobile Public Food Service Establishment License Florida
- Mobile Food Truck Notice of Intent Indianapolis
Frequently asked questions
Does PaperPorter submit this form?
No. You download the completed PDF, then review, sign and submit it to Multnomah County Environmental Health Services yourself.
Can I fill it without an AI assistant?
Yes. Fill it in your browser and download the completed PDF. An assistant such as ChatGPT or Claude can also ask you the questions and fill it for you.