HIGHWAY RESTRICTION NOTICE - SIZE AND/OR WEIGHT
(Electronic version of form # 734-2357 (Rev 2-07))

Instructions: Complete the fields below and submit twenty-eight (28) days prior to when the restriction begins so the carriers may be notified. This form is fillable online. After completing the form click on the Submit button to send the form electronically. An email confirmation will be sent to you with a copy of the form attached for your records. When the project is complete or the restriction has been lifted, update this form and re-submit it to MCTD.

You can access the ODOT Mobility Procedures Manual for detailed information or, if you have questions, contact the MCTD Over Dimensional Permit Manager at (503) 378-5835 or e-mail MCTDMOBILITYTEAM@odot.state.or.us.
Step 1: Complete the request form Step 2: Review Step 3: Confirmation
Status: *
* = required Fields
Section 1
Route Number: *
Highway Maintenance Number:
Beginning Mile Point: *  Ending Mile Point:  *
Direction: *
Highway Local Name: *
City/Town Nearby:
Project Name and Key #:
Section 2
Date Work Begins: * Estimated Completion Date: *
Restriction Hours: Is it 24 X 7?
   *
  
From:     To:
Provide a detailed explanation of the work:
(Include specific dates & times for restriction work included in the notice)

(Add text to be sure to include the Days (Sun-Sat) of the restriction.)
Is this workzone on a Tangent or Curve? *
Section 3
Height:    *
(Physical height between top of pavement and bottom of structure/falsework at the lowest point in travel lanes.)
Feet: *   Inches: *
Does this conform to the requirements in the ODOT Mobility Manual? *
Are you unsure? Please refer to Chapter 3 of the Mobility Procedures Manual

Width:    *
(Physical width between barriers.)
Feet: *   Inches: *
Does this conform to the requirements in the ODOT Mobility Manual? *
Are you unsure? Please refer to the Chapter 4 Mobility Procedures Manual
Barrier:    *
Weight:    *
   *
per Single Axle (Annual: Divisible load 20000 lbs. and Non-divisible load 21500 lbs. ) *
per Tandem Axle (Annual: Divisible load 34000 lbs. and Non-divisible load 43000 lbs. ) *
Section 4
Bridge Structure Name:   
Bridge Structure Milepost:    Bridge Structure Number: 
Road/Ramp Closure?    *
Can you accommodate wide loads?    *
Is there a detour route?    *
Authorized Truck Detour Route(WB67): *
      Detour Approved By: * (Name of City/County Official)
Is the detour approved for oversize loads?    *
Section 5
Submitter's Name: *
Submitter's Phone: * Retype Phone: *
Submitter's Cell Phone:
Submitter's Email: * Retype Email: *
(All official correspondence concerning this document will be sent to this email address.)
Alternate Name:
Alternate Phone:
Alternate Email:
Agency (ODOT) Project Manager: * Email: * Phone: *
Alternate (ODOT) Project Manager Designee: * Email: * Phone: *
Alternate (ODOT) Project Manager Designee: Email: Phone:
Other Non-ODOT Project Contact: Email:
Region Mobility Coordinator: *
* = required Fields