2014 Spring // OSBEELS: The Oregon Examiner

E x a m i nerThe Oregon Spring 2014PUBLISHED BY THE OREGON STATE BOARD OF EXAMINERS FOR ENGINEERING AND LAND SURVEYINGThe mission of the OregonState Board of Examiners forEngineering and Land Surveying(OSBEELS) is to regulate thepractice of engineering, landsurveying, photogrammetricmapping, and water rightcertification in the state as theyrelate to the welfare of the publicin safeguarding life, health andproperty.Board Members Image courtesy ofTim Kent, PLSCarl Tappert, PE/CWRE, President Running lines by the sunWilliam J. Boyd, Public MemberSteven A. Burger, PE The art and history of solar surveyingJames L. Doane, PE/PLSShelly MC Duquette, PE In the 1800s, there were significant determinations were difficult. WilliamAnne K. Hillyer, RPP surveying issues caused by large Austin Burt devised a way around theKen W. Hoffine, PE/PLS/CWRE iron deposits in the earth. Compass troubling magnetic confusion – theJason J. Kent, PESusan E. Newstetter, PLS operations were often hampered by the solar compass.Ron Singh, PLS magnetic interference caused by these See SOLAR, Page 4Board Staff metals and north-south survey lineMari Lopez, Administrator Inside This IssueJenn Gilbert, Executive Assistant 2 Consequences of failure to pay civil penalties 3 Obligation not to engage inJason Abrams unprofessional behavior  3 Military education and experience evaluation optionsMatt Bryan 6 Investigation and Enforcement 7 Changes to requirements for modifying designsVeronica Gloria and documents 8 2014 OSBEELS Symposium 9 Renewal formJennifer O’NeillJoy ParianteMonika PetersonTina SorensenAmelia VolkerBrianna WeeklyJ.R. Wilkinson

TThhee OOr re geogno nE xEaxmaimn eirn e r SpFrianllg22001214Consequences of failure to pay civil penaltiesAs provided under Oregon stocks, wages or property in safety or permit, or may reprimand an Revised Statute (ORS) deposit boxes. The Board can also individual enrolled as an intern or 672.325, OSBEELS may utilize the services of the Oregon holding a certificate or permit:impose a civil penalty upon any Department of Revenue to collect (1)For violating any provision of ORSindividual who violates any provision debts. 672.045;of the Board’s rules or of ORS672.002 to 672.005. Penalties For registrants, the situation is more (2) For gross negligence, negligencemay not exceed $1,000 per offense. complicated. Registrants are subject or incompetence in the practiceAll individuals in receipt of civil to all of the above actions if they of engineering, land surveying orpenalties must remit payment within fail to pay their civil penalties within photogrammetric mapping;10 days after the order becomes final the 10-day period, but they’re alsoby operation of law. subject to additional civil penalties (3) Subject to ORS 670.280, for resulting from the violation of Oregon conviction of a felony;Failure to pay civil penalties can Administrative Rule (OAR) 820-result in liens, forced collections or 020-0045(3). Each registrant (4) For conviction of a misdemeanoradditional penalties. In the case is obligated to not engage in involving the practice of engineering,of non-registrants, ORS 183.745 unprofessional behavior under this land surveying or photogrammetricallows the Board to file a lien with rule and subsection 3 specifically mapping;the county clerk’s office upon the addresses payments to the Board:title to or interest in any property of (5) For failing to pay a civil penaltythe person against whom the order (3) An applicant or registrant must or fee in the manner prescribed by awas issued. As per ORS 205.126, make timely and full payment to the final order of the board, or for failingcollection on judgments from orders Board of all Board assessed fees, to meet any other term of a final orderfiled in the County Clerk Lien Record fines and penalties. of the board; ormay be enforced by: As with other violations, there is the (6) For violating a rule of professionalWrit of execution proceedings (ORS potential for a fine of up to $1,000 conduct prescribed by the board.18.252 to 18.993) per offense for violations of OAR 820-020-0045(3). Payment plans may be available for individuals who demonstrate a need for repayment flexibility. Payment plans must be approved by theProceedings in support of execution Additionally, Senate Bill 209, Board. For questions regarding(ORS 18.265, 18.268 and 18.270) amends ORS 672.200 to read civil penalties or payments, please (Presented during the 2012 contact the Board office at 503-Garnishment proceedings (ORS Legislative Session and effective 362-2666 or by email at18.600 to 18.850) January 2014): [email protected] proceedings allow for theexamination of the debtors holdings, The State Board of Examiners forseizure of property that can be Engineering and Land Surveyingapplied against the delinquent may suspend, revoke or refuse tojudgment, or garnishment of issue, restore or renew a certificatePPaaggee22

Spring 2014 The Oregon ExaminerObligation not to engage in unprofessional behaviorSome registrants may not be aware of or familiar with member, a Board employee or imposed by any licensing agency the actions prohibited under an examination proctor in fear of immediately upon receiving notice imminent serious physical injury. of the action or sanction.Oregon Administrative Rule (OAR) • An applicant or registrant will • An applicant or registrant820-020-0045. This rule specifies not engage in reckless, knowing will not assist or aid in thewhat conduct is considered by the or willful conduct that causes unsupervised or unlawful practiceBoard to be unprofessional. Many serious physical injury to a client, of engineering, land surveying orof the “unprofessional behaviors” on another registrant, a Board photogrammetric mapping.which the Board receives complaints member, a Board employee or an– contract issues, work quality or examination proctor. In cooperation with other Boardtimeliness of project completion – rules regarding the conduct expectedare outside the Board’s jurisdiction, • An applicant or registrant must of registered professionals, OARthe Board can look into five specific make timely and full payment to 820-020-0045 was designed tobehaviors under OAR 820-020- the Board of all Board assessed help achieve the Board mission of0045. These rules apply to fees, fines and penalties. protecting the life, health and propertyboth registered professionals and of Oregonians. If you believe aapplicants. • An applicant or registrant must registered professional or applicant give written notification to the has violated any portion of this rule,• An applicant or registrant will Board of any disciplinary actionnot, by word of conduct, act in or sanction related to the practice please complete the Complaint Forma manner intended to place a of engineering, land surveying available at www.oregon.gov/osbeelsclient, another registrant, a Board or photogrammetric mapping in the “Regulation” section.Military education and experience evaluation optionsThe Board recently discussed how to best evaluate an 010-0227 and 820-010-0228 to how the skills learned at those schools applicant’s education and allow the Joint Service Transcript would translate to college credits. (JST) to be submitted as supporting Applicants using the JST as proof ofexperience gained through military documentation with applications. education or experience will continueservice and training. Oregon The JST translates military experience to be reviewed by the ExaminationsRevised Statute (ORS) 672.105 and education into college credit and Qualifications Committee (EQC),states that “an applicant qualifies equivalency recommendations. This as is the procedure for all individualsfor the fundamentals in engineering program is through the American applying without a degree from anexamination if the board determines Council on Education (ACE) and accredited program recognized by thethat the applicant has military training courses are evaluated in a manner Board.or experience that is substantially similar to the ABET accreditationequivalent to the education required process. Teams of military personnel Current and former military membersby subsection (1) of this section.” and civilian professors, overseen by can request their JSTs at jst.doded.To facilitate this determination, ACE, observe and evaluate military mil/smart/signIn.do. There are nothe Board has amended Oregon schools and offer a transcript reflecting fees associated with JST requests.Administrative Rule (OAR) 820- Page 3

TThhee OOr re geogno nE xEaxmaimn eirn e r SpFrailnl g20210214SOLAR, from Front PageThe solar compass determined north conducting federal surveys in 1850. Oregon surveyors were frustratedby the astronomical observations It offered ease of use and the by the lack of sun, which made theirrather than relying on magnetic guarantee of a true line, explained solar compasses all but useless.north. Burt’s solar compass Tim Kent, PLS and solar compass William Ives, a surveyor in Oregon,allowed surveyors to work through aficionado. He said that the time to wrote a letter to Preston explainingareas with high iron content without set up a solar compass and obtain the situation - “Cloudy weathersacrificing accuracy. According to a true line was usually less than a came in and I took the libertythe Smithsonian National Museum minute, which increased surveying of leaving.” Additionally, in theof American History, this compass speeds. Umpqua and Rogue Valleys, neitherhad three arcs used for setting the magnetic compasses nor solarthe latitude of the land, setting the When John B. Preston, Oregon compasses served much of adeclination of the sun and setting Surveyor General, was planning purpose as there were high-contentthe hour of the day. The moveable the first comprehensive surveys iron ore deposits causing magneticparts allow for adjustments based of Oregon, he prescribed the issues and dense forests blockingon the sun’s position in the sky. use of solar compasses for the sun.When the sun is at its highest and determining major boundary lineslowest points, noon and midnight in areas of magnetic interference. According to Kent, other issuesrespectively, it is perfectly aligned Unfortunately, Oregon’s weather included lack of sighting optics,with the equator. As the made the use of solar compasses a solar lunch break and operatorsun moves throughout difficult. Kay Atwood, writer ofthe day, the arcs of Chaining Oregon, explained that competency. Thethe solar compass solar compassare moved to take featured “sightdeclination into vanes” that theaccount. The solar surveyor wouldcompass can alsobe used at night use to line upand latitude can points, but thisbe determined by could lead toany astronomical alignment errors,feature within the Kent explained.zodiac. Another issue arose betweenThe solar compass the hours ofwas adopted as the approximatelystandard equipment for 10:30 a.m. until 1:30 p.m., when the sun can bePPaaggee44

Spring 2014 The Oregon Examinerobserved in multiple locations. There is After more than a century of use, William Austin Burt designed the solarno way to know which view of the sun the solar compass was retired. The compass as a way to obtain reliableto use for measurements, therefore, 1973 Bureau of Land Management results when dealing with interferencesaccuracy is not obtainable, Kent said. (BLM) Manual required a “tighter error caused by iron deposits. In 1850, of closure standards than what was this tool became the standard forA key problem arose when seeking obtainable with these instruments,” Kent conducting federal surveys.surveyors with solar compass explained, as solar observations tendedknowledge. Experienced solar toward a degree of accuracy in bearing Images courtesy ofTim Kent, PLScompass operators were hard to plus or minus one minute of arc.to find and this shortage causedcontinual issues during the surveying Today, a solar compass can fetchof Oregon. Kent shared a quote between $15,000 and $20,000.from General Land Office deputy For those interested in trying theirsurveyor John Fitzhugh to illustrate hand at solar surveying, Kent offersthe necessity of operator experience a workshop, “Surveying with Solar– “…this is a great instrument in the Instruments,” which gives attendeeshands of a mathematician, but in the hands-on experiences with solarhands of an ignoramus, it is one of compasses and solar transits. Forthe wildest machines ever built to run more information on this course,a line.” please contact Kent at [email protected]. The steps for preparing a solar compass for use: (clockwise from left) Step One - Set latitute StepTwo - Set declination StepThree - Set time (solar) Step Four - Align sun on crosshairs. Page 5

TT hhee OOr re geogno nE xEaxmaimn eirn e r SpFrailnl g20210214Investigation and EnforcementLaw enforcement cases with sanctions from Jan. 2, 2014 to April 1, 20142740 - Yukimasa Aizawa 672.107(3), ORS 672.045(1), of OAR 820-020-0015(7) & (8) ORS 672.020(1) & (2) and OAR and OAR 820-020-0025(1).The Board issued a Default Final 820-010-0620.Order against Yukimasa Aizawa, 2757 - Melvin L. JohnstonPE, for failure to comply with CPD 2751 - Adrian Bartle Pearminerequirements. Mr. Aizawa failed to The Board issued a Default Finalrespond to numerous requests from The Board issued a Default Order against Melvin L. Johnston,auditors and investigators to gain Final Order against Adrian Bartle PE, finding that he failed to meethis participation in an audit of his Pearmine, finding he performed the professional developmentcontinuing professional development. engineering services while his requirements for the audit period,Mr. Aizawa was assessed a registration was delinquent. Mr. failed to continue professional$3,000 civil penalty and a 90-day Pearmine engaged in the practice of development during his career,suspension for violations of OAR engineering when he used the title and failed to cooperate with the820-020-0015(7)&(8), and OAR of “PE” and “Registered Professional Board. Johnston was assessed a820-010-0635(1) and (5). Engineer” as a representative of $3,000 civil penalty and a 90-day his company on project proposal suspension for violations of OAR2743 - Timothy W. Bardell documents as well as marketing 820-010-0635(1) and (5), OAR materials for his employer and his 820-020-0025(1), and OAR 820-The Board issued a Final Order resume. In addition, Mr. Pearmine 020-0015(8).against Timothy W. Bardell, PE, failed to report an address changefinding that he engaged in the to the Board, as required. Mr. 2764 - Douglas Colman Zaitzpractice of engineering on three Pearmine was assessed a $750projects in Oregon during a time his civil penalty for violations of The Board issued a Default Finalprofessional engineer registration ORS 672.002, 672.020(1), Order against Douglas Colmanwas in delinquent status. Mr. 672.045(1)&(2) and OAR 820- Zaitz, PE, finding he did not meetBardell stamped the primary 010-0605. the PDH requirements for the auditstructural frame of a significant period, that he failed to continuestructure without being registered as 2754 - William Glenn Case professional development duringa structural engineer, as required. his career, and that he failed toIn addition, Mr. Bardell did not use The Board issued a Default Final cooperate with the Board. Mr.the correct expiration date for his Order against William Glenn Case, Zaitz was assessed a $3,000 civilseal, nor did he consistently include PE, finding that he failed to continue penalty and a 90-day suspensionhis registration expiration date or professional development, failed to for violations of OAR 820-010-renewal date, as required. Mr. cooperate with the Board, and failed 0635(1), OAR 820-020-0025(1)Bardell entered into a settlement to be objective and truthful regarding and OAR 820-020-0015(8).agreement to pay a $2,000 civil the nature of his professionalpenalty and abide by a 90-day development. Mr. Case was 2771 - Marjan Sassanfarsuspension for violations of ORS assessed a $2,000 civil penalty and Amesbury a 90-day suspension for violations See ENFORCEMENT, Page 7PPaaggee66

Spring 2014 The Oregon ExaminerChanges to requirements for modifying designsand documents sealed and signed by the engineer. users of any changes. It is critical Additionally, all engineers must only that professionals in the field reviewNew language has been perform engineering work within full design packets regularly to stay drafted for Oregon their competence, as determined abreast of changes that may not be Administrative Rule (OAR) by education or experience. For otherwise indicated on the original820-010-0622 by the Oregon State professional engineers modifying the drawings. As per recommended draftBoard of Examiners for Engineering work of other professional engineers language, professional engineersand Land Surveying (OSBEELS) or of an unlicensed person for an modifying the design documents ofand the Oregon Board of Architect exempt structure, they must cloud, a registered architect, in additionExaminers (OBAE) through the encircle or in some other way clearly to being in compliance with theModifying Designs and Documents indicate the portion of the document requirements above, must makeTask Force. The revisions will enable that has been revised. modifications on separate documentsregistered professional engineers that clearly indicate the portion of theand registered architects to properly For professional engineers document being modified. OBAEdocument modifications to avoid modifying the documents of a requirements regarding modificationversioning errors and protect public registered architect, documenting of documents stamped by registeredsafety, while maintaining compliance the modifications is slightly different. professional engineers by registeredwith pertinent OSBEELS and OBAE OBAE rules and statutes (OAR architects can be found in OAR 806-rules and statutes. The amended rule 806-010-0045, Oregon Revised 010-0115, Construction Documentwas approved to begin the rulemaking Statute (ORS) 671.020(5) and Modification.process by the Board during its March ORS 671.090(6)) prohibit anyone2014. other than the architect to make Questions regarding rules or statutes any markings upon an original can be submitted to the Board via theAccording to the proposed drawing. This removes the option Questions Form at www.oregon.gov/amendments, any modifications made of clouding or encircling to alert plan osbeels under the “Contact Us” tab.by a professional engineer musthave separate documents that areENFORCEMENT, from Page 6The Board issued a Final Order Cooke, PE, finding that he failed to development. Mr. Mendez enteredagainst Marjan Sassanfar Amesbury, update his address with the Board. into a settlement agreement to pay aPE, finding she failed to update Mr. Cooke was assessed a $250 $500 civil penalty for a violation ofher address with the Board. Ms. civil penalty for a violation of OAR OAR 820-020-0015(8).Amesbury entered into a settlement 820-010-0605(1).agreement to pay a $100 civil 2774 - Ryan B. Mitchellpenalty for a violation of OAR 820- 2773 - Sofronio C. Mendez010-0605. The Board issued a Default Final The Board issued a Final Order Order against Ryan B. Mitchell, PE,2772 - Leonard W.W. Cooke against Sofronio C. Mendez, PE, finding he failed to report an address finding he failed in his responsibility change to the Board. Mr. MitchellThe Board issued a Default Final to cooperate with the BoardOrder against Leonard W. W. during an audit of his professional See ENFORCEMENT, Page 11 Page 7

The Oregon Examiner Spring 2014Oregon State Board of Examiners for Engineering and Land Surveying 2014 OSBEELS SymposiumInnovationARnedcsevauvopwsaVcloucnailetbrcuuiosteintlsnuiimdtoaiianenereyrlsf3sdnTgrpdpaEeteDrMresoovencrftieoeutdrfvbshroulgsdneaoierporcnedaennpimrltaranosouomlnafkjreopeinlteevzdcorhcemanitmeedrssgttorisiiaicooesuyiinotcgunninmngioosnnnmchpgvntdptrleeseeeoDirxoliFralrmidnsainctnagttddieiaoavaeetnnlLinPigtittdnoyrcyaeaihgenvndrngigioytsiedsouotunssoeaaapStlaanlpgitcunLvipaEredarlieanrlbriraianmdCvoiclhteimstamnaeeeayentvmngayiiiuumoenotsonsnnrueeimviiangcionrnsqeogiensnitunntaegctlvesstmFerAPaaneybulttrinroetiotnoicrnaaamcglttdriii4oouatrinnctesDaitolsrnysInnovation in IndustryRegistration begins July 2014! $80Watch www.oregon.gov/osbeelsand www.facebook.com/osbeels Registrants earn 1 PDH forfor details. Registration forms will every 1 hour of attendancebe included in the Summer 2014edition of The Oregon Examiner. Also includes: Lunch, registration materials and refreshements during breaks.September 19, 2014 from 8 a.m. to 4 p.m. at the Salem Conference CenterPage 8

Spring 2014Renewal FormRegistrant Contact Information Middle name or initial Last name (family name)First name (personal name)If you have a Social Security number Oregon law requires that it be used. Only use a Passport number if you don’t have a SocialSecurity number.o Social Security # OR o Passport # Country issuing passportBirth date (Mo/Day/Yr) Where do you want correspondence mailed to? Registration Number Home/Personal phone # o Home address OR o Business addressHome address (include any apartment number)City State Zip/Postal code Home email addressBusiness name Business phone # Business fax #Business address (include any suite number)City State Zip/Postal code Business email addressAddress for public disclosure (As per Oregon Revised Statute (ORS) Chapter 192) o Same as mailing addressCity State ZipSocial Security GuidelinesAs part of your application for an initial or renewed occupational, professional or recreational license, certification, or registration issuedby OSBEELS, you are required to provide your Social Security Number to OSBEELS. This is mandatory. The authority for this requirementis ORS 25.785, ORS 305.385,42 USC § 405 (c) (2) (C) (i), and 42 USC § 666 (a) (13). Failure to provide your Social Security Number will bea basis to refuse to issue or renew the license, certification, or registration you seek. This record of your Social Security Number will beused for child support enforcement and tax administration purposes (including identification) only, unless you authorize other uses of thenumber. Although a number other than your Social Security Number appears on the face of the licenses, certificates, or registrations issuedby OSBEELS, your Social Security Number will remain on file with OSBEELS.If, the United States Social Security Administration has not issued you a social security number, you must follow these guidelines: a. form must be signed by you; b. You are attesting to the fact that no social security number has been issued to you by the United States Social Security Administration; and c. are acknowledging that knowingly supplying false information under this section is a Class A misdemeanor, punishable by imprisonment of up to one year and a fine of up to $6,250.By providing the following signature, you are agreeing to comply with the guidelines listed above.Signature Date (Mo/Day/Yr)If requesting reinstatement from inactive or retired status, please complete the Reinstatement from Inactive or Retirement Status formavailable at www.oregon.gov/Osbeels/Pages/renewals.aspx. Page 9

The Oregon Examiner Spring 2014Please check the applicable boxes and enclose the appropriate amounto Active registration renewal: $150.00 each profession Please refer to the Oregon Administrative Rule (OAR) 820-010-0505, o PE o PLS o RPP 820-010-0510, OAR 820-010-0635 and OAR 820-015-0026 foro I have attached the CPD Organizational Form additional details.I have attached the Continuing Education Request for aGrace Period formI certify that I have completed the required professional development hour (PDH) units in accordance with the applicable OARs.Signature Date (Mo/Day/Yr)o Certified Water Right Examiner (CWRE) renewal: $40.00 o Delinquency fee per registration renewal: $80.00 eachPlease note: January 2015 will be the first scheduled audit cycle professionwhich will require 10 CWRE PDH units. These audits will reflectthe 2013-2014 renewal cycles, which means the PDH units will need Please refer to the OARs 820-010-0505 and 820-010-0520 for furtherto be obtained starting in 2013 and supporting documentation will be details.required. o PE o PLS o RPP o CWRESelect payment method (choose one) o Cash Amount enclosed:o Check or Money Order (payable to OSBEELS)o Debit or Credit Card (Visa, Mastercard, Discover, or AmEx) Total charge to card:Card number Exp. date Security code* Billing Zip/Postal codePayment Signature (serves as payment authorization if paying by debit or credit card)Signature Date (Mo/Day/Yr)The Oregon Examiner NewsletterPlease indicate how you would like to receive the OSBEELS newsletter, The Oregon Examiner.Primary Address Primary Email Business Address Business Email No Newsletter* Debit or Credit Card Security Codes If submitting a payment to the OSBEELS for fees by debit or credit card, please provide the security code. These codes are a security feature that appears on the back of most Visa, MasterCard, and Discover cards, and on the front of American Express cards. American Express Card Users: Look for the 4-digit code printed on the front of the card just above and to the right of the main card number. This 4-digit code is the card security code. Visa, MasterCard, and Discover Card Users: Flip the card over and look at the signature box. A special 3-digit code will be located in the signature box. This 3-digit code is the card security code.Page 10

Spring 2014ENFORCEMENT, from Page 7was assessed a $250 civil penalty of Forestry issued a citation after the penalty for a violation of OAR 820-for a violation of OAR 820-010- project was complete, due to the final 020-0015(8).0605(1). product not being compliant with the designs. Mr. Lysne was assessed a 2855 - John Raymond Gery2779 - David Allen Loomis $1,000 civil penalty for a violations of ORS 672.020(1) and ORS The Board issued a Default Final OrderThe Board issued a Final Order 672.045(1)(2) &(6). against John Raymond Gery, PE,against David Allen Loomis, PLS, finding he violated the Board’s Rulesfinding he set monuments without 2839 - Takeshi Kobayashi of Professional Conduct. Mr. Gery didfiling a corresponding map. Mr. not pay the civil penalty assessed forLoomis waited nearly 13 years to file The Board issued a Default Final Order Case No. 2712 by the date it was due.a map of survey after monuments against Takeshi Kobayashi, PE, finding Mr. Gery’s registration was revoked forwere set on a client’s property. Mr. he failed to update his address with the violations of OAR 820-020-0015(8)Loomis entered into a settlement Board. Mr. Kobayashi was assessed and OAR 820-020-0045(3).agreement to pay a $750 civil penalty a $250 civil penalty for a violation offor violations of OAR 820-030- OAR 820-010-0605(1). 2856 - Jong-Rok Lee0060 and ORS 209.250(1). 2851 - Scott T. Ogren The Board issued a Default Final2787 - David Lysne Order against Jong-Rok Lee, PE, The Board issued a Default Final finding he violated the Board’s RulesThe Board issued a Default Final Order against Scott T. Ogren, of Professional Conduct. Mr. Lee didOrder against David Lysne, finding he finding he failed to comply with CPD not pay the civil penalty assessed forengaged in the practice of engineering requirements. Mr. Ogren did not Case No. 2715 by the date it was due.without a license. Mr. Lysne initially respond to staff when requested Mr. Lee’s registration was revoked forparticipated in the design review and to participate in the audit and did not violations of OAR 820-020-0015(8)inspection of a stream culvert on comply with the grace period granted. and OAR 820-020-0045(3).non-exempt land. Oregon Department Mr. Ogren was assessed a $500 civilFriendly RemindersRegistration renewal your renewal, please ensure that it Social Security numbers. Oregon includes your registration number(s) Revised Statute (ORS) 25.785,Not sure if your registration(s) is and your Continuing Professional specifically requires that the Socialcurrent? The “Find a Licensee” tool Development Organizational Form Security number be recorded on theat www.oregon.gov/osbeels allows is attached. If these items are not application or renewal form for ayou to view your registration status. included, it will delay the renewal license, certificate or registration.If you need to renew your process.registration(s), mail the form on Page Deceased Registrants9 to the OSBEELS office at 670 Social Security NumberHawthorne Avenue SE, Suite 220, If you are aware of a registrant whoSalem, OR 97301. To comply with child support has passed on, please call (503) enforcement and tax administration 362-2666. OSBEELS would like toEmployer Checks law, OSBEELS requires that all avoid sending renewal notices and applicants and licensees provide their other communications to the families.If your employer sends a check for Page 11

Spring 2014 670 Hawthorne Avenue, SE BOARD OF EXAMINERS Suite 220 FOR ENGINEERING & Salem, Oregon 97301 LAND SURVEYING tel: 503.362.2666 email: [email protected] web: www.oregon.gov/osbeels OSBEELS is on Facebook! The most up-to-date information on exams, applications, audits, renewals, and more! www.facebook.com/osbeels To receive the newsletter electronically, please provide an email address below. If you would prefer to receive the newsletter in print rather than electronically or at a different mailing address, please provide the preferred mailing address below. If you are already receiving the newsletter in the preferred format and at the correct location, submission of this form is not necessary. You may return this form by email to [email protected], by fax to (503) 362-5454 or by mail to the address listed above. Please note, the contact information in which Board correspondence is sent will not be changed by submitting this form. Please utilize the Name/Address Change form to comply with Oregon Administrative Rule (OAR) 820-010-0605. Registrant Information First name (personal name) Middle name or initial Last name (family name) Email Address Registration or certificate number, if applicable To receive the print edition of The Oregon Examiner, please complete the information below. o Home o Business Mailing address (include any apartment/suite number) City State or Province Zip/Postal code Country