Permit 10/28/98
This HISTORICAL / RESEARCH INFORMATION is being provided for clarification: Addresses
were changed in the beginning of the project and there was a lot of confusion as to how inspections were
being called in and where they were data entered in P *P and what address they were filed under.
This information sheet is being filed in all the below address files.
MLP94 -0013 @ 12730 NORTH DAKOTA
SDR94 -0014 @ 12730 NORTH DAKOTA
ENG95 -0026 — HALF STREET IMPROVEMENTS
CPA95 -0002 —12580 SCHOLLS FERRY
CPA95 -0005 —12580 SCHOLLS FERRY
SIT94 -0029 SITE PERMIT ISSUED @ 12730 NORTH DAKOTA
There are (3) addresses attached to this site permit; 12700/12730/12744
BUP95- 0039BUP95 -0038 @ 12550/12580 SCHOLLS FERRY RD — DEMO PERMITS
12550 File contains documentation regarding septic pump /fill
12700 NORTH DAKOTA — Bup95 -0075 /Shell (this address has numerous suites)
12730 NORTH DAKOTA — Bup95- 0025 /Shell (SORRENTO VET CLINIC)
12744 NORTH DAKOTA — Bup95- 0026 /Shell (KEY BANK)
1:/ Building /JeanneTemple /M LP940013
•
.
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It
= Harrisburg 995-6336 = Sweet Home 367-6174 0 Belem 390-6955 13 .
el MORSE BROS.. = Lebanon Dispatcher 25 123 G Albany 9262547 or 926448 :. 0 6iMrtrn649-7526 • •y • ,
MATErMI1tS CROUP 1t,
Corvallis 7523428 = Eugene 6696600 0 8Mnrood 59247105 U. y '• • MAP LOCATE BATCH TIME LEAVE PLANT ARRIVI 1OB BEGIN POUR ,. FINISH POUR LEAVE JOB yt -,•- '
WATER ADDED AT TEST CYL. 8 MINUTES F R YARD CUSTOMER ACCOUNT # 16210 ...
CUSTOMER'S REQUEST TAKEN FREE UNL( ■ DING # `' ' '
TIME ALLOT ED ON =,
gals. to full load ❑ YES FULL LO DS.. • ���r
ft'71`� C.T 1a i
l gals. to 2 h load ❑ YES Additional u jading SOLD TO y ;�,&� r
time charged ; current' « °'
gals. to /3 load El hour) YES hourly truc rate. DELIVERY m O f , ': 1" Y 'I 6 - ; r
l ADDITIONAL WATER
REASON FOR DELAY " IME: '
ADDED TO'THIS DATE 03 • '7`' 1-t:a ,. , ,
CONCRETE WILL REDUCE ❑ JOB NOT READY
TIME '1
❑ L ACK O F HELP ,
STRENGTH. ANY 0- 1 n . DI-IN R i ,,..
• WATER ADDED IS ❑ WHEEL BARROW JOB '
GROSS it ,i 11. TRUCK # 1b: ..r,aw;
AT CUSTOMER'S ❑ WAITING FOR TRUCK T UNLOAD TARE `l ftd '"WEraHM
OWN RISK, iii ADDING WATER •
NET 3 t 8 L DSO :2' ��x.�� ,.
WATER REQUESTED BY:
El ARRIVED JOB EARLY i ► r n 4,;
SPECIAL INSTRUCTIONS:
iii OTHER %, #`;?u •
i:ti 44 .
MATERIAL MIX DESIGN, SSD MOISTURE DESIRI 1 AMOUNT ACTUAL AMOUNT SSD CORRECTED AMO ' 1,.M_-
CORRECTION 0..74 x
;y 's�' t z
- L,
•
•
;' •
' :r.
•Y _
II .'. c •
' PR.* Al PRODUCT DESCRI PION QUANTITY . UNITS .7.UNIT - iL "-
117.101Z133P / H. F'1.-(1 GRAVEL PRE ESS 1.3'6;08 TO • s r • {
• TERMS: NET •. DUE AND PAYA :LE BY 15TH OF MONTH FOLLOWING PU • H E. A
t F 18°Y6. PERSONAL NOTICE: We reserve the right to claim lien for all la p aid i - - AL
at the end of the following month's billing cycle. This is an ANNUAL PERCE AGE i A
i• 9 charge per $ 1.OD will be made on the and <)''.— �, . '1 ' � _... •
�
l t cha of 2 rmouth,orami (L
1 material furnisfted on this Job aeerrdin to ORE REV ISED STATUTE 87.021. -" - - --
g . ', Ele'ED 9 - `rr
1 CAUTION: Freshly mixed cement, mortar, concrete or grout may cause skin inju oid contact with eyes where possible and wash exposed are Is promptly with '
' water. II any cement mixtures get into eyes, rinse immediately and repeatedly wit ater and get prompt medical attention. KEEP OUT OF REACH OF CHILDREN.
Lebanon inistretlon 451-5141 • P.O. Box 1 Lebanon 97355
ALSO SERVING YOU AT Harrisbur ;tress 995-6327 • Tangent Operations 9268491 • Portland Prestress 655-5111 ,,Z,
•
• r yr
9Q\
n_xyz9
cm)
,,, t t ! I I o c
' P ' ' ' A i. '.. f ! • 1 1 r i. t i"f „ ` • . .- ^ y •
3 �. #"Co's' r ":41,,11-t a 1 . t;;
.... .S 7. v . . [ . . s �� __ srypraa �J 1..
--4111116640 • PM.
....:f – Co • - • Biqa. 656 -7000
MECHANIC
OITV - - .HELPER
JOEL NAME AND LQCATION .
O DAY AK
V • • • _ .._ _ : _ - -.
- IPTION OF ORI( _ _ • , _ — _ — - . .-- — _ ❑CONTRACT
- - OOCTRA
A
.'.QUANC. * -IPT ION OF MATERIAL USED. _
<• - AMOUNT
1
T sum.in.
I
1 MI
HOURS LA OR AMOUNT TOTAL
MECHANICS (� MATERIALS
HELPERS @
TOTAL
•
C or hereby lon ack of the f th e the Ifalbed ectory k TOTAL LABOR - TAX
above des w
SION DATE COMPLETED
/ / TOTAL
r ❑Harrisburg 995 -6336 0 Sweet Home 367.6174 ;_ Salem 390 -6955 Deer Island 397.4659
•
ii ) .
MORSE BROS.
0 Lebanon Dispatcher 2587123 0 Albany 928 -2547 or 926.2145 Beaverton 649 -7526 St. Helens 397-0111
M ATERIALS GROUP
❑ Corvallis 752.3428 7 Eugene 689 -6600 1. Sherwood 692.0105 Slayton 769 -6465
MAP LOCATE BATCH TIME LEAVE PLANT ARRIVE JOB BEGIN POUR FINISH POUR LEAVE JOB ARRIVE PLANT
WATER ADDED AT TEST CYL. 8 MINUTES PER YARD CUSTOMER ACC UNT # CODE
CUSTOMER'S REQUEST TAKEN FREE UNLOADING JOB # I BID #
TIME ALLOWED ON
gals. to full load ❑ YES FULL LOADS. SOLD TO I i I I MOM i I: Y f ..'t I, . , •
gals. to 2 /3 load El YES
Additional unloading
time charged at current ,.:, i ,I •• '
gals. to 1 /3 load ❑ YES hourly truck rate. DELIVERY
POINT
ADDITIONAL WATER REASON FOR DELAY TIME:
ADDED TO THIS ❑ J OB NOT READY DATE P.O.#
CONCRETE WILL REDUCE TIME PLANT PIT
STRENGTH. ANY ❑ LACK OF HELP
WATER ADDED IS El WHEEL BARROW JOB DRIVER
AT CUSTOMER'S ❑ WAITING FOR TRUCK TO UNLOAD GROSS TRUCK # TRLR #
OWN RISK. Iii ADDING WATER TARE WEIGHMASTER
El ARRIVED JOB EARLY NET
WATER REQUESTED BY: ❑ OTHER SPECIAL INSTRUCTIONS:
MATERIAL MIX DESIGN, SSD MOISTURE DESIRED AMOUNT ACTUAL AMOUNT SSD CORRECTED AMOUNT
CORRECTION
TRIM
WATER G AL vI
WATER/
CEMENT
RATIO
MAXIMUM
ADD
WATER GAL
PRODUCT # PRODUCT DESCRIPTION QUANTITY UNITS UNIT PRICE AMOUNT
1. VIOL) I ; . • 1 . ' C F VI r, 1+ C ?Ci•
TERMS: NET — DUE AND PAYABLE BY 15TH OF MONTH FOLLOWING PURCHASE. A
finance charge of 1 per month, or a minimum of $1.00, will be made on the unpaid TOTAL
balance at the end of the following month's billing cycle. This is an ANNUAL PERCENTAGE --
RATE OF 18%. PERSONAL NOTICE: We reserve the right to claim lien for all labor and
>.... TICKET #
material furnished on this job according to OREGON REVISED STATUTE 87.021. .. RECEIVED BY
CAUTION: Freshly mixed cement, mortar. concrete or grout may cause skin injury. Avoid contact with eyes where possible and wash exposed areas promptly with FORM 30 Revised 6/94
water. If any cement mixtures get into eyes, rinse immediately and repeatedly with water and get prompt medical attention. KEEP OUT OF REACH OF CHILDREN.
r�
Lebanon Administration 451 -5141 • P.O. Boa 7. Lebanon 9735 '
ALSO SERVING YOU AT Harrisburg Prestress 995 -6327 • Tangent OPT 'Wu, Q'' -' -
.#.' ,., MORSE BROS. ..e. flume w Dee ano39�5
to;,. - Lebanon Dispatcher 258-7123
MATERIALS GROUP F Albany 92&2507 or 926 -2145 Beaverton 649-7526 St. Helens 397 -0111
Corvallis 752-3428 _Eugene 689-6600 Sherwood 692 -0105 Slayton 769 -6465
MAP LOCATE BATCH TIME LEAVE PLANT ARRIVE JOB BEGIN POUR FINISH POUR LEAVE JOB ARRIVE PLANT
I
I
WATER ADDED AT TEST CYL. 8 MINUTES PER YARD CUSTOMER ACCOUNT # 1 {' 1 V1tb11 CODE ' ' • CUSTOMER'S REQUEST TAKEN FREE UNLOADING JOB # . {
TIME ALLOWED ON BID # a. • gals. to full load ❑ YES FULL LOADS. SOLD TO O
C'Ur °F'MaPI [_7CCAVt1TIQ1wl ING u
gals. to 2 /3 load ❑ YES Additional unloading r „
time charged at current u
SCHOLL'S RE1 el 11_ CENTER u-
gals. to 1 /3 load ❑ YES hourly truck rate. DELIVERY
POINT j ii li t .F l ;, =1r; f! I t - �i O
ADDITIONAL WATER REASON FOR DELAY TIME: °
it
ADDED TO THIS
CONCRETE WILL REDUCE El JOB NOT READY DATE 5: t`i a,' RO.# U1fts0: r: 1
STRENGTH. ANY ❑ LACK OF HELP TIME 14 : VI 4 PLANT 10 PIT 00
WATER ADDED IS CI WHEEL BARROW JOB DRIVER ED WEST�HG L (Dlt:1�. 1
AT CUSTOMER'S CI WAITING FOR TRUCK TO UNLOAD GROSS 24.4-4 TRUCK # .:•'_7 TRLR #
OWN RISK. ❑ ADDING WATER TARE 1 1. 10 WEIGHMASTER •EDYE *OR*STI CY
El ARRIVED JOB EARLY NET 13. 34 I. Ot.=1D5 : T: ACCM. i 27.1 Z
WATER REQUESTED BY: CI OTHER SPECIAL INSTRUCTIONS:
MATERIAL MIX DESIGN, SSD MOISTURE CORRECTION DESIRED AMOUNT ACTUAL AMOUNT SSD CORRECTED AMOUNT
TRIM
WATER GAL./YD.
WATER/
CEMENT •
RATIO
MAXIMUM
ADD
WATER GALS.
PRODUCT # PRODUCT DESCRIPTION QUANTITY UNITS UNIT PRICE AMOUNT
TERMS: NET — DUE AND PAYABLE BY 15TH OF MONTH FOLLOWING PURCHASE. A ,
finance charge of 1 per month, or a minimum of $1.00, will be made on the unpaid 1 —
ce at the end of the following month's billing cycle. This is an ANNUAL PERCENTAGE TOTAL
OF 18 %. PERSONAL NOTICE: We reserve the right to claim lien for all labor and .} \' ` r 'f , I TICKET #
urnished on this job according to OREGON REVISED STATUTE 87.021.
RECEIVE
:Freshly mixed cement, mortar. concrete or grout may cause skin injury, Avoid contact with eyes where possible and wash exposed areas promptly with FORM 30 Revised 6/94
'y cement mixtures get into eyes, rinse immediately and repeatedly with water and get prompt medical attention. KEEP OUT OF REACH OF CHILDREN. 2 s • 9 2 2
_ _ .45f 154.1$10 .3'x /4659
111 7 1,4 'kF - •s • r r' d
s . t • • i . to VC JOB a ARRIVE PLANT
' 4 r 1
• t J, 1 VS',/43,., :. c :imm. 6j;IF cr (c t) BID #
a
i: i"' ' : " r. ; ❑ YES ct r.ti�i. "SOLD COFFMANsEXCAVATION I •
Ln
gals. to 2 h load D YES Ad•itionai Lnload
• time charged at current [ 8CHOl.I...9 t ETA IL CENTER AF: . ce
-,,.te ale. to Ooad ❑ YES hourly truck rate. . DEtaERY CHOLLS 'FERRY /NORTH DAKOTA
POINT i
ADDITIONAL WATER REASON FOR DELAY TIME ° I
•
ADDED TO THIS DATE 03/09/9 ' JOB #503 -95 -1
CONCRETE WILL REDUCE _ .038W - READY .O.#
STRENGTH. ANY CD LAC LP TIME 110 PUT 1 0 PIT �
9 DR�'VER TOM ANDROSKY
WATER ADDED IS - O WHEEL. ROW JOB
AT CU ST011AER'S ❑ : W; t , G R TRUCK TO UNLOAD GROSS 23.28 TRUCK # 5 TRL.13 ill `• s
, N OMER . ._. e o I it /, - • TAR ', ,.1 1.12 WEIGHMASTER EDYE *OR *STACY "
I'� c c `EARLY I N - 4 .2. 16 LOADS: 1 ACCM.: '12. 16 ,<
A QUESTED 81(: �; � : P u I. STRUCTIONS:
• MATERIAL MIX DESIGN, SSD 'MOISTURE ` DESIRED AMOUNT ACTUAL AMOUNT SSD CORRECTED AMOUNT ( .
•
•
TRIM
•
WATER GAL.IYD.
•
WATER/
- CEMENT
RATIO
. MAXIMUM
. ADD
WATER GALS.
PRODUCT # PRODUCT DESCRIPTION QUANTITY UNITS UNIT PRICE AMOUNT
k?00491"' :3/8 P; r:, GRAVEL PROGRESS ]. . 16 TONE
•
TERMS: NET — DUE AND PAYABLE BY 15TH OF MONTH FOLLOWING PURCHASE. A "
11 finance charge of 1 per month, or a minimum of'51.00, will be made on the unpaid , TOTAL
balance at the end of the following month's billing cycle. This is an ANNUAL PERCENTAGE 1 i f
RATE OF 18 %. PERSONAL NOTICE: We reserve the right to claim lien for all labor and _ _ ___ k� I r." —
A material furnished on this job according to OREGON REVISED STATUTE 87.021. R CEIV = + TICKET # —
I CAUTION. Freshly mixed cement. mortar • concrete or grout may cause skin injury. Avoid contact with eyes where possible ano wash exposed areas promptly with FORM 30 Revised 6/94
+ water. II an cement mixtures get into eyes, rinse immediate and repeatedly with water and get prompt medical attention KEEP OUT OF REACH OF CHIL
l
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