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d331 <br /> Agricultural or Forestry Building Exemption Certificxn <br /> Equine Facility Exemption Certification <br /> Marion County Public Works—Building Inspection Divio.o <br /> Marion <br /> Ma DEC 2 1023 <br /> anion 5155 Silverton Rd. NE, Salem Oregon 97305 <br /> County <br /> Phone: (503) 588-5147 Fax: (503) 588-7948 Email: building(a,co.makfifiNfei C,f;l of Y <br /> OREGON BUILDING INSPECTION <br /> Site Plan is Required—see attached information <br /> Owner/applicant name: Brett Fobert Phone: 503-989-7285 Email: brettfobert@yahoo.com <br /> Mailing address: 17644 Painter Loop Rd NE City/State: Hubbard OR Zip: 97032 <br /> Job site address: 17644 Painter Loop Rd NE City/State: Hubbard, OR Zip: 97032 <br /> Parcel Information: Parcel Size: Parcel No.: Zone: <br /> ApplovED <br /> Proposed Building Information <br /> Describe specific use of the building and items contained within Equiptment and storage. <br /> Building Data: Length: 150 Width: 100 Area: 15000 sq foot Height: 18 <br /> Type of Exemption: 8 Agricultural Building o Forestry Building o Equine Facility(Provide information below): <br /> What is the proposed maximum number of people(including employees, owners,etc.)that will be present in the building at <br /> any one time? 3 <br /> Will this structure be used by the public at any time? oYes U No <br /> Is the proposed structure located within a floodplain? oYes U No <br /> Is the building located on/used in the operation of a farm? PlYes ❑No <br /> is the proposed structure a residential dwelling or manufactured home? oYes PI No <br /> Is the use of the structure or the items within it used for any business or commercial activities? oYes I No <br /> If yes,please explain: <br /> Agricultural/Equine Exemption Criteria—Select all that apply: <br /> Storage, maintenance, or repair of machinery,equipment, and supplies used on this farm <br /> o Raising, harvesting, or selling crops raised on this farm <br /> o Feeding,breeding,management, or sale of livestock,poultry,furbearing animals, or honeybees <br /> o Dairying or the sale of dairy products produced on this farm <br /> o Other agricultural,horticultural, or animal husbandry used <br /> o Stabling,training,riding lessons, or clinics(Complete Equine Exemption Criteria) <br /> #of stalls/horses <br /> #of stalls/horses for personal use only <br /> #of stalls/horses used for commercial or trade purposes including boarding, training, rentals,clinics, shows,etc. <br /> Which of the following systems will the proposed structure have? <br /> Electrical ■Yes o No (Complete Electrical Wiring Criteria) <br /> Will there be a concrete slab either within or adjacent to the building? SYes o No <br /> Will there be farm animals(poultry excluded) within the building at any time? oYes C No <br /> Will there be farm animals(poultry excluded) on the slab at any time? oYes U No <br /> Will the building be used for storage of feed,hay, or straw? oYes PI No <br /> Will the building be used for major repair of motor vehicle equipment? oYes U No <br /> Heating/cooling/ventilation/mechanical oYes S No <br /> Septic oYes CNo (Any yes answer will require a separate permit) <br /> Plumbing(Please specify fixture type) oYes II No <br /> Page 1 of 5 <br />