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2-3 - OOP -�E, <br /> APPOOVIR1N 1 2023 <br /> JU 2 .J <br /> Agricultural or Forestry Building Exemption Certification <br /> Equine Facility Exemption Certification MARIO V COUNTY <br /> Marion County Public Works-Building Inspection Division BUILDING_INSPECTION <br /> Marion 5155 Silverton Rd.NE, Salem Oregon 97305 <br /> County <br /> Phone:(503)588-5147 Fax: (503)588-7948 Email:buildingeco.marion.or.us <br /> OREGON <br /> Site Plan is Required-see attached information <br /> Owner/applicant name: GK Machine Inc Phone: 503-678-5525 Email: mmader@gkmachine.com <br /> Mailing address: PO Box 427 City/State: Donald OR Zip: 97020 <br /> Job site address: 20495 NE Butteville Rd City/State: Hubbard OR Zip: 97032 <br /> Parcel Information:Parcel Size: 3.6 ac Parcel No.: 041W180000500 Zone: <br /> Proposed Building Information <br /> Describe specific use of the building and items contained within Greenhouse with racking,fans,and grow light <br /> Building Data:Length: 65 feet Width: 35 feet Area: 2275 Sq/ft Height: 15 feet <br /> Type of Exemption: II Agricultural Building ❑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 a 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? @Yes o No <br /> Is the proposed structure a residential dwelling or manufactured home? oYes IN No <br /> Is the use of the structure or the items within it used for any business or commercial activities? !Yes o No <br /> If yes,please explain: growing produce <br /> Agricultural/Equine Exemption Criteria-Select all that apply: <br /> --❑-Stor-age,-maintenance,or repair of machinery,equipment,and supplies used on this farm <br /> !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 fann <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? @Yes o No <br /> Will there be farm animals(poultry excluded)within the building at any time? oYes !No <br /> Will there be farm animals(poultry excluded)on the slab at any time? oYes IN No <br /> Will the building be used for storage of feed,hay,or straw? oYes !No <br /> Will the building be used for major repair of motor vehicle equipment? oYes IN No <br /> Heating/cooIing/ventilation/mechanical @Yes o No <br /> Septic oYes @No (Any yes answer will require a separate permit) <br /> Plumbing(Please specify fixture type) oYes !No <br /> Page 1 of 5 <br />