Laserfiche WebLink
, (� gricultural or Forestry Building Exemption Certificatio J <br /> {1 Equine Facility Exemption Certification —J <br /> MAY 16 2018 <br /> yet arion County Public Works-Building Inspection Division �� <br /> COtt i ty 5155 Silverton Rd.NE,Salem Oregon 97305 MARION COUNTY? <br /> Phone: (503) 588-5147 Fax: (503)588-7948 Email: building(a,co.mari ZING INSPECTION <br /> OREGON <br /> Owner/applicant name: � �// ,. Phone: <br /> 1-3Drg Fax: <br /> Mailing address: 2'O9?5L FEr. R;i-e R1 . City/State: /Old Zip:q 73 P <br /> Job site address: .S OS ,A- v __ City: —" Zip: <br /> Directions to the site: 4-4,7 a,� L. p�, �p�, 12"�,b ( i*4`G. <br /> Proposed Building Information <br /> 1. Site plan is attached(required): lyes o No <br /> 2. Type of Exemption:41-Agricultural Building o Forestry Building o Equine Facility(provide information below): <br /> o Total number of stalls or equivalent number of horses: <br /> o Total number of stalls or equivalent number of horses limited to personal use only: <br /> o Total number of stalls or equivalent number of horses anticipated to be used for commercial or trade purposes <br /> inc.boarding,training,rental,haul-in,clinics,shows,etc. (consider future plans): <br /> 3. Is the use of the structure or the items within it used for any business or commercial activities? oYes No <br /> If yes,please explain: <br /> 4. Describe use of the building and items contained within: q i'/t;� �, ( A v(Jfy‘ph , <br /> 117 -4/Q <br /> 5. Is the property in farm or forest deferral? wiYes ❑No <br /> 6. Is the proposed structure located within a floodplain? oYes -a No <br /> 7. Will the proposed structure have any of the following systems?(If yes,separate permits are required for each system): <br /> Plumbing oYes .ErNo If plumbing will be installed,what type of fixture(s)? <br /> Electrical qffes o No <br /> Septic oYes _i-No ,-7%.-re- <br /> Heating/Cooling/Ventilation/Mechanical oYes ja'l�o <br /> 8. Will this structure be used by the public at any time? oYes pt-No <br /> 9. What is the proposed maximum number of people(including employees,owners,etc.)that will be present in the <br /> building at any one time? o� <br /> 10. Where will restroom facilities be provided? 4i/4- ` i k � Ai) __ <br /> 11. Is the proposed structure a manufactured home? oYes Yz No <br /> t <br /> 12. Building Data: Length: (jC2 Width: 4 �}' Area: L, Height: /6 ' <br /> 13. Parcel Information:Parcel Size: lb. Parcel No.: 100 Zone: E wl <br /> Page 1 of 5 <br />