Pool & Spa Renovation Worksheet
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2Pool & Spa Renovation Worksheet
Name of Facility:____________________________________________________________PR:___________SR:________________
Site Address:_____________________________________________________City:________________________________________
Contractor:_____________________________________________License #: ____________License Type:_____________________
Telephone:__________________________Fax:_________________________Email:_______________________________________
Circle One:
POOL
SPA
WADER
WATER FEATURE
Scope of Work: (check all that apply): Include all modifications, upgrades, & additions that will be done during the renovation-
regardless of whether multiple contractors are performing the work. The scope of work may require additional plan submittal.
Resurfacing- White Plaster
Splitting suction outlets
Solar System Installation
Water line tile
Coping (Provide detail)
Fencing (Provide fence plans)
Trim tile
Replace surface skimmers
Replace plumbing
Depth markers
Decking
Depth change (ie. Shallow)
Breakline tile @ 4 ½ foot depth
Deck depth markers
Other Remodel:____________
Hand rails (Provide detail)
Bring equipment out of pit
Drain covers
Deep end exit ladder/grab rails
Equipment addition/change
Pump replacement
Pool or Spa Information:
Suction Pipe:_______in.
Surface Area
Volume
Depth(s)
Return Pipe:________in.
_____________________sq.ft.
____________________gallons
Min:________Max:________
Piping Type:_____________
Equipment Information:
Recirculation Pump
Drain Covers
NEW
Make:_____________________Model:_____________________Hp:_______
Make:____________________________
EXISTING
Min flow:___________________gpm Max flow:___________________gpm
Model:___________________________
Split Main Drain
Unblockable Drain
Single Drain + SVRS:___________
Floor
Wall Max Flow:____________
Jet System Pump
Drain Covers
NEW
Make:_____________________Model:_____________________Hp:_______
Make:____________________________
EXISTING
Model:___________________________
Split Main Drain
Unblockable Drain
Single Drain + SVRS:___________
N/A
Floor
Wall Max Flow:____________
Filter
Backwash:
NEW
Make:______________________Model:_______________Type:__________
EXISTING
Chlorinator
NEW
N/A
Make:__________________________Model:__________________________
EXISTING
Salt Chlorine Generator
NEW
N/A
Make:_____________________Model:__________________Quantity:______
EXISTING
NEW
Skimmer(s)
Equalizer Drain Covers
Make:_____________________Model:__________________Quantity:______
Make:___________Model:___________
EXISTING
Flow Meter
NEW
N/A
Make:_____________________________Model:________________________
EXISTING
NEW
N/A
Solar System
Separate pump system
Submit a detailed plumbing schematic
EXISTING
Bypass Loop
Bypass Loop w/ booster
For office use only:
Approved
Rejected
By:________________________ Date:____________________________
For required inspections
Plumbing
Pre-Plaster
Final
Contact:_____________________________________________________
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