Pool/spa Data Sheet - Sonoma County Department Of Health Services
Download a blank fillable Pool/spa Data Sheet - Sonoma County Department Of Health Services in PDF format just by clicking the "DOWNLOAD PDF" button.
Open the file in any PDF-viewing software. Adobe Reader or any alternative for Windows or MacOS are required to access and complete fillable content.
Complete Pool/spa Data Sheet - Sonoma County Department Of Health Services with your personal data - all interactive fields are highlighted in places where you should type, access drop-down lists or select multiple-choice options.
Some fillable PDF-files have the option of saving the completed form that contains your own data for later use or sending it out straight away.
ADVERTISEMENT
1
2Sonoma County Department of Health Services
Environmental Health & Safety Section
625 5th St Santa Rosa, CA 95404
Phone (707) 565-6565 Fax (707) 565-6525
POOL/SPA DATA SHEET
For office use only
Date of App ________________________
ID# _________________
Dist # _______
Permit # ____________________________
Pool Contractors:
Complete and attach this form to your plans, one for each pool and/or spa. Submit spec sheets for pumps,
filters, skimmers, chemical feeders, and separation tanks.
Pool Name
__________________________________________________________________________________________________________________________
Pool Address
_______________________________________________________________________________________________________________________
Owner Name __________________________________________________________________________________
Phone ______________________________
Pool Contractor _______________________________________________________________________________
Phone ______________________________
Fax_______________________________
Email address_________________________________________________________________________________
Type of Pool:
[ ] Standard
[ ] Spa
[ ] Wading
[ ] Special Use
Pool Size:
_____________________________________________
Depth: _______________ ft. to _______________ ft.
Estimated Total Pool Volume (Average Depth x Area x 7.48 gallons):
Shallow end to break in slope:_______________ x _______________ x _______________
Break in slope to drain:
_______________ x _______________ x _______________
Drain to end of pool:
_______________ x _______________ x _______________
Total Volume: ______________________ Surface Area _____________________________Pool Occupancy: Surface Area
= _________________
20
Estimated Total Spa Volume (Depth x Area x 7.48 gallons):
Bench top to surface of water:_______________ x _______________ x _______________
Spa bottom to bench top:
_______________ x _______________ x _______________
Total Volume: ______________________ Surface Area ____________________________ Spa Occupancy: Surface Area
= __________________
10
Coping: Bullnose ___________________________________
Other _________________________________________________________________
Permanent Markings: Lane and depth marking line, contrasting tile at edges of steps and benches (submit tile samples).
Skimmers:
Number __________ Make & Model ________________________________ Looped or Valved separate______________________
SK Equalizers: Number __________ Pipe Size: __________ inches
Split? [
] Yes
[
] No
Distance apart:_________ inches
Sk Equalizer Entrapment Drain Covers: Make & Model _____________________________________ Floor [
] Wall [
] GPM Rating _______
Filters:
Number __________ Make & Model _____________________________________________________ Sq Ft: ________
PoolSpaDataSheetrev100411.docx
Revised October 4, 2011
ADVERTISEMENT
0 votes
Related Articles
Related forms
Related Categories
Parent category: Legal