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APPLICATION FOR RECREATIONAL HEALTH FACILITY PLAN REVIEW <br />;.:ME OF COMPLEX: <br />ADDRESS OF FACILITY: CITY: CA (ZIP): <br /> <br />OWNER/DEVELOPER: PHONE: <br /> <br />POOL CONTRACTOR: PHONE: <br />ADDRESS: CITY: CA (ZIP): <br />All Pool plans must be on at least 18" x 24" paper, drawn to scale (min. Y." per foot) <br />All Spa and Wading pool plans must be on at least 18" x 24" paper, drawn to scale (min. 1" per foot) <br />OFFICE USE ONLY — BELOW LINE <br /> <br />Major remodeling <br />Minor remodeling <br />Minor remodel <br />(Single Equipment) <br />Miscellaneous Plan <br />Review (Additional copies) <br />New Construction <br />CHECK ONE: POOL SPA WATER PARK ATTRACTION WADING POOL X <br />DCATION ON PREMISES: <br />C.) <br />CAPACITY — GAL. ) - <br />DESIGN Shape 'eQ•oc r\i <br /> MAX BATHING LOAD 2-2_ <br />Area — sq. ft. <br />" <br />GPM REQUIRED <br />Depth-shallow <br />CALC: <br />Dimensions ), <br />Depth-deep <br />Grade Break <br /> <br />Material Finish type & color <br /> <br />FILTER Mfg. re' Ir-v-1 Type icf Model No. 7/Z — / /IC <br />Quantity Total Area — sq. ft. Turnover Capacity GPM /11/ <br />PUMP mfg. CA,- Model No. <br />H.P. Capacity - GPM f r 2-cgti." &.• /1"-R'-1 JET PUMP Mfg. Model No. H.P.: GPM: <br />SANITIZER Type <br /> <br />Mfg. Model No. <br /> <br />FLOW METER Mfg. Model No. <br />''_AN APPROVED BY: DATE: