|
Nov-09-98 12:02 P.01
<br />:EL:1- 9-369-0435 Nov .O398 15:25 No.004 P.01
<br />Atimmeammersimmoommammamsommearmaso CPTO POOLS INC.
<br />SAN JOAQUIN COUNTY PUBLIC HEALTH SERV-ICES •
<br />ENVIRONMENTAL HEALTH oxyrsicar 445 N. Sari Joaquin it., P.O. Box 2009. Stockton, CA 95201, (209) 468-3420
<br />rtESPONSIEMITY FOR CONSTRUCTION OF POOL ANCILLARY STRUCTURES
<br />4-
<br />-AcirtraasafC y/Z-Ip —7--)6 L Datc, Plana
<br />Projact Naze
<br />raaafCity/Zip
<br />'5-2 4/ /
<br />Pool Contractor-
<br />
<br />Addreee/City/Zip
<br />
<br />Contact Perecn Phone
<br />sliqykRs4 DeaSsitiO FACILITIES, Ton.571 lAyeT41111....091KINq FOUNTAINS AHp Nee tism
<br />i am easpongible for the conetruction of thy shovers, dreoxing facilities, toilets, levetoriee, drinkIno fountains and/cr hoae
<br />bfbbc (including proper ventilation for the dressimg end toilet rooms) at the above mentioned poolYspe project to the
<br />specifications described in :he .. ifornia Code of Reeuletions, Title 22, Sectien 65531 end Titie 24, Section 9021, 4022, 4023
<br />'....Z Slimed
<br />arid 9026 ic I am knouled A le.
<br />-111.---)
<br />.. .“ NI,
<br />I
<br />. *
<br />.„6.-,_
<br />Title .,171 4,------i)1-1-ihzeo, Pete )411.0ke'L,;:51
<br />ComPerlY ..(e;7_=.....EhD.-.==&Xf.., Address 1.2.-Z) --614^Ci7eQee-crti Phone
<br />at the above nttoned poet/spe project to the specifications described In the California Code of Reguletioos, Title 24, Section
<br /> Title tiete J
<br />Address okc'e Phone
<br />FENCINIARO QALES
<br />I am reeponsible for the constructionJof the fencing end Oates enclosing the pOol/spa at the ibove mentioned pool/spa project
<br />to the aped i tit3ps desert in the California Code ofReguletionsOitle 24, Section 9024 of which I am knowledgeable.
<br />11 .i....--.
<br />4f
<br /> 7":' Sienod Title Z21,11]. eplity4-1-0)--- Date
<br />Company :7) -2eN/leV i'----le--5,/....- i - Addrilie 12,0 -:.lollee•!.4!..Q,V.,<!--",...4.."D Phone :5 2.-.i
<br />pcm eciumfmT Plp OAS CHLORINATION ETIPMENT Rom
<br />I em reaponsible for the construction of the pool equipment room erd/or gas chlorination equipment room at the above mentioned
<br />pool/epe project to the specific ions cr(brd in the Wifornis Code of Regulations, Title 24, Section 9027, 9028, 9045, and
<br />3-680-12 of h I m knowl
<br />Signed Title 7 \ eP,'v4-jI pet*
<br />Company en NV, Yl." Addroair 4i7D nira,---_,1.0-3 Phone
<br />INDOOR 13001, VEtiTILATIOM
<br />1 em reeponsibie for the construction of the Indoor poet ventilation at the above mentioned pool/pa Project to the
<br />specifications d,rjb.U, in the wifornis Code of Regulations, Title 24, Section 9026 of which I em knowledgeable.
<br />Owner/DavolOper 3.532ttust,, 'S ---
<br />Phone
<br />eQ0LISPA OE_CK_AN2 ELECTRICAL RECEPTACLF OUTLET
<br />I am responalble for the construction of the pooL/spe deck und/or electrical receptaCle outlets within 20 ft. of the pool/spa
<br />9018, o jpij ofowh knowledgestble.'
<br />Stoned
<br />Coepeny
<br />Sigmed
<br />
<br />title
<br />Address
<br />
<br />Date
<br />
<br />'ZwipAny
<br />
<br />Phone
<br />
|