HomeMy WebLinkAbout39415 ARDENWOOD WAY_ 06-00001840PERMIT
133
130 South Main Street
JOB ADDRESS . . . . . : 39415 ARDENWOOD WAY
DESCRIPTION OF WORK . : PUBLIC POOL
OWNER CONTRACTOR
FAIRFEILD DEVELOPMENT AQUATIC TECHNOLOGIES
23291 MILLCREEK DR S 100 32244 -A PASCO ADELANTO
LAGUNA HILLS, CA 92653 SAN JUAN CAPISTRANO, CA 92675
949 - 493 -9548
A.P.# . . . . . . 347 - 120 -020 3
OCCUPANCY . . . .
CONSTRUCTION . . .-
VALUATION . . . . . 36,240
LIC EXP 0 /00 /00
SQUARE FOOTAGE 0
GARAGE SQ FT 0
FIRE SPRNKLR
ZONE . . . . . . R-1
BUILDING
QTY
12.00
1.00
PERMIT
UNIT CHG
X 9.0000
X 5.0000
BASE FEE
VALUATION
PROFESSIONAL DEV FEE
ITEM CHARGE
352.00
108.00
5.00
PERMIT FEES
ELECTRICAL
PERMIT
BUILDING PERMIT
465.00
QTY
465.00
UNIT CHG
83.50
ITEM CHARGE
83.50
SWIMMING POOL /SPA PLUMBING
131.75
.00
BASE FEE
30.00
1.00
X
44.2500
POOL ELEC SYSTEM,PRIVATE
44.25
1.00
X
4.2500
NON RES. APPLIANCE
4.25
1.00
X
5.0000
PROFESSIONAL DEV FEE
5.00
SWIMMING
POOL SPA PLUMBING
QTY
UNIT CHG
ITEM CHARGE
BASE FEE
30.00
1.00
X
5.0000
PROFESSIONAL DEV FEE
5.00
1.00
X
81.5000
PUBLIC SWIMMING POOL
81.50
1.00
X
11.0000
WATER HEATER OR VENT
11.00
1.00
X
4.2500
GAS PIPING SYSTEM
4.25
FEE SUMMARY
CHARGES
PAID
DUE
PERMIT FEES
BUILDING PERMIT
465.00
.00
465.00
ELECTRICAL PERMIT
83.50
.00
83.50
SWIMMING POOL /SPA PLUMBING
131.75
.00
131.75
OTHER FEES
PLANNING REVIEW FEE
PLAN RETENTION FEE
SEISMIC OTHER
92.00 .W ' C01NTER 92 . dF: DF Drawer: 1
10.00 , bv: 5/01/0610 4b&b:eipt no: 6346
2006 1 6
7.61 Bp I--- lti P Rl' F 1 $1134.86
* * * CONTINUED ON NEXT PAGE * * * CK DECK 14887 $1134.86
Total tendered $1131.86
Te -_. .n.cn.nr
AML
City of Lake Elsinore 1w
Building Safety Division
Post, in conspicuous place
on the job
You must furnish PERMIT NUMBER and the
JOB ADDRESS for each respective inspection:
Approved plans must be on job
at all times:
Please AM lnitlal _
1.1 am Licensed under the provisions ofBusmess and professional Code Section 700Qat.seq. an9
My license is in full face. -
2.1._ owner of the property or my - Vloyees -/wages es their sole ooh will do & work
and the structure: is not intended or offered for sale
3. IAs owner ofam property am mdudvdy contracting with banned contractors to construct the
Project-
4. I have a certificate ofoatswt to sdsnsnm or a certificate of workers Compensation Insurance
or a certified copy thereof
5.1 shall not employ any person in any manner so as to become subject to workers Compensation
Laws in the perfiorn mm of the work for which this permit is issued.
Note: If you should become wbjeet to Workers Compensation aRer making dds certification,
you must fortis itb comply with sncb provisions or this permit shah be deemed revolted.
Code
Approvals
Date
Inspector
ELO t
T Electric Service
PLO
Sod Pipe
EL02
Electric Conduit Underground
BPOI
FootiW
BP02
IStod Reinforoenxm
BP03
Grout
BP04
Slab Garde
PLO 1
underground water Pipe
SSO 1
Roll septic system
Sw01
on site sewer
BP05
Floor Joists
BP06
iFtoor Sheeting
BP07
JETff"
BP08
JPfSbcaWng
BP09
JShw wall & Pre -Lath
PL03
IRmllhPlumbirig
EL03
Electric Conduit
EL04
JRmo Electric wiring
U05
Electric / T-B,
MEOl
1P.Quo M- M-ical
ME02
Ducts, ventilating
PL04
Rough Gas Pipe / Test
PL02
Roomains
BP 10
Imming&I'lashing
BP12
Insulation
BP13
JD,),W1Nilinx
BP l 1
& Sid'
PL99
JFinal Plumbing
EL99
lFinal Electrical
ME99
IFi.W MethsnicsJ
BP99
Final Building
Code Pool & Spa Approvals Date Inspector OTHER DIVISION RELEASES
Deputy Inspector ED, partment Approval required prior to the
P001 Pool Steel Rein. / Fans building bein released the City
POO I Pool Pi / Pressure Test
P003 Pr&Gunite i Date Inspector
EL06 Rough Pool Electric
Sub list al
P004 Pool Fencing / Gates / Alarms Finance
P005 Pre - Plaster Appmyal I En
P009 Final Pool / Spa
Ell
•
PERMIT
JOB ADDRESS . . . . . : 39415 ARDENWOOD WAY
DESCRIPTION OF WORK PUBLIC POOL
FEES: (CONTINUED)
PLAN CHECK FEES 345.00
TOTAL 1134.86
SPECIAL NOTES & CONDITIONS
COMMERCIAL POOL &SPA FOR APARTMENTS WITH
ELEC CONDUIT FOR FOUNTAIN
** PAGE 2
.00 345.00
.00 1134.86
Adik
City of Lake Elsinore
Building Safety Division
Post in conspicuous place
on the job
You must furnish PERMIT NUMBER and,the
JOB ADDRESS for each respective inspection:
Approved plans must be on job
at all times:
Please ad l■ltii
I am Lioertsod undo the provisions ofBusmess and professional Code Samson 7000 etwq. and
my license is in fial face.
2. I,as owner of the property or my employees w/wages as their sole couq>ensafion will do the work
and the stnxture is not intended or offered for sale.
3. l as owner of the property am exclusively contracting with licensed contractors to construct the
projea.
I have a certificate of consent to selfinom or a certificate of Workers Coition Instuanoe
or a certified copy thereof
5. I shall not employ any person in any man= so as to become subject to workers Compensation
Laws in the peri'ommnce oftbe work for which this permit is issued
Note: If you sboahi become subject to Workers Compeantloo aftr r mdit tbb certification,
you most fortbwitb comply with such provisions or this permit shall be deemed revoked.
Code
Approvab
Date
Ittswecter
ELOI
Temporary Electric service
PLO1
Soil Pipe Underground
EL02
Electric Conduit U
[ n
BP01
Foodw
BP02 lStM
Rein moat
BP03 lCkout
BP04 ISM
Grade
PLO 1
lunderyumd water Pipe
SSO1
IRoughSqAk System
Sw01
On site sewer
BP05
Floor joists
BP06
Floor S
BP07
1RoofEmmLq1
BP08
Roofs
BP09 Ishear
wall & Pre -Lam
PL03 JRugbPlumbig
EL03
Electric Conduit
EL04 lRousbElectricWhing
ELOS
Electric / T-Bar
ME01 lRough
Mechanical
ME02
Ducts, ventilating
PLO4
Rough Gas Pipe / Test
PL02
RoofDrains
BP10
Framing&Flwhing
BP12
lastrwm
BP13
Drywall Naiiing
BPI 1
Lathing & siding
`I' S lrt7 •h c + 7' f
PL99
Final Plumbing
EL99
Final Electrical
ME99
I Final Mechanical
BP99
Ifinal Budding
Code
Pool & Spa Approvals
Date
Inspector
OTHER DIVISION RELEASES
Deputy Ins or
Department Approval required prior to the
buildin ing released by the City
POOL
Pool Steel Rem. / Forms
>:•
P00l
Pool Plumbing / Pressure Test
P003
Pro- Gunite Approval
Date
Inspector
EL06
Rough Pool Electric
1 •
Planting
Sub list Approval
P004
Pool F / Gates / Alarms
3 •'T
Finance
P005
Pre - Plaster
��n
P009
Final Pool / Spa
APPLICATION FOR
BUILDING PERMIT
VALUATION CALCULATIONS
1st FLOOR
SF
2nd FLOOR
SF
3rd FLOOR
SF
GARAGE
SF
STORAGE
SF
DECK & BALCONIES'
OTHER: �D�r /rk
SF
�SF
VALUATION:
FEES
BUILDING PERMIT
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PLAN CHECK
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0 J catty► that -I live•read ttds appkation aid date.W ttie_
--above infonnafton is ciff d I.agrbe to cw*-wM.aq city
and county arda�arice� and sOte lairrsn�atiny to built ft
oonshuetiai; aied hereby authar¢i: di Awgs of this -
city to drier upon the above - m&&oiW-AcpeHy foi -
i° Lmoses. A
Siglnatitre:of
A p canto 'AgeF t•: Date
Agent foe _ �orltract o ' er
Agens !false
Agents Aefd '
street cap► Sfate' • _ up
Ci ty of Lake Elsinore
130 South Main Street
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APPLICATION RECEIVED
DATE - Q
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BLOCK,IPAGE L
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I am under provisions of er commencing
with section 7000) of division 3'of the busavess and professions code,and my
kense is in tua force and eft
LICENSE i t ITY BUSINESS
AND CLASS 7 �} 1-7, TAX �
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NUMBER OF NUMBER OF
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!►FLEA 3 .. : _ NO
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gogO AEI2CIAL •
0=1NDUS.iRik •
SPRINKLERS. YES
REQUIRED? NO
CI REPAIR-.- =
PROPOSED USE OF BLDG:
PRFSENT USE-OF eLW
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JOB DESCRIP'_ TION
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APPLICATION FOR PERMIT
ELECTRICAL / PLUMBING / MECHANICAL
I h=by cu ft mat I have imd dib aWimdm &W state that the
above nitarmation is eoawL I agix m eom* with an city m d cmwy
ordimnms and state laws niamg to ba3ftM axisbucbm and bmoby
anmori p represcaudm of this city to eater apw the abov&a ntiooed
for iostcctim lw+Pos•
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AG@iT FOR: tt CI�OR OWNER
AGENTS NAME l�
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city sate
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New Res. Multi Famo/ SQ. FT.
&w Ries. eFamily./ $Q. M—
FW 6lQctric. stetrti Prit�te -:
Svdubm / 1st 20 -
Switdm / Over 20 =
Outlet /1st 20
Rm acl'e Outid / Over -20
F�xttuqs /- Ist_20
Fixda+ts / Ovar�O - � '
Rg9&atW_Fgmd Wmm /Outlet
Nm-ResidmtW ti—Ame % Quda
100 - 200 S&Wce < 6WY
200 -1000 Amp Service < 600V- -
Mtsc ar� Cdnduits, Etc f
Btan& atwit
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F.AU. / Pumake l list / 100000
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lionise is in tall fwoe and effect.
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LICENSE 8 'lt' ��+,� CITY BUSINESS
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of LaTe Elsinore
Main Stred
APPLICATION 0
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APPLICATION DATE:
Ire or Try
U. / Furnace./ Ducts-/ Vents
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F.AU. / Pumake l list / 100000
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and Prof mim Code, and my
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tJciit Heater /Wall Heater -
r Heater / Vent
Install I Relocate / Rcplaw Vent -'
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Collaxcr pei 'Panel
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Ait Handler > f0000 CFM.
i Sprinider System
Air.Handler < 10000 CFM
flaw Device Smaller than 2"
Fire_
Dow Devio_e EaW than Y
Registers
Drain_
Sink
Com / Fl 3 - 15 H.P.:
r SQVice
/ Heatpwng IS.- 30 H.P.
a 'r Drain o r Vent - -
/ -30 = 50 .Ei .:
Orinucts Ow Building -
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3360
American Standards Testing Laboratories
8246 PHLOX STREET DOWNEY, CALIFORNIA 90241 (562)806 -5508
TEST MADE FOR:
JOB IDENTIFICATION:
LOCATION IN STRUCTURE:
COMPRESSION TEST REPORT
Max Sitter
P.O. Box 3454
Fullerton, CA 92834 -3454
Swimming Pool & Spa
39415 Ardenwood Way, Lake Elsinore
Swimming pool & spa - deep end.
FIELD DATA
Mix Designation:
4.2 -1
Specified PSI @ 28 Days:
2000
Admixture:
N.I.
Slump:
N. A.
Concrete Plant:
Prestige
GuniteSamples Made By:
Mel
Cement Type:
Portland
Date Samples Delivered:
6 -30 -06 by Client
Dace Cast:
5 -31 -06
LABORATORY DATA Gunite
LAB. NO.
MARK
DATE
TESTED
AGE
DAYS
AREA
COMPRESSIVE
STRENGTH PSI
REMARKS
8663
E
7 -7 -06
37
9.29
5020
Respectf 3 tt
Liseck
AUG 03 'e6 05=41 PAGE.01
_ _- - - _ _ _ . -_ __ - _ - � � -'.'Y� •.- '\Jti'C_ .. - �J.. .A. M. �.-M i•�' M1'ti.'���C.r�{I+/.t J+`:1rYK�IVr.,y���_
• COUNTY OF RIVERSIDE - COMMUNITY HEALTH AGENCY
DEPARTMENT OF ENVIRONMENTAL HEALTH
SVVEMMMG POOL INSPECTION REPORT
SITE #
FACILITY 0: [ POOL
DISTRICT #:
TIME IN:
TIME OUT:
DATE
Rol to eased 10 ppra
[ }SPA
A�rmr c7zam»s 0 100 ppm or fees
I 1 4
esa'atr5r wad claft tnu:m den to be decry
I` 17-07
FACILITY OBA:
OSA ADDRESS: q-L!530
REINSPECTION DATE
g�p�
A�t�tnw c�- U�Ja Lois. E1s�ro+�
.
OWNERS E: PROPERTY MGMT-.
PHONE NO.
FA,rfi da
Mailing Address:
Cdr:
State:
2 3 a c A t \\ c-r -eAJC Dr.
L& .,ino• i 115
014
Service:
PH
Chlorine Residual PPM:
Cyan "M PPM:
Howrate PM:
Spa Temp
OF
THE MARKED ITEMS REPRESENT STATE AND COUNTY HEALTH & SAFETY VIOLATIONS AND MUST BE CORRECTED- AS FOLLOWS:
,a •
WATER QUAI=
( ) 1.
A1gMeft pH 7240
1 I 2
tin Free tldaKze rr dsR at 1.5 tM
Rol to eased 10 ppra
I I s
A�rmr c7zam»s 0 100 ppm or fees
I 1 4
esa'atr5r wad claft tnu:m den to be decry
vbn tram pod deck
I 1 5.
Prafe test 0 ea prt�dses
1 I 6
Prmr`.rie apyrwre0 barldvar<h vft legal of w
I 1 7
Spa om to avaed 10e'F
I 1 a
plaft dt:mtme tats m pool
st6rkmer(s)
OA1U AND FEN=
1 1 3 11 -1 - qM$ acrd doors to be se0•cb tp cad
sotwbg
[ I >n Pw=X t0 be atrl=d wCh 1 ft ft
6MEL epw!x04tL W!"
I I IL » tag to Ow apes
POOL/SPA STATUS: I [ OPEN
,,ICLOSED
RE2 MU ATION EQIRPME F
12 Prone amr- mtarls of reckcdadw system In
tmWorder
[ 1 RUM
tic
I1Gaws
Fborider
l l P�aa
I I S
1 MaN area
POOL SHEUAELATED FACILITIES
13 ft ft the g In dean cmMW
gad MP&.
t I Oedtg ad cwft
1 1 Tnes at 1 rr-1 / sun
l 1 Pad SW
IIOep Ams
I l ladder. Iranftns. Mad steps
RESTROOMS / SHOWERS / DRESSING ROOMS
14. bSa'ala'm tee WcrwS m good rte awl than
Conte
[ 1 Showers and Oresita Areas
( I Unets and S'niks
l 1 Soap Mad tmrrd dispenses
SAFETY EQUIPMENT
15 Prmdde the faBowirtg safety signs:
I 1 No Lftuard On D*
I I No Ogg
[ I Diagrammatic artlncial respiration
[ I Pod capedh/Spa cawhy
[ 1 Emapry phone member (911)
[ 1 Spa mi imt codes
l 1 18 Pmvlde Ife dng wtlh 9tached rope long ertmO
to span max. with of pod
( ) 17. Provide 12 W reswe pole with securely aftwJW
b* hook
[ 1 tS Provide dearty bwm enegetcy shut off
switch at ft-spa
REFER TO REVERE SfOrwc* SECTIONS ON ABOVE VIOLATIONS AS WELL AS ADDITIONAL VIOLATIONS
BLYM r iND10 PALM SPRINGS RIVERSIDE HEMET
qq SM -78M p60) 863$287 � 3241048 (951) 358- 5172 (951) 766 - 2824 (;t
08FSAta_IM ptv 4" �: 1st COPY-4)w w. 2nd COPY —Fie P
ADDITIONAL VIOLATIONS ANO /OR REMARKS
'J. 60- kA W
r �• AtefS
'91 eJ. I A o rOV1 -6- rC C wj VC1.i O-
�rYf �c�
t7►• 1 —ea., Y 5 C7
_
CJ Cr t _ Orl
f
RECEIVED BY.
ENVIRONMENTAL HEALTH SPECIAUST:
REFER TO REVERE SfOrwc* SECTIONS ON ABOVE VIOLATIONS AS WELL AS ADDITIONAL VIOLATIONS
BLYM r iND10 PALM SPRINGS RIVERSIDE HEMET
qq SM -78M p60) 863$287 � 3241048 (951) 358- 5172 (951) 766 - 2824 (;t
08FSAta_IM ptv 4" �: 1st COPY-4)w w. 2nd COPY —Fie P
rv" - ............
,+r.*.+.+.:�
WATER QUALITY It
1. Maintain the pH between 7.2 and 8.0 (65529)
2. (a) Maintain a free chlorine residual of at least 1.0 ppm at all times
(65529)
(b) Maintain a free chlorine residual of at least 1.5 ppm when cyanudc
acid is used (65529)
3. Maintain the level of cyanudc acid at or below 100 ppm (65529)
4. Eliminate cloudiness and maintain pool water In a clean and clear
condition (65527)
(a) Eliminate dirlAeaves/debds from the pool (65533)
(b) Eliminate algae growth from the pool (65533)
5. Provide an approved pool water test idt which will measure free chlorine
residual (65529)
6. There shall be no direct connection of the pool or its recirculation system
with a sanitary sewer or drainage system (3137.132)
7. Limit spa pool temperature to a maximum of 104OF (31358.2)
8. Discontinue placing chlorine tablets in the pool skimmer(s) (65531)
Discontinue use of the floating chlorinator (65531)
GATES AND FENCING
9. Provide/maintain a self- closing gate/door to pool area with self -
latching hardware at least 42" above finished grade. (3118B.2)
10. Pool/Spa to be enclosed with approved fencing. (3118B.1)
11. Repair the pool fence/enclosure. (3118B.1)
RECIRCULATION EQUIPMENT (65525/3123B)
12. (a) Repair/ replace / backwash / and / or clean the filter.
(b) Provide / repair or replace automatic chlorinator, maintain the
automatic chlorinator filled and operational.
(c) Provide / repair or replace the influent/effluent pressure gauge(s)
(d) Repair or replace the recirculation pump.
(e) Provide / repair or replace the flowmeter.
(f) Provide proper, adequate skimming action in the pool; Replace
broken or missing skimmer strainer basket; Replace broken or
missing skimmer weir assembly. Replace broken or missing
skimmer diverter valve assembly
(g) Secure or replace drain cover with approved type cover, which
can only be removed with tools. (31348.3)
POOL SHELLIRELATED FACILITIES
13. (a) Replace broken or missing coping and / or eliminate trip and fall
hazard of deteriorating or uplifting decking in pool area (65535)
(b) Replace broken or missing pool tiles (65535)
(c) Repair pool shell (65535); Clean pool shell and / or water line tiles
(65533)
(d) Replace broken / missing / unreadable depth marker tiles
(3109B.4)
(e) Secure / repair / replace loose stair handrail(s), ladder / ladder
step tread(s), grab rails (31108)
RESTROOMS/SHOWERS/DRESSING ROOMS
14. (a) Maintain restrooms, showers, and dressing rooms in a clean and
sanitary condition (65535); Showers and lavatories shall be
provided with hot and cold water. A means to limit the hot water
to a maximum of 110°F shall be provided (3115B.4); Provide
soap in soap dispensers or containers in showers (65551) .
(b) Maintain toilets, urinals, sinks, and showers in clean condition
and in good repair (65535)
(c) Provide soap In permanently installed soap dispensers, sanitary
towels, hot air blowers, and toilet tissue at toilet facilities
(65551c)
SAFETY EQUIPMENT 3 .
15. (a) Post a legible sign stating "WARNING -NO LIFEGUARD ON DUTY"
In letters at least 4" high. In addition, the sign shall state
"CHILDREN UNDER THE AGE OF 14 SHOULD NOT USE POOL
WITHOUT AN ADULT IN ATTENDANCE'. (65539 c)
(b) Post a legible 'NO DIVING ALLOWED' sign in letters at least 4'
high. (31198.2)
(c) Post a legible sign with a diagrammatic illustration of artificial
respiration procedures. (65539 d)
(d) Post a legible sign stating the maximum occupant capacity in
letters at least 4' high. The maximum occupant capacity for a
swimming pool shall be one bather for every 20 sq. fL of pool
surface area and for a spa pool one bather for every 10 sq. ft. of
spa surface area. (3119B.1)
(e) Post a legible emergency telephone number on a sign by the
pool. (9 -1 -1 is recommended).) (65539 d)
(f) Post a legible spa precaution sign stating the following language:
CAUTION
Elderly persons, pregnant women, Infants and those with health
conditions requiring medical care should consult with a physician
before entering a spa.
Unsupervised use by children under the age of 14 is prohibited.
Hot water immersion while under the Influence of alcohol,
narcotics, drugs or medicines may lead to serious consequences
and is not recommended.
Do not use alone.
Long exposure may result in nausea, dizziness or fainting.
(3119B.5)
16. Provide a life ring with an attached length of rope of sufficient length to
span the maximum width of the pool. The life ring must be min. 17' In
diameter. (65539e)
17. Provide a body hook permanently attached to a pole at least 12 ft. in
length. The rescue pole must be readily accessible to pool users.
(65539e)
18. An emergency shut =off switch, the switch shall be labeled with a
legible sign stating "SPA EMERGENCY SHUT -OFF SWITCH'. (680 -13)
ADDITIONAL VIOLATIONS
19. Raise / lower water level to the mid -point of the slimmer opening
(65533)
20. Animals are prohibited in the pool and pool area (655338)
21. Provide / repair or replace underwater lights (3114B.2)
22. Maintain underwater pool light(s) "on" during all times the pool is open
for use after dark. If the pool is not separately enclosed, maintain pool
light(s) on during entire night time hours (3114B)
23. Provide a minimum turnover rate as follows: Swimming pools - 6
hours, (built before October 1982 - 8 hours), spa pools -1/2 hour,
wading pools -1 hour. Required min. flowrate = # gal. in pool/req.
turnover x 60 (3124B)
24. Clean the pool equipment room (65535).
25. Correct specified items relating to the das chlorination system (65547)
26. The pool(s) were not accessible or only partially accessible for
Inspection.
Please contact the Inspector to make arrangements for a complete
Inspection of the pool and pool area (116055)
27. Every pool shall be under the supervision of a person who shall
assume responsibility for compliance with all requirements relating to
pool operation, maintenance and safety of bathers (65521)
28. Maintain a log noting disinfection residual, pH and maintenance
procedures (65523)
29 Eliminate deck obstruction (3113B.1)
30. G.F.I. -shall be in operational condition (116049.1)
31. If, In the opinion of the enforcing agent, a pool Is maintained or-
operated In a manner which creates an unhealthful, unsafe, or
unsanitary condition the pool may be closed by the enforcing agenL
Such a pool shall not be reopened untH correction Is made, and
upon, specific witten approval of the enforcing agent. (65545)
'- COUNTY OF RIVERSIDE - COMMUNITY HEALTH AGENCY
DEPARTMENT OF ENVIRONMENTAL HEALTH
SWDDdlgqG POOL INSPEMON REPORT
SITE 0
FACILITY # rffl POOL
p>la5da9n pH 7.240
DISTRICT #:
TIME IN:
TIME OUT:
am
4
I
WSPA:
MeMen walar dft wieft *90 to be dearly
12
vbft from PW do*
22
Rome test ichun; F bes
FACILITY Bat
PrarEde approved batbrtslr un too er Wv
7.
DBA ADDRESS:
CA
REINSPECTION DATE
sitmMIS)
Ayder, U-j Lvo, .0
OWNER'S -NAME:
PROPERTY M6MT-.
PHONE NO.
RECEIVED BY-
ENqONMENTAL HEALTH SPECIALIST'
Ma" Address:
CW_
State:
Service:
pw�km�; I ff
CNwblk qesl&w PPM:
Cyam"t rpm 17�v
0 !yrd,10 6F,mi, pc
Spa Temp
THE MARKED ITEMI REPRESENT STATE AND COUNTY HEALTH A SAFETY VIOLATIONS AND MUST BE CORRECTED AS FOLLOWS:
WATER QUALITY
1.
p>la5da9n pH 7.240
I
Free ChIft resIM x11.5 M
4
Hat to eceed 10 ppa
4
- 4 1 1, cywmrauts at 100 ppm W toss
I I IL
MeMen walar dft wieft *90 to be dearly
12
vbft from PW do*
22
Rome test ichun; F bes
a
PrarEde approved batbrtslr un too er Wv
7.
Spa tautperdwe rat to awed IOVF
Oj=rfta.VkCjZg dtcr5m ably to pat
+ X�. J.L ij
sitmMIS)
GATES AND FECOIG
a tda5Ga3r VMS ad ftais to be WO-daft and
sah!dft
a Podspa to be emdused Wn approved fenft
"m aI * g 4 h vft)
I It Medea to to good repair
POOLISPA STATUS: I.J. OPEN
I I CLOSED
RECUOUIMEMIUVW
V. Provide Sparta ip g I of mdmddm system In
Hood wwIft ardw.
FM=
C111F 11
ROW
Sibunus
I I Men Drain
POOL SKELURELATED FACILITIES
13. ftft the ft9trAft In dean cmMW
good repidr
DeckbV and cop!ng
Tees ad-In in Iswes
P she?
OMM noke
UZI Lantos. Itaa 1 .9 ad steps
RESMOMS I SHOWERS i DRESSING ROOMS
14. Ma%len the la"ar6tp In good repair and dm
omurL'tEort
Stmers and Omsslag Areas
Tatets ad Mft
soap and wal "I osas
SAFETY EQlJlPNW
is ftW the mDwklo safety dons.
No 11"jard On D*
No Dift
DiaWarnmak a►dftial resphlim
Pool calultilYISIN capa*
Emu7M phone murber (911)
Spa M1111 Riles
16 Provide Iffe ring wfth a Wdred rope big enough
to span mn width of pool
17. Provide 12 It mwA pole wfth securely aftwhed
body IlDok
19 Provide dearly labeled emergency shut off
switch at the Spa
POOLAPA CLOSED DUE TO THE FOLLOWING CONOMONS:
I
No free ddarine MI"
I
EwmWn chlorin residual (over 10 ppm)
4
Heavy alm Wowth
4
Main draln caiural be seen due to poor water
darlty
12
Main draW(s) cover(s) mInN or loose
22
Loose or mlsft underwater "
31•
Any wdsft coridillm which aaddl actually or
owtally threaten the pibk he^ wdn. or
safety
REFER TO REVERSE SIDE FOR CODE SECTIONS ON ABOVE VIOLATIONS AS WELL AS ADDITIONAL VIOLATIONS
BLYTHE INDIO PALM SPRINGS
(760) 921-7861 M0) 8M4W (7M 320 -1048
GBfUWIM gtrf 4*0 Ckbbftt WHRE--OWAP- Is[ COPY—Owrw. 21W COPY-4b
RIVERSIDE HEMET MURRIETA'
(951) 358-5172 (951) 7%-M4 (951) 461Q�
PAdE-- OF
ADDITIONAL VIOLATIONS AND/OR REMARKS
A 5
+ X�. J.L ij
A( -o?kl L $4 4
RECEIVED BY-
ENqONMENTAL HEALTH SPECIALIST'
REFER TO REVERSE SIDE FOR CODE SECTIONS ON ABOVE VIOLATIONS AS WELL AS ADDITIONAL VIOLATIONS
BLYTHE INDIO PALM SPRINGS
(760) 921-7861 M0) 8M4W (7M 320 -1048
GBfUWIM gtrf 4*0 Ckbbftt WHRE--OWAP- Is[ COPY—Owrw. 21W COPY-4b
RIVERSIDE HEMET MURRIETA'
(951) 358-5172 (951) 7%-M4 (951) 461Q�
PAdE-- OF