Kingsburg, CA · Fresno County
Drowning Prevention Acknowledgement
This acknowledgement records pool-safety selections and signatures from property owners and contractors for a new or remodeled swimming pool or spa at a private single-family home.
What this form is
Owners and contractors complete this acknowledgement for a new swimming pool or spa, or a remodel of an existing one, at a private single-family home. It asks them to select and initial at least two drowning-prevention safety features, review barrier requirements, and provide signatures, dates, printed names, and the project address. The form states that the features must be installed or declared at the Pre-Plaster inspection.
Who needs it
Property owners and contractors involved in a new or remodeled swimming pool or spa at a private single-family home complete and sign this acknowledgement.
How to submit it
Submit it to the city department named on the form; check the city website for current contact details.
About notarization
This document is signed without a notary; the contractor and owner sign and date it, and no notarized or sworn attachment or related step is mentioned.
How to submit this form
- 1
Download the Form
Download the Drowning Prevention Acknowledgement PDF.
- 2
Complete the Selections
Choose and initial at least two listed drowning-prevention safety features, and review the barrier requirements.
- 3
Add Signatures and Project Details
The contractor and owner sign and date the form, print their names, and provide the project address.
- 4
Submit to the City
Submit it to the city department named on the form; check the city website for current contact details.
Frequently asked questions
- Who completes the Drowning Prevention Acknowledgement?
- The form provides spaces for the contractor and owner to sign and print their names, and asks for the project address.
- What does the acknowledgement ask me to select?
- It asks the signer to choose and initial at least two listed drowning-prevention safety features and review the barrier requirements.
- Do I need a notary for the Drowning Prevention Acknowledgement?
- No. The contractor and owner sign and date this document; it does not mention a notarized or sworn attachment or related step.
- How do I submit the Drowning Prevention Acknowledgement?
- Submit it to the city department named on the form; check the city website for current contact details.