Sanger, CA · Fresno County
Swimming Pool Barrier Acknowledgement Form
This form records a contractor’s and owner’s acknowledgement of pool barrier and drowning-prevention features for a new or remodeled private single-family home pool or spa.
What this form is
The form applies to a new swimming pool or spa, or the remodeling of an existing one, at a private single-family home. It asks for the permit number and project address, selections and initials for drowning-prevention features, and contractor and owner signatures, printed names, and dates. The form states that the required features must be installed before the pre-plaster inspection and that the pool must be enclosed before final inspection and filling.
Who needs it
The contractor and owner for a permitted 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. The form does not list a submission address, email, or portal.
About notarization
This document is signed without a notary; it identifies no notarized or sworn attachment, so the contractor and owner sign and date it.
How to submit this form
- 1
Download The Form
Download the Swimming Pool Barrier Acknowledgement Form.
- 2
Complete The Form
Enter the permit number and project address, then select and initial the applicable drowning-prevention features.
- 3
Add Names And Signatures
Have the contractor and owner print their names, sign, and date the form.
- 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
- What does the Swimming Pool Barrier Acknowledgement Form record?
- It records the permit number and project address, the selected drowning-prevention features, and the contractor’s and owner’s names, signatures, and dates.
- Who completes this pool barrier form?
- The form includes spaces for both the contractor and owner to sign, date, and print their names for a new or remodeled pool or spa at a private single-family home.
- Do I need a notary for the Swimming Pool Barrier Acknowledgement Form?
- No. This document is signed without a notary; no notarized or sworn attachment is identified, and the contractor and owner sign and date it.
- How do I submit the Swimming Pool Barrier Acknowledgement Form?
- Submit it to the city department named on the form; check the city website for current contact details. The form does not list a submission address, email, or portal.