Dana Point, CA · Orange County

No notary required

Pool Barrier Compliance

Property owners and contractors sign this form to acknowledge responsibility for meeting the city’s pool and spa safety requirements before permit issuance.

What this form is

The Pool Barrier Compliance form records an owner’s and contractor’s acknowledgment of responsibility for the listed pool and spa safety requirements. The form states that it must be signed before permit issuance and that safety measures must be in place before the required plaster inspection. It asks for the project address, permit number, owner and contractor details, signatures, and dates.

Who needs it

Owners and contractors involved in a pool or spa permit sign the form before the city issues the permit.

How to submit it

The form names Community Development, Building and Safety at 33282 Golden Lantern, Suite 209, Dana Point, CA 92629. It does not give separate submission instructions.

About notarization

This form is signed without a notary; the owner and contractor sign and date it.

How to submit this form

  1. 1

    Download The Form

    Download the Pool Barrier Compliance form.

  2. 2

    Complete The Project Details

    Enter the project address and permit number, and provide the owner’s and contractor’s requested details.

  3. 3

    Sign And Date

    The owner and contractor sign and date the form.

  4. 4

    Submit To The City

    The form identifies Community Development, Building and Safety, at 33282 Golden Lantern, Suite 209, Dana Point, CA 92629.

Frequently asked questions

Who signs the Pool Barrier Compliance form?
The form provides spaces for the owner’s and contractor’s printed names, signatures, and dates.
When must the form be signed?
The form states that it must be signed before permit issuance. It also says safety measures must be in place before the required plaster inspection.
How do I submit the Pool Barrier Compliance form?
The form lists Dana Point Community Development, Building and Safety, at 33282 Golden Lantern, Suite 209, Dana Point, CA 92629. It does not provide separate submission instructions.
Do I need a notary for the Pool Barrier Compliance form?
No. The owner and contractor sign and date this form without a notary; it does not identify a notarized or sworn attachment.

Need something notarized?

This Pool Barrier Compliance doesn’t need a notary — but if you have another Dana Point form that does, a commissioned online notary can help.