Millbrae, CA · San Mateo County
Partial Pool Demolition Acknowledgement
Property owners submit this acknowledgement with a building permit application for partial removal of an in-ground swimming pool or spa.
What this form is
This acknowledgement records the property owners’ commitments when applying for a building permit to partially remove an in-ground swimming pool or spa. It states that the backfilled area will be used only for open space, garden, or landscaping, that owners will address hazards from settlement, and that they will disclose the demolition when the property is sold or transferred.
Who needs it
Property owners applying for a building permit to partially remove an in-ground swimming pool or spa need to complete this acknowledgement.
How to submit it
Contact the Community Development Department - Building at 621 Magnolia Ave, Millbrae, CA 94030, or email [email protected].
About notarization
This acknowledgement is signed and dated by the property owner(s) without a notary; the document identifies no notarized attachment or sworn step.
How to submit this form
- 1
Download The Acknowledgement
Download the Partial Pool Demolition Acknowledgement PDF.
- 2
Complete The Form
Enter the property address and owner names, then sign and date the acknowledgement.
- 3
Check For Attachments
The acknowledgement lists no attachments; check with the Building Department about any materials needed for your permit application.
- 4
Contact The Building Department
Contact the Community Development Department - Building at the address or email shown on the form.
Frequently asked questions
- What does the Partial Pool Demolition Acknowledgement cover?
- It records the owners’ commitments about use of the backfilled pool or spa area, addressing settlement hazards, and disclosing the demolition when the property is sold or transferred.
- Who completes this acknowledgement?
- The property owner or owners complete it when applying for a building permit to remove an in-ground swimming pool or spa.
- Do I need a notary for the Partial Pool Demolition Acknowledgement?
- No. The document is signed and dated by the property owner or owners without a notary, and it identifies no notarized attachment or sworn step.
- How do I submit the acknowledgement?
- Contact the Community Development Department - Building at 621 Magnolia Ave, Millbrae, CA 94030, or email [email protected].
Need something notarized?
This Partial Pool Demolition Acknowledgement doesn’t need a notary — but if you have another Millbrae form that does, a commissioned online notary can help.