HomeMy WebLinkAboutDBP-66_Pool_Anti_Entrapment_Certification_Form
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ANTI-ENTRAPMENT CERTIFICATION FORM
FOR SWIMMING POOLS & SPAS
The following form is required whenever a building permit is issued to construct
or repair (re-plastering) a swimming pool, toddler pool, or spa.
STATEMENT TO BE SIGNED PRIOR TO
FINAL APPROVAL
Verification of Compliance with the “Swimming Pool Safety Act of 2006”
(Health & Safety Code 115920 – 115929)
Site Address: _____________________________________________________
Property Owner: ______________________________ Phone: ____________
Owner’s Mailing Address: ___________________________________________
I hereby certify that the swimming pool, toddler pool, or spa located a the above-
mentioned address complies with the provisions or the “Swimming Pool Safety
Act of 2006” and has been equipped with an anti-entrapment cover meeting
the current ASME/ANSI Standard A 112.19.8 as required under the
provisions of the law and have received additional information on pool
barrier requirements.
Signed: ______________________________ Date: ____________________ Owner
Signed: ______________________________ Date: ____________________ Contractor
CONTRACTOR’S INFORMATION
Company Name: __________________________________________________
California Contractor’s License Number: _______________________________
Mailing Address: __________________________________________________
Phone: ____________________ Email: ______________________________
Attachments: Swimming Pool Enclosure Requirements and Pool Barrier handout
Butte County Department of Development Services
PERMIT CENTER
7 County Center Drive, Oroville, CA 95965
Main Phone (530) 538-7601 Fax (530) 538-7785
www.buttecounty.net/dds
FORM NO
DBP-66
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Swimming Pool Enclosure Requirements
Definitions
Approved Safety Pool Cover: A manual or power-operated safety pool cover that meets
all of the performance standards of the American Society for Testing and Materials
(ASTM), in compliance with standard F 1346-91.
Enclosure: A fence, wall or combination thereof that isolates a swimming pool
from unauthorized access.
Exit Alarm: A device that makes an audible, continuous alarm sound on the doors
leading from the dwelling/garage or other structure to the pool enclosure, which, when
opened or left ajar, permits entry to the pool without any intervening enclosure device.
Exit alarms may be battery operated or connected to the electrical wiring of the
building.
Public Swimming Pool: A swimming pool operated for the use of the general public
with or without charge, or for the use of the members and guests of a private club.
Public swimming pool does not include a swimming pool located on the grounds of a
private single family dwelling.
Swimming Pool or Pool: Any structure intended for swimming, recreational bathing or
other recreational use that will contain water over 18 inches in depth. Swimming pools
include in-ground and above-ground structures and include, but are not limited to, hot
tubs, spas, portable spas and non-portable wading pools.
Other terms, words, or phrases not defined shall have their ordinarily accepted meanings
within the context with which they are used. Webster’s Third New International
Dictionary of the English Language, Unabridged, copyright 1986, shall be considered as
providing ordinarily accepted meanings.
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Swimming Pool Requirements
Drowning Prevention Safety Features
Based upon California Health and Safety Code Section 115920-115929, known as the Swimming
Pool Safety Act
The County of Butte requires either a listed, approved safety pool cover* meeting
ASTM Standard F1346-91, OR a complying enclosure* which isolates the pool from
the dwelling and remaining yard,
OR a complying enclosure* which surrounds the perimeter of the pool and dwelling, with door
alarms and self-closing, self latching devices on all doors leading into the enclosure.
*Enclosures
Minimum height of 60 inches
Access gates shall open away from pool and have self-closing, self-latching device no lower
than 60 inches above the ground.
Maximum vertical clearance of 2 inches from the ground to the bottom of enclosure
No openings greater than 1/2
. Gaps or voids shall not allow the passage of a 4 inch sphere.
Outside surface shall be free of cavities or protrusions that would serve as a foothold or handhold
that could enable a child of less than 5 years of age to climb over.
Maximum mesh size for chain link shall be a 2.25 inch square unless the fence is provided with
slats fastened at the top or bottom which reduce the openings to no more than 1.75 inches
*Pool Cover
Shall be correctly installed per the manufacturer's instructions to prevent the access of children
under five years of age to the water.
Shall be properly constructed to meet ASTM specifications and be labeled accordingly.
All ties, anchors or attachment points and controls for automatic covers must be installed in a
way to prevent operating or uncovering the poll by children less than five years of age.
The pool cover shall possess a listing that insures the original design or performance of the cover
meets. or exceeds testing as prescribed by ASTM Standard F1345-91, Section 9 Test Methods for
Safety Covers.