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17D-012 (73) BP-2023-0268 491 BRIDGE RD COMMONWEALTH OF MASSACHUSETTS Map:Block:Lot: 17D-012-001 CITY OF NORTHAMPTON Permit: Swimming Pool PERSONS CONTRACTING WITH UNREGISTERED CONTRACTORS DO NOT HAVE ACCESS TO THE GUARANTY FUND (MGL c.142A) BUILDING PERMIT Permit# BP-2023-0268 PERMISSION IS HEREBY GRANTED TO: Project# POOL 2023 Contractor: License: PIONEER VALLEY FIBERGLASS Est. Cost: 159420 POOLS &SPAS LLC 064314 Const.Class: Exp.Date: 11/05/2024 MEADOWBROOK PRESERVATION ASSOCIATES Use Group: Owner: LTD PARTNERSHIP Lot Size (sq.ft.) PIONEER VALLEY FIBERGLASS POOLS & SPAS Zoning: URB/WP Applicant: LLC Applicant Address Phone: Insurance: 3 WESTERNVIEW RD 413-221-8358 WWC3583546 HOLYOKE, MA 01040 ISSUED ON: 03/13/2023 TO PERFORM THE FOL L O WING WORK: REPLACE POOL POST THIS CARD SO IT IS VISIBLE FROM THE STREET Inspector of Plumbing Inspector of Wiring D.P.W. Building Inspector Underground: Service: Meter: Footings: Rough: Rough: House # Foundation: Final: Final: Final: Rough Frame: Gas: Fire Department Driveway Final: Fireplace/Chimney: Rough: Oil: Insulation: Smoke: Final: THIS PERMIT MAY BE REVOKED BY THE CITY OF NORTHAMPTON UPON VIOLATION OF ANY OF ITS RULES AND REGULATIONS. Signature: 6ar . )9. .• , Fees Paid: $1,116.00 212 Main Street,Phone(413)587-1240,Fax: (413)587-1272 Office of the Building Commissioner 1 I�AR _ 6 2023 The Commonwealth of Massachusetts u Office of Public Safety and Inspections __._ ' Massachusetts State Building Code(780 CMR) GUFE f!1N^iB. pg;'ernut Application for any Building other than a One-or Two-Family Dwelling (This Section For Official Use Only) Building Permit Number: Date Applied: Building Official: SECTION 1:LOCATION L$Cil 13 r i dtc l?d. 1l or eAn c e , M A o)olo a fig lw,�„fs No.and Street City/Town Zip Code Name of Building(if applicable) 17 D -D1a-06) Assessors Map# Block#and/or Lot # SECTION 2 PROPOSED WORK Edition of MA State Code used If New Construction check here 0 or check all that apply in the two rows below Existing Building 0 Repair 0 Alteration 0 Addition❑ Demolition 0 (Please fill out and submit Appendix 2) Change of Use 0 Change of Occupancy 0 Other Er Specify: 1- ibex 514 S f 5 w;►+4.14 i vt 5 Pop/ Are building plans and/or construction documents being supplied as part of this permit application? Yes GY No 0 Is an Independent Structural Engineering Peer Review required? Yes 0 No V Brief Description of Proposed Work: 1Ze e)4(e rws).:1•%j pool w;11, 4°' herylais ()#ol SECTION 3:COMPLETE THIS SECTION IF EXISTING BUILDING UNDERGOING RENOVATION,ADDITION,OR CHANGE IN USE OR OCCUPANCY Check here if an Existing Building Investigation and Evaluation is enclosed(See 780 CMR 34) 1] Existing Use Group(s): a), a), g if Proposed Use Group(s): Sannn e. SECTION 4:BUILDING HEIGHT AND AREA Existing Proposed No.of Floors/Stories(include basement levels)&Area Per Floor(sq.ft.) _ — — — • Total Area(sq.ft.)and Total Height(ft.) 56(d.8' l y00 s4 96 hi 44o . SECTION 5:USE GROUP(Check as applicable) A: Assembly A-1 0 A-2 0 Nightclub 0 A-3 0 A-4 0 A-5 0 B: Business 0 E: Educational 0 F: Factory F-1 0 F2 0 _ H: High Hazard H-1❑ H-2 0 H-3 0 H-4 0 H-5 0 I: Institutional I-1 0 I-2❑ I-3❑ I-4❑ M: Mercantile❑ R: Residential R-10 R-2 0 R-3 0 R-4 0 S: Storage S-1 0 S-2❑ U: Utility 0 Special Use 0 and please describe below: Special Use Description SECTION 6:CONSTRUCTION TYPE(Check as applicable) IA IBD HA CI IIBCI IIIA 0 IIIBC IV 0 VA CI VB 0 SECTION 7:SITE INFORMATION(refer to 780 CMR 105.3 for details on each item) Water Supply: Flood Zone Information: Sewage Disposal: Trench Permit: Debris Removal: Public 0 Check if outside Flood Zone 0 Indicate municipal 0 A trench will not be Licensed Disposal Site 0 Private 0 or indentify Zone: or on site system 0 required 0 or trench or specify: permit is enclosed 0 Railroad right-of-way: Hazards to Air Navigation: MA IHistoric'•Commission Review Process: Not Applicable 0 Is Structure within airport approach area? Is their review completed? or Consent to Build enclosed 0 Yes 0 or No 0 Yes 0 No 0 SECTION 8:CONTENT OF CERTIFICATE OF OCCUPANCY Edition of Code: Use Group(s): Type of Construction: Does the building contain an Sprinkler System?: Special Stipulations: Design Occupant Load per Floor and Assembly space: SECTION 9: PROPERTY OWNER AUTHORIZATION Name and Address of Property Owner MPrAtrudbrook lPres cry Af. ^ Assoc t-to No.,t.she e aDlc vie' S).• SI-e5O0 ga_51-0..-+ MA Oa)09 Name(Print) No.and Street City/Town Zip Property Owner Contact Information: (areyshA 5at44a�o wIr H)3 -5V1-75)0 �Sa��.a o� QoFhcor�,►« nc�tis.ca►.+ Title Telephone No.(business) Telephone No. (cell) e-mail address If applicable,the property owner hereby authorizes: Pedro L.vciatno Nql 3rA c_ Rd, rIvrunce, MA 010(oa Name Sti&t Address City/Town State Zip to apply for and act on the property owner's behalf,in all matters relative to work authorized by this building permit application. SECTION 10:CONSTRUCTION CONTROL(Please fill out Appendix 1) If a building is less than 35,000 cu.ft.of enclosed space and/or not under Construction Control then check here O. Otherwise provide construction control forms(see section 107 in the code)as required. 10.1 Registered Professional Responsible for Construction Control(the professional coordinating document submittals) CIOM( kaye- tl3_ZZZ_ 331/s- r,t�'n 0 pvC9668.cew., 0693)4 Name(Re ant) Telephone No. e-mail address Re stration Number 3 w�, yr. V,�t.,, Rd. N0LigMh qa-/D C_5 1►-5 - ay Street Address City/town State Zip Discipline Expiration Date 10.2 General Contractor ?iOvI:Ctr V4)441 Ft:sililss Pnols r SCRs Company Name CiDIMCIA k tem e._ HiC p ? ?75 Cotis}rorl:Ifte 5,rr. C5-00314 Name of Person_Sksponsible for Construction License No. and Type if Applicable 3 ►nlj, 1-rtr V; rt,.) TM . H0(,464.[ MA 010t/0 Street Address City/Town State Zip 1113Vita 1773 (1)3 -2jL_ 3311 s Witte Pv.eQdal s. 4.0 Telephone No.(business) Telephone No.(cell) e-mail address SECTION 11:WORKERS''COMPENSATION INSURANCE AFFIDAVIT(M.G.L.c.152.§25C(6)) A Workers'Compensation Insurance Affidavit from the MA Department of Industrial Accidents must be completed and submitted with this application. Failure to provide this affidavit will result in the denial of the issuance of the building permit. Is a signed Affidavit submitted with this application? Yes O No 0 SECTION 12:CONSTRUCTION COSTS AND PERMIT FEE Item Estimated Costs:(Labor and Materials) Total Construction Cost(from Item 6)=$ l 511,N Z O 1.Building $ 1 CI CI ZO t Building Permit Fee=Total Construction Cost x 7(Insert here 2.Electrical $ appropriate municipal factor)=$II I 6. 3.Plumbing $ 4.Mechanical (HVAC) $ Note:Minimum fee=$ (contact municipality) 5.Mechanical (Other) $ Enclose check payable to C.ar, o,f /v0i lUzin I0+-• 6.Total Cost $ ►sq . 420. — (contact municipality)and write check number here 30 7 S SECTION 13:SIGNATURE OF BUILDING PERMIT APPLICANT By entering my name below,I hereby attest under the pains and penalties of perjury that all of the information contained in this application is true and accurate to the best of my knowledge and understanding. Citiiii LI kay t (1nry 1- 13 4ya $773 3,J3/23 . Please print and sign name Title Telephone,No. Date ►P ) S01411A.-6.^ rid_ Wesf?,cl•l MA DID S5 nil , ?v pools. Street Address City/Town State Zip Email Address Municipal Inspector to fill out this section upon application approval: //ffZ 3- 1 3'ZOZ3 Name Date CITY OF NORTHAMPTON SETBACK PLAN MAP: I7D LOT: O nC -D d I LOT SIZE: d4o. , S A t_n-ti REAR LOT DIMENSION: (rt 5,, hat - $ e &IS A*q e Ile A REAR YARD 4-�eick SIDE YARD SIDE YARD FRONT SETBACK FRONTAGE .'. 1. 2...4� 46^ i i a r^°'• r 1 ".#o1 t y yr r A v .- x :_ a s Zn w, t 'r . v •ai' � �`z'' '. il ., .S. ,,,,P• , ' • ryry;;9psW .41,.'4�' „IIit.i 4 r°F ,° :,� �i I •' 7I•i„ ywil ., ,,,„.,. .,,):Of I N ,,` Yt � '�.,t"Y4fi `._F k..,!**/ i'i a • t Wvi_a i' 9 � r; 4S1 ,�1 , s- h i,:„ u?'. _ ,0 •p' 1 . '(•r,. "A*....., �. , ., 4 a4" �Fp�' a,, �1i .Y? drat .,. r .x '' 4� = i. :,�`` .,,�' ,�/' 'oaf' r' t t , .Ah. .. r l 3r "P! •a ;. hk. 17 O'M . . " ,h •^. "s t ` �'• ',x a O rY� + J -. ' 4 416 A, r • aA a a r q6" f I.t�Y fi \ it. ,? , . abt AF f r -t ,• ' . ' ; ".RT.• t,.I' .1^h " .' 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Meadowbrook Apartments New swimming pool to replace existing pool 491 Bridge Road Florence, MA 01062 City of Northampton L13t4 �� j Massachusetts 7 ,r . DEPARTMENT OF BUILDING INSPECTIONS N 212Main Street • MunicipalBuilding ,Northampton, MA 01060 ,. �� v 3". CONSTRUCTION DEBRIS AFFIDAVIT (FOR ALL DEMOLITION AND RENOVATION PROJECTS) In accordance of the provisions of MGL c 40, S54, a condition of Building Permit Number is that all debris resulting from this work shall be disposed of in a properly licensed waste disposal facility, as defined by MGL c 111, S 150A. The debris will be disposed of in: Location of Facility: 109 0 5cr , aitAN)Eo,., fed . 1-Li(i3}- 0;a 1 AA A The debris will be transported by: Name of Hauler: V?ovr-ce i Vet IIvvl Ci bf-5iet, 7)60I 5 Signature of Applicant: Date: 3 7(20 -1— Commonwealth of Massachusetts Division of Occupational Licensure Board of Building Regulations and Standards tr Consttc tionS visor CS-064314 E;Icpires: 11/05/2024 - r CLARENCE EKA 3 WESTERN VIEWa HOLYOKE M 01 L()f.LWIi1) { Commissioner „:-"co THE COMMONWEALTH OF MASSACHUSETTS Office of Consumer Affairs and Business Regulation 1000 Washington$jralrt-Suite 710 Boston,Massachusetts 02118 Home Improvement Contractor Registration Type: LLC Registration: 198975 PIONEER VALLEY FIBERGLASS POOLS AND 9F'nS LLC Espitation: 07/06/2024 3 WESTERN VIEW RD HOLYOKE.MA 01040 Update Address and Return Card. THE COMMONWEALTH OF MASSACHUSETTS Office of Consumer Affairs 8 Business Regulation Rsglstratlon valid for Individual use only before the HOME IMPROVEMENT CONTRACTOR expiration date.If found return to: TYPE;LLC Office of Consumer Affairs and Business Regulation Reglstratlpe Exelrptlert 1000 Washington Street -Suite 710 198976 07r06/2024 Boston,MA 02118 IIONEER VALLEY FIBERGLASS POOLS AND SPAS LLC. :LARENCE KAYE W � ESTERN VIEW RD �.�g..r,,.ALG �:fly' •Y` IOLYOKE,MA 01040 Undersecretary Not valid without signature Appendix 1 Construction Documents are required for structures that must comply with 780 CMR 107. The checklist below is a compilation of the documents that may be required. The applicant shall fill out the checklist and provide the contact information of the registered professionals responsible for the documents. This appendix is to be submitted with the building permit application. Checklist for Construction Documents* Mark"x"where applicable No. Item Submitted Incomplete Not Required 1 Architectural X 2 Foundation 3 Structural �( 4 Fire Suppression X 5 Fire Alarm(may require repeaters) X 6 HVAC X 7 Electrical 8 Plumbing(include local connections) 9 Gas(Natural,Propane,Medical or other) 10 Surveyed Site Plan(Utilities,Wetland,etc.) 11 Specifications 12 Structural Peer Review 13 Structural Tests&Inspections Program 14 Fire Protection Narrative Report 15 Existing Building Survey/Investigation 16 Energy Conservation Report 17 Architectural Access Review(521 CMR) 18 Workers Compensation Insurance )( 19 Hazardous Material Mitigation Documentation X' 20 Other(Specify) 21 Other(Specify) 22 Other(Specify) *Areas of Design or Construction for which plans are not complete at the time of application submittal must be identified herein.Work so identified must not be commenced until this application has been amended and the proposed construction document amendment has been approved by the authority having jurisdiction. Registered Professional Contact Information U.v►u� �[GU e— 913.2 Z2t 33 y s 10 to p V�'co 5.u►� 3 Name(Registrant) Telephone No. e-mail address Registration Number 3 wP.,}rrs ll;tw flit olt,�- , A D/O'-I0 C5 I)-C-ati Street Address City Town State Zip Discipline Expiration Date Name(Registrant) Telephone No. e-mail address Registration Number Street Address City/Town State Zip Discipline Expiration Date Name(Registrant) Telephone No. e-mail address Registration Number Street Address City/Town State Zip Discipline Expiration Date Please follow this link for construction,contral,forms to be used by Registered Design Professionals. =� Office of Investigations i_ Lafayette City Center 2 Avenue de Lafayette, Boston,MA 02111-1750 '`yw► www.mass.gov/dia Workers' Compensation Insurance Affidavit: Builders/Contractors/Electricians/Plumbers Applicant Information Please Print Legibly Name (Business/Organization/Individual): Pioneer Valley Fiberglass Pools and Spas Address: 3 Western View Rd City/State/Zip:Holyoke, MA 01040 Phone #:413-221-8358 Are you an employer? Check the appropriate box: Type of project(required): 1.0 I am a employer with 4 4. [] I am a general contractor and I 6. New construction employees(full and/or part-time).* have hired the sub-contractors 2.❑ I am a sole proprietor or partner- listed on the attached sheet. 7. ❑ Remodeling ship and have no employees These sub-contractors have 8. Demolition working for me in any capacity. employees and have workers' 9. []Building addition [No workers' comp. insurance comp. insurance.: required.] 5. We are a corporation and its 10.0 Electrical repairs or additions 3.❑ I am a homeowner doing all work officers have exercised their 11.[]Plumbing repairs or additions myself [No workers' comp. right of exemption per MGL 12.❑Roof repairs insurance required.] t c. 152, §1(4),and we have no in-ground Swimming Pool employees. [No workers' 13.® Other comp. insurance required.] *Any applicant that checks box#1 must also fill out the section below showing their workers'compensation policy information. t Homeowners who submit this affidavit indicating they are doing all work and then hire outside contractors must submit a new affidavit indicating such. *Contractors that check this box must attached an additional sheet showing the name of the sub-contractors and state whether or not those entities have employees. If the sub-contractors have employees,they must provide their workers'comp.policy number. I am an employer that is providing workers'compensation insurance for my employees. Below is the policy and job site information. Insurance Company Name:Am Trust Policy#or Self-ins. Lic. #:WWC3583546 Expiration Date:03/25/23 Job Site Address: L1C ►3 r i d c) Rd , City/State/Zip: 1—1 o few,ce, iii,# Oi D4,a. Attach a copy of the workers' compensation policy declaration page(showing the policy number and expiration date). Failure to secure coverage as required under Section 25A of MGL c. 152 can lead to the imposition of criminal penalties of a fine up to$1,500.00 and/or one-year imprisonment, as well as civil penalties in the form of a STOP WORK ORDER and a fine of up to$250.00 a day against the violator. Be advised that a copy of this statement may be forwarded to the Office of Investigations of the DIA for insurance coverage verification. 1 do hereby certify under the pains and penalties of perjuty that the information provided above is true and correct. Signature: Date: 3)3i23 Phone#: 413-642-8773 Official use only. Do not write in this area, to be completed by city or town official. City or Town: Permit/License # Issuing Authority(check one): 1DBoard of Health 20 Building Department 30City/Town Clerk 4.0 Electrical Inspector 5E:Plumbing Inspector 6.EJOther rnnta 't P rO,ri• ____..—"'1 PIONVAL-06 CHRISTINE A�ORO CERTIFICATE OF LIABILITY INSURANCE DATE(MM/DDYYYY) 3/3/2023 THIS CERTIFICATE IS ISSUED AS A MATTER OF INFORMATION ONLY AND CONFERS NO RIGHTS UPON THE CERTIFICATE HOLDER.THIS CERTIFICATE DOES NOT AFFIRMATIVELY OR NEGATIVELY AMEND, EXTEND OR ALTER THE COVERAGE AFFORDED BY THE POLICIES BELOW. THIS CERTIFICATE OF INSURANCE DOES NOT CONSTITUTE A CONTRACT BETWEEN THE ISSUING INSURER(S),AUTHORIZED REPRESENTATIVE OR PRODUCER,AND THE CERTIFICATE HOLDER. IMPORTANT: If the certificate holder is an ADDITIONAL INSURED,the policy(ies)must have ADDITIONAL INSURED provisions or be endorsed. If SUBROGATION IS WAIVED, subject to the terms and conditions of the policy,certain policies may require an endorsement. A statement on this certificate does not confer rights to the certificate holder in lieu of such endorsement(s). PRODUCER CONTACT Christine Sullivan NAME: Phillips Insurance Agency,Inc. PHONE FAX 97 Center Street (AIC,No,EA):(413)594-5984 (NC,No):(413)592-8499 Chicopee,MA 01013 A A-MDREAIL SS:christine@phillipsinsurance.com D INSURER(S)AFFORDING COVERAGE NAIC# INSURER A:Atlantic Casualty Insurance Co INSURED INSURER B:Selective Ins Co Of South Carolina 19259 Pioneer Valley Fiberglass Pools and Spas,LLC 1 INSURER C:Crum&Forster 44520 3 Western View Road INSURER D:AmTrUSt Holyoke, A 01040 INSURER E: INSURER F: COVERAGES CERTIFICATE NUMBER: REVISION NUMBER: THIS IS TO CERTIFY THAT THE POLICIES OF INSURANCE LISTED BELOW HAVE BEEN ISSUED TO THE INSURED NAMED ABOVE FOR THE POLICY PERIOD INDICATED. NOTWITHSTANDING ANY REQUIREMENT, TERM OR CONDITION OF ANY CONTRACT OR OTHER DOCUMENT WITH RESPECT TO WHICH THIS CERTIFICATE MAY BE ISSUED OR MAY PERTAIN, THE INSURANCE AFFORDED BY THE POLICIES DESCRIBED HEREIN IS SUBJECT TO ALL THE TERMS, EXCLUSIONS AND CONDITIONS OF SUCH POLICIES.LIMITS SHOWN MAY HAVE BEEN REDUCED BY PAID CLAIMS. INSR TYPE OF INSURANCE ADDL SU POLICY NUMBER POLICY EFF POLICY EXP LIMITS LTR INSD W11D (MMIDD/YYYYI (MMIDDIYYYYI A X COMMERCIAL GENERAL LWBILnY I EACH OCCURRENCE $ 1,000,000 CLAIMS-MADE I X OCCUR 1L31100027-3 5/1/2022 5/1/2023 DRMASLOR EoNccTuErDrence) $ 100,000 MED EXP{Any one person) $ 5,000 PERSONAL&ADV INJURY $ 1,000,000 GEN'L AGGREGATE LIMIT APPLIES PER: GENERAL AGGREGATE $ 2,000,000 POLICY i j o- l LOC 2,000,000 PRODUCTS-COMP/OP AGG $ OTHER: $ _ B AUTOMOBILE LIABILITY COMBINED O BIKED SINGLE LIMIT a accident) $ 1,000,000 ANY AUTO A 9107191 5/1/2022 5/1/2023 BODILY INJURY(Per person) $ AURTEO�SDONLY X AUTNO�SULEEDp ppBRORDILY INJURY(Per accident) $ X AUTOS ONLY X AUTOS ONLY (Perr aacccident)AMAGE $ $ C UMBRELLA LIAR X OCCUR EACH OCCURRENCE $ 1,000,000 X EXCESSWIB CLAIMS-MADE SEO-118881 6/3/2022 5/1/2023 AGGREGATE $ 1,000,000 DED i RETENTION$ $ D WORKERS COMPENSATION xI PER I I OTH- AND EMPLOYERS'LIABILITY Y/N STATUTE ER ANY PROPRIETOR/PARTNER/EXECUTIVE WWC3583546 3/25/2023 3/25/2024 500,000 AFFICER/RIETOR EXCLUDEDPARTNER/E r-N-I'NIA E L EACH ACCIDENT $ (Mandatory In NH) E.L.DISEASE-EA EMPLOYEE $ 500,000 If yes,describe under 500,000 DESCRIPTION OF OPERATIONS below E.L.DISEASE-POLICY LIMIT $ DESCRIPTION OF OPERATIONS I LOCATIONS/VEHICLES (ACORD 101,Additional Remarks Schedule,may be attached if more space is required) CERTIFICATE HOLDER CANCELLATION SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE City of Northampton THE EXPIRATION DATE THEREOF, NOTICE WILL BE DELIVERED IN City Hall ACCORDANCE WITH THE POLICY PROVISIONS. 210 Main St Northampton,MA 01060 AUTHORIZED REPRESENTATIVE ACORD 25(2016/03) ©1988-2015 ACORD CORPORATION. All rights reserved. The ACORD name and logo are registered marks of ACORD 8 i 6 i 5 4 i 3 2_.. 1 1 r_. I-1'11"I 4'-0" 4'-0" t 4'-0" 4'-0" 4'-0" 4'-0" 4'-0" 4'-0" 4'-0" 2'-1" F ! _ 10'-10" 5'-4" 1 F �[ n A i I 'I� Co I --. I I I I I I 1 1 E I I I I I E to CV I _S I I I I I I I I — r\ t I I I I I I I M r D D 40'-0" I I I I I I I I C :-1= I I CV� 1 C Q 8„ 1 to B _ — — B 36'—0" Leisure Pools and Spas Manufacturing North America Inc. Area: 616.64 sqft 2901 Leisure Island Way,Knoxville,Tennessee 37914 RUE PROPRIETARY AND CONFIDENTIAL ' Supreme 40 • Volume: 25,000 gal THE INFORMATION CONTAINED IN THIS DRAWING IS THE SOLE DWG NO. REVISION A LEISURE POOLS PROPERUCEOWI PAPRT*is A REPRODUCTION IN PART OR AS A i V,. WHOLE WITHOUT THE Perimeter: 1 1 1 In ft PERMISSION OF LEISURE PIOOLSIS 40' LONG X 15' 6"WIDE 9/25/18 PROHIBITED. 8 _ .. 6 5 �..4 2 I 1 litT Pi PE a I i,g,ii 1-: it. g i/ 1 6. ate 1:1/ I I.Ti ig it I ca la g * d 1c t 4 igg +a 61 ; ;1.: il ! 1 1 1111 C.--'3 §a-Ag Y 6IIft i 4 4oI y -\/ ait $ \ s v 3g' s i 4 sl Y u„ ;At it s �- e ci $ a 1 3 n �r tl P tl o A Z gN 18 UM& la R 'P1 ' f kP,. ., ,:, „ n§ $ t:(10 or) / ,r iL 9 Q p II \ li 1;1111i prints ii o n"i f f i'firn r 1111111 a al a e Damn a. �4:air 585 lili51�$ � - aRIq$F ; 1 JAM MADSMWC�R 1m„e1 �a SWEET T.CITY.Saar m _f" 73 f II on,NJ r r� i 9 rem O 'I O 3 LEISURE POOLS ;o--"cx vi,s • toi MAUL►aa MUMS T m m 3 s� :o■»w elm=saw y Z _ n Iaool-TT SSTII-TId 6 1MlESA�WtAA wwl U 41 1eY0.11 OM w Na 36.E 1t �100IX AS SHOO AS REOb ST LOCAL COM / T�'r 1 (nN RAM 1/H_MS AT r SIIENMN.•i �' -(S)/f A®AN�� an AT Y Ple-OR•lED HOLES MOLSO ELME MOWS M pNE-0lalm NOTES `A Mp1N0 FIANCE . _i, ,•-:- 1 v rr 11111.4 ....____t_ ‘6,11.15", ; .%. 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(di 7,cd•amble coap•rq•b pbe+nF ES ICC-ES Evaluation Report ESR-1732 LABC and LARC Supplement Reissued:May 2020 This report is subject to renewal May 2021 www.icc-es-pmq.orq I (800)423-6587 I (562) 699-0543 A Subsidiary of the International Code Council° DIVISION: 13 00 00—SPECIAL CONSTRUCTION Section: 13 11 16—Below-Grade Swimming Pools REPORT HOLDER: LEISURE POOLS AND SPAS MANUFACTURING NORTH AMERICA 2901 LEISURE ISLAND WAY KNOXVILLE,TENNESSEE 37914 (865)219-2880 www.leisurepoolsusa.com EVALUATION SUBJECT: LEISURE FIBERGLASS ONE-PIECE SWIMMING POOL AND SPA SHELLS 1.0 REPORT PURPOSE AND SCOPE Purpose: The purpose of this evaluation report supplement is to indicate that Leisure Fiberglass One-Piece Swimming Pool and Spa Shells, described in ICC-ES master evaluation report ESR-1732, have also been evaluated for compliance with the codes noted below as adopted by the Los Angeles Department of Building and Safety(LADBS). Applicable code editions: • 2020 City of Los Angeles Building Code(LABC) • 2020 City of Los Angeles Residential Code(LARC) 2.0 CONCLUSIONS The Leisure Fiberglass One-Piece Swimming Pool and Spa Shells, described in Sections 2.0 through 6.0 of the master evaluation report ESR-1732, comply with the LABC Chapter 31B, and the LARC Section R326 and Appendix V, and is subjected to the conditions of use described in this supplement. 3.0 CONDITIONS OF USE The Leisure Fiberglass One-Piece Swimming Pool and Spa Shells described in this evaluation report must comply with all of the following conditions: • All applicable sections in the master evaluation report ESR-1732. • The design, installation and inspection are in accordance with additional requirements of the 2020 LABC, as applicable and the Information Bulletin P/BC 2014-014. • The pool must remain full of water at all times.A permanent sign shall be attached to the plumbing equipment to read as follows: Notice:The Pool and Spa shells are designed to remain full of water at all times.The shell may be damaged if the water level is allowed to drop below the skimmer.When appreciable drawdown is noticed or if it becomes necessary to drain the pool,contact Leisure Pools or its dealers for instructions. • Pools shall not be installed in a"Grading Area"if the direction of the bedding planes is such that the water used to puddle the sand fill may lubricate the bedding planes and cause earth movement.A pre-inspection of every pool located in a "Grading Area"shall be made by the grading inspector to verify this condition as well as other potential geologic hazards. Listings are not to be construed as representing aesthetics or any other attributes not specifically addressed, nor are they to he construed as an endorsement of the subject of the listing or a recommendation for its use. There is no warranty by ICC Evaluation Service,LLC,express or implied,as to BIM any finding or other matter in this listing,or as to any product covered by the listing. Copyright©2020 ICC Evaluation Service,LLC.All rights reserved. Page 1 of 2 ESR-1732 LABC and LARC Supplement I Most Widely Accepted and Trusted Page 2 of 2 • The pool shall not be located where it may be surcharged by an existing building footing or other superimposed load on the same property or possible future surcharge from an adjacent property. • The structural capacity of the pool wall has been verified by test and shall be assumed capable of supporting either expansive or non-expansive earth banks with the pool empty. • The reinforced concrete pool deck,which shall have a minimum width of four feet,shall be designed by a California licensed civil or structural engineer to take the reaction from the pool wall assuming a triangular load distribution on the wall.The reaction will be dependent on whether the soil is expansive or non-expansive.Where the soil is expansive,the minimum assumed equivalent fluid pressure shall be 45 pounds per cubic foot. Proper consideration shall be provided at construction joints, if any, in the pool deck to assure that reinforcing steel is continuous and that shear reactions are provided for. Proper coverage shall be provided for the reinforcing steel. • Pool lighting fixtures shall be specifically"listed"for use in plastic pools and shall be supplied by a circuit protected by a ground fault interrupter. • Diving equipment may only be installed on Type I pools and must meet the minimum requirements of,and be installed in accordance with, Section 5.8 of APSP/ANSI-5. • During installation, pool protection fences and gates shall be in place and operable when the depth of water exceeds 18". • The main drain line and its connection to the pool shell are assembled during the fabrication process and no on-site inspection of that line is required other than the pressure test required by the Plumbing Code. • Pools will be supported by at least 6"of puddled sand placed over the excavated area and between the pool wall and the earth bank. • Public swimming pools(i.e.accessory to multi-family dwellings)require approval from County of Los Angeles Department of Health Services prior to issuance of permit for the swimming pool or spa. This supplement expires concurrently with the master report,issued May 2020