Alpine County, CA · Alpine County
PEX Certification
Contractors submit this certification to request approval to use PEX pipe for a project’s potable hot and cold water distribution system.
At a glance
- Issued by
- City of Alpine County · Alpine County, Alpine County, California
- Notarization
- Not required: file this form without a notary.
- Official source
- alpinecountyca.gov
- Blank form
- Download the PDF
- Catalogued
- Machine-readable
- JSON record · about the forms index
What this form is
This certification requests approval from the Alpine County Building Official to use PEX pipe as an alternate material for potable water distribution. The contractor identifies the proposed PEX manufacturer and project, provides the builder or general contractor and permit numbers, and signs the form. The installer also acknowledges requirements for sleeving, flushing, and notifying the homeowner.
Who needs it
A contractor or PEX installer proposing PEX pipe for a project’s potable water system submits this certification for county review.
How to submit it
Leave copies of the certification on site as part of the homeowner’s notification and file them with the Building Department at 50 Diamond Valley Road, Markleeville, CA 96120.
About notarization
This document is signed without a notary; the PEX installer or contractor signs and dates the certification.
How to submit this form
- 1
Download the Certification
Download the PEX Certification PDF.
- 2
Complete the Project Details
Enter the contractor and phone number, PEX manufacturer, project name, builder or general contractor, and permit numbers.
- 3
Sign the Certification
The PEX installer or contractor signs and dates the certification.
- 4
File and Leave Copies
File copies with the Building Department and leave copies on site as part of the homeowner’s notification.
Frequently asked questions
- Do I need a notary for the PEX Certification?
- No. The PEX installer or contractor signs and dates the certification; it does not require a notary.
- How do I submit the PEX Certification?
- File copies with the Building Department at 50 Diamond Valley Road, Markleeville, CA 96120, and leave copies on site for the homeowner’s notification.
- What information does the PEX Certification ask for?
- It asks for the contractor’s name and phone number, PEX manufacturer, project name, builder or general contractor, permit numbers, and the installer or contractor’s signature.
- What installation requirements does the certification describe?
- It states that potable water piping placed in soil must be sleeved and describes flushing the system twice, with a wait of at least one week between flushes.