Clayton, CA · Contra Costa County
Plumbing Fixture Certification
This certificate records a property owner’s plumbing fixture compliance information for a building permit involving qualifying property in Clayton.
What this form is
Property owners use this form to report whether their property is subject to plumbing fixture requirements and, when applicable, certify that non-compliant fixtures were replaced with water-conserving fixtures. The form asks about the property’s status and includes a certification with fixture details. The document says to return the completed certificate to the Building Inspection Division to finalize the permit.
Who needs it
Property owners completing a permit-related plumbing fixture certification for qualifying residential or commercial property use this form.
How to submit it
The form says to return the completed and signed certificate to the Building Inspection Division to finalize the permit. It lists the Contra Costa County Department of Conservation and Development at 30 Muir Road, Martinez, CA 94553.
About notarization
This document is signed without a notary; the owner or applicant signs and dates it, and the owner’s certification is made under penalty of perjury.
How to submit this form
- 1
Download The Certificate
Download the Plumbing Fixture Certification PDF.
- 2
Complete The Property Questions
Fill in the owner, applicant, address, and permit information, then answer the property questions.
- 3
Gather Any Applicable Certification
If applicable, provide the licensed plumber’s certification referenced by the form.
- 4
Sign And Return The Form
Sign and date the form, then return it to the Building Inspection Division to finalize the permit.
Frequently asked questions
- What is the Plumbing Fixture Certification?
- It records property information and, when applicable, the owner’s certification that non-compliant plumbing fixtures were replaced with water-conserving fixtures.
- Who completes this plumbing fixture form?
- The form is for property owners or applicants reporting whether plumbing fixture requirements apply and certifying fixture replacement when required.
- Do I need a notary for the Plumbing Fixture Certification?
- No. The document has owner or applicant signature and date fields but no notary block. The owner’s certification is made under penalty of perjury.
- How do I submit the Plumbing Fixture Certification?
- Return the completed and signed certificate to the Building Inspection Division to finalize the permit. The form lists the county department’s Martinez address.