Azusa, CA · Los Angeles County

No notary required

Certificate of Compliance: Prescriptive HVAC Alterations

This certificate documents prescriptive HVAC alteration details for contractors and project applicants submitting compliance materials to the city enforcement agency.

What this form is

Use this certificate for qualifying alterations to single-zone, constant-volume HVAC systems; the form says it is not for new buildings, additions, or VAV multi-zone systems. It records project and equipment details, ventilation calculations, and applicable testing steps. The documentation and principal mechanical designer declarations ask for names, signatures, company and contact details, dates, and, where applicable, professional credentials.

Who needs it

Contractors and project applicants handling qualifying HVAC alterations complete this certificate and provide it to the enforcement agency.

How to submit it

The form identifies the enforcement agency as the recipient and says required installation and applicable acceptance forms must be submitted for verification by the field inspector. It provides no address, email, portal, or fee.

About notarization

This document is signed without a notary; the signer dates the declarations, and related Installation and applicable Acceptance forms must also be completed and signed.

How to submit this form

  1. 1

    Download the Certificate

    Download the Prescriptive HVAC Alterations Certificate of Compliance PDF.

  2. 2

    Complete the Applicable Sections

    Enter project information, select the existing building project type, and complete its listed steps and applicable declarations.

  3. 3

    Gather Related Forms

    After installation, complete the required Installation Certificate and applicable Acceptance forms; have them signed and available for verification.

  4. 4

    Submit to the Enforcement Agency

    Provide the certificate and required related forms to the enforcement agency for field-inspector verification.

Frequently asked questions

What does the Prescriptive HVAC Alterations certificate cover?
It records project, HVAC equipment, and ventilation details for qualifying single-zone, constant-volume alterations and identifies applicable acceptance testing steps.
Who completes this HVAC compliance form?
Project applicants and contractors working on qualifying HVAC alterations complete the certificate. The documentation and principal mechanical designer declarations include signature and project information fields.
Do I need a notary for the Prescriptive HVAC Alterations certificate?
No. This document is signed without a notary. The declarations are signed and dated; related Installation and applicable Acceptance forms must also be completed and signed.
How do I submit the HVAC compliance certificate?
Submit the certificate and required installation and applicable acceptance forms to the enforcement agency. The document says the forms are subject to field-inspector verification but gives no submission address or portal.

Need something notarized?

This Certificate of Compliance: Prescriptive HVAC Alterations doesn’t need a notary — but if you have another Azusa form that does, a commissioned online notary can help.