Marina, CA · Monterey County
Plumbing Fixture Self Certification
This certification records plumbing fixture replacement or testing for residential properties undergoing a permitted alteration, addition, or improvement.
What this form is
The form lets an applicant certify that covered plumbing fixtures were replaced with water-conserving fixtures or tested for a property address and permit number. The document says replacement is required before final completion, a certificate of occupancy, or final permit approval for affected residential buildings. It asks for fixture quantities, the address, permit number, applicant name, signature, and dates.
Who needs it
Applicants for residential building permits may use this form to certify fixture replacement or testing for buildings subject to the stated requirements.
How to submit it
Submit it to the city department named on the form; check the city website for current contact details.
About notarization
This document is signed without a notary; the applicant certifies replacement or testing and signs and dates the form.
How to submit this form
- 1
Download The Form
Download the Plumbing Fixture Self Certification for your permitted residential work.
- 2
Complete The Form
Enter fixture quantities, the property address, permit number, applicant name, and the requested signature and dates.
- 3
Review The Certification
Certify whether covered plumbing fixtures were replaced or tested for the listed address and permit.
- 4
Submit To The City
Submit the signed form to the city department named on the form; check the city website for current contact details.
Frequently asked questions
- What does the Plumbing Fixture Self Certification record?
- It records fixture quantities and lets the applicant certify that covered fixtures were replaced or tested for the listed property address and permit number.
- When does the document say fixture replacement is required?
- It says replacement is required before final completion, a certificate of occupancy, or final permit approval for affected residential buildings undergoing permitted work.
- Do I need a notary for the Plumbing Fixture Self Certification?
- No. The applicant signs and dates this document without a notary; it does not identify a notarized or sworn attachment.
- How do I submit the Plumbing Fixture Self Certification?
- Submit it to the city department named on the form; check the city website for current contact details.
Need something notarized?
This Plumbing Fixture Self Certification doesn’t need a notary — but if you have another Marina form that does, a commissioned online notary can help.