Rancho Santa Margarita, CA · Orange County
Affidavit for Water Conserving Fixtures
Property owners and other listed parties submit this affidavit to verify water-conserving plumbing fixtures at an existing building covered by a building alteration or improvement permit.
What this form is
This affidavit verifies the installation or compliance status of water-conserving plumbing fixtures in existing buildings built and available for use before January 1, 1994, in lieu of an inspection when a permit is issued for building alterations or improvements. It asks for the property address, project or permit number, applicable unit numbers, and the signer’s details and certification. A signed copy goes to the Building Inspection Section before Final Inspection approval.
Who needs it
Property owners, contractors, or other listed parties may need to complete and sign it for a permitted building alteration or improvement involving an eligible existing building.
How to submit it
Submit the signed affidavit to the Building Inspection Section before Final Inspection approval of the project or permit. The form lists Development Services, Building & Safety Division, at 22112 El Paseo, Rancho Santa Margarita, CA 92688.
About notarization
This affidavit is signed without a notary; the signer dates and signs it, and a licensed plumbing contractor signs only when claiming the specified feasibility exemption.
How to submit this form
- 1
Download The Affidavit
Download the Affidavit for Water Conserving Fixtures PDF from the city directory.
- 2
Complete The Form
Enter the property address, project or permit number, applicable unit numbers, and the required signer and fixture information.
- 3
Check The Exemption Section
If claiming the stated plumbing-feasibility exemption, have a licensed plumbing contractor sign as directed on the form.
- 4
Submit To The City
Submit the signed affidavit to the Building Inspection Section before Final Inspection approval.
Frequently asked questions
- What does the Affidavit for Water Conserving Fixtures verify?
- It records whether water-conserving plumbing fixtures are installed or compliant at an existing building covered by a building alteration or improvement permit.
- Who completes this affidavit?
- The form lists property owners, plumbing contractors, general contractors, owners’ agents, engineers, and architects as possible signers, as applicable.
- Do I need a notary for the Affidavit for Water Conserving Fixtures?
- No. The affidavit is signed and dated without a notary. A licensed plumbing contractor must sign only when the specified feasibility exemption is claimed.
- How do I submit the Affidavit for Water Conserving Fixtures?
- Submit a signed copy to the Building Inspection Section before Final Inspection approval of the project or permit.