Loomis, CA · Placer County
California Green Code VOC Self Certify Checklist
This checklist documents finish-material and residential mandatory-measure compliance for contractors and responsible project personnel submitting permit materials to Loomis.
What this form is
The checklist records information about adhesives, sealants, coatings, composite wood, flooring, and residential mandatory measures related to the California Green Code. Contractors and responsible project personnel use it to certify compliance and document project features for enforcement agency review with a permit application. It asks for project details, material information, verification records, and responsible persons’ signatures and dates.
Who needs it
Contractors and responsible project personnel completing California Green Code compliance documentation for a Loomis permit application need this checklist.
How to submit it
Submit the completed documentation to the enforcement agency for approval with the permit application, as stated on the form.
About notarization
This checklist is signed and dated without a notary; its declaration states information is true under penalty of perjury, but does not require notarization.
How to submit this form
- 1
Download The Checklist
Download the California Green Code VOC Self Certify Checklist PDF.
- 2
Complete Project And Material Details
Fill in the project information and applicable finish-material and compliance sections.
- 3
Gather Compliance Documentation
Assemble applicable compliance forms, worksheets, calculations, plans, and specifications referenced by the checklist.
- 4
Sign And Submit
Sign and date the applicable declarations, then submit the documentation to the enforcement agency with the permit application.
Frequently asked questions
- What does the California Green Code VOC Self Certify Checklist document?
- It records finish-material information and residential mandatory-measure verifications, including VOC and formaldehyde-related compliance details.
- Who completes this checklist?
- Contractors and responsible project personnel complete the checklist and related declarations for project compliance documentation.
- Do I need a notary for the California Green Code VOC Self Certify Checklist?
- No. The checklist is signed and dated without a notary. Its declaration states information is true under penalty of perjury, but does not require notarization.
- How do I submit the completed checklist?
- Submit the completed documentation to the enforcement agency for approval with the permit application, as stated on the form.