Jurupa Valley, CA · Riverside County
Residential HVAC Certificate of Compliance
This certificate records residential HVAC alteration details and energy compliance information for the responsible designer to provide with a building permit application.
What this form is
Use this California Energy Commission certificate for residential HVAC alterations, including equipment changeouts, new HVAC systems, and ductwork changes. At permit application, the form may be completed by hand; for final inspection, forms must be registered, and a copy must be left on site. It asks for site and equipment details, the applicable work category, compliance documents, and the responsible designer’s signed declaration.
Who needs it
Contractors or responsible designers handling residential HVAC alterations use this certificate to document the work and its energy compliance information.
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 responsible designer signs and dates a declaration under penalty of perjury.
How to submit this form
- 1
Download the Form
Download the Residential HVAC Certificate of Compliance PDF.
- 2
Complete the Form
Enter the site and equipment information, select the applicable work category, and complete the responsible designer information.
- 3
Gather Compliance Documents
Review the documents listed for the selected work category; the form says required documents must be left on site for final inspection.
- 4
Submit to the City
Submit the certificate with the building permit application to the city department named on the form.
Frequently asked questions
- What is the Residential HVAC Certificate of Compliance?
- It records residential HVAC alteration details and energy compliance information, including equipment, work category, required documents, and the responsible designer’s declaration.
- Who completes this HVAC form?
- The form identifies the contractor and the responsible designer. The installer determines the work to be completed and selects the applicable work category.
- Do I need a notary for the Residential HVAC Certificate of Compliance?
- No. The responsible designer signs and dates a declaration under penalty of perjury, but the document has no notary block.
- How do I submit the Residential HVAC Certificate of Compliance?
- Submit it to the city department named on the form; check the city website for current contact details.
Need something notarized?
This Residential HVAC Certificate of Compliance doesn’t need a notary — but if you have another Jurupa Valley form that does, a commissioned online notary can help.