Apple Valley, CA · San Bernardino County
Affidavit for Water-Conserving Fixtures
Property owners and contractors use this affidavit to report water-conserving plumbing fixture compliance or an applicable exception for an existing building.
What this form is
Apple Valley uses this affidavit for existing buildings built and available for use on or before January 1, 1994, when a building alteration or improvement permit is issued. The signer reports the property address, permit number, applicable dwelling or suite units, and fixture compliance or an exception. A signed copy must reach the Building Inspection Section before final inspection approval.
Who needs it
Property owners, contractors, or other listed representatives submit the affidavit for a permitted alteration or improvement involving an existing building.
How to submit it
Submit a signed copy to the Building Inspection Section at 14955 Dale Evans Parkway, Apple Valley, CA 92307, before final inspection approval of the project or permit.
About notarization
This affidavit is signed and dated without a notary; no notarized attachment or related step is identified.
How to submit this form
- 1
Download The Affidavit
Download the Water-Conserving Fixtures Affidavit for the permitted project.
- 2
Complete The Property Details
Enter the property address, project or permit number, and applicable dwelling or suite unit numbers.
- 3
Complete And Sign The Affidavit
Report fixture compliance or circle an applicable exception, then provide the requested name, date, signature, and role details.
- 4
Submit To Building Inspection
Submit the signed copy to the Building Inspection Section before final inspection approval.
Frequently asked questions
- What is the Water-Conserving Fixtures Affidavit for?
- It reports water-conserving plumbing fixture compliance or an applicable exception for an existing building when a permit is issued for alterations or improvements.
- Who can sign the affidavit?
- The form lists plumbing contractor, general contractor, property owner, owner's agent, engineer, and architect as signer categories. It also says a licensed plumbing contractor must sign when the plumbing-infeasibility exception applies.
- Do I need a notary for the Water-Conserving Fixtures Affidavit?
- No. The affidavit is signed and dated without a notary, and the document identifies no notarized attachment or related step.
- How do I submit the Water-Conserving Fixtures Affidavit?
- Submit a signed copy to the Building Inspection Section at 14955 Dale Evans Parkway, Apple Valley, CA 92307, before final inspection approval.
Need something notarized?
This Affidavit for Water-Conserving Fixtures doesn’t need a notary — but if you have another Apple Valley form that does, a commissioned online notary can help.