Poway, CA · San Diego County
Residential Lighting Certificate
This installation certificate documents residential lighting features and code compliance for the responsible person completing the project.
What this form is
The certificate records whether the project includes lighting and documents compliance for kitchen, indoor, outdoor, and common-area lighting, among other installation features. The responsible person certifies that the installation meets applicable codes and regulations and is consistent with approved plans. The form also asks for the site address, permit number, company and responsible-person details, signature, license, and signing date.
Who needs it
The person responsible for construction, or their authorized representative, completes and signs the certificate for a residential lighting installation.
How to submit it
The form says a completed, signed copy must be posted or made available with the building permit and to the enforcement agency for applicable inspections.
About notarization
This document is signed without a notary; the signer makes a declaration under penalty of perjury and certifies that the information is true and correct.
How to submit this form
- 1
Download The Certificate
Download the Residential Lighting Certificate PDF.
- 2
Complete The Project Sections
Enter the site address and permit number, then complete the sections that apply to the residential lighting installation.
- 3
Sign The Declaration
Provide the company and responsible-person details, sign and date the declaration, and enter the requested license and position information.
- 4
Make The Certificate Available
Post or make the completed, signed certificate available with the building permit and to the enforcement agency for applicable inspections.
Frequently asked questions
- What does the Residential Lighting Certificate document?
- It records residential lighting features and compliance, including applicable kitchen, indoor, outdoor, and common-area lighting requirements. The responsible person also certifies the installation and provides project and company details.
- Who completes the Residential Lighting Certificate?
- The person responsible for construction, or an authorized representative, completes and signs the certificate. The form requests the responsible person's name, signature, license, position, company, and date.
- Do I need a notary for the Residential Lighting Certificate?
- No. The document is signed without a notary, but the signer makes a declaration under penalty of perjury and certifies the information is true and correct.
- How do I submit the Residential Lighting Certificate?
- The form says to post or make a completed, signed copy available with the building permit and to the enforcement agency for applicable inspections.
Need something notarized?
This Residential Lighting Certificate doesn’t need a notary — but if you have another Poway form that does, a commissioned online notary can help.
