Grover Beach, CA · San Luis Obispo County
Water Conserving Plumbing Fixtures Affidavit
This affidavit lets property owners or contractors verify water-conserving plumbing fixtures or claim an exemption for an existing building undergoing permitted alterations or improvements.
What this form is
The affidavit verifies that water-conserving plumbing fixtures are installed in an existing building, or documents an exemption from the fixture requirements. The city describes it as an alternative to an inspection for permitted building alterations or improvements. It asks for the project address, a compliance or exemption selection, and a property owner or contractor signature; a plumber must provide details and certify if installation is not technically feasible.
Who needs it
Property owners or contractors with a permit for alterations or improvements to an existing building may need to submit the affidavit before final inspection approval.
How to submit it
Submit a signed copy to the Building Division before Final Inspection approval of the permit. The form lists the Community Development Department at 154 South Eighth Street, Grover Beach, CA 93433.
About notarization
This affidavit is signed without a notary; the property owner or contractor signs and dates it, and a plumber signs only if certifying technical infeasibility.
How to submit this form
- 1
Download The Affidavit
Download the Water Conserving Plumbing Fixtures Affidavit.
- 2
Complete The Form
Enter the project address and complete the compliance or exemption section that applies.
- 3
Gather Required Signatures
Have the property owner or contractor sign and date the form; a plumber signs if certifying technical infeasibility.
- 4
Submit To The Building Division
Submit the signed copy to the Building Division before Final Inspection approval of the permit.
Frequently asked questions
- What does the Water Conserving Plumbing Fixtures Affidavit verify?
- It verifies that fixtures at the project address meet the stated requirements, or records a listed exemption. A plumber may certify if installation is not technically feasible.
- Who submits this affidavit?
- A property owner or contractor may complete the form for a permitted building alteration or improvement. The city says a signed copy goes to the Building Division before final inspection approval.
- Do I need a notary for the Water Conserving Plumbing Fixtures Affidavit?
- No. The affidavit is signed without a notary. The property owner or contractor signs and dates it; a plumber signs only when certifying that installation is not technically feasible.
- How do I submit the Water Conserving Plumbing Fixtures Affidavit?
- Submit a signed copy to the Building Division before Final Inspection approval of the permit. The form lists the Community Development Department address as 154 South Eighth Street, Grover Beach, CA 93433.
Need something notarized?
This Water Conserving Plumbing Fixtures Affidavit doesn’t need a notary — but if you have another Grover Beach form that does, a commissioned online notary can help.