Campbell, CA · Santa Clara County
Water-Conserving Plumbing Fixtures Owner Certificate of Compliance
Property owners complete this certificate for a building permit to report property eligibility and certify required water-conserving plumbing fixture replacements.
What this form is
The certificate asks for the owner’s name, permit number, and property address, then guides owners through questions about property history and fixture requirements. For applicable properties, the owner certifies that noncompliant fixtures have been replaced with water-conserving fixtures. The City says the signed certificate must be returned to the Building Division to finalize the permit.
Who needs it
Property owners completing a building permit who are asked to certify water-conserving plumbing fixtures use this form.
How to submit it
Return the completed, signed certificate to the Building Division to finalize the permit. The form lists the Community Development Department, Building Inspection Division, at 70 N 1st Street, Campbell, CA 95008.
About notarization
This document is signed without a notary; if applicable, it says to provide a licensed plumber’s certification, but does not say that certification must be notarized.
How to submit this form
- 1
Download The Certificate
Download the Water-Conserving Plumbing Fixtures Owner Certificate of Compliance.
- 2
Complete The Property Questions
Enter the owner name, permit number, and address, then answer the questions about the property.
- 3
Gather Any Applicable Certification
If applicable, provide the licensed plumber’s certification described on the form.
- 4
Sign And Return The Form
Sign and date the certificate, then return it to the Building Division to finalize the permit.
Frequently asked questions
- Do I need a notary for the Water-Conserving Plumbing Fixtures Owner Certificate?
- No. The certificate calls for the owner’s signature and date, not notarization. If applicable, it asks for a licensed plumber’s certification, but does not say that certification must be notarized.
- How do I submit the Water-Conserving Plumbing Fixtures Owner Certificate?
- Return the signed certificate to the Building Division to finalize your permit. The form lists the Building Inspection Division at 70 N 1st Street, Campbell, CA 95008.
- What information does the certificate ask for?
- It asks for the owner’s name, permit number, and property address, and includes questions about the property and its plumbing fixtures.
- When does the certificate say it is required?
- The form says to return the signed certificate to the Building Division to finalize the permit. It includes questions to determine whether the cited fixture requirements apply to the property.