Cupertino, CA · Santa Clara County
Water-Conserving Plumbing Fixtures Owner Certificate of Compliance
Property owners or their agents complete this certificate to confirm required water-conserving plumbing fixtures for a Cupertino building permit.
What this form is
This certificate records property and permit information, property type, and answers to questions about the building’s status. Owners or their agents certify that required non-compliant plumbing fixtures will be replaced with water-conserving fixtures before the specified date. The form explains when fixture replacement applies, lists work that is exempt, and asks for a signature and date.
Who needs it
Owners or their agents with building work subject to the fixture requirements complete this certificate for the property’s final permit inspection.
How to submit it
Return the completed and signed certificate to the Building Inspector at final inspection to finalize the building permit.
About notarization
This certificate is signed without a notary; the owner or agent certifies under penalty of perjury and signs and dates it.
How to submit this form
- 1
Download The Certificate
Download the Water-Conserving Plumbing Fixtures Owner Certificate of Compliance.
- 2
Complete Property Information
Enter the owner name, permit number, address, property type, and answers to the property information questions.
- 3
Review Fixture Requirements
Review the listed fixture requirements and exemptions to determine the information relevant to the property.
- 4
Sign And Date
The owner or agent certifies under penalty of perjury, then signs and dates the certificate.
- 5
Return At Final Inspection
Give the completed certificate to the Building Inspector at final inspection to finalize the building permit.
Frequently asked questions
- Do I need a notary for the Water-Conserving Plumbing Fixtures Owner Certificate?
- No. The certificate has no notary block; the owner or agent certifies under penalty of perjury and signs and dates it.
- Who completes this certificate?
- The property owner or the owner’s agent completes it, providing property and permit information and certifying fixture compliance.
- How do I submit the certificate?
- Return the completed and signed certificate to the Building Inspector at final inspection to finalize the building permit.
- What information does the certificate ask for?
- It asks for the owner’s name, permit number, property address, property type, answers to property questions, and the owner’s or agent’s signature and date.
Need something notarized?
This Water-Conserving Plumbing Fixtures Owner Certificate of Compliance doesn’t need a notary — but if you have another Cupertino form that does, a commissioned online notary can help.