Benicia, CA · Solano County
PEX Flushing Certification
This certification records that a plumbing contractor flushed a PEX system according to the stated installation and flushing requirements for a property in Benicia.
What this form is
The form certifies that the PEX plumbing system at the listed address meets manufacturer installation requirements and applicable California Plumbing Code standards, and that the flushing procedure was followed. It records the permit number, physical address, first fill and flush date, name, contractor information, license number, title, printed name, and signature. The document does not state when or how to submit it.
Who needs it
A plumbing contractor completing the certification for a PEX plumbing system installed at the address listed on the form needs this document.
How to submit it
Submit it to the city department named on the form; check the city website for current contact details.
About notarization
This document is signed without a notary; it lists no notarized or sworn attachment, so the signer just signs the certification.
How to submit this form
- 1
Download The Form
Download the PEX Flushing Certification for the PEX plumbing system.
- 2
Complete The Certification
Enter the permit number, physical address, fill and flush date, contractor details, and the requested signature information.
- 3
Review The Flushing Details
Confirm the certification information reflects the system installation and flushing procedure described on the form.
- 4
Submit To The City
Submit it to the city department named on the form; check the city website for current contact details.
Frequently asked questions
- What does the PEX Flushing Certification certify?
- It certifies that the listed PEX plumbing system meets manufacturer installation requirements and applicable California Plumbing Code standards, and that the flushing procedure was followed.
- Who completes the PEX Flushing Certification?
- The form asks for the plumbing contractor’s name, contractor license number, title, printed name, and signature, along with the permit and property details.
- Do I need a notary for the PEX Flushing Certification?
- No. The form has a signature line and does not require notarization or identify a sworn attachment; the signer just signs the certification.
- How do I submit the PEX Flushing Certification?
- Submit it to the city department named on the form; check the city website for current contact details.
Need something notarized?
This PEX Flushing Certification doesn’t need a notary — but if you have another Benicia form that does, a commissioned online notary can help.