Benicia, CA · Solano County
Water-Conserving Plumbing Fixtures Self-Certification
Property owners and other authorized signers use this form to certify water-conserving plumbing fixtures at a single-family residential property in Benicia.
What this form is
This form certifies that plumbing fixtures in a single-family residential building meet the water-conserving fixture standards stated on the form. It says replacement of non-compliant fixtures is required as a condition of final inspection approval when a building permit is issued for alterations or improvements. The signer provides the property address, permit number, fixture counts, their role, name, signature, and date.
Who needs it
An owner or another signer, such as a contractor, trustee, or corporate officer, may complete the certification for a single-family residential property.
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; the signer just signs and dates it on the form.
How to submit this form
- 1
Download The Form
Download the water-conserving plumbing fixtures self-certification form.
- 2
Complete The Form
Enter the property address, building permit number, fixture counts, your role, printed name, signature, and date.
- 3
Gather Attachments
The document does not identify any required attachments.
- 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 plumbing fixture self-certification cover?
- It certifies that fixtures in a single-family residential building meet the water-conserving fixture standards described on the form.
- Who can sign the Benicia certification?
- The form identifies the signer as the owner or another person, such as a contractor, trustee, or corporate officer. It asks for the signer’s printed name, signature, and date.
- Do I need a notary for the plumbing fixture self-certification?
- No. This document is signed without a notary; the signer just signs and dates it on the form.
- How do I submit the plumbing fixture self-certification?
- The document does not provide submission instructions or a contact destination. Submit it to the city department named on the form; check the city website for current contact details.
Need something notarized?
This Water-Conserving Plumbing Fixtures Self-Certification doesn’t need a notary — but if you have another Benicia form that does, a commissioned online notary can help.