Form CDD-0041 "Self-certification of Compliance With Water Conserving Fixture Requirements" - City of Sacramento, California

What Is Form CDD-0041?

This is a legal form that was released by the Community Development Department - City of Sacramento, California - a government authority operating within California. The form may be used strictly within City of Sacramento. As of today, no separate filing guidelines for the form are provided by the issuing department.

Form Details:

  • Released on January 1, 2020;
  • The latest edition provided by the Community Development Department - City of Sacramento, California;
  • Easy to use and ready to print;
  • Quick to customize;
  • Compatible with most PDF-viewing applications;
  • Fill out the form in our online filing application.

Download a fillable version of Form CDD-0041 by clicking the link below or browse more documents and templates provided by the Community Development Department - City of Sacramento, California.

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Download Form CDD-0041 "Self-certification of Compliance With Water Conserving Fixture Requirements" - City of Sacramento, California

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Self-Certification of Compliance with Water Conserving Fixture Requirements
As of January 1, 2014 a new State Law went into effect and applies to all single family
residences built before January 1, 1994. This legislation requires water conserving
plumbing fixtures be installed throughout the home as a condition of building permits
applied for after January 1, 2014.
This signed self-certification may be used in lieu of a city building inspector verifying
compliance with this water conserving fixture requirement for areas of the residence not
included in the scope of work of the issued permit.
Address: ______________________________________ Permit # ________________
Print Contractor Co. / Owner’s name:
______________________________________________________________________
The water conservation requirements per 2019 California Green Building Code:
• All toilets use no more than 1.28 gallons of water per flush
• All showerheads flow no more than 1.8 gallons of water per minute
• All lavatory faucets no more than 1.2 gallons of water per minute
• All Kitchen faucets no more than 1.8 gallons of water per minute*
I declare under penalty of perjury that the residence listed is in full compliance
with the above water conservation requirements mandated by State Law.
Contractor or Property Owner’s Signature:
______________________________________________________________________
Print Name and Title:
______________________________________________________________________
Date: ______________
Page 1 of 1
CDD-0041
01-01-2020
Self-Certification of Compliance with Water Conserving Fixture Requirements
As of January 1, 2014 a new State Law went into effect and applies to all single family
residences built before January 1, 1994. This legislation requires water conserving
plumbing fixtures be installed throughout the home as a condition of building permits
applied for after January 1, 2014.
This signed self-certification may be used in lieu of a city building inspector verifying
compliance with this water conserving fixture requirement for areas of the residence not
included in the scope of work of the issued permit.
Address: ______________________________________ Permit # ________________
Print Contractor Co. / Owner’s name:
______________________________________________________________________
The water conservation requirements per 2019 California Green Building Code:
• All toilets use no more than 1.28 gallons of water per flush
• All showerheads flow no more than 1.8 gallons of water per minute
• All lavatory faucets no more than 1.2 gallons of water per minute
• All Kitchen faucets no more than 1.8 gallons of water per minute*
I declare under penalty of perjury that the residence listed is in full compliance
with the above water conservation requirements mandated by State Law.
Contractor or Property Owner’s Signature:
______________________________________________________________________
Print Name and Title:
______________________________________________________________________
Date: ______________
Page 1 of 1
CDD-0041
01-01-2020