Albany, CA · Alameda County
Smoke Alarm & CO Detector Combined Affidavit
This affidavit lets property owners, contractors, and their agents acknowledge required smoke alarm and carbon monoxide detector installations for a permitted residence in Albany.
What this form is
Use this combined affidavit for a residence associated with the permit listed on the form. It records acknowledgements that smoke alarms and carbon monoxide detectors will be installed before the final inspection, and that the signer has read the city’s Residential Smoke Alarms information packet. The form requests the job address, permit number, signer’s name and role, company name, signature, and date.
Who needs it
Owners, contractors, or their agents sign this affidavit for a residence associated with the permit identified on the form.
How to submit it
Submit it to the Building Division at 1000 San Pablo Ave., Albany, CA 94706, or email [email protected]. The form also lists the phone number (510) 528-5760.
About notarization
This document is signed without a notary; the signer certifies under penalty of perjury and signs and dates the affidavit, with no notarized attachment listed.
How to submit this form
- 1
Download the Affidavit
Download the Smoke Alarm & CO Detector Combined Affidavit PDF.
- 2
Complete the Form
Enter the job address and permit number, provide the signer and company information, select the signer’s role, and sign and date both acknowledgements.
- 3
Check for Attachments
The form does not list required attachments; it asks the signer to affirm they received and read the city’s Residential Smoke Alarms information packet.
- 4
Submit to the Building Division
Submit the affidavit to the Building Division at 1000 San Pablo Ave., Albany, CA 94706, or email [email protected].
Frequently asked questions
- What does the Smoke Alarm & CO Detector Combined Affidavit acknowledge?
- It records the signer’s certification that smoke alarms and carbon monoxide detectors will be installed at the permitted residence before the final inspection.
- Who signs this Albany affidavit?
- The form provides signature fields for an owner, contractor, or agent for either. It also asks for the signer’s name, company name, job address, permit number, and date.
- Do I need a notary for the Smoke Alarm & CO Detector Combined Affidavit?
- No. The signer certifies under penalty of perjury and signs and dates the affidavit; the form lists no notarized attachment.
- How do I submit the Smoke Alarm & CO Detector Combined Affidavit?
- Submit it to the Building Division at 1000 San Pablo Ave., Albany, CA 94706, or email [email protected]. The form also lists (510) 528-5760.