Richmond, CA · Contra Costa County

No notary required

Certification Form for Smoke Alarms and Carbon Monoxide Alarms

Richmond property owners or authorized agents use this form to certify required smoke alarms and carbon monoxide alarms are installed and working.

What this form is

This form lets a Richmond property owner or authorized agent certify that required smoke alarms and carbon monoxide alarms are installed and working. The Building Division says to use it when the inspector is unlikely to enter the dwelling during final inspection, such as for roof or siding replacement or retaining walls. It records the permit number, property address, alarm confirmations, contact details, date, and signature.

Who needs it

Property owners or authorized agents may need this form when the Building Inspector is unlikely to enter the dwelling during final inspection.

How to submit it

Provide the completed form at final inspection, or mail it to 450 Civic Center Plaza, Richmond, CA 94804, before requesting final inspection; attention Building Department.

About notarization

This form is signed without a notary; the owner or authorized agent certifies under penalty of perjury that the information is true and correct.

How to submit this form

  1. 1

    Download The Form

    Download the Certification Form for Smoke Alarms and Carbon Monoxide Alarms.

  2. 2

    Complete The Form

    Enter the permit number and property address, complete the alarm confirmations, and provide the requested contact information, date, and signature.

  3. 3

    Gather Attachments

    The document does not specify any required attachments.

  4. 4

    Submit To The City

    Provide the form at final inspection or mail it to the Building Department before requesting final inspection.

Frequently asked questions

What does the alarm certification form confirm?
The owner or authorized agent certifies that required smoke and carbon monoxide alarms are installed in the stated locations and have been tested and are working.
When should I use this form?
Use it when the Building Inspector is not likely to enter the dwelling during final inspection, such as for roof replacement, siding replacement, or retaining walls.
Do I need a notary for the alarm certification form?
No. The form is signed without a notary, but the owner or authorized agent certifies under penalty of perjury that the information is true and correct.
How do I submit the alarm certification form?
Provide the completed form at final inspection, or mail it to 450 Civic Center Plaza, Richmond, CA 94804, before requesting final inspection, attention Building Department.

Need something notarized?

This Certification Form for Smoke Alarms and Carbon Monoxide Alarms doesn’t need a notary — but if you have another Richmond form that does, a commissioned online notary can help.