Coalinga, CA · Fresno County

No notary required

Smoke Detector and Carbon Monoxide Installation Self-Certification Form

Property owners, contractors, or authorized agents use this form to certify smoke and carbon monoxide alarm installation when the dwelling interior cannot be inspected.

What this form is

This self-certification form lets a property owner, contractor, or authorized agent certify that smoke and carbon monoxide alarms are installed as required. It may be used when the dwelling interior will not be accessible to inspect alarm placement at final inspection; the permit cannot be finaled until the completed form is reviewed by the City of Coalinga Building Official. It asks for the property address, permit number, signer details, signature, and date.

Who needs it

A property owner, contractor, or authorized agent may use this form when the dwelling interior will not be accessible for alarm placement inspection at final inspection.

How to submit it

The form says the City of Coalinga Building Official must review it but gives no submission method; submit it to the city department named on the form; check the city website for current contact details.

About notarization

This form is signed and dated without a notary; the signer declares under penalty of perjury that the alarms are installed as required, and no notarized attachment is listed.

How to submit this form

  1. 1

    Download The Form

    Download the Smoke Detector and Carbon Monoxide Installation Self-Certification Form.

  2. 2

    Complete The Form

    Enter the property address and building permit number, identify yourself as owner, contractor, or authorized agent, and provide the requested signer details.

  3. 3

    Sign And Date

    Sign and date the declaration certifying that the smoke and carbon monoxide alarms are installed as required.

  4. 4

    Submit For Review

    The City of Coalinga Building Official must review the form; check the city website for current submission details.

Frequently asked questions

Do I need a notary for the Smoke and Carbon Monoxide Installation Self-Certification Form?
No. The signer signs and dates the form without a notary and makes a declaration under penalty of perjury; no notarized attachment is listed.
How do I submit the Smoke and Carbon Monoxide Installation Self-Certification Form?
The City of Coalinga Building Official must review the completed form, but the document does not specify a submission method. Check the city website for current contact details.
When may I use this self-certification form?
It may be used when the dwelling interior will not be accessible to inspect smoke and carbon monoxide alarm placement at final inspection.

Need something notarized?

This Smoke Detector and Carbon Monoxide Installation Self-Certification Form doesn’t need a notary — but if you have another Coalinga form that does, a commissioned online notary can help.