Eureka, CA · Humboldt County
Owner/Contractor Residential Smoke and Carbon Monoxide Alarm Compliance Certification
This certification records smoke and carbon monoxide alarm compliance for residential permit projects and is completed by the property owner or an authorized agent or contractor.
What this form is
Eureka requires this certification for residential additions, alterations, or repairs covered by the form’s permit requirements, including work valued over $1,000. It asks for the property location, the signer’s name, signature, date, and relationship to the project, and certifies that required alarms are installed. The completed installation certification must be received by the Building Inspector at final inspection.
Who needs it
Property owners or their authorized agents or contractors complete this certification for applicable residential permit work requiring smoke and carbon monoxide alarms.
How to submit it
The form says the completed installation certification must be received by the City Building Inspector at final inspection. It lists the Building Division at 531 K St, Eureka, CA 95501, and [email protected].
About notarization
This document is signed without a notary; the signer makes declarations under penalty of perjury and signs and dates the certification.
How to submit this form
- 1
Download The Form
Download the Owner/Contractor Residential Smoke and Carbon Monoxide Alarm Compliance Certification.
- 2
Complete The Certification
Enter the property location and complete the declaration, including the signer’s name, signature, date, and relationship to the project.
- 3
Install Required Alarms
Install smoke and carbon monoxide alarms as described in the form and follow the manufacturers’ instructions.
- 4
Submit At Final Inspection
Ensure the completed installation certification is received by the City Building Inspector at final inspection.
Frequently asked questions
- Do I need a notary for the smoke and carbon monoxide alarm certification?
- No. The form has signature and date lines but no notary block; signers make declarations under penalty of perjury.
- Who completes this certification?
- A property owner or an authorized agent or contractor for the property owner may complete and sign the certification.
- When must I submit the completed certification?
- The form says the completed installation certification must be received by the City Building Inspector at final inspection.
- How do I submit the certification?
- The form directs you to have the completed installation certification received by the City Building Inspector at final inspection. It lists the Building Division’s address and email.