Wasco, CA · Kern County
Smoke and Carbon Monoxide Alarm Compliance Affidavit
Permit holders submit this affidavit to declare that smoke and carbon monoxide alarms at a property are installed, operational, and tested.
What this form is
This affidavit records a permit holder’s declaration that smoke and carbon monoxide alarms at a project address meet applicable requirements, are installed in required locations, and have been tested. The form asks for the project address, permit number if applicable, and contractor or property owner information, signatures, and dates. It also states that the affidavit does not replace required inspections and that the property may be subject to random testing.
Who needs it
A permit holder completing the affidavit for a property where smoke and carbon monoxide alarm compliance is being declared needs this form.
How to submit it
Submit it to the city department named on the form; check the city website for current contact details.
About notarization
This document is signed without a notary; the signer declares under penalty of perjury that the information is true and correct, then signs and dates it.
How to submit this form
- 1
Download the Affidavit
Download the Smoke and Carbon Monoxide Alarm Compliance Affidavit PDF.
- 2
Complete the Form
Enter the project address, permit number if applicable, and the requested contractor or property owner information.
- 3
Sign and Date
The permit holder signs and dates the declaration under penalty of perjury.
- 4
Submit to the City
Submit the completed affidavit to the city department named on the form; check the city website for current contact details.
Frequently asked questions
- What does the Smoke and Carbon Monoxide Alarm Compliance Affidavit do?
- It records a declaration that alarms at the listed project address comply with applicable requirements, are in required locations, operational, and tested.
- Who completes the affidavit?
- The form says the information must be completed and signed by the permit holder only. It provides spaces for contractor or installer details or property owner details.
- Do I need a notary for the Smoke and Carbon Monoxide Alarm Compliance Affidavit?
- No. The document is signed without a notary, but the signer declares under penalty of perjury that the information is true and correct, then signs and dates it.
- How do I submit the Smoke and Carbon Monoxide Alarm Compliance Affidavit?
- Submit it to the city department named on the form; check the city website for current contact details.