Who needs to complete this form?

Property owners whose building permit project costs $1,000 or more need to verify alarm installation for final approval.

Do I need a notary for the Smoke Detector/CO Alarm Self-Verification Form?

No. The property owner signs and dates the form; it has no notarized or sworn attachment.

How do I submit the Smoke Detector/CO Alarm Self-Verification Form?

Return it to the City of Susanville Building Department at 66 N. Lassen St., Susanville, CA 96130, or provide it to the Building Inspector during the final inspection.

Susanville, CA · Lassen County

No notary required

Smoke Detector/CO Alarm Self-Verification Form

Property owners use this form to verify smoke and carbon monoxide alarm installation for a building permit project before the city grants final approval.

What this form is

This form lets a property owner certify that smoke and carbon monoxide alarms have been installed in the dwelling for the referenced building permit project. The city says verification is needed for final approval when a building permit’s scope of work costs $1,000 or more. It asks for the permit number, owner’s name and signature, project address, and inspector, and lists alarm placement requirements.

Who needs it

Property owners with a building permit project costing $1,000 or more who need to verify alarm installation for final approval should complete this form.

How to submit it

Return the completed form to the City of Susanville Building Department at 66 N. Lassen St., Susanville, CA 96130. It may also be provided to the Building Inspector during the final inspection.

About notarization

This form is signed without a notary; it has no notarized or sworn attachment, so the property owner simply signs and dates it.

How to submit this form

1
Download The Form
Download the Smoke Detector/CO Alarm Self-Verification Form.
2
Complete The Form
Enter the building permit number, property owner’s name, project address, and inspector; then sign and date the form.
3
Review Alarm Installation
Check the form’s listed smoke and carbon monoxide alarm placement requirements for the dwelling.
4
Submit To The City
Return the form to the Building Department at 66 N. Lassen St. or provide it to the Building Inspector during final inspection.

Frequently asked questions

What does the Smoke Detector/CO Alarm Self-Verification Form do?: It lets a property owner certify that smoke and carbon monoxide alarms have been installed in the dwelling for the referenced building permit project.
Who needs to complete this form?: Property owners whose building permit project costs $1,000 or more need to verify alarm installation for final approval.
Do I need a notary for the Smoke Detector/CO Alarm Self-Verification Form?: No. The property owner signs and dates the form; it has no notarized or sworn attachment.
How do I submit the Smoke Detector/CO Alarm Self-Verification Form?: Return it to the City of Susanville Building Department at 66 N. Lassen St., Susanville, CA 96130, or provide it to the Building Inspector during the final inspection.

Need something notarized?

This Smoke Detector/CO Alarm Self-Verification Form doesn’t need a notary — but if you have another Susanville form that does, a commissioned online notary can help.