Claremont, CA · Los Angeles County

No notary required

Owner Certification of Smoke/Carbon Monoxide Detector Compliance

Property owners use this form to certify smoke and carbon monoxide detector compliance when a permitted project prevents normal interior access by the City inspector.

What this form is

This form lets a property owner certify that a residence complies with the stated smoke and carbon monoxide detector requirements. It is intended for permitted projects where detectors are required but the City inspector cannot normally access the dwelling’s interior, such as re-roofing or solar work. It asks for the property address, permit number, owner’s printed name, signature, and date.

Who needs it

A property owner may need this form for a permitted project when required detectors are present and the City inspector cannot normally access the home’s interior.

How to submit it

Provide the completed form to the Building Inspector at final inspection, or email it to [email protected]. In the specified final-inspection correction-notice situation, it may be emailed to the final inspector or submitted to the public permit counter with a copy of the latest correction notice.

About notarization

This document is signed without a notary; the owner declares under penalty of perjury that the residence complies with the stated code sections.

How to submit this form

  1. 1

    Download The Form

    Download the Smoke/Carbon Compliance Form PDF.

  2. 2

    Complete The Form

    Enter the property address and permit number, then legibly print the owner’s name and provide the owner’s signature and date.

  3. 3

    Gather Any Required Attachment

    If submitting to the public permit counter in the stated final-inspection correction-notice situation, include a copy of the latest correction notice.

  4. 4

    Submit To The City

    Provide the completed form to the Building Inspector by final inspection or email it to [email protected].

Frequently asked questions

Do I need a notary for the Smoke/Carbon Compliance Form?
No. The form has no notary block; the property owner signs a declaration under penalty of perjury.
When is this form used?
It is for permitted projects where detectors are required and normal access to the dwelling interior by the City Building Inspector is not achieved.
Who must sign the form?
Only the property owner may sign. The form’s guidelines say signatures by tenants, contractors, relatives, and others will not be accepted.
How do I submit the Smoke/Carbon Compliance Form?
Provide it to the inspector by final inspection or email it to [email protected]. A specified correction-notice situation also permits submission to the public permit counter with the latest correction notice.

Need something notarized?

This Owner Certification of Smoke/Carbon Monoxide Detector Compliance doesn’t need a notary — but if you have another Claremont form that does, a commissioned online notary can help.