La Cañada Flintridge, CA · Los Angeles County
Smoke Alarm and Carbon Monoxide Detector Owner Statement and Acknowledgment of Compliance
Property owners complete and sign this statement to confirm smoke alarms, carbon monoxide detectors, or water-saving fixtures were installed before permit issuance.
What this form is
This owner statement records whether compliant water-saving fixtures, carbon monoxide detectors, and smoke detectors were installed at the property. The document says the owner must complete and sign it and submit it before a building permit is issued. It asks for the property address, permit number, the applicable improvements, and the owner’s printed name, signature, and date.
Who needs it
Property owners completing permit-related improvements submit this statement before permit issuance to report the listed fixture and detector installations.
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 owner simply prints their name, signs, and dates the statement.
How to submit this form
- 1
Download The Statement
Download the owner statement PDF.
- 2
Complete The Form
Enter the property address and permit number, then mark the applicable installed improvements.
- 3
Sign And Date
Print the owner's name, then sign and date the statement.
- 4
Submit Before Permit Issuance
Submit the completed statement before permit issuance using the city department's current submission instructions.
Frequently asked questions
- What does the owner statement confirm?
- It records whether the owner installed compliant water-saving fixtures, carbon monoxide detectors, or smoke detectors at the property.
- When must I submit the owner statement?
- The document says the owner must complete, sign, and submit the statement before permit issuance.
- Do I need a notary for the owner statement?
- No. The owner prints their name, signs, and dates the statement; the document does not require notarization.
- How do I submit the owner statement?
- Submit it to the city department named on the form; check the city website for current contact details.
Need something notarized?
This Smoke Alarm and Carbon Monoxide Detector Owner Statement and Acknowledgment of Compliance doesn’t need a notary — but if you have another La Cañada Flintridge form that does, a commissioned online notary can help.