La Verne, CA · Los Angeles County
Smoke Detector & Carbon Monoxide Alarm Self-Certification
Property owners, authorized representatives, or contractors complete this form to certify smoke detectors and carbon monoxide alarms at a La Verne project address.
What this form is
This form certifies that smoke detectors and carbon monoxide alarms are present and functional in the locations checked, and will be maintained while the residence is occupied. It may be presented to the inspector in lieu of a physical inspection during a project, at the inspection stage listed on the form. It asks for the permit number, project address, owner or representative details, alarm locations, and signatures and dates.
Who needs it
Property owners, their authorized representatives, or contractors responsible for work may complete this certification for a La Verne project.
How to submit it
The form lists the Department of Building & Safety at 3660 D Street, La Verne, CA 91750. It says to present the certification to the inspector during the project at the applicable inspection stage.
About notarization
This document is signed without a notary; the signer certifies under penalty of perjury and signs and dates the form.
How to submit this form
- 1
Download The Form
Download the Smoke Detector & Carbon Monoxide Alarm Self-Certification form.
- 2
Complete The Project Details
Enter the permit number and project address, identify the property owner or representative, and check the applicable alarm locations.
- 3
Sign And Date
The owner or authorized representative and responsible contractor have signature and date fields on the form.
- 4
Present It To The Inspector
Present the certification during the project at the applicable inspection stage listed on the form.
Frequently asked questions
- Do I need a notary for the Smoke Detector & Carbon Monoxide Alarm Self-Certification?
- No. The form has signature and date fields but no notary block. The signer certifies under penalty of perjury.
- Who can complete this certification?
- The form provides for certification by the property owner or an authorized representative, and also includes a certification section for the contractor responsible for the work.
- How do I submit the Smoke Detector & Carbon Monoxide Alarm Self-Certification?
- Present it to the inspector during the project at the applicable inspection stage listed on the form. The form names La Verne's Department of Building & Safety and gives its address.
- What does the form certify?
- It certifies that smoke detectors and carbon monoxide alarms are present and functional in the applicable locations, and will be maintained and operable while the residence is occupied.