Modoc County, CA · Modoc County

No notary required

Declaration of Installation of Smoke and Carbon Monoxide Detectors

Property owners or licensed contractors use this declaration to verify smoke and carbon monoxide alarm installation for a county building permit.

At a glance

Issued by
City of Modoc County · Modoc County, Modoc County, California
Notarization
Not required: file this form without a notary.
Official source
countyofmodoc.gov
Blank form
Download the PDF
Catalogued
Machine-readable
JSON record · about the forms index

What this form is

This declaration lets a property owner or licensed contractor self-verify smoke and carbon monoxide alarm installation to Development Services staff when interior access is not readily available. The form relates to permits for alterations, repairs, or additions exceeding $1,000 and must be completed before final inspection. It asks for the permit number, project address, owner and contractor details, and signatures and dates.

Who needs it

A property owner or licensed contractor may complete this declaration when interior access is unavailable to verify alarms for a building permit.

How to submit it

The form identifies the County of Modoc Building and Safety Department and lists its address and email: 203 West 4th St., Alturas, CA 96101; [email protected].

About notarization

This document is signed without a notary; the owner or contractor signs and dates a declaration made under penalty of perjury.

How to submit this form

  1. 1

    Download the Declaration

    Download the smoke and carbon monoxide detector installation declaration.

  2. 2

    Complete the Form

    Enter the building permit number and project address, then provide the owner or contractor information.

  3. 3

    Review the Alarm Items

    Review the listed smoke and carbon monoxide alarm installation requirements before signing.

  4. 4

    Sign and Submit

    The owner or licensed contractor signs and dates the declaration. The form lists the County of Modoc Building and Safety Department's contact details.

Frequently asked questions

Do I need a notary for the detector installation declaration?
No. The form has signature and date lines for the owner or licensed contractor, and the declaration is made under penalty of perjury; it has no notary block.
Who can complete this declaration?
The form provides signature lines for a property owner or licensed contractor to affirm smoke and carbon monoxide alarm installation.
When is this declaration used?
It helps verify alarm installation for a building permit when interior access to the dwelling is not readily available. The form says verification is needed before final inspection.
How do I submit the declaration?
The form lists the County of Modoc Building and Safety Department at 203 West 4th St., Alturas, CA 96101, and [email protected]. It does not specify a submission method.

Need something notarized?

This Declaration of Installation of Smoke and Carbon Monoxide Detectors doesn’t need a notary, but if you have another Modoc County form that does, a commissioned online notary can help.