St. Helena, CA · Napa County
Smoke and Carbon Monoxide Alarm Self-Certification Form
Property owners use this form to certify smoke and carbon monoxide alarm installation for a permitted project when the city inspector cannot access the dwelling interior.
What this form is
This form lets a property owner certify that smoke and carbon monoxide alarms were installed according to the manufacturer's instructions and the code sections listed on the form. It is normally used for projects such as re-roofing, re-siding, patio covers, and swimming pools when the city inspector does not achieve normal access to the dwelling interior. It asks for owner, property, permit, job, and alarm-count information.
Who needs it
A property owner may need this form when permitted work is underway and the city inspector does not achieve normal access to the dwelling interior.
How to submit it
Return the completed affidavit to the City of St. Helena Building Inspector before final inspection sign-off.
About notarization
This document is signed without a notary; it has no notarized attachment or related sworn step, and the owner signs the certification.
How to submit this form
- 1
Download The Form
Download the Smoke and Carbon Monoxide Alarm Self-Certification Form.
- 2
Complete The Form
Enter the owner's name, property address, building permit number, job description, and counts of installed smoke and carbon monoxide alarms.
- 3
Sign The Certification
The owner signs the certification that the alarms were installed according to the manufacturer's instructions and the referenced code sections.
- 4
Return It To The Inspector
Return the affidavit to the City of St. Helena Building Inspector before final inspection sign-off.
Frequently asked questions
- Do I need a notary for the Smoke and Carbon Monoxide Alarm Self-Certification Form?
- No. The owner signs the certification without a notary. The form does not identify a notarized attachment or related sworn step.
- How do I submit the Smoke and Carbon Monoxide Alarm Self-Certification Form?
- Return the completed affidavit to the City of St. Helena Building Inspector before final inspection sign-off, as directed on the form.
- When is this alarm self-certification form used?
- The form says it is used when normal access to the dwelling interior by the city inspector is not achieved during construction, often for projects such as re-roofing, re-siding, patio covers, or swimming pools.