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 when the City cannot normally access the dwelling interior during construction.
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. The City says it is normally used for projects such as re-roofing, re-siding, patio covers, and swimming pools when the Building Inspector cannot normally access the dwelling interior. It requests owner, property, permit, job, and alarm-count information.
Who needs it
Property owners whose permitted project prevents normal interior access by the Building Inspector may need to complete this certification.
How to submit it
Submit all forms and applications through eTRAKiT. The form says this affidavit must be returned to the City Building Inspector before final inspection sign-off.
About notarization
This form is signed without a notary; it contains an owner certification, but no separately notarized attachment or sworn step is specified.
How to submit this form
- 1
Download The Form
Download the Smoke and Carbon Monoxide Alarm Self-Certification Form.
- 2
Complete The Owner And Property Details
Enter the homeowner's name, property address, building permit number, brief job description, and alarm counts.
- 3
Certify And Sign
Certify that the alarms were installed according to the manufacturer's instructions and the listed code sections, then sign as the owner.
- 4
Submit To The City
Submit forms and applications through eTRAKiT and return this affidavit to the City 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 form has an owner certification and signature line, but does not specify a notary or a separately notarized attachment.
- Who uses this alarm self-certification form?
- A property owner may use it when a project prevents the City Building Inspector from normally accessing the dwelling interior during construction.
- How do I submit the Smoke and Carbon Monoxide Alarm Self-Certification Form?
- The form directs users to submit forms and applications through eTRAKiT. It says the affidavit must reach the City Building Inspector before final inspection sign-off.