Grass Valley, CA · Nevada County
Smoke and Carbon Monoxide Alarms Affidavit
Property owners or contractors complete this affidavit to declare that smoke and carbon monoxide alarms have been installed and tested at a residential property.
What this form is
This affidavit documents smoke and carbon monoxide alarm installation at a residential property when no interior access is required for inspection. It is for permitted alterations, repairs, additions, or creation of sleeping rooms, and asks for the permit number, property address, owner’s name, alarm counts, and owner or contractor signatures. The signer declares the alarms follow manufacturer instructions and applicable code requirements and are operational.
Who needs it
A property owner or contractor completes and signs this affidavit for a residential property where the listed alarms have been installed and tested.
How to submit it
Submit the signed affidavit to the City of Grass Valley Building Department, 125 East Main Street, Grass Valley, CA 95945. The document also lists (530) 274-4340 and cityofgrassvalley.com.
About notarization
This affidavit is signed without a notary; the document lists no notarized attachment or sworn step, so the owner and/or contractor signs and dates it.
How to submit this form
- 1
Download The Affidavit
Download the Smoke and Carbon Monoxide Alarms Affidavit PDF.
- 2
Complete The Property Details
Enter the permit number, property address, owner’s name, and numbers of alarms installed.
- 3
Sign And Date
The owner and/or contractor signs and dates the affidavit; contractors also enter their license number.
- 4
Submit To The City
Submit the signed affidavit to the City of Grass Valley Building Department at the address shown on the document.
Frequently asked questions
- Who completes the Smoke and Carbon Monoxide Alarms Affidavit?
- The property owner and/or contractor completes and signs the affidavit for the referenced residential property. It asks for property and alarm details, signatures, dates, and the contractor’s license number.
- What information does the affidavit ask for?
- It requests the permit number, property address, owner’s name, numbers of smoke and carbon monoxide alarms installed, and owner or contractor signature details.
- Do I need a notary for the Smoke and Carbon Monoxide Alarms Affidavit?
- No. The document has no notary block or notarized attachment; the owner and/or contractor signs and dates the affidavit.
- How do I submit the Smoke and Carbon Monoxide Alarms Affidavit?
- Submit the signed affidavit to the City of Grass Valley Building Department at 125 East Main Street, Grass Valley, CA 95945. The document also lists the department phone number and city website.
Need something notarized?
This Smoke and Carbon Monoxide Alarms Affidavit doesn’t need a notary — but if you have another Grass Valley form that does, a commissioned online notary can help.