Fountain Valley, CA · Orange County

No notary required

Smoke and Carbon Monoxide Detectors Self-Certification Form

Property owners use this form to certify that required smoke and carbon monoxide alarms are present and functional at a Fountain Valley project address.

What this form is

This form lets a property owner and occupant certify that smoke and carbon monoxide alarms are present and functional in the locations listed. The document says it is used when a city inspector cannot normally access the dwelling interior during project construction, typically for exterior work such as re-roofing, re-siding, or patio covers. It asks for permit and property details, checkboxes, a signature, and a date.

Who needs it

A property owner and occupant may use this certification when a Fountain Valley inspector cannot normally access the dwelling interior during project construction.

How to submit it

Submit it to the city department named on the form; check the city website for current contact details.

About notarization

This certification is signed and dated without a notary; the form lists no notarized or sworn attachment, so the property owner signs and dates it.

How to submit this form

  1. 1

    Download The Form

    Download the Smoke and Carbon Monoxide Detectors Self-Certification Form.

  2. 2

    Complete The Form

    Enter the permit number, date, project address, and property owner information, then check the applicable alarm-location boxes.

  3. 3

    Sign And Date

    The property owner signs and dates the certification.

  4. 4

    Submit To The City

    Submit it to the city department named on the form; check the city website for current contact details.

Frequently asked questions

What does the Smoke and Carbon Monoxide Detectors Self-Certification Form certify?
The property owner and occupant certify that smoke and carbon monoxide alarms are present and functional in the locations listed on the form.
When is this certification used?
The form says it is used when the city inspector cannot normally access the dwelling interior during project construction. It is normally used for exterior work such as re-roofing, re-siding, or patio covers.
Do I need a notary for the Smoke and Carbon Monoxide Detectors Self-Certification Form?
No. The form is signed and dated without a notary and lists no notarized or sworn attachment.
How do I submit the Smoke and Carbon Monoxide Detectors Self-Certification Form?
Submit it to the city department named on the form; check the city website for current contact details.

Need something notarized?

This Smoke and Carbon Monoxide Detectors Self-Certification Form doesn’t need a notary — but if you have another Fountain Valley form that does, a commissioned online notary can help.