La Palma, CA · Orange County

No notary required

Guide to Smoke Detector and Carbon Monoxide Self Certification Minimum Requirements

Permit applicants use this self-certification form to confirm smoke and carbon monoxide alarms are installed and functional for qualifying exterior projects.

What this form is

The form lets a permittee certify that smoke alarms and carbon monoxide alarms are present and functional in the listed locations. The document says it is used only for projects to the exterior of a structure when the Building Inspector does not access the dwelling interior during construction. It asks for the project address, permit number, owner and contractor details, checked alarm requirements, signature, and date.

Who needs it

A permittee may use this form for an exterior project when the Building Inspector does not access the dwelling interior during 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 document is signed without a notary; the permittee just signs and dates the certification.

How to submit this form

  1. 1

    Download The Form

    Download the smoke and carbon monoxide self-certification form.

  2. 2

    Complete Project Details

    Enter the project address, permit number, property owner, and licensed contractor details.

  3. 3

    Confirm Alarm Requirements

    Check both boxes to certify the required alarms are present and functional in the listed locations.

  4. 4

    Sign And Date

    The permittee signs and dates the certification.

  5. 5

    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

Do I need a notary for the smoke and carbon monoxide self-certification?
No. The document has a signature and date line but no notary block; the permittee signs and dates the certification.
When is this self-certification used?
The form says it is used only for exterior projects where the City of La Palma Building Inspector does not access the dwelling interior during construction.
What information does the form ask for?
It asks for the project address, permit number, property owner, licensed contractor and license number, confirmation of alarm locations and function, signature, and date.
How do I submit the smoke and carbon monoxide self-certification?
The document does not state how to submit it. Submit it to the city department named on the form; check the city website for current contact details.

Need something notarized?

This Guide to Smoke Detector and Carbon Monoxide Self Certification Minimum Requirements doesn’t need a notary — but if you have another La Palma form that does, a commissioned online notary can help.