San Clemente, CA · Orange County
Carbon Monoxide and Smoke Alarm Self-Certification
Property owners or their representatives complete this self-certification for eligible exterior building improvement permits when the city cannot inspect alarms inside the home.
What this form is
This form certifies that smoke and carbon monoxide alarms are installed in the required locations, tested, and operational. The City of San Clemente allows it in place of an interior alarm inspection for listed exterior improvement permits, including reroofing, exterior wall cover replacement, window changes, and patio covers. The owner or representative completes the property and permit details, signs, dates, and presents it before permit final sign-off.
Who needs it
An owner or owner’s representative may complete this form for a listed exterior improvement permit when the city cannot access the home’s interior.
How to submit it
Present the completed form to the City Building Inspector before final sign-off of the permit. The form lists the Building Division at 910 Calle Negocio, Suite 100, San Clemente, CA 92673.
About notarization
This document is signed without a notary; the owner or representative signs and dates the certification, and no notarized attachment or related step is mentioned.
How to submit this form
- 1
Download The Form
Download the Carbon Monoxide and Smoke Alarm Self-Certification.
- 2
Complete The Property Details
Enter the project address, permit number, and property owner information.
- 3
Check And Certify The Alarms
Confirm the alarms are installed in the listed locations, tested, and operational; sign and date the form.
- 4
Present It To The Inspector
Present the completed form to the City Building Inspector before permit final sign-off.
Frequently asked questions
- Do I need a notary for the Carbon Monoxide and Smoke Alarm Self-Certification?
- No. The owner or representative signs and dates the certification; no notarized attachment or related step is mentioned.
- Who can complete this self-certification?
- The property owner or the owner’s representative can certify that the smoke and carbon monoxide alarms are installed in the listed locations, tested, and operational.
- Which permits can use this form?
- The form lists reroof permits, replacement of exterior wall cover permits, window change-out permits, and patio cover permits.
- How do I submit the self-certification?
- Present the completed form to the City Building Inspector before permit final sign-off.
Need something notarized?
This Carbon Monoxide and Smoke Alarm Self-Certification doesn’t need a notary — but if you have another San Clemente form that does, a commissioned online notary can help.