Santa Ana, CA · Orange County
Smoke & CO Alarm Affidavit
Property owners or contractors use this affidavit to certify that smoke and carbon monoxide alarms are installed and tested at a project address.
What this form is
This self-certification is for projects that affect a structure’s exterior when a Santa Ana inspector does not need access to the dwelling’s interior. It asks for the project address, permit number, owner and contractor details, and checks confirming alarm locations, followed by a certification and signature. The signer certifies the alarms were installed in compliance with governing codes, tested, and will be retested according to manufacturer instructions.
Who needs it
A property owner or contractor for an exterior project where a Santa Ana inspector does not need access to the dwelling’s interior.
How to submit it
Have the completed form and job-card readily available at final inspection. The form lists the Planning & Building Agency at 20 Civic Center Plaza, Ross Annex, P.O. Box 1988 (M-19), Santa Ana, CA 92702.
About notarization
This affidavit is signed and dated without a notary; it asks the property owner or contractor to certify the alarms and does not mention a notarized attachment.
How to submit this form
- 1
Download The Affidavit
Download the Smoke & CO Alarm Affidavit PDF.
- 2
Complete The Form
Enter the project and owner or contractor details, check both alarm boxes, and sign and date the certification.
- 3
Gather The Job-Card
Have the job-card ready with the completed form for final inspection.
- 4
Have It Ready At Inspection
Keep the completed form and job-card readily available at final inspection.
Frequently asked questions
- What does the Smoke & CO Alarm Affidavit certify?
- The signer certifies that smoke and carbon monoxide alarms were installed in compliance with governing codes, tested to be functional, and will be retested according to manufacturer instructions.
- Who can sign the affidavit?
- The form says the signer must be the contractor or property owner for the project and asks the signer to check which role applies.
- Do I need a notary for the Smoke & CO Alarm Affidavit?
- No. The affidavit is signed and dated without a notary, and the form does not mention a notarized attachment.
- How do I submit the Smoke & CO Alarm Affidavit?
- Have the completed form and job-card readily available at final inspection. The form lists the Planning & Building Agency address in Santa Ana.