Yorba Linda, CA · Orange County
Smoke Alarms and Carbon Monoxide Self Certification
This self-certification form records required smoke and carbon monoxide alarm locations for a property owner, contractor, or authorized HOA representative to submit at final inspection.
What this form is
This form certifies that smoke alarms and carbon monoxide alarms are present and functional in the locations listed on the form. It applies to projects involving exterior work where city inspectors do not require access to the dwelling interior during construction, such as re-roofing, re-siding, patio covers, and solar installations. It asks for permit and project details, alarm-location checks, and the signer’s name, signature, and date.
Who needs it
A property owner, contractor, authorized agent, or authorized HOA representative completes this form for a qualifying exterior project and gives it to the building inspector.
How to submit it
Complete the self-certification and give it to the building inspector at the project’s final inspection, as directed on the form.
About notarization
This document is signed and dated without a notary; the form lists no notarized or sworn attachment, so the signer just signs and dates it.
How to submit this form
- 1
Download the Form
Download the Smoke Alarms and Carbon Monoxide Self Certification PDF.
- 2
Complete the Form
Enter the permit and project details, check each applicable alarm-location box, and provide the signer’s name, signature, and date.
- 3
Check the Requirements
Confirm the alarms are present and functional in all locations listed on the form.
- 4
Give It to the Inspector
Give the completed self-certification to the building inspector at final inspection.
Frequently asked questions
- Do I need a notary for the Smoke Alarms and Carbon Monoxide Self Certification?
- No. The form is signed and dated without a notary, and it lists no notarized or sworn attachment.
- Who completes this self-certification?
- The form says it may be completed by the property owner, contractor, or authorized HOA representative.
- How do I submit the self-certification?
- Give the completed form to the building inspector at final inspection, as directed on the document.
- Which projects does this form cover?
- It applies to projects involving exterior work where city inspectors do not require access to the dwelling interior during construction. Examples include re-roofing, re-siding, patio covers, and solar photovoltaic installations.
