Yorba Linda, CA · Orange County

No notary required

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. 1

    Download the Form

    Download the Smoke Alarms and Carbon Monoxide Self Certification PDF.

  2. 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. 3

    Check the Requirements

    Confirm the alarms are present and functional in all locations listed on the form.

  4. 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.

Need something notarized?

This Smoke Alarms and Carbon Monoxide Self Certification doesn’t need a notary — but if you have another Yorba Linda form that does, a commissioned online notary can help.