Corona, CA · Riverside County
Retrofit Verification and Self-Certification Form
Permit owners use this form to certify required smoke and carbon monoxide alarms and water-conserving plumbing fixtures for eligible exterior construction projects.
What this form is
This form lets a permit owner self-certify that required smoke and carbon monoxide alarms are installed and functional and that applicable plumbing fixtures meet water-flow requirements. The self-certification option is only available for exterior construction projects when a City of Corona Building Inspector does not access the dwelling interior during construction. It asks for the project address, permit number, owner, license number, signature, and date.
Who needs it
A permit owner may use this form for an exterior construction project when the City of Corona 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 permit owner signs and dates the self-certification, with no notarized or sworn attachment stated.
How to submit this form
- 1
Download The Form
Download the Retrofit Verification and Self-Certification Form.
- 2
Complete Project Details
Enter the project address, permit number, permit owner, and license number.
- 3
Verify And Sign
Certify the required alarm and plumbing-fixture conditions, then have the permit owner sign and date the form.
- 4
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
- What does the Retrofit Verification and Self-Certification Form certify?
- The permit owner certifies that required smoke and carbon monoxide alarms are installed and functional and that applicable plumbing fixtures comply with water-flow requirements.
- Who can use this form?
- The self-certification option is only available for exterior construction projects when the City of Corona Building Inspector does not access the dwelling interior during construction.
- Do I need a notary for the Retrofit Verification and Self-Certification Form?
- No. The permit owner signs and dates the self-certification; the form does not state that a notarized or sworn attachment is required.
- How do I submit the Retrofit Verification and Self-Certification Form?
- Submit it to the city department named on the form; check the city website for current contact details.
Need something notarized?
This Retrofit Verification and Self-Certification Form doesn’t need a notary — but if you have another Corona form that does, a commissioned online notary can help.