Barstow, CA · San Bernardino County
Smoke Detector and Carbon Monoxide Installation Self Certification Form
Property owners, contractors, or authorized agents use this form to certify smoke and carbon monoxide alarm installation when the dwelling interior cannot be inspected.
What this form is
This self-certification form records whether smoke and carbon monoxide alarms have been installed as required. It may be used when the dwelling interior will not be accessible for inspection at final inspection; the permit cannot be finaled until the completed, signed form is reviewed by Barstow’s Building Department. It asks for the property address, permit number, signer’s role, alarm certifications, signature, date, contact details, and installer information.
Who needs it
A property owner, contractor, or authorized agent may complete it when the dwelling interior will not be accessible for alarm inspection at final inspection.
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 signer declares the alarm installation certifications under penalty of perjury and signs and dates the form.
How to submit this form
- 1
Download the Form
Download the Smoke Detector and Carbon Monoxide Installation Self Certification Form.
- 2
Complete the Form
Enter the property address and permit number, select your role, and mark the applicable alarm installation certifications.
- 3
Add Signer and Installer Details
Provide the requested contact and installer information, then sign and date the form.
- 4
Submit for Review
Submit the completed form for review by Barstow’s Building Department; check the city website for current contact details.
Frequently asked questions
- What is the Smoke Detector and Carbon Monoxide Installation Self Certification Form?
- It lets an owner, contractor, or authorized agent certify smoke and carbon monoxide alarm installation when the dwelling interior will not be accessible for inspection at final inspection.
- Do I need a notary for the Smoke Detector and Carbon Monoxide Installation Self Certification Form?
- No. The form is signed without a notary. The signer declares the alarm installation certifications under penalty of perjury and signs and dates the form.
- How do I submit the Smoke Detector and Carbon Monoxide Installation Self Certification Form?
- Complete and sign the form for review by Barstow’s Building Department. Check the city website for current contact details and submission instructions.
- What information does the form ask for?
- It asks for the property address, permit number, signer’s role, smoke and carbon monoxide alarm certifications, signature and date, signer contact information, and installer details.
Need something notarized?
This Smoke Detector and Carbon Monoxide Installation Self Certification Form doesn’t need a notary — but if you have another Barstow form that does, a commissioned online notary can help.