Atherton, CA · San Mateo County
Smoke Detector & Carbon Monoxide Alarm Self-Certification
Property owners, contractors, or authorized representatives use this form to certify smoke detectors and carbon monoxide alarms for certain Atherton projects.
What this form is
This form lets an owner, contractor, or authorized representative certify that smoke detectors and carbon monoxide alarms are present and functional instead of having them physically inspected by a Town Building inspector. It identifies project types and inspection stages when the certification may be presented, and asks for the permit number, project address, applicable alarm locations, signature, and date.
Who needs it
An owner, contractor, or authorized representative may complete it for a project when certifying smoke detectors and carbon monoxide alarms in lieu of physical inspection.
How to submit it
Present the completed certification to the Building inspector during the course of the project. The form lists the Town of Atherton Building Department at 80 Fair Oaks Ln, Atherton, California 94027.
About notarization
This document is signed and dated without a notary; the signer certifies under penalty of perjury that the alarms are present and functional.
How to submit this form
- 1
Download The Form
Download the Smoke Detector & Carbon Monoxide Alarm Self-Certification.
- 2
Complete Project Details
Enter the permit number and project address, then check applicable project and alarm-location boxes.
- 3
Sign And Date
The owner, contractor, or authorized representative signs and dates the certification.
- 4
Present It To The Inspector
Present the completed certification to the Building inspector during the course of the project.
Frequently asked questions
- What does Atherton’s smoke detector self-certification do?
- It allows an owner, contractor, or authorized representative to certify that smoke detectors and carbon monoxide alarms are present and functional instead of having them physically inspected.
- Who can complete this form?
- The form identifies the signer as the property owner, contractor, or an authorized representative. It asks for the permit number and project address.
- Do I need a notary for the Smoke Detector & Carbon Monoxide Alarm Self-Certification?
- No. The form has no notary block; the signer signs and dates it and certifies under penalty of perjury that the alarms are present and functional.
- How do I submit the self-certification?
- Present it to the Building inspector during the course of the project. The form lists the Town of Atherton Building Department address as 80 Fair Oaks Ln, Atherton, California 94027.