What does the Smoke Alarm & Carbon Monoxide Alarm Self Certification do?

It lets a property owner or authorized representative certify that smoke alarms and carbon monoxide alarms are installed at the listed locations, in lieu of a city inspector's physical inspection.

When may I use this certification?

The form says it may be used when the project's scope of work is exterior only. It can be presented to the inspector during the project.

Do I need a notary for the Smoke Alarm & Carbon Monoxide Alarm Self Certification?

No. The owner or authorized representative signs and dates the certification, which states that the information is true under penalty of perjury; the form has no notary block.

How do I submit the completed form?

Hand the completed affidavit to the inspector during the project or email it to buildingdivision@dalycity.org.

Daly City, CA · San Mateo County

No notary required

Smoke Alarm & Carbon Monoxide Alarm Self Certification

Property owners or authorized representatives use this form to certify smoke alarm and carbon monoxide alarm installation for a project in Daly City.

What this form is

This form lets a property owner or authorized representative certify alarm installation in lieu of a physical inspection by a city inspector. It may be used when the project scope is exterior only and can be presented to the inspector during the project. It asks for permit and property information, alarm locations, and the signer’s certification.

Who needs it

A property owner or authorized representative may complete this form for a project with an exterior-only scope of work.

How to submit it

For exterior-only project work, hand the completed affidavit to the inspector during the project or email the completed form to [email protected].

About notarization

No notary is required; the owner or authorized representative signs and dates the certification, which states the information is true under penalty of perjury.

How to submit this form

1
Download The Form
Download the Smoke Alarm & Carbon Monoxide Alarm Self Certification PDF.
2
Complete The Form
Enter the permit and project information, then check the applicable alarm locations.
3
Review And Sign
The owner or authorized representative certifies the alarm information and signs and dates the form.
4
Submit To The City
Hand the completed affidavit to the inspector during the project or email it to [email protected].

Frequently asked questions

What does the Smoke Alarm & Carbon Monoxide Alarm Self Certification do?: It lets a property owner or authorized representative certify that smoke alarms and carbon monoxide alarms are installed at the listed locations, in lieu of a city inspector's physical inspection.
When may I use this certification?: The form says it may be used when the project's scope of work is exterior only. It can be presented to the inspector during the project.
Do I need a notary for the Smoke Alarm & Carbon Monoxide Alarm Self Certification?: No. The owner or authorized representative signs and dates the certification, which states that the information is true under penalty of perjury; the form has no notary block.
How do I submit the completed form?: Hand the completed affidavit to the inspector during the project or email it to [email protected].

Need something notarized?

This Smoke Alarm & Carbon Monoxide Alarm Self Certification doesn’t need a notary — but if you have another Daly City form that does, a commissioned online notary can help.