Smoke and Carbon Monoxide Alarm Installation Self-Certification

Property owners or authorized agents submit this form to certify required smoke and carbon monoxide alarms are installed and working when a building inspection cannot enter the dwelling.

What this form is

This form lets a property owner or authorized agent certify that required smoke and carbon monoxide alarms are installed in the required locations and work properly when the Building Inspector cannot enter the dwelling during final inspection. It asks for permit and project details, alarm certifications and initials, and the signer’s name, signature, and date. The form states it must be submitted before final building approval.

Who needs it

Property owners or authorized agents use this form when the Building Inspector cannot enter the dwelling during final inspection and the City requires alarm certification.

How to submit it

Provide a fully completed and signed copy to the City of San Bruno Chief Building Official before obtaining final building approval.

About notarization

This document is signed without a notary; the signer certifies the information under penalty of perjury and signs and dates the form.

How to submit this form

1
Download The Form
Download the Smoke and Carbon Monoxide Alarm Installation Self-Certification.
2
Complete The Form
Enter the permit number, project address, approved scope of work, and covered units, then complete the required alarm certifications.
3
Sign And Date
The property owner or authorized agent initials the certifications, signs, and dates the form.
4
Submit To The City
Provide the completed, signed form to the City of San Bruno Chief Building Official before final building approval.

Frequently asked questions

What does the Smoke and Carbon Monoxide Alarm Self-Certification do?: It lets a property owner or authorized agent certify that required smoke and carbon monoxide alarms are installed in the required locations and functioning properly.
When does San Bruno require this form?: The form may be used when the Building Inspector cannot enter the dwelling during final inspection. It must be submitted before final building approval.
Do I need a notary for the Smoke and Carbon Monoxide Alarm Self-Certification?: No. The form is signed without a notary; the signer certifies the information under penalty of perjury and signs and dates it.
How do I submit the Smoke and Carbon Monoxide Alarm Self-Certification?: Provide a fully completed and signed copy to the City of San Bruno Chief Building Official before obtaining final building approval.

Need something notarized?

This Smoke and Carbon Monoxide Alarm Installation Self-Certification doesn’t need a notary — but if you have another San Bruno form that does, a commissioned online notary can help.