Campbell, CA · Santa Clara County
Smoke Alarm and Carbon Monoxide Alarm Self-Certification
Property owners or licensed contractors use this form to certify that required smoke and carbon monoxide alarms are installed and working for a covered permit.
What this form is
For exterior residential projects, water heaters, furnaces, re-pipes, and minor electrical work that does not involve removing interior walls or ceiling finishes, this form certifies alarm installation for the permit. It asks for the project address, property owner, licensed contractor and license number, and the signer’s certification, signature, date, and role.
Who needs it
A property owner or licensed contractor with a covered permit must complete and sign this certification for the final inspection.
How to submit it
Give the signed certification to the inspector in the field for the final inspection sign-off, as directed on the form.
About notarization
This document is signed without a notary; the signer certifies the alarms are installed and functional, then signs and dates the form.
How to submit this form
- 1
Download The Form
Download the Smoke Alarm and Carbon Monoxide Alarm Self-Certification PDF.
- 2
Complete The Form
Enter the project address, property owner, licensed contractor and license number, then select whether the signer is the contractor or property owner.
- 3
Certify And Sign
Certify that the alarms are installed in compliance with current California codes and are functional, then sign and date the form.
- 4
Give It To The Inspector
Give the signed certification to the inspector in the field for the final inspection sign-off.
Frequently asked questions
- Do I need a notary for the Smoke Alarm and Carbon Monoxide Alarm Self-Certification?
- No. This document is signed without a notary; the signer certifies the alarms are installed and functional, then signs and dates the form.
- Who completes this self-certification?
- The form is completed by the property owner or licensed contractor. It asks for the project address, owner, contractor, license number, and the signer’s role.
- How do I submit the self-certification?
- Give the signed certification to the inspector in the field for the final inspection sign-off, as directed on the form.