Cupertino, CA · Santa Clara County
Smoke / Carbon Monoxide Alarms Self-Certification of Compliance
This form lets a property owner or appointed agent certify that required smoke and carbon monoxide alarms are installed for a Cupertino building permit.
What this form is
The certificate documents smoke and carbon monoxide alarm installation for compliance when no interior access for inspection is required. Cupertino says the permit will not be finalized until the completed, signed certificate is returned to the Building Division; on-site verification is required when the inspection area is inside the residence. The form asks for the permit number, property address, owner and licensed contractor names, signatures, and dates.
Who needs it
A property owner or appointed agent completing a building permit must return this certificate when certifying alarm installation without interior access for inspection.
How to submit it
Complete and sign the certificate, then return it to the Building Division at 10300 Torre Avenue, Cupertino, CA 95014, or email [email protected].
About notarization
This document is signed without a notary; the owner or appointed agent and licensed contractor provide signatures and dates on the certificate.
How to submit this form
- 1
Download The Certificate
Download the Smoke / Carbon Monoxide Alarms Self-Certification of Compliance PDF.
- 2
Complete The Form
Enter the permit number and property address, then provide the owner or agent and licensed contractor information, signatures, and dates.
- 3
Check For Attachments
The certificate does not list any required attachments.
- 4
Return It To The Building Division
Return the completed, signed certificate by mail to the Building Division or email it to [email protected].
Frequently asked questions
- What does the smoke and carbon monoxide alarm certificate do?
- It lets an owner or appointed agent certify that required smoke and carbon monoxide alarms are installed. The certificate is used when no interior access for inspection is required.
- Do I need a notary for this form?
- No. This document is signed without a notary; the owner or appointed agent and licensed contractor provide signatures and dates on the certificate.
- How do I submit the smoke and carbon monoxide alarm certificate?
- Return the completed, signed certificate to the Building Division at 10300 Torre Avenue, Cupertino, CA 95014, or email it to [email protected].
- When does Cupertino require this certificate?
- The form is a self-certification for alarm installation when no interior access for inspections is required. The permit will not be finalized until the certificate is completed, signed, and returned.
Need something notarized?
This Smoke / Carbon Monoxide Alarms Self-Certification of Compliance doesn’t need a notary — but if you have another Cupertino form that does, a commissioned online notary can help.