Monte Sereno, CA · Santa Clara County

No notary required

Smoke Alarm and Carbon Monoxide Alarm Certification Form

Homeowners use this form to certify that required smoke and carbon monoxide alarms are installed and functioning when the Building Official cannot verify them.

What this form is

This form lets a homeowner certify that smoke and carbon monoxide alarms are installed in the required locations and functioning properly when the Building Official cannot access the residence during the final inspection. The form asks for the property address, permit number, owner’s printed name, signature, and date. The city describes the certification requirement for additions, alterations, or repairs with a permit valuation exceeding $1,000.

Who needs it

A homeowner may need this form when the Building Official cannot access the residence to verify alarms at the final inspection.

How to submit it

Submit the completed certification to the City of Monte Sereno at 18041 Saratoga-Los Gatos Road, Monte Sereno, CA 95030.

About notarization

This document is signed without a notary; the homeowner just signs and dates the certification.

How to submit this form

  1. 1

    Download the Form

    Download the Smoke Alarm and Carbon Monoxide Alarm Certification Form.

  2. 2

    Complete the Form

    Enter the property address and permit number, then print the owner’s name and sign and date the certification.

  3. 3

    Gather Attachments

    The form does not identify any required attachments.

  4. 4

    Submit to the City

    Submit the completed form to the City of Monte Sereno at the address shown on the form.

Frequently asked questions

What does the Smoke Alarm and Carbon Monoxide Alarm Certification Form certify?
The homeowner certifies that smoke and carbon monoxide alarms are installed in required locations and functioning properly.
When does the city require this certification?
The form describes certification when the permit valuation exceeds $1,000 and the Building Official cannot access the residence to verify alarms at final inspection.
Do I need a notary for the Smoke Alarm and Carbon Monoxide Alarm Certification Form?
No. This document is signed without a notary; the homeowner just signs and dates the certification.
How do I submit the completed alarm certification?
Submit it to the City of Monte Sereno at 18041 Saratoga-Los Gatos Road, Monte Sereno, CA 95030.

Need something notarized?

This Smoke Alarm and Carbon Monoxide Alarm Certification Form doesn’t need a notary — but if you have another Monte Sereno form that does, a commissioned online notary can help.