Capitola, CA · Santa Cruz County
Smoke Detector and Carbon Monoxide Installation Self Certification Form
Contractors, property owners, or authorized agents use this form to certify required smoke and carbon monoxide alarms when a dwelling interior cannot be inspected.
What this form is
Capitola may use this form when a dwelling’s interior will not be accessible during final inspection to verify smoke and carbon monoxide alarm placement. It applies to qualifying building permits for additions, repairs, or alterations and must be completed, signed, and reviewed by the City Building Inspector before the referenced permit can be finalized. The form asks for permit and property details, alarm certifications, and signer and installer contact information.
Who needs it
A contractor, property owner, or authorized agent may complete it when the dwelling interior will be inaccessible for alarm inspection at final inspection.
How to submit it
Complete and sign the form, then have it reviewed by the City of Capitola Building Inspector. The document provides no submission address, email, portal, or fee information.
About notarization
This document is signed without a notary; the signer declares under penalty of perjury that the required smoke and carbon monoxide alarms are installed.
How to submit this form
- 1
Download the Form
Download the Smoke Detector and Carbon Monoxide Installation Self Certification Form.
- 2
Complete the Form
Enter the property address and building permit number, identify your role, and complete the alarm certifications and requested contact information.
- 3
Sign and Date
Sign and date the certification; the form does not identify any required attachments.
- 4
Submit for City Review
Have the completed form reviewed by the City of Capitola Building Inspector before the referenced permit is finalized.
Frequently asked questions
- What is the Smoke Detector and Carbon Monoxide Installation Self Certification Form?
- It records a signer’s certification that required smoke and carbon monoxide alarms are installed when a dwelling’s interior will not be accessible at final inspection.
- Who can complete this form?
- The form identifies the signer as a contractor, owner, or authorized agent and requests property, permit, alarm certification, and contact details.
- Do I need a notary for this form?
- No. The form is signed without a notary. The signer declares under penalty of perjury that the required alarms are installed.
- How do I submit the completed form?
- The form must be completed, signed, and reviewed by the City of Capitola Building Inspector before the referenced permit can be finalized. It does not list a submission address or method.