Shasta Lake, CA · Shasta County
Smoke, Carbon Monoxide Alarm Affidavit
Property owners and installers complete this affidavit to certify smoke and carbon monoxide alarm compliance for a permitted residential property in Shasta Lake.
What this form is
This affidavit certifies that smoke and carbon monoxide alarms have been installed according to the instructions and code requirements stated on the form. The city requires it for permits requiring alarm compliance, and it must be returned to the building inspector for final sign-off. It asks for the property address, permit number, bedroom and alarm counts, and owner and installer information, signatures, and date.
Who needs it
Property owners and installers submit this affidavit for residential permits requiring smoke and carbon monoxide alarm compliance.
How to submit it
Return the completed certification to the City of Shasta Lake building inspector for final sign-off of permits requiring compliance. The form lists the Development Services Department at 4477 Main Street and [email protected].
About notarization
This document is signed without a notary; the owner dates the declaration under penalty of perjury, and the owner and installer sign.
How to submit this form
- 1
Download The Affidavit
Download the Smoke, Carbon Monoxide Alarm Affidavit for your Shasta Lake residential permit.
- 2
Complete The Property Details
Enter the property address, permit number, bedroom total, and smoke and carbon monoxide alarm counts.
- 3
Sign And Date The Form
The owner dates the declaration and signs; the installer or installing company also provides its information and signature.
- 4
Return It To The Building Inspector
Return the certification to the City of Shasta Lake building inspector for final sign-off of permits requiring compliance.
Frequently asked questions
- Do I need a notary for the Smoke, Carbon Monoxide Alarm Affidavit?
- No. The form has no notary block; the owner dates the declaration under penalty of perjury, and the owner and installer sign.
- Who completes the alarm affidavit?
- The property owner and installer provide their information and signatures. The owner also provides the property and permit details and certifies alarm compliance.
- What information does the affidavit ask for?
- It asks for the property address, permit number, bedroom and alarm counts, owner and installer details, signatures, and the date of the owner's declaration.
- How do I submit the alarm affidavit?
- Return the completed certification to the City of Shasta Lake building inspector for final sign-off of permits requiring compliance. The form lists the Development Services Department and its contact details.
Need something notarized?
This Smoke, Carbon Monoxide Alarm Affidavit doesn’t need a notary — but if you have another Shasta Lake form that does, a commissioned online notary can help.