Dinuba, CA · Tulare County
Affidavit – Smoke and Carbon Monoxide Detectors
Property owners complete this affidavit to certify that smoke and carbon monoxide alarms are installed and operational at a property subject to permit requirements.
What this form is
This form lets a property owner certify that required smoke and carbon monoxide alarms have been installed according to the manufacturers’ instructions and tested as operational. The city says to complete it before requesting a final inspection for building permits requiring compliance, and return it to the Building Inspector before final sign-off. It asks for the property address, permit number, alarm counts, owner information, signature, and date.
Who needs it
Property owners with building permits requiring smoke or carbon monoxide alarm compliance complete the form before requesting a final inspection.
How to submit it
Email the completed form to [email protected], or hand deliver it to the Building Division at 1088 E. Kamm Avenue, Dinuba.
About notarization
This document is signed without a notary; the owner signs and dates it and declares under penalty of perjury that the information is true and correct.
How to submit this form
- 1
Download the Form
Download the smoke and carbon monoxide alarm self-certification affidavit.
- 2
Complete the Form
Enter the property address, permit number, alarm counts, owner information, signature, and date.
- 3
Check Alarm Installation
Certify that the alarms were installed according to the manufacturers’ instructions and tested as operational.
- 4
Submit to the City
Email the completed form to [email protected] or hand deliver it to the Building Division at 1088 E. Kamm Avenue.
Frequently asked questions
- Do I need a notary for the Smoke and Carbon Monoxide Alarm Affidavit?
- No. The form has no notary block; the owner signs and dates it and declares under penalty of perjury that the information is true and correct.
- How do I submit the alarm affidavit?
- Email the completed form to [email protected], or hand deliver it to the Building Division at 1088 E. Kamm Avenue, Dinuba.
- When should I complete this form?
- Complete the form before requesting a final inspection. The certification must be returned to the Building Inspector before final sign-off of permits requiring compliance.
- What information does the affidavit ask for?
- It asks for the property address, permit application number, number of alarms installed, owner name, signature, and date.