Marysville, CA · Yuba County
Smoke Detector Self-Certification Affidavit
Detached single-family homeowners or their representatives complete this affidavit to certify smoke and carbon monoxide detectors for a permitted project.
What this form is
This affidavit lets an owner certify that smoke and carbon monoxide detectors are installed according to the manufacturer’s instructions and the requirements described on the form. It applies to qualifying projects at detached single-family homes when the Building Inspector does not need normal interior access; projects involving the home’s interior require an inspection. The form asks about detector installation, permit and property details, and the signer’s relationship to the project.
Who needs it
Owners or authorized representatives complete this affidavit for qualifying permitted projects at detached single-family homes when normal interior access is not required.
How to submit it
Return the completed affidavit to the City of Marysville Inspector before final sign-off of applicable building permits. The form lists Community Development and Services at 526 C Street, P.O. Box 150, Marysville, CA 95901.
About notarization
This document is signed without a notary; the signer declares under penalty of perjury that the statements are true and correct.
How to submit this form
- 1
Download The Affidavit
Download the Smoke Detector Self-Certification Affidavit.
- 2
Complete The Form
Provide the permit and property information, detector installation details, and signer information requested on the form.
- 3
Install Required Detectors
Install smoke and carbon monoxide detectors according to the manufacturer’s instructions and the requirements described in the document.
- 4
Sign And Submit
Sign and date the affidavit, then return it to the City of Marysville Inspector before final sign-off of applicable building permits.
Frequently asked questions
- Who completes the Smoke Detector Self-Certification Affidavit?
- The property owner or an authorized representative completes the affidavit for qualifying permitted work at a detached single-family home.
- When can I use this affidavit?
- The form applies when normal access to the home’s interior by the City Building Inspector is not required during construction. Interior projects require an inspection.
- Do I need a notary for the Smoke Detector Self-Certification Affidavit?
- No. The document is signed without a notary, but the signer declares under penalty of perjury that the statements are true and correct.
- How do I submit the Smoke Detector Self-Certification Affidavit?
- Return it to the City of Marysville Inspector before final sign-off of applicable building permits. The form lists Community Development and Services at 526 C Street, P.O. Box 150, Marysville, CA 95901.
Need something notarized?
This Smoke Detector Self-Certification Affidavit doesn’t need a notary — but if you have another Marysville form that does, a commissioned online notary can help.