Gila Bend, AZ · Maricopa County
Special Inspection Certificate
This certificate identifies a construction project’s special inspection responsibilities and is completed by the owner or agent and the responsible architect or engineer.
What this form is
This certificate documents special inspection arrangements for a construction project subject to the adopted International Building Code requirements cited on the form. It asks for project, address, plan and permit details; the owner or agent’s designation of an architect or engineer; the work requiring inspection and assigned inspectors; and certifications from the responsible professional.
Who needs it
An owner or legal agent and the responsible architect or engineer complete the certificate for a project involving the listed special inspection work.
How to submit it
Submit it to the city department named on the form; check the city website for current contact details.
About notarization
This certificate has no notary block; the owner or agent and architect or engineer provide original signatures and dates.
How to submit this form
- 1
Download The Certificate
Download the Special Inspection Certificate PDF.
- 2
Complete Project Details
Enter the project, address, date, plan number, and permit number.
- 3
Identify Inspection Responsibilities
Complete the owner or agent designation and list the work and persons involved in special inspection.
- 4
Sign And Submit
Obtain the required original signatures and dates, then submit the certificate to the city department named on the form.
Frequently asked questions
- What does the Special Inspection Certificate record?
- It records project details, the owner or agent’s designation, work requiring special inspection, assigned inspectors, and certifications by the responsible professional.
- Who completes the certificate?
- The owner or legal agent designates an architect or engineer, and the responsible architect or engineer completes the inspection responsibility and compliance certifications.
- Do I need a notary for the Special Inspection Certificate?
- No. The certificate has no notary block; the owner or agent and architect or engineer provide original signatures and dates.
- How do I submit the Special Inspection Certificate?
- Submit it to the city department named on the form. Check the city website for current contact details, as the form does not list submission instructions.