Lake Havasu City, AZ · Mohave County
Certificate of Special Inspection
Owners and inspection professionals complete this certificate to document responsibility for special inspections and compliance for a Lake Havasu City building project.
What this form is
The certificate records the owner or legal agent’s selection of a registered design professional and the professional’s responsibility for required special inspections. The owner section must be completed before a building permit is issued; the professional’s responsibility section is also due before permit issuance, and the compliance section before a certificate of occupancy is issued. The professional identifies inspection types and signs the applicable certifications.
Who needs it
Owners or legal agents and the professional in charge of special inspections complete the sections applicable to their roles for the project.
How to submit it
Return the completed certificate to the Development Services Department, 2330 McCulloch Blvd. N., Lake Havasu City, AZ 86403.
About notarization
This document is signed without a notary; the owner or legal agent and inspection professional sign and date it, and the professional provides a seal.
How to submit this form
- 1
Download The Certificate
Download the Certificate of Special Inspection PDF.
- 2
Complete The Applicable Sections
Enter project details and complete the sections assigned to the owner or legal agent and the professional in charge of special inspections.
- 3
Identify Special Inspections
The professional in charge completes the statement by identifying the work requiring special inspection.
- 4
Return The Certificate
Return the completed certificate to the Development Services Department at the address printed on the form.
Frequently asked questions
- What is the Certificate of Special Inspection used for?
- It records the owner’s retention of a registered design professional, the professional’s responsibility for special inspections, and the professional’s compliance certification for the project.
- Who completes the certificate?
- The owner or legal agent completes and signs the notification section. The professional in charge of special inspections completes the responsibility and compliance certifications and the statement of special inspections.
- Do I need a notary for the Certificate of Special Inspection?
- No. This document is signed without a notary; the owner or legal agent and inspection professional sign and date it, and the professional provides a seal.
- How do I submit the Certificate of Special Inspection?
- Return the completed certificate to the Development Services Department at 2330 McCulloch Blvd. N., Lake Havasu City, AZ 86403.
Need something notarized?
This Certificate of Special Inspection doesn’t need a notary — but if you have another Lake Havasu City form that does, a commissioned online notary can help.