Coolidge, AZ · Pinal County
Special Inspection Form
The Special Inspection Form records assigned inspectors and inspection duties for a construction project and is completed by the project design professional and owner or agent.
What this form is
This form documents who is responsible for special inspections and which construction work requires inspection, including concrete, structural welding, masonry, and other listed work. The city’s instructions call for a copy to be submitted to Building Safety before permit issuance, with inspection report samples and submission time limits. It also includes a compliance certificate for the architect or engineer to complete after the work.
Who needs it
Project owners or their agents and the responsible architect or engineer complete this form when special inspections are required for construction.
How to submit it
Submit a copy to Building Safety before permit issuance with sample reports and report time limits; send progress reports and return the original when Part D is complete to Development Services, 131 W. Pinkley Ave., Coolidge, AZ 85128.
About notarization
This form is signed without a notary; the architect or engineer must seal specified certification parts, and the owner or legal agent signs the notification.
How to submit this form
- 1
Download The Form
Download the Special Inspection Form for the construction project.
- 2
Complete The Form
Complete parts A, B, and C, including the project details, assigned inspectors, and inspection duties.
- 3
Gather Inspection Materials
Include samples of inspection reports and provide time limits for submission of reports.
- 4
Submit To Building Safety
Submit a copy to Building Safety before permit issuance, send progress reports, and return the original when Part D is complete.
Frequently asked questions
- What does the Special Inspection Form document?
- It identifies the people assigned to perform special inspections, the types of work requiring inspection, and certifications related to the project’s structural requirements.
- Who completes the Special Inspection Form?
- The form includes certifications and signatures for the architect or engineer, plus a notification signed by the owner or legal agent designating the person responsible for special inspection.
- How do I submit the Special Inspection Form?
- Submit a copy to Building Safety before permit issuance with sample inspection reports and report time limits. Send progress reports and return the original when Part D is complete to Development Services.
- Do I need a notary for the Special Inspection Form?
- No. The form is signed without a notary, but specified certification parts must be sealed by the architect or engineer, and the owner or legal agent signs the notification.