Chino Valley, AZ · Yavapai County
Special Structural Inspections Certificate
This certificate documents a project's required special structural inspections and is completed by the responsible engineer or architect, special inspector, and owner.
What this form is
Use this certificate for a project requiring a special structural inspections program. The responsible engineer or architect identifies the inspection types and qualified inspectors, and the special inspector and owner complete their certifications. It requests project, owner, and professional contact details, inspection scope and schedules, testing information, and dated signatures; it also describes reporting and approval requirements.
Who needs it
The engineer or architect responsible for special inspections, the special inspector, and the project owner complete their respective sections.
How to submit it
The form lists the Town of Chino Valley Development Services Department at 1982 North Voss Drive, #203, Chino Valley, AZ 86323. It also lists 928.636-3480 and www.chinoaz.net.
About notarization
This certificate is signed without a notary; the engineer or architect, special inspector, and owner sign and date their respective certifications.
How to submit this form
- 1
Download The Certificate
Download the Special Structural Inspections Certificate PDF.
- 2
Complete Project And Inspection Details
Enter the permit, project, owner, and professional details, then mark applicable inspection types and provide scopes, schedules, and testing information.
- 3
Complete Certifications
Have the responsible engineer or architect, special inspector, and owner complete and date their respective certifications.
- 4
Submit To Development Services
Use the Development Services Department address printed on the form to submit the completed certificate.
Frequently asked questions
- What does the Special Structural Inspections Certificate document?
- It records project information, required inspection types and schedules, qualified inspectors, and certifications by the responsible engineer or architect, special inspector, and owner.
- Who completes the certificate?
- The responsible engineer or architect completes the inspection program section. The special inspector and owner complete their own certifications, including names and dates.
- Do I need a notary for the Special Structural Inspections Certificate?
- No. This certificate is signed without a notary; the engineer or architect, special inspector, and owner sign and date their respective certifications.
- How do I submit the certificate?
- The form lists the Town of Chino Valley Development Services Department at 1982 North Voss Drive, #203, Chino Valley, AZ 86323. It also lists 928.636-3480 and www.chinoaz.net.