Hayward, CA · Alameda County
Statement Of Special Inspections
This statement documents the special inspections and testing planned for a construction project and is completed by the project team for the City of Hayward.
What this form is
The statement identifies the project, owner, contractor, applicant, and design professional, lists proposed inspection agencies, and provides a schedule of required inspections and tests. The document says it is submitted to fulfill special-inspection requirements and describes responsibilities for the owner, inspectors, and Building Official. The Engineer of Record is directed to select agencies from the City’s recognized list.
Who needs it
Owners and project design professionals submit this statement when a construction project requires special inspections and testing.
How to submit it
The form identifies the Development Services Department at 777 B Street, Hayward, CA 94541. It does not state a submission method or fee.
About notarization
This document is signed without a notary; it identifies no notarized or sworn attachment, so the listed signers sign and date it.
How to submit this form
- 1
Download The Statement
Download the Statement of Special Inspections PDF.
- 2
Complete Project Information
Enter the site and project details and the requested owner, contractor, applicant, and design professional information.
- 3
List Inspection Agencies
Identify the inspection and testing agencies retained for the project; the form says agencies must be on the City’s approved list.
- 4
Sign And Submit
Have the listed signers sign and date the statement, then submit it to the Development Services Department at the address shown on the form.
Frequently asked questions
- What does the Statement of Special Inspections document?
- It identifies project contacts and proposed inspection agencies and provides a schedule of special inspections and tests for the construction project.
- Who completes the Statement of Special Inspections?
- The form includes information and signatures for the owner, project engineer or architect, and inspection agency or inspector.
- Do I need a notary for the Statement of Special Inspections?
- No. The document is signed and dated without a notary, and it does not identify a notarized or sworn attachment.
- How do I submit the Statement of Special Inspections?
- The form lists the Development Services Department at 777 B Street, Hayward, CA 94541, but does not specify a submission method.