San Leandro, CA · Alameda County
Special Inspections Schedule, Agreement, and Instructions
Owners, contractors, and design professionals complete this schedule and agreement to document required special inspections and testing for a construction project.
What this form is
The document records the special inspections and testing required for a project and sets out responsibilities for the owner, contractor, design professional, and inspection agency. The instructions say the proposed scope of work requires special inspections or testing and direct the parties to complete pages 1 and 2 for submission to Permit Staff. The schedule asks for inspection selections, project details, and signatures.
Who needs it
Owners, contractors, engineers or architects of record, and special inspection agencies involved in a project requiring special inspections or testing need this document.
How to submit it
Return pages 1 and 2 to Permit Staff, as instructed; the document does not provide a submission address or fee.
About notarization
This document is signed without a notary; the owner, contractor, agency representative, and design professional sign and date it.
How to submit this form
- 1
Download The Document
Download the Special Inspections Schedule, Agreement, and Instructions.
- 2
Complete The Schedule
Complete page 1 with the required inspection selections, project details, and requested information.
- 3
Review And Sign
Review the instructions and agreement, then have the owner, contractor, agency representative, and design professional sign and date as applicable.
- 4
Submit To Permit Staff
Return pages 1 and 2 to Permit Staff, as directed in the document.
Frequently asked questions
- Who completes the special inspections schedule and agreement?
- The document assigns responsibilities to the owner, contractor, engineer or architect of record, and special inspection agency; each provides the requested information and signature.
- How do I submit the special inspections agreement?
- The instructions say to complete and submit pages 1 and 2 to Permit Staff. The document does not give a submission address or fee.
- Do I need a notary for the special inspections agreement?
- No. The document has signature and date fields but no notary block; the listed parties sign and date it.