Pleasant Hill, CA · Contra Costa County
Special Inspection and Testing Agreement
This agreement sets out a project’s special inspection and testing program for owners, design professionals, contractors, and inspection agencies to complete and submit to the City.
What this form is
The form identifies the project and inspection agencies, records required acknowledgments, and provides a schedule for selecting special inspections and tests. The City requires it for projects requiring special inspection under Chapter 17 of the California Building Code, and says it must be completed and approved by the Building Department before permit issuance. It also requests project details, agency contacts, signatures, and inspection requirements.
Who needs it
Owners or their agents, design professionals, contractors, and inspection agencies involved in a project requiring special inspection must complete the applicable sections.
How to submit it
Submit the completed agreement to the City of Pleasant Hill Building Department for approval before permit issuance. The form lists 100 Gregory Lane, Pleasant Hill, CA 94523, and phone (925) 671-5200.
About notarization
This agreement is signed without a notary; the signers certify that the information is true and correct under penalty of perjury.
How to submit this form
- 1
Download The Agreement
Download the Special Inspection and Testing Agreement PDF.
- 2
Complete Project Details
Enter the project name, address, date, permit number, and approved testing or inspection agency contacts.
- 3
Complete The Inspection Schedule
Have the Engineer of Record identify the special inspections and tests required for the project.
- 4
Gather Required Credentials
If using an inspector not listed on the City’s recognized-agencies handout, submit a resume letter, professional license copy, and relevant certifications.
- 5
Sign And Submit
Obtain the required signatures and submit the agreement to the Building Department for approval before permit issuance.
Frequently asked questions
- Do I need a notary for the Special Inspection and Testing Agreement?
- No. The agreement has signature fields and a certification under penalty of perjury, but no notary block.
- How do I submit the Special Inspection and Testing Agreement?
- Submit the completed agreement to the City of Pleasant Hill Building Department for approval before permit issuance. The form lists 100 Gregory Lane, Pleasant Hill, CA 94523.
- When is this agreement required?
- The form says it is required for projects requiring special inspection under Chapter 17 of the California Building Code, and must be approved before permit issuance.
- What information does the agreement request?
- It asks for project and permit details, inspection agency contacts, party acknowledgments and signatures, and a schedule identifying required special inspections and tests.
Need something notarized?
This Special Inspection and Testing Agreement doesn’t need a notary — but if you have another Pleasant Hill form that does, a commissioned online notary can help.