Eureka, CA · Humboldt County

No notary required

Special Inspection Form

Building owners submit this form before a building permit is issued to identify the testing agency and special inspections required for a project.

What this form is

The Special Inspection Form identifies the testing and inspection agency engaged to perform structural tests and inspections during construction. The building owner, on the advice of the architect or engineer, submits it to the Chief Building Official before a building permit is issued, with one form for each required special inspection. It asks for project details, signatories, the agency, and the inspections selected.

Who needs it

Building owners preparing for a building permit need this form when special inspections are required for their project.

How to submit it

Before issuance of a building permit, submit the completed form to the Chief Building Official. The form says to complete one form for each special inspection required.

About notarization

This form is signed and dated without a notary; the owner, engineer, and contractor sign where indicated.

How to submit this form

  1. 1

    Download The Form

    Download the Special Inspection Form for your project.

  2. 2

    Complete Project Details

    Enter the project name, plan check number, project address, agency details, and selected inspections.

  3. 3

    Obtain Signatures

    Have the owner, engineer, and contractor sign and date where indicated.

  4. 4

    Submit To The City

    Submit the completed form to the Chief Building Official before a building permit is issued; use one form for each required special inspection.

Frequently asked questions

What is the Special Inspection Form for?
It identifies the testing and inspection agency and the structural tests and inspections selected for a construction project.
Who submits the Special Inspection Form?
The building owner, on the advice of the architect or engineer, submits it to the Chief Building Official before a building permit is issued.
Do I need a notary for the Special Inspection Form?
No. This form is signed and dated without a notary; the owner, engineer, and contractor sign where indicated.
How do I submit the Special Inspection Form?
Submit the completed form to the Chief Building Official before issuance of a building permit. Complete one form for each required special inspection.

Need something notarized?

This Special Inspection Form doesn’t need a notary — but if you have another Eureka form that does, a commissioned online notary can help.