Humboldt County, CA · Humboldt County
Special Inspection Agreement Form
This agreement identifies required special inspections, testing, and structural observation, and is completed for a construction project by the Engineer or Architect of Record acting for the owner.
At a glance
- Issued by
- City of Humboldt County · Humboldt County, Humboldt County, California
- Notarization
- Not required: file this form without a notary.
- Official source
- humboldtgov.org
- Blank form
- Download the PDF
- Catalogued
- Machine-readable
- JSON record · about the forms index
What this form is
Use this form when special inspection, testing, or structural observation is required for a construction project. The Engineer or Architect of Record acting as the owner’s agent completes two copies, identifying the project, required inspections, and inspection and testing agencies. The form also includes signature sections for the design professional, owner, inspection agency, and contractor.
Who needs it
The Engineer or Architect of Record acting as the owner’s agent completes the agreement for a project requiring special inspection, testing, or structural observation.
How to submit it
The form identifies the Building Division at 3015 H Street, Eureka, CA 95501, and directs materials to the Building Official. Complete two copies of the agreement.
About notarization
This document is signed without a notary; the design professional, owner, inspection agency, and contractor sign and date their sections.
How to submit this form
- 1
Download the Agreement
Download the Special Inspection Agreement Form for the construction project.
- 2
Complete the Project Details
Enter the project address, permit number, description, and required inspection and testing selections.
- 3
Identify the Agencies
Provide the requested information for the special inspection, material testing, geotechnical, other, and structural observation agencies, as applicable.
- 4
Sign and Date
Have the design professional, owner, inspection agency, and contractor complete their signature and date sections.
- 5
Submit Two Copies
Complete two copies and direct them to the Building Official at the Building Division address listed on the form.
Frequently asked questions
- What is the Special Inspection Agreement Form for?
- It identifies the special inspections, testing, or structural observation required for a construction project and records the agencies and people responsible for them.
- Who completes the agreement?
- The Engineer or Architect of Record acting as the owner’s agent completes two copies. The form also has signature sections for the owner, inspection agency, and contractor.
- Do I need a notary for the Special Inspection Agreement Form?
- No. The document has signature and date sections but no notary block; the design professional, owner, inspection agency, and contractor sign and date their sections.
- How do I submit the Special Inspection Agreement Form?
- The form lists the Building Division at 3015 H Street, Eureka, CA 95501, and directs materials to the Building Official. Complete two copies of the agreement.