What does the Designation of Special Inspectors form do?

It identifies the firm or individual responsible for special inspections and includes a declaration by the owner or architect or engineer of record that the listed inspectors have been hired.

Who completes this form?

The form is completed by the owner or the architect or engineer of record. It asks for inspector names and phone numbers and a signature and date.

Do I need a notary for the Designation of Special Inspectors?

No. This form is signed without a notary. It lists no notarized or sworn attachment or related step; the signer just signs and dates it.

How do I submit the Designation of Special Inspectors?

The form lists the Building Safety Division’s address and email, but does not specify a submission method. Contact the division to confirm how to submit it.

Inglewood, CA · Los Angeles County

No notary required

Designation of Special Inspectors

This form identifies the special inspectors responsible for required inspections and is completed by the property owner or architect or engineer of record.

What this form is

The form designates the person or firm responsible for special inspections and lets the owner or architect or engineer of record declare that the listed inspectors have been hired. It lists inspection types, including concrete, structural welding, masonry, and special grading; only checked items are required. The signer provides contact details for the responsible inspectors and signs and dates the declaration.

Who needs it

An owner or architect or engineer of record uses this form to designate inspectors for the special inspection items that apply.

How to submit it

The form lists the Building Safety Division at One Manchester Blvd., Suite 400, Inglewood, CA 90301, and [email protected]. It does not specify a submission method.

About notarization

This document is signed without a notary; no notarized or sworn attachment or related step is listed, so the signer just signs and dates it.

How to submit this form

1
Download The Form
Download the Designation of Special Inspectors form.
2
Complete The Inspector Details
List the responsible firm or individual and phone number, and identify any inspectors responsible for different items.
3
Review The Inspection Items
Check the applicable special inspection items; the form states that only checked items are required.
4
Sign And Contact The Division
The owner or architect or engineer of record signs and dates the declaration. Contact the Building Safety Division about the submission method.

Frequently asked questions

What does the Designation of Special Inspectors form do?: It identifies the firm or individual responsible for special inspections and includes a declaration by the owner or architect or engineer of record that the listed inspectors have been hired.
Who completes this form?: The form is completed by the owner or the architect or engineer of record. It asks for inspector names and phone numbers and a signature and date.
Do I need a notary for the Designation of Special Inspectors?: No. This form is signed without a notary. It lists no notarized or sworn attachment or related step; the signer just signs and dates it.
How do I submit the Designation of Special Inspectors?: The form lists the Building Safety Division’s address and email, but does not specify a submission method. Contact the division to confirm how to submit it.

Need something notarized?

This Designation of Special Inspectors doesn’t need a notary — but if you have another Inglewood form that does, a commissioned online notary can help.