West Covina, CA · Los Angeles County

No notary required

Special Inspector Check-In and Job Assignment Form

This form records special inspector and project details for every project and is completed for building department approval before a scheduled special inspection.

What this form is

The City requires this form for every project, and the building department must approve it before the scheduled special inspection. It collects the project address and permit number, inspector and inspection firm details, registration or accreditation information, work and tests to be inspected, inspection dates, and the signer’s certification that they will follow the listed requirements.

Who needs it

A special inspector or other listed representative completes and signs this form for each project requiring a special inspection.

How to submit it

The form says the building department must approve it before the scheduled special inspection. Submit it to the city department named on the form; check the city website for current contact details.

About notarization

This form is signed and dated without a notary; it identifies no notarized attachment or sworn step, so the signer just signs and dates it.

How to submit this form

  1. 1

    Download The Form

    Download the Special Inspector Check-In and Job Assignment Form.

  2. 2

    Complete The Project Details

    Enter the project, permit, inspector, inspection firm, work, tests, and inspection date information requested.

  3. 3

    Sign And Date

    Select the applicable employment relationship, read the listed requirements, and sign and date the certification.

  4. 4

    Submit For Approval

    Submit the form to the city department named on it for building department approval before the scheduled special inspection.

Frequently asked questions

Who completes the Special Inspector Check-In and Job Assignment Form?
A special inspector or other listed representative completes the project, inspector, inspection firm, and work details, then signs and dates the certification.
When does the building department need to approve this form?
The form states that the building department must approve it before the scheduled special inspection. It is required for every project.
How do I submit the Special Inspector Check-In and Job Assignment Form?
The form says the building department must approve it before the scheduled special inspection. Submit it to the city department named on the form; check the city website for current contact details.
Do I need a notary for the Special Inspector Check-In and Job Assignment Form?
No. This form is signed and dated without a notary, and it identifies no notarized attachment or sworn step.

Need something notarized?

This Special Inspector Check-In and Job Assignment Form doesn’t need a notary — but if you have another West Covina form that does, a commissioned online notary can help.