Who submits this statement?

The applicant submits it as a condition of permit issuance. The owner or the responsible registered design professional acting as the owner's agent arranges approved inspection agencies.

Do I need a notary for this statement?

No. This document has signature and date lines but no notary block; it does not identify a sworn or notarized attachment.

How do I submit the Statement of Special Inspections and Observations?

The form says the applicant shall submit the statement. It lists the City of Dana Point address as 33282 Golden Lantern, Suite 209, Dana Point, CA 92629.

Dana Point, CA · Orange County

No notary required

Statement of Special Inspections and Observations

This statement identifies special inspectors and inspection requirements for owners or design professionals submitting it for a building permit.

What this form is

The applicant submits this statement as a condition of permit issuance. It records the project address, permit number, owner, and registered design professional, and designates special inspectors or structural observers with their registration numbers. It also describes inspection and testing responsibilities and, when applicable, structural observation requirements.

Who needs it

Applicants seeking a permit must submit the statement, with the owner or responsible design professional arranging the required inspection services.

How to submit it

Submit it to the City of Dana Point at 33282 Golden Lantern, Suite 209, Dana Point, CA 92629. The form lists 949-248-3594 and danapoint.org.

About notarization

This statement is signed and dated without a notary; the form does not identify any notarized or sworn attachment.

How to submit this form

1
Download The Statement
Download the Statement of Special Inspections and Observations PDF.
2
Complete Project Details
Provide the code cycle, effective date, address, permit number, owner, and registered design professional information.
3
Identify Inspection Personnel
List the designated structural observers or special inspectors and their registration numbers.
4
Sign And Submit
Complete the signature and date lines, then submit the statement to the City of Dana Point.

Frequently asked questions

What does the Statement of Special Inspections and Observations identify?: It records project and owner details, designates special inspectors or structural observers, and describes inspection, testing, and applicable structural observation requirements.
Who submits this statement?: The applicant submits it as a condition of permit issuance. The owner or the responsible registered design professional acting as the owner's agent arranges approved inspection agencies.
Do I need a notary for this statement?: No. This document has signature and date lines but no notary block; it does not identify a sworn or notarized attachment.
How do I submit the Statement of Special Inspections and Observations?: The form says the applicant shall submit the statement. It lists the City of Dana Point address as 33282 Golden Lantern, Suite 209, Dana Point, CA 92629.

Need something notarized?

This Statement of Special Inspections and Observations doesn’t need a notary — but if you have another Dana Point form that does, a commissioned online notary can help.