Yorba Linda, CA · Orange County
Statement of Special Inspections
Design professionals use this form to identify required special inspections and include the statement on the first page of structural plans.
What this form is
This form records which special inspections are required for a project and whether each is periodic or continuous. Design professionals are instructed to fill it out and imprint it onto the first page of the structural plans. It lists inspection types and provides space for other required tests or instructions, plus an owner or agent declaration about employing the special inspectors.
Who needs it
Design professionals complete the inspection selections, and the owner or the owner’s agent signs the declaration about employing special inspectors.
How to submit it
Submit it to the city department named on the form; check the city website for current contact details.
About notarization
This document is signed without a notary; the owner or agent signs and dates the declaration.
How to submit this form
- 1
Download The Form
Download the Statement of Special Inspections PDF.
- 2
Complete The Inspection Selections
Check the required inspection types and indicate whether each is periodic or continuous; specify any other required tests or instructions.
- 3
Sign And Date The Declaration
The owner or the owner’s agent signs and dates the declaration about employing special inspectors.
- 4
Add It To The Structural Plans
Design professionals are instructed to imprint the completed form onto the first page of the structural plans.
- 5
Submit To The City
Submit it to the city department named on the form; check the city website for current contact details.
Frequently asked questions
- What does the Statement of Special Inspections do?
- It identifies required special inspection types and whether they are periodic or continuous, with space to specify other tests, inspections, or instructions.
- Who completes the Statement of Special Inspections?
- Design professionals fill out the form for the structural plans. The owner or the owner’s agent signs and dates the declaration about employing special inspectors.
- Do I need a notary for the Statement of Special Inspections?
- No. The owner or agent signs and dates the declaration without a notary.
- How do I submit the Statement of Special Inspections?
- The form says to imprint it onto the first page of the structural plans. It does not provide submission details; check the city website for current contact information.