Canyon Lake, CA · Riverside County

No notary required

Statement of Special Inspections/Observations

This statement identifies special inspectors, structural observers, and testing agencies for permit work in Canyon Lake, and is submitted by the applicant.

What this form is

The statement identifies the special inspectors, structural observers, and testing agencies who will perform required inspections and testing during construction. The applicant must submit it as a condition of permit issuance. It asks for project and permit details, designated professionals’ names and registration numbers, and signatures; it also describes structural observation requirements and required written statements.

Who needs it

Applicants seeking a permit for work requiring special inspections or structural observations submit this statement and identify the professionals or agencies involved.

How to submit it

Submit the statement to the Building Official, as directed in the form. The document does not specify a submission method; check the city website for current contact details.

About notarization

This document is signed without a notary; the design professional and owner sign and date it, and no notarized or sworn attachment is identified.

How to submit this form

  1. 1

    Download the Statement

    Download the Statement of Special Inspections/Observations PDF.

  2. 2

    Complete Project Details

    Enter the code cycle, effective date, address, permit number, owner, and designated inspectors’ or observers’ names and registration numbers.

  3. 3

    Sign and Date

    Have the design professional and owner complete the applicable signature and date fields.

  4. 4

    Submit to the Building Official

    Submit the statement to the Building Official. Check the city website for current submission details.

Frequently asked questions

What is the Statement of Special Inspections/Observations?
It identifies the special inspectors, structural observers, and testing agencies for construction work and provides information about required inspections and observations.
Who submits this statement?
The applicant submits the statement as a condition of permit issuance. The form identifies the professionals or agencies performing required inspections and testing.
Do I need a notary for the Statement of Special Inspections/Observations?
No. The document is signed without a notary; the design professional and owner sign and date it, and no notarized or sworn attachment is identified.
How do I submit the Statement of Special Inspections/Observations?
The form says to submit the statement to the Building Official but does not give a submission method. Check the city website for current contact details.

Need something notarized?

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