Jurupa Valley, CA · Riverside County
Application for Special Inspector
Special inspectors use this application to provide their contact information, certification type, qualifications, and affidavit to the city's Building and Safety department.
What this form is
This application lets a special inspector identify the certification type they are seeking, provide contact details, and submit qualifying documentation. The form includes an affidavit stating that the applicant has read and agrees to follow the special inspection guidelines and declares the statement true under penalty of perjury. It also has spaces for city staff to record approval, payment, and permit information.
Who needs it
A special inspector seeking approval for a listed certification type should complete the application and provide copies of qualifying documentation.
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 affidavit declares the statement true under penalty of perjury, and the signer signs and dates the application.
How to submit this form
- 1
Download the Application
Download the Special Inspector Application.
- 2
Complete the Application
Provide your contact details, select the certification type, and complete the affidavit and signature fields.
- 3
Gather Qualifying Documentation
Provide copies of documentation supporting your qualifications.
- 4
Submit to the City
Submit the application and documentation to the city department named on the form; check the city website for current contact details.
Frequently asked questions
- What information does the Special Inspector Application request?
- It requests the inspector’s contact information, certification type, and copies of qualifying documentation. The applicant also signs an affidavit about following the special inspection guidelines.
- Who should complete this application?
- A special inspector seeking approval for one of the certification types listed on the form should complete it and provide copies of qualifying documentation.
- Do I need a notary for the Special Inspector Application?
- No. The document is signed without a notary. Its affidavit declares the statement true under penalty of perjury, and the signer signs and dates the application.
- How do I submit the Special Inspector Application?
- Submit it to the city department named on the form; check the city website for current contact details.
Need something notarized?
This Application for Special Inspector doesn’t need a notary — but if you have another Jurupa Valley form that does, a commissioned online notary can help.