Jurupa Valley, CA · Riverside County
Application for Special Inspector
This application lets special inspectors request approval from Jurupa Valley’s Building and Safety department for listed inspection certifications.
What this form is
Special inspectors use this application to seek approval for one or more listed certification types, including epoxy, masonry, prestressed concrete, structural steel and bolting, and structural welding. The form asks for contact information, certification types, and copies of qualifying documentation. Applicants also affirm that they understand and will follow the special inspection guidelines, and declare their statement true under penalty of perjury.
Who needs it
A special inspector seeking city approval for one or more certification types listed on the application needs to complete it.
How to submit it
Submit it to the city’s Building and Safety department; the form does not provide an address, email, portal, or fee instructions.
About notarization
This application is signed without a notary; it includes an affidavit declaring the statement true under penalty of perjury, which the applicant signs and dates.
How to submit this form
- 1
Download the Application
Download the Special Inspector Application PDF.
- 2
Complete the Application
Enter your contact information, select the certification types requested, and complete the affidavit and signature fields.
- 3
Gather Supporting Documents
Provide copies of documentation that qualifies you for the certification types selected.
- 4
Submit to Building and Safety
Submit the completed application and documentation to the city’s Building and Safety department.
Frequently asked questions
- What does the Special Inspector Application request?
- It requests the applicant’s contact details, the certification types sought, and copies of qualifying documentation, along with an affidavit agreeing to follow the special inspection guidelines.
- Who should complete this application?
- A special inspector seeking approval for one or more certification types listed on the form should provide their information and qualifying documentation.
- Do I need a notary for the Special Inspector Application?
- No. The application is signed without a notary. It includes an affidavit declaring the statement true under penalty of perjury, which the applicant signs and dates.
- How do I submit the Special Inspector Application?
- Submit it to Jurupa Valley’s Building and Safety department. The form does not list an address, email, portal, or fee instructions.
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.