Atherton, CA · San Mateo County

No notary required

Statement of Special Inspections Testing Agreement and Approved Agencies

This agreement and inspection schedule records required special inspections and testing for a construction project, and is completed by the owner or representative and project parties.

What this form is

For projects requiring special inspection or testing, the owner or representative must complete, sign, and submit two copies of the agreement and schedule to the Building Department before a permit can be issued. The document identifies the project, owner, and inspection agency, and lets the applicant select required inspection and testing activities. It also lists project conditions and recognized special inspection and testing agencies.

Who needs it

Owners or their representatives for projects requiring special inspection or testing complete the agreement with the applicable project parties.

How to submit it

Submit two completed copies to the Atherton Building Department, 80 Fair Oaks Ln, Atherton, California 94027, for review and approval.

About notarization

This document is signed without a notary; the signer just signs and dates it.

How to submit this form

  1. 1

    Download The Agreement

    Download the special inspections agreement and schedule.

  2. 2

    Complete The Project Information

    Enter the site address and permit or application number, identify the project parties and inspection agency, and select applicable inspection and testing activities.

  3. 3

    Gather Required Copies

    Prepare two completed copies of the agreement and schedule for Building Department review and approval.

  4. 4

    Submit To The Building Department

    Submit both copies to the Atherton Building Department at 80 Fair Oaks Ln, Atherton, California 94027.

Frequently asked questions

What is the special inspections agreement for?
It documents required special inspections and testing for a construction project, including the selected inspection activities and the parties involved.
Who completes the agreement?
The owner or the owner's representative completes and signs it, with acknowledgments for applicable project parties, including the inspection agency, contractor, project architect or engineer, and Building Official.
Do I need a notary for the special inspections agreement?
No. This document is signed without a notary; the signer just signs and dates it.
How do I submit the special inspections agreement?
Submit two completed copies to the Atherton Building Department at 80 Fair Oaks Ln, Atherton, California 94027, for review and approval.

Need something notarized?

This Statement of Special Inspections Testing Agreement and Approved Agencies doesn’t need a notary — but if you have another Atherton form that does, a commissioned online notary can help.