Dixon, CA · Solano County
Special Inspection Agreement
This agreement documents a project’s special inspection program and is completed by the owner, design professionals, contractor, and inspection agency.
What this form is
The City of Dixon uses this agreement for projects requiring special inspections. Parts I through IV must be completed, signed, and submitted to the Building Official for review and approval before permit issuance; Part V is submitted before final inspection or issuance of a Certificate of Occupancy. The form requests project and agency details, inspection requirements, contractor acknowledgments, signatures, and the final inspection report.
Who needs it
Owners or their authorized agents, design professionals, contractors, and special inspection agencies complete the parts assigned to them for a project requiring special inspections.
How to submit it
Submit Parts I through IV to the Building Official for review and approval before permit issuance. Submit Part V to the Building Official before final inspection or issuance of a Certificate of Occupancy; the form lists 600 East A Street, Dixon, CA 95620.
About notarization
No notary is required; the agreement includes statements under penalty of perjury, and the final report requires a signature and professional seal, not notarization.
How to submit this form
- 1
Download The Agreement
Download the City of Dixon Special Inspection Agreement PDF.
- 2
Complete Assigned Parts
Have the owner or authorized agent, applicable parties, design professional, and contractor complete their assigned sections.
- 3
Gather Applicable Attachments
Attach Certificates of Compliance for shop-fabricated load-bearing members and assemblies to the final report if applicable.
- 4
Submit To The Building Official
Submit Parts I–IV before permit issuance and Part V before final inspection or issuance of a Certificate of Occupancy.
Frequently asked questions
- Do I need a notary for the Special Inspection Agreement?
- No. The agreement includes statements under penalty of perjury, but does not require notarization. The final report calls for a signature and professional seal.
- How do I submit the Special Inspection Agreement?
- Submit Parts I through IV to the Building Official before permit issuance. Submit Part V before final inspection or issuance of a Certificate of Occupancy.
- Who completes the parts of this agreement?
- The owner or authorized agent completes Part I; applicable parties sign Part II; a registered design professional completes Part III; the general contractor completes Part IV; and the special inspection agency completes Part V.
- When is Part V submitted?
- The special inspection agency submits Part V, the final report of special inspections, to the Building Official before final inspection or issuance of a Certificate of Occupancy.
Need something notarized?
This Special Inspection Agreement doesn’t need a notary — but if you have another Dixon form that does, a commissioned online notary can help.