Cotati, CA · Sonoma County
Statement of Special Inspections
This form documents required special inspections and tests for a construction project and is completed by the responsible design professional, owner, and contractors.
What this form is
Use this form to document the special inspections and tests required for a construction project, along with the testing agencies and special inspectors retained for the work. It also records project details, structural observation information, and signatures acknowledging responsibilities. The form states that the owner or the registered design professional acting as the owner’s agent is responsible for employing approved agencies.
Who needs it
Owners, registered design professionals, and contractors involved in a construction project requiring special inspections use this form to document inspection responsibilities.
How to submit it
Submit the completed form to the City of Cotati Building Department, 201 W. Sierra Avenue, Cotati, CA 94931; the form lists no email, portal, or fee.
About notarization
This document is signed and dated without a notary; it lists no notarized or sworn attachment or related step.
How to submit this form
- 1
Download the Form
Download the Statement of Special Inspections PDF.
- 2
Complete Project Details
Enter the project address, APN, work description, inspection schedule, and testing agency or special inspector information.
- 3
Gather Signatures
Obtain the signatures and dates requested for the design professional, owner, contractor or owner-builder, and building department.
- 4
Submit to the Building Department
Submit the completed form to the City of Cotati Building Department at 201 W. Sierra Avenue, Cotati, CA 94931.
Frequently asked questions
- What does the Statement of Special Inspections document?
- It records project information, required special inspections and tests, retained testing agencies and inspectors, and acknowledgments of inspection responsibilities.
- Who completes the Statement of Special Inspections?
- The form has signature sections for the registered design professional in responsible charge, the owner, the building department, and the contractor or owner-builder.
- Do I need a notary for the Statement of Special Inspections?
- No. This document is signed and dated without a notary, and it lists no notarized or sworn attachment or related step.
- How do I submit the Statement of Special Inspections?
- Submit the completed form to the City of Cotati Building Department at 201 W. Sierra Avenue, Cotati, CA 94931. The form does not list an email, portal, or fee.