Rohnert Park, CA · Sonoma County
Statement of Special Inspections
This form documents required special inspections and testing for a building permit project and is submitted by the permit applicant with required acknowledgments.
What this form is
For building permit projects requiring special inspection, structural observation, or testing, the statement identifies the inspections and tests for the project and the agencies or inspectors to be retained. The registered design professional prepares it, and the permit applicant submits two copies with acknowledgments before a permit can be issued. It also records project details, inspection responsibilities, and signatures from the registered design professional, contractor, and owner.
Who needs it
Permit applicants for projects requiring special inspection, structural observation, or testing submit this statement with acknowledgments from the registered design professional, contractor, and owner.
How to submit it
The engineer or architect of record must submit two copies, including the required acknowledgments, before a permit can be issued. The document does not identify a submission address or contact method.
About notarization
This document is signed without a notary; the registered design professional, contractor, and owner provide acknowledgments and signatures, and the form identifies no notarized or sworn attachment.
How to submit this form
- 1
Download The Form
Download the Statement of Special Inspections PDF.
- 2
Complete Project Details
Enter the project name and address, inspection and testing information, agency details, and required acknowledgments.
- 3
Gather Required Acknowledgments
Obtain the required acknowledgments and signatures from the registered design professional, contractor, and owner.
- 4
Submit Two Copies
The engineer or architect of record submits two copies before a permit can be issued.
Frequently asked questions
- What is the Statement of Special Inspections for?
- It summarizes the special inspections and tests required for a building permit project and identifies the testing agencies and special inspectors to be retained.
- Who prepares and submits the statement?
- The registered design professional responsible for the project prepares the statement. The engineer or architect of record submits two copies with the required acknowledgments before a permit can be issued.
- Do I need a notary for the Statement of Special Inspections?
- No. The registered design professional, contractor, and owner sign and acknowledge the form; it identifies no notarized or sworn attachment.
- How do I submit the Statement of Special Inspections?
- Submit two copies, including the required acknowledgments, through the engineer or architect of record before a permit can be issued. The document does not provide a submission address or contact method.
Need something notarized?
This Statement of Special Inspections doesn’t need a notary — but if you have another Rohnert Park form that does, a commissioned online notary can help.