Port Orchard, WA · Kitsap County
Statement of Special Inspections
A project form for applicants or authorized agents to document special inspections and tests for construction work in Port Orchard.
What this form is
This form records the special inspections and tests for a construction project in Port Orchard, including their type and extent and whether inspections are continuous or periodic. It asks for permit, site, project, contact, system, and inspector information, plus documentation of inspector competence or experience. A registered design professional in responsible charge prepares and signs it; the form advises checking with the Permit Center before submitting.
Who needs it
Applicants or authorized agents for construction projects involving special inspections use this form, prepared by a registered design professional or an approved qualified person.
How to submit it
The form lists the Permit Center at 216 Prospect Street, Port Orchard, WA 98366, and [email protected]. Check with the Permit Center prior to submitting.
About notarization
This form is signed and dated without a notary; it identifies no notarized or sworn attachment, so the signer just signs and dates it.
How to submit this form
- 1
Download the Form
Download the Statement of Special Inspections PDF.
- 2
Complete the Form
Enter permit, project, contact, inspection, system, and special inspector information.
- 3
Gather Documentation
Attach relevant documentation, including information about the special inspectors’ competence, experience, or training.
- 4
Submit to the Permit Center
Check with the Permit Center before submitting; the form lists its mailing address and email.
Frequently asked questions
- What does the Statement of Special Inspections document?
- It records required special inspections and tests, including their type and extent, relevant systems, and information about the special inspectors.
- Who prepares the Statement of Special Inspections?
- A registered design professional in responsible charge prepares it. For construction not designed by one, the form says a qualified person approved by the building official may prepare it.
- Do I need a notary for the Statement of Special Inspections?
- No. The form has a signature and date line but no notary block or notarized attachment; the signer just signs and dates it.
- How do I submit the Statement of Special Inspections?
- The form lists the Permit Center at 216 Prospect Street and [email protected]. It advises checking with the Permit Center prior to submitting.
Need something notarized?
This Statement of Special Inspections doesn’t need a notary — but if you have another Port Orchard form that does, a commissioned online notary can help.