Plan Review/Construction Inspection Request Form

2. Which type of facility are you requesting an inspection for?*
   -- Select One --Food Establishment (fixed location), Public Accommodations/School GroundsOnsite Wastewater/Septic SystemSwimming Pool/Spa/Wading/Splash Pad

4. Application/Permit Number*

6. Project Name

7. Identifying Name

9. Owner Name*

11. Project Address*

    If property does not have address, please provide cross streets

12. City

14. Gate Code

15. Lock Code

17. Contact Name*

18. Phone Number*

20. Email*

21. Fax Number

23. Contractor*

25. Type of Inspection*

    1. Final Construction
    2. Final Construction Partial

    1. Abandonment/Closure
    2. Final Construction Re-Inspection

    1. Domestic Well Location
    2. Site and Soils Evaluation

27. Preferred Date
    Preferred Date

29. Type of Inspection*

    1. Advisory
    2. Construction

    1. Equipment
    2. Plumbing

    1. Final Construction
    2. Re-Inspection

31. The Request for Discharge Authorization form (yellow sheet) must be received via fax or email before Final Construction Inspections are conducted. Upload complete Request for Discharge Authorization forms here.

33. Type of Facility*

    1. Pool
    2. Spa

    1. Wading
    2. Splash Pad

    1. Special Use

35. Type of Construction Inspection*

    1. Rough Plumbing Inspection
    2. Rough Plumbing Re-Inspection

    1. Pre-plaster Inspection
    2. Pre-plaster Re-Inspection

    1. Final Inspection
    2. Final Re-inspection

37. Upload Notarized Construction Certification Letter

    Notarized Construction Certification Letter must be received via fax or email before Final Inspections are conducted. Please be aware that the letter uploaded has to be a document in PDF format. Please be aware that the letter uploaded has to be a document in PDF format.

39. Type of Project*

    1. New Pool
    2. Deck

    1. Resurface
    2. Circulation

    1. Disinfection
    2. Fence

41. Comments/Special Instructions

43. Disclaimer

    Information entered on this form will be retained by Maricopa Environmental Services Department and is a record as defined by Arizona law. This form will be provided without redaction in response to a public record request unless any of the information is exempt from release under Arizona law.

    Information entered on this form will be retained by Maricopa Environmental Services Department and is a record as defined by Arizona law. This form will be provided without redaction in response to a public record request unless any of the information is exempt from release under Arizona law.

Leave This Blank:


44. 1. Receive an email copy of this form.
45. Email address

    This field is not part of the form submission.

46. Submit

* indicates a required field