Fillable Application for Electrical Permit (City of Rockville)

Fill Online, Printable, Fillable, Blank Application for Electrical Permit (City of Rockville) Form

Use Fill to complete blank online CITY OF ROCKVILLE (MD) pdf forms for free. Once completed you can sign your fillable form or send for signing. All forms are printable and downloadable.

Application for Electrical Permit (City of Rockville)

On average this form takes 12 minutes to complete

The Application for Electrical Permit (City of Rockville) form is 1 page long and contains:

  • 0 signatures
  • 0 check-boxes
  • 48 other fields

Country of origin: US
File type: PDF

U.S.A. forms for City of Rockville

BROWSE CITY OF ROCKVILLE (MD) FORMS

Related forms
Fill has a huge library of thousands of forms all set up to be filled in easily and signed.
Fill in your chosen form
Sign the form using our drawing tool
Send to someone else to fill in and sign.
find another form
 
Revised 2/26/19 KM
Department of Community Planning and Development Services
Inspection Services Division
240-314-8240 / 240-314-8265 (Fax)
www.rockvillemd.gov/isd
Application for Electrical Permit
Please type or print clearly. Incomplete applications cannot be processed.
Property Address: ______________________________________________________________
Property Owner: _______________________________ Phone: (_____) ______ - ___________
Property Owner’s Address (if different): _____________________________________________
❑ Commercial ❑ Residential
Switches, receptacles #______ Pole construction #______
Fixtures, lights #______ Transformers:
CO/smoke alarms #______ <200 kva #______
Low voltage #______ 200-500 kva #______
Signs (exterior) #______ >500 kva #______
Multi-family dwelling units #______ Services/Meters/Subpanels:
(inc. fixtures, outlets, receptacles, fans, CO/smoke <= 225 amps #______
alarms appliance outlets, cable heat, unit service & 226-400 amps #______
heating/cooling equipment within the dwelling unit only) 401-1000 amps #______
Swimming pool electrical #______ >1000 amps #______
(all electrical equipment, including motors, switches, Generator #______
light, and receptacles for the pool only) Solar systems #______
Heating/cooling units #______
(Circle all applicable)
chillers, baseboard heating, heat pump, radiant
heaters, cable heating
other _________________________________
Appliances #______
(Circle all applicable)
range, trash compactor, air filter, dryer, water
heater, ice maker, dishwasher, sump pump,
humidifier, water softener, freezer
other _______________________________
Motor # ____@_____hp Motor # ____@_____hp Motor # ____@_____hp
(Circle all applicable) disposal, air handler, hot tub, exhaust fan, fire pump
Heavy up: # ______ to ________ amps PEPCO WO: #___________ SEC replacement: ____________
Business Name:
Master Electrician’s Name:
Phone
#
City License # or
Homeowner Cert. Date:
I hereby certify that I have the authority to make the foregoing application, that the application is correct, and that the construction shall conform to the Rockville City Code and all other
codes and regulations or private building restrictions, if any, which may be imposed on the above property by deed. The granting of a permit does not presume to give authority to violate or
cancel the provisions of any other state or local law regulating construction or the performance of construction. I have read and understand the Permit Conditions available from the
Inspection Services Division.
Master Electrician’s Signature:
ORIGINAL SIGNATURE REQUIRED
Date:
FOR OFFICE USE ONLY
ELE 20 ___________
BLD 20 ___________
PRJ 20 ___________
Revised 2/26/19 KM
Pursuant to City of Rockville Code, Chapter 5, Article VII, Division 3, Section 5-121
(b) Any permit required may be issued to any person to do electrical work in a single-family dwelling
used exclusively for living purposes, including the usual accessory buildings and quarters in connection
with such building, provided the person is the bona fide owner of such dwelling and that the same will
be occupied by the owner and that the owner shall personally purchase all material and perform all
labor in connection therewith; however, the administrative authority may require the homeowner to
show that he is qualified to perform such work in a capable manner so as not to endanger the life and
property of himself, persons in the neighborhood or property belonging to public utility suppliers. This
subsection does not apply to work involving heavy-up or replacement of service equipment, or to any
wiring associated with swimming pool installations.
Pursuant to City of Rockville Code, Chapter 5, Article VII, Division 3, Section 5-133
Section 90.2 of the NEC is amended by adding the following:
(D) Homeowners.
Homeowner must take and pass an exam administered by the Inspection Services Division prior to
allowing a homeowner to obtain an electrical permit for doing electrical wiring at their primary
residence. This exam will be valid for two years allowing the homeowner to apply for additional
permits in that time frame for their primary residence.
Homeowner-obtained electrical permits will allow electrical wiring at their primary residence, with the
exclusion of the following work:
• Swimming pools, saunas or hot tubs
• Service equipment installation such as heavy-ups, panel replacements, sub-panels
• Replacement of SEC cable
• Overhead service mast replacements
FEES ARE NON-REFUNDABLE
Download
Save PDF to desktop
Email
Email completed PDF
Send for Signing
Email for others to sign
Print
Print document
Choose a Field
Click on a field and
select the person that should complete it
Want to add a signature?
You can add a signature field
and assign it to someone else
to sign
Choose a Field
Click on a field and
select the person that should complete it

Application for Electrical Permit (City of Rockville)

This document is locked as it has been sent for signing.

You have successfully completed this document.

Other parties need to complete fields in the document. You will recieve an email notification when the document has been completed by all parties.

This document has been signed by all parties.

Completed 4 August 2020

Message

View Audit Log
Print With Audit Log
Duplicate Document