Form Hcd 204 PDF Details

Every month, the Maryland Department of Housing and Community Development (DHCD) releases a report on statewide housing production. The latest report, for the month of September 2018, shows that more than 9,000 new housing units were completed in Maryland over the past 12 months. This is a slight increase from the previous year, but it's still not enough to meet the state's growing demand for housing. In this blog post, we'll take a closer look at the DHCD's latest report and discuss some of the key findings. Stay tuned!

QuestionAnswer
Form NameForm Hcd 204
Form Length2 pages
Fillable?No
Fillable fields0
Avg. time to fill out30 sec
Other names3rd, Mobilehome, mobilehomes, Subchapter

Form Preview Example

STATE OF CALIFORNIA - Business, Transportation and Housing Agency

Department of Housing and Community Development, Division of Codes and Standards

APPLICATIONUFOR PERMIT TO OPERATE EMPLOYEE HOUSING FACILITY

Instructions on reverse side of this form

1.

Check the box(es) below for the type of permit applied for:

 

 

 

DEPARTMENTU

USEU

Permit to Operate for Calendar Year(s) ______Dates of Occupancy _______to_______

 

 

Col.No:_____________________

 

 

 

 

 

 

 

 

Fee Rec:___________________

 

Renewal

 

 

 

 

 

 

Date:______________________

 

New Facility

 

Amended Permit

 

 

 

DT.RT:_____________________

 

 

 

Transfer of Ownership

 

 

 

RT. TO:____________________

 

Permanent

 

Change of Operator

 

 

 

RT. BY:____________________

 

Temporary

 

Change of Operator address

 

 

 

 

 

 

Seasonal

 

Employee(s) and/or MH RV lots

 

 

 

 

 

2.

Facility Name:

 

 

 

 

 

 

 

Facility ID:

3.

Facility Location:

 

City:

 

 

 

 

Zip Code:

4.

County:

 

 

Incorporated:

 

Unincorporated:

 

 

 

 

 

 

 

 

 

 

 

 

 

5.

Operator Name:

 

 

 

 

 

 

Telephone: (

)

 

 

 

 

 

 

 

 

 

 

6.

Operator MAILING Address:

 

City:

 

 

 

 

Zip Code:

 

 

 

 

 

 

 

 

 

 

 

7.

Legal Owner:

 

 

 

 

 

 

Telephone: (

)

 

8.

Owner Address:

City:

Zip Code:

 

 

New Owner: Yes

No

 

 

9.

Community Facilities provided:

10. Number of Housing Units:

 

 

11. Number of Employees Housed in:

 

Number of Toilets:

Men ____ Women ____

______Dormitories

 

 

______Dormitories

 

 

 

Number of Showers:

Men ____ Women ____

______Single Family Dwellings

 

 

______Single Family Dwellings

 

Number of Lavatories:

Men ____ Women ____

______Duplex/Apartments

 

 

______Duplex/Apartments

 

 

 

______Railroad Cars

 

 

______Railroad Cars

 

 

 

Mess Hall or Mess Hall Kitchen

______Tents

 

 

______Tents

 

 

 

 

Community Kitchen

 

______Employer Provided MH/RVs

 

 

______Employer Provided MH/RVs

 

None

 

______Other (list)

___

______Other

 

 

 

 

 

 

 

 

 

 

______Total Employees

 

 

 

 

 

 

 

 

 

 

 

 

12.

Number of Mobilehome/Recreational Vehicle lotsUU provided for Employee owned Mobilehome/Recreational Vehicles (MH/RV):________

 

 

13. Complete this section to apply for a Permit to Operate:

14. Complete this section to apply for an amended Permit to Operate:

 

Total EmployeesU

U from line 11

__________

 

 

 

Add LotsU

U from line 12

__________

Additional Employees and/or MH / RV Lots

________

 

Subtotal

 

 

__________

Multiply

X $ 27.00

 

Multiply

 

 

X $ 27.00

 

 

 

Subtotal

 

 

__________

Subtotal

________

 

Add Permit Fee

 

+ $200.00

Add Amended Permit Fee

+ $20.00

 

Subtotal

 

 

__________

 

 

 

Penalty Fees (if applicable)

 

Total Amended Permit Fee Due

________

 

 

Double or 10X fees

__________

 

 

 

Total Permit Fees Due

$__________

 

 

Applicant agrees to all necessary inspections pertaining to issuance of a Permit to Operate. Applicant agrees that this facility shall be operated and maintained in accordance with the applicable provisions of the Employee Housing Act, Division 13, Part 1, of the Health and Safety Code, and of Title 25, California Code of

Regulations, Chapter 1, Subchapter 3. ApplicantU

agrees that service of any legal notices or process will be accepted at his/her address of record. I certify

 

 

 

under penalty of perjury that the information provided herein is true and correct to the best of my knowledge.

Applicant Name: _______________________________________________________

Date:________________________________________________

Applicant Signature:____________________________________________________

Title:________________________________________________

 

 

 

 

 

 

 

DEPARTMENT USE ONLY: Approved ___________________________________

Date:________________________________________________

Direct inquiries to:

Department of Housing and Community Development, Employee Housing Program,

 

1800 3rd Street, Room 260, Sacramento CA 95811

HCD 204 (REV. 1/11)

 

APPLICATION INSTRUCTION SHEET FOR PERMIT TO OPERATE

This is an application for a permit to operate an employee housing facility. Please complete the application form accurately, sign and date it, and return it with the appropriate fees. BEUSURE TO MAKE A COPY FOR YOUR RECORDS.

1.Enter the calendar year(s) within which you intend to operate the facility; enter the dates the facility will be occupied; check the appropriate box(es) for the type of permit you are applying for.

2.Enter the name of the facility and the facility’s ID if known.

3.Enter the address or location of the facility.

4.Check the appropriate box if the facility is located within the unincorporated area of the county or within an incorporated city and list the name of the county.

5.Enter the name and telephone number of the facility’s operator.

6.Enter the MAILING address of the facility’s operator.

7.Enter the name and telephone number of the legal owner of the property where the facility is located.

8.Enter the mailing address of the legal owner of the property and indicate whether this is a new owner.

9.Enter theU number of toilets, showers and lavatories provided for men and women. Indicate whether you intend to provide a mess hall or mess hall kitchen, community kitchen or none if no cooking facilities are available..U U NOTE:U A certificate of approval is

requiredUannually from the Local Health Department for a mess hall or mess hall kitchen.

10.Enter the numberUfor the appropriate type of housing units you intend to provide for employee use.

11.Enter the numberUof employees that will be housed in each type of housing unit.

12.Enter theU number of mobilehome/recreational vehicle lotsU you intend to provide for employee owned mobilehomes and/or recreational vehicles.

13.Total the numberUof employeesU from line 11UU and total numberUof lotsU provided from line 12U.U

Calculate the permit fee by adding the total number of employeesUU from line 11U,U and the total number of mobilehome/recreationalUvehicle

lotsU from line 12U,U and multiply x $27.00. Add the permitUfee ofU$200.00. (Example, the permit fee for 6 employees is $362.00, which is calculated 6 x $27.00/per employee equals $162.00, plus $200.00,U U totals $362.00. The fee for 6 employees and 6 mobilehomes/recreational vehicle lots is $524.00, which is calculated 6 x $27.00/per employee = $162.00, plus 6 x $27.00 per lot = $162.00, plus $200.00 totals $524.00.

14. If you already have a permit to operate for the current year and the number of employees housed and/or the number of lots provided

increase, or there is a change in ownership you must file an amendedUpermit to operate.UInclude the amended permit fee of $20.00, plus the $27.00 fee for each additional employee and/or lot.

•DATE,UPRINT YOUR NAME, SIGN THE FORM AND ENTER YOUR TITLE.

•STATE LAW REQUIRES THAT YOU FILE THE APPLICATION FOR PERMIT TO OPERATE AT LEAST 45 DAYS PRIOR TO THE DATE OF INITIAL OCCUPANCY. THEUAPPLICATION MUST BE COMPLETED AND THE REQUIRED FEES PAID TO BE ACCEPTED.

INCOMPLETE APPLICATIONS MAY BE RETURNED.

•WHEN WE RECEIVE YOUR COMPLETED APPLICATION AND FEES, A DEPARTMENT REPRESENTATIVE WILL CONTACT YOU TO SCHEDULE AN INSPECTION. IF THE FACILITY MEETS THE MINIMUM REQUIREMENTS OF THE EMPLOYEE HOUSING ACT, YOU WILL RECEIVE A TEMPORARY PERMIT TO OPERATE, WITH A PERMANENT PERMIT TO OPERATE TO FOLLOW.

•DOUBLE FEES ARE REQUIRED IF YOU ARE FOUND OPERATING WITHOUT A PERMIT.

•TENUTIMES THE FEES ARE REQUIRED IF YOU ARE FOUND OPERATING WITHOUT A PERMIT FOR A SECOND OR SUBSEQUENT

TIME WITHIN A FIVE YEAR PERIOD.

•IfUyou have any questions regarding the completion of this application, please direct your inquires to:

DepartmentUof Housing and Community Development, Employee Housing Program at (916) 445-9471.

HCD 204 (REV 1/11) SIDE 2

How to Edit Form Hcd 204 Online for Free

Whenever you intend to fill out hcd permit to operate renewal, it's not necessary to download any software - just give a try to our online PDF editor. Our expert team is constantly working to improve the editor and enable it to be much better for clients with its cutting-edge functions. Capitalize on present-day modern prospects, and find a trove of unique experiences! To get started on your journey, take these basic steps:

Step 1: Press the orange "Get Form" button above. It will open our pdf tool so that you could start filling out your form.

Step 2: With this handy PDF editing tool, it is possible to do more than just fill out forms. Try all of the functions and make your docs seem faultless with customized textual content put in, or adjust the file's original input to perfection - all that comes with the capability to insert any kind of pictures and sign the file off.

As for the blank fields of this specific document, here's what you should do:

1. Before anything else, while completing the hcd permit to operate renewal, start in the section that contains the next fields:

The right way to fill in HCD portion 1

2. When this section is completed, you have to put in the essential details in Facility Name Facility Location, Number of Toilets Men Women, Mess Hall or Mess Hall Kitchen, None, Number of Housing Units, Zip Code, Tents Employer Provided MHRVs, Number of Employees Housed in, Tents Employer Provided MHRVs Other, Describe Other Housing, Total Employees, Number of mobilehomerecreational, Total UEmployeesU from Section, Complete this section to apply, and MultiplyX so you're able to proceed to the third part.

MultiplyX, Describe Other Housing, and Mess Hall or Mess Hall Kitchen of HCD

3. The following step is about This is an Application for Permit, and HCD EH Side Rev - type in all of these blank fields.

This is an Application for Permit, HCD EH Side Rev, and This is an Application for Permit inside HCD

Those who work with this PDF often make some mistakes while filling out This is an Application for Permit in this section. You should definitely read again everything you type in right here.

Step 3: Make sure the details are correct and then click "Done" to finish the process. Get hold of your hcd permit to operate renewal after you join for a free trial. Readily view the pdf document inside your FormsPal account page, along with any edits and adjustments being conveniently kept! When you use FormsPal, you can certainly complete forms without stressing about database incidents or entries being distributed. Our protected system makes sure that your private information is maintained safe.

Form Hcd 204 isn’t the one you’re looking for?

Related Documents