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Home My WebLink AboutHulk Hauler Vehicle Transport Disposal Addendum - PLN General - 10/6/2008 Master License Service UBI Department of Licensing PO Box 9034 Owner name Olympia, (360)� 7-9034 664-1400 Vehicle 'Transport/Disposal Addendum (To apply for a license as a Registered Tow Truck Operator,Vehicle Transporter, Hulk Hauler,Wrecker and/or Scrap Processor) This addendum form may only be submitted as an attachment to the Master Business Application form. Licenses requested All applicants [i Reg.Tow Truck Operator(244) ulk Hauler(247) I 1 Scrap Processor(254) i 1 Vehicle Transporter(242) L i Motor Vehicle Wrecker(250) Note:Corporations or Limited Liability Company ownership types must attach the Corporate Information or LLC Information sheet listing all individuals with 10%or more interest in your business. Tow Truck Operator additional information I- - RegisteredHave you ever been assigned a Registered Tow Truck Operator registration numt�er?..................................... Yes ❑ No If"Yes,"give the previous business name: and number: 2. Have you ever had that registration suspended or revoked?................................................ ............................... ❑Yes -�ANo If"Yes,"attach an explanation of the suspension or revocation. 3. If you maintain additional secured vehicle storageriimpound areas away from this location,please see the instruction sheet. 4. You must attach all of the following lists and completed documents to this application(see instruction sheet for descriptions): • Names&addresses of all employees who serve as tow truck drivers • Proof of Registered Tow Truck Operator liability insurance • Registered Tow Truck Operator bond • Fee schedule • Washington State Patrol Tow Truck-Business-Operator-Equipment Inspection Report Vehicle 7lransporter additional information The transporter platesAicense cannot be used to transport vehicles owned or registered to the licensee or business,unless you are a registered tow truck operator. (RCW 46.76.065) Is your transport business available to the general public?...................................................................................... D.Yes ❑ No As a licensed transporter,will you provide towing services for a •-•-••••--••......-•••--••••.......•.... L)�Yes ❑ No If you answered'yes'to the previous question,will you also hold a Registered Tow Truck(RTTO)license?........... ((Yes ❑ No Indicate the number of Vehicle Transporter license plates you require: — office use only This section will be completed by Washington Utilities and Transportation Commission This will certify that Name of business (Check one) ❑ has been issued a common carrier permit,number pursuant to chapter 81.80 RCW. ❑ is exempt under chapter 81.80 RCW and therefore not required to obtain a common carrier permit. ❑ requires a WUTC permit but has not been issued a WUTC permit. ❑ WUTC is unable to determine if a WUTC permit is required based on information submitted. Signature of WA Utilities&Transportation Conun.representative Title of representative Date signed X Form continued on reverse ... The Department of Licensing has a policy of providing equal access to its services. wnn,..rT/j-1 E64_8885 r3tsaoo-ts3 {woaioei Pageor 2 if you need special accommodation,wil(360)6&4 Y� • Hulk Hauler, Wrecker,and Scrap Processor additional information Hulk Hauler,Wrecker,and Scrap Processor applicants If applying for any of these three licenses,you must attach a list of the vehicles owned,leased, rented,or otherwise operated in the conduct of your business.A blank Vehicles Used to Conduct Business form is enclosed. Scrap Processor and Wrecker applicants only You must also complete a State Environmental Policy Act(SEPA)checklist,present it to the local zoning official for review(see section F), and then attach the completed checklist to this application.A blank checklist is enclosed. Wrecker applicants only,attach the following completed forms(blank forms provided) • Personal/Criminal History Form • Bond of Motor Vehicle Wrecker If you have additional(branch)Motor Vehicle Wrecker business locations in the same county as this business location,please see the instructions sheet for information about registering the other locations. Business site identification Certifications in sections C, F and G apply to the following business location Business telephone number Business firm name ) Business physical location address Street or Rural route Do not use Po box number City County State Zip code Zoning certification Reg.Tow Truck Operator,Wrecker, Hulk Hauler, and/or Scrap Processor applicants only This section must be completed and signed by the local zoning authority before submitting the application to the Master License Service.Zoning Officer.Check either"yes"or"no"for each option, then sign. 1. Applicant is applying as a Registered Tow Truck Operator................................................................................. ❑Yes PNo 2. Applicant is applying as a Hulk Hauler_.............................................................................................................. Yes ❑ No If"yes"is checked for#1 or#2 above,my signature below certifies that this Registered Tow Truck Operator or Hulk Hauler applicant's place of business is in compliance with all applicable local land use ordinances. 3. Applicant is applying as a Motor Vehicle Wrecker............................................................................................... C I Yes XNo 4. Applicant is applying as a Scrap Processor........................................................ •... ❑ Yes KNo if"yes" is checked for#3 or#4 above,my signature below certifies that the environmental impact from this proposed land use for a Motor Vehicle Wrecker or Scrap Processor business appears insignificant,pursuant to Chapter 43.21 RCW,the state Environmental Policy,WAC 197-11-305,WAC 197-11-820,and WAC 197-11-800(14)(i).A completed State Environmental Policy Act(SEPA)checklist must be attached. Signature of local zoning official Title of local zoning offfiofficial Date signed Inspecting Officer approval Hulk Hauler,Wrecker, nd/or Scra Processor applicants only Before submitting your Master Application,you must contact the Washington State Patrol or the local Chief of Police(if business is located in a city with a population of more than 5,000). You need to arrange for them to do a site inspection, review your entire application,and sign this form.inspecting Officer.Check either"yes"or"no"for each option, then sign. 1. Applicant is applying as a Hulk Hauler................................................................................................................. ❑Yes ❑ No 2. Applicant is applying as a Scrap Processor........................................................................................................ ❑ Yes ❑ No If"yes" is checked for#1 or#2 above,my signature below certifies that this Hulk Hauler or Scrap Processor applicant is located at the address shown in section E above and has suitable equipment for the safe and lawful transport of vehicle salvage on the public highways. The applicant has displayed with letters and numerals at least three inches high,painted or permanently affixed to each vehicle,the business name,complete address of place of business,and current business telephone number on all vehicles operated by the applicant on highways of this state and which are equipped for lifting or transporting vehicles or hulks. 3. Applicant is applying as a Motor Vehicle Wrecker............................................................................................... U Yes ❑ No If"yes" is checked for#3 above,my signature below certifies that this Motor Vehicle Wrecker applicant is located at the address shown in section E above,as defined by RCW 46.80.010,and has displayed with letters or numerals at least three inches high, painted or permanently affixed to each vehicle,the business name,city name of place of business,and current business telephone number on all vehicles operated by the applicant on highways of this state and which are equipped for lifting or transporting vehicles or hulks. I assume responsibility for enforcement of the certifications stated above. Signature of inspecting officer Title of inspecting officer Badge number Date signed X -- BLS-700-163 (W04/08)Page 2 of 2 Parcel Information for parcel number: 123325000001 Page 1 of 1 4 T} MASON COUNTY washington t Government and Information EmploymentMason County Home , . Addresses Codes & Regulations .mmunity Links Visit Mason County Assessor Parcel number: 123325000001 3=8 Treasurer Owner Information Records CASTEEL, DONALD R & LINDA L IELFAIR O BOX 1463 ►New Search WA 98528-1463 ►Parcel Detail Taxpayer Information ►Parcel Value CASTEEL, DONALD R & LINDA L PO BOX 1463 ►Site Built Buildings BELFAIR WA 98528-1463 ►MH and Personal Legal Description Property SAM B. THELER'S HOME & GAR TRS PCL 1 OF BLA#95-79 PTN TR ►Sales Info Site Address ►Taxes Reval Area ? 12 Field Sheet ? IFS 0530 ►Permits Land Size* 1.57 Land Use ? MOTOR ►Profile (Summary I I (USED ( View of all items) 9 Tax Code Description 1 403 A Tax Code • 1276 H2 W1 Census Tract Click Here * if the value is .00(zero) then the property is most likely in a plat and acrf usually carried on platted lots �.. ? Last Updated:9/26/2008 3 Information may be inaccurate and outdated. Please refer to the Assessor 1 Treasurer Offices to verify any information Assessor Home Treasurer Home Search our Site Disclaimer Director; http://www.co.mason.wa.us/astr/parcel_detail.php?parcel number=123325000001 10/2/2008 I l , iJ111 17- I � I I / NE nD MEDICAL CENTER - - -------------t T23NR1W �,! - I p / i � IT23 1 / + 3'2 I / Gyp `NEci I , N 1 inch = 279.54 feet W E 1 inch = 0 miles S l�( 6 3 � 4s2 � ---� �— feasteel AA << <Prev Reply Forward Delete Reply All Redirect Move to folder... N New Message, Inbox From <WaltC hartrand@wsp.wa.gov> Trash -empty Sent Items (Add to address book) (Add to recent addresses) (Add to blacklist) Inline Drafts Date 10/2/2008 1:59:04 pm Enable Junkmail Open in New Bulletins... To <i l@hdr-oorn> Manage Folders... Enable OfFsree' Subject Hulk Hauling license Addresses cha Search 1 Options Hi Linda, Log out ; j I spoke with Jim and found that there was a bit of a misunderstanding that Cluj. Help occurred. Fill out your application and complete a letter explaining/outline what the, licnsL Qom: will be used for and how you will carry out those task. Remember to include tip tJ [—� 62% is for the purpose of hauling hulk vehicles from a landowner to a Wrecking yp,'d 0( of2500M used Scrap Processor. No more than two hulk vehicle may be stored at your loca'(ah Read the Hulk Hauling manual and then take the letter and application to Jf�( fbl' n review and signature. Jim stated that he needed to research the parcel but based on my understanAm Of your intent use of the license felt it should go through. Keep me posted. Walt Trooper Walter M. Chartrand, #443 Washington State Patrol Business Inspector/Explosive Technicain 4811 Werner Road Bremerton, WA 98312-3333 Radio: (360) 478-4646 (24hr. number] Office: (360) 405-6679 Fax: (360) 405-6666 E-mail: Walter.Chartrand@wsp.wa.gov Save email to disk as a text file Print email https://webmail.hctc.com/scripts/webmail.exe?cmd=delitem next-256cf89944bc778ae2eb... 10/2/2008 October 3, 2008 To whom it may concern, Our purpose in obtaining a hulk hauler's license is so that we can help clean up our community and remove some of the junk cars from the land owners that have abandioned vehicles on their property that they wish to dispose of. Our purpose is to remove the junk vehicle from a landowner to a wrecking yard or a scrap processor. Thank you very much, North Shore Towing �cU CJQQ` � v V �V