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INSTRUCTIONS FOR COMPLETING TULALIP TRANSIENT ACCOMMODATION LICENSE PACKET (The Tulalip Tribes)

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INSTRUCTIONS FOR COMPLETING
TULALIP TRANSIENT ACCOMMODATION LICENSE PACKET
Application begins on page 4
This packet contains information regarding the legal requirements of operating your business in
accordance with Tulalip Transient Accommodation Licensing Title 10 #10.40. It is very important that you
familiarize yourself with this information. If you have questions or need any clarification please contact the
Tax & Licensing Division at 360.716.4204 Monday - Friday between 8AM and 4:30PM or go online to
www.TulalipTribes-nsn.gov
, click on “Departments”, followed by “Community Development”.
APPLICATION REQUIREMENTS
Before submitting the application, please complete / provide proof of the following requirements:
Tulalip Business License – Required for all businesses/persons providing services within the
exterior boundaries of the Tulalip Reservation.
Tulalip Food Permit, Cigarette, and Liquor Licenses (if applicable) – Contact the TLD at
360.716.4204 for an application and additional inspection information
Federal Indian Trader’s License provided by the Bureau of Indian Affairs
Written Emergency Preparedness Plan (EPP) – Emergency response training must be conducted
and documented at least once annually and included with your (EPP).
Documentation of sewage and liquid waste compliance– The On-Site Sewage treatment /
sewage disposal system is designed, constructed, and maintained in compliance with Tulalip Utilities
Authority and/or the requirements of the Quil Ceda Village Utility Department under 13.01.1 Article V or
other applicable tribal law.
TA Self-Inspection Sheet – Self-Inspections must be completed by the applicant upon initial
application for license and annually upon license renewal. Any omissions will result in the application
packet being returned and a delay in the issuance of the license.
List of Employees – List identifying all TA managers, supervisors, and employees that provide
regulated personal services (ex. Massage) or assist in the preparation or service of food and/or alcohol.
Appropriate Fees – If you are unsure of the fee, please contact the TLD at 360.716.4204 for the
correct license fee amount. Please make your check or money order for your fees made payable to the
Tulalip Tribes. Cash payments can be made to the Division in person using exact change.
Establishments owned or operated by partnerships, corporations: Attach a separate sheet
listing the name, address, and social security number of each person owning 10% or more of stocks or
equity interest in the licensed activity, and the name, address, and social security numbers of each
officer, member, or other person authorized to directly or indirectly control the operations the licensed
entity.
Submit completed the application(s) and supporting documents listed above, with the appropriate fees to:
Tulalip Tribes Community Development
Tax & Licensing Division
6406 Marine Drive NW
Tulalip, WA 98271
Reminder: An incomplete application packet will result in the application being delayed or denied. Please allow up to
30 days for processing after mailing.
Tulalip Tribes Tax & Licensing Division
6406 Marine Drive NW - Tulalip, WA 98271
INSTRUCTIONS FOR TA LICENSE APPLICATION:
SECTION 1 – License Type
Indicate type of application – new, change of ownership, or other and type of transient accommodation
for which you are applying for license.
New/ Renew: Initial application for transient accommodation license or annual license renewal.
Change of Ownership – Legal owner/ operator change resulting from sale or transfer.
Other – Example, change in number lodging units or the name of the transient accommodation.
Business Structure: Check the appropriate box indicating business structure type. For
establishments owned or operated by partnerships, corporations, or cooperatives, please attach a
separate sheet or sheets listing the name, address, and social security number of each person who
owns 10% or more of the outstanding stocks or equity interest in the licensed activity. Also include the
name, address, and social security numbers of each officer, member, manager, or other person who,
in accordance with the rules of the issuing agency, is determined to be able directly or indirectly to
control the operation of the business of the licensed entity.
SECTION 1a – Demographic Information:
Complete this section only in the event of change in ownership. Check appropriate box to indicate
section does not apply.
Name of Previous Legal Owner/ Operator: Enter the previous owner’s name.
Name of Previous Establishment: Enter the previously licensed establishment’s name.
Business mailing address: Updated address for former establishment owner.
Previous License Number: TA License # issued to previous establishment.
Effective Date of Ownership Change: Date the change in ownership is official and in effect.
Check here if section does not apply: Mark the box if a change/transfer in ownership does not
apply.
SECTION 2 – Demographic Information:
Legal Owner/Operator Name: individual person or organization that currently owns the
establishment
Establishment Name: Enter the establishment’s name as advertised on signs, brochures, or
website.
Physical Address: Enter the physical street location within the Tulalip Reservation.
Phone and Fax Numbers: Enter the phone and fax number at physical location.
Website and Email Address: Enter the agency Website address and owner or contact email
address.
Business Mailing Address: Enter mailing address, if different from physical address. TLD uses the
address provided when mailing all correspondence.
Department / Contact Name: (Optional) Provide routing name if correspondence should be mailed
to a specific person or department other than the owner.
Uniform Business Identifier Number (UBI #): All Washington State businesses must have UBI #’s.
City, county, state, and other government departments also have UBI#’s.
Federal ID Number (FEIN #): Enter your Federal ID Number, if the business has been issued one.
SECTION 3 – Licensing and Permitting
Answer yes or no to each question and provide description where required. Remember that an
incomplete application will result in delay and return of application, and in some cases, citation for
noncompliance.
SECTION 4 – Establishment Information
List the number of lodging units (rooms, suites), rental spaces (conference, meeting areas), number of
employees, and average guest occupancy. Provide a description of the amenities available at your
establishment, such as pool, spa, exercise equipment, etc.
Franchise: Indicate if the proposed establishment is part of a franchise chain, unique identifier (ex:
Hilton #302 or Marriott At The Bay), and date of franchise inspection.
SECTION 5 – Additional Information
Answer yes or no to each question. Provide current and previous year’s gross annual income for
transient accommodation establishment at Tulalip location only. Do not include franchise information in
description of business affiliates- franchises are addressed in Section 5. Describe any long-term
commercial leasing agreements of property located on the hotel premises wherein you are the lessor.
Indicate if your business owns or has a shared interest in any affiliates or lessees described in this
section.
Tribal owned business: Tribal owned businesses must be a minimum of 51% owned by a federally
recognized tribe or tribal member(s).
SECTION 6 – Signature Required
Applicant signature as described in this section is required and attests to the accuracy of the information
provided on your application whether prepared by you or another party. Please sign, date, print name,
and title on applications and self-inspections. Applications prepared by an individual not authorized by
law to make decisions on behalf of a company must mark the check box and provide their name, title,
telephone number, and sign and date.
REMINDERS:
An incomplete application will result in the application being delayed or denied.
Allow up to 15 days for processing after mailing.
After we receive and process the application documents and fees, we will contact you to schedule
an opening inspection. If you have not heard from us within 30 days, or you have an urgent need
to open your establishment sooner, please contact the TLD office at 360.716.4204 a few days
before your opening date to schedule an inspection.
Satisfactory inspection is required for all public transient accommodation establishment
licensees except ownership transfers that previously had a satisfactory inspection within the past
120 days.
Please direct questions about this application to the Tax & Licensing Division at 360.716.4216 or online at www.tulaliptribes-nsn.gov
TRANSIENT ACCOMMODATION LICENSE APPLICATION
SECTION 1 – LICENSE TYPE
Please check the box that best describes the license type.
New Renew Change of Ownership Other _____________________
Hotel Resort Bed & Breakfast Seasonal/ Vacation Units
Motel Hostel Inn Other Lodging: ____________________
SOLE PROPRIETOR INDIVIDUAL - No employees LIMITED LIABILITY COMPANY
COOPERATIVE PARTNERSHIP LIMITED LIABILITY PARTNERSHIP
DOMESTIC CORPORATION FOREIGN CORPORATION OTHER _____________________
SECTION 1a – CHANGE OF OWNERSHIP
Name of Previous Legal Owner/ Operator
Name of Previous Establishment
Business Mailing Address
Previous License #
Effective Date of Ownership Change
SECTION 2 – DEMOGRAPHIC INFORMATION
Legal Owner/ Operator Name
Establishment Name
(Business name as advertised)
Business Address ( Physical/ Tulalip Location )
Business Telephone Number
( ) -
FAX Number
( ) -
www.
Business Mailing Address (If Different From Above)
Department / Contact Name
Email Address
Uniform Business Identifier Number (UBI) #
Federal Tax ID (FEIN) #
SECTION 3 – LICENSING AND PERMITTING
Do operations include sales of alcohol or tobacco products?
Yes No
If yes, attach copies of license(s)and employee alcohol server permits, if applicable
If yes, describe: ______________________________________________________________________________________
___________________________________________________________________________________________________
Do operations include preparation food/beverage items for guest consumption? Yes No
If yes, attach recent health inspection report and/or food service certificate and employee food worker permits
If yes, describe: ______________________________________________________________________________________
___________________________________________________________________________________________________
Is establishment in the process of new construction, remodel, expansions, or other related activity? Yes No
If yes, describe: ______________________________________________________________________________________
___________________________________________________________________________________________________
___________________________________________________________________________________________________
The Tulalip Tribes of Washington – Public Works
Community Development Department
TAX & LICENSING DIVISION
6406 Marine DR NW
Tulalip, WA 98271
Telephone: (360) 716-4211
Fax: (360) 716- 0180
License fee is based on the
number of lodging units:
3 to 10 - $165.00
11 to 49 - $330.00
50 units or over - $660.00
SECTION 4 – ESTABLISHMENT INFORMATION
Is hotel part of a franchise chain? Yes No If yes, indicate unique identifier name or # ________________________
Date of last franchise inspection: _________________ Attach copy franchised inspection report
Total number of lodging units: ___________ Total number of rental spaces: ___________
Total number of employees: ___________ Average hotel guest occupancy: ___________
List all amenities offered at your establishment to transient guests and other patrons: ________________________________
___________________________________________________________________________________________________
___________________________________________________________________________________________________
___________________________________________________________________________________________________
SECTION 5 - ADDITIONAL INFORMATION
Is this a Tribal owned business?
Yes No
If yes, attach proof
Percentage Indian Owned: % Tribal Enrollment # Name of Federally
Recognized Tribe:
Gross Annual Income for previous year
(Jan 1–Dec 31):
$
Estimate Gross Annual Income for current year:
$
Is business affiliated with any other business(es), including subsidiaries? Yes No If yes, please explain affiliation
(business relationship) – attach additional sheets if necessary: __________________________________________________
___________________________________________________________________________________________________
___________________________________________________________________________________________________
Does establishment commercially lease any adjacent space or building on a basis to other businesses? Yes No
If yes, provide name of business(es) and the type of services offered: ____________________________________________
__________________________________________________________________________________________________
__________________________________________________________________________________________________
Do you own and/or have shares in any of the businesses listed in this section?
Yes No
If yes, explain:
___________________________________________________________________________________________________
___________________________________________________________________________________________________
SECTION 6 – SIGNATURE REQUIRED
Your signature attests to the accuracy of the information provided and that your business will comply with all applicable Tribal
and Local Laws. The applicant shall sign each application for a license or renewal of a license issued by the Tulalip Tribes Tax
& Licensing Divi
sion under oath or affirmation without the need for witnesses unless otherwise required by law. Applications
completed by persons other than those listed above must also include the name, title, and signature of that individual.
BY SIGNING BELOW, I UNDERSTAND AND AGREE TO THE FOLLOWING:
I certify that I have received, read, understand, and agree to comply with the Tulalip Tribes Transient Accommodation
Ordinance 135 regulating this licensing category and consent to the jurisdiction of the Tribal Court of the Tulalip
Tribes and service of process in matters arising from the conduct of business. I swear and affirm that I have examined
the information contained herein, and to the best of my knowledge and belief, it is true and correct.
Signature of Authorized Representative
X
Printed Name and Title
Date
Signature of Authorized Representative
X
Printed Name and Title
Date
Check here if prepared by other than
authorized individual
Signature of Preparer
X
Business Telephone Number
( ) -
Printed Name and Title
Date
Submit completed the application(s) and supporting documents listed above, with the appropriate fees to:
Tax &
Licensing Division
6406 Marine DR NW
Tulalip, WA 98271
TAL LIC NUMBER
OFFICIAL USE ONLY
BUS LIC NUMBER
APPLICABLE YEAR
CHECK / MONEY ORDER #
RECEIPT #
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INSTRUCTIONS FOR COMPLETING TULALIP TRANSIENT ACCOMMODATION LICENSE PACKET (The Tulalip Tribes)

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Completed 20 July 2020

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