Washington State Parks and
Recreation Commission
FILM PERMIT
Application Packet
Updated November 2016
Film Permit Application Packet
All commercial filming/still photography activities wishing to occur within a State Park require a
permit and the payment of appropriate fees pursuant to WAC 352-74, Filming Within State Parks.
Filming activities occurring for educational purposes also require a permit; however there is no charge
for issuance of the permit.
Definitions:
1. Commercial Purpose - When an individual or organization desires to film and/or take still
photography within State Parks with the intent to sell or otherwise use the products for an
economic gain (includes catalog and other advertising still photography).
2. Educational Purpose – When an individual or organization desires to film and/or take still
photography within State Parks as part of a formal educational requirement for which they are
receiving credit from an accredited educational establishment and has no intent to sell or
otherwise use the products for economic gain.
Applicant procedure for requesting a film permit in State Parks:
1. Obtain film permit application packet
a. State Parks website (http://parks.state.wa.us/209/Filming-Photography-Permits ).
b. If unable to access online, application packets may be obtained from:
i. State Parks Headquarters
Information Center – (360) 902-8500
ii. Region Offices:
Eastern Region – (509) 665-4319
Northwest Region – (360) 755-9231
Southwest Region – (360) 725-9770
iii. Any State Park (see State Park Contact List)
2. Complete application form and return with application fee per the attached fee schedule to the
Area Manager for review (see State Park Contact List).
a. To pay by check, send check with application material by mail.
b. To pay by credit card, email application including appropriate contact information in
the email (phone numbers). The park will call for payment information.
3. A site location fee may be assessed based on the filming activity and its impact to the park
and public per the attached fee schedule.
4. Additional fees may be required based on potential impacts to the park, public, and
environment based on agency staff review.
5. Fees will be assessed at the time of approval and must be paid in full to the Area Manager
before the commencement of activity.
Film Permit Application Packet
6. Complete insurance binder:
a. List Washington State Parks and Recreation Commission as “ADDITIONAL
INSURED” for a minimum of $1,000,000 for the period of the filming, as follows:
Washington State Parks and Recreation Commission
P.O. Box 42650
Olympia, WA 98504-2650
b. List park name and dates of filming in description section of insurance binder.
c. Send completed insurance binder directly to the Park: ATTENTION –Area Manager.
d. Some filming activities may require additional coverage. Approval, if made, will be
contingent upon receipt of the adequate insurance binder within an appropriate
timeframe.
7. Area Manager will review the application within 10 days. For exceptional circumstances, the
timeframe may be extended for environmental or other administrative review. Applicant will
be notified of any review that extends the process beyond 10 days. If the application is denied,
the application fee is non-refundable. If the application is approved, the Area Manager will
send a copy of the approved application to the applicant which will serve as the official film
permit.
Frequently the time frame is too short to allow the application process to be completed by mail.
Seven working days are preferred, if possible, but the use of scans (email), faxes, and express mail
services is permitted in order to accommodate short turnaround times. To ensure a successful
completion of the project, it is important for the applicant to stay in close telephone and/or e-mail
contact with the Area Manager or designated staff.
No filming or still photography may take place without an approved film permit except for
personal or news media purpose.
Permittee may be required to obtain additional permits depending on the location and
activities. It is the permittees responsibility to be aware of what additional permits are
required.
Film Permit Application Packet
Fee Schedule
Application Fee
Standard
$100 (application must be received more than 7 days in advance of filming
activities)
Expedited
$200 (applications received less than 7 days prior to filming activities)
Fee submitted for a Still Photography permit, which includes no more than 2 paid staff, will result in the issuance of
an annual permit for the designated location(s).
Site Location Fees
Still & Video
Photography
No site location fee is required for still or video
1-2 paid permittee staff
photography when impact is limited to no more than 2
1-2 vehicles
paid staff.
Still & Video
Photography
& Commercials
$200/Day
$250/Day
$350/Day
3-8 paid permittee staff 8-20 paid permittee staff
Over 20 paid permittee staff
and less than 3 vehicles and no more than 8 vehicles or over 8 vehicles
TV Movie/Episode
Specialty Productions
Feature Films
$300/Day
$350/Day
8-20 paid permittee
20-30 paid permittee staff
staff
and no more than 20
and less than 5 vehicles vehicles
$700/Day
Over 30 permittee paid staff
or Over 20 vehicles
Potential Additional Fees (Impact Fees)
Higher impact fees may be negotiated depending on degree of disruption of normal park use and activities.
Establishment of higher impact fees will be done in consultation with the Region Manager, Stewardship program,
and/or Business Development program.
Examples of conditions where additional fees may be accessed:
 Impact on park staff
 Loss of revenue to park
 Impact on park operating costs
 Facility use charges
 Potential damage to park resources (may require bond or damage deposit)
 Archeological impacts
SEPA Review
$32.86 / hour (plus any impact fees as determined by review)
Archaeological Review
$41.70 / hour (plus any impact fees as determined by review)
Natural Resources
Review
$43.79 / hour (plus any impact fees as determined by review)
Historic Preservation
Review
$48.33 / hour (plus any impact fees as determined by review)
Film Permit Application Packet
State Park Contact Sheet
Film Permit Application Packet
PARK NAME
AREA MANAGER
PARK AREA
REGION
Alta Lake State
Park
Sharon Soelter
Anderson Lake
State Park
Brian Hageman
Battle Ground
Lake State Park
Chris Guidotti
Bay View State
Park
Kevin Kratochvil
Beacon Rock
State Park
Chris Guidotti
Alta Lake Area
Eastern
Olympic View Area
Southwest
Battle Ground Area
Southwest
Rasar Area
Northwest
Battle Ground Area
Southwest
Joel Pillers
Belfair State Park South Sound Area
Southwest
Jack Hartt
Ben Ure Island
Deception Pass Area
Marine State Park Northwest
Birch Bay State
Park
Ted Morris
Birch Bay Area
Northwest
PHONE
EMAIL (@parks.wa.gov)
(509) 923-2473
Alta.Lake@parks.wa.gov
(360) 344-4442
Bill.Drath@parks.wa.gov
(360) 687-4621
Battle.Ground@parks.wa.gov
(360) 757-0227
Bay.View@parks.wa.gov
(509) 427-8265
Beacon.Rock@parks.wa.gov
(360) 275-0668
Belfair@parks.wa.gov
(360) 675-3767
Deception.Pass@parks.wa.gov
(360) 371-2800
Birch.Bay@parks.wa.gov
Dave Roe
Blake Island
Blake Island Area
Marine State Park Southwest
(360) 731-8330
VACANT
Blind Island
San Juan Area
Marine State Park Northwest
(360) 376-2329
Bogachiel State
Park
Erik Plunkett
(360) 374-6356
Bottle Beach
State Park
Gary Vierra
Bridgeport
State Park
Sharon Soelter
Sequim Bay Area
Southwest
South Beach Area
Southwest
Alta Lake Area
Eastern
Blake.Island@parks.wa.gov
Moran@parks.wa.gov
Bogachiel@parks.wa.gov
(360) 268-1457
Grayland.Beach@parks.wa.gov
(509) 686-7231
Bridgeport@parks.wa.gov
ADDRESS
ALTA LAKE STATE PARK
1B OTTO ROAD
PATEROS WA 98846
FORT WORDEN STATE PARK
200 BATTERY WAY
PORT TOWNSEND, WA 983683621
BATTLE GROUND STATE
PARK
PO BOX 148
HEISSON, WA 98622
RASAR STATE PARK
38730 CAPE HORN ROAD
CONCRETE, WA 98237
BATTLE GROUND STATE
PARK
PO BOX 148
HEISSON, WA 98622
BELFAIR STATE PARK
3151 N.E. SR 300
BELFAIR, WA 98528
DECEPTION PASS STATE
PARK
41020 STATE ROUTE 20
OAK HARBOR, WA 98277
BIRCH BAY STATE PARK
5105 HELWEG ROAD
BLAINE WA 98230
MANCHESTER STATE PARK
PO BOX 338
MANCHESTER, WA 98353
MORAN STATE PARK
3572 OLGA ROAD
OLGA, WA 98279
SEQUIM BAY STATE PARK
269035 HIGHWAY 101
SEQUIM, WA 98382
GRAYLAND BEACH STATE
PARK
925 CRANBERRY BEACH
ROAD
GRAYLAND, WA 98547
ALTA LAKE STATE PARK
1B OTTO ROAD
PATEROS WA 98846
Film Permit Application Packet
PARK NAME
AREA MANAGER
PARK AREA
REGION
PHONE
EMAIL (@parks.wa.gov)
ADDRESS
LAKE SAMMAMISH STATE
Bridle Trails
PARK
(425) 649-4275
Cascade Foothills Area
PSBRID@parks.wa.gov
State Park
2000 N.W. SAMMAMISH ROAD
Northwest
ISSAQUAH, WA 98027-8940
MARYHILL STATE PARK
Brooks Memorial Lem Pratt
(509) 773-3145
50 HWY 97
Goldendale Area
Lem.Pratt@parks.wa.gov
State Park
Eastern
GOLDENDALE WA 98620
MORAN STATE PARK
VACANT
Burrows Island
(360) 376-2329
3572 OLGA ROAD
San Juan Area
Moran@parks.wa.gov
Marine State Park Northwest
OLGA, WA 98279
Cama Beach
CAMA BEACH STATE PARK
Jeff Wheeler
(360)
387-7542
Historical State
1880 CAMANO DR
Cama Beach Area
Cama.Beach@parks.wa.gov
Northwest
Park
CAMANO ISLAND WA 98282
CAMA BEACH STATE PARK
Jeff Wheeler
Camano Island
(360) 387-3031
1880 CAMANO DR
Cama Beach Area
Camano.Island@parks.wa.gov
State Park
Northwest
CAMANO ISLAND WA 98282
Cape
CAPE DISAPPOINTMENT
Evan Roberts
(360) 642-3078
Disappointment Long Beach Area
Cape.Disappointment@parks.wa.g PO BOX 488
Southwest
ov
State Park
ILWACO, WA 98624-0488
MORAN STATE PARK
VACANT
Clark Island
(360) 376-2329
3572 OLGA ROAD
San Juan Area
Moran@parks.wa.gov
Marine State Park Northwest
OLGA, WA 98279
Columbia Hills
MARYHILL STATE PARK
Lem Pratt
(509) 773-3145
Historical State
50 HWY 97
Goldendale Area
Lem.Pratt@parks.wa.gov
Eastern
Park
GOLDENDALE WA 98620
Rick Lewis
PEARRYGIN STATE PARK
Conconully State Okanogan Highlands (509) 826-7408
561 BEAR CREEK ROAD
Conconcully@parks.wa.gov
Area
Park
WINTHROP WA 98862
Eastern
Rick Lewis
PEARRYGIN STATE PARK
Curlew Lake
(509) 341-4047
Okanogan Highlands
561 BEAR CREEK ROAD
Curlew.Lake@parks.wa.gov
Area
State Park
WINTHROP WA 98862
Eastern
WENATCHEE CONFLUENCE
Matt Morrison
Daroga State Park Wenatchee Valley Area (509) 664-6373
333 OLDS STATION ROAD
Daroga@parks.wa.gov
Eastern
WENATCHEE WA 98801-5938
FLAMING GEYSER STATE
PARK
Dash Point State Jeff Vassallo
(253) 661-4955
23700 SE FLAMING GEYSER
Tahoma Gateway Area
Dash.Point@parks.wa.gov
Park
Northwest
RD
AUBURN WA 98092-9031
DECEPTION PASS STATE
Jack Hartt
Deception Pass
PARK
(360) 675-3767
Deception Pass Area
Deception.Pass@parks.wa.gov
State Park
41020 STATE ROUTE 20
Northwest
OAK HARBOR, WA 98277
Richard Benson
Film Permit Application Packet
PARK NAME
AREA MANAGER
PARK AREA
REGION
Doe Island Marine VACANT
San Juan Area
State Park
Northwest
Dosewallips
State Park
Douglas Hinton
Doug’s Beach
State Park
Lem Pratt
Dosewallips Area
Southwest
Goldendale Area
Eastern
PHONE
EMAIL (@parks.wa.gov)
(360) 376-2329
Moran@parks.wa.gov
(360) 796-4415
Dosewallips@parks.wa.gov
(509) 773-3145
Lem.Pratt@parks.wa.gov
Federation Forest Jeff Vassallo
(253) 735-8839
Tahoma Gateway Area
Flaming.Geyser@parks.wa.gov
State Park
Northwest
Fields Spring
State Park
Audra Sims
Flaming Geyser
State Park
Jeff Vassallo
Fort Casey
Historical State
Park
Jon Crimmins
Fort Columbia
Historical State
Park
Evans Roberts
Fort Ebey State
Park
Jon Crimmins
Fort Flagler
Historical State
Park
Brian Hageman
Fort Simcoe
Historical State
Park
Lem Pratt
Fort Townsend
Historical State
Park
Brian Hageman
Blue Mountain Area
Eastern
(509) 337-6457
Fields.Spring@parks.wa.gov
(253) 735-8839
Tahoma Gateway Area
Flaming.Geyser@parks.wa.gov
Northwest
Central Whidbey Area
Northwest
Long Beach Area
Southwest
Central Whidbey Area
Northwest
Olympic View Area
Southwest
Goldendale Area
Eastern
Olympic View Area
Southwest
(360) 678-4519
Fort.Casey@parks.wa.gov
ADDRESS
MORAN STATE PARK
3572 OLGA ROAD
OLGA, WA 98279
DOSEWALLIPS STATE PARK
306996 HIGHWAY 101
BRINNON, WA 98320
MARYHILL STATE PARK
50 HWY 97
GOLDENDALE WA 98620
FLAMING GEYSER STATE
PARK
23700 SE FLAMING GEYSER
RD
AUBURN WA 98092-9031
LEWIS & CLARK TRAIL
36149 HWY 12
DAYTON WA 99328-9500
FLAMING GEYSER STATE
PARK
23700 SE FLAMING GEYSER
RD
AUBURN WA 98092-9031
FORT CASEY STATE PARK
1280 ENGLE ROAD
COUPEVILLE WA 98239
(360) 642-3078
(360) 642-3662
CAPE DISAPPOINTMENT
PO BOX 488
Cape.Disappointment@parks.wa.g
ILWACO, WA 98624-0488
ov
(360) 678-4519
Fort.Ebey@parks.wa.gov
(360) 344-4442
Bill.Drath@parks.wa.gov
(509) 773-3145
Lem.Pratt@parks.wa.gov
(360) 344-4442
Bill.Drath@parks.wa.gov
FORT CASEY STATE PARK
1280 ENGLE ROAD
COUPEVILLE WA 98239
FORT WORDEN STATE PARK
200 BATTERY WAY
PORT TOWNSEND, WA 983683621
MARYHILL STATE PARK
50 HWY 97
GOLDENDALE WA 98620
FORT WORDEN STATE PARK
200 BATTERY WAY
PORT TOWNSEND, WA 983683621
Film Permit Application Packet
PARK NAME
AREA MANAGER
PARK AREA
REGION
Fort Worden
Historical State
Park
Brian Hageman
Ginkgo Petrified
Forest State Park
Jason Both
Grayland Beach
State Park
Gary Vierra
South Beach Area
Southwest
Griffith-Priday
State Park
Jim Schmidt
Hope Island
(Mason) Marine
State Park
Joel Pillers
Hope Island
(Skagit) Marine
State Park
Jack Hartt
Ike Kinswa State
Park
Olympic View Area
Southwest
PHONE
EMAIL (@parks.wa.gov)
(360) 344-4442
Bill.Drath@parks.wa.gov
(509) 656-2586
Central Cascades Area
Lake.Easton@parks.wa.gov
Eastern
Northern Shores Area
Southwest
South Sound Area
Southwest
Deception Pass Area
Northwest
(360) 267-4301
Grayland.Beach@parks.wa.gov
(360) 289-3553
Ocean.City@parks.wa.gov
(360) 275-0668
Jarrell.Cove@parks.wa.gov
(360) 675-3767
Deception.Pass@parks.wa.gov
Pam Wilkins
Upper Cowlitz River
Area
Southwest
(360) 864-2643
Lewis.Clark@parks.wa.gov
Steve Kendall
Illahee State Park Kitsap Peninsula Area (360) 478-6460
Kitsap.Memorial@parks.wa.gov
Southwest
VACANT
James Island
San Juan Area
Marine State Park Northwest
Jarrell Cove
State Park
Joel Pillers
Joemma Beach
State Park
Joel Pillers
South Sound Area
Southwest
South Sound Area
Southwest
VACANT
Jones Island
San Juan Area
Marine State Park Northwest
(360) 376-2329
Moran@parks.wa.gov
(360) 275-0668
Jarrell.Cove@parks.wa.gov
(360) 275-0668
Penrose.Point@parks.wa.gov
(360) 376-2329
Moran@parks.wa.gov
ADDRESS
FORT WORDEN STATE PARK
200 BATTERY WAY
PORT TOWNSEND, WA 983683621
LAKE EASTON STATE PARK
150 LAKE EASTON SP ROAD
EASTON WA 98925
GRAYLAND BEACH STATE
PARK
925 CRANBERRY BEACH
ROAD
GRAYLAND, WA 98547
OCEAN CITY STATE PARK
148 STATE ROUTE 115
HOQUIAM, WA 98550
BELFAIR STATE PARK
3151 N.E. SR 300
BELFAIR, WA 98528
DECEPTION PASS STATE
PARK
41020 STATE ROUTE 20
OAK HARBOR, WA 98277
LEWIS & CLARK STATE PARK
4583 JACKSON HIGHWAY
WINLOCK, WA 98596
KITSAP MEMORIAL STATE
PARK
202 N.E. PARK ST.
POULSBO, WA 98370
MORAN STATE PARK
3572 OLGA ROAD
OLGA, WA 98279
BELFAIR STATE PARK
3151 N.E. SR 300
BELFAIR, WA 98528
BELFAIR STATE PARK
3151 N.E. SR 300
BELFAIR, WA 98528
MORAN STATE PARK
3572 OLGA ROAD
OLGA, WA 98279
Film Permit Application Packet
PARK NAME
AREA MANAGER
PARK AREA
REGION
PHONE
EMAIL (@parks.wa.gov)
Kanaskat-Palmer Jeff Vassallo
(253) 735-8839
Tahoma Gateway Area
Flaming.Geyser@parks.wa.gov
State Park
Northwest
Kitsap Memorial
State Park
Steve Kendall
Kopachuck State
Park
Joel Pillers
Lake Chelan
State Park
Dwight Keegan
Lake Easton
State Park
Jason Both
Kitsap Peninsula Area
Southwest
South Sound Area
Southwest
Lake Chelan Area
Eastern
(360) 779-3205
Kitsap.Memorial@parks.wa.gov
(360) 275-0668
Penrose.Point@parks.wa.gov
(509) 687-3710
Lake.Chelan@parks.wa.gov
(509) 656-2586
Central Cascades Area
Lake.Easton@parks.wa.gov
Eastern
Lake Sammamish Richard Benson
(425) 649-4275
Cascade Foothills Area
PSSAMM@parks.wa.gov
State Park
Northwest
Lake Sylvia
State Park
Jim Schmidt
Lake Wenatchee
State Park
Rick Halstead
Larrabee State
Park
Amber Forest
Leadbetter Point
State Park
Evan Roberts
Lewis & Clark
State Park
Northern Shores Area
Southwest
Eastern
Northwest
Long Beach Area
Southwest
(360) 289-3553
Lake.Sylvia@parks.wa.gov
(509) 763-3101
Lake.Wenatchee@parks.wa.gov
(360) 676-2093
Larrabee@parks.wa.gov
Lewis & Clark
Trail State Park
Audra Sims
Lime Kiln Point
State Park
VACANT
Blue Mountain Area
Eastern
San Juan Area
Northwest
FLAMING GEYSER STATE
PARK
23700 SE FLAMING GEYSER
RD
AUBURN WA 98092-9031
KITSAP MEMORIAL STATE
PARK
202 N.E. PARK ST.
POULSBO, WA 98370
BELFAIR STATE PARK
3151 N.E. SR 300
BELFAIR, WA 98528
LAKE CHELAN STATE PARK
7544 S LAKESHORE ROAD
CHELAN WA 98816
LAKE EASTON STATE PARK
150 LAKE EASTON SP ROAD
EASTON WA 98925
LAKE SAMMAMISH STATE
PARK
2000 N.W. SAMMAMISH ROAD
ISSAQUAH, WA 98027
OCEAN CITY STATE PARK
148 STATE ROUTE 115
HOQUIAM, WA 98550
LAKE WENATCHEE STATE
PARK
21588 SR 207
LEAVENWORTH WA 98826
LARRABEE STATE PARK
245 CHUCKANUT DR.
BELLINGHAM, WA 98229
(360) 642-3078
(360) 642-3662
CAPE DISAPPOINTMENT
PO BOX 488
Cape.Disappointment@parks.wa.g
ILWACO, WA 98624-0488
ov
Pam Wilkins
Upper Cowlitz River
Area
Southwest
ADDRESS
(360) 864-2643
Lewis.Clark@parks.wa.gov
(509) 337-6457
Lewis.Clark.Trail@parks.wa.gov
(360) 376-2329
Moran@parks.wa.gov
LEWIS & CLARK STATE PARK
4583 JACKSON HIGHWAY
WINLOCK, WA 98596
LEWIS & CLARK TRAIL
36149 HWY 12
DAYTON WA 99328-9500
MORAN STATE PARK
3572 OLGA ROAD
OLGA, WA 98279
Film Permit Application Packet
PARK NAME
Lincoln Rock
State Park
AREA MANAGER
PARK AREA
REGION
Matt Morrison
(509) 664-6373
Wenatchee Valley Area
Lincoln.Rock@parks.wa.gov
Eastern
Manchester State Dave Roe
Blake Island Area
Park
Southwest
Maryhill State
Park
PHONE
EMAIL (@parks.wa.gov)
Lem Pratt
Goldendale Area
Eastern
(360) 871-4065
Manchester@parks.wa.gov
(509) 773-3145
Lem.Pratt@parks.wa.gov
VACANT
Matia Island
San Juan Area
Marine State Park Northwest
(360) 376-2329
McMicken Island Joel Pillers
South Sound Area
Marine State Park Southwest
(360) 275-0668
Millersylvania
State Park
Tom Pew
Millersylvania Area
Southwest
VACANT
Moran State Park San Juan Area
Northwest
Mount Pilchuck
State Park
Richard Benson
Mount Spokane
State Park
Steve Christensen
Moran@parks.wa.gov
Jarrell.Cove@parks.wa.gov
(360) 753-1519
Millersylvania@parks.wa.gov
(360) 376-2326
Moran@parks.wa.gov
(425) 766-2083
Cascade Foothills Area
Wallace.Falls@parks.wa.gov
Northwest
Mount Spokane Area
Eastern
Jeff Vassallo
(509) 238-4258
Mount.Spokane@parks.wa.gov
(253) 735-8839
Nolte State Park
Tahoma Gateway Area
Flaming.Geyser@parks.wa.gov
Northwest
Obstruction Pass
State Park
VACANT
Ocean City State
Park
Jim Schmidt
San Juan Area
Northwest
Northern Shores Area
Southwest
(360) 376-2329
Moran@parks.wa.gov
(360) 289-3553
Ocean.City@parks.wa.gov
ADDRESS
WENATCHEE CONFLUENCE
333 OLDS STATION ROAD
WENATCHEE WA 98801-5938
MANCHESTER STATE PARK
PO BOX 338
MANCHESTER, WA 98353
MARYHILL STATE PARK
50 HWY 97
GOLDENDALE WA 98620
MORAN STATE PARK
3572 OLGA ROAD
OLGA, WA 98279
BELFAIR STATE PARK
3151 N.E. SR 300
BELFAIR, WA 98528
MILLERSYLVANIA STATE
PARK
12245 TILLEY ROAD SOUTH
OLYMPIA, WA 98512-9167
MORAN STATE PARK
3572 OLGA ROAD
OLGA, WA 98279
WALLACE FALLS STATE
PARK
14503 WALLACE FALLS ROAD
GOLD BAR, WA 98251
MOUNT SPOKANE STATE
PARK
N 26107 MOUNT SPOKANE
PARK DR
MEAD WA 99021
FLAMING GEYSER STATE
PARK
23700 SE FLAMING GEYSER
RD
AUBURN WA 98092-9031
MORAN STATE PARK
3572 OLGA ROAD
OLGA, WA 98279
OCEAN CITY STATE PARK
148 STATE ROUTE 115
HOQUIAM, WA 98550
Film Permit Application Packet
PARK NAME
AREA MANAGER
PARK AREA
REGION
PHONE
EMAIL (@parks.wa.gov)
ADDRESS
LAKE SAMMAMISH STATE
PARK
Olallie State Park Cascade Foothills Area (425) 766-2083
PSOLAL@parks.wa.gov
2000 N.W. SAMMAMISH ROAD
Northwest
ISSAQUAH, WA 98027
Olmstead Place
LAKE EASTON STATE PARK
Jason Both
(509)
656-2586
Historical State
150 LAKE EASTON SP ROAD
Central Cascades Area
Lake.Easton@parks.wa.gov
Eastern
Park
EASTON WA 98925
OCEAN CITY STATE PARK
Jim Schmidt
Pacific Beach
(360) 289-3553
148 STATE ROUTE 115
Northern Shores Area
Pacific.Beach@parks.wa.gov
State Park
Southwest
HOQUIAM, WA 98550
LEWIS & CLARK TRAIL STATE
Audra
Sims
Palouse Falls
PARK
(509) 337-6457
Blue Mountain Area
Lewis.Clark.Trail@parks.wa.gov 36149 HWY 12
State Park
Eastern
DAYTON WA 99328-9500
BATTLE GROUND STATE
Chris Guidotti
Paradise Point
PARK
(360) 687-8290
Battle Ground Area
Paradise.Point@parks.wa.gov
State Park
PO BOX 148
Southwest
HEISSON, WA 98622
MORAN STATE PARK
VACANT
Patos Island
(360) 376-2329
3572 OLGA ROAD
San Juan Area
Moran@parks.wa.gov
Marine State Park Northwest
OLGA, WA 98279
Peace Arch
BIRCH BAY STATE PARK
Ted Morris
(360)
371-2800
Historical State
5105 HELWEG ROAD
Birch Bay Area
Peace.Arch@parks.wa.gov
Northwest
Park
BLAINE WA 98230
Rick Lewis
PEARRYGIN STATE PARK
Pearrygin Lake
(509) 996-2370
Okanogan Highlands
561 BEAR CREEK ROAD
Pearrygin.Lake@parks.wa.gov
Area
State Park
WINTHROP WA 98862
Eastern
BELFAIR STATE PARK
Joel Pillers
Penrose Point
(360) 275-0668
3151 N.E. SR 300
South Sound Area
Penrose.Point@parks.wa.gov
State Park
Southwest
BELFAIR, WA 98528
Peshastin
WENATCHEE CONFLUENCE
Matt Morrison
(509) 664-6373
Pinnacles State
Wenatchee Valley Area Wenatchee.Confluence@parks.wa. 333 OLDS STATION ROAD
Eastern
gov
Park
WENATCHEE WA 98801-5938
MORAN STATE PARK
VACANT
Posey Island
(360) 376-2329
3572 OLGA ROAD
San Juan Area
Moran@parks.wa.gov
Marine State Park Northwest
OLGA, WA 98279
SUN LAKES-DRY FALLS
Denis Felton
Potholes State
(509) 632-5136
34875 PARK LAKE ROAD N.E.
Coulee Corridor Area
Sun.Lakes@parks.wa.gov
Park
Eastern
COULEE CITY, WA 99115
DOSEWALLIPS STATE PARK
Douglas Hinton
Potlatch State
(360) 796-4415
306996 HIGHWAY 101
Dosewallips Area
Potlatch@parks.wa.gov
Park
Southwest
BRINNON, WA 98320
Richard Benson
Film Permit Application Packet
PARK NAME
Rainbow Falls
State Park
AREA MANAGER
PARK AREA
REGION
Tom Pew
Millersylvania Area
Southwest
Kevin Kratochvil
Rasar State Park
Rasar Area
Northwest
Riverside State
Park
Diana Dupuis
Rockport State
Park
Kevin Kratochvil
Sacajawea
Historical State
Park
Audra Sims
Riverside Area
Eastern
Rasar Area
Northwest
Blue Mountain Area
Eastern
Saddlebag Island VACANT
San Juan Area
Marine State Park Northwest
Saint Edward
State Park
Richard Benson
Saltwater State
Park
Jeff Vassallo
Scenic Beach
State Park
Steve Kendall
Rainbow.Fall@parks.wa.gov
(360) 826-3942
Rasar@parks.wa.gov
(509) 465-5064
Riverside@parks.wa.gov
(360) 826-3942
Rockport@parks.wa.gov
(509) 337-6457
Sacajawea@parks.wa.gov
(360) 376-2329
Moran@parks.wa.gov
(425) 823-2992
(253) 735-8839
Tahoma Gateway Area
Saltwater@parks.wa.gov
Northwest
Kitsap Peninsula Area
Southwest
Southwest
Sequim Bay
State Park
(360) 956-4814
Cascade Foothills Area
Saint.Edward@parks.wa.gov
Northwest
Jim Schmidt
Schafer State Park Northern Shores Area
Seaquest State
Park
PHONE
EMAIL (@parks.wa.gov)
(360) 478-6460
Scenic.Beach@parks.wa.gov
(360) 289-3553
Schafer@parks.wa.gov
Pam Wilkins
Upper Cowlitz River
Area
Southwest
Erik Plunkett
Sequim Bay Area
Southwest
Jack Hartt
Skagit Island
Deception Pass Area
Marine State Park Northwest
(360) 864-2643
Lewis.Clark@parks.wa.gov
(360) 683-4235
Sequim.Bay@parks.wa.gov
(360) 675-3767
Deception.Pass@parks.wa.gov
ADDRESS
MILLERSYLVANIA STATE
PARK
12245 TILLEY ROAD SOUTH
OLYMPIA, WA 98512-9167
RASAR STATE PARK
38730 CAPE HORN ROAD
CONCRETE, WA 98237
RIVERSIDE STATE PARK
9711 W. CHARLES ROAD
NINE MILE FALLS, WA 99026
RASAR STATE PARK
38730 CAPE HORN ROAD
CONCRETE, WA 98237
LEWIS & CLARK TRAIL STATE
PARK
36149 HWY 12
DAYTON WA 99328-9500
MORAN STATE PARK
3572 OLGA ROAD
OLGA, WA 98279
SAINT EDWARD STATE PARK
14445 JUANITA DR. N.E.
KENMORE, WA 98028
FLAMING GEYSER STATE
PARK
23700 SE FLAMING GEYSER
RD
AUBURN WA 98092-9031
KITSAP MEMORIAL STATE
PARK
202 N.E. PARK ST.
POULSBO, WA 98370
OCEAN CITY STATE PARK
148 STATE ROUTE 115
HOQUIAM, WA 98550
LEWIS & CLARK STATE PARK
4583 JACKSON HIGHWAY
WINLOCK, WA 98596
SEQUIM BAY STATE PARK
269035 HIGHWAY 101
SEQUIM, WA 98382
DECEPTION PASS STATE
PARK
41020 STATE ROUTE 20
OAK HARBOR, WA 98277
Film Permit Application Packet
PARK NAME
AREA MANAGER
PARK AREA
REGION
PHONE
EMAIL (@parks.wa.gov)
ADDRESS
FORT CASEY STATE PARK
1280 ENGLE ROAD
Central Whidbey Area
South.Whidbey@parks.wa.gov
Northwest
COUPEVILLE WA 98239
MORAN STATE PARK
VACANT
Spencer Spit
(360) 376-2329
3572 OLGA ROAD
San Juan Area
Spencer.Spit@parks.wa.gov
State Park
Northwest
OLGA, WA 98279
LAKE SAMMAMISH STATE
Richard
Benson
Squak Mountain
PARK
(425) 766-2083
Cascade Foothills Area
PSSQUA@parks.wa.gov
State Park
2000 N.W. SAMMAMISH ROAD
Northwest
ISSAQUAH, WA 98027
WENATCHEE CONFLUENCE
(509) 664-6373
Squilchuck State Matt Morrison
Wenatchee Valley Area Wenatchee.Confluence@parks.wa. 333 OLDS STATION ROAD
Park
Eastern
gov
WENATCHEE WA 98801-5938
SUN LAKES-DRY FALLS
Steamboat Rock Denis Felton
(509) 632-5136
34875 PARK LAKE ROAD N.E.
Coulee Corridor Area
Steamboat.Rock@parks.wa.gov
State Park
Eastern
COULEE CITY, WA 99115
MORAN STATE PARK
VACANT
Stuart Island
(360) 376-2326
3572 OLGA ROAD
San Juan Area
Moran@parks.wa.gov
Marine State Park Northwest
OLGA, WA 98279
MORAN STATE PARK
VACANT
Sucia Island
(360) 376-2329
3572 OLGA ROAD
San Juan Area
Sucia.Island@parks.wa.gov
Marine State Park Northwest
OLGA, WA 98279
SUN LAKES-DRY FALLS
Denis Felton
Sun Lakes-Dry
(509) 632-5583
34875 PARK LAKE ROAD N.E.
Coulee Corridor Area
Sun.Lakes@parks.wa.gov
Falls State Park
Eastern
COULEE CITY, WA 99115
MILLERSYLVANIA STATE
Tom Pew
PARK
(360) 956-4814
Tolmie State Park Millersylvania Area
Tolmie@parks.wa.gov
12245 TILLEY ROAD SOUTH
Southwest
OLYMPIA, WA 98512-9167
MORAN STATE PARK
VACANT
Turn Island
(360) 376-2329
3572 OLGA ROAD
San Juan Area
Moran@parks.wa.gov
Marine State Park Northwest
OLGA, WA 98279
BELFAIR STATE PARK
Joel Pillers
Twanoh State
(360) 552-2314
3151 N.E. SR 300
South Sound Area
Twanoh@parks.wa.gov
Park
Southwest
BELFAIR, WA 98528
LAKE CHELAN STATE PARK
Twenty-Five Mile Dwight Keegan
(509) 687-3710
7544 S LAKESHORE ROAD
Lake Chelan Area
Lake.Chelan@parks.wa.gov
Creek State Park Eastern
CHELAN WA 98816
GRAYLAND BEACH STATE
PARK
Gary Vierra
Twin Harbors
(360) 268-1457
925 CRANBERRY BEACH
South Beach Area
Twin.Harbors@parks.wa.gov
Beach State Park Southwest
ROAD
GRAYLAND, WA 98547
South Whidbey
State Park
Jon Crimmins
(360) 678-4519
Film Permit Application Packet
PARK NAME
AREA MANAGER
PARK AREA
REGION
PHONE
EMAIL (@parks.wa.gov)
ADDRESS
WALLACE FALLS STATE
Wallace Falls
PARK
(253)766-2083
Cascade Foothills Area
Wallace.Falls@parks.wa.gov
State Park
14503 WALLACE FALLS ROAD
Northwest
GOLD BAR, WA 98251
Wenatchee
WENATCHEE CONFLUENCE
Matt Morrison
(509) 664-6373
Confluence State Wenatchee Valley Area Wenatchee.Confluence@parks.wa. 333 OLDS STATION ROAD
Eastern
gov
Park
WENATCHEE WA 98801-5938
GRAYLAND BEACH STATE
PARK
Westhaven State Gary Veirra
(360) 268-1457
925 CRANBERRY BEACH
South Beach Area
Grayland.Beach@parks.wa.gov
Park
Southwest
ROAD
GRAYLAND, WA 98547
GRAYLAND BEACH STATE
PARK
Gary Vierra
Westport Light
(360) 268-1457
925 CRANBERRY BEACH
South Beach Area
Grayland.Beach@parks.wa.gov
State Park
Southwest
ROAD
GRAYLAND, WA 98547
MILLERSYLVANIA STATE
Tom
Pew
Willapa Hills
PARK
(360) 956-4814
Millersylvania Area
Millersylvania@parks.wa.gov
State Park Trail
12245 TILLEY ROAD SOUTH
Southwest
OLYMPIA, WA 98512-9167
Yakima
LAKE EASTON STATE PARK
Jason Both
(509)
656-2586
Sportsman State Central Cascades Area
150 LAKE EASTON SP ROAD
Lake.Easton@parks.wa.gov
Eastern
Park
EASTON WA 98925
Richard Benson
Film Permit Application Packet
Film Permit Application
FILMING DATE(s)
TITLE OF PROJECT
NAME OF STATE PARK(s) FILMING/STILL PHOTOGRAPHY TO TAKE PLACE
NAME OF PRODUCTION COMPANY
PERMANENT COMPANY ADDRESS
CITY
STATE
ZIP
PERMANENT COMPANY TELEPHONE
FAX
PRODUCER
PHONE:
EMAIL:
PRODUCTION MANAGER
PHONE:
EMAIL:
LOCATION MANAGER
PHONE:
EMAIL:
TYPE OF PRODUCTION
Filming Activities
Feature Film
Commercial Advertisement
Still Photography Activities
Television
Other
Catalog Photography
Still Photography (3 or more paid staff)
Still Photography – Annual (2 or less paid
staff)
PRODUCTION DETAILS
LIST THE NUMBER OF PAID PRODUCTION STAFF AND THE NUMBER OF VEHICLES THAT WILL BE ONSITE.
Paid Staff:
Vehicles onsite:
PRODUCTION SCHEDULE
DO YOU INTEND TO USE AIRCRAFT, INCLUDING REMOTE CONTROLLED, FOR FILMING PURPOSES?
(If yes, please explain)
YES
NO
Film Permit Application Packet
FILMING DATE(s)
TITLE OF PROJECT
PROPOSED LOCATION(s) OF PRODUCTION (include any public access restrictions)
PROPOSED STAGING AREA
GENERAL DESCRIPTION OF SCRIPT OR CONTENT OF PRODUCTION (please attach copy of the script; may provide excerpt of script that adequately
describes potential impact of activity on park)
SITE REFERENCES
List two recent site references:
LOCATION
LOCATION
CONTACT
CONTACT
PHONE NUMBER
PHONE NUMBER
EMAIL
EMAIL
GENERAL CONDITIONS
Washington Administrative Code 352-74-060 states in part that all applicants shall agree to film and/or photograph in a
manner which:
1) Is compatible with the activities of park visitors
2) Will not damage facilities or resources, or interfere with park operations
3) Will not disrupt wildlife
4) Will not imply the endorsement of the Commission for the content of the film
5) Will acknowledge the cooperation of the Commission
6) Is not inconsistent in the judgment of the director with the purposes for, or conditions on which, the property
where the filming is to take place was acquired
7) Will conform with all of the applicable statutes, rules, policies, and procedures of the Commission, and the
instructions of the Commission staff who supervise the filming/still photography
ADDITIONAL PERMIT CONDITIONS
RESTRICTED ACTIVITIES:
The following are restricted and must be approved in advance by State Parks: (1) use of animals or children, (2) discharge of
blank ammunition, (3) mechanical or pyrotechnic special effects, (4) stunts, (5) amplified music, (6) placing of large set
dressings, (7) filming or photography within interiors of State Parks employee housing or administrative work areas.
Film Permit Application Packet
FILMING DATE(s)
TITLE OF PROJECT
Generators may not be placed within 100 feet of residences or occupied buildings.
PROHIBITED ACTIVITIES:
Activities having the potential to significantly impact, alter or damage park resources are prohibited. The following are also
prohibited: (1) altering, damaging or removing vegetation, (2) vehicle use off established roads and parking areas, (3) use of
insecticides, herbicides, or pesticides, (4) loud noises (160 decibels or higher), between 11:00 p.m. and 6:30 a.m., (5) smoking
in buildings, on boardwalks, or in vegetated areas, (6) disrobing in public or nudity, (7) use of meadow areas except on trails
or already disturbed areas as determined by State Parks, not the Permittee, (8) harassment of wildlife (filming of wildlife is
permitted if there is no disturbance, feeding, teasing, or manipulation of resident or free-roaming animals). The use of
domesticated dogs and cats is permitted if humane treatment is accorded the animal at all times and State Park regulations are
strictly observed. For example, domesticated animals must be under physical control at all times. Wildlife captured
elsewhere may not be used in any in-park filming, whether trained or not. Animals may not be tethered to trees at any time.
FILMING FEES:
In addition to the application fee, designated site and other additional fees (copy attached) may be required and are due and
payable to State Parks upon signature of this Permit.
DISRUPTION OF VISITOR ACTIVITIES:
Filming activities may not unduly conflict with visitor use or experience in the park. The public shall be informed, at the
Permittee’s expense, of any unusual or long-term closure or delay expected due to the filming activity. The Permittee should
avoid filming in high public use areas and on weekends and holidays. The Permittee understands that this Permit may be
cancelled for those locations that are subject to intensive public use, or if filming is scheduled during busy weekend and
holiday dates. To the extent possible, the public must be allowed to view production activities.
SET CONSTRUCTION:
Set construction must be approved in advance by State Parks’ representative, and plans and drawings may be required. Sets
may be constructed on highly disturbed areas (i.e. parking areas, road turnouts, etc.). Undisturbed areas may be used,
provided all materials and equipment are hand carried to the site, no vehicles are used, and the area is returned to it original
condition following filming. No foundations may be poured, and structures must be self-supporting.
CLOSURES:
The Permittee is not allowed to conduct activities or have access to areas not generally accessible to the general public, unless
specific written approval is received from State Parks. No filming will be permitted during periods of extreme weather
conditions, fire danger, or fire closure.
STATE PARKS LOGO:
The logo of the Washington State Parks and Recreation Commission is a registered trademark. If the Permittee wishes to use
the State Parks logo, written permission of State Parks is required. This shall not be construed to prohibit incidental filming
of the logo, except where that filming is for advertising, promotional, or commercial purposes. Incidental filming includes
casual appearance of the logo, as on the shoulder patch of an uniformed employee, a State Parks vehicle, or an entrance or
similar sign.
ADDITIONAL PERMITTING:
Permittee shall obtain and keep in force all additionally required permits, licenses, permissions, consents, and approval
required by governmental agencies or third parties in connection with activities performed under this permit. Application for
permits shall be at the sole risk, cost, and expense of the permittee. Permittee is solely responsible for determining what
permits are required.
USE OF AIRCRAFT:
Aircraft may not land in any park area without the express written permission of State Parks pursuant to WAC 352-32-130.
The use of aircraft in connection with filming may require a Certificate of Waiver issued by the Federal Aviation
Administration, granting a waiver of FAR 91.119(b) and (c), Minimum Safe Altitude. The Applicant must determine the
need for this waiver prior to applying for a permit. If a waiver is required, a copy of the waiver and the Motion Picture and
Television Flight Operations Manual must be provided to State Parks with the Application. Use of helicopters requires an
additional cash damage deposit as determined by State Parks. Pursuant to WAC 352-32-130(5), State parks may specify
additional restrictions for the use of such aircraft.
NATURAL AND CULTURAL RESOURCES:
Geological and archaeological resources must not be disturbed. No materials, adhesives, paints, etc. may be used on any of
these park resources. Any rocks, sand, or other material that is needed for production must be brought onto the set, and then
removed after the shoot, by the Permittee. No devices may be driven into the rocks, or cliff areas. Any damage to park
resources may result in closing the area to future filming.
Film Permit Application Packet
FILMING DATE(s)
TITLE OF PROJECT
CLEAN UP:
All shooting locations, storage areas, etc. are to be cleared of all equipment, props, and trash and returned to their original
condition to the satisfaction of the monitoring State Parks’ representative following completion of filming. Major sets may
receive extensions on clean up times based on the judgement of State Parks’ representative. All garbage and debris, including
any animal feces, must be removed from the park and properly disposed of upon completion of each day's shooting. Film
companies will provide and utilize their own trash receptacles. It is the Permittee's responsibility to inform contracted
companies (caterers, etc.) of these requirements.
SECURITY:
The Permittee may, at Permittee's expense, provide licensed security guards for site locations and storage areas. If State
Parks’ personnel are used for providing security or traffic control, the Permittee will be responsible for the costs of staff time
involved. Non-commissioned security personnel may not be in possession of firearms on State Parks’ property. Authorized
and uniformed law enforcement officers (rangers, police, sheriff, state patrol) will be allowed to carry firearms. Public access
to the set, storage, and staging areas may be restricted as determined by State Parks’ representative. The Permittee will
provide signs explaining that filming is underway, and will also provide barricade tape, or other physical barrier, as necessary
for the safety of the public.
MOTOR VEHICLES:
The Permittee agrees to abide by all motor vehicle laws of the state of Washington. The Permittee shall describe any
proposed activity that would result in the operation of a vehicle outside of the motor vehicle laws in the general description
portion of this permit.
BONDS AND DAMAGE DEPOSITS:
State Parks may require the Permittee to post a bond or damage deposit payable to State Parks in an amount sufficient to
cover any potential damages to park resources or facilities that may occur during filming.
INSURANCE:
The Permittee agrees to provide a certificate of insurance in the amount of $1,000,000 general liability and $1,000,000
personal injury naming State Parks as an additional insured. The Permittee shall provide to State Parks a copy of the
certificate of insurance evidencing such coverage prior to filming. Should claims arise which result in an award in excess of
$1,000,000, the Permittee shall be wholly responsible for the amount of the excess.
ILLEGAL DISCRIMINATION:
The Permittee shall comply with the provisions of Title VI of the Civil Rights Act of 1964 (42 USC 200d); Section 504 of the
Rehabilitation Act of 1973 (29 USC 794); Chapter 49.60, Revised Code of Washington; and Title I of the Americans with
Disabilities Act (42 USC 12111-12117), as now or hereafter amended. The Permittee shall not discriminate on the grounds
of race, color, national origin, sex, sexual orientation, religion, marital status, age, creed, Vietnam-era and disabled veterans
status, or the presence of any sensory, mental, or physical disability.
PERMIT ASSIGNMENT:
This Permit is non-transferable and non-assignable. Any attempt to transfer or assign an issued permit shall cause immediate
cancellation of the Permit.
WAIVER OF RIGHTS:
State Parks’ failure to insist upon the strict performance of any provision of this Permit or to exercise any right based upon
breach thereof or the acceptance of any performance during such breach shall not constitute a waiver of any right under this
Permit.
HOLD HARMLESS:
It is understood and agreed by State Parks and the Permittee that this Permit is solely for the benefit of the parties hereto and
gives no right to any other party. No joint venture or partnership is formed as a result of this Permit. Each party hereto
agrees to be responsible and assumes liability for its own wrongful or negligent acts or omissions, or those of its officers,
agents, or employees to the fullest extent required by law, and agrees to save, indemnify, defend, or hold the other party
harmless for any such liability. In the case of negligence of both State Parks and the Permittee, any damages allowed shall be
levied in proportion to the percentage of negligence attributable to each party, and each party shall have the right to seek
contribution from the other party in proportion to the percentage of negligence attributable to the other party.
SUSPENSION OF FILMING:
State Parks reserves the right to suspend production if, in the opinion of State Parks’ representative, there appears to be abuse
of or a likelihood of damage to any of the properties, road surfaces, or facilities of State Parks.
CANCELLATION OF PERMIT:
Film Permit Application Packet
FILMING DATE(s)
TITLE OF PROJECT
The Permittee, by signature of this Permit, agrees that State Parks may cancel this Permit for any of the following reasons: (1)
if there is clear danger to public health and safety; (2) if, in the opinion of State Parks’ representative, the filming activity
requested represents an unreasonable threat to park resources, facilities, or wildlife; (3) if it is determined that supervisory
requirements for the proposed filming project will place unreasonable burdens on staff capacity, irrespective of the
Permittee's willingness to pay supervisory costs; (4) if the proposed filming would unduly conflict with visitors’ normal use
of the park; (5) if film-makers enter areas closed to the general visiting public, or allow activities not permitted to the average
visitor except for cooperative activities as an agent of State Parks.
This Permit may also be cancelled by State Parks without notice if the terms of the permit are violated. Deliberate
infractions of the terms of the filming permit or the deliberate making of false or misleading statements concerning
intended actions in order to obtain a permit are causes for immediate cancellation of the permit and cause for possible
prosecution. The Permit may be cancelled by State Parks if the location is changed and/or expanded without the written
permission of State Parks.
Reimbursement for services performed by State Parks and not otherwise paid for by the Permittee prior to the effective
date of such cancellation shall be as State Parks reasonably determines.
GOVERNING LAW:
This Permit shall be construed and enforced in accordance with, and the validity and performance hereof shall be governed by
the laws of the state of Washington. Venue of any suit between the parties arising out of this Permit shall be the Superior
Court of Thurston County, Washington.
SEVERABILITY:
In the event any term or condition of this Permit or application thereof to any person or circumstances is held invalid, such
invalidity shall not affect other terms, conditions, or applications of this Permit which can be given effect without the invalid
term, condition, or application. To this end, the terms and conditions of this Permit are declared severable.
SEND COMPLETED APPLICATION
Standard Application Fee - $100 (application received more than 7 days in advance of filming
activity)
Expedited Application Fee - $200 (application received less than 7 days in advance of filming
activity)
To pay by:
Credit Card –
email application to Park email address (per the park contact list) and include
call back information in the email. The park will call to obtain payment information
over the phone.
Check –
mail application and check, made payable to Washington State Parks, to the specific
park location per the park contact list.
APPLICATION FEE
SITE LOCATION FEE (per Fee Schedule)
Certificate of Insurance attached (Insurance Binder)
Certificate of Waiver issued by the Federal Aviation
Administration for use of Aircraft attached, if required
AGREEMENT
I, the undersigned, and the organization which I represent, will comply with the rules and procedures
of the Washington State Parks and Recreation Commission on filming. By signature below, I hereby
acknowledge understanding and acceptance of the terms and conditions of this Permit, including the
additional conditions appended hereto, and agree to comply with State Parks orders in administration
of said Permit requirements.
AUTHORIZED REPRESENTATIVE (typed or printed name)
TITLE
Film Permit Application Packet
FILMING DATE(s)
TITLE OF PROJECT
SIGNATURE
DATE
FOR STATE PARKS USE ONLY
ENVIRONMENTAL REVIEW REQUIRED
NO
Region Manager Review/Approval Required
NO
ENVIRONMENTAL APPROVAL, if required (electronic approval may be appended to permit)
YES
YES
Business Development Consultation Required
NO
YES
Assistant Director Review/Approval Required
NO
YES
ADDITIONAL CONDITIONS
Administrative Review
Application fee paid $ _______
Site location fee paid $ _______ (if required)
Certificate of Insurance received & attached
Stewardship fee paid $ _______ (as determined)
Other applicable fees paid $ _______ (as determined)
Certificate of Waiver issued by the Federal Aviation
Administration for use of Aircraft, if required
APPROVAL
By signature below, State Parks does hereby issue this Film Permit, subject to the terms and
conditions as set forth above and any requirements appended hereto, and as accepted by the Permittee.
BY (Typed or Printed)
TITLE
Film Permit Application Packet
FILMING DATE(s)
SIGNATURE
TITLE OF PROJECT
DATE ISSUED:
EXPIRATION DATE: