The California TR 0106 form is an application for a permit that allows individuals to install and remove tire chains on motor vehicles during the snow season on designated State Routes. This form serves as a release of liability, ensuring that applicants understand the risks involved in this work and agree to comply with specific conditions set forth by the California Department of Transportation. To begin the process of obtaining your permit, fill out the form by clicking the button below.
The California TR 0106 form is a critical document for individuals seeking to operate as chain installers on state highways during the snow season. This application not only serves as a permit to install and remove tire chains but also includes a comprehensive release of liability. Applicants must provide personal information, including their name, address, and driver's license number, along with a fee of $164. A key aspect of the form is the acknowledgment of risks associated with the work, which includes potential injury from moving vehicles. By signing, applicants agree to indemnify the State of California against any claims related to their activities as chain installers. Additionally, the form outlines specific conduct and workmanship conditions that must be adhered to, such as displaying proper signage and issuing receipts for services. Compliance with these regulations is essential, as violations can lead to penalties, including suspension or revocation of the permit. Overall, the TR 0106 form establishes a framework for safe and responsible chain installation, ensuring that both workers and the public are protected during the challenging winter months.
STATE OF CALIFORNIA • DEPARTMENT OF TRANSPORTATION
Page 1 of 2
CHAIN INSTALLER PERMIT APPLICATION / RELEASE OF LIABILITY
TR-0106 (REV. 09/2011)
The applicant hereby applies for a permit to install and remove tire chains on motor vehicles during the snow season on assigned State Routes.
Name
Mailing Address
Business Telephone No.
Driver’s License No. / CA I.D. No.
Birthdate
Business License No(s).
County
Chaining Area
If you have an existing permit or have submitted an application in another District, please provide the following:
PERMITNUMBER
VESTNUMBER
FOR OFFICIAL USE ONLY
Fee:
$164.00
DATE:
Vest:
$ ____
COLLECTED BY:
Total fee
paid: $ ____
Any dishonored checks will be considered as a violation of the permit and will be an automatic one year suspension.
District
Permit #
Pending
I have read, understand and agree to the CHAIN INSTALLER’S CONDUCT AND WORKMANSHIP CONDITIONS contained herein, and I agree to comply with all provisions and conditions of this Chain Installer Permit Application / Release of Liability and the Chain Installer Permit issued to me. Any failure to do so will result in suspension or revocation of my chain installer’s permit. I have also read, understand and agree to the INDEMNIFICATION and ASSUMPTION OF RISK AND RELEASE OF LIABILITY provisions contained herein.
INDEMNIFICATION: I hereby agree to indemnify and save harmless the State of California, its officers, directors, agents, employees, contractors, subcontractors and each of them (STATE) from and against any and all claims, demands, causes of action, damages, costs, expenses, actual attorney’s fees, judg- ments, losses and liabilities of every kind and nature whatsoever (CLAIMS) arising out of or in connec- tion with the issuance and/or use of this permit for: 1) bodily injury and/or death to persons including but not limited to myself, STATE, and the public; and 2) damages to property of anyone. Except as provided by law, the indemnification provisions stated above shall apply regardless of the existence or degree of negligence or fault of STATE.
ASSUMPTION OF RISK AND RELEASE OF LIABILITY: I understand that working as a chain installer carries with it certain risks including, but not limited to, serious bodily injury and/or death resulting from being struck by moving motor vehicles. To the maximum extent allowed by law, and in consideration for permission to work as a chain installer, I hereby knowingly and expressly assume all such risks, and I, on behalf of myself and my heirs and assigns, agree to, and I do hereby, release and hold harmless STATE, and waive all CLAIMS against STATE, for: 1) any and all loss, damages, injury and/or death arising out of or in connection with the issuance or use of this permit; and 2) any and all loss, damages, injury and/or death arising out of or related to my work as a chain installer. The assumption of risk and release of liability provisions stated above shall apply only to STATE and, except as provided by law, shall apply regardless of the existence or degree of negligence or fault of STATE.
I UNDERSTAND THAT THE INTENT AND EFFECT OF THIS DOCUMENT IS TO RELEASE STATE FROM LIABILITY FOR ANY PERSONAL INJURIES OR DEATH THAT OCCUR TO ME WHILE WORK- ING AS A CHAIN INSTALLER, EVEN IF CAUSED BY STATE’S OWN NEGLIGENCE OR FAULT.
APPLICANT’S SIGNATURE
DATE
STATE OF CALIFORNIA• DEPARTMENT OF TRANSPORTATION
Page 2 of 2
DEPARTMENT OF TRANSPORTATION ENCROACHMENT PERMIT
CHAIN INSTALLER’S CONDUCT AND WORKMANSHIP CONDITIONS
InaccordancewithSection670oftheStreetsandHighwaysCode,permissionisherebygrantedtoinstallandremovetirechainsforcompensationwithintheState’sHighwayrights-of-waywhenrequiredbytheDepartment, relatingtothesafeandorderlymovementoftraffic,forthesafeoperationofthehighways.ThepermitteeshalloperateincompliancewithSection670oftheStreetsandHighwaysCodeandallprovisionsofthisEncroachment PermitandtheChainInstallerPermitApplication/ReleaseofLiabilityhe/sheexecutedincludingtheConductandWorkmanshipConditionsstatedherein,andshallconformtoallotherapplicableStateandlocallaws.Ifthe county or other political subdivision within whichthe permittee intends to install chains requires thepermittee to have a businesslicensein orderto collect fees fordoingthiswork,such business license shall be obtained bythepermitteeandthelicensemustbepresentedbeforethisEncroachmentPermitwillbecomevalidforuse.ThisPermitmaybesuspendedorrevokedasprovidedintheseConductandWorkmanshipConditions,fornon- compliancewithanyoftheprovisionsofthisEncroachmentPermitortheChainInstallerPermitApplication/ReleaseofLiabilityexecutedtoobtainthispermit,atanytimebyanyDepartmentalrepresentativeortheCalifornia HighwayPatrol.Thepermitteeshallsurrender,upondemandbyanyDepartmentalrepresentativeortheCaliforniaHighwayPatrol, theirchaininstallerpermitandchaininstalleridentificationvest. Failuretocomplyshall be cause for denial of any future chain installer permits.
Prior to issuance of a permit, all chain installer applicants shall attend a mandatory chain installer orientation class, pass a written test, and demonstrate knowledge of snow tire identification and proficiency in tire chain installation.Failuretoattendthemandatorychaininstallerorientationclass,shallresultinpermanentrevocation.Thenumberofpermitsavailableforissuanceislimited.Firstconsiderationshallbegiventopriorapplicants ofthepreviouswinterseason,providingtheirpermitswerenotsuspendedformorethan30daysorrevokedduringthepreviouswinterseason.
Anypermitssuspendedneartheendofthewinterseason,and/orifthesuspensionisfoundtobeineffectiveatthetimesoorderedintheopinionoftheDistrictPermitEngineer,maybeappliedtothenextwinterseasonifso statedintheletterofsuspensiontothepermitee.
Appeals of any punitive action taken against a chain installer permittee, shall be submitted in writing within 5 business days to the District Permit Engineer at:
____________________________________________________________________________________________________________________________________________________________________________________
Awrittendecisionshallberenderedwithin10businessdaysfromthereceiptofthewrittenappeal.TheDistrictPermitEngineer’swrittendecisionmaybeappealedinwritingwithin5businessdays,totheDistrictDirector in which the permit was issued. The District Director’s decision shall be rendered in writing within 10 working days from the receipt of the appeal, and this decision is final. (There are no further administrative rights of appeal.)
Penalties noted in this permit are minimums. Severe penalties may be imposed for any infraction of Permit Conditions if warranted by the circumstances, or by the permittee’s conduct.
AllpermitfeespaidtotheDepartmentofTransportationarenonrefundable
1.When installing, removing, repairing or modifying tire chains, the permittee shall display a sign (measuring a minimum of 12” x 24” up to a maximum of 18” x 36”) advising motorists in advance of their fee for providing theseservices,andtheirvestnumber.Thelettersshallbeaminimumoffourincheshighwithaminimumbrushstrokeof5/8”.Apermitteefailingtodisplaythissign,and/ordisplayofanyothertypeofadvertisingsignother than this required sign will be issued a warning, and shall cease work until the unauthorized display is removed.
2.Thepermitteeshallbeinpossessionofareceiptbookandshallissueonewhenrequestedbyamotorist.Thereceiptshallshowthepermittee’sname,vestnumber,thetypeofworkperformed(installing,removing,repairing, modifyingtirechains),andthefee chargedforthework.A permitteefailingtoissueareceipt forservices providedwhenrequested, shallbesuspendedfor7days.
3.This Permit is non-transferable, only the person to whom it was issued is to perform the services authorized herein, and shall have it in their possession at all times when performing said services. This Permit shall be presentedforinspectionupondemandbyanydepartmentalrepresentative,theCaliforniaHighwayPatrol,oranylocallawenforcementpersonnel.Awarningwillbeissuedtoanypermitteefoundtobeworkingwithouttheir permitintheirimmediatepossession,theyshallceaseworkimmediately,andsurrendertheiridentifyingvest,untiltheirpermitcanbeproducedtoregaintheiridentifyingvest.
4.Anypersonfoundworkingunderapermitnotissuedtothem,andanypermitteeallowingsuchuse,shallimmediatelysurrenderthepermit.And,neitherindividualwillbeeligibleforissuanceofachaininstallerpermitfor aminimumofoneyear.
5.Acolored vest containing the permittee’s identifying number will be issued along with this permit.THIS VEST ISTHE PROPERTYOFTHE DEPARTMENT.The vest shall be worn in plain sight in a legible manner at alltimesbythepermitteewhileperformingtheservicesspecifiedherein.Apermitteefoundtobeworkingwithouttheirvestbeingclearlylegible,shallbeissuedawarning,andshallceaseallworkuntiltheirvestandidentifying numberaremadeclearlyvisible.
6.Lossofapermittee’spermitoridentificationvestshallbeimmediatelyreportedtotheDepartment’sdistrictofficethatissuedthepermit.Applicationforaduplicatepermitoridentificationvestmaybemadeduringnormal businesshours.Aduplicatepermitwillbeissueduponpaymentoftheadministrativefee(equaltoonehourmultipliedbytheStandardHourlyRate).Areplacementvestwillbeissueduponpaymentoftheadministrativefee plus the cost of the vest itself.
7.ApermitteemayonlyparkasinglevehiclewithintheState’shighwayrights-of-wayintheareadesignatedbytheDepartmentortheCaliforniaHighwayPatrol,andonlyduringthetimethepermitteeisengagedinactivities authorizedbythispermit.ParkingonStateconventionalhighwaysinsimilarlydesignatedareasshallconformwiththeapplicableprovisionoftheVehicleCode.Ifapermittee’svehicleisparkedinalocationormannerthat interferesorimpedeswithhighwaytraffic,snowremovalequipment,orparkedonanyfreewayramportaper,thepermitteeshallbesuspendedfor7days.
8.Permitteesarenotallowedinthelanesmaintainedforthroughtraffic.Apermitteeshallremainintheareadesignatedforinstallationorremovaloftirechains.Anyinterference,stopping,orcontrollingoftrafficbyflagging, signs,armmovements,thewavingofsignsorlights,etc.,impedingtheorderlymovementoftrafficcausedbyapermitteeshall resultinasuspensionfor7days.
9.Vending or renting of tire chains, tire chain accessories, or other items or products upon any State highway rights-of-way by a permittee is strictly prohibited. A permittee offering to sell or rent tire chains or other items, orwhoacceptsmoneyforthesaleorrentaloftirechainsorotheritems,shallimmediatelysurrenderhis/herpermitandidentificationvestandshallbeineligibleforissuanceofachaininstallerpermitforaminimumofone year.Suchapermitteemaybesubjecttoprosecutionforviolationofthelaw(StreetsandHighwaysCodeSection731)prohibitingvendingonStatehighways.
10.Permitteesshallconducttheirbusinessinaprofessionalandcourteousmanner.Apermitteefoundtodisplaypoorworkmanshipininstallingchains,givingmisleadingstatementsconcerningthenecessityforaltering chains, misrepresenting any conditions or requirements regarding chain regulations, or causing complaints relative to his/her conduct shall be issued a warning. These violations may result in suspension or revocation ofpermitprivileges,dependingonthecircumstancesoftheincidentandtheconductofthepermittee.Apermitteepresentinganyformofthreatofviolencetowardanypersonorpropertywhileinvolvedintheactivitiesrelated to this permit shall immediately surrender his/her permit and identification vest and he/she shall be permanently ineligible for issuance of a chain installer permit.
11.Permittees shall wear yellow, orange or lime colored raingear (rain suit or jacket and class E pants). Personal protectivesafety clothing shall meet the Performance Class 3 requirements of theANSI/ISEA107-2004 entitled"AmericanNationalStandardforSafetyApparelandHeadwear".Apermitteefoundworkingwithoutproperraingearwillbeissuedawarning,andshallimmediatelyceasework,surrenderhis/herpermit,andidentification vest.Workmayresumewhenthepermitteeisequippedwiththeproperraingearandhasregainedtheirpermitandidentificationvest.
12.Permitteesshallonlyworkinestablishedchaininstallingareas.Apermitteefoundworkinginanareaotherthantheestablishedareawillbesuspendedforthewinterseasonandshallimmediatelysurrenderhis/herpermit andidentificationvest.
13.Permitteesshallbe18yearsofageorolder.Apermitteefoundtohaveobtainedhis/herpermitbyfalsifyingtheirageshallimmediatelysurrendertheirpermitandidentificationvest.And,shallnotbeeligibleforissuance ofachaininstallerpermitforaperiodofone-yearextendingbeyondthedatetheyattain18yearsofage.
14.A permittee maintaining an open fire or littering on the highway right of way shall be issued a warning.
15.A permittee may apply for a second chain installer permit in another district, provided there is no established waiting list.
16.Unlesssurrendered,suspendedorrevokedasprovidedinthePermitpackageconditions,apermitshallexpireonJune30in theyearfollowingitsissuance.
17.Apermitteeshallnotuseanyworklightsinamannerthatwouldimpactmotoristsonthehighwayorthesnowclearingequipmentoperators.
ADA NOTICE
Forindividualswithsensorydisabilities,thisdocumentisavailableinalternateformats.Forinformationcall(916)654-6410orTDD(916)654-3880orwriteRecordsandFormsManagement,
1120NStreet,MS-89,Sacramento,CA95814.
Completing the California TR 0106 form is a straightforward process that requires careful attention to detail. This form is essential for individuals seeking a permit to install and remove tire chains on motor vehicles during the snow season. Below are the steps to successfully fill out the application.
After completing the form, it will be submitted to the appropriate department for processing. Be prepared for any additional steps that may be required, such as attending a mandatory orientation class or passing a written test, as these are often prerequisites for obtaining the permit.
The California TR 0106 form is a permit application for individuals who wish to install and remove tire chains on motor vehicles during the snow season on designated State Routes. This form includes a release of liability and outlines the responsibilities and requirements for chain installers.
Anyone who intends to work as a chain installer on California highways during the snow season must complete the TR 0106 form. This includes individuals who plan to charge for their services while installing or removing tire chains.
The total fee for applying for the chain installer permit is $164. This fee is non-refundable and must be paid at the time of application. If a check is dishonored, it will result in a one-year suspension of the permit.
To obtain the permit, applicants must:
Failure to comply with the conditions outlined in the TR 0106 form can result in suspension or revocation of the permit. This includes violations related to conduct, workmanship, and safety regulations.
No, the permit is non-transferable. Only the individual to whom the permit was issued is allowed to perform the services authorized by the permit.
If you lose your permit or identification vest, you must report it immediately to the district office that issued the permit. You can apply for a duplicate permit or vest during normal business hours, but an administrative fee will apply.
Yes, permit holders must wear appropriate safety clothing, including a colored vest with their identifying number. The vest must be visible at all times while performing services. Additionally, raingear must meet specific safety standards.
Penalties can vary based on the severity of the violation. Minor infractions may result in warnings, while more serious violations can lead to suspension or revocation of the permit. In some cases, individuals may also face legal action.
The chain installer permit is valid until June 30 of the year following its issuance, unless it is surrendered, suspended, or revoked. Applicants should be aware of the expiration date to ensure continued compliance.
Incomplete Personal Information: Failing to provide all required personal details, such as your name, mailing address, and contact number, can lead to delays or denials.
Incorrect Driver’s License Number: Entering an incorrect or invalid driver's license number can invalidate your application.
Missing Birthdate: Omitting your birthdate is a common mistake that can prevent your application from being processed.
Not Providing Permit Numbers: If you have previous permits, failing to include those numbers can complicate your application.
Ignoring the Fee Requirement: Not paying the required fee of $164.00 or failing to include proof of payment can result in rejection.
Neglecting to Read Terms: Not thoroughly reading and understanding the terms and conditions can lead to unintentional violations.
Failure to Sign the Application: Submitting the form without a signature will render it incomplete.
Incorrectly Filling Out the Chaining Area: Not specifying the correct chaining area can cause issues with permit validity.
Not Attending Orientation: Failing to attend the mandatory orientation class can result in immediate revocation of your permit.
Providing Inaccurate Information: Giving false or misleading information can lead to severe penalties, including suspension or revocation of your permit.
The California TR 0106 form is essential for individuals seeking to install and remove tire chains on state routes during the snow season. In addition to this form, several other documents and permits are often required to ensure compliance with state regulations. Below is a list of these important forms and documents.
Understanding these accompanying documents is crucial for anyone involved in chain installation during the winter months. Compliance with all regulations not only ensures legal operation but also promotes safety for both the installer and the traveling public.
The California Business License Application is similar to the TR 0106 form in that both documents require individuals to provide personal and business information. When applying for a business license, applicants must disclose their name, address, and contact details, similar to what is required in the Chain Installer Permit Application. Both forms also involve a fee payment and require compliance with specific regulations and conditions related to the respective activities. This ensures that applicants are aware of their responsibilities and the legal framework governing their operations.
The California Vehicle Code requires a Vehicle Registration Application, which shares similarities with the TR 0106 form. Both documents require detailed information about the applicant and the vehicle or service in question. For vehicle registration, individuals must provide personal identification, vehicle identification numbers, and proof of insurance. Like the chain installer permit, vehicle registration involves adherence to state laws and regulations, ensuring that individuals operating vehicles are compliant with legal standards and safety measures.
The California Contractor’s License Application also resembles the TR 0106 form in its focus on professional licensing and compliance. Both forms necessitate that applicants demonstrate their qualifications and agree to abide by specific conduct and workmanship conditions. The contractor’s license application requires proof of experience and passing an examination, similar to the mandatory orientation and testing required for chain installers. Both processes aim to ensure that only qualified individuals perform services that impact public safety and welfare.
The California Environmental Health Permit Application has parallels with the TR 0106 form, particularly in the context of liability and compliance. Both documents require applicants to acknowledge potential risks associated with their activities and agree to indemnify the state against claims. The Environmental Health Permit Application focuses on ensuring that businesses comply with health and safety standards, just as the chain installer permit emphasizes safe practices during the installation and removal of tire chains. Both forms highlight the importance of maintaining public safety and adhering to state regulations.
When filling out the California TR 0106 form, it’s important to follow certain guidelines to ensure a smooth application process. Here’s a list of things to do and avoid:
Following these guidelines will help you avoid complications and ensure compliance with the requirements of the Chain Installer Permit Application.
In reality, anyone wishing to install or remove tire chains on state routes during the snow season must apply for this permit. This includes individuals who may not consider themselves professionals but want to provide this service.
This is not true. The permit only allows work in designated chaining areas. Operating outside these areas can lead to penalties, including suspension of the permit.
Actually, the permit expires on June 30 of the year following its issuance unless it has been surrendered, suspended, or revoked. It’s important to keep track of the permit's status.
There is a fee of $164. This fee must be paid at the time of application, and it is non-refundable, regardless of the outcome.
This is incorrect. The permit is non-transferable. Only the individual to whom it was issued is authorized to perform the services outlined in the permit.
Wearing a colored vest is mandatory. It must be visible at all times while performing services. Failure to comply can result in a warning and suspension of work until rectified.
On the contrary, applicants must attend a mandatory orientation class, pass a written test, and demonstrate proficiency in tire chain installation before receiving the permit.
When filling out and using the California TR 0106 form, it is essential to keep the following key points in mind:
By adhering to these guidelines, applicants can ensure a smoother process in obtaining and maintaining their Chain Installer Permit. Compliance is not just a requirement but a commitment to safety and professionalism on California's highways.