The California TR 0106 form is a Chain Installer Permit Application and Release of Liability that allows individuals to install and remove tire chains on motor vehicles during the snow season on designated State Routes. This form is essential for those seeking to operate legally and safely in snowy conditions, ensuring compliance with state regulations. For those ready to begin the application process, please click the button below to fill out the form.
The California TR 0106 form serves as a crucial document for individuals seeking to work as chain installers during the snow season on designated State Routes. This form is not just an application; it also acts as a release of liability, ensuring that both the applicant and the State of California understand the risks involved in this line of work. Applicants must provide personal information, including their name, address, and business license details, while also acknowledging the associated fees. The permit allows for the installation and removal of tire chains, which is essential for maintaining safe travel conditions in snowy weather. By signing the form, applicants agree to adhere to specific conduct and workmanship standards, which are designed to protect both the workers and the public. Additionally, the form outlines the consequences of non-compliance, including potential suspension or revocation of the permit. Understanding the obligations and risks outlined in the TR 0106 is vital for anyone looking to operate legally and safely in this capacity.
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 attention to detail. It is essential to ensure that all information is accurate and complete to avoid any delays in the approval of your permit application. Below are the steps to guide you through filling out the form.
Once you have completed the form, submit it to the appropriate department along with your payment. Be sure to keep a copy of the filled-out form for your records. After submission, you will await further instructions regarding your application status and any next steps that may be necessary.
1. What is the purpose of the California TR 0106 form?
The California TR 0106 form is an application for a Chain Installer Permit. This permit allows individuals to install and remove tire chains on motor vehicles during the snow season on designated State Routes. The form also serves as a release of liability, ensuring that applicants understand the risks associated with this work and agree to indemnify the State of California against any claims arising from their activities as chain installers.
2. What are the requirements to apply for the TR 0106 permit?
To apply for the TR 0106 permit, individuals must be at least 18 years old and must complete a mandatory orientation class. This class includes a written test to demonstrate knowledge of snow tire identification and proficiency in tire chain installation. Additionally, applicants must provide personal information, including their driver's license number, business license details, and proof of residency. A fee of $164 is also required for processing the application.
3. What happens if I fail to comply with the permit conditions?
Non-compliance with the conditions outlined in the TR 0106 form can lead to serious consequences. Violations may result in warnings, suspensions, or even revocation of the permit. For example, if a permit holder fails to display the required sign while working, they may be ordered to cease operations until compliance is achieved. Repeated or severe violations can lead to a one-year suspension from obtaining a new permit.
4. Is the permit transferable?
No, the TR 0106 permit is non-transferable. Only the individual to whom the permit is issued is authorized to perform the services outlined in the permit. If someone is found working under a permit not issued to them, both the individual and the permit holder may face severe penalties, including disqualification from future permits for at least one year.
5. What should I do if I lose my permit or identification vest?
If a permit holder loses their permit or identification vest, they must report the loss immediately to the district office that issued the permit. They can apply for a duplicate permit or vest during normal business hours. However, there will be an administrative fee associated with obtaining replacements, which varies based on the current hourly rate and the cost of the vest.
6. Can I work in any area I choose with this permit?
No, permit holders must only work in established chain installation areas designated by the Department of Transportation or the California Highway Patrol. Working outside these areas can result in suspension for the remainder of the winter season. It is crucial to adhere to these geographical restrictions to ensure safety and compliance with state regulations.
7. What are the safety requirements for chain installers?
Safety is paramount for chain installers. They are required to wear high-visibility clothing, such as yellow, orange, or lime rain gear that meets specific safety standards. This ensures that they are visible to motorists and snow-clearing equipment operators. Additionally, they must conduct their work in a professional manner and are prohibited from engaging in any behavior that could threaten safety, such as poor workmanship or aggressive conduct.
Filling out the California TR 0106 form can be straightforward, but there are common mistakes that applicants often make. One major error is not providing complete contact information. Applicants should ensure that their name, mailing address, and business telephone number are all filled out accurately. Missing or incorrect information can lead to delays in processing the application.
Another frequent mistake is neglecting to check for existing permits. If an applicant has previously submitted an application or holds a permit in another district, they must provide that information on the form. Failing to do so can result in complications or even denial of the new application.
Applicants often overlook the fee section. The total fee for the permit is $164.00, and it is crucial to ensure that this payment is made correctly. Not paying the fee or submitting an incorrect amount can lead to the application being rejected. Always double-check the payment details before submitting the form.
Additionally, some applicants forget to sign and date the application. This signature is a crucial part of the form, as it indicates that the applicant agrees to the terms and conditions outlined. An unsigned form will not be processed, which can cause unnecessary delays.
Lastly, many people fail to read the conditions and requirements thoroughly. Understanding the Chain Installer's Conduct and Workmanship Conditions is essential. Ignorance of these rules can lead to violations, suspensions, or even revocation of the permit. Taking the time to read and understand these conditions can save applicants from future headaches.
When applying for the California Tr 0106 form, you may also need to consider several other forms and documents that can help streamline the process. Each of these documents serves a specific purpose and can be essential for compliance and operational efficiency.
Understanding these documents can help you navigate the permitting process more smoothly. Make sure to have them ready when you apply for the California Tr 0106 form to avoid any delays in your chain installation services.
The California TR-0106 form is a specific application for a Chain Installer Permit. It shares similarities with several other documents related to permits and liability in California. Below is a list of documents that are comparable to the TR-0106 form:
When filling out the California TR-0106 form, certain practices can facilitate a smoother application process. Conversely, some actions may lead to complications or delays. Below is a list of recommended dos and don’ts.
This is not entirely accurate. While the form is indeed used for new applications, it also applies to those who may need to renew or update their existing permits. Individuals who have previously held a permit may need to fill out the form again if they are applying in a different district or if their previous permit has expired.
Many believe that the $164.00 fee is refundable if the permit is not granted. However, all fees paid to the Department of Transportation are non-refundable, regardless of the outcome of the application process.
Some individuals assume that there are no consequences for not adhering to the conditions outlined in the permit. In reality, violations can lead to suspension or revocation of the permit, which could impact future applications as well.
This is incorrect. The TR-0106 permit is non-transferable. Only the individual to whom it was issued is authorized to perform the services specified in the permit. Anyone found working under a permit not issued to them will face penalties.
Some may think that wearing safety gear is optional. However, permit holders are required to wear specific safety clothing, including yellow, orange, or lime-colored raingear that meets certain safety standards. Failure to comply can result in immediate suspension of the permit.
This is a common misunderstanding. Permit holders are only allowed to park in designated areas while engaged in authorized activities. Parking inappropriately can lead to penalties, including suspension of the permit.
Many believe that simply filling out the application is sufficient to obtain the permit. In fact, all applicants must attend a mandatory orientation class, pass a written test, and demonstrate proficiency in tire chain installation before receiving the permit.
Filling out and using the California Tr 0106 form requires careful attention to detail. Below are some key takeaways to consider: