Preview
1 Todd A. Jones (BarNo. 198024)
Gregory K. Federico (BarNo. 242184)
2 ARCHER NORRIS ENDORSED
A Professional Law Corporafion
3 301 University Avenue, Suite 110 IOOFC-7 AMI!: 08
Sacramento, Califomia 95825
4 Telephone: 916.646.2480 LEGAL PROCESS t^7
Facsimile: 916.646.5696
5
Attorneys for Defendants
6 RICHARD KIRK RUYBALID, individually and
dba CA CONSTRUCTION; and R4C0RP., INC.
7
8 SUPERIOR COURT OF CALIFORNIA
9 COUNTY OF SACRAMENTO
10
11 RODNEY ABBOTT and FLORENTINE CaseNo. 07AS04450
ABBOTT,
12 REQUEST FOR JUDICIAL NOTICE
Plainfiffs, FILED IN SUPPORT OF DEFENDANTS'
13 MOTION IN LIMINE NO. 9 TO EXCLUDE
V. LAY OPINIONS REGARDING
14 PLAINTIFFS' CLAIMS
RONALD PAUL BRITSCHGI, et al..
15 Action Filed: September 24, 2007
Defendants.
16 Trial Date: January 17, 2011
Time: 8:30 a.m.
17 Location: Department 43
18 AND ALL RELATED CROSS-ACTIONS.
19
20 TO THIS COURT, ALL PARTIES AND THEIR ATTORNEYS OF RECORD:
21 PLEASE TAKE NOTICE THAT pursuant to Evidence Code § 452, Defendants
22 RICHARD KIRK RUYBALID, individually and dba CA CONSTRUCTION (hereinafter "CA
23 CONSTRUCTION") and Defendant R4C0RP., INC. (hereinafter "R4C0RP") (hereinafter
24 collectively "Defendants") respectfully request that this Court take judicial notice ofthe
25 following documents that are on file in the official records ofCalifornia Contractor's State
26 License Board, which reflect the official actions ofan agency ofthe State ofCalifornia, and the
27 Califomia Attomey General's Office, which reflect the official actions ofan agency ofthe State
28 ofCalifomia.
N1C549/1059053-1
REQUEST FOR JUDICIAL NOTICE IN SUPPORT OF DEFENDANTS' MOTION IN LIMINE NO. 9
1 Exhibit-A: Califomia Contractor's State License Board; Application for Original
2 Contractor's License and Certification of Work Experience, as maintained by the Califomia
3 Contractor's State License Board.
4 Exhibit-B: Registrar of Contractors, Contractor's State Licensing Board, Department of
5 Consumer Affairs ofthe State ofCalifomia, as filed by the California Attomey General's Office;
6 Accusation Against Florentine Ava Abbott, of June 1, 2010, as maintained by the Califomia
7 Attomey General's Office.
8
Dated: December 6, 2010 ARCHER NORRIS
9
10
11 Gregory K. Federico
Attomeys for Defendants RICHARD KIRK
12 RUYBALID, individually and dba CA
CONSTRUCTION; and R4C0RP , INC.
13
14
15
16
17
18
19
20
21
22
23
24
25
26
27
28
NIC549/1059053-1
REQUEST FOR JUDICIAL NOTICE IN SUPPORT OF DEFENDANTS' MOTION IN LIMINE NO 9
1 PROOF OF SERVICE
2 Nameof Action: Rodney Abbott, et al. v. Ronald Paul Britschgi, et al.
Court and Action No: Sacramento County Superior No. 07AS04450
3
I, Cindy A. Ingland, declare that I am over the age of 18 years and not a party to this
4 action or proceeding. My business address is 301 University Avenue, Suite 110, Sacramento,
Califomia 95825. On December 6, 2010,1 caused the following document(s) to be served:
5
REQUEST FOR JUDICIAL NOTICE FILED IN SUPPORT OF DEFENDANTS'
6 MOTION IN LIMINE NO. 9 TO EXCLUDE LAY OPINIONS REGARDING
PLAINTIFFS' CLAIMS
7
[*^ By placing a tme copy ofthe documents listed above, enclosed in a sealed envelope,
8 addressed as set forth below, for collection and mailing on the date and at the business
address shown above following our ordinary business practices. I am readily familiar
9
with this business' practice for collection and processing of correspondence for
10 mailing with the United States Postal Service. On the same day that a sealed envelope
is placed for collection and mailing, it is deposited in the ordinary course ofbusiness
11 with the United States Postal Service with postage fully prepaid.
12 I—I By having a tme copy of the document(s) listed above transmitted by facsimile to the
person(s) at the facsimile number(s) set forth below before 5:00 p.m. The transmission
was reported as complete without error by a report issued by the transmitting facsimile
14 machine.
15 I I B y placing a tme copy of the document(s) listed above, in a box or other facility
regularly maintained by UPS, an express service carrier, or delivered to a courier or
16 driver authorized by the express service carrier to receive documents, in an envelope
designated by the express service carrier, with delivery fees paid or provided for,
1' addressed as set forth below.
'^ rn bv having personal deliverv bv FIRST LEGAL SUPPORT SERVICES a true copv of
g the document(s) listed above, enclosed in a sealed envelope, to the person(s) and at the
address(es) set forth below.
20
21 [SEE ATTACHED SERVICE LIST]
22 I declare under penalty ofperjury that the foregoing is tme and correct. Executed on
Decembej:-6r2tT10,_at_S^cramento, California
23
24
25
26
27
28
N1C341/608293-1
PROOF OF SERVICE
1 Service List
2
Stephanie Finelli PLAINTIFFS
3 Law Offices of Stephanie J. Finelli
1007 Seventh Street, Suite 500 Tel (916)443-2144
4 Sacramento, CA 95814 Fax:(916)443-1511
E-mail sfinelli700(gyahoo com
5
Richard D Sopp Counsel for CADRE DESIGN GROUP, INC.
6 Wheatley Sopp LLP
1004 River Rock Drive, Suite 245 Tel (916)988-3857
7 Folsom, CA 95630 Fax:(916)988-5296
Email rds@mwsblaw com
8
Mark Smith In Pro Per
9 8549 Willow Valley Place
Granite Bay, CA 95746
10
Richard W Freeman Counsel for R4C0RP
11 Scott S Brooks
WOOD SMITH HENNING & BERMAN LLP Tel (925) 356-8200
12 1401 Willow Pass Road, Suite 700 Fax: (925) 356-8250
Concord, CA 94520-7982
13
14
15
16
17
18
19
20
21
22
23
24
25
26
27
28
N1C341/608293-1 2
SERVICE LIST
EXHIBIT A
EXHIBIT A
Servny
Ca^brma CONTRACTORS STATE LICENSE BOARD
9821 Business PaH( Drive, Sacramento, California 95827 STATE OF CALI^pRNIA
Mailing Address: P O Box 26000, Sacramento, CA 95826 ARNOLD SCHWARZENEGGER, Governor
800-321-CSLB (2752)
www.cslb.ca gov
1^2 k
I HEREBY CERTIFY that I am duly a u J ^ ^ S E v the Registrar of Contractors, the officer in
charge of the records of the Contractoi^^ft3TO:g|Lse Board, to certify to copies of docunnents on
file in the office of said Board; a r o ^ n ^ ^ e att^led docfeients were prepared by and in this
office from the records on f i i e ^ ^ ^ ^ ® tre^tnd c ^ ^ c t c o p ^ ^ ^ H ^ original documents or copies
on file In the records of J
Busine
Li^S^lYiSliirL^IIUUU'lLiUlilMMiWM-ill^^lMtt^
WITNESPMY HAND and the seal of said Board, this 5'^ day of October»^01O
Susan Stirewalt, Custodian of Records
KT/13M-9(rev4/05
0 7 ' 1 4 ' 2 0 1 5 05:04 FAX 12)002
CC JTRACTORS STATE UCEMSE BOARD
REDACTElf
"33? 'SuBineu Pai* Ome, Sacrannmo, CA 9H27
Malll I] Aid9r««9' K O Bm ZEOOO, SsnamTnn, CA 85126
STATE OF CAUFORNIA
Amaif Schiwnon«BBa' Govemor
FOR CSLB USE ONLY
800-.214:SLB(Z7S2) mimaibca.fm
Ap plication for Original Contractor's License 07 0 1 0 7 7 7 5
Appllcgtloi F W ' Tho eppllcatlon fee lor a stfigia classification (S250) is not
SIngtir clP( .Iflcaiion........... —$2S0. refundable onoe the appiicalion has been HIM.
Initial w x m I fee (lo be patd after gxam).. )150. AtlBCh a monay order er a personal, busHvess. cartiried,
or cashier's cheex mada payable to the Reslslrar of
Total IMS i> i]ulred for onginal D M n x $400
Contrectors, Do not send cash.
D Vchrni jiry c< iMilbutkin lo Consvuctfon Thara Is a SIO service charge for esch (fshonersd checK,
Manepeniff Eflueahon Account. _. S
Please typ i' or print neatly and legibly In black or dark blue Ink.
SECTION • - BUSINESS NAME AND ADORESS
B u s i n o $ ^ l i N a >ie; Ti^iegaibuBirwssnaiiisiiine name thai wm appear on tha llc8f»e arid is the ectual name under whieh the coniiectlngbuttnau*riV
operaia T h i i i u l i l ifinosinamemusthsprovldaa _ .
N a m e . c W p ' I t i M M y H r h o bvrlnns nrnns r^sscet compaliftie wKh tns Hcanea ciatctfleation and the busmess entity For aninple, ft nwiM not be aocepiabis
lor ABCtZJ '^na ti ipply lor a B-Gen«ral PviUIng ConlBCUr iiosnsa, but II would be BcoeplaUo for ABC123 Constnjctbn to apply for a B Itcsraa or tor AfiC123 T ^
to epply for n C-S- Ceramic and Moaab Tile Hcsnas, In addllian. H would m t be acseplabia lor a sola owneisl^ to uaa the worSi 'partners' or 'corpordlon' In ds
butlnass n a i e .
VFU)XN=V/eUS IES$NAME 2 OASSIFlCATION REQUESTED fOniy ons otoasiftvftn nwy
6* rsqueitDir on i/ii cri^inMaAP'lPaftaa
ir^rpMi tf an aram I I roovntf J
33B,
B , BBUSma.S
US)NEJ,SM
MAA IMG AOORESS
AODRESS nvmb«r/;ii«elorP
nvml O.boii ^ . city ^Biflia ZIP code
36,et;SINE.',SSTf
36, Bt^SINE,'. S s n -EIAOOfiESS
: E I ADORESS nvml
nwntiw/jtset only-NOP O.boKBt^
ibei/rtvdetuy- oty vn »Wo aPeode
ap«
1 ± 1 L . Mli^<\ 6)fi££^f f J ^ /7h}/i p/HcS. C J U 9^^.s3l.?
3c. BUS|NS«,$ PM" "4E NUMBER \ J BUSINESS FAX NUMBEI^ ^^ BUSINESS E-MAIL ADDRESS
SECTION ; - BUSINESS ENTITY
C a l i f o r n i a C c i p o r a t l O O / P a r t n e r s h i p ; Corporatlona must provlda a euirem and active r«glswatlon number belavr Pleew ee sum ID wnte the
carporB-.e tltflii (pi 'tkjcnt, tac'alary, and Ireasurar) In Wa space provided lor the appropitala personnel In Sectloni 3 and 4. PartnetsMpa musi tst Uietr Fadetal
Employer IC mllflc .Jon Number (FEIN) below (peraonal Soiaaf Securtty numPera BIB not acceplabla). fSee fiat» I t f tnt Qeners/ inftnnaMfin soctlbn (Or more
uifonnfilloi I
4.NEWBUSHERC@itA(}E OF NEW B I M I U W M I uruvcn u v c n s c ntMrvnA
(lUar I'A) iJWNEOBYTHEQUAUnER
sc RESIDENCE A .I^ESS numt»r/sliEct otfy - NO P 0 boxe> elhi^ V. / RMv _ ~ aPeode
/ IITLeCRI'OSI ION lehack anl>ahe) RESttJENCE PHONE NUWreR^ ^
)^Ovme< o r ' jamyino Partner D R M E D RMOfCorpoiate Officer • TlttB(sL
e TH5 6XAHIMAT ;iNS ARE AOMINISTEREO IN ENGLISH. IF YQU WBJ. REQUIRE TUB USE OP A TRAWSM»TOR. PLEASE CHECK THIS BOX. U '
I cvrVfy ^ndnr pan I ty of peijury unOer tne laws of the Stele of Callfomla mat all atalaiTiBn'.s. answers, and nprasantations mada h VUE applicalioo, Inctutflns all
supplenentioystr •meniB atteched hereto, are t o n and accurate, and that I have reviewed the entre contents D( IME appKoatlon. (Tha oeMDon or 'peffiry'li
fellinf a Re ^rh,^ i. dar oath.) I a u t h o r ^ t h e Franchise Tax Boanl lo provide CSLB with raquired tax Infonnation pursuant to B&P Code GectlOA 7f 45.5,
FOR CSLB USE ONLY
CONTRACTORS STATE LICENSE BOARD '•T'
9821 Business Park Dnve, Sacramento, CA 95827 STATE OF CALIFORNIA
Mailing Address, P O Box 26000, Sacramento, CA 9582B Arnold Schwarzenegger, Govemor
800-321-CSLB (2752) wmv cs/b cagov
Application for Original Contractor's License 07 0107775
Application Fees Ttie application fee for a single classification ($250) is not
Single classification $250. refundable once (he application has been filed
Initial license fee (to be paid after exam) $150 Attach a money order or a personal, business, certified,
or cashier's check made payable to the Registrar of
Tolal fees required (or ongmal license $400
Contractors Do nol send cash
O Voluntary contnbution to Construction There is a $10 service charge for eacfi dishonored checlc
Management Education Account .$
Please type or print neatly and legibly in blacl( or dark blue lnit.
SECTION 1 - BUSINESS NAME AND ADDRESS
B u s i n e s s N a m e ; The legal business name is the name that will appear on tha license and is the actual name under which the contracting business will
operate The full business name must be provided
N a m e C o m p a t i b i l i t y : The business name must be compatible with the license classification and the business entity For example, it would not be acceptable
for ABC123 Tile to apply for a B-General Building Contactor license, but it would be acceptable for ABC123 Construction to apply for a B license or for ABC123 Tile
to apply for a C-54 Ceramic and fvlosaic Tile license In addition. II would not be acceptal>le for a sole ownerahip to use the words 'partners' or 'corporation' in rts
business name
1 FUJJ. NEW BUSINESS NAME 2 CLASSIFICATION REQUESTED (Ont^ one ctess/ficahon may
be reQueslod on Ihe orlglnalapplication Han exam is requirBd)
3a BUSINESS
BLISINESS MAILING ADDRESS number/street or P 0 box city / n stale ZIP code
b BUSINESS STREET ADDRESS number/street
3b number/ only - NO P O boxes n ^ city , ^ ^ state ZIP code
? b o i fioil/AJcx G)/i££jj' f V ' ^ r/h}^ p/hc^ L ^ 9^0^?
3c BUSINESS PHONE NUMBER CJ I BUSINESS FAX NUMBER " I BUSINESS E-MAIL AODRESS
A^>^Hz3 ^CoMcASJ-. AJe^
SECTION 2 - BUSINESS ENTITY
C a l i f o r n i a C o r p o r a t i o n / P a r t n e r s h i p : Corporations must provide a current and active registration number below Rease be sure to wnte the
corporate titles (president, secretary, and treasurer) In the space provided for the appropnate personnel in Sections 3 and 4 Partnerships must list their Federal
Employer Identification Number (FEIN) below (personal Social Secunty numbers are not acceptable) (See (lage 2 of Ihe General Informalion section lor more
information.)
4. NEW BUSINESS WILL OPERATE AS A (cheek only one)
^ Sole Ownersfiip D Partnership - Federal Employer ID # . D California Corporation # .
SECTION 3 - QUALIFYING INDIVIDUAL FULL LEGAL NAME AND ADDRESS
Q u a l i f y i n g I n d i v i d u a l ( Q u a l i f i e r ) : A qualllylng individual is required for every classification on every license issued by CSLB. You must provide full
legal namea of all individuals (See page 1 ofthe General Iniormation section for more information)
5a QUALIFIER'S FULL LEGAL NAIVIE lasl first middle DATE OF BIRTH SOCIAL SECURITY NUMBER
I
5b QUALIFIER'S EXISTING / f^REVIOUS CSLB LICENSE NUMBER{S) 6 PERdfeNTAfeE OF NEW BUSINESS I DRIVER LICENSE NUMBER
(II none, enter N/A) OWNED BY THE QUALIFIER
5c RESinFNpP AODRESS number/street orJy - NO P 0 boxes cily
7. TITLE OR POSITION (check onlyj»fie) " ' ' RESIDENCE PHONE N U " "
^I^Owrner D Qualifying Partner a RME D RMO/Corporale Officer - Tllle(s)_
a THE EXAMINATIONS ARE ADMINISTERED IN ENGLISH IF YOU WILL REQUIRE THE USE OF A TRANSLATOR, PLEASE CHECK THIS BOX Q
I certify under penally of penury under the lavra of the State of California that all statements, answers, and representations made in this application, including all
supplementary statements attached hereto, are tme and accurate, and Ihat I have reviewed Ihe entire contents of this application (Jiie dermilion of 'perjury'is
telling a he while under oath ) I authooMlhe Franchise Tax Board to provide CSLB with required tax information pursuant to B&P Code Section 7145 5
SECTION 4 - PERSONNEL FULL LEGAL NAMES AND ADDRESSES
The following must be completed by all Individuals who will be Iisted on the license You must provide full legal names of all individuals Each individual must
sign the certification under penalty of perjury (The definition of 'perjury' is telling a lie while under oalh)
.9a .PERSONNEL FULL LEGAL NAIHE last first middle DATEOFBIRTH SOCIAL SECURITY NUIIflBER
RESIDENCE ADDRESS number/street only - NO P.O boxes city state ZIP code DRIVER LICENSE #
TITLE OR POSITION (check only one) RESIDENCE PHONE NUMBER
C Ovvner D General Partner D Limited Partner D Corporate Officer - Tilte(s)_ ( )
I certify under penalty of perjury under the laws of the State of Califomia that all statements, answers, and representations made In this application, including afi
supplementary statements attached hereto, are true and accurate, and that I have reviewed the entire contents of this application I authorize the Franchise Tax
Board to provide CSLB with required tax information pursuant to B&P Code Section 7145 5
Date Signature Pnnted Name
9b PERSONNEL FULL LEGAL NAME last first mkfdie DATE OF BIRTH SOCIAL SECURITY NUMBER
RESIDENCEADDRESS number/street only ~ NO P 0 boxes cily state ZIP code DRIVER LICENSE #
TITLE OR POSITION (check only one) RESIDENCE PHONE NUMBER
O General Partner D Limited Partner a Corporate Officer - Title(s)_ ( )
I certify under penalty of penury under the laws of the State of Califomia that all statements, answers, and representations made In this application, Including all
supplementary statements attached hereto, are true and accurate, and that I have reviewed the entire contents of this application I authonze the Franchise Tax
Board to provide CSLB with required tax information pursuant lo B&P Code Section 7145.5
Oate Signature Printed Name
9c PERSONNEL FULL LEGAL NAME last first middle DATE OF BIRTH SOCIAL SECURITY NUMBER
RESIDENCE ADDRESS number/street only - NO P 0. boxes city state ZIP code DRIVER LICENSE #
TITLE OR POSITION (check only ono) RESIDENCE PHONE NUMBER
D General Partner D Limited Partner n Corporate Officer - ritle(s) ( )
I certify under penalty of per]ury under the laws of the State of California that all statements, answers, and representations made in this application, including all
supplementary statements attached hereto, are taie and accurate, and that I have reviewed the entire contents of this application I authonze the Franchise Tax
Board to provide CSLB with required tax information pursuant to B&P Code Section 7145 5
Dale Signature Pnnted Name
9d PERSONNEL FULL LEGAL NAME last first middle DATE OF BIRTH SOCIAL SECURITY NUMBER
RESIDENCE ADDRESS number/street only - NO P.O boxes city state ZIP code DRIVER LICENSE #
TITLE OR POSITION (check only ono) RESIDENCE PHONE NUMBER
D General Partner D Limited Partner D Corporate Officer - Title(s) ( )
I certify under penalty of perjury under the laws of the State of California that all statements, answers, and representations made in thts application. Including all
supplementary statements attached hereto, are tnje and accurate, and that I have reviewed the entire contents of this application I authonze the Franchise Tax
Board to provide CSLB with required tax information pursuant to B&P Code Section 7145 5.
Date Signature Pnnted Name
FOR CSLB USE ONLY
(If additional space is needed, please make a copy ofthis blank page.)
13A-1d(rev 05/07) Application - Page 2 of 3
SECTION 5 - REQUIRED APPLICATION QUESTIONS
A l l q u e s t i o n s i n t h i s s e c t i o n m u s t b e a n s w e r e d . Questions 10.11, and 12 penam to all individuals Iisted on this application (qualifying
individual and all personnel listed in Section 4). If you checked Yes in response to any queslion, the person involved must attach a separate sheet with a detailed
explanation for each situation
10 To the best o f your knowledge, is anyone listed on this appllcatlon (or any company the person was a part of, or
any Immediate family member of the applicant) named In or responsible for any entered a n d unsatisfied Judgments,
liens, and/or claims against any b o n d or cash deposit pertaining to a construction project? (Immediate family is
defined by B&P Code Section 7075.1 as a spouse, t)rother. sister, son, daughter, stepson, stepdaughter, grandson,
granddaughter, son-in-law, or daughter-in-law)
If you checked Yes, you are required to attach a siatement identifying all judgments (pending or on record). Hens, past due
unpaid bills, claims, or suits and a detailed explanation of the situation Include the names and addresses of the parties
involved If the obligation was or is being dischaiped In bankruptcy, attach a copy of the banknjptcy filing and a copy of the
creditors list
11 Has anyone listed on this application ever pleaded guilty or no contest to or been convicted by a court of any
misdemeanor o r felony In this state or elsewhere? You are required lo check Yes and provide all of the requested
Information even if Ihe conviction was sealed or expunged under Penal Code Section 1203 4 or an applicable code of
another state
If you checked Yes, you are required to attach a statement disclosing all pleas/convictlons, including violated law sections,
and thoroughly explain the acts or circumstances which resulted in the plea/conviction. In addition, the following must be
included for each plea/convictlon date of the plea/conviction, couniy and state where the violation took place, name of the .
court, court case number, sentence imposed, jaii/pnson term served, terms and conditions of parole or probation, parole or '
probation completion dates, and parole agent/probation officer names and phone numbers. You may submit the required
Information u s i n g the Disclosure Statement Regarding Criminal Plea/Convlction f o r m that i s available o n CSLB's
website
The information provided will be verified through CSLB's fingerprinting requirements. Failure to report a
plea/convletlon Is considered falsification o f y o u r application a n d Is grounds for denial o f y o u r appllcatlon. ,
12 To the best o f your knowledge, has anyone o n this application (or any company the person w a s a part of, or any
Immediate family member o f the applicant) ever received a citation f r o m the Contractors State License Board or had
a contractor's license or other professional o r vocational license denied, suspended, o r revoked by this state o r
elsewhere? (Check No i l the license was suspended due to lack of a bond, vvor(erating hours per week for the entity for
which he o'r she acts as the qualifier Will y o u as the Responsible Managing Employee meet the requirement of CCR
Section 823 cited above?
15 By law, all new businesses applying for a license must have more than 52,500 operating capital (B&P Code Section 7067 5) "^ •
Operating capital is your current assets minus your current liabilities Does your operating capital exceed $2,500?
SECTION 6 - QUALIFYING INDIVIDUAL EDUCATION AND APPRENTICESHIIP
16 HAVE YOU COMPLETED AN EDUCATIONAL OR APPREt^TICESHIP'PROGRAM?
IF YOU CHECKED YES.
YOU MAY BE GRANTED CREDIT FOR COMPLETED EDUCATION IF YOU
• Submit a copy of your diploma for a (our-year degree In a business or construction-related field, OR
• Submit transcnpts for a two-year degree (or less), technical training (must include course hours and descnptions), and all other degrees.
Transcripts must be official and contained In a sealed envelope. ^>f you received your degree outside the United States, your transcripts
must be translated and evaluated by an accredited evaluation service that does business within the United States.^
YOU MAY BE GRAIMTED CREDIT FOR A COMPLETED APPRENTICESHIP PROGRAM IF YOU
• Submit a copy of your apprenticeship certificate, AND
• Enter the beginning and ending dates of your completed apprenticeship program From to
(The apprenticeship period cannol overlap Ihe journeyman level experience period being cenified) Monlh/DayA'ear
Month/Day/Year
/:i^^;^Ji^-
13A.1 (rev 05rt)7) ApplicatioH - Page 3 o f 3 , o V -J^NS
^m^^' / • •
' CONTRACTORS STATE UCENSE BOARD
9S21 Business Park Drive, Secramento, CA 95827 STATE OF CAUFORNIA
MaDing Address: P.O Box ZBOOO, Sacramento, CA 95628 Arnold Schwarzenegger, Govemor
60O-321-CSLB (Z7S2) mm- caaLCB.gov
Construction Project Experience Form
T W t l p i m must be completed ONLY W the oualtMiwIndlvitfiialtaacatas on the CertWcatton of W
he orshe otitafaied espeifmcewortdng on his or her own propeity as an owmeribullder. or as olharwise requested by CSLB.
Use a separate form for each project If you need additional fonms, please make a copy of this blank fbim or visit CSLB's website.
Please type or print neatly and leglbty In black or dark blue Ink. Incomplete forms are not accepted.
*^ta»
1 aUAURERS(OWNER/BUILOER)FUa LEGAL NAIME first middle PHONE NUMBER
Z. PROJECT STREET AODRESS numbetfstreel-NOP 0. boxes cHv , state ZIPoode
1 START DATE MortWMy/Year I COfvlPLETION DATE flAofdh/Day/Year 'KTOTAL PROJECT TIME
\J^C/0. ^ 0 0 \ I M f^.^OOG I y YEARSand ^ MOm>«
4. TYPE CF PROJECT (Fdr example, residenliaf room addition) 'l
S^JI^AIXS PEil^f=OfUilEO (Fbr example, fiainfno, elacbfcai) '
6. PROJECT SBE (square 5 C- /, FOR CSLB USE ONLY
.•^y^.
'i in
13A-&I (rev 05107) Construction Project Experience Form r ^ ^ ^ i - — ' ^
pg^ CONTRACTORS STATE LICENSE BOARD
j ^ ^ B 9821 Business Park Dnve, Sacramento CA 95827 STATE OF CALIFORNIA
Mailing Address P.O Box 26000, Sacramento, CA 95826 Amold Schwarzenegger, Governor
800-321-CSLB (2752) www cslb ca gov
Certification of Work Experience
Please read the General Information section on the previous page before beginning
The qualifying Individual must complete Ihe mformation in Part 1, the individual certifying the experience (certifier) must complele Part 2 The expenence
. must be venfiable through payroll records or similar documents If additional space is needed to list the trade duties, please attach a separate sheet
Use a separate form for each employer If you need additional forms, please make a copy ofthis blank form or visit CSLB's websrte
Please type or prtnt neatly and legibly in black or dark blue Ink.
PART 1 - QUALIFYING INDIVIDUAL NAME AND WORK EXPERIENCE
The qualifying individual must complete Part 1 in its entirety.
1 QUALIFIER'S FULL LEGAL NAME last first middle
/ll/A
2 BUSINESS NAME OF EMPLOYER - OR, IF YOU WERE SELF EMPLOYED. LEAVE THIS SPACE BLANK AND CHECK THIS BOX^^jf'f/f you checked the box, skip line
3 and go lo line 4 )
3 EMPLOYER'S BUSINESS STREET ADDRESS numberistreel only - NO P.O boxes city slate ZIP code
FOR A TOTAL OF
4. MY JOURNEYMAN
J^-
D FULL-TIME
LEVEL TIME-BASE
WORKED WAS D PART-TIME
FROM = _ _ ^ YEARS and MONTHS
(check one) (Do not d a i m credit for lull-lime work if y o u worked only part-
time For example, Ifyou worked half-time lor s u (6) years,
you would wnte ' 3 years' in the space above)
5 WAS THE EXPERIENCE OBTAINED WORKING ON YOUR OWN PROPERTY AS AN OWNER/BUILDER (seo previous page for dellnlllon)-} Yes DNo
IF YOU CHECKED YES, USE THE ENCLOSED CONSTRUCTION PROJECT EXPERIENCE FORM TO PROVIDE A U S T OF COMPLETED PI 'ECTS
6 IN THE SPACE PROVIDED BELOW, LIST ALL SPECIFIC TRADE DUTIES YOU HAVE PERFORMED OR SUPERVISED IN THE CLASSIFICATION FOR WHICH YOU
ARE APPLYING PI.£ASE REFER TO THE DESCRIPVON OF CLASSIFICATIONS OOCUMENT FOR ASSISTANCE (Do not list oWiee work or individual project names.)
/A/)fnM
/^dUn^Aj-toAJ
PJu^i'Uf<^
PART 2 - CERTIFICATION STATEMENT
The certifier must complete Part 2 in its entirety after the qualifying individual has completed Part 1.
My relauonshlp to / / ^ ^ g / ^ / / / ? ( £ . A ( / / H / H ^ M H ' . is or was fcfiecfr aff fhsf appty)
' ^ a m e ' o r Oiialitying Individual lAppliconl)
O Employer Q Fellow Employee / i Foreman/Supervisor O Journeyman ^ \ B u 3 i n e s s Associate
D Union Reprasentalive D Contractor (License Number f / 3- 3 ~> I 1 O Client (If qualifier was self-employed)
CERTIFIER'S STREET ADORESS number/street o n / / - N O P O boxes city stale ZIP code
PHONENUMBER FAX NUMBER E - ^ I L /^pqsESS
i L
I certify that I tiave direct knowledge of the work covering the time period outlined In Part 1 above, i cenily under penally of peijury, under the laW^ o l me oiaia ui
Callfomla that the information stated above Is trua and correct (The definition o l 'peijury' is telling a lie while under o a l h )
7 Dale Signatuie Pnnted Name
Note' For information OR'jHe collection of personal inlormaiion, please refer to the General Information section at
Z ^^ r n ^i
EONLY
the beginning onMis application package, under the heading "Notice on Collection of Personal Information *
A D D L - C E R T
13A-11 (rev 05107) Certification of Work Experience - Page 2 of 2
CONTRACTORS STATE LICENSE BOARD ' .
9821 Business Park Dnve. Sacramento, CA 95827 STATE OF CALIFORNlX"
Mailing Address P 0 Box 25000, Sacramento, CA 95826 Amold Schwarzenegger, Governor
800-321-CSLB (2752) wwwcs/bcagov
CERTIFICATION OF WORK EXPERIENCE
General Information
This form must be filled in completely in order to document work experience or the application will be returned. You must
type or print neatly and legibly in black or dark blue ink - pencil is not acceptable.
Original signatures are required - faxed, photocopied, or stamped signatures are not acceptable.
All qualifying individuals and certifiers must be at least 18 years old.
All Certification of Work Experience forms most be submitted with the application.
The Certification of Work Experience form, when filed with an application, becomes the property of CSLB and is kept as a matter of
record. Make a copy of the completed and signed form for your records - you may be asked to provide further documentation
or testimony to verify your experience
• If, within the last five (5) years, you have either qualified for or passed an examination In the classification for which you are now
applying, you do not need to complete this form. Such applicants should complete the Appiicalion for Onginai Contractor's License
- Examination Waiver (7065). However, if you are applying for a waiver of the examination pursuant to B&P Code Sections
7065.1 (b) or 7065 1 (c), you do need lo complete this form. (Please refer to Bluepnnt for Becoming a Licensed Contractor for more
information on exam waivers)
• Anyone who knowingly obtains or offers false or forged documents to be filed, registered, or recorded in any public office.
in California is guilty of a felony. (Penal Code Section 115)
PART 1 - QUALIFYING INDIVIDUAL NAME AND WORK EXPERIENCE
• The qualifying individual must document at least four (4) full years of expenence in the classification for which he or she
i s a p p l y i n g . T h e e x p e r i e n c e m u s t h a v e b e e n o b t a m e d w i t h i n t h e l a s t 10 y e a r s .
• The qualifying individuars work expenence must have been completed at the level of journeyman, foreman/supervisor, or
contractor or as an owner/builder or self-employed Individual, as defined below:
•• A •journeyman" is an expenenced worker who Is fully qualified (as opposed to a trainee, helper, laborer, assistant, apprentice,
etc) and is able to perform the trade without supervision; or a person who has completed an apprenticeship program (CCR
Section 825)
A "foreman/supervisor" is a person who has the knowledge and skills of a journeyman and directly supervises constmction
projects
" A "contractor" is an individual who is currently a licensed California contractor, a former licensed California contractor,
personnel of record on a California license, or an out-of-state licensed contractor A contractor has the skills necessary to
manage the dally activities of a construction business, including field supervision.
0 An "owner/builder" (a person who performs work solelv on his or her own properties) or a "self-employed individual" must have
the knowledge and skills of a journeyman as listed above and the skills necessary to manage the daily activities of a
construction business, including fielij observation Owner/builders must complete and submit the enclosed Construction
Project Experience Form
• The Description of Classifications document may be used as a reference only and is available on CSLB's website at
http //www cslb ca gov/forms/GCIass pdf You should not copy directty from the document when listing the specific trade duties you
have performed or supervised in the classification for which you are applying.
PART 2 - CERTIFICATION STATEMENT
• The Certification Statement at the bottorh of the form must be completed by a qualified, responsible person who is able to
certify the work experience of the qualifier. The certifier can be an employer, fellow employee, journeyman, union
representative, contractor, business associate, or a client if the applicant Is/was self-employed This fomn will help CSLB determine
whether the qualifier has the experience necessary to become a capable, qualified contractor
• The certifier must have direct knowledge of the qualifier's experience during the time period listed. "Direct knowledge"
means personal knowledge of the expenence that does not depend on outside information or hearsay The certifier must be able to
certify that the qualifier demonstrated a level of knowledge and skills expected of a journeyman or better In the classification for
which he or she is applying
• Any licensee whose signature appears on a falsified Certification of Work Experience form, or who otherwise certifies
false or misleading experience claims submitted by an applicant to obtain a contractor's license, will be subject to
disciplinary action (B&P Code Section 7114 1)
13A-11 (rov osrari Certification of Work Experience - Page 1 of 2
Serving
Caifomia
CONTRACTORS STATE LICENSE BOARD __^^ STATE OF CALIFORNIA
9821 Business Park Drive, Sacramento, California 95827 Arnold Schwarzenegger, Governor
Mailing Address P O Box 26000, Sacramento, CA 95826
800-321-CSLB (2752)
www cslb ca gov
October 15,2007
Florentine Ava Abbott
P.O. Box 5125
Fair Oaks, CA 95628
Application Fee Number: 2007 01 07775
Attached is a photocopy ofyour Application for Original Contractor's license. It is unacceptable
for the reasons checked below. Make all ofthe corrections requested in this letter directly on the
enclosed application conv. DO NOT COMPLETE A NEW APPLICATION. Initial all of the
corrections. Provide any other documents requested. Return or fax it to the Contractor's State
License Board by January 15,2008 or the application will be void and cannot be processed.
Please note that the application fee is non-refundable.
t ^
PAGEI
Please list the percentage of new business owned by the qualifier in Section 3, #6 as 100 percent.
Tou must initial any additions or corrections you make on the application in ink.
Sincerely,
Karen Franco
Program Technician III
Application Exam Unit
(916)255-4630 Fax:(916)255-4150
'OR CSLB USE ONLY
CONTRACTORS STATE LICENSE BOARD
9821 Business Park Dnve, SaoBmenIo, CA 95827 STATE OF CALIFORNIA
Mailing Address, P,0, Box 26000, Sacramenlo, CA 95626 Amold Schwarzenegger, Govemor
SOOOZl-CSLB (2757) wvm cslb co gov
Application for Original Contractor's License 07 0 1 0 7 7 7 5
Application Fees The application fee for a single classincation ($250) Is not
Single classification $250. refundable once Ihe application has been filed
Attach a money order or a personal, business, certified,
Inillal license fee (lo be paid after exam). $150
Total fees required for onglnal license . $100
or cashier's check made payable to the Registrar of 07 0 h l 0 S 3 h
Contractors, Do nol send cash
O Voluntary contribution to Constaiclion There Is a $10 service charge for each dishonored check
Management Education Account . $
Please type or print neatly and legibly In black or dark blue ink.
SECTION
Preview
1 Todd A. Jones (BarNo. 198024) Gregory K. Federico (BarNo. 242184) 2 ARCHER NORRIS ENDORSED A Professional Law Corporafion 3 301 University Avenue, Suite 110 IOOFC-7 AMI!: 08 Sacramento, Califomia 95825 4 Telephone: 916.646.2480 LEGAL PROCESS t^7 Facsimile: 916.646.5696 5 Attorneys for Defendants 6 RICHARD KIRK RUYBALID, individually and dba CA CONSTRUCTION; and R4C0RP., INC. 7 8 SUPERIOR COURT OF CALIFORNIA 9 COUNTY OF SACRAMENTO 10 11 RODNEY ABBOTT and FLORENTINE CaseNo. 07AS04450 ABBOTT, 12 REQUEST FOR JUDICIAL NOTICE Plainfiffs, FILED IN SUPPORT OF DEFENDANTS' 13 MOTION IN LIMINE NO. 9 TO EXCLUDE V. LAY OPINIONS REGARDING 14 PLAINTIFFS' CLAIMS RONALD PAUL BRITSCHGI, et al.. 15 Action Filed: September 24, 2007 Defendants. 16 Trial Date: January 17, 2011 Time: 8:30 a.m. 17 Location: Department 43 18 AND ALL RELATED CROSS-ACTIONS. 19 20 TO THIS COURT, ALL PARTIES AND THEIR ATTORNEYS OF RECORD: 21 PLEASE TAKE NOTICE THAT pursuant to Evidence Code § 452, Defendants 22 RICHARD KIRK RUYBALID, individually and dba CA CONSTRUCTION (hereinafter "CA 23 CONSTRUCTION") and Defendant R4C0RP., INC. (hereinafter "R4C0RP") (hereinafter 24 collectively "Defendants") respectfully request that this Court take judicial notice ofthe 25 following documents that are on file in the official records ofCalifornia Contractor's State 26 License Board, which reflect the official actions ofan agency ofthe State ofCalifornia, and the 27 Califomia Attomey General's Office, which reflect the official actions ofan agency ofthe State 28 ofCalifomia. N1C549/1059053-1 REQUEST FOR JUDICIAL NOTICE IN SUPPORT OF DEFENDANTS' MOTION IN LIMINE NO. 9 1 Exhibit-A: Califomia Contractor's State License Board; Application for Original 2 Contractor's License and Certification of Work Experience, as maintained by the Califomia 3 Contractor's State License Board. 4 Exhibit-B: Registrar of Contractors, Contractor's State Licensing Board, Department of 5 Consumer Affairs ofthe State ofCalifomia, as filed by the California Attomey General's Office; 6 Accusation Against Florentine Ava Abbott, of June 1, 2010, as maintained by the Califomia 7 Attomey General's Office. 8 Dated: December 6, 2010 ARCHER NORRIS 9 10 11 Gregory K. Federico Attomeys for Defendants RICHARD KIRK 12 RUYBALID, individually and dba CA CONSTRUCTION; and R4C0RP , INC. 13 14 15 16 17 18 19 20 21 22 23 24 25 26 27 28 NIC549/1059053-1 REQUEST FOR JUDICIAL NOTICE IN SUPPORT OF DEFENDANTS' MOTION IN LIMINE NO 9 1 PROOF OF SERVICE 2 Nameof Action: Rodney Abbott, et al. v. Ronald Paul Britschgi, et al. Court and Action No: Sacramento County Superior No. 07AS04450 3 I, Cindy A. Ingland, declare that I am over the age of 18 years and not a party to this 4 action or proceeding. My business address is 301 University Avenue, Suite 110, Sacramento, Califomia 95825. On December 6, 2010,1 caused the following document(s) to be served: 5 REQUEST FOR JUDICIAL NOTICE FILED IN SUPPORT OF DEFENDANTS' 6 MOTION IN LIMINE NO. 9 TO EXCLUDE LAY OPINIONS REGARDING PLAINTIFFS' CLAIMS 7 [*^ By placing a tme copy ofthe documents listed above, enclosed in a sealed envelope, 8 addressed as set forth below, for collection and mailing on the date and at the business address shown above following our ordinary business practices. I am readily familiar 9 with this business' practice for collection and processing of correspondence for 10 mailing with the United States Postal Service. On the same day that a sealed envelope is placed for collection and mailing, it is deposited in the ordinary course ofbusiness 11 with the United States Postal Service with postage fully prepaid. 12 I—I By having a tme copy of the document(s) listed above transmitted by facsimile to the person(s) at the facsimile number(s) set forth below before 5:00 p.m. The transmission was reported as complete without error by a report issued by the transmitting facsimile 14 machine. 15 I I B y placing a tme copy of the document(s) listed above, in a box or other facility regularly maintained by UPS, an express service carrier, or delivered to a courier or 16 driver authorized by the express service carrier to receive documents, in an envelope designated by the express service carrier, with delivery fees paid or provided for, 1' addressed as set forth below. '^ rn bv having personal deliverv bv FIRST LEGAL SUPPORT SERVICES a true copv of g the document(s) listed above, enclosed in a sealed envelope, to the person(s) and at the address(es) set forth below. 20 21 [SEE ATTACHED SERVICE LIST] 22 I declare under penalty ofperjury that the foregoing is tme and correct. Executed on Decembej:-6r2tT10,_at_S^cramento, California 23 24 25 26 27 28 N1C341/608293-1 PROOF OF SERVICE 1 Service List 2 Stephanie Finelli PLAINTIFFS 3 Law Offices of Stephanie J. Finelli 1007 Seventh Street, Suite 500 Tel (916)443-2144 4 Sacramento, CA 95814 Fax:(916)443-1511 E-mail sfinelli700(gyahoo com 5 Richard D Sopp Counsel for CADRE DESIGN GROUP, INC. 6 Wheatley Sopp LLP 1004 River Rock Drive, Suite 245 Tel (916)988-3857 7 Folsom, CA 95630 Fax:(916)988-5296 Email rds@mwsblaw com 8 Mark Smith In Pro Per 9 8549 Willow Valley Place Granite Bay, CA 95746 10 Richard W Freeman Counsel for R4C0RP 11 Scott S Brooks WOOD SMITH HENNING & BERMAN LLP Tel (925) 356-8200 12 1401 Willow Pass Road, Suite 700 Fax: (925) 356-8250 Concord, CA 94520-7982 13 14 15 16 17 18 19 20 21 22 23 24 25 26 27 28 N1C341/608293-1 2 SERVICE LIST EXHIBIT A EXHIBIT A Servny Ca^brma CONTRACTORS STATE LICENSE BOARD 9821 Business PaH( Drive, Sacramento, California 95827 STATE OF CALI^pRNIA Mailing Address: P O Box 26000, Sacramento, CA 95826 ARNOLD SCHWARZENEGGER, Governor 800-321-CSLB (2752) www.cslb.ca gov 1^2 k I HEREBY CERTIFY that I am duly a u J ^ ^ S E v the Registrar of Contractors, the officer in charge of the records of the Contractoi^^ft3TO:g|Lse Board, to certify to copies of docunnents on file in the office of said Board; a r o ^ n ^ ^ e att^led docfeients were prepared by and in this office from the records on f i i e ^ ^ ^ ^ ® tre^tnd c ^ ^ c t c o p ^ ^ ^ H ^ original documents or copies on file In the records of J Busine Li^S^lYiSliirL^IIUUU'lLiUlilMMiWM-ill^^lMtt^ WITNESPMY HAND and the seal of said Board, this 5'^ day of October»^01O Susan Stirewalt, Custodian of Records KT/13M-9(rev4/05 0 7 ' 1 4 ' 2 0 1 5 05:04 FAX 12)002 CC JTRACTORS STATE UCEMSE BOARD REDACTElf "33? 'SuBineu Pai* Ome, Sacrannmo, CA 9H27 Malll I] Aid9r««9' K O Bm ZEOOO, SsnamTnn, CA 85126 STATE OF CAUFORNIA Amaif Schiwnon«BBa' Govemor FOR CSLB USE ONLY 800-.214:SLB(Z7S2) mimaibca.fm Ap plication for Original Contractor's License 07 0 1 0 7 7 7 5 Appllcgtloi F W ' Tho eppllcatlon fee lor a stfigia classification (S250) is not SIngtir clP( .Iflcaiion........... —$2S0. refundable onoe the appiicalion has been HIM. Initial w x m I fee (lo be patd after gxam).. )150. AtlBCh a monay order er a personal, busHvess. cartiried, or cashier's cheex mada payable to the Reslslrar of Total IMS i> i]ulred for onginal D M n x $400 Contrectors, Do not send cash. D Vchrni jiry c< iMilbutkin lo Consvuctfon Thara Is a SIO service charge for esch (fshonersd checK, Manepeniff Eflueahon Account. _. S Please typ i' or print neatly and legibly In black or dark blue Ink. SECTION • - BUSINESS NAME AND ADORESS B u s i n o $ ^ l i N a >ie; Ti^iegaibuBirwssnaiiisiiine name thai wm appear on tha llc8f»e arid is the ectual name under whieh the coniiectlngbuttnau*riV operaia T h i i i u l i l ifinosinamemusthsprovldaa _ . N a m e . c W p ' I t i M M y H r h o bvrlnns nrnns r^sscet compaliftie wKh tns Hcanea ciatctfleation and the busmess entity For aninple, ft nwiM not be aocepiabis lor ABCtZJ '^na ti ipply lor a B-Gen«ral PviUIng ConlBCUr iiosnsa, but II would be BcoeplaUo for ABC123 Constnjctbn to apply for a B Itcsraa or tor AfiC123 T ^ to epply for n C-S- Ceramic and Moaab Tile Hcsnas, In addllian. H would m t be acseplabia lor a sola owneisl^ to uaa the worSi 'partners' or 'corpordlon' In ds butlnass n a i e . VFU)XN=V/eUS IES$NAME 2 OASSIFlCATION REQUESTED fOniy ons otoasiftvftn nwy 6* rsqueitDir on i/ii cri^inMaAP'lPaftaa ir^rpMi tf an aram I I roovntf J 33B, B , BBUSma.S US)NEJ,SM MAA IMG AOORESS AODRESS nvmb«r/;ii«elorP nvml O.boii ^ . city ^Biflia ZIP code 36,et;SINE.',SSTf 36, Bt^SINE,'. S s n -EIAOOfiESS : E I ADORESS nvml nwntiw/jtset only-NOP O.boKBt^ ibei/rtvdetuy- oty vn »Wo aPeode ap« 1 ± 1 L . Mli^<\ 6)fi££^f f J ^ /7h}/i p/HcS. C J U 9^^.s3l.? 3c. BUS|NS«,$ PM" "4E NUMBER \ J BUSINESS FAX NUMBEI^ ^^ BUSINESS E-MAIL ADDRESS SECTION ; - BUSINESS ENTITY C a l i f o r n i a C c i p o r a t l O O / P a r t n e r s h i p ; Corporatlona must provlda a euirem and active r«glswatlon number belavr Pleew ee sum ID wnte the carporB-.e tltflii (pi 'tkjcnt, tac'alary, and Ireasurar) In Wa space provided lor the appropitala personnel In Sectloni 3 and 4. PartnetsMpa musi tst Uietr Fadetal Employer IC mllflc .Jon Number (FEIN) below (peraonal Soiaaf Securtty numPera BIB not acceplabla). fSee fiat» I t f tnt Qeners/ inftnnaMfin soctlbn (Or more uifonnfilloi I 4.NEWBUSHERC@itA(}E OF NEW B I M I U W M I uruvcn u v c n s c ntMrvnA (lUar I'A) iJWNEOBYTHEQUAUnER sc RESIDENCE A .I^ESS numt»r/sliEct otfy - NO P 0 boxe> elhi^ V. / RMv _ ~ aPeode / IITLeCRI'OSI ION lehack anl>ahe) RESttJENCE PHONE NUWreR^ ^ )^Ovme< o r ' jamyino Partner D R M E D RMOfCorpoiate Officer • TlttB(sL e TH5 6XAHIMAT ;iNS ARE AOMINISTEREO IN ENGLISH. IF YQU WBJ. REQUIRE TUB USE OP A TRAWSM»TOR. PLEASE CHECK THIS BOX. U ' I cvrVfy ^ndnr pan I ty of peijury unOer tne laws of the Stele of Callfomla mat all atalaiTiBn'.s. answers, and nprasantations mada h VUE applicalioo, Inctutflns all supplenentioystr •meniB atteched hereto, are t o n and accurate, and that I have reviewed the entre contents D( IME appKoatlon. (Tha oeMDon or 'peffiry'li fellinf a Re ^rh,^ i. dar oath.) I a u t h o r ^ t h e Franchise Tax Boanl lo provide CSLB with raquired tax Infonnation pursuant to B&P Code GectlOA 7f 45.5, FOR CSLB USE ONLY CONTRACTORS STATE LICENSE BOARD '•T' 9821 Business Park Dnve, Sacramento, CA 95827 STATE OF CALIFORNIA Mailing Address, P O Box 26000, Sacramento, CA 9582B Arnold Schwarzenegger, Govemor 800-321-CSLB (2752) wmv cs/b cagov Application for Original Contractor's License 07 0107775 Application Fees Ttie application fee for a single classification ($250) is not Single classification $250. refundable once (he application has been filed Initial license fee (to be paid after exam) $150 Attach a money order or a personal, business, certified, or cashier's check made payable to the Registrar of Tolal fees required (or ongmal license $400 Contractors Do nol send cash O Voluntary contnbution to Construction There is a $10 service charge for eacfi dishonored checlc Management Education Account .$ Please type or print neatly and legibly in blacl( or dark blue lnit. SECTION 1 - BUSINESS NAME AND ADDRESS B u s i n e s s N a m e ; The legal business name is the name that will appear on tha license and is the actual name under which the contracting business will operate The full business name must be provided N a m e C o m p a t i b i l i t y : The business name must be compatible with the license classification and the business entity For example, it would not be acceptable for ABC123 Tile to apply for a B-General Building Contactor license, but it would be acceptable for ABC123 Construction to apply for a B license or for ABC123 Tile to apply for a C-54 Ceramic and fvlosaic Tile license In addition. II would not be acceptal>le for a sole ownerahip to use the words 'partners' or 'corporation' in rts business name 1 FUJJ. NEW BUSINESS NAME 2 CLASSIFICATION REQUESTED (Ont^ one ctess/ficahon may be reQueslod on Ihe orlglnalapplication Han exam is requirBd) 3a BUSINESS BLISINESS MAILING ADDRESS number/street or P 0 box city / n stale ZIP code b BUSINESS STREET ADDRESS number/street 3b number/ only - NO P O boxes n ^ city , ^ ^ state ZIP code ? b o i fioil/AJcx G)/i££jj' f V ' ^ r/h}^ p/hc^ L ^ 9^0^? 3c BUSINESS PHONE NUMBER CJ I BUSINESS FAX NUMBER " I BUSINESS E-MAIL AODRESS A^>^Hz3 ^CoMcASJ-. AJe^ SECTION 2 - BUSINESS ENTITY C a l i f o r n i a C o r p o r a t i o n / P a r t n e r s h i p : Corporations must provide a current and active registration number below Rease be sure to wnte the corporate titles (president, secretary, and treasurer) In the space provided for the appropnate personnel in Sections 3 and 4 Partnerships must list their Federal Employer Identification Number (FEIN) below (personal Social Secunty numbers are not acceptable) (See (lage 2 of Ihe General Informalion section lor more information.) 4. NEW BUSINESS WILL OPERATE AS A (cheek only one) ^ Sole Ownersfiip D Partnership - Federal Employer ID # . D California Corporation # . SECTION 3 - QUALIFYING INDIVIDUAL FULL LEGAL NAME AND ADDRESS Q u a l i f y i n g I n d i v i d u a l ( Q u a l i f i e r ) : A qualllylng individual is required for every classification on every license issued by CSLB. You must provide full legal namea of all individuals (See page 1 ofthe General Iniormation section for more information) 5a QUALIFIER'S FULL LEGAL NAIVIE lasl first middle DATE OF BIRTH SOCIAL SECURITY NUMBER I 5b QUALIFIER'S EXISTING / f^REVIOUS CSLB LICENSE NUMBER{S) 6 PERdfeNTAfeE OF NEW BUSINESS I DRIVER LICENSE NUMBER (II none, enter N/A) OWNED BY THE QUALIFIER 5c RESinFNpP AODRESS number/street orJy - NO P 0 boxes cily 7. TITLE OR POSITION (check onlyj»fie) " ' ' RESIDENCE PHONE N U " " ^I^Owrner D Qualifying Partner a RME D RMO/Corporale Officer - Tllle(s)_ a THE EXAMINATIONS ARE ADMINISTERED IN ENGLISH IF YOU WILL REQUIRE THE USE OF A TRANSLATOR, PLEASE CHECK THIS BOX Q I certify under penally of penury under the lavra of the State of California that all statements, answers, and representations made in this application, including all supplementary statements attached hereto, are tme and accurate, and Ihat I have reviewed Ihe entire contents of this application (Jiie dermilion of 'perjury'is telling a he while under oath ) I authooMlhe Franchise Tax Board to provide CSLB with required tax information pursuant to B&P Code Section 7145 5 SECTION 4 - PERSONNEL FULL LEGAL NAMES AND ADDRESSES The following must be completed by all Individuals who will be Iisted on the license You must provide full legal names of all individuals Each individual must sign the certification under penalty of perjury (The definition of 'perjury' is telling a lie while under oalh) .9a .PERSONNEL FULL LEGAL NAIHE last first middle DATEOFBIRTH SOCIAL SECURITY NUIIflBER RESIDENCE ADDRESS number/street only - NO P.O boxes city state ZIP code DRIVER LICENSE # TITLE OR POSITION (check only one) RESIDENCE PHONE NUMBER C Ovvner D General Partner D Limited Partner D Corporate Officer - Tilte(s)_ ( ) I certify under penalty of perjury under the laws of the State of Califomia that all statements, answers, and representations made In this application, including afi supplementary statements attached hereto, are true and accurate, and that I have reviewed the entire contents of this application I authorize the Franchise Tax Board to provide CSLB with required tax information pursuant to B&P Code Section 7145 5 Date Signature Pnnted Name 9b PERSONNEL FULL LEGAL NAME last first mkfdie DATE OF BIRTH SOCIAL SECURITY NUMBER RESIDENCEADDRESS number/street only ~ NO P 0 boxes cily state ZIP code DRIVER LICENSE # TITLE OR POSITION (check only one) RESIDENCE PHONE NUMBER O General Partner D Limited Partner a Corporate Officer - Title(s)_ ( ) I certify under penalty of penury under the laws of the State of Califomia that all statements, answers, and representations made In this application, Including all supplementary statements attached hereto, are true and accurate, and that I have reviewed the entire contents of this application I authonze the Franchise Tax Board to provide CSLB with required tax information pursuant lo B&P Code Section 7145.5 Oate Signature Printed Name 9c PERSONNEL FULL LEGAL NAME last first middle DATE OF BIRTH SOCIAL SECURITY NUMBER RESIDENCE ADDRESS number/street only - NO P 0. boxes city state ZIP code DRIVER LICENSE # TITLE OR POSITION (check only ono) RESIDENCE PHONE NUMBER D General Partner D Limited Partner n Corporate Officer - ritle(s) ( ) I certify under penalty of per]ury under the laws of the State of California that all statements, answers, and representations made in this application, including all supplementary statements attached hereto, are taie and accurate, and that I have reviewed the entire contents of this application I authonze the Franchise Tax Board to provide CSLB with required tax information pursuant to B&P Code Section 7145 5 Dale Signature Pnnted Name 9d PERSONNEL FULL LEGAL NAME last first middle DATE OF BIRTH SOCIAL SECURITY NUMBER RESIDENCE ADDRESS number/street only - NO P.O boxes city state ZIP code DRIVER LICENSE # TITLE OR POSITION (check only ono) RESIDENCE PHONE NUMBER D General Partner D Limited Partner D Corporate Officer - Title(s) ( ) I certify under penalty of perjury under the laws of the State of California that all statements, answers, and representations made in thts application. Including all supplementary statements attached hereto, are tnje and accurate, and that I have reviewed the entire contents of this application I authonze the Franchise Tax Board to provide CSLB with required tax information pursuant to B&P Code Section 7145 5. Date Signature Pnnted Name FOR CSLB USE ONLY (If additional space is needed, please make a copy ofthis blank page.) 13A-1d(rev 05/07) Application - Page 2 of 3 SECTION 5 - REQUIRED APPLICATION QUESTIONS A l l q u e s t i o n s i n t h i s s e c t i o n m u s t b e a n s w e r e d . Questions 10.11, and 12 penam to all individuals Iisted on this application (qualifying individual and all personnel listed in Section 4). If you checked Yes in response to any queslion, the person involved must attach a separate sheet with a detailed explanation for each situation 10 To the best o f your knowledge, is anyone listed on this appllcatlon (or any company the person was a part of, or any Immediate family member of the applicant) named In or responsible for any entered a n d unsatisfied Judgments, liens, and/or claims against any b o n d or cash deposit pertaining to a construction project? (Immediate family is defined by B&P Code Section 7075.1 as a spouse, t)rother. sister, son, daughter, stepson, stepdaughter, grandson, granddaughter, son-in-law, or daughter-in-law) If you checked Yes, you are required to attach a siatement identifying all judgments (pending or on record). Hens, past due unpaid bills, claims, or suits and a detailed explanation of the situation Include the names and addresses of the parties involved If the obligation was or is being dischaiped In bankruptcy, attach a copy of the banknjptcy filing and a copy of the creditors list 11 Has anyone listed on this application ever pleaded guilty or no contest to or been convicted by a court of any misdemeanor o r felony In this state or elsewhere? You are required lo check Yes and provide all of the requested Information even if Ihe conviction was sealed or expunged under Penal Code Section 1203 4 or an applicable code of another state If you checked Yes, you are required to attach a statement disclosing all pleas/convictlons, including violated law sections, and thoroughly explain the acts or circumstances which resulted in the plea/conviction. In addition, the following must be included for each plea/convictlon date of the plea/conviction, couniy and state where the violation took place, name of the . court, court case number, sentence imposed, jaii/pnson term served, terms and conditions of parole or probation, parole or ' probation completion dates, and parole agent/probation officer names and phone numbers. You may submit the required Information u s i n g the Disclosure Statement Regarding Criminal Plea/Convlction f o r m that i s available o n CSLB's website The information provided will be verified through CSLB's fingerprinting requirements. Failure to report a plea/convletlon Is considered falsification o f y o u r application a n d Is grounds for denial o f y o u r appllcatlon. , 12 To the best o f your knowledge, has anyone o n this application (or any company the person w a s a part of, or any Immediate family member o f the applicant) ever received a citation f r o m the Contractors State License Board or had a contractor's license or other professional o r vocational license denied, suspended, o r revoked by this state o r elsewhere? (Check No i l the license was suspended due to lack of a bond, vvor(erating hours per week for the entity for which he o'r she acts as the qualifier Will y o u as the Responsible Managing Employee meet the requirement of CCR Section 823 cited above? 15 By law, all new businesses applying for a license must have more than 52,500 operating capital (B&P Code Section 7067 5) "^ • Operating capital is your current assets minus your current liabilities Does your operating capital exceed $2,500? SECTION 6 - QUALIFYING INDIVIDUAL EDUCATION AND APPRENTICESHIIP 16 HAVE YOU COMPLETED AN EDUCATIONAL OR APPREt^TICESHIP'PROGRAM? IF YOU CHECKED YES. YOU MAY BE GRANTED CREDIT FOR COMPLETED EDUCATION IF YOU • Submit a copy of your diploma for a (our-year degree In a business or construction-related field, OR • Submit transcnpts for a two-year degree (or less), technical training (must include course hours and descnptions), and all other degrees. Transcripts must be official and contained In a sealed envelope. ^>f you received your degree outside the United States, your transcripts must be translated and evaluated by an accredited evaluation service that does business within the United States.^ YOU MAY BE GRAIMTED CREDIT FOR A COMPLETED APPRENTICESHIP PROGRAM IF YOU • Submit a copy of your apprenticeship certificate, AND • Enter the beginning and ending dates of your completed apprenticeship program From to (The apprenticeship period cannol overlap Ihe journeyman level experience period being cenified) Monlh/DayA'ear Month/Day/Year /:i^^;^Ji^- 13A.1 (rev 05rt)7) ApplicatioH - Page 3 o f 3 , o V -J^NS ^m^^' / • • ' CONTRACTORS STATE UCENSE BOARD 9S21 Business Park Drive, Secramento, CA 95827 STATE OF CAUFORNIA MaDing Address: P.O Box ZBOOO, Sacramento, CA 95628 Arnold Schwarzenegger, Govemor 60O-321-CSLB (Z7S2) mm- caaLCB.gov Construction Project Experience Form T W t l p i m must be completed ONLY W the oualtMiwIndlvitfiialtaacatas on the CertWcatton of W he orshe otitafaied espeifmcewortdng on his or her own propeity as an owmeribullder. or as olharwise requested by CSLB. Use a separate form for each project If you need additional fonms, please make a copy of this blank fbim or visit CSLB's website. Please type or print neatly and leglbty In black or dark blue Ink. Incomplete forms are not accepted. *^ta» 1 aUAURERS(OWNER/BUILOER)FUa LEGAL NAIME first middle PHONE NUMBER Z. PROJECT STREET AODRESS numbetfstreel-NOP 0. boxes cHv , state ZIPoode 1 START DATE MortWMy/Year I COfvlPLETION DATE flAofdh/Day/Year 'KTOTAL PROJECT TIME \J^C/0. ^ 0 0 \ I M f^.^OOG I y YEARSand ^ MOm>« 4. TYPE CF PROJECT (Fdr example, residenliaf room addition) 'l S^JI^AIXS PEil^f=OfUilEO (Fbr example, fiainfno, elacbfcai) ' 6. PROJECT SBE (square 5 C- /, FOR CSLB USE ONLY .•^y^. 'i in 13A-&I (rev 05107) Construction Project Experience Form r ^ ^ ^ i - — ' ^ pg^ CONTRACTORS STATE LICENSE BOARD j ^ ^ B 9821 Business Park Dnve, Sacramento CA 95827 STATE OF CALIFORNIA Mailing Address P.O Box 26000, Sacramento, CA 95826 Amold Schwarzenegger, Governor 800-321-CSLB (2752) www cslb ca gov Certification of Work Experience Please read the General Information section on the previous page before beginning The qualifying Individual must complete Ihe mformation in Part 1, the individual certifying the experience (certifier) must complele Part 2 The expenence . must be venfiable through payroll records or similar documents If additional space is needed to list the trade duties, please attach a separate sheet Use a separate form for each employer If you need additional forms, please make a copy ofthis blank form or visit CSLB's websrte Please type or prtnt neatly and legibly in black or dark blue Ink. PART 1 - QUALIFYING INDIVIDUAL NAME AND WORK EXPERIENCE The qualifying individual must complete Part 1 in its entirety. 1 QUALIFIER'S FULL LEGAL NAME last first middle /ll/A 2 BUSINESS NAME OF EMPLOYER - OR, IF YOU WERE SELF EMPLOYED. LEAVE THIS SPACE BLANK AND CHECK THIS BOX^^jf'f/f you checked the box, skip line 3 and go lo line 4 ) 3 EMPLOYER'S BUSINESS STREET ADDRESS numberistreel only - NO P.O boxes city slate ZIP code FOR A TOTAL OF 4. MY JOURNEYMAN J^- D FULL-TIME LEVEL TIME-BASE WORKED WAS D PART-TIME FROM = _ _ ^ YEARS and MONTHS (check one) (Do not d a i m credit for lull-lime work if y o u worked only part- time For example, Ifyou worked half-time lor s u (6) years, you would wnte ' 3 years' in the space above) 5 WAS THE EXPERIENCE OBTAINED WORKING ON YOUR OWN PROPERTY AS AN OWNER/BUILDER (seo previous page for dellnlllon)-} Yes DNo IF YOU CHECKED YES, USE THE ENCLOSED CONSTRUCTION PROJECT EXPERIENCE FORM TO PROVIDE A U S T OF COMPLETED PI 'ECTS 6 IN THE SPACE PROVIDED BELOW, LIST ALL SPECIFIC TRADE DUTIES YOU HAVE PERFORMED OR SUPERVISED IN THE CLASSIFICATION FOR WHICH YOU ARE APPLYING PI.£ASE REFER TO THE DESCRIPVON OF CLASSIFICATIONS OOCUMENT FOR ASSISTANCE (Do not list oWiee work or individual project names.) /A/)fnM /^dUn^Aj-toAJ PJu^i'Uf<^ PART 2 - CERTIFICATION STATEMENT The certifier must complete Part 2 in its entirety after the qualifying individual has completed Part 1. My relauonshlp to / / ^ ^ g / ^ / / / ? ( £ . A ( / / H / H ^ M H ' . is or was fcfiecfr aff fhsf appty) ' ^ a m e ' o r Oiialitying Individual lAppliconl) O Employer Q Fellow Employee / i Foreman/Supervisor O Journeyman ^ \ B u 3 i n e s s Associate D Union Reprasentalive D Contractor (License Number f / 3- 3 ~> I 1 O Client (If qualifier was self-employed) CERTIFIER'S STREET ADORESS number/street o n / / - N O P O boxes city stale ZIP code PHONENUMBER FAX NUMBER E - ^ I L /^pqsESS i L I certify that I tiave direct knowledge of the work covering the time period outlined In Part 1 above, i cenily under penally of peijury, under the laW^ o l me oiaia ui Callfomla that the information stated above Is trua and correct (The definition o l 'peijury' is telling a lie while under o a l h ) 7 Dale Signatuie Pnnted Name Note' For information OR'jHe collection of personal inlormaiion, please refer to the General Information section at Z ^^ r n ^i EONLY the beginning onMis application package, under the heading "Notice on Collection of Personal Information * A D D L - C E R T 13A-11 (rev 05107) Certification of Work Experience - Page 2 of 2 CONTRACTORS STATE LICENSE BOARD ' . 9821 Business Park Dnve. Sacramento, CA 95827 STATE OF CALIFORNlX" Mailing Address P 0 Box 25000, Sacramento, CA 95826 Amold Schwarzenegger, Governor 800-321-CSLB (2752) wwwcs/bcagov CERTIFICATION OF WORK EXPERIENCE General Information This form must be filled in completely in order to document work experience or the application will be returned. You must type or print neatly and legibly in black or dark blue ink - pencil is not acceptable. Original signatures are required - faxed, photocopied, or stamped signatures are not acceptable. All qualifying individuals and certifiers must be at least 18 years old. All Certification of Work Experience forms most be submitted with the application. The Certification of Work Experience form, when filed with an application, becomes the property of CSLB and is kept as a matter of record. Make a copy of the completed and signed form for your records - you may be asked to provide further documentation or testimony to verify your experience • If, within the last five (5) years, you have either qualified for or passed an examination In the classification for which you are now applying, you do not need to complete this form. Such applicants should complete the Appiicalion for Onginai Contractor's License - Examination Waiver (7065). However, if you are applying for a waiver of the examination pursuant to B&P Code Sections 7065.1 (b) or 7065 1 (c), you do need lo complete this form. (Please refer to Bluepnnt for Becoming a Licensed Contractor for more information on exam waivers) • Anyone who knowingly obtains or offers false or forged documents to be filed, registered, or recorded in any public office. in California is guilty of a felony. (Penal Code Section 115) PART 1 - QUALIFYING INDIVIDUAL NAME AND WORK EXPERIENCE • The qualifying individual must document at least four (4) full years of expenence in the classification for which he or she i s a p p l y i n g . T h e e x p e r i e n c e m u s t h a v e b e e n o b t a m e d w i t h i n t h e l a s t 10 y e a r s . • The qualifying individuars work expenence must have been completed at the level of journeyman, foreman/supervisor, or contractor or as an owner/builder or self-employed Individual, as defined below: •• A •journeyman" is an expenenced worker who Is fully qualified (as opposed to a trainee, helper, laborer, assistant, apprentice, etc) and is able to perform the trade without supervision; or a person who has completed an apprenticeship program (CCR Section 825) A "foreman/supervisor" is a person who has the knowledge and skills of a journeyman and directly supervises constmction projects " A "contractor" is an individual who is currently a licensed California contractor, a former licensed California contractor, personnel of record on a California license, or an out-of-state licensed contractor A contractor has the skills necessary to manage the dally activities of a construction business, including field supervision. 0 An "owner/builder" (a person who performs work solelv on his or her own properties) or a "self-employed individual" must have the knowledge and skills of a journeyman as listed above and the skills necessary to manage the daily activities of a construction business, including fielij observation Owner/builders must complete and submit the enclosed Construction Project Experience Form • The Description of Classifications document may be used as a reference only and is available on CSLB's website at http //www cslb ca gov/forms/GCIass pdf You should not copy directty from the document when listing the specific trade duties you have performed or supervised in the classification for which you are applying. PART 2 - CERTIFICATION STATEMENT • The Certification Statement at the bottorh of the form must be completed by a qualified, responsible person who is able to certify the work experience of the qualifier. The certifier can be an employer, fellow employee, journeyman, union representative, contractor, business associate, or a client if the applicant Is/was self-employed This fomn will help CSLB determine whether the qualifier has the experience necessary to become a capable, qualified contractor • The certifier must have direct knowledge of the qualifier's experience during the time period listed. "Direct knowledge" means personal knowledge of the expenence that does not depend on outside information or hearsay The certifier must be able to certify that the qualifier demonstrated a level of knowledge and skills expected of a journeyman or better In the classification for which he or she is applying • Any licensee whose signature appears on a falsified Certification of Work Experience form, or who otherwise certifies false or misleading experience claims submitted by an applicant to obtain a contractor's license, will be subject to disciplinary action (B&P Code Section 7114 1) 13A-11 (rov osrari Certification of Work Experience - Page 1 of 2 Serving Caifomia CONTRACTORS STATE LICENSE BOARD __^^ STATE OF CALIFORNIA 9821 Business Park Drive, Sacramento, California 95827 Arnold Schwarzenegger, Governor Mailing Address P O Box 26000, Sacramento, CA 95826 800-321-CSLB (2752) www cslb ca gov October 15,2007 Florentine Ava Abbott P.O. Box 5125 Fair Oaks, CA 95628 Application Fee Number: 2007 01 07775 Attached is a photocopy ofyour Application for Original Contractor's license. It is unacceptable for the reasons checked below. Make all ofthe corrections requested in this letter directly on the enclosed application conv. DO NOT COMPLETE A NEW APPLICATION. Initial all of the corrections. Provide any other documents requested. Return or fax it to the Contractor's State License Board by January 15,2008 or the application will be void and cannot be processed. Please note that the application fee is non-refundable. t ^ PAGEI Please list the percentage of new business owned by the qualifier in Section 3, #6 as 100 percent. Tou must initial any additions or corrections you make on the application in ink. Sincerely, Karen Franco Program Technician III Application Exam Unit (916)255-4630 Fax:(916)255-4150 'OR CSLB USE ONLY CONTRACTORS STATE LICENSE BOARD 9821 Business Park Dnve, SaoBmenIo, CA 95827 STATE OF CALIFORNIA Mailing Address, P,0, Box 26000, Sacramenlo, CA 95626 Amold Schwarzenegger, Govemor SOOOZl-CSLB (2757) wvm cslb co gov Application for Original Contractor's License 07 0 1 0 7 7 7 5 Application Fees The application fee for a single classincation ($250) Is not Single classification $250. refundable once Ihe application has been filed Attach a money order or a personal, business, certified, Inillal license fee (lo be paid after exam). $150 Total fees required for onglnal license . $100 or cashier's check made payable to the Registrar of 07 0 h l 0 S 3 h Contractors, Do nol send cash O Voluntary contribution to Constaiclion There Is a $10 service charge for each dishonored check Management Education Account . $ Please type or print neatly and legibly In black or dark blue ink. SECTION