HomeMy WebLinkAboutSpecial Inspection Fire Damage Report 2004-10-1
DISTRICT OF INCIDENT:
0347: SPRINGFIELD FIRE LIFE SFTY
ALARM DATE: 9/24/2004 I ALARM TIME: 5:40:00
TYPE OF SITUATIONS FOUND:
111: Building fire
INCIDENTADDRESS: 4125 CAMELLIA ST
CITYIZIP: SPRINGFIELD, OR 97478-
OCCUPANT/COMPANY: VACANT VACANT
COUNTY:
DEPT, RESPONDING:
20: LANE 0347: SPRINGFIELD FIRE LIFE SFTY
I ARRIVAL DATE: 9/24/2004 ARRIVAL TIME: 5:45:00 I BACK IN DATE: 9/24/2004 IBACK IN TIME: 7:12:00
BUSINESS OWNER:
ADDRESS:
CENSUS TRACT: 19,02
I DOB:
I
I DOB:
I DOB:
ZONE: 2
1/1/1800 TELEPHONE:
TELEPHONE:
BUILDING/MOBILE PROPERTY OWNER: US BANK
ADDRESS: 205 W 4TH ST CININNATIOH 45202-
I TELEPHONE: (949) 369-9283
REPORTED BY:
ADDRESS:
I DOB:
TELEPHONE:
CAREER FIF:
15 VOLUNTEERF/F:
o I ENGINES:
4 I AERIAL APPARATUS:
o I OTHER VEHICLES:
2
MUTUAL AID: 0: None
ACTIONS TAKEN:
12: VENTILATE, EXTINGUISH, SALVAGE & OVERHAUL 71: INVESTIGATE
METHOD OF EXTINGUISHMENT: 5: WATER ON FIRST ALARM UNITS
~:~~I;~~USE: 411: ONE-FAMILY DWELLING, YEAR ROUND USE
MOBILE PROPERTY INVOLVED: 98: NO MOBILE PROPERTY INVOLVED
98: NO ACTION TAKEN
AGENT OF EXTINGUISHMENT:
GENERAL ,
PROPERTY USE: 41, 1 OR 2 FAMILY RESIDENCE
ROOM/AREA OF ORIGIN:
72: EXTERIOR BALCONY, OPEN PORCH
EQUIPMENT INVOLVED:
9800: NO EQUIPMENT INVOLVED
JUVENILE: COUNT:
No 0
IGNITION FACTOR: 11: UNLAWFUL INCENDIARY
FORM OF HEAT: MATERIAL FIRST IGNITED WAS MADE OF:
69: HEAT FROM OPEN FLAME/SPARK/SMOKING 63: SAWN WOOD (ALL FINISHED L
ITEM FIRST IGNITED:
13: EXTERIOR TRIM (DOORS, PORCHES, PLAT
BUILDING:
ESTIMATED VALUE $79,900,00
ESTIMATED LOSS $20,000,00
CONTENTS
$0.00
$0,00
MOBILE PROPERTY AND CONTENTS:
$0,00
$0,00
OTHER:
$0,00
$0,00
DETECTOR TYPE:
1: SMOKE ALARM
DETECTOR POWER SUPPLY:
1: BATTERY ONLY
DETECTOR PERFORMANCE: REASON FOR DETECTOR FAILURE:
6: OPERATED, NOT FACTOR IN DISCOV 8: NO ALARM FAILURE
SPRINKLER SYSTEM TYPE:
8: NO SPRINKLERS PRESENT
# OF HEADS OPENED: SPRINKLER PERFORMANCE:
o 8: NO SPRINKLER PROTECTION
REASON FOR SPRINKLER FAILURE:
8: NO EXTING, SYSTEM FAILURE
FOLLOW-UP INVESTIGATION REQUESTED:
Y
IF YES, WHO WILL INVESTIGATE: Y: LOCAL FD PERSONNEL OR TEAM
NUMBER OF INJURIES
FIRE SERVICE:
o OTHER:
o
NUMBER OF FATALITIES
TITLE: Captain
TITLE: DFM
FIRE SERVICE:
o OTHER: 0
DATE: 9/24/2004
MEMBER MAKING REPORT: Sweeney, Scott
ADDITIONAL INFORMATION BY: Parmelee, Brian
DATE:
10/1/2004
~4.\TIo