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HomeMy WebLinkAboutSpecial Inspection Fire Damage Report 2004-10-30 DISTRICT OF INCIDENT: 0347: SPRINGFIELD FIRE LIFE SFTY ALARM DATE: 10/3012004 I ALARM TIME: 0:27:00 TYPE OF SITUATIONS FOUND: 111: Building fire INCIDENTADDRESS: 435 CASCADE DR ClTYIZJP: SPRINGFIELD, OR 97478 OCCUPANT/COMPANY: RAYMOND MORGAN COUNTY: DEPT. RESPONDING: 20: LANE 0347: SPRINGFIELD FIRE LIFE SFTY I ARRNAL DATE: 10/30/2004 I ARRNAL TIME: 0:31:00 I BACK IN DATE: 10/30/2004 IBACK IN TIME: 5:11:00 CENSUS TRACT: 18.01 ZONE: 1 DOB: 11/7/1969 TELEPHONE: (541 )913-6314 BUSINESS OWNER: ADDRESS: DOB: TELEPHONE: I DOB: 11/7/1969 I TELEPHONE: (541) 913-6314 BUILDING/MOBILE PROPERTY OWNER: RAYMOND MORGAN ADDRESS: SAA 97478- REPORTED BY: ADDRESS: I DOB: TELEPHONE: CAREER FIF: 15 VOLUNTEERF/F: o I ENGINES: 3 I AERIAL APPARATUS: I OTHER VEHICLES: 2 MUTUAL AlD: 0: None ACTIONS TAKEN: METHOD OF EXTINGUISHMENT: 6: WATER FROM HYDRANT,DRAFT,STANDPIPE SPECIFIC. G OUN PROPERTY USE: 411. ONE-FAMILY DWELLlN , YEAR R D USE MOBILE PROPERTY INVOLVED: 98: NO MOBILE PROPERTY INVOLVED 12: VENTILATE, EXTINGUISH, SALVAGE & OVERHAUL 82: SECURE PROPERTY I AGENT OF EXTINGUISHMENT: I 98: NO ACTION TAKEN ~~~~~~ USE: 40: RESIDENTIAL; NOT IDENTIFIED ROOM/AREA OF ORIGIN: 21: SLEEPING ROOMS; LESS THAN 5 PEOPLE EQUIPMENT INVOLVED: 9800: NO EQUIPMENT INVOLVED JUVENILE: COUNT: No 0 IGNITION FACTOR: FORM OF HEAT: MATERIAL FIRST IGNITED WAS MADE OF: ITEM FIRST IGNITED: BUILDING: ESTIMATED VALUE $190,000.00 CONTENTS $40,000.00 $39,000.00 MOBILE PROPERTY AND CONTENTS: $0.00 $0.00 OTHER: $0.00 $0.00 ESTIMATED LOSS $111,000.00 DETECTOR TYPE: 1: SMOKE ALARM I DETECTOR POWER SUPPLY: I 0: ALARM POWER SUPPLY 0: DETECTOR PERFORMANCE: UNKNOWN/UNREPORTED REASON FOR DETECTOR 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 FIRE SERVICE: o OTHER: 0 DATE: 10/30/2004 MEMBER MAKING REPORT: Deedon, Gregory ADDITIONAL INFORMATION BY: TITLE: Captain TITLE: DATE: {~ ~. \At\