HomeMy WebLinkAboutPermit Correction Notice 2009-5-22
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Date: ,.r f 22 / 0'1
Job# {q -coS:"]'/
Address:_~6'tf '. ?rt~utf 'M1J~
Inspection Type:_ R~L 1Jyt".L'_..,j/J I
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City of Springfield/Development Services
Building Safety
225 Fifth Street
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CallforreinspectionGlYes'DNo',, Inspector:,'~' ", :' ,.;,' Date:' ,'"
N"''''''',~~'''''''''~'''''';;;Call for inspection ,726-3769"i;;''''~N''''';''''''~'''QlJestions 726-3759"'''''''",,,,,,,,,,,,,,,,, ,," ,
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Suppressio~ Pers Total 4
Action(s) Taken 86 Investigate
Mixed Use Property
Mobile Property Involv .~
Mobile Property Model
Mobile Property License
Fire Origin Floor
. Equipment Brand
Equipment Year
Below Grade Stories
:bepartment Name
CADlncCallReceivedTime
Day of ,Week
Incident Type
Incident Address 303 S 5th SI
Ign,ition Cause
Ignition Fac.tor 1
Material Type First Ignit
Human Factor None
Human Factor Age
Human Factor Unatt
Juvenile Age
Property Value
Building Sta~us
Structure Type
Suppresion Factor(s)
Fire Origin
'Fire Spread
. Date Printed
05I2OJ200916:1~:19
09-0011189
000
Springfield Fire & Life Safely
05/13/200906:36:06,
Wednesday
[None selected]
05/13/2009 06:36:40
05/1312009 09:29: 17 '
Mulua' Aid Department
Incident Begin Time
Incident End l1me
Motorola IncIdent Number
Census Tract 3500
CAOlncBeat SF06
111'Building fire
,
,Springfield, OR 97477-0000
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Suppression'App Tolal 2
AidType
N None
':
Property Use 700 ~anufactu~ng, proceSSing
Mobile Property Make
Mobile Equipment Year 0
Mobile Property VIN
Equipment Involved NNN None
Equipment PoWer Source
Equipment Serial No Equipment Portable
o
Above Grade Stories
2-
2 Unintentional
11 .Abandoned or discarded materials or products
UU Undetennined
72 Chemical reaction
Heat Source
Ignition Factor 2
Item First Ignited
97 Oily rags
x
Human Factor MUltiple Per
Human Factor Mental Chall
Human Factor Asleep
Human Factor Sex ' Unknown
HumanFactor Physical Chal
. HumanFactor Alcohol Drugs
$0
Juvenile Gender .'
Property Loss
$0
2 Occupied and operating
1 Enclosed building
65 Maintenance shop or area, paint shop or area
2 Confined to room of origin
Stories l?amaged Signlfica 0
. Stories Damaged Extreme 0
Detectors Present.
Detector Operation
AES Present 1 Present
AES Sprinkl~r H.eads Work 2
Stories Damaged Minor 1 .
Stories Damag~d Heavy 0
No
Detector Type
Detector Power Supply
AES Type
1 System operated and wa~
2 Dry-pipe sprinkler
AES Operat.jo~
Follow Up Investigation Re9uested . No
Fire SeNlce Injuries~ 0
, Officer Reporting.First Name
Re~orting Officer. Rank
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. Civil.ian Injuries 0
Joseph .
Dpty Fire. Marshal 2'
Fire Service Deaths 0
. Civilian Deaths' 0
Officer Reporting.Last Name Wicks
Reported By Date 05/14/2009
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