HomeMy WebLinkAboutMiscellaneous Fire 2004-12-1
'Slate of Oregon Office of Slale Fi~llnCident Report I ,
DISTRICT OF INCIDENT: COUNTY:
0347: SPRINGFIELD FIRE LIFE SFTY 20: LANE
ALAR" DATE: 12/1/2004 I ALARII TIllE: 16:<42:00 I ARRNAL DATE: 12/1/2004
ALARM NO:
~:PONDING'
0347: SPRINGFIELD FIRE LIFE SFTY
EXPOSURE NO: 0000
ARRIVAl TIME: 16:46:00 I BACK IN DATE: 12/112004
]BACK IN TIllE: 17;15:00
TYPE OF SITUATIONS FOUND:
111: Building fire
INClDENTADDRESS, 1452 PIEDMONT ST
ClTYIZIP, SPRINGFIELD, OR 97477
OCCUPANT/COMPANY, BREE2E EASTON
BUSINESS OWNER:
ADDRESS:
CENSUS TRACT: 33 ZONE: 4
DOB, 11/11/1987 TELEPHONE, (541)741-1395
DOB:
TELEPHONE:
BUILOINGIIIOBlLE PROPERTY OWNER, BREE2E EASTON
ADDRESS, SAME 97477-
I DOB,
I TELEPHONE, (541) 741-1395
REPORTED BY:
ADDRESS:
I DOB,
TELEPHONE;
CAREER F1F:
20 VOLUNTEERFIF:
o I ENGINES:
4 I AERIAL APPARATUS:
1 I DntER VEHIClES:
3
MUTUAL AID: 0: None
AC110NS TAKEN:
13: EXTINGUISH, SALVAGE & OVERHAUL
71: INVESTIGATE
98: NO ACTION TAKEN
METHOD OF EXTINGUISHMENT: 3: PORTABLE EXTINGUISHER AGENT OF EXT1NGUISHIIENT:
~~C;::."TY USE, 416: ONE-FAMILY DWELLING, CHILD FOSTER CARE (UP TO 5 ;~~~~TYUSE' 45: RESIDENTIAL BOARD & CARE USE
MOBlLEPROPERTYINVOLVED'98: NO MOBILE PROPERTY INVOLVED
ROOM/AREA OF ORIGIN: EQUIPMENT INVOLVED:
21: SLEEPING ROOMS; LESS THAN 5 PEOPLE 9800: NO EQUIPMENT INVOLVED
I JUVEN~~: COU~T: I
IONmON FACTO"' 78: EQUIPMENT NOT BEING OPERATED PROPERLY
FORM OF HEAT: I MATERIAL FIRST IGNITED WAS MADE OF: I
30: HEAT FROM ELECTRICAL EQUIP, ARC OR 0 71: MAN-MADE FABRIC, FIBER, FINI
ITBI1 FIRST tGNITED:
14: FLOOR COVERING, SURFACE
BUIlDING:
ESTIMATED VAlUE $150,000.00
CONTENTS
S10,OOO.00
SO.OO
MOBILE PROPERTY AND CONTENTS:
OTHER:
SO.OO
SO.OO
ESTIMATED LOSS $400.00
SO.OO
SO.OO
I
DETECTOR TYPE:
COMPLETE FOR ALL STRUCTURE FIRES
I DETECTOR POWER SUPPLY: I DETECTOR PERFORMANCE:
1: BATTERY ONLY 2: NOT IN ROOM OF ORIGIN, ALERTED 0
SPRINKLER SYSTEM TYPE: I . OF HEADS OPENED: I SPRINKLER PERFORMANCE:
8: NO SPRINKLERS PRESENT 0 8: NO SPRINKLER PROTECTION
COMPLlETE FOR ALL INCIDENTS
1: SMOKE ALARM
REASON FOR DETECTOR FAILURE:
0: REASON FOR FAILURE UNKNOW
REASON FOR SPRINKLER FAILURE:
8: NO EXTING. SYSTEM FAILURE
FOLLOW-UP INVESTIGATION REQUESTED:
N
IF YES, WHO WILL INVESTIGATE: N:
NUMBER OF INJURIES
RRE SERVICE:
o OTHER:
o
NUMBER OF FATAlmES
TITLE: Captain
TITLE:
ARE SERVICE:
o OTHER: 0
DAre 12/112004
MEMBER MAKING REPORT: Murphy, Kevin
ADDfTlONAL INFORMATION BY:
DATE:
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