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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: ~J\' \c-s!h