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Home My WebLink AboutNFIRS 12300 LOVR 12-27-2020_RedactedNFIRS-1 Basic 40060 CA 12 27 2020 Fire Station 4 (FS4) 20-05846 0 FDID State Month Day Year Station Number Exposure Location Type Census tract: Street Address Intersection In Front Of Rear Of Adjacent To Directions US National Grid 12300 LOS OSOS VLY-Valley Number Prefix Street or Highway Street Type Suffix San Luis Obispo CA 93401 Apt./Suite/Room City State Zip Code Cross Street Incident Type 111-Structure Fire Aid Given Or Received 1 Mutual Aid Received 2 Auto. Aid Received 3 Mutual Aid Given 4 Auto. Aid Given 5 Other Aid Given None CALFIRE (40080) California Their FDID Their State Their Incident Number Dates and Times Alarm 12 27 2020 20:14 Arrival 12 27 2020 20:18 Controlled 12 27 2020 20:20 Last Unit Cleared 12 27 2020 23:05 Shifts and Alarms C 1 FZ4 Shift or Platoon Alarms District Special Studies 9244 3 - No, COVID 19 was not a factor ID#Value A B C D E1 E2 E3 Page 1 of 11 Actions Taken 12-Salvage & overhaul Primary Action Taken Resources Apparatus or Personnel Module is used. Apparatus Personnel Suppression 6 14 EMS 0 0 Other 0 0 Resource counts include aid received resources. Estimated Dollar Losses and Values Losses:Required for all fires if known. Optional for all non-fires. None Property:$ 4,894.00 Contents:$ 36,703.00 Pre-Incident Values: Optional None Property:$ 489,370.00 Contents:$ 367,027.00 Completed Modules 2 - Fire 3 - Structure Fire 4 - Civilian Fire Cas. 5 - Fire Service Cas. 6 - EMS 7 - HazMat 8 - Wildland Fire 9 - Apparatus 10 - Personnel 11 - Arson Casualties None Deaths Injuries Fire Service 0 0 Civilian 0 0 Detector Required for Confined Fires 1 - Detector Alerted Occupants 2 - Detector Did Not Alert Them 3 - Unknown Hazardous Materials Release 1 - Natural Gas 2 - Propane Gas 3 - Gasoline 4 - Kerosene 5 - Diesel Fuel / Fuel Oil 6 - Household Solvents 7 - Motor Oil 8 - Paint 0 - Other None Mixed Use Property Not Mixed 10 - Assembly Use 20 - Education Use 33 - Medical Use 40 - Residential Use 51 - Row Of Stores 53 - Enclosed Mall 58 - Business and Residential 59 - Office Use 60 - Industrial Use 63 - Military Use 65 - Farm Use 00 - Other Mixed Use Property Use None Structures 131 Church, Place of Worship 161 Restaurant or Cafeteria 162 Bar/Tavern or Nightclub 213 Elementary School, Kindegarten 215 High School, Junior High 241 College, Adult Education 311 Nursing Home 331 Hospital 341 Clinic, Clinic-Type Infirmary 342 Doctor/Dentist Office 361 Prison or Jail, Not Juvenile 419 1- or 2-Family Dwelling 429 MultiFamily Dwelling 439 Rooming/Boarding House 449 Commerical Hotel or Motel 459 Residential, Board and Care 464 Dormitory/Barracks 519 Food and Beverage Sales 539 Household Goods, Sales, Repairs 571 Gas or Service Station 579 Motor Vehicle/Boat Sales/Repairs 599 Business Office 615 Electric-Generating Plant 629 Laboratory/Science Laboratory 700 Manufacturing Plant 819 Livestock/Poultry Storage (Barn) 882 Non-Residential Parking Garage 891 Warehouse Outside 124 Playground or Park 655 Crops or Orchard 669 Forest (Timberland) 807 Outdoor Storage Area 919 Dump or Sanitary Landfill 931 Open Land or Field 936 Vacant Lot 938 Graded/Cared for Plot of Land 946 Lake, River, Stream 951 Railroad Right-of-Way 960 Other Street 961 Highway/Divided Highway 962 Residential Street/Driveway 981 Construction Site 984 Industrial Plant Yard Property Use: Description Look up and enter a Property Use code and description only if you have NOT checked a Property Use box. F G1 G2 H1 H2 H3 I J Page 2 of 11 Owner Business Owner The Muddy Cup Coffee Shop and Eatery Local Option Person/Entity Type Business Name (if applicable)Phone Number Mr., Ms., Mrs.First Name MI Last Name Suffix Number Prefix Street or Highway Street Type Suffix Post Office Box Apt./Suite/Room City State Zip Code Remarks: BC2 C3 to report of commercial structure fire with first alarm assignment, arrived at scn to find a single story, commercial structure at the end of a strip mall, light smoke showing from structure with no active flames visible, E4 prepared to make entry and T1 assigned ventilation, BC2 assumed Valley IC, E21 assigned 2 out, E4 assigned fire attack and reported cold smoke in structure with fire controlled by the sprinklers, fire knocked down, E3 assigned to control the riser/water supply to the sprinkler system, T2 was assigned to soften the structure and assist T1 with ventilation and salvage/overhaul, SLO City Investigator requested, but none available, SLOFIST requested with no response, Cal Fire Investigator then requested to the scene, water shut down, SLO County Environmental Health notified, alarm company / repair tech requested, business owner on scene and aware of incident, property management also at scene, surplus units released and scene/command turned over to E4, BC avail. Authorization 35110 Fox II, Samuel Battalion Chief 12/28/2020 Officer In Charge ID Signature Position or Rank Assignment Date 46955 Hoover, Nicholas Fire Captain Fire Station 1 12/28/2020 Member Making Report ID Signature Position or Rank Assignment Date K2 L M Page 3 of 11 NFIRS-2 Fire 40060 CA 12 27 2020 Fire Station 4 (FS4) 20-05846 0 FDID State Month Day Year Station Number Exposure Property Details B1 Not Residential Estimated number of residential living units in the building of origin whether or not all units became involved B2 Buildings Not Involved Number of buildings involved B3 None Less than 1 acre Acres burned (outside fires) On-Site Materials Or Products On-Site Materials Storage Use Ignition D1 23-Dining room, cafeteria, bar area, beverage service Area of Fire Origin D2 13-Electrical arcing Heat Source D3 41-Christmas tree Item First Ignited D4 41-Plastic Type of Material First Ignited Cause of Ignition 1 - Intentional 2 - Unintentional 3 - Failure of Equipment or Heat Source 4 - Act of Nature 5 - Cause Under Investigation U - Cause Undetermined After Investigation Factors Contributing to Ignition 34-Unspecified short-circuit arc Factor Contributing to Ignition Human Factors Contributing to Ignition Check all applicable boxes None 1 - Asleep 2 - Possibly impaired by alcohol or drugs 3 - Unattended person 4 - Possibly Mentally Disabled 5 - Physically Disabled 6 - Multiple Persons Involved 7 - Age Was A Factor Estimated Age of Person Involved Male Female Equipment Involved In Ignition None Equipment Involved Brand Model Serial # Year Equipment Power Source Equipment Power Source Equipment Portability 1 - Portable 2 - Stationary Portable equipment normally can be moved by one or two persons. Fire Suppression Factors A B C D E1 E2 E3 F1 F2 F3 G Page 4 of 11 Mobile Property Involved 1 - Not involved in ignition, but burned 2 - Involved in ignition, but did not burn 3 - Involved in ignition and burned None Mobile Property Type and Make Mobile Property Type Mobile Property Make Local Use Pre-Fire Plan Available Arson Report Attached Police Report Attached Coroner Report Attached Other Reports Attached Mobile Property Model Year State License Plate Number VIN _________________________ _________________________ _________________________ _________________________ _________________________ _________________________ H1 H2 Page 5 of 11 NFIRS-3 Structure Fire Structure Type 1 - Enclosed Building 2 - Portable/Mobile Structure 3 - Open Structure 4 - Air-Supported Structure 5 - Tent 6 - Open Platform 7 - Underground Structure 8 - Connective Structure 0 - Other Building Status 1 - Under Construction 2 - In Normal Use 3 - Idle, Not Routinely Used 4 - Under Major Renovation 5 - Vacant and Secured 6 - Vacant and Unsecured 7 - Being Demolished 0 - Other U - Undetermined Building Height 1 Number of Stories At/Above Grade 0 Number of Stories Below Grade Main Floor Size 3600 Total Square Feet OR BY Length (ft) X Width (ft) Fire Origin 1 Below Grade Story of Fire Origin Fire Spread Confined to Object of Origin 2 - Confined to Room of Origin 3 - Confined to Floor of Origin 4 - Confined to Building of Origin 5 - Beyond Building of Origin Number of Stories Damaged By Flame Number of Stories w/Minor Damage (1-24%) Number of Stories w/Significant Damage (25-49%) Number of Stories w/Heavy Damage (50-74%) Number of Stories w/Extreme Damage (75-100%) *Count the roof as part of the highest story Type of Material Contributing Most to Flame Spread K1 Item Contributing Most to Flame Spread K2 Type of Material Contributing Most To Flame Spread Presence of Detectors N - None Present 1 - Present U - Undetermined Detector Type 1 - Smoke 2 - Heat 3 - Combination of Smoke and Heat 4 - Sprinkler, Water Flow Detection 5 - More Than One Type Present 0 - Other U - Undetermined Detector Power Supply 1 - Battery Only 2 - Hardwire Only 3 - Plug-In 4 - Hardwire With Battery 5 - Plug-In With Battery 6 - Mechanical 7 - Multiple Detectors & Power Supplies 0 - Other U - Undetermined Detector Operation 1 - Fire Too Small To Activate 2 - Operated 3 - Failed To Operate U - Undetermined Detector Effectiveness 1 - Alerted Occupants, Occupants Responded 2 - Alerted Occupants, Occupants Failed to Respond 3 - There Were No Occupants 4 - Failed to Alert Occupants U - Undetermined Detector Failure Reason 1 - Power Failure, Shutoff, or Disconnect 2 - Improper Installation or Placement 3 - Defective 4 - Lack of Maintenance, Dirty 5 - Battery Missing or Disconnected 6 - Battery Discharged or Dead 0 - Other U - Undetermined I1 I2 I3 I4 J1 J2 J3 K L1 L2 L3 L4 L5 L6 Page 6 of 11 Presence of Automatic Extinguishing System N - None Present 1 - Present 2 - Partial System Present U - Undetermined Type of Automatic Extinguishing System 1 - Wet-Pipe Sprinkler 2 - Dry-Pipe Sprinkler 3 - Other Sprinkler System 4 - Dry Chemical System 5 - Foam System 6 - Halogen-Type System 7 - Carbon Dioxide System 0 - Other U - Undetermined Required if fire was within designed range of AES Operation of Automatic Extinguishing System 1 - Operated/Effective 2 - Operated/Not Effective 3 - Fire Too Small To Activate 4 - Failed To Operate 0 - Other U - Undetermined Required if fire was within designed range Number of Sprinkler Heads Operating 3 Required if system operated Reason for Automatic Extinguishing System Failure 1 - System Shut Off 2 - Not Enough Agent Discharged 3 - Agent Discharged But Did Not Reach Fire 4 - Wrong Type of System 5 - Fire Not In Area Protected 6 - System Components Damaged 7 - Lack of Maintenance 8 - Manual Intervention 0 - Other U - Undetermined Required if system failed or not effective M1 M2 M3 M4 M5 Page 7 of 11 NFIRS-9 Apparatus or Resources 40060 CA 12 27 2020 Fire Station 4 (FS4) 20-05846 0 FDID State Month Day Year Station Number Exposure B Apparatus/Resource Dates/Times Sent Number of People Apparatus Use Actions Taken ID:BC2 Type:92-Chief officer car Dispatch:12/27/2020 20:14 Arrival:12/27/2020 20:21 Clear: Sent 1 Suppression EMS Other 81-Incident command ID:CHIEF2 Type:92-Chief officer car Dispatch: Arrival:12/27/2020 20:51 Clear: Sent 1 Suppression EMS Other 92-Standby ID:E3 Type:11-Engine Dispatch:12/27/2020 20:17 Arrival:12/27/2020 20:25 Clear: Sent 3 Suppression EMS Other 64-Shut down system ID:E4 Type:11-Engine Dispatch:12/27/2020 20:14 Arrival:12/27/2020 20:18 Clear:12/27/2020 23:05 Sent 3 Suppression EMS Other 12-Salvage & overhaul ID:T1 Type:12-Truck or aerial Dispatch:12/27/2020 20:14 Arrival:12/27/2020 20:50 Clear:12/27/2020 21:07 Sent 3 Suppression EMS Other 51-Ventilate ID:T2 Type:12-Truck or aerial Dispatch:12/27/2020 20:14 Arrival:12/27/2020 20:22 Clear: Sent 3 Suppression EMS Other 66-Remove water A Page 8 of 11 NFIRS-10 Personnel 40060 CA 12 27 2020 Fire Station 4 (FS4) 20-05846 0 FDID State Month Day Year Station Number Exposure B Apparatus/Resource Dates/Times Sent Number of People Apparatus Use Actions Taken ID:BC2 Type:92-Chief officer car Dispatch:12/27/2020 20:14 Arrival:12/27/2020 20:21 Clear: Sent 1 Suppression EMS Other 81-Incident command Personnel ID Name Rank Role Attend Actions Taken Fox II, Samuel Battalion Chief 5588009-Battalion Chief ID:CHIEF2 Type:92-Chief officer car Dispatch: Arrival:12/27/2020 20:51 Clear: Sent 1 Suppression EMS Other 92-Standby Personnel ID Name Rank Role Attend Actions Taken Alforque, Michael Deputy Chief ID:E3 Type:11-Engine Dispatch:12/27/2020 20:17 Arrival:12/27/2020 20:25 Clear: Sent 3 Suppression EMS Other 64-Shut down system Personnel ID Name Rank Role Attend Actions Taken 40667 Gutierrez, Armando Captain 44306 Harris, Michael Engineer 73250 Renner, David Firefighter ID:E4 Type:11-Engine Dispatch:12/27/2020 20:14 Arrival:12/27/2020 20:18 Clear:12/27/2020 23:05 Sent 3 Suppression EMS Other 12-Salvage & overhaul Personnel ID Name Rank Role Attend Actions Taken 46955 Hoover, Nicholas Captain 25944 Child, Robert Engineer 14857 Barthel, Dustin Firefighter ID:T1 Type:12-Truck or aerial Dispatch:12/27/2020 20:14 Arrival:12/27/2020 20:50 Clear:12/27/2020 21:07 Sent 3 Suppression EMS Other 51-Ventilate Personnel ID Name Rank Role Attend Actions Taken 61580 Mason, Ryan Captain 14845 Barrett, Richard Engineer 46535 Hicks, Gene Engineer A Page 9 of 11 ID:T2 Type:12-Truck or aerial Dispatch:12/27/2020 20:14 Arrival:12/27/2020 20:22 Clear: Sent 3 Suppression EMS Other 66-Remove water Personnel ID Name Rank Role Attend Actions Taken 80947 Skove, Shayne Captain 70995 Pratt, Jason Engineer 52001 Joy, Cullen Firefighter Page 10 of 11 NFIRS-1S Supplemental 40060 CA 12 27 2020 Fire Station 4 (FS4) 20-05846 0 FDID State Month Day Year Station Number Exposure Primary Narrative: BC2 C3 to report of commercial structure fire with first alarm assignment, arrived at scn to find a single story, commercial structure at the end of a strip mall, light smoke showing from structure with no active flames visible, E4 prepared to make entry and T1 assigned ventilation, BC2 assumed Valley IC, E21 assigned 2 out, E4 assigned fire attack and reported cold smoke in structure with fire controlled by the sprinklers, fire knocked down, E3 assigned to control the riser/water supply to the sprinkler system, T2 was assigned to soften the structure and assist T1 with ventilation and salvage/overhaul, SLO City Investigator requested, but none available, SLOFIST requested with no response, Cal Fire Investigator then requested to the scene, water shut down, SLO County Environmental Health notified, alarm company / repair tech requested, business owner on scene and aware of incident, property management also at scene, surplus units released and scene/command turned over to E4, BC avail. Additional Narrative (#1 of 2 ): E3 arrived and assigned to shut down sprinklers in unit where water was actively flowing. E3 checked inside structure for indications of a riser room without success. No labeling was noted on exterior doors of building. E3 shutdown a nearby PIV valve with no change in flow inside the structure. E3 then began forcing exterior doors open with hand tools and circular saw. 4 doors were forced on back bravo side of building. 1 additional doors was forced, which was the only one that had labeling of riser room, which was located on the C/D corner of the complex. E3 also shut down a second PIV valve in Alpha parking lot. E3 relayed info to IC, and also relayed that the keys we had to the complex would not open any of the doors that were forced. E3 released without incident. Additional Narrative (#2 of 2 ): First alarm dispatched to the report of a structure fire, upon arrival E4 noted light smoke in the building with sprinkler heads flowing, E4 took command as Valley IC and continued the response. E4 made entry on side B, noting moderate smoke down to the floor, no active fire noted upon scanning the area with a thermal imaging camera. Once two out was established, E4 assigned T1 ventilation, and made entry into the building as smoke was clearing. Several small appliances (sandwich press, toaster, coffee machines) were noted to be on and at full heat, even though the business had been closed all day. Above the small appliances, a stack of disposable food containers and waxed paper was burned with a V pattern appearing above it. Three sprinkler heads had activated, visibility was poor due to sprinkler flow. T2 and T1 assisted FF4 with containing the sprinklers, while E3 worked to shut down the sprinkler valves at the riser. Once water was shut down, additional investigation revealed a burned Christmas tree, approximately 1/2 way up. Three sprinkler heads had activated in total. An arson investigator was requested, and salvage began to remove water from the building's floor. Upon arrival of the investigator, it was determined that the fire likely started in the Christmas tree, due to faulty wiring. The Christmas tree lights had been on for over 30 days, possibly resulting in the wire degrading and heat increasing. The fire sprinkler system was restored by a technician, the property management representative was advised of all doors that had been forced while locating the sprinkler shutoff valve. Environmental health inspector Bliss worked with the business owner, and E4 eventually became available without further incident. A Page 11 of 11