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Home My WebLink AboutNFIRS 1243 Iris_RedactedNFIRS-1 Basic 40060 CA 01 29 2021 Fire Station 3 (FS3) 21-00505 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 1243 IRIS Number Prefix Street or Highway Street Type Suffix San Luis Obispo CA 93401 Apt./Suite/Room City State Zip Code Cross Street Incident Type 131-Passenger vehicle 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 California Their FDID Their State Their Incident Number Dates and Times Alarm 01 29 2021 14:05 Arrival 01 29 2021 14:11 Controlled 01 29 2021 14:12 Last Unit Cleared 01 29 2021 15:37 Shifts and Alarms A 1 FZ3 Shift or Platoon Alarms District Special Studies 9244 4 - Unknown ID#Value A B C D E1 E2 E3 Page 1 of 9 Actions Taken 12-Salvage & overhaul Primary Action Taken Resources Apparatus or Personnel Module is used. Apparatus Personnel Suppression 5 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:$ Contents:$ 3,000.00 Pre-Incident Values: Optional None Property:$ 700,000.00 Contents:$ 3,000.00 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. Owner Property Owner 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 F G1 G2 H1 H2 H3 I J K2 Page 2 of 9 Remarks: 1243 Iris for a Structure fire, a vehicle involved in the garage of a two story, single family residential structure. Upon arrival, E-3 was assigned Division A by Battalion 1- our assignment was to back up Truck 2 who was assigned as Fire attack. Upon entry, it was determined that the home sprinkler system in the garage had extinguished the vehicle fire (Mazda Miata) prior to our arrival, with no fire extension into the rest of the structure, however there was smoke extension into the residence which was removed by T-1 crew utilizing PPV ventilation. E-3 and T-2 personnel began salvage and overhaul of the garage and residence, and assisted the residents with recovery needs. The residents requested red cross respond for support assistance. The residents stated that the cause was a portable heater was used inside the vehicle to dry off wet upholstery from recent rains, and ignited the interior of the vehicle due to close proximity to the combustibles. Upon completion, IC turned over the scene to residents and all units were cleared from incident. Authorization 54190 King, Michael Fire Captain 01/30/2021 Officer In Charge ID Signature Position or Rank Assignment Date 54190 King, Michael Fire Captain 01/30/2021 Member Making Report ID Signature Position or Rank Assignment Date L M Page 3 of 9 NFIRS-2 Fire 40060 CA 01 29 2021 Fire Station 3 (FS3) 21-00505 0 FDID State Month Day Year Station Number Exposure Property Details B1 1 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 47-Vehicle storage area; garage, carport Area of Fire Origin D2 12-Radiated or conducted heat from operating equipment Heat Source D3 21-Upholstered sofa, chair, vehicle seats Item First Ignited D4 71-Fabric, fiber, cotton, blends, rayon, wool 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 12-Heat source too close to combustibles. 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 16 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 9 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 9 NFIRS-9 Apparatus or Resources 40060 CA 01 29 2021 Fire Station 3 (FS3) 21-00505 0 FDID State Month Day Year Station Number Exposure B Apparatus/Resource Dates/Times Sent Number of People Apparatus Use Actions Taken ID:BC1 Type:92-Chief officer car Dispatch:01/29/2021 14:05 Arrival:01/29/2021 14:12 Clear:01/29/2021 15:37 Sent 1 Suppression EMS Other 81-Incident command ID:E3 Type:11-Engine Dispatch:01/29/2021 14:05 Arrival:01/29/2021 14:11 Clear:01/29/2021 15:37 Sent 3 Suppression EMS Other 12-Salvage & overhaul ID:E4 Type:11-Engine Dispatch:01/29/2021 14:05 Arrival:01/29/2021 14:16 Clear: Sent 3 Suppression EMS Other 92-Standby ID:T1 Type:12-Truck or aerial Dispatch:01/29/2021 14:05 Arrival:01/29/2021 14:12 Clear:01/29/2021 15:18 Sent 4 Suppression EMS Other 12-Salvage & overhaul ID:T2 Type:12-Truck or aerial Dispatch:01/29/2021 14:05 Arrival:01/29/2021 14:12 Clear:01/29/2021 15:31 Sent 3 Suppression EMS Other 10-Fire control or extinguishment, other A Page 6 of 9 NFIRS-10 Personnel 40060 CA 01 29 2021 Fire Station 3 (FS3) 21-00505 0 FDID State Month Day Year Station Number Exposure A Page 7 of 9 B Apparatus/Resource Dates/Times Sent Number of People Apparatus Use Actions Taken ID:BC1 Type:92-Chief officer car Dispatch:01/29/2021 14:05 Arrival:01/29/2021 14:12 Clear:01/29/2021 15:37 Sent 1 Suppression EMS Other 81-Incident command Personnel ID Name Rank Role Attend Actions Taken 41550 Hais, Ray Battalion Chief ID:E3 Type:11-Engine Dispatch:01/29/2021 14:05 Arrival:01/29/2021 14:11 Clear:01/29/2021 15:37 Sent 3 Suppression EMS Other 12-Salvage & overhaul Personnel ID Name Rank Role Attend Actions Taken 54190 King, Michael Captain 54183 King, John Engineer 66265 Nason, William Firefighter ID:E4 Type:11-Engine Dispatch:01/29/2021 14:05 Arrival:01/29/2021 14:16 Clear: Sent 3 Suppression EMS Other 92-Standby Personnel ID Name Rank Role Attend Actions Taken 70995 Pratt, Jason Engineer 92710 Witt, James Captain 57382 Larsen, Patrick Firefighter ID:T1 Type:12-Truck or aerial Dispatch:01/29/2021 14:05 Arrival:01/29/2021 14:12 Clear:01/29/2021 15:18 Sent 4 Suppression EMS Other 12-Salvage & overhaul Personnel ID Name Rank Role Attend Actions Taken 36520 Gatton, Christopher Engineer 73250 Renner, David Engineer 70100 Polkow, Matthew Firefighter 14845 Barrett, Richard Captain ID:T2 Type:12-Truck or aerial Dispatch:01/29/2021 14:05 Arrival:01/29/2021 14:12 Clear:01/29/2021 15:31 Sent 3 Suppression EMS Other 10-Fire control or extinguishment, other Personnel ID Name Rank Role Attend Actions Taken 40667 Gutierrez, Armando Captain 52001 Joy, Cullen Firefighter 60045 Lokkart, Eric Engineer Page 8 of 9 NFIRS-1S Supplemental 40060 CA 01 29 2021 Fire Station 3 (FS3) 21-00505 0 FDID State Month Day Year Station Number Exposure Primary Narrative: 1243 Iris for a Structure fire, a vehicle involved in the garage of a two story, single family residential structure. Upon arrival, E-3 was assigned Division A by Battalion 1- our assignment was to back up Truck 2 who was assigned as Fire attack. Upon entry, it was determined that the home sprinkler system in the garage had extinguished the vehicle fire (Mazda Miata) prior to our arrival, with no fire extension into the rest of the structure, however there was smoke extension into the residence which was removed by T-1 crew utilizing PPV ventilation. E-3 and T-2 personnel began salvage and overhaul of the garage and residence, and assisted the residents with recovery needs. The residents requested red cross respond for support assistance. The residents stated that the cause was a portable heater was used inside the vehicle to dry off wet upholstery from recent rains, and ignited the interior of the vehicle due to close proximity to the combustibles. Upon completion, IC turned over the scene to residents and all units were cleared from incident. Additional Narrative (#1 of 2 ): T2 arrived and was assigned Fire Attack. T2 found light smoke on inside of structure in hallway and living room. Door to garage was left open. Heavy smoke in garage in water flowing from sprinklers. No active fire found. T2 requested horizontal ventilation. After ventilation, garage door locked found and roll up door opened. T2 also assisted with turning off sprinkler system. Primary and Secondary exam clear on 1st and 2nd floor. T2 assisted with recharging water after sprinkler heads replaced by T1. Additional Narrative (#2 of 2 ): Battalion 1 arrived on scene and found a two story single family home with light smoke coming out the front door. I assumed command as Iris IC and assigned resources as stated in their narratives. Fire was out upon our arrival with light smoke in the garage and the living space. Sprinklers were shut off to limit any further damage from water and crews used PPV to ventilate the structure. Structurally there was no damage to the house or the garage. The drywall suffered smoke stains which were heavy in the garage and light in the entry from the garage to the house. Crews salvaged contents in garage and removed the vehicle that had caught fire. Investigation of cause found that owner of vehicle had placed a portable floor heater into the vehicle to help dry out the interior from the rain we had the last few days. The floor heater caught the interior of the car on fire and the fire was extinguished by the sprinkler system in the garage. Crews also replaced the sprinkler head in the garage and was able to turn the water back on for the resident. No building notification as there was no damage to the building and the building could be inhabit by the occupants. Owner ( was notified and he was en route to access the damage and notify his insurance company. Hais A Page 9 of 9