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HomeMy WebLinkAbout23-03663_RedactedNFIRS-1 Basic 40060 CA 06 19 2023 Fire Station 4 (FS4) 23-03663 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 1411 DESCANSO 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 Their FDID Their State Their Incident Number Dates and Times Alarm 06 19 2023 03:10 Arrival 06 19 2023 03:20 Controlled 06 19 2023 03:35 Last Unit Cleared 06 19 2023 05:28 Shifts and Alarms A 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 12 Actions Taken 11-Extinguishment by fire service personnel Primary Action Taken 81-Incident command Additional Action Taken 12-Salvage & overhaul Additional Action Taken Resources Apparatus or Personnel Module is used. Apparatus Personnel Suppression 5 14 EMS 0 0 Other 1 1 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:$ 0 Contents:$ 0 Pre-Incident Values: Optional None Property:$ 46,460.00 Contents:$ 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: 881-Parking garage, (detached residential garage) Description Look up and enter a Property Use code and description only if you have NOT checked a Property Use box. 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 12 Remarks: E4 with a first alarm responded code 3 to dispatched address. E4 arrived at scene with BC1 to find a detached garage heavily involved with fire and no immediate exposure threats. BC1 assumed Cortez IC and assigned E4 to complete a 360, fire attack and water supply. 360 assessment revealed a single level detached garage heavily involved with fire and a low victim profile. E4 pulled an attack line established a water supply and began fire attack on the Alpha side. T1 arrived on scene and was assigned primary search and assist with water supply. Once search of the adjacent structure was clear T1 was assigned Div A with E4, E3 and 3471 working for A. E3 arrived at scene and was assigned to Div A for any needs. 3471 arrived at scene and was assigned to assist with fire attack. Once fire attack was knocked down 3471 was released to return back to the county. Once E4 had controlled the fire an investigator was requested and overhaul began. PGE and the Gas Company were also requested to the incident. Prevention 21 arrived at scene and assumed investigation responsibilities. Utility companies arrived at scene and secured the utilities for the involved structure. Once Investigation was complete E4 crew finalized overhaul and replaced removed material back into the structure. Property management company, McNamar Reality was informed of the incident. The residence was turned back to the residents and Cortez IC was terminated. Residents 11411 Descanso (53... Full primary narrative can be found in NFIRS 1S - Supplemental Authorization 41550 Hais, Ray Fire Battalion Chief 06/19/2023 Officer In Charge ID Signature Position or Rank Assignment Date 73250 Renner, David Fire Captain 06/19/2023 Member Making Report ID Signature Position or Rank Assignment Date L M Page 3 of 12 NFIRS-2 Fire 40060 CA 06 19 2023 Fire Station 4 (FS4) 23-03663 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 1 - Bulk Storage or warehousing 2 - Processing or manufacturing 3 - Packaged goods for sale 4 - Repair or service U - Undetermined On-site material (1) Ignition D1 47-Vehicle storage area; garage, carport Area of Fire Origin D2 Heat Source D3 Item First Ignited D4 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 Undetermined 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 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 12 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 12 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 400 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 12 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 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 12 NFIRS-9 Apparatus or Resources 40060 CA 06 19 2023 Fire Station 4 (FS4) 23-03663 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:06/19/2023 03:10 Arrival:06/19/2023 03:20 Clear:06/19/2023 05:28 Sent 1 Suppression EMS Other 81-Incident command ID:E3 Type:11-Engine Dispatch:06/19/2023 03:10 Arrival:06/19/2023 03:23 Clear: Sent 3 Suppression EMS Other 73-Provide manpower ID:E4 Type:11-Engine Dispatch:06/19/2023 03:10 Arrival:06/19/2023 03:22 Clear: Sent 3 Suppression EMS Other 11-Extinguishment by fire service personnel ID:PRV21 Type: 00-Other apparatus/resource Dispatch: Arrival:06/19/2023 04:21 Clear:06/19/2023 05:28 Sent 1 Suppression EMS Other 86-Investigate ID:T1 Type:12-Truck or aerial Dispatch:06/19/2023 03:10 Arrival:06/19/2023 03:21 Clear:06/19/2023 04:40 Sent 4 Suppression EMS Other 21-Search ID:T2 Type:12-Truck or aerial Dispatch: Arrival: Clear: Sent 3 Suppression EMS Other 93-Cancelled en route A Page 8 of 12 NFIRS-10 Personnel 40060 CA 06 19 2023 Fire Station 4 (FS4) 23-03663 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:06/19/2023 03:10 Arrival:06/19/2023 03:20 Clear:06/19/2023 05:28 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:06/19/2023 03:10 Arrival:06/19/2023 03:23 Clear: Sent 3 Suppression EMS Other 73-Provide manpower Personnel ID Name Rank Role Attend Actions Taken 54190 King, Michael Captain 54183 King, John Engineer 100080 Davis, Jaden Firefighter ID:E4 Type:11-Engine Dispatch:06/19/2023 03:10 Arrival:06/19/2023 03:22 Clear: Sent 3 Suppression EMS Other 11-Extinguishment by fire service personnel Personnel ID Name Rank Role Attend Actions Taken 73250 Renner, David Captain 92310 Williams, Nathan Engineer 99187 Sensenbach, Mickey Firefighter ID:PRV21 Type: 00-Other apparatus/resource Dispatch: Arrival:06/19/2023 04:21 Clear:06/19/2023 05:28 Sent 1 Suppression EMS Other 86-Investigate Personnel ID Name Rank Role Attend Actions Taken 98956 Bliss, Matheson 86-Investigate ID:T1 Type:12-Truck or aerial Dispatch:06/19/2023 03:10 Arrival:06/19/2023 03:21 Clear:06/19/2023 04:40 Sent 4 Suppression EMS Other 21-Search Personnel ID Name Rank Role Attend Actions Taken 70995 Pratt, Jason Captain 57382 Larsen, Patrick Engineer 61580 Mason, Ryan Engineer A Page 9 of 12 99552 Morrison, Keanu Firefighter ID:T2 Type:12-Truck or aerial Dispatch: Arrival: Clear: Sent 3 Suppression EMS Other 93-Cancelled en route Personnel ID Name Rank Role Attend Actions Taken 100070 Kaperonis, George Firefighter 14845 Barrett, Richard Captain 99186 McAninch, Scott Engineer Page 10 of 12 NFIRS-1S Supplemental 40060 CA 06 19 2023 Fire Station 4 (FS4) 23-03663 0 FDID State Month Day Year Station Number Exposure Primary Narrative: E4 with a first alarm responded code 3 to dispatched address. E4 arrived at scene with BC1 to find a detached garage heavily involved with fire and no immediate exposure threats. BC1 assumed Cortez IC and assigned E4 to complete a 360, fire attack and water supply. 360 assessment revealed a single level detached garage heavily involved with fire and a low victim profile. E4 pulled an attack line established a water supply and began fire attack on the Alpha side. T1 arrived on scene and was assigned primary search and assist with water supply. Once search of the adjacent structure was clear T1 was assigned Div A with E4, E3 and 3471 working for A. E3 arrived at scene and was assigned to Div A for any needs. 3471 arrived at scene and was assigned to assist with fire attack. Once fire attack was knocked down 3471 was released to return back to the county. Once E4 had controlled the fire an investigator was requested and overhaul began. PGE and the Gas Company were also requested to the incident. Prevention 21 arrived at scene and assumed investigation responsibilities. Utility companies arrived at scene and secured the utilities for the involved structure. Once Investigation was complete E4 crew finalized overhaul and replaced removed material back into the structure. Property management company, McNamar Reality was informed of the incident. The residence was turned back to the residents and Cortez IC was terminated. Residents 11411 Descanso Additional Narrative (#1 of 2 ): Battalion 1 arrived on scene with Engine 4 and established Cortez IC with ICP on the Delta side of the structure. Report on conditions was a fully involved two car garage with possible impingement on the residents and fire units would be in the offensive mode. Engine 4 was assigned fire attack and 360. 360 confirmed conditions of a fully involved garage fire and confirmed that the garage was a detached garage and no exposures were immediately threatened. Engine 4 also reported a low victim profile. Truck 1 was assigned a primary search of the residents and later Truck 1 captain was assigned Division Alpha with Engine 4, Engine 3, and 3471 working for Div A. Engine 3 was assigned to check exposures and evacuate the neighboring residents. 3471 was assigned to assist with fire attack and overhaul. BC Hais A Page 11 of 12 Additional Narrative (#2 of 2 ): I arrived on scene at approximately 0410hrs on 6/19/2023 in response to a request for a fire investigator from Battalion Chief Ray HAIS. Upon arrival I observed major damage to the interior of a detached garage. No vehicles were in the garage at the time of the fire. The garage vehicle door on Side-A of the structure had been removed. A V-pattern of smoke damage was observed at the upper corners of the garage vehicle door, indicating the garage door had been closed during the fire. I investigated the exterior sides of the garage in a clockwise direction. I observed a heat pattern on the exterior Side-B at the A/B corner indicating the fire had burned the hottest in that corner of the garage. The heat pattern extended from the ground to the roof. Soot was observed near an exterior light fixture on Side-B by the person entryway door. The entryway door, removed prior to my arrival, was observed with heavy soot on the interior surface, indicating the door was closed during the fire and the fire was slow and smoldering. Side-C of the garage shares a wall with an adjacent garage. No damage was observed on the interior wall of the neighboring garage. Minimal smoke and char damage was observed on the exterior of Side-D. I moved to investigate the interior of the garage. I observed the left half of the ceiling had collapsed into the garage with complete burn through of the roof at the A/B corner. I documented complete combustion of the lower portion of the first and second stud at the Side-B wall. The depth of charring observed in studs towards the B/C corner of the garage and along Sides -C and -D was less than that observed in the A/B corner. This indicated an area of origin of the fire in the A/B interior corner of the garage low to the ground. Also in this area, I observed containers of paint, aerosols, a 1lb. propane cylinder, and an open 1-gallon rectangular metal container, specified by tenant to be Danish Oil. I spoke with who stated he had been finishing cabinets for his camper van with a Danish Oil product the previous evening 6/18/2023. stated he left oiled textile materials, including a t-shirt and two rags on the ground next to an open 1-gallon container of Danish oil at approximately 2030hrs in the A/B interior corner of the garage. Also in the area was unfinished wood, a filled trash bag, an unplugged jigsaw and drill. Another tenant,, later stated there were boxes of photographs, a car seat, camping materials, and other items including fuel cans, also stored in the area. I returned to the site the same morning at approximately 1130hrs to observe electrical wiring in the garage with permission from tenant An electrical outlet was observed on Side-B approximately 4 feet from the person entryway door at corner B/C. From soot patterns and charring of the electrical outlet, it did not appear anything was plugged into this electrical outlet at the time of the fire. Additionally, wiring from the garage door opener was observed halfway along the beam above the vehicle door. Per the responding PG & E representative, the bottom breaker on the electrical panel had been tripped and he had switched the breaker off prior to my arrival on scene earlier that morning. The bottom breaker is unlabeled but is presumed to be for the garage. I ruled out electrical wiring as a cause of the fire. Additionally, there is no natural gas plumbed to the garage. Per Weather Underground, the temperature was in the mid- to high- 50F range with light wind from 8pm on 6/18/23 to 4am 6/19/23. From my experience and training I believe the area of origin was the interior A/B corner of the garage and the ignition source was likely spontaneous combustion of the wood oil saturated textiles. In combination with the other combustible materials stored in the area, this is a competent ignition source. I believe the fire was accidental in nature. Page 12 of 12