The URL can be used to link to this page

Home My WebLink About24-03484NFIRS-1 Basic 40060 CA 06 21 2024 Fire Station 4 (FS4) 24-03484 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 1578 MADONNA # 88 Number Prefix Street or Highway Street Type Suffix San Luis Obispo CA 93401 Apt./Suite/Room City State Zip Code Cross Street Incident Type 100-Fire, other 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 21 2024 17:35 Arrival 06 21 2024 17:39 Controlled 06 21 2024 17:39 Last Unit Cleared 06 21 2024 18:11 Shifts and Alarms C NA 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 9 Actions Taken 87-Investigate fire out on arrival 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:$ 0 Contents:$ Pre-Incident Values: Optional None Property:$ 158,175.00 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: 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 9 Remarks: E4 arrived on scene and established Madonna IC, stating nothing showing. E4 made contact with RP and made entry into residence. A small amount of residual smoke was present in rear bedrooms. E4 cancelled response and relayed to dispatch extended commitment time to investigate source of smoke. E4 spoke with who stated a spark came from an outlet in the bedroom with a crib. He shut off the breaker to that bedroom as a precaution. Shortly after that occurred the family heard a noise from back bedroom, with dresser present and two mattresses, to find a glow from a piece of paper that was on fire. Residents exited the building and called 911. E-4 found a piece of paper that was extinguished PTA. E4 noted no charring to outlet with crib in it. Room with a dresser had a burned piece of paper on the ground and smoke marks on the drywall. E-4 ensured all breakers were shut off, which resident had done PTA and further investigated outlets for heat or fire extension. No heat present on either outlet. The burned drywall was removed to check for any fire extension, however no burn marks or heat were noted with thermal image camera, no heat felt in area that was exposed, or outlet itself. E-4 spoke with resident and property manager, to discuss plan. PGE contacted to send a rep out to inspect electrical. Resident and property manager were told to not turn on any breakers and needed to contact an electrician before residence could be reinhabited. Sce... Full primary narrative can be found in NFIRS 1S - Supplemental Authorization 40667 Gutierrez, Armando Fire Captain 06/22/2024 Officer In Charge ID Signature Position or Rank Assignment Date 40667 Gutierrez, Armando Fire Captain 06/22/2024 Member Making Report ID Signature Position or Rank Assignment Date L M Page 3 of 9 NFIRS-2 Fire 40060 CA 06 21 2024 Fire Station 4 (FS4) 24-03484 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 21-Bedroom - < 5 persons; included are jail or prison Area of Fire Origin D2 13-Electrical arcing Heat Source D3 92-Magazine, newspaper, writing paper 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 30-Electrical failure, malfunction, other 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 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 06 21 2024 Fire Station 4 (FS4) 24-03484 0 FDID State Month Day Year Station Number Exposure B Apparatus/Resource Dates/Times Sent Number of People Apparatus Use Actions Taken ID:BC3 Type:92-Chief officer car Dispatch:06/21/2024 17:35 Arrival:06/21/2024 17:40 Clear: Sent 1 Suppression EMS Other 93-Cancelled en route ID:E3 Type:11-Engine Dispatch:06/21/2024 17:35 Arrival: Clear:06/21/2024 17:41 Sent 3 Suppression EMS Other 93-Cancelled en route ID:E4 Type:11-Engine Dispatch:06/21/2024 17:35 Arrival:06/21/2024 17:39 Clear:06/21/2024 18:11 Sent 3 Suppression EMS Other 87-Investigate fire out on arrival ID:T1 Type:12-Truck or aerial Dispatch:06/21/2024 17:35 Arrival: Clear:06/21/2024 17:41 Sent 4 Suppression EMS Other 93-Cancelled en route ID:T2 Type:12-Truck or aerial Dispatch:06/21/2024 17:35 Arrival: Clear: Sent 3 Suppression EMS Other 93-Cancelled en route A Page 6 of 9 NFIRS-10 Personnel 40060 CA 06 21 2024 Fire Station 4 (FS4) 24-03484 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:BC3 Type:92-Chief officer car Dispatch:06/21/2024 17:35 Arrival:06/21/2024 17:40 Clear: Sent 1 Suppression EMS Other 93-Cancelled en route Personnel ID Name Rank Role Attend Actions Taken 80947 Skove, Shayne Battalion Chief ID:E3 Type:11-Engine Dispatch:06/21/2024 17:35 Arrival: Clear:06/21/2024 17:41 Sent 3 Suppression EMS Other 93-Cancelled en route Personnel ID Name Rank Role Attend Actions Taken 46543 Hicks, Judson Firefighter 54190 King, Michael Captain 66265 Nason, William Engineer ID:E4 Type:11-Engine Dispatch:06/21/2024 17:35 Arrival:06/21/2024 17:39 Clear:06/21/2024 18:11 Sent 3 Suppression EMS Other 87-Investigate fire out on arrival Personnel ID Name Rank Role Attend Actions Taken 100077 Greenelsh, Nathaniel Firefighter 40667 Gutierrez, Armando Captain 52001 Joy, Cullen Engineer ID:T1 Type:12-Truck or aerial Dispatch:06/21/2024 17:35 Arrival: Clear:06/21/2024 17:41 Sent 4 Suppression EMS Other 93-Cancelled en route Personnel ID Name Rank Role Attend Actions Taken 60045 Lokkart, Eric Captain 61580 Mason, Ryan Engineer 90841 Weis, Trevor Engineer 99164 Sabatino, Jacob Firefighter ID:T2 Type:12-Truck or aerial Dispatch:06/21/2024 17:35 Arrival: Clear: Sent 3 Suppression EMS Other 93-Cancelled en route Personnel ID Name Rank Role Attend Actions Taken 100069 DeLeuw, Casey Firefighter 70995 Pratt, Jason Captain 74579 Robertson, Travis Engineer Page 8 of 9 NFIRS-1S Supplemental 40060 CA 06 21 2024 Fire Station 4 (FS4) 24-03484 0 FDID State Month Day Year Station Number Exposure Primary Narrative: E4 arrived on scene and established Madonna IC, stating nothing showing. E4 made contact with RP and made entry into residence. A small amount of residual smoke was present in rear bedrooms. E4 cancelled response and relayed to dispatch extended commitment time to investigate source of smoke. E4 spoke with who stated a spark came from an outlet in the bedroom with a crib. He shut off the breaker to that bedroom as a precaution. Shortly after that occurred the family heard a noise from back bedroom, with dresser present and two mattresses, to find a glow from a piece of paper that was on fire. Residents exited the building and called 911. E-4 found a piece of paper that was extinguished PTA. E4 noted no charring to outlet with crib in it. Room with a dresser had a burned piece of paper on the ground and smoke marks on the drywall. E-4 ensured all breakers were shut off, which resident had done PTA and further investigated outlets for heat or fire extension. No heat present on either outlet. The burned drywall was removed to check for any fire extension, however no burn marks or heat were noted with thermal image camera, no heat felt in area that was exposed, or outlet itself. E-4 spoke with resident and property manager, to discuss plan. PGE contacted to send a rep out to inspect electrical. Resident and property manager were told to not turn on any breakers and needed to contact an electrician before residence could be reinhabited. Scene turned over to with an eta of PGE of 30 min and no hazard present with E-4 cleared. A Page 9 of 9