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HomeMy WebLinkAbout19-05219_RedactedNFIRS-1 Basic 40060 CA 10 11 2019 Fire Station 1 (FS1) 19-05219 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 519 BRIZZOLARA 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 California Their FDID Their State Their Incident Number Dates and Times Alarm 10 11 2019 18:34 Arrival 10 11 2019 18:39 Controlled 10 11 2019 18:41 Last Unit Cleared 10 11 2019 20:50 Shifts and Alarms C 1 FZ1 Shift or Platoon Alarms District Special Studies ID#Value A B C D E1 E2 E3 Page 1 of 13 Actions Taken 11-Extinguishment by fire service personnel Primary Action Taken Resources Apparatus or Personnel Module is used. Apparatus Personnel Suppression 6 15 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:$ 1,223.00 Contents:$ 100.00 Pre-Incident Values: Optional None Property:$ 122,326.00 Contents:$ 100.00 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. Person/Entity Involved Employee Stand Strong Local Option Person/Entity Type Business Name (if applicable)Phone Number MS-Ms. 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 K1 Page 2 of 13 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 Remarks: Upon my arrival I reported a 4 unit complex with building C being a one story, single family occupancy with light smoke showing from side D. Brizzolara IC was established and utilized City Tac 1. T2 was assigned to investigate and extinguish the fire. T1 was assigned to ventilate and control the utilities. The gas an electrical were shut off. Prior to the electrical being shut off, it was noted that electrical breaker #1 had been tripped, see attached photo. T2 and T1 were able to locate the fire underneath the structure. It was a small fire burning in some cardboard boxes. An 1 3/4" hose line was used to extinguish the fire, preserving the fire scene. E3, E4, and Cal Fire resources were released. Prevention 20 performed fire investigation. See his narrative for origin and cause. I left a voice mail for from Stand Strong, the building owner, to let them know of the fire damage to the building and that the building was uninhabitable due to the fire melting the sewer pipe and the electrical lines underneath the house. I left a voice mail for Paula Frojae, from the City of San Luis Obispo Building Department, to let her know that the structure had been damaged and that the occupants were displaced. I also followed up with an email. Red Cross arrived on scene and provided assistance to Ms. I also provide a $250.00 S.A.V.E. card from the California Professional Firefighters. Authorization 16750 Berryman, Neal Fire Battalion Chief 10/12/2019 Officer In Charge ID Signature Position or Rank Assignment Date 80947 Skove, Shayne Fire Captain 10/12/2019 Member Making Report ID Signature Position or Rank Assignment Date K2 L M Page 3 of 13 NFIRS-2 Fire 40060 CA 10 11 2019 Fire Station 1 (FS1) 19-05219 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 1 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 71-Substructure area or space, crawl space Area of Fire Origin D2 65-Lighter: cigarette, cigar Heat Source D3 51-Box, carton, bag, basket, barrel Item First Ignited D4 68-Cardboard 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 19-Playing with heat source 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 13 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 13 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 800 Total Square Feet OR BY Length (ft) X Width (ft) Fire Origin 0 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 13 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 13 NFIRS-9 Apparatus or Resources 40060 CA 10 11 2019 Fire Station 1 (FS1) 19-05219 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:10/11/2019 18:34 Arrival:10/11/2019 18:42 Clear:10/11/2019 20:50 Sent 1 Suppression EMS Other 81-Incident command ID:E3 Type:11-Engine Dispatch:10/11/2019 18:34 Arrival:10/11/2019 18:41 Clear:10/11/2019 18:49 Sent 3 Suppression EMS Other 92-Standby ID:E4 Type:11-Engine Dispatch:10/11/2019 18:34 Arrival:10/11/2019 18:41 Clear:10/11/2019 18:49 Sent 3 Suppression EMS Other 92-Standby ID:PRV20 Type:00-Other apparatus/resource Dispatch:10/11/2019 19:12 Arrival:10/11/2019 19:29 Clear: Sent 1 Suppression EMS Other 86-Investigate ID:T1 Type:12-Truck or aerial Dispatch:10/11/2019 18:34 Arrival:10/11/2019 18:40 Clear:10/11/2019 19:25 Sent 4 Suppression EMS Other 51-Ventilate ID:T2 Type:12-Truck or aerial Dispatch:10/11/2019 18:34 Arrival:10/11/2019 18:39 Clear:10/11/2019 20:26 Sent 3 Suppression EMS Other 11-Extinguishment by fire service personnel A Page 8 of 13 NFIRS-10 Personnel 40060 CA 10 11 2019 Fire Station 1 (FS1) 19-05219 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:10/11/2019 18:34 Arrival:10/11/2019 18:42 Clear:10/11/2019 20:50 Sent 1 Suppression EMS Other 81-Incident command Personnel ID Name Rank Role Attend Actions Taken 16750 Berryman, Neal Battalion Chief ID:E3 Type:11-Engine Dispatch:10/11/2019 18:34 Arrival:10/11/2019 18:41 Clear:10/11/2019 18:49 Sent 3 Suppression EMS Other 92-Standby Personnel ID Name Rank Role Attend Actions Taken 41600 Hale, Gary Engineer 61000 Marshall, David Captain 90841 Weis, Trevor Firefighter ID:E4 Type:11-Engine Dispatch:10/11/2019 18:34 Arrival:10/11/2019 18:41 Clear:10/11/2019 18:49 Sent 3 Suppression EMS Other 92-Standby Personnel ID Name Rank Role Attend Actions Taken 88690 Vasquez, Mark Captain 92710 Witt, James Firefighter 92335 Williams, Joseph Engineer ID:PRV20 Type:00-Other apparatus/resource Dispatch:10/11/2019 19:12 Arrival:10/11/2019 19:29 Clear: Sent 1 Suppression EMS Other 86-Investigate Personnel ID Name Rank Role Attend Actions Taken Maggio, Rodger Fire Marshal ID:T1 Type:12-Truck or aerial Dispatch:10/11/2019 18:34 Arrival:10/11/2019 18:40 Clear:10/11/2019 19:25 Sent 4 Suppression EMS Other 51-Ventilate Personnel ID Name Rank Role Attend Actions Taken 61580 Mason, Ryan Engineer 14857 Barthel, Dustin Firefighter 38890 Gonzalez, Steven Captain A Page 9 of 13 46535 Hicks, Gene Engineer ID:T2 Type:12-Truck or aerial Dispatch:10/11/2019 18:34 Arrival:10/11/2019 18:39 Clear:10/11/2019 20:26 Sent 3 Suppression EMS Other 11-Extinguishment by fire service personnel Personnel ID Name Rank Role Attend Actions Taken 70995 Pratt, Jason Engineer 80947 Skove, Shayne Captain 30791 Doolin, Luke Firefighter Page 10 of 13 NFIRS-1S Supplemental 40060 CA 10 11 2019 Fire Station 1 (FS1) 19-05219 0 FDID State Month Day Year Station Number Exposure Primary Narrative: Upon my arrival I reported a 4 unit complex with building C being a one story, single family occupancy with light smoke showing from side D. Brizzolara IC was established and utilized City Tac 1. T2 was assigned to investigate and extinguish the fire. T1 was assigned to ventilate and control the utilities. The gas an electrical were shut off. Prior to the electrical being shut off, it was noted that electrical breaker #1 had been tripped, see attached photo. T2 and T1 were able to locate the fire underneath the structure. It was a small fire burning in some cardboard boxes. An 1 3/4" hose line was used to extinguish the fire, preserving the fire scene. E3, E4, and Cal Fire resources were released. Prevention 20 performed fire investigation. See his narrative for origin and cause. I left a voice mail for from Stand Strong, the building owner, to let them know of the fire damage to the building and that the building was uninhabitable due to the fire melting the sewer pipe and the electrical lines underneath the house. I left a voice mail for Paula Frojae, from the City of San Luis Obispo Building Department, to let her know that the structure had been damaged and that the occupants were displaced. I also followed up with an email. Red Cross arrived on scene and provided assistance to Ms. I also provide a $250.00 S.A.V.E. card from the California Professional Firefighters. Person/Entity Involved Reporting Party Local Option Person/Entity Type Business Name (if applicable)Phone Number Mr., Ms., Mrs.First Name MI Last Name Suffix 519 Brizzolara Number Prefix Street or Highway Street Type Suffix A City of San Luis Obispo Post Office Box Apt./Suite/Room City CA 93401 State Zip Code A Page 11 of 13 Person/Entity Involved Occupant Local Option Person/Entity Type Business Name (if applicable)Phone Number Mr., Ms., Mrs.First Name MI Last Name Suffix 519 Brizzolara Number Prefix Street or Highway Street Type Suffix C City of San Luis Obispo Post Office Box Apt./Suite/Room City CA 93401 State Zip Code Person/Entity Involved Occupant Local Option Person/Entity Type Business Name (if applicable)Phone Number Mr., Ms., Mrs.First Name MI Last Name Suffix 519 Brizzolara Number Prefix Street or Highway Street Type Suffix C City of San Luis Obispo Post Office Box Apt./Suite/Room City CA 93401 State Zip Code Person/Entity Involved Other SLO City Building Inspector 8054402440 Local Option Person/Entity Type Business Name (if applicable)Phone Number Paula Frojae 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 Page 12 of 13 Person/Entity Involved Other Red Cross 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 Additional Narrative (#1 of 2 ): T2 arrived on scene and was assigned to investigate/fire attack. T2 found a multi unit single family dwelling with light smoke coming from exterior sub floor vents on bravo and delta sides of structure, and light smoke inside structure. Upon further investigation, a contents/debris fire was found under residence in crawl space access area. T2 personnel extinguished fire and checked for extension, preserving area of origin. T2 assisted FM Maggio with investigation efforts. Additional Narrative (#2 of 2 ): Fire Origin and Cause Report: I received a phone call from the San Luis Obispo Fire Dispatch at approximately 7:10 Pm on Friday, October 11, 2019 requesting I respond to a structure fire at 519 Brizzolara Street. I arrived at approximately 7:30 PM and check in with Battalion Chief Neal BERRYMAN. BERRYMAN led me to a property with two duplex units and showed me a fire area underneath Unit 'C' in the crawlspace. The fire origin was an area approximately 6 feet in from an opening on side 'C' of Unit 'C' and approximately 1 foot to the left of the plastic sewer line, which exhibited charring in this area. In the origin I observed two partially burned books, a small wooden box with charring on the side facing the origin, and the remnants of a cardboard box (the bottom of the box had not burned. Food items were and food containers were also found in the origin area. To the left of the origin, a cloth insulated electrical wire was found with the two conductors shorted out exhibiting a bead at the termination. The breaker panel showed that breaker #1 had tripped. In addition to the fire under the home, two other small fires were discovered which consisted of crumpled newspaper in gopher holes. During the scene examination a mother and her four children approached me. The family lived in Unit at the front of the property. The children stated that they often "played" in that yard area behind Unit 'C' and that they "dumpster dive" for recyclables. While they denied setting the fire, one of the boys admitted to have been in the crawl space that afternoon. Text messages from the resident of Unit 'C' to her boyfriend detail that around 5:30 PM she smelled something burning and heard children playing in the yard area. In addition, empty plastic milk jugs, partially filled with water were found in the area of the small fires of burned newspaper and water around the hose spigot was obvious. The mother in Unit 'A' is a smoker and there was access to a lighter. It is my opinion based on training and experience that the origin of the fire in the crawlspace was 6 feet in from the opening on side 'C' the material first ignited was paper and cardboard. Cause is incendiary, juvenile fire setter. Page 13 of 13