Loading...
HomeMy WebLinkAboutDIS2012-00007 Final Structure Fire - FIR Permit / Conditions - 5/15/2012 ..Mason County FD #5 : 2012-1527 lcoa,6 Page 1 of 4 �l 34, c> l� Location: Incident Type: ' 210 E Sleaford RD 121 - Fire in mobile home used as Shelton WA 98584 fixed residence r Lat/Long: FDID: 23DOS N 470 16'46.9" Incident#: 2012-1527 (1 . W 1230 2'27.3" Exposure ID: 4323348 XT ' ----- --- - - — ------ Exposure #: 0 Zone: T In pt.Date: 04/25/2012 -_ Mason County FD #5 Area 3-Lake Limerick/Johns 1 - Station: 004 Prairie/ Deer Creek V vl v' Shifts Or Platoon: A Shift Location Type: 1-Street address Report Completed by: Patti, Michael D ID:768 Date: 04/30/2012 ( ' Report Reviewed by: King, Norma ID: 726 Date: 04/30/2012 O Report Printed by: King, Norma ID: 726 Date: 5/7/2012 Time: 14:00 0 Structure Type: Fixed portable or mobile structure Property Use: 419-1 or 2 family dwelling (� Automatic Extinguishment System Present: ❑ Detectors Present: Cause of Ignition: Cause undetermined after W investigation Aid Given or Received: None Primary action taken: 87-Investigate fire out on arrival r Losses Pre-Incident Values Property: $0.00 Property: Civilian Injuries: 0 Fire Service Injuries: 0 Contents: $0.00 Contents: Civilian Fatalities: 0 Fire Service Fatalities: 0 1 Total: $0.00 Total: Total Casualties: 0 Total Fire Service Casualties: 0 Total # of apparatus on call: 6 1 Total #of personnel on call: 11 ()O NARRATIVE E54 responded with E58, M51, R53, 501 &502 to a possible structure fire. E54 arrived, provided size up(single story, (_r residential structure,appears evacuated, nothing showing and investigating),and established command. E54 found fire to be �N out. Consulted home owner about dangers of occupancy prior to certified electrical inspection and turned scene over to 502. INVESTIGATION: Spoke with homeowner/occupant,Joe FLORES. C� FLORES states that he smelled,then located,a"whitish"colored smoke in the area of the skylight in the kitchen. I The house(1993 GUERDON 26X40 manufactured home)was obviously under an extensive renovation in the interior. FLORES denies any work being done in the structure since funding ran out in 2008. FLORES states that the electrical was an issue when he and his family purchased the residence and has had an electrician y'r come in and examine the existing electrical. Inspection of the area of origin is inconclusive;there is not much of an attic area in mobile homes. However checked for � Z smoke or any extension visually and found none. NO evidence of fire or shorting electrical during visual inspection in the kitchen area. FD shut power of at breaker in main service panel. PUD on location and they are satisfied with power deactivation at the panel. FD advised FLORES to seek alternative housing until an electrician could verify the soundness of the residence's electrical system. FD secured. jC Michael D. Patti,A/C, Fire Marshal APPARATUS Unit M-51 Unit E-54 Type: ALS unit Type: Engine Use EMS Use. Suppression https://secure.emergencyreporting.com/nfirs/print.asp?printtype=2&printtype=3&printtype=... 5/7/2012 Mason County FD#5 : 2012-1527 Page 2 of 4 Response Mode: Lights and Sirens — Respons M e ode: Lights and Sirens #of People-- 2 #of People_ - _ 2 ._InjurVOr Onset _ _ . _04/25J2012 16:53:00 Injury_Or Onset _ -- --,: Alarm _ .. _. _04/25/2012 16:53:00 ._ _.. . Alarm .___.__._. �25 20111 -Dispatched_.._ .-- ---_. 04/251201216:54:00------_____ __.._Dispatched -- 04 6 54A0 Enroute 04/25/2012 16.55:00 Enroute 04/25/2012 16:55:00 Arrived._.__.-. ._---- -_ �_/ 1_"_ :- : - __ _.-. ..._Arrived Cancelled_.. __._ 04 25/2012 17:05:00_ ._... Cancelled Cleared Scene ___-- .- -"" L-l -:-__---..__----Cleared Scene------ --04(25J2012 17:27:00---.. -- - --- In uarters - -----.__ - /--/-- -. -:-- In Quarters ------------ %--%-- -- : --:In Service 04 25 2012 17:05:00 In Service 04 25 2012 17:27:00 - __-- _ -___.L._L._.. ___--__-_--.--------_-_/�— Unit E-581 Unit R-53 -Type: - - - -._------Engine TYPe: Rescue_unit._.-..y_ .-_-.__ .._. _Use!____ Suppre -_- ssion ______._ Use: -_-- impression -__- _ Response Mode_ _ Lights and Sirens_ Response Mode: __ Lights and Sirens - of People _ 2 _ _ __ __ #of f People _ 1 Inj___yr Or Onset_-04/25/2012 16:53:00 - - In Or Onset 04/25/2012 16:53:00 - Alarm 04 25 2012 16:53:00 Alarm 04 25 2012 16:53:00 _ Dispatched- _ _ 04/25/2012-16:54:00_-.-_ _Dispatched__. _. _ - 04J2512012 16:54:00 - Enroute 04/25L2012 16;55.00 _Enroute_ -__- _ 04�25 2012 17:01:00 Arrived Cancelled_ 04_/25/201217:05:_00• ___.__Cancelled - 4 2012-17:05:00 - Cleared Scene_ ____1__L.:___ - _.- Cleared Scene-- -- - L-L-_ ---_- In Quarters In Service 04/25/2012 17:05:00 In Service 1 1 04 25 2012 17:05:00 ------ --- _ _�--— — --- - ----- -- - ---- ----..._.__.. Unit 501 Unit 502 ._Tyje _ ____ - Chief officer car_ Chief officer car - _--Tom' -- ------- -. -. -_ -_----_Use: ---- , Suppression_ __- -------.__-• User __.-__ .._..__Suppression Res_pon_se Mode: _Lights and Sirens-_ Response.Mode; Lights and Sirens #of People-_. _._1.. - - - - -- - ------ .;A!!ry or onset njury I or onset _ Alarm __- _ - ^- 04/25/2012 16:53:00 -- --Alarm - 04/25/2012 16:53:00 _ Dispatched•__ ___ 04 2J SL01216:54:00 -- _Dispatched --_ _ 25/2012 16:54:00 -- Enroute _ _ _ _ _-0412512012 16:56:00 -_-- Enroute._ - --M- .---,04/25 2012 16:55:00 Arrived 04%25%2012 17:12:00 Arrived 04%25/2012 17:12:00 Cancelled � _ - - - _ ___-- /--/-- --:--: -- Cancelled -- /--/-- -- -- -- _ Cleared Scene 04/25/2012 17:27:00 Cleared Scene 04125/2012 17:27:00- __ In uarters_ -_L_l-- -- -- _-- _In Service- --04/25/2012 17:27:00 -_ -In Service - -__.. 04/25/2012 17:27:00 Number Of People not on an ratus:2 FIRE Acres Burned 0 Acres Burn From False Wildland Form Area Of Fire Origin Attic:vacant,crawl space Heat Source above top story Undetermined - ------- -- -------------- - --- -_-_.—_--------------- Item First Ignited Undetermined Fire Is Confined To TRUE --- —-------------- _-- _---_Object Of Ori i�n Type Of Material Undetermined Cause Of Ignition Cause undetermined after -_---------------._._— Factor Contributing To Electrical failure,malfunction,other �+ Human Factors None -- —.•_ __ -__ ___—_ Contribut.in9 Mobile Property Involved in ignition,but did Mobile Property Type Home,garden vehicle Involve And Type not itself bum Mobile_Property Make Other Make Mobile Properly Year 1993 Mobile Prope- r Model Guerdon License Plate N �--___—_--_ State WA VIN GOSTOR209315761 STRUCTURE FIRE https:Hsecure.emergencyreporting.com/nfirs/print.asp?printtype=2&printtype=3&printtyi)e=... 5/7/2012 ,r�4ason County FD#5 : 2012-1527 Page 3 of 4 Structure Type Fixed portable or mobile Building Status In normal use structure #Of Stories At Above Grade_ 1 _ #Of Stories Below Grade 0 Syaare Feet-_, .__ _. .. . _._. ._ Length 40 Width- -- - -- --. -26- Fire Saread _ _ _ Confined to object of origin _Minor Dama 0Significant 9 e_ _.___ -0-1 _ ._ _-. _ _ ._. _._-- Heavy Damage_ - _ 0 Extreme Damage- 0 Presence Of Detectors Present Type Of Detection Smoke __-_..__- ___----- Detector Power Supply Hardwire only Detector Operation Detector failed to operate--- Detector Effectiveness Detector Failure Reason Undetermined ARSON Agency Name _ _ Agency Address_ Agenry Phone _Case Status Avalillabilltv Of Material First i nited Investigation dosed -Ignition Delayj vice_ -_ Fuel- _ _ _- Other Invest_qative Information Code violations Pro�ert�r OwnershipInitial Observations _ LL_ _ La6 Off Used _ None PEOPLE -- PERSON 1 Is Owner --_ _ True _ _ _ _ Business Name Telephone Number _ _ - - 360-451-4883 _- _ Involvement _ Owner/Occu nt Name _Joe FLORES Date of Birth Address 210 E Sleaford RD Shelton,WA 98584- PEOPLE-- PERSON 2 Is Owner _ ! _ False___ Business Name N/A Telephone Number _ _ 360-451-4883 Involvement - Occupant Name - _ _ _ Tina FLORES _Date of Birth Address 210 E Sleaford RD Shelton,WA 98584- PERSONNEL ON CALL Name Personnel Rank Apparatus Administration, Mason FD#5 R-53 Feist,Victor Lt.-Career E-581 Griffey, Dan Firefighter E-54 Klusman, Strider Firefighter Other Klusmeyer, Sam Other Larrabee,Travis Paramedic E-54 Patti, Michael D Assistant Chief 502 Roberts, Darrell C Firefighter E-581 Sobotka, Michael Assistant Chief 501 White, Mike Paramedic M-51 Yates, Greg Lt.-Career M-51 Member Making Report(Assistant Chief Michael D Patti): https:Hsecure.emergencyreporting.com/nfirs/print.asp?printtype=2&printtype=3&printtype=... 5/7/2012 _.Mason County FD 95 : 2012-1527 Page 4 of 4 Supervisor(Volunteer Norma King): https://secure.emergencyreporting,.com/nfirs/print.asp?printtype=2&printtype=3&printtype=... 5/7/2012 • r ' Central Mason Fire & Ems Mason County Fire Protection District # 5 Request for Public Records Nature of the Request: Inspection or Review: (circle one Obtain copies: Name of Requester: 4 . — - — Date: ©71tt Zr:�I-- Address: -- Representing: Address: Phone: Type of incident report: Fire edical Incident (circle one) Date of incident: 25 IZ Location of Incident: •Z10 E Sks�y-ck 9(•�l.St � Type of Incident: J:�-i,rR- Incident Number: •Zol2-- 15Z Reauest for Other District Five Records: Date of Record: L4 25 iZ Type of Record Requeste Document)/ Tape Recording Contents requested E2S orb Duration of Records: Purpose of Request: u�e Z Signature of Requester: Date: Disposition of Request Individual may request a review of the decision Request granted: Request denied: Specific reason for Denial of Request: Si nature: Date:05 o Z,)i List of Materials to be copied: Copvina and Recording Charges: Total $ Compiled by In compliance with R.C.W. 42.17,. Public Records are available for inspection during regular business hours ( 8 am -4pm ) Request for copying shall be directed to the Fire Chief or Secretary who will make copies within a reasonable time period, i.e. immediately or by the end of the next work day when possible or in any event within 14 days of request. Fee's for copies are $.15 cents per copy. Tape recording (cassette transcription ) of Dispatch radio and Phone traffic will be provided subject to provisions of 3300G at a cost of $7.00 of $2.00 if own tape is provided and by the approval of the Fire Chief. Agencies which contract for dispatch / communication services will be provided transcriptions as a part of their service, on approval of the Fire Chief. FD-93/19/2012 mop" _ y-_ - lhoto taken by LAW on 5.8.2012,#1 of 6.jpg Photo taken by LAW on 5.8.2012,#2 of 6.jpg 05/08/2012 05/08/2012 Y4 ids - - i y 4 .s. • 'I N Photo taken by LAW on 5.8.2012,#3 of 6.jpg Photo taKen oy LAW on 5.8.2012,#4 of 6.jpg 05/08/2012 05/08/2012 i � I r ; taken by LAW on 5.8.2012,#5 of 6.jpg Photo taken by LAW on 5.8.2012,#6 of 6.jpg 05/08/2012 05/08/2012