HomeMy WebLinkAbout22-13500 ITFF' "POLCERA II I !�� I III I III I IIII III II I . 1 27c
COLLISION REP FIT 1591971
CASE 22-13500 z
INTERSTATE ❑ CITY STREET FIRE ❑
RESULTED
1 STOLEN
STATE ROUTE ❑ OTHER ❑ VFHICI F ❑ LOCAL AGENCI 4Y00 3
HIT&RUN CODING
COUNTY RD PRIVATE WAY INVOLVED
2❑ TOTAL#OF OBJECT 1 ❑28
TRIBAL UNITS 03 STRUCK' FENCE
RESERVATION
z
3❑ DATE OF M M D D Y Y Y Y TIME(2400) COUNTY# MILES N E IN CITY#
COLLISION.. 12 - 1-- 2022 2059 17 ❑-= S 8 IN e 1070 3
4❑ ON (PRIMARY TRAFFIC WAY) INTERSECTION ❑✓ NON INTERSECTION ❑
SE 16TH ST BLOCK NO. e✓ 2700 ❑
4a❑ MILEPOST
DISTANCE OF(REFERENCE OR CROSS STREET)
5❑ �,❑ FEET e S ❑ W e GLENNWOOD AVE SE
0 1 29
MOTOR PEDAL- DAMAGE THRESHOLD MET PHONE
UNIT 01 VEHICLE ❑ CYCLE El
,/No D:4255286855 30
6� LAST NAME KABEYA FIRSTNAME JUNIOR MIDDLE K 1 1 2 31
INITIAL
STREET ❑ 18925 77TH AVENUE CT E CITY PUYALLUP ST WA ZIP, 983752434 z
NEW ADDRESS
7❑ CDL IGNITION REQUIRED IGNITION PRESENT MEDICAL TRANSPORTED 3
INTERLOCK YES[:]NO 1/ INTERLOCKYEs NO�/ YES R No�/
8❑ LRIIVER #
ON DUTY❑ STATUS AIRBAG 2 RESTR 4 EJECT 1 H USE 2 1 CLASS NATURE OF INJURIES z❑
3
10❑ P1 ATE 14 CDJ6919 STATE WA V N# 1G1PE5SB5G7113108
TRAILER STATE TRAILER STATE
11 B 0 PLATE# PLATE# FR.. TO
TRLR. TRLR 7 3 33
12❑ VIN#' UIN#
2016 ❑
CHEV CRUZE nIG RO�34
VEH.YEAR MAKE MODEL STYLE VEHICLE TOWED TO BLIN TOWED BY GOVT.VEHICLE
13� DAMAGE YES NO 1/ YES[:] NO✓
REGISTERED OWNER INFO JUNIOR KABEYA 1892577TH AVENUE CTE PUYALLUP WA 98375 D:4255286855 VEHICLE NO. 1 ❑
❑ SHADE IN DAMAGED AREA 35
14 LIABILITY INSURANCE❑ INSURANCE CO NONE 4
LI EFFECT &SUR N# TOPVEHCLE CHARGE 36
LEGALLYYES NO CITATION# 2A0720245 OP MOT VEH W/OUT INSURANCE <1�3
orroM
15❑ STANDING 6
MOTOR PEDAL- PROPERTY DAM THR OLD MET PHONE
UNIT U2 ❑ ❑ PEDESTRIAN ❑ ✓❑ HO 2068838820
VEHICLE CYCLE OWNER YES�/ NO
16❑
LAST NAME WHITE FIRST NAME JONATHAN MIDDLE S
INITIAL
17 STREET❑ NEW ADOREss❑' 2707 SE 16TH ST CITY RENTON ST WA ZIP 980583844 4❑ 37
18❑ CDL IGNITION REQUIRED IGNITION PtR-E-S1ENT MEDICAL-T�RANSPORTED ❑ 38
INTERLOCKYES�NOR INTERLOCK YEs I I NOF YEs t l NO❑
19[ DRIVE # STATE SEX M M.C.B. 09 _ 30 _ 198 4 39
INJURY NATURE OF INJURIES 4O
20❑ ON DUTY STATUS' AIRBAG RESTR EJECT USE CLASS ❑
❑21❑ TATE 41
LICENSE VIN# 1
PLATE#
42
22❑ PLATE# STATE PLATE# STATE
TRLR
23❑ VIN#. IN#. 43
RLR
'
VEH YEAR MAKE MODEL STYLE VEHICLE TOWED TO BLIN
TOWED BY Gov HI 44
L4❑ DAMAGE YES NO YES NO
REGISTERED OWNER INFO VEHICLE NO.2
SHADE IN DAMAGED AREA
2 3 4
INAEFFITY ECTNSURANCE❑ &POINSULICY#E CO I 970E 5
VE."Le ❑ ,J� CITATION# CHARGE i o BOTTOM
LEGALLY YES N J
25 s � e
7SI
NAME(PRINT) OFFICER PHONE BADGE OR ID# AGENCY
26 12225 WA0171300
PART A PAGE 01 OF
3000-345-159 OR 11/181
STATE OF
POLICETRAFFICN CORRECTION REPORT NO. ED23086
COLLISION REPORT III III III III III 111
1591972 CASE# 22-13500
ADDITIONAL PERSONS INVOLVED PASSENGERS AND/OR WITNESSES ONLY)
NAME
(LAST FIRST,MIDDLE INITIAL)
ADDRESS&PHONE#
SEX D.O.B. - -
MMDDYYYY.
PASSENGER❑WITNESS UNIT# SEAT AIRBAG RESTR. EJECT ' HELMET INJURY NATURE OF INJURIES
PM USE CLASS
NAME
'(LAST,FIRST MIDDLE INITIAL)
ADDRESS&PHONE# D D B
SEX MMDDYYYY
PASSENGER ❑WITNESS UNIT# SEAT AIRBAG RESTR. EJECT HELMET INJURY NATURE OF INJURIES
POS. USE CLASS
NAME
(LAST FIR57 MIDDLE INITIAL)
AppRESS R PHONE#
SEX D.O.B.
MMDDYYYY. -
PASSENGER WITNESS UNIT# SEAT AIRBAG RESTR. EJECT HELMET NJURY NATURE OF INJURIES
❑ ❑ POS. USE CLASS ----�
NARRATIVE'
Please see subsequent narrative pages
I CERTIFY(DECLARE)UNDER PENALTY OF PERJURY UNDER THE LAWS OF THE STATE OF WASHINGTON THAT THE FOREGOING IS TRUE AND CORRECT.
E.SIMS 12-20-22 11:46 PM
INVESTIGATING OFFICER'S SIGNATURE UNIT OR DIST DET DATED PLACE SIGNED
APPROVED BY E
DAT
G.BARFIELD 6476 1/9/2023 3:30:19 AM
BADGE OR ID# 12225 OR]# WA0171300 TIME POLICE DISPATCHED; 9:00 Pm TIME POLICE ARRIVED',9:06 PM
PART I PAGE IT]OF
REPORT NO. ED23086 CASE# 22-13500 OF COLLISION
12/20/22 20:59
OF CbLLI510N
NARRATIVE
RPD CASE#: 22-13500
On 12/20/2022 at approximately 2100 hours, I was dispatched to 2707 SE 16th ST, in the City of
Renton, King County, Washington, for a report of a vehicle accident.
Upon arrival I identified Unit 1 as a Black 2016 Chevrolet Cruz Limited, bearing WA license plate
#CDJ6919. Unit 1 sustained heavy front-end damage from hitting a fence and a light pole.
I identified the driver of Unit 1 via his WADL as Junior K Kabeya (DOB 02/20/1998). Kabeya was not
injured and I asked him what happened. Kabeya told me he was driving downhill eastbound in the
2600 block of SE 16th ST. Kabeya stated he was only driving 15MPH and due to the snow and ice on
the roadway he lost control of his vehicle and slid into the fence and hit a city light pole.
There was snow on the ground and the roadway was very icy. I could see Kabeya's tire marks in the
snow showing that he did drive down the hill and could see where he attempted to break and lost
control of his vehicle. While I was talking to Kabeya, several other vehicles were driving down the hill
and were also sliding due to the ice on the roadway.
I asked to see Kabeya's driver's license, registration, and proof of insurance. Kabeya told me he did
not have insurance for the vehicle, and I advised him he would receive a citation for operating a motor
vehicle without insurance. 1 advised Kabeya he would receive the citation in the mail and provided
him with my business card with the case number on it.
The city streetlight pole that was hit was numbered as 317295 & 166660. The light pole was partially
uprooted and leaning over. I contacted the Renton Police front counter staff and had them notify the
signals department about the pole. A City of Renton property damage form was completed and
turned into my supervisor.
I contacted the property owner of 2707 SE 16th ST, who I identified via his WADL as Jonathan Scott
White (DOB 09/30/1984) and advised him of the accident. I provided White with my business card
with the case number on it.
Gene Meyers Towing was called to the scene and pulled the vehicle out of the fence. The vehicle
was still drivable and Kabeya left the scene after 1 answered his questions. 1 then cleared the scene.
I certify (declare) under penalty of perjury under the laws of the State of Washington that the
foregoing is true and correct.
Electronically signed by E. Sims on 12/20/2022 at 2326 hours in the City of Renton.
PAGE 3 OF 5
SUPPLEMENTAL REPORT NO. ED23086
r`) POLICE TRAFFIC 1 27
COLLISION REPORT CASE# 22-13500
1 COMMERCIAL MOTOR CARRIER INTERSTATE INTRASTATE G
UNIT'# USDOT ICC# VEHICLE TYPE CARGO BODY
;TYPE
2 ❑ 1 28
CARRIER
NAME
3 CARRIER L
ADDRESS `
CITY ST ZIP—1 I '
4 ❑ NAME # PLACARD: :❑
GI PLACARD IF NO NUMBER
SOURCE AXLES +
4a ❑ ADDITIONAL UNITS
MOTOR PEDAL- �`"'j PROPERTY DAMAGE THRESHOLD MET PHONE
5 ❑ UNIT# 3 VEHICLE I_J CYCLE _) PEDESTRIAN � OWNER � YES� NO
D:4254307500
LAST NAME : CITY OF RENTON FIRST NAME
MIDDLE.. 29
INITIAL
STREET 30
NEW AnDRFSP' 1055 S GRADY WAY CITY RENTON ST WA ZIP 98057
6
II 1 31
CDL GNITItN REQUIRED GNITION PRESENT MEDEC INTERLOCK YEsNo zERLOCK YES❑N0� T
DRIVER'S STATE I SEX U M��DYSYv' -� 2
LICENSE
7F-ION DUTY STATUS AIRBAG RESTR. EJECT HELMET INJURY NATURE OF INJURIES
F�
USE CLASS
8 ❑ ' 1 32
LICENSE+ rar V1N.#
PLATE#
9 TRAILER TRAILER
PLATE# STATE PLATE# STATE
10 ❑ TRLR TRLR
VIN.#. VIN.#.
11 VEH.YEAR MAKE I MODEL STYLE I VEHICLE TOWS E T SABLIN TOWED BY anvi vEHIG P FROM TO
DAMAGE YES NO YES NO
REGISTERED OWNER INFO. m 33
12 SHADE IN DAMAGED AREA
FROM TO
LIABILITY INSURANCE❑ INSURANCE CO
IN EFFECT &POLICY# tGQ
VEHICLE 34
13 ❑ LEGALLY YES[:] NO❑ CITATION# CHARGE
STANDING S} 8 7 6
14 ❑ UNIT Tr Vd IRE O CYDCLE OWNER
YES AGE NOHRESHOLD MET PHONE El
35
PEDESTRIAN
15 LAST NAME FIRST NAME MIDDLE': INITIAL36
STREET"[—]
❑
16 NEn+AnnRFs.�' CITY'. ST ZIP
CDL IGNITION REdUiRED IGNITION PRESENT MEDICALTANSPORTED
INTERLOCK YES No INTERLOCK YEs NO YEs NO El
17 37
LICENSE# STATE SEX MMDDDYBYY
18 ❑ ON DUTY� STATUS AIRBAG RESTR. ; EJECT HELMET INJURY NATURE of INJURIES 38
USE (CLASS
19 ❑ vIN# 39
LICENSE
PLATE# rnr
20 ❑ TRAILER' TRAILER ❑ 40
PLATE# STATE PLATE# STATE
21 ❑ TRLR TRLR 41
VIN# YIN#i
42
22 VEH.YEAR MAKE I MODEL STYLE I VEHICLE TO DUET SABLIN TOWED BY GOVT.VEHICLE
DAMAGE YES NO YES NO
23 REGISTERED OWNER INFO_ SHADE IN DAMAGED AREA 43
3 4 71
LIABILITY INSURANCE INSURANCE CO '
VEHICLE
EFFECT &POLICY# I 970P - 4 44
24 VEHICLE YES NO❑ CITATION# CHARGE iq 60TiOM
E:l
C=DLv
STANDING 8 7 6
1 CERTIFY(DECLARE)UNDER PENALTY OF PERJURY UNDER THE LAWS OF THE STATE OF WASHINGTON THAT THE FOREGOING IS TRUE AND CORRECT.
E.SIMS 12-20-22 11:46 PM
25 INVESTIGATING OFFICER'S SIGNATURE OFFICER'S PHONE UNIT OR DIST DET DATED: PLACE SIGNED
APPROVED
/926 � BADGE O#I'WA0171300 ILD 92 PAGE FOFOI
3000-345-013(R 11118)
REPORT NO. ED23086 CASE# 22-13500 DATE AND TIME 12/20/22 20:59
OF COLLISION
UNIT 1
2707 SE 16th ST
5�
NOT TO SCALE
Glenwood Ave SE
PAGE 5 OF 5