HomeMy WebLinkAbout23-2036 ITFF' "POLCERA II I !�� I III I III I IIII III II I . 0 27c
COLLISION REP FIT 1591971
CASE 23-2036 z
INTERSTATE ❑ CITY STREET FIRE ❑RESULTED
1 STOLEN
STATE ROUTE ❑ OTHER ❑ VFHIC;I F ❑ LOCAL AOENC 4900 3
HIT 8 RUN CODING
COUNTY RD PRIVATE WAY INVOLVED
2 2 TOTAL#OF OBJECT 1 1 8 28
TRIBAL UNITS OZ STRUCK
RESERVATION
z
3❑ DATE of M M D D Y Y Y Y TIME(2400) COUNTY# MILES N E IN CITY# ❑
dowsloN 02 - 1-- 2023 1620 17 ❑.= S 8 IN e 1070 3
4❑ ON (PRIMARY TRAFFIC WAY) INTERSECTION ❑✓ NON INTERSECTION ❑
EDMONDS AVE NE BLOCK NO. e✓ 1200 ❑
4a❑ MILEPOST
DISTANCE OF(REFERENCE OR CROSS STREET)
5❑ ❑ FEET e S ❑ VV e NE 12TH STREET
0 1 29
MOTOR PEDAL- DAMAGE THRESHOLD MET PHONE
UNIT 01 VEHICLE ❑ CYCLE El
,/NO D:3607287879 0 11
30
LAST NAME ALVIZURES FUENTES FIRST NAME MARIA MIDDLE
6 INITIAL 1 2 31
STREET ❑ 1417 EDMONDS AVE NE APT 6 CITy RENTON ST WA 2jp, 980562784 z
NEW ADDRESS
7❑ CDL IGNITION REQUIRED IGNITION PRESENT MEDICAL TRANSPORTED 3
1/ I iNTERLOCKYEs NO NTERLOCKYEs NO Z/ YES R No�/
8❑ LRIIVER #
ON DUTY❑ STATUS AIRBAG 2 RESTR 4 EJECT 1 6 HELMET 2 INJURY NATURE OF INJURIES 2❑
USE CLASS C/O LEG PAIN.EVAL'D BY RENTON FIRE
3
10 2❑ Pl ENSEATE 14 BOS4945 JJ
sTArE WA vN#' 2C3CDXBG5CH122216
TRAILER STATE TRAILEk STATE
11 3 0 PLATE# PLATE# FROM To
TRLR. TRLR. 5 1 33
12 3 0 VIN#' VIN#
:: FROM TO
VEH.YEAR MAKE MODEL STYLE VEHICLE TOWED TO BLIN TOWED BY GOVT.VEHICLE 7 $ 34
13 2 2012 DODG CHARG 4D DAMAGE YES NO YES[:] No
✓
REGISTERED OWNER INFO MARIA ALVIZURES FUENTES 1417 EDMONDS AVE NE APT 6 RENTON WA 98056 D:3607287879 VEHICLE NO. 1 ❑
SHADE IN DAMAGED AREA 35
14 ❑ INSURANCE CO <53 4LIABILITY INSURANCEIN EFFECT &POLICV# TOPVEHCLE CHARGE OTTOM 5 36
YES No CITAnoN# 3AO055484,3AO055484 NO VALID OPER LICENSE WITH
15❑ NDING 6
MOTOR PEDAL- PEDESTRIAN PROPERTY DAM THR OLD MET PHONE
UNIT VEHICLE ❑ CYCLE ❑ ❑ OWNER ❑ YES 1/ No D:4253512354
16 2
LAST NAME PETREACA FIRST NAME VANESSA MIDDLE N
INITIAL
17 STREET NEW ADDRESS❑' 1701 NE 14TH ST CITY RENTON ST WA ZIP 980560000 4❑ 37
18� CDL IGNITION REQUIRED IGNITION PRESENT MEDICALTRANSPORTED 38
INTERLOCKYES�NO� INTERLOCK YEs❑NOF YES
❑NoF,/
19 D IVEW # STATE WA SEX F M.C... 01 13 _ 2006 39
20❑ ON DUTY STATUS AIRBAG 2 RESTR 4 EJECT 1 HEJ MET 2 NJAURSY 1 NATURE OF INJURIES ❑ 40
❑ILICENSE 21❑ PLA E# BRT4193 TArE WA VIN# 41
JTDBL40E299021119 1
42
22❑ PLATE# STATE PLATE# STATE
23❑ UIN#. 43
TRLR RLR
'IN#.
VEH YEAR 2009 MAKE TOYT MODEL COROLL STYLE 4D I VEHICLE TOWED TO BLIN TOWEDBY GOV HI 44
24❑ DAMAGE YES�/ NO BANKERS YES NO
REGISTERED OWNER INFO LUCIA PETRECEACA 1701 NE 14TH ST RENTON WA 98056 D:4255181596 VEHICLE NO.2
SHADE DAGED AREA
4
LIABILITY
INSURANCE INSUry�—I� 8 PORGY#E CO STATE FARM 525 6571-C30-47IN GQI
vewcLE CITATION# CHARGE
LEGALLY YES N
25 s � e
7mHE
R'S NAME(PRINT) OFFICER PHONE BADGE OR ID# AGENCY
26
W NUGENT 11498 WA0171300
PART A PAGE 01 OF
3000-345-159 OR 11/181
STATE OF
POLICETRAFFICN CORRECTION REPORT NO. ED38472
COLLISION REPORT III III III III III 111
1591972 CASE# 23-2036
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.
MATTHEW NUGENT 02-22-23 02:44 PM
INVESTIGATING OFFICER'S SIGNATURE UNIT OR DIST DET DATED PLACE SIGNED
APPROVED BY DATE
S.MORR/S 2613 31112023 8:57.24 AM
BADGE OR ID# 11498 ORI#` WA0171300 TIME POLICE DISPATCHED 4:29 Pry TIME POLICE ARRIVED',4:23 PM
PART I PAGE IT]OF 5�
REPORT NO. ED38472 CASE# 23-2036 OF COLLISION
02/20/23 16:20
OF CbLLI510N
NARRATIVE
23-2036
On 02/20/2023 at approximately 1621 hours, I was dispatched to a blocking vehicle collision with
reports of injury at the intersection of NE 12th Street and Edmonds Ave NE, within the City Limits of
Renton, County of King, State of Washington.
While en route, Dispatch advised that there was a two-vehicle collision with one of the involved
parties complaining of injury therefore Renton Regional Fire was simultaneously dispatched.
Upon arrival, Renton Fire had already arrived on scene and began triaging all the involved parties.
While on scene, I collected each involved party's information and independent summary of their
involvement leading up to the collision. All parties were treated at the scene and released by Renton
Fire.
The driver of Unit#1 was positively identified by pictured WAID and was the sole occupant of her
vehicle. The driver of Unit#1 said she was traveling northbound on Edmonds Ave NE and was
approaching the intersection of NE 12th ST. Unit#1 stated she was intending to continue north
through the intersection. Unit#1 stated that she stopped at the intersection and believed it was her
turn to proceed and therefore proceeded out into the intersection. Upon entering the intersection, Unit
#1 contacted Unit#2 causing significant damage to the front of Unit#1.
The diver of Unit#2 was positively identified by pictured WADL and was the sole occupant of her
vehicle. I contacted the driver of Unit#2 who said she was traveling eastbound on NE 12th Street
approaching the intersection of Edmonds Ave NE. The driver of Unit#2 stated she was intending to
continue east through the intersection. The driver of Unit#2 stated that she had stopped at the
intersection and checked for other traffic. The driver of Unit#2 stated that she noticed Unit#1 behind
an uninvolved vehicle that had just stopped at the intersection and proceeded. Upon the driver of Unit
#2 determining that it was her turn to proceed, Unit#2 proceeded out into the intersection. As Unit#2
entered the intersection, she observed Unit#1 also proceed into the intersection from the south. Unit
#1 and Unit#2 collided in the intersection subsequently causing significant damage to the front
passenger side of Unit#2.
1 reviewed the intersection and discovered that it is a 4-way stop with posted stop signs at all 4
corners of the intersection. Both Unit#1 and Unit#2's direction of travel had a stop sign posted and
therefore should have stopped and granted the right of way to traffic in the roadway.
Based on the above statements, and due to not having any witness reports nor traffic cameras
available at the intersection, I was not able to initially determine who the predominant factor for the
cause of collision was as both parties claim that it was their turn to proceed. However, upon further
investigation, it was determined that the driver of Unit#1 did not have a driver's license and should
not have been operating a motor vehicle. I believe that the driver of Unit#1 was the predominant
factor for the cause of collision.
I cited the driver of Unit#1 (Alvizures-Fuentes) in-person for violation of RCW 46.20.015 -No Valid
Operator's License with valid Identification. I also cited the driver of Unit#1 for no proof of motor
vehicle insurance.
Unit#1 was able to be moved off the roadway without further incident. Unit#2 had to be impounded
due to extensive damage. An exchange of information was provided to all involved parties.
I certify (or declare) under penalty of perjury under the laws of the State of Washington that the
PAGE 3 OF 5
REPORT NO. ED38472 CASE# 23-2036 OF COLLISION
02/20/23 16:20
OF CbLLI510N
NARRATIVE
foregoing is true and correct.
Electronically signed by Officer M. Nugent#11498 2/22/2023 2:39 PM Renton, King County, WA.
PAGE 4 OF 5
REPORT NO. ED38472 CASE# ' 23-2036 DATE AND TIME 02/20/23 16:20
OF COLLISION
Unit#2
"Diagram rat to scale
' NE 12th ST.
Unit fn
-a II
n
w
PAGE 5 OF 5