HomeMy WebLinkAbout23-4556 ITFF' "POLCERA II I !�� I III I III I IIII III II I . 1 27c
COLLISION REP FIT 1591971
CASE 23-4556 z
INTERSTATE ❑ CITY STREET FIRE ❑
RESULTED
1 STOLEN
STATE ROUTE ❑ OTHER ❑ VFHIC;I F ❑ LOCAL AGENCI 4Y50 3
HIT 8 RUN ✓ CODING
COUNTY RD PRIVATE WAY INVOLVED
2 TOTAL#OF OBJECT 1 1 8 28
TRIBAL UNITS 03 STRUCK TREE
RESERVATION
z
3❑ DATE OF M M D D Y Y Y Y TIME(2400) COUNTY# MILES N E IN CITY# ❑
CowsloN 04 - 1-- 2023 0230 17 ❑.= S 8 IN e 1070 3
4❑ ON (PRIMARY TRAFFIC WAY) INTERSECTION ❑ NON INTERSECTION ❑✓
DAVIS AVE S BLOCK NO. e✓ 4500
4a❑ MILEPOST
DISTANCE OF(REFERENCE OR CROSS STREET)
5❑ 150 00 FEET MILES e S B W e S 45TH PL
0 1 29
MOTOR PEDAL- DAMAGE THRESHOLD MET PHONE
UNIT 01 VEHICLE ❑ CYCLE El
�/No D:2533749442 1 4 30
6� LAST NAME HARRELL FIRSTNAME ANDREW MIDDLE L 1 1 2 31
INITIAL
STREET ❑✓ 4600 DAVIS AVE S#U205 CITY RENTON ST WA 2jp, 98055 z
NEW ADDRESS
7❑ CDL IGNITION REQUIRED IGNITION PRESENT MEDICAL TRANSPORTED 3
INTERLOCK YES[:]No✓ INTERLOCKYEs NO✓ YES R No
8❑ LRIIVER #
ON DUTY❑ STATUS AIRBAG 3 RESTR 4 EJECT 1 HELMET
2 CLASS 1 NATURE OF INJURIES z❑
3
LICENSE C743492 sTArI WAurN# 3GNEC12T64G163383
10❑ PI ATE#
TRAILER STATE TRAILER STATE
11 2 5 PLATE# PLATE# FROM TO
TRLR. A'RLR. 1 5 33
12 0 0 VIN#j VIN#
2004 CHEV AVALAN 4CYES[:]
❑ FROM
34
❑ VEH.YEAR MAKE MODEL STYLE VEHICLE TOWED TO BLIN TOWED BY GOVT.VEHICLE
13 2 DAMAGE YES NO ✓ YES NO✓
REGISTERED OWNER INFO ANTONIO HARRELL 19019 INTERNATIONAL BLVD#139 SEATAC WA 98188 VEHICLE NO. 1 ❑
SHADE IN DAMAGED AREA 35
14❑ LIABILITY INSURANCE❑ INSURANCE CO <53 4
IN EFFECT &POLICY# TOPVEHICLE CHARGE 36
LEGALLY YEs❑NO CITATION# OTTOM
15❑ STAIN."' 6
UNIT 02 VE ICCLE z CYCLE ❑ PEDESTRIAN ❑ OWNER YES
❑ DYES✓ NO OLD MET PHONE
16❑
LAST NAME UNKNOWN FIRST NAME UNKNOWN MIDDLE
INITIAL
STREET CITY RENTON ST ZIP $
17❑ NEW ADDRESS❑ ❑ 37
18❑ CDL IGNITION REQUIRED IGNITION PtR-E-S1ENT MEDICAL—T�RANSPORTED � 38
INTERLOCK YEs❑No� INTERLOCK YEs I I NOF YEs t l NOF,/
19 LLIICENS RIVER# STATE SEX U MMDDYY 39
WELMET INJURY NATURE OF INJURIES 40
20❑ ON DUTY STATUS' AIRBAG 9 RESTR 9 EJECT ''1 USE 9 CLASS 0 ❑
❑21❑ PLATE# CDV8084 TAre 41
WA VIN# 4T1BD1FK3CU017203 4
42
22❑ PLATE# STATE PLATE# STATE
23❑ 43
TRLR RLR
VIN It IN#.
VEH YEAR 2012 MAKE TOYT MODEL CAMRY STYLE SD VEHICLE TOWED TO BLIN TOWEDBY GOV HI 44
L4❑ DAMAGE YESfj
NO✓ YES NO✓
REGISTERED OWNER INFO VISHAL GULAT14702 DAVIS AVE S#LL202 RENTON WA 98055 D:4259456295 VEHICLE NO.2
SHADE IN DAMAGEbAREA
2 3 Cd
LIABILITY
INSURANCE INSU8 POLICY#E CO GEICO.IN 1U
STOP
VEHICLE ❑ ,.I—I CITATION# CHARGE o BOTTOMLEGALLY YES N25
OFFICER'S NAME(PRINT) OFFICER PHONE BADGE OR ID# AGENCY
J
26
QUINT TIBEAU 07691 WA0171300
PART A PAGE 01 OF C7
3000-345-159 OR 11/181
STATE OF
POLICETRAFFICN CORRECTION REPORT NO. ED54559
COLLISION REPORT III III III III III 111
1591972 CASE# 23-4556
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
POS. 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.
QUINT TIBEAU 04-23-23 05:16 PM
INVESTIGATING OFFICER'S SIGNATURE UNIT OR DIST DET DATED PLACE SIGNED
APPROVED BY E
DAT
D.SKELTON 9139 4/26/2023 4:32:05 AM
BADGE OR ID# 07691 OR]# ! WA0171300 TIME POLICE DISPATCHED 6:03 AM TIME POLICE ARRIVED 6:09 AM
PART I PAGE IT]OF 5�
REPORT NO. ED54559 CASE# 23-4556 OF COLLISION
04/23/23 02:30
OF CbLLI510N
NARRATIVE
23-4556
Narrative
The following occurred in the City of Renton, County of King, State of Washington.
On 04/23/2023 at about 0609 hours I was dispatched to Davis Ave S/S 45th PL for a report of a Hit
and Run Collision on Davis Ave S near S 45th PL. I arrived to find V-2, a Toyota Camry, WA license
(CDV8084) parked on the west side of Davis Ave S, north of S 45th PL, with the rear of the vehicle
caved in. In the planting strip behind the vehicle was a small tree that had also sustained damage.
Next to the tree I could see large tire tread consistent with a truck. On the grass to the southeast of
the tree was shards of red plastic that appeared to be from the taillight of V-2. There were also bits of
chrome colored plastic from what appeared to be the license plate frame from V-1 as well as a single
piece of clear plastic that appeared to likely be from V-1's head light. I noted a distinct lined pattern in
the plastic on one end, to look for if I located a suspect vehicle. I also noted that V-2 had been
pushed forward approximately 11 feet when it was struck. I was able to measure this do to the
gouges the right rear wheel made in the curb when the vehicle was struck. The wheel and tire had
marks and mud consistent with this as well. I took digital photographs of the scene and began
looking for V-1.
I located V-1 parked in space #304 in front of the "U" building at 4600 Davis Ave S. It was a blue
2004 Chevrolet, WA license (C74349Z). The front of the vehicle had clearly been involved in a recent
collision with a small tree. There was still bark similar to the tree at the collision scene, stuck to the
front license plate. The pattern in the clear plastic and shape matched a missing piece from the
driver's side headlight. The tire tread also appeared to match the pattern left in the mud at the scene
and there was mud on the front passenger side tire consistent with the scene. A record check of the
plate showed the vehicle clear and valid to Antonio Harrell out of Seatac. I was able to locate an
associated apartment#U-205 and contacted Andrew Harrell. I asked him if Antonio was there and
when he stated that Antonio was not, I explained that I was looking to speak to him about a collision
his vehicle had been involved in. Andrew Harrell stated that he was the driver and sole occupant at
the time of the collision. He stated that it occurred last night at about 0230 hours. He was heading
home from work, and he doesn't know what happened. He just woke up to find he had crashed into
the tree. He figured there wasn't much damage to the tree and there was a lot to his vehicle, so he
didn't bother reporting it. Andrew stated that he is not allowed to drink at his job, and he did not have
any alcohol after he got off work either. He has not been diagnosed yet but believes he may have
narcolepsy. Andrew did not realize that he had struck V-2. This actually seemed plausible since V-2
was pushed away from the scene of the collision. Andrew verbally identified himself and matched his
DOL photograph. A record check shows that he is clear, not licensed-eligible. He stated that he is in
the process of purchasing the vehicle from his uncle Antonio. He does not have insurance on the
vehicle and is unsure if Antonio does.
This incident was captured on my Axon body worn video camera. This report is a summary of events
that occurred and is not an exact sequencing of events. Statements have been paraphrased and
summarized.
Nothing further at this time.
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 Q. Tibeau 04/23/23 1700 hours, Renton, WA.
PAGE 3 OF 5
SUPPLEMENTAL REPORT No. ED54559
r`) POLICE TRAFFIC 1 27
COLLISION REPORT CASE# 23-4556
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:4254307600
LAST NAME : CITY OF RENTON FIRST NAME
MIDDLE.. 29
INITIAL
STREET _—] H 30
NEW AnDRFSP' 1055 S GRADY WAY CITY RENTON ST WA ZIP 98057
6
CDL IGNITION REQUIRED IGNITION PRESENT MEDICAL TANSPORTED 1 31
INTERLOCK YEs No zERLOCK YES E]Na� YEs N
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 IGNITtGN 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.
QUINT TIBEAU 04-23-23 05:16 PM
25 INVESTIGATING OFFICER'S SIGNATURE OFFICER'S PHONE UNIT OR DIST DET DATED: PLACE SIGNED
APPROVED BY DATE
26 OR ID# 07691 O#I',WA0171300 SKELTON 4/26/2023 PAGE�OF
3000-345-013(R 11118)
REPORT NO. ED54559 CASE# 23-4556 DATE AND TIME 04/23/23 02:30
OF COLLISION
e--P
Lr)
Davis Ave
Not t0 Seale
PAGE 5 OF 5