HomeMy WebLinkAbout23-10620 ITFF' "POLCERA II I !�� I III I III I IIII III II I . 6 27c
COLLISION REP FIT 1591971
CASE 23-10620 z
INTERSTATE ❑ CITY STREET FIRE ❑RESULTED
1 STOLEN
STATE ROUTE ❑ OTHER ❑ VFHIr.I F ❑ LOCAL AOENC 4150 3
HIT&RUN CODING
COUNTY RD PRIVATE WAY INVOLVED
2 1 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#
cowsloN 09 - 1-- 2023 1958 17 ❑-= S 8 IN e 1070 3
4❑ ON (PRIMARY TRAFFIC WAY) INTERSECTION ❑✓ NON INTERSECTION ❑
HARDIE AVE SW BLOCK NO. e✓ 100 ❑
4a❑ MILEPOST
DISTANCE OF(REFERENCE OR CROSS STREET)
5❑ �,❑ FEET e S ❑ VV a SW SUNSET BLVD
0 1 29
UNIT MOTOOR Z CYCCLE ❑ DYESA✓NOESHOLDMET PHONE 0 1 30
6 LAST NAME MOTA DELGADO FIRST NAME FREDDY MIDDLE 1 2 31
INITIAL
STREET ❑I 176 HARDIE AVE SW CITY RENTON ST WA ZIP 98057 z
NEW ADDRESS
]❑ CDL IGNITION REQUIRED IGNITION PRESENT MEDICAL TRANSPORTED 3
iNTERLOCKYEs No✓ INTERLOCKYEs NO✓ YES No✓
LRIIVER # STATE WA SEX'M MI MIT Y
8❑ ' 05 - 11 - 1979 1 2 32
9 ON DUTY❑ STATUS AIRBAG 2 RESTR 4 EJECT 1 HELMET USE 2 CLASS 1 NATURE OF INJURIES 2❑
3
10❑ P1 aT�S� BTF2264 sTArI WAurN# 1 GNFK13097J226040
-- TRAILER STATE TRAILER STATE
11 2 5 PLATE# PLATE# FR.. ro
TRLR. TRLR. 5 1 33
12 3 5 VIN#' VIN#
1 FROM TO
VEH.YEAR MAKE MODEL STYLE VEHICLE TOWED TO BLIN TOWED BY GOVT.VEHICLE 2 6 34
13 4 2000 CHEV TAHOE UT DAMAGE YES NO ✓ YES
❑ NO✓
REGISTERED OWNER INFO FREDDY MOTA DELGADO 176 HARDIE AVE SW RENTON WA 98057 D:2066139796 VEHICLE NO. 1
❑ ❑
SHADE IN DAMAGED AREA 35
14 LIABILITY ❑ INSURANCE CO 3 4
IN EFFECTINSURANCE &POLICV# 9TOP
VEwcLE CHARGE to BOTTOM 5 36
LEGALLY YES No CITATION# 3A0004542,3A0004543, HIT AND RUN ATTENDED VEHICLE,
15❑ �STfANDING 'j 8 6
UNIT a2 VE IMOTDOLS CYCLE ❑ PEDESTRIAN OWNER RTY ❑ DES✓ NO OLDMET PHONE
16 a
LAST NAME PETERSON FIRST NAME TISHA MIDDLE $
INITIAL
17❑ STREET ❑', 329 FACTORY AVE N CITY' RENTON ST WA ZIP 980575528 37
NEW ADDRESS ❑
18� CDL IGNITION REQUIRED IGNITION PR-E-1SENT MEDICAL TRANSPORTED ❑ 38
INTERLOCKYES�NO� INTERLOCK YEs It I NOF YES
t l NOF,/
19 DRIVER'S STATE WA SEX F D.C... 08 _ 07 1973 39
LICENSE# MMDDYY
W USE
EET LASSY SORE NECK,SORE LF WRIST,SORE LF ARM ❑ 40
20❑ ON DUTY STATUS AIRBAG,4 RESTR 4 EJECT 1 2 6
21❑ LICENSE BGF3406 TAre I WA VIN# 5NPE34AF5HH458803
❑ 41
PLATE#
42
22❑ PLATE# STATE PLATE# STATE
TRLR
23❑ VIN#. IN#. 43
RLR
'
VEH YEAR 2017 MAKE HYUN MODEL SONATA STYLE 4D VEHICLE TOWED TO BLIN TOWEDBY GOV HI 44
24❑ DAMAGE YES✓ NO GENE MEYERS YES NO✓
REGISTERED OWNER INFO TISHAPETERSON329FACTORAVEN RENTONWA98057 D:4253512561 VEHICLE NO.2
SHADEDAMAGEDAREA
3 4
LIABILITY
INSURANCE I PORGY#E CO ALLSTATE 9763512561IN STOP 5
'E""LE ❑ Nu,J CITATION# CHARGE
LEGAL to BOTTOM
LY YES
25 ' a
OFFICER'S NAME(PRINT) OFFICER PHONE BADGE OR ID# AGENCY
J
26
C.PAGET 8660 WA0171300
PART A PAGE 01 OF C7
3000-345-159 OR 11/181
STATE OF
POLICETRAFFICN CORRECTION REPORT NO. ED98990
COLLISION REPORT III III III III III 111
1591972 CASE# 23-10620
ADDITIONAL PERSONS INVOLVED PASSENGERS AND/OR WITNESSES ONLY)
NAME MIDDLE INITIAL) MOTA MONTEZ ROSA
(I.P.ST FIRST,
ADDRESS&PHONE# D O.B. '
176 HARDIE AVE SW RENTON WA 98057 2066139796 SEXi F MMDDvyvv 07 - 24 - 2016
PASSENGER WITNESS UNIT# SEAT AIRBAG RESTR. EJECT ' HELMET INJURY NATURE OF INJURIES
❑✓ ❑, 1 POS 7 2 10 1 USE 2 CLASS 1
NAME
(LAST,FIRST,MIDDLE INITIAL) MERRITT SHANE D
ADDRESS&PHONE# D O B
12562 50 PL S TUKWILA WA 98178 2069816597 SEX: M MMDDvvvv26 _ 1989
PASSENGER WITNESS UNIT# SEAT I AIRBAG RESTR. EJECT HELMET I INJURY I NATURE OF INJURIES
❑ POS. USE CLASS
NAME
(LAST FIRST,MIDDLE INITIAL) HEDRICK HANNAH M
ADDRESS&PHONE# 12652 50 PL S TUKWILA WA 98178 2068503477 SEX F D.o.B. O6 -F
07 _ 1990
MMDDYYYY
PASSENGER WITNESS UNIT# SEAT I AIRBAG RESTR, EJECT HELMET I INJURY 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.
C.PAGET 09-14-23 11:08 PM
INVESTIGATING OFFICER'S SIGNATURE UNIT OR DIST DET DATED PLACE SIGNED
APPROVED BY DATE
J.TRADER 4553 1 911412023 11:31:16 PM
BADGE OR ID# 8660 OR]# WA0171300 TIME POLICE DISPATCHED 8:07 PM TIME POLICE ARRIVED',8:25 PM
PART I PAGE IT]OF 6❑
STATE OF
POLICETRAFFICN CORRECTION REPORT NO. ED98990
COLLISION REPORT III III III III III 111
1591972 CASE# 23-10620
ADDITIONAL PERSONS INVOLVED PASSENGERS AND/OR WITNESSES ONLY)
NAME MIDDLE INITIAL) CARDENAS MARIA J
(LAST FIRST,
ADDRESS&PHONE#
12228 49 AVE S TUKWILA WA 98178 2062711720 SEXi F MMDOYyry 09 - 25 - 2002
PASSENGER WITNESS UNIT# SEAT AIRBAG RESTR. EJECT ' HELMET INJURY NATURE OF INJURIES
❑✓ POS. USE :CLASS
NAME
'(LAST,FIRST MIDDLE INITIAL)
ADDRESS&PHONE# DOB
E MMDDYYYY
PASSENGER ❑WITNESS UNIT# SEAT AIRBAG RESTR. EJECT HELMET NJURY NATURE OF INJURIES
POS. USE CLASS
NAME
(LAST FIR57 MIDDLE INITIAL)
AppRESS&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.
C.PAGET 09-14-23 11:08 PM
INVESTIGATING OFFICER'S SIGNATURE UNIT OR DIST DET DATED PLACE SIGNED
APPROVED BY DATE
J.TRADER 4553 1 911412023 11:31:16 PM
BADGE OR ID# 8660 OR]# WA0171300 TIME POLICE DISPATCHED 8:07 PM TIME POLICE ARRIVED',8:25 PM
PART I PAGE 3�OF 6�
REPORT NO. ED98990 CASE# 23-10620 OF COLLISION
09/14/23 19:58
OF CbLLI510N
NARRATIVE
23-10620 Hit and Run with minor injuries
Axon:
Axon body and car video available
Documents:
Sector Collision
Sector Citation #3A0004542 for Hit and Run Attended, referred to Renton Municipal Prosecutor
Queue
Sector Infraction #3a0004543 Operating a motor vehicle without liability insurance and Fail to Obey
Traffic Control device. I requested that both be mailed by the court.
Narrative:
On 09.14.2023 at 2007 hours, I was dispatched to a blocking injury hit and run collision which
occurred at 1958 hours in the intersection of Hardie AVE SW and SW Sunset Blvd. This address is
within the city limits of Renton, County of King, WA. This is a 5-street intersection. Hardie AVE SW at
this point travels North to South. SW Sunset Blvd travels southwest to northeast. SW Langston Rd
ends at this intersection between Hardie AVE SW and SW Sunset and runs northwest to southeast.
Witnesses were able to provide a license plate for the suspect vehicle a silver 2007 Chevrolet Tahoe
WA/BTF2264. Witnesses followed this vehicle to 176 Hardie AVE SW which also happens to be
where it is registered.
I asked Officer Bowie and Sgt. Kordel to attempt contact at that address for the suspect vehicle.
When I arrived at 2014 hours, Renton Fire was already on location. They treated and released the
driver/patient of a black 2017 Hyundai Sonata 4dr WA/BGF3406. This vehicle was in the north thru
lane headed northwest and was disabled due to the damage. The side airbags in the vehicle were
deployed.
I advised everyone in the area that our contact was recorded.
I spoke to witnesses Shane D Merritt DOB/08.26.89 and Hannah M Hedrick DOB/06.07.1990 who
were in the same car on Hardie AVE SW They both told me a similar story. They were waiting at a
red light behind a silver or gold Chevrolet Tahoe on Hardie AVE SW. The traffic on SW Sunset had a
green light. As the black Hyundai Sonata Wa/BGF3406 approached the light, the Chevrolet Tahoe
WA/BTF2264 entered the intersection and struck the Hyundai. The Tahoe continued north on Hardie
AVE SW. The driver made no attempt to check on the welfare of the occupants of the Hyundai or
exchange information. Merritt followed the vehicle to 176 Hardie AVE SW and could see that
someone was outside of the car checking the front for damage but didn't see who the driver was.
I spoke to Witness Maria Cardenas. She was also on Hardie and saw that there was a green light for
traffic on SW Sunset Blvd. Cardenas also saw the Tahoe enter the intersection on Hardie AVE SW
headed north when it had a red light, strike the black Hyundai and leave without stopping. She did not
see the driver of the Tahoe.
I advised Officer Bowie that no one could identify the driver.
I spoke with Tisha S Peterson DOB/08.07.1973. Peterson was the driver and sole occupant of a black
2017 Hyundai Sonata 4dr Wa/BGF3406. Peterson told me that when she turned onto SW Sunset
Blvd from Rainier AVE S, the light was green at Hardie AVE SW so she didn't slow. She was in the
north lane headed northwest. When she entered the intersection, she was struck by a silver Chevrolet
Tahoe that was traveling north on Hardie AVE SW. Peterson is the registered owner of her vehicle.
Peterson provided photo WADL and has valid DOL status. Peterson provided proof of insurance and
registration. Peterson complained of pain to her neck, her left wrist and left arm. She was treated and
released by Renton Fire.
Officer Bowie advised via radio that he was out with the registered owner. Officer Bowie also called
me and told me that he was with registered owner Freddy Mota Delgado. Mota Delgado was difficult
but ended up telling Officer Bowie that he was driving when someone hit him in the intersection of
PAGE 4 OF 6
REPORT NO. ED98990 CASE# 23-10620 OF COLLISION
09/14/23 19:58
OF CbLLI510N
NARRATIVE
Hardie AVE SW and SW Sunset Blvd. I later pulled up a DOL photo of Mota Delgado. When I
brought him an exchange of information, the male matched the photo for Mota Delgado. His DOL
status is valid. He does not have insurance. Mota Delgado advised Officer Bowie that his daughter,
Rosa Mota Montez DOB/07.24.2016 was in the rear passenger seat in a front facing booster seat.
Neither of them are injured.
Peterson's vehicle was towed by Gene Meyers.
I took an exchange of information to Mota Delgado. He was on his phone and too busy to speak with
me. The exchange was given to his wife. I told her that any tickets would come in the mail.
Based on all this information I find there to be probable cause for the following: Hit and Run Attended,
Operating a Motor Vehicle without insurance, and Fail to Obey Traffic Control Device (signal). I
issued Sector Citation #3A0004542 for Hit and Run Attended, referred to Renton Municipal
Prosecutor Queue. I issued Sector Infraction #3a0004543 Operating a motor vehicle without liability
insurance and Fail to Obey Traffic Control device. I requested that both be mailed by the court.
I certify (or declare) under penalty of perjury under the laws of the State of Washington that the
foregoing is true and correct.
Electronically signed by Officer C. Paget/8660 9/14/2023 11:05 PM Renton, King County, WA.
PAGE 5 OF 6
REPORT NO. ED98990 CASE# ' 23-10620 DATE AND TIME 09/14/23 19:58
OF COLLISION
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PAGE 6 OF 6