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HomeMy WebLinkAbout23-11607 TFFiNouCERA II I l�� I III � I III I �IIII III II I . 1 27c
COLLISION REP FIT 1591971
CASE 23-11607 z
INTERSTATE ❑ CITY STREET ❑ FIRE ❑RESULTED
1 STOLEN
STATE ROUTE ❑ OTHER ❑ VFHICI F ❑ LOCAL AGENC 4250 3
HIT&RUN CODING
COUNTY RD PRIVATE WAY INVOLVED
2� 1 1 8 28
TOTAL#OF OBJECT
TRIBAL UNITS . 04 STRUCK FENCE
RESERVATION'
z
3 DATE OF M M D D Y Y Y Y TIME(2400) COUNTY# MILES N E IN CITY# ❑
GawsloN 10 - 107 - 2023 1259 17 ❑.❑ S H W H OF 1070 3
4❑ ON (PRIMARY TRAFFIC WAY) INTERSECTION ❑ NON INTERSECTION ❑✓
NE 6TH PLACE BLOCK NO. e 2318
4a❑ MILEPOST
DISTANCE OF(REFERENCE OR CROSS STREET)
5 138 00 FEET e S ❑ E e DAYTON AVE NE❑
2 3 29
UNIT VE IOC CYCLE El ES_
NO GE THRESHOLD MET PHONE 1 4 30
6 LAST NAME UNKNOWN FIRSTNAME MIDDLE 1 2 31
INITIAL
STREET ❑ CITY RENTON Sr ZIP 2
NEW ADDRESS
7❑ CDL IGNITION REQUIRED IGNITION PRESENT MEDICAL TRANSPORTED 3
:NTERLOCKYEs NO INTERLOCK YES NO YES No
8 DRIVER'S. STATE SEX.U D.Q.B. 1 32
❑ :LICENSE# MMDDYY -=
9 ON DUTY❑ STATUS I
AIRBAG 3 RESTR 9 EJECT 1 H USEEr 9 CLAY 0 NATURE OF INJURIES z❑
3
10❑ PI ATFS CGM0570 sTAT WA V N# KNDJ23AU9L7056144
TRAILER STATE TRAILER STATE
11 0 0 PLATE# PLATE# IR.. ro
TRLR. TRLR 7 3 33
12 0 0 VIN#' UIN#
Rom 34
13 9 VEH.YEAR 2020 MAKE KIA MODEL SOUL STYLE SV VEHICLE TOWED 0 TOO
ffBLIN TQ yEq.BLRs yOS❑ENO✓
❑ DAMAGE ILJI tSA1Wl6
REGISTERED OWNER INFO JA(ME GOMEZ MEZA 19822144TH PL SE RENTON WA 98058 D:2069450401 N:2069450401 VEHICLE NO. 1 ❑
SHADE IN DAMAGED AREA 35
14❑ ABILIT INSURANCE❑ INSURANCE CO 3 4
IN EFFECT &POLICY#
VE 9TOP
NICLE CHARGE 5 36
LEGALLv res❑NO❑ CITATION# 10 BOTTOM
15❑ AN" 7 6
UNIT 02 MOTOOR CYCLE ❑ PEDESTRIAN ❑ PROPE OWNFRRTY ❑ DYES✓ NO OLD MET PHONE
16 VEHIL❑
LAST NAME UNKNOWN FIRST NAME MIDDLE
INITIAL
STREET CITY RENTON ST ZIP 5
17❑ NEW ADDRESS❑ ❑ 37
18❑ CDL IGNITION REQUIRED IGNITION PtR-E-S1ENT MEDICAL t-T�RANSPORTED 38
INTERLOCK YEs❑NoR INTERLOCK YES I I NOF YES t l NO❑
19 LLIICENS # STATE SEX U MMDDYY 39
WELMET INJURY NATURE OF INJURIES 40
20❑ ON DUTY STATUS' AIRBAG g RESTR 9 EJECT '1 USE 9 CLASS 0 ❑
21❑ LICENSE AZX7255 TATE WA vIN# JTDKN3DU4D5545488@ANSI63 41
PLATE#
42
22 [TRAILER T
❑ PLATE# STATE PLATE#ILER STATE
23❑ 43
TRLR RLR
UIN#. 'IN#.
VEH YEAR 2013 MAKE TOYT MODEL PRIUS STYLE 4H VEHICLE TOWED TO BLIN TOWEDeY GOV HI 44
24❑ DAMAGE YES NO✓ YES NO✓
REGISTERED OWNER INFO SAM BOTROS 2318 NE 6TH PL RENTON WA 98056 D:4255259515 VEHICLE NO.2
SHADEd DAtYGE$AREA
LIABILITY
INSURANCE INSU&POLICY#E CO PEMCO CA 1901399IN 4�5Q,
�dVE""LE ❑ ,J� CITATION# CHARGE15LEGALLYYES N J25
=UGENT
(PRINT) OFFICER PHONE BADGE OR ID# AGENCY26 11498 WA0171300
PART A PAGE 01 OF C7
3000-345-159 fR 11/181
STATE OF
POLICETRAFFICN CORRECTION REPORT NO. EE10854
COLLISION REPORT III III III III III 111
1591972 CASE# 23-11607
ADDITIONAL PERSONS INVOLVED PASSENGERS AND/OR WITNESSES ONLY)
NAME MIDDLE INITIAL) LAMA YTAMER HODA
(LAST FIRST,
ADDRESS&PHONE#
2318 NE 6TH PL RENTON WA 98056 4254351667 SEXi F MMDOYyry 12 - 08 - 1950
PASSENGER WITNESS UNIT# SEAT AIRBAG RESTR. EJECT ' HELMET INJURY NATURE OF INJURIES
✓�; POS. USE CLASS
NAME
'(LAST,FIRST MIDDLE INITIAL)
ADDRESS&PHONE# DOB
SEX' MMDDYYYV
PASSENGER ❑WITNESS UNIT# SEAT AIRBAG RESTR. EJECT HELMET INJURY 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.
MATTHEW NUGENT 10-10-23 03:35 PM
INVESTIGATING OFFICER'S SIGNATURE UNIT OR DIST DET DATED PLACE SIGNED
APPROVED BY DATE
C.JACOBS 1953 1 1011912023 10:43:13 AM
BADGE OR ID# 11498 ORI# WA0171300 TIME POLICE DISPATCHED 4:09 Pry TIME POLICE ARRIVED 1:06 PM
PART B PAGE IT]OF 6�
REPORT NO. EE10854 CASE# 23-11607 DATEAND
aE
dF coyL� 10/10/23 12:59
LISIO isi©�u
NARRATIVE
23-11607
On 10/10/2023 at approximately 1301 hours, I was dispatched to a recent hit-and run vehicle collision
located at 2318 NE 6th PL, within the City Limits of Renton, County of King, State of Washington.
While en route, Dispatch advised that there was a causing vehicle versus two parked and unoccupied
vehicles as well as damage to the property's chain-link fence at the location listed above. Dispatch
also advised that the suspect vehicle was now unoccupied with two males seen running from the
vehicle and the scene.
Upon arrival, I contacted the Reporting Party who was identified via pictured WADL as Sam Botros.
Botros stated he was the owner of the property as well as both vehicles damaged in the incident.
Botros stated that at approximately 1259 hours, Unit#1 (Kia Soul) was traveling eastbound in the
2300 block of NE 6th PI. Botros stated that Unit#1 lost control and drove into a chain-link fence lining
the southwest corner of Botros' property. Botros stated Unit#1 collided with Unit#2 and Unit#3
which were both parked and unoccupied in Botros' driveway. Botros showed me surveillance footage
of the incident revealing that Unit#1 was occupied by what appeared to be two males, in their late
teens or early 20's, wearing dark clothing.
Botros stated that there was no damage to his property or vehicles prior to the collision. Unit#2
(Toyota Prius) suffered significant damage to the entire passenger side of the vehicle where Unit#1
made initial contact with, to include damage to the front axle. Unit#3 (Toyota Camry Solera) suffered
moderate damage to the front passenger side door, fender, and quarter panel.
Unit#1 (Kia Soul) was unoccupied upon my arrival with no one around claiming ownership of the
vehicle. Several Officers responded and conducted an area check for the outstanding driver and
passenger. Unit#1 significant damage to the front of the vehicle. The front airbags were deployed
inside of Unit#1 as well as extensive ignition damage observed. Due to Unit#1 still attached to Unit
#2 and in the homeowner's front yard, I requested the vehicle be impounded.
There was at least one witness outside at the time of collision, identified as Hoda Lamay. Lamay
stated she was getting ready to leave for work when Unit#1 nearly collided with her before it swerved
into Botros' property.
Based on the above statements, I determined that the Driver of Unit#1 was the predominant factor
for the collision due to inattention causing a collision.
A case number and exchange of information was provided to Botros. Unit#1 was impounded by
Bankers Towing due to significant damage.
Photos were taken and later uploaded to Axon's Evidence.com.
I was later notified by Officer T. Cumming that Unit#1 (Kia Soul) was stolen and that he had filed the
vehicle as stolen earlier in the day under Renton Police Case #23-11587. See Officer Cumming's
report for further details.
I attempted to contact the Registered Owner (RO) of the vehicle, JAIME GOMEZ MEZA, by phone
but received no answer. A voicemail was left requesting contact.
RPD front counter was made aware of the request to remove the vehicle from WACIC/NCIC. Both
plates were still affixed to the vehicle. The vehicle was impounded by Bankers towing. King County
AFIS was notified and stated they would respond to the Bankers tow yard to process the recovered
PAGE 3 OF 6
REPORT NO. EE10854 CASE# 23-11607 DATEAND
aE
dF coyL� 10/10/23 12:59
LISIO isi©�u
NARRATIVE
Kia Soul for fingerprints.
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 M. Nugent#11498 10/10/2023 3:18 PM Renton, King County, WA.
PAGE 4 OF 6
SUPPLEMENTAL REPORT NO. EE10854
r`) POLICE TRAFFIC 1 1 8 27
COLLISION REPORT CASE# 23-11607
1 COMMERCIAL MOTOR CARRIER INTERSTATE INTRASTATE G
UNIT'# USDOT ICC# VEHICLE TYPE CARGO BODY
;TYPE
❑ 1 28
2
CARRIER
NAME
3 CARRIER L
ADDRESS `
—1 I
CITY ST ZIP'
4 ❑ NAME # PLACARD: :❑
GINAME IF NO NUMBER
SOURCE AXLES +
4a ❑ ADDITIONAL UNITS
MOTOR PEDAL-
PROPERTY DAMAGETHRESHOLD MET PHONE
5 ❑ UNIT# 3 VEHICLE t_"J � PEDESTRIAN YES� IN
1 4 29
LAST NAME : UNKNOWN FIRST NAME MIDDLE
INITIAL
STREET 30
NEW Ann2FS CITY RENTON ST ZIP
6 [6 P
CDL IGNITIttN REQUIRED IGNITION PRESENT MEDICAL TANSPORTED 1 31
INTERLOCK YES No zERLOCK YES E]NO� YES N
DRIVER'S STATE I SEX U M��DVSYv' —� 2
LICENSE
7
ON DUTY STATUS AIRBAG 9 RESTR. 9 EJECT 1 HELMET 9 INJURY 0 NATURE OF INJURIES
F�
USE CLASS
8 ❑ 1 32
LICENSE ABV7565 TAr WA VIN# 4T1CA30P440004314
PLATE#
9 TRAILER TRAILER
PLATE# STATE PLATE# STATE
10 ❑ TRLR TRLR
VIN.#. VIN.#.
11 U U VEH.YEAR2004 MAKE TOYT MODEL CAMRY STYLE CP VEHICLE TOWS E T SABLIN TOWED BY anvi vEH1C P FROM TO
DAMAGE YES NO YES NO
REGISTERED OWNER INFOSAMBOTROS 2318 RENTON WA 98056 D:4255259515 m 33
12 SHADE IN DAMAGED� AREA
4 FROM TO
LIABILITY INSURANCE[] INSURANCE CO
IN EFFECT &POLICY# 4 TUP
7 34
13 ❑ ELE L ❑ ❑ CITATION# CHARGE 0 OTTt)M
LEGAGALLY YES NO
STANDING 4 MOT{7R PEDAL PROPERTY a 7 G
DAMAGE THRESHOLD MET PHONE ❑ 35
14 ❑ UNIT# VEHICLE CYCLE PEDESTRIAN1:1 OWNER YES NO D:4255259515
36
15 ❑ LAST NAME BOTROS FIRST NAME SAM MIDDLE M
INITIAL '
16 ❑ STREET"[] 2318 NE 6TH PL CITY RENTON STI WA Z!P 98056
NEW AnnRFSR
CDL IGNITION REQUIRED IGNITION PRESENT MEDICALTANSPORTED
17 ❑ INTERLOCK YES NO INTERLOCK YEs N. YEs NO ❑
DRIVER'S STATE SEX M D.O.B 5 37
18 ❑ LICENSE# MMDDYYY 02 - 22 - 1949
ON DUTY STATUS AIRBAG RESTR, EJECT HELMET INJURY NATURE OF INJURIES ❑ 38
USE (CLASS
19 ❑ 39
LICENSE rnr VIN#
PLATE#
20 ❑ TRAILER' TRAILER El40
PLATE#< STATE PLATE# STATE
21 ❑ [441
TRLR TRLR
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 3 a 4 AREA F 43
z
LIABILITY INSURANCE INSURANCE CO '
VEHICLE
EFFECT &POLICY# I 970P - 4 44
24 LEwcLE YES❑ NO❑ CITATION# CHARGE iq 60TiOM
LecALLv
E:l
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.
MATTHEW NUGENT 10-10-23 03:35 PM
25 INVESTIGATING OFFICER'S SIGNATURE OFFICER'S PHONE UNIT OR DIST DET DATED: PLACE SIGNED
APPROVED BY DATE
26 ORID# 11498 O#II,WA0171300 JACOBS 10/19/202 PAGE F OF 6
3000-345-013(R 11118)
REPORTNO. EE10854 CASE# 23-11607 DATE AND TIME 10/10/2312:59
OF COLLISION
2318 NE 6th PI.,Ren
Unit#2 Unit#3
-MR
Q
d
NE-6th PL � 0
Un it#1 `D
n. u m
PAGE 6 OF 6