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Home My WebLink About23-11908 a POLICETRAFFic" II I f I) 1 Ilf I I ('I I (Illf If( f I I REPORT NO. EE15346 5 1 27 COLLISION REP FIT 1591971 CASE 23-11908 z INTERSTATE ❑ CITY STREET FIRE ❑ RESULTED 1 STOLEN STATE ROUTE ❑ OTHER ❑ VFHICI F ❑ LOCAL AGENCI 4150 3 HIT&RUN CODING COUNTY RD PRIVATE WAY INVOLVED 2❑ TOTAL#OF OBJECT ❑2$ TRIBAL 1 OS STRUCK MAILBOX RESERVATION z 3❑ DATE OF M M D D Y Y Y Y TIME(2400) COUNTY# MILES N E IN CITY# GawsloN 10 - 18 - 2023 1224 17 ❑-= S 8 IN e 1070 3 4❑ ON (PRIMARY TRAFFIC WAY) INTERSECTION ❑✓ NON INTERSECTION ❑ BLOCK NO. e✓ --- ----� ❑ NE 27TH ST MILEPOST 4a❑ DISTANCE OF(REFERENCE OR CROSS STREET) 5❑ ❑ FEET e S ❑ W e KENNEW/CK PL NE 0 1 29 MOTUNIT U1 VEHIOR Z PEDAL-CLE CYCLE ElYESA,G/E NHORESHOLD MET PHONE 30 6� LAST NAME VONHOFF FIRSTNAME SHAWN MIDDLE C 1 1 2 31 INITIAL STREET ❑ 4213 LEARY WAY NW PMB 34 CITY SEATTLE ST WA ZIP' 98107 z NEW ADDRESS 7❑ CDL IGNITION REQUIRED IGNITION PRESENT MEDICAL TRANSPORTED 3 iNTERLOCKYEs NO INTERLOCKYEs NO YES R NO 8 DRIVE# ON DUTY❑ STATUS' AIRBAG 3 RESTR 9 EJECT 1 H U EETI I INJURY [NATURE OF CLASS 5 WHOLEBODY INJURIES z❑ 3 10❑ PI ATNE 14 505YYU sTAT WAv N# 1 FALP52U6VA106353 ----� TRAILER STATE TRAILER STATE 11 2 5 PLATE# PLATE# FRom To TRLR. TRLR. 3 7 33 12❑ VIN#j VIN#' FR.. 34 VEH.YEAR 1997 MAKE FORD MODEL TAURUS STYLE VEHICLE TOWEDNOO pLSSBLIN TSIYY.Ep9vMEYER vOS❑ENO DAMAGE ILJI (�ciV6 13 REGISTERED OWNER INFO SHAWNVO1111213LEARYWAYNWPMB34 SEATTLEWA98107 VEHICLE NO. 1 ❑ SHADE IN DAMAGED AREA 35 14❑ LIABILITY INSURANCE❑ INSURANCE CO IN EFFECT &POLICY# ve'C ❑ 36 LEGALLv res❑NO❑ CITATION# CHARGE BOTTOM 15❑ "" MOTOR PEDAL- PEDESTRIAN PROPERTY DAM THR OLD MET PHONE UNIT 02 VEHICLE ❑ CYCLE ❑ ❑ OWNER ❑ YES�/ NO D:9043222159 16❑ LAST NAME ROGERS 21 FIRST NAME WILLIAM MIDDLE lH INITIAL 17❑ STREET ❑', 1733 NE 28TH ST CITY' RENTON ST WA ZIP 98056 37 NEW ADDRESS ❑ 18� CDL IGNITION REQUIRED IGNITION PR—E-1SENT MEDICAL TRANSPORTED ❑ 38 INTERLOCK YEs❑NOR INTERLOCK YEs It I NOF YES t t— l NO❑ 19 LLIICENS # STATE SEX M MMDDYY —❑_ 39 HELMET INJURY NATURE OF INJURIES 40 20❑ ON DUTY STATUS' AIRBAG RESTR EJECT USE CLASS ❑ ❑21❑ TATE LICENSE vIN# 41 PLATE# 42 22❑ PR TRAILER LATE# STATE PLATE# STATE 23❑ 43 TRLR RLR UIN#. 'IN#. 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 LIABILITY INSURANCE❑ INSURANCE #E CO IN EFFECT &PO I 9TOP 5 vE""LE ❑ ,J� CITATION# CHARGE i o BOTTOM LEGALLY YES N J 25 s e OFFICER'S NAME(PRINT) OFFICER PHONE BADGE OR ID# AGENCY 26 J.M/TCHELL 10377 WA0171300 PAGE 01 OF PART A 3000-345-159 OR 11/181 STATE OF POLICETRAFFICN CORRECTION REPORT No. EE15346 COLLISION REPORT III III III III III 111 1591972 CASE# 23-11908 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' On 10/18/23 1 responded to a single vehicle into a home collision at 1733 NE 28th St. Due to injuries to the driver, identified as Shawn C Vonhoff (dob 03-29-69) via his WA DL, was taken to Harbor View Hospital. I was unable to get a statement from him at the scene. According to the reporting party/witness, the driver of unit 1 "lost control of his vehicle and flew off the roadway." Witnesses written statement provided to Ofc Rivera. After more investigation, it was determined that prior to striking the residence listed above, the driver hit and damaged 3 residential mailboxes. Extent of driver's injuries were not known at the time of this report. But not for the action of UNIT 1 DRIVER the result would not have happened. I declare under penalty of perjury under the laws of the State of Washington that the foregoing is true and correct. I CERTIFY(DECLARE)UNDER PENALTY OF PERJURY UNDER THE LAWS OF THE STATE OF WASHINGTON THAT THE FOREGOING IS TRUE AND CORRECT. J.MITCHELL 10-24-23 12:09 PM INVESTIGATING OFFICER'S SIGNATURE UNIT OR DIST DET DATED PLACE SIGNED APPROVED BY DATE CO.JOHNSON 0505 1 111112023 1:57:40 PM BADGE OR ID# 10377 ORI# WA0171300 TIME POLICE DISPATCHED', 12:24 PM TIME POLICE ARRIVED';?2:Y9 pM PART I PAGE IT]OF SUPPLEMENTAL REPORT No. EE15346 r`) POLICE TRAFFIC 1 27 COLLISION REPORT CASE# 23-11908 1 COMMERCIAL MOTOR CARRIER INTERSTATE INTRASTATE G UNIT'# USDOT ICC# VEHICLE TYPE CARGO BODY ;TYPE 2 ❑ 1 28 CARRIER NAME 3 CARRIER ADDRESS ` CITY ST ZIP—1 I ' 4 ❑ NAME # PLACARD: :❑ GI PLACARD IF NO NUMBER SOURCE AXLES + 4a ❑ ADDITIONAL UNITS MOTOR PEDAL- PROPERTY DAMAGE THRESHOLD MET PHONE 5 ❑ UNIT# 3 VEHICLE I_J CYCLE u PEDESTRIAN � OWNER � YES NO D:2063048402 MIDDLE.. 29 LAST NAME : WITT 21 FIRST NAME JAMES INITIAL D STREET 30 NEW AnnRFSP. 1801 NE 27TH ST CITY RENTON ST WA ZIP 98056 6 II 1 31 CDL GNITItN REQUIRED GNITION PRESENT MEDEC INTERLOCK YEsNo zERLOCK YES❑N0� T DRIVER'S STATE I SEX M 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 MODEL STYLE VEHICLE TOWS T SABLIN TOWED BY anvi vEHIC P FROM TO DAMAGE Y E ES NO YES NO REGISTERED OWNER INFO. m 33 12 SHADE IN DAMAGED AREA FROM TO LIABILITY INSURANCE❑ INSURANCE CO IN EFFECT &POLICY# tGQ EHILLE 34 13 ❑ LEGALLY YES[:] NO❑ CITATION# CHARGE STANDING 4 MOT{7R PEDAL PROPERTY a 7 e 14 ❑ UNIT# 1:1DAMAGE THRESHOLD MET PHONE ❑ 35 VEHICLE CYCLE PEDESTRIAN OWNER YES NO D:2063316619 N:4257361696 36 15 ❑ LAST NAME YOUNG 21 FIRST NAME MIKE/JOANNE MIDDLE INITIAL ' 16 ❑ STREET"[] 1803 NE 27TH ST CITY RENTON STI WA ZIP 98056 NEW AnnRFSR CDL IGNITION REtIUiREE7 IGNITION PRESENT MEDICALTANSPORTED 17 ❑ INTERLOCK YES NO INTERLOCK YEs NC7 rEs No ❑ DRIVER'S STATE SEX U MDDY 37 18 ❑ LICENSE# MMDDYYY ON DUTY STATUS AIRBAG RESTR, EJECT HELMET INJURY NATURE OF INJURIES ❑ 38 USE (CLASS 19 ❑ 39 LICENSE rnr vIN# PLATE# 20 ❑ TRAILER' STATE TRAILER STATE ❑ 40 PLATE#< PLATE# 21 ❑ TRLR TRLR 41 VIN# YIN#i 42 22 VEH.YEAR MAKE I MODEL STYLE I VEHICLE TOWED DUET SABLIN TOWED BY GOVT.VEHICLE DAMAGE YES NO YES NODI El 23 REGISTERED OWNER INFO_ SHADE IN DAMAGED AREA 43 2 3 a LIABILITY INSURANCE INSURANCE CO ' VINE EFFECT &POLICY# i 970P - 4 44 24 LEwcLE YES❑ NO❑ CITATION# CHARGE iq 60TiOM LecALLv 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. J.MITCHELL 10-24-23 12:09 PM 25 INVESTIGATING OFFICER'S SIGNATURE OFFICER'S PHONE UNIT OR DIST DET DATED: PLACE SIGNED APPROVED BY DATE 26 OI BADGE 10377 O#I',WA0171300 JOHNSON 11/1/2023 PAGE 3 OF F 3000-345-013 IR 11t18) SUPPLEMENTAL REPORT No. EE15346 r`) POLICE TRAFFIC 1 27 COLLISION REPORT CASE# 23-11908 1 COMMERCIAL MOTOR CARRIER INTERSTATE INTRASTATE G UNIT'# USDOT ICC# VEHICLE TYPE CARGO BODY ;TYPE 2 ❑ 1 28 CARRIER NAME 3 CARRIER ADDRESS ` CITY ST ZIP—1 I ' 4 ❑ NAME # PLACARD: :❑ GI PLACARD IF NO NUMBER SOURCE AXLES + 4a ❑ ADDITIONAL UNITS MOTOR PEDAL- PROPERTY DAMAGETHRESHOLD MET PHONE UNIT# 5 PEDESTRIAN � ✓�' YEs NO 5 VEHICLE CYCLE OWNER ✓ D:4252489841 MIDDLE.. 29 LAST NAME CADDY 21 FIRST NAME TRISH INITIAL STREET 30 NEW AnDRFSP' 1809 NE 27TH ST CITY RENTON ST WA ZIP 98055 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 MODEL STYLE VEHICLE TOWS T SABLIN TOWED BY anvi vEHIC P FROM TO DAMAGE Y E ES NO YES NO REGISTERED OWNER INFO. m 33 12 SHADE IN DAMAGED AREA FROM TO ((ABILITY INSURANCE❑ INSURANCE CO IN EFFECT &POLICY# tGQ EHILLE 34 13 ❑ LEGALLY YES[:] NO❑ CITATION# CHARGE STANDING } 8 7 6 14 ❑ UNIT Tr Vd 1RE O CYDCLE OWNERRTY YES AGE NOHRESHOLD MET PHONE ❑ 35 PEDESTRIAN 15 LAST NAME FIRST NAME MIDDLE': INITIAL ❑ 36 STREET 16 NEW 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 a 71 LIABILITY INSURANCE INSURANCE CO ' VEHICLE EFFECT &POLICY# I 970P - 4 44 24 LEwGLE 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. J.MITCHELL 10-24-23 12:09 PM 25 INVESTIGATING OFFICER'S SIGNATURE OFFICER'S PHONE UNIT OR DIST DET DATED: PLACE SIGNED APPROVED BY DATE 26 OI BADGE 10377 O#I',WA0171300 JOHNSON 11/1/2023 PAGE 4 OF F 3000-345-013 IR 11t18) REPORT NO.! EE15346 CASE# ' 23-11908 DATE AND TIME 10/18/23 12:24 OF COLLISION PAGE 5 OF 5