HomeMy WebLinkAbout23-10156 ITFF' "POLCERA II I !�� I III I III I IIII III II I . 1 27c
COLLISION REP FIT 1591971
CASE 23-10156 z
INTERSTATE ❑ CITY STREET FIRE ❑
RESULTED
1 STOLEN
STATE ROUTE ❑ OTHER ❑ VFHICI F ❑ LOCAL AGENCI 4250 3
HIT&RUN CODING
COUNTY RD PRIVATE WAY INVOLVED
2 TOTAL#OF OBJECT 2$
TRIBAL UNITS 02 STRUCK' FENCE
RESERVATION
z
3❑ DATE OF M M D D Y Y Y Y TIME(2400) COUNTY# MILES N E IN CITY# ❑
GawsloN 09 - 1-- 2023 0217 17 ❑.= S 8 IN e 1070 3
4❑ ON (PRIMARY TRAFFIC WAY) INTERSECTION ❑ NON INTERSECTION ❑✓
108TH AVE SE BLOCK NO. e
4a❑ MILEPOST
DISTANCE OF(REFERENCE OR CROSS STREET)
5❑ 2001. 00 FEET MILES e S B W e S 180TH ST
0 1 29
MOTUNIT U1 VEHIOR Z PEDAL-CLE CYCLE ElDESA✓NHORESHOLD MET PHONE 30
6❑ LAST NAME UNKNOWN FIRSTNAME MIDDLE 1 1 2 31
INITIAL
STREET ❑ CITY RENTON ST ZIP z
NEW ADDRESS
7❑ CDL IGNITION REQUIRED IGNITION PRESENT MEDICAL TRANSPORTED 3
:NTERLOCKYEs NO INTERLOCK YES NO YES No
8 DRIVERS STATE SEX U D.Q O.B. 32
❑ :LICENSE# MMDDYY —=
9 ON DUTY❑ STATUS I
AIRBAG 6 RESTR 1 EJECT 1 H USEEr 9 CLAY 0 NATURE OF INJURIES z❑
3
10❑ Pi ATNES# A6546056 sTAT WAv N# JA4AR3AU4LU030395
TRAILER STATE TRAILER STATE
11 0 0 PLATE# PLATE# IR.. ro
TRLR. YRLR. 5 1 33
12❑ vIN#' VIN#
Rom 34
13❑ VEH.YEAR2020 MAKE MITS MODEL OUTLAN STYLE SD VEHICLETOWED0NOOffBLIN TSIgWgYMEYERS vOs❑ENo�
DAMAGE IILLJJII (��IV6
REGISTERED OWNER INFO STEVE FERGUSON 1817 GRANTAVE S RENTON WA 98055 VEHICLE NO. 1 ❑
SHADE IN DAMAGED AREA 35
14❑ LIABILITY INSURANCE❑ INSURANCE CO
IN EFFECT &POLICY# �:D
LEGA L CHARGE36
LECALLv res❑NO CITATION#
15❑ NDING
MOTOR PEDAL- PEDESTRIAN PROPERTY DAM THR OLD MET PHONE
16
UNIT 02 VEHICLE ❑ CYCLE ❑ ❑ OWNER ❑ YES 1/ NO D:2068197931
❑
LAST NAME SAETEURN FIRST NAME MELINDA MIDDLE
INITIAL
17 NEW STREETREs7' 10803 SE 181ST ST CITY RENTON ST WA ZIP 98055 37
18� CDL IGNITION REQUIRED IGNITION PR—E-1SENT MEDICAL—T�RANSPORTED 38
INTERLOCKYES�NOR INTERLOCK YEs It I NOF YES
t l NO❑
19 F] DRIVE #
INJURY NATURE OF INJURIES 40
20❑ ON DUTY STATUS' AIRBAG RESTR EJECT USE CLASS ❑
❑21❑ LICENSE TATE IN# 41
V `1
PLATE#
42
22 [TRAILER T
❑ PLATE# STATE PLATE#ILER STATE
23❑ 43
TRLR RLR
UIN#. 'IN#.
VEH YEAR MAKE MODEL STYLE VEHICLE TOWED TO BLIN
TOWED BY Gov HI 44
24❑ DAMAGE YES NO YES NO
REGISTERED OWNER INFO VEHICLE NO.2
SHADE IN DAMAGED AREA
2 3 4
INAEFFIECTTY NSURANCE❑ &POINSULICY#E CO 1GQ
VEHICLE ❑ C[:] CITATION# CHARGE
LEGALLY YES N`LJ
25 s � e
O
F
NAME(PRINT) OFFICER PHONE BADGE OR ID# JAGENCY
26
EDIGER 12807 WA0171300
PART A PAGE 01 OF C7
3000-345-159 OR 11/181
STATE OF
POLICETRAFFICN CORRECTION REPORT NO. ED95739
COLLISION REPORT III III III III III 111
1591972 CASE# 23-10156
ADDITIONAL PERSONS INVOLVED PASSENGERS AND/OR WITNESSES ONLY)
NAME MIDDLE INITIAL) JONES CHERIL
(IAST FIRST,
ADDRESS&PHONE# D O.B.
4254572335 SEX U MMDDYyry 07 - 31 - 1966
PASSENGER ❑✓ POS. USE WITNESS UNIT# SEAT AIRBAG RESTR. EJECT ' HELMET INJURY CLA SSSS NATURE OF INJURIES
NAME
'(LASTr FIRS' MIDDLE INITIAL)
ADDRESS&PHONE# D O E4
SEX MMDDYYYV
PASSENGER ❑WITNESS UNIT# SEAT I 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.
TYLER EDIGER 09-03-23 03:50 AM
INVESTIGATING OFFICER'S SIGNATURE UNIT OR DIST DET DATED PLACE SIGNED
APPROVED BY DATE
DESIRES SCOTT 10272 9/4/2023 6:55:17 PM
BADGE OR ID# 12807 ORI#' WA0171300 TIME POLICE DISPATCHED 2:19 AM TIME POLICE ARRIVED',2:23 AM
PART Ei PAGE IT]OF 4]
REPORT NO. ED95739 CASE# 23-10156 OF COLLISION
09/03/23 02:17
OF CbLLI510N
NARRATIVE
23-10156
On 09/03/2023 at approximately 0219 hours, I was dispatched to an unknown injury collision 108th
Ave SE and SE 180th St in the City of Renton, County of King, State of Washington.
Upon arrival I viewed a 2020 Mitsubishi Outlander rolled over on its top facing north on 108th Ave SE.
The vehicle had no plates attached but was identified by its Vin #JA4AR3AU4LU030395. The airbags
were deployed and the driver's seatbelt was locked in a position that would indicate it was not worn
during the time of the collision. The keys were also located in the vehicle.
The vehicle had a very strong odor of intoxicants and had open containers of alcohol in the vehicle
along with a small bag of marijuana on the ground just outside the driver's side door.
Based on the damage to property and the vehicles position in the roadway it was likely traveling from
south to north on 108th Ave SE.
I contacted the reporting party Melinda Saeteurn (03/05/1992) whose fence along with other
miscellaneous property were damaged in the collision. The estimated total value of damage to her
property is $2000. The damage was to her fence at 10803 SE 181 st St.
Melinda stated that she heard the crash, checked outside to see the car upside down and called 911
immediately. Cody N Schwarze (09/29/1991), another residence at this address ran out to the car to
check for injuries. When Cody ran out to the car nobody was inside.
Melinda stated that she saw a black male limping away east on SE 181 st St but did not see this
individual in or around the vehicle.
Officer Castain spoke to another witness Cheri L Jones (07/31/1996) who lives nearby. Cheri stated
that she saw a tall black male running/limping east on SE 181st St but did not see him near the
vehicle.
Other officers went to the registered owner of the vehicles home, but he was not home. We checked
the area but did not see anybody matching the description in the area.
The vehicle was towed by Gene Meyers.
I am requesting this report be forwarded to the traffic division.
I certify (declare) under penalty of perjury under the laws of the State of Washington that the
foregoing is true and correct.
Electronically Signed: T.Ediger 12807 Date and Place: 09/03/2023 Renton,
WA
PAGE 3 OF 4
REPORT NO. ED95739 CASE# 23-10156 DATE AND TIME 09/03/23 02:17
OF COLLISION
Fence
108th Ave SF
Unit
C�
w-
W Not drawn to scale
PAGE 4 OF 4