HomeMy WebLinkAbout23-13200 ITFF' "POLCERA II I !�� I III I III I IIII III II I . 0 27c
COLLISION REP FIT 1591971
CASE 23-13200 z
INTERSTATE ❑ CITY STREET ❑ FIRE ❑
RESULTED
1 STOLEN
STATE ROUTE ❑ OTHER ❑ VFHIC;I F ❑ LOCAL AGENCI 4100 3
HIT 8 RUN CODING
COUNTY RD PRIVATE WAY INVOLVED
2� 1 1 8 28
TOTAL#OF OBJECT
TRIBAL UNITS 03 STRUCK' UT/LITYPOLE
RESERVATION
z
3❑ DATE OF M M D D Y Y Y Y TIME(2400) COUNTY# MILES N E IN CITY# ❑
CowsloN 11 - 1-- 2023 1334 17 ❑.= S 8 IN e 1070 3
4❑ ON (PRIMARY TRAFFIC WAY) INTERSECTION ❑ NON INTERSECTION ❑✓
BLOCK
NE SUNSET BLVD M4601
4a❑ MILEPOST
DISTANCE OF(REFERENCE OR CROSS STREET)
5❑ 289 00 FMILES EET e S ❑ W e ANACORTES AVE NE
0 1 29
MOTOR PEDAL- DAMAGE THRESHOLD MET PHONE
UNIT 01 VEHICLE ❑ CYCLE El
,/No D:2532758891 0 11
30
6 LAST NAME PENA PERALTA FIRST NAME LEONEL MIDDLE 1 2 31
INITIAL
STREET ❑, 4917 31ST ST NE CITY TACOMA ST WA 2jp, 98422 z
NEW ADDRESS
7❑ CDL IGNITION REQUIRED IGNITION PRESENT MEDICAL TRANSPORTED 3
iNTERLOCKYE3 1/ I NO NTERLOCKYEs NO Z/ YES R No�/
8❑ L IIER # STATE yyq SEX'M I ELMM D Y' 07 - 15 - 2006 1 1 2 32
9 ON DUTY❑ STATUS AIRBAG 6 RESTR 4 EJECT 1 HELM
U EET 2 CLASS 1 NATURE OF INJURIES z❑
3
10 9❑ P1 AT 14 C94351T STATE WA VIN# 1FTPW14594FA12658
TRAILER STATE TRAILER STATE
11 0 0 PLATE# PLATE# FROM TO
TRLR. TRLR 3 7 33
12 0 0 VIN#' VIN#
>; FROM TO
VEH.YEAR MAKE MODEL STYLE VEHICLE TOWED TO BLIN TOWED BY GOVT.VEHICLE 1 $ 34
13 9 2004 FORD F150 PK DAMAGE YES NO YES[:] No
✓
REGISTERED OWNER INFO RICARDO PENA CORTES 491731ST ST NE TACOMA WA 98422 D:2532758891 VEHICLE NO. 1 ❑
SHADE IN DAMAGED AREA 35
9 INSURANCE CO 3 4
14 LIABILITY INSURANCE SAFECO H2439647
IN EFFECT &POLICY# 912P
VEHlcl.e CHARGE IOR TTOM 5 36
ALLY YES No clTAnoN# 3A0637877,3A0637877 NEGLIGENT DRIVING 2ND DEGREE,
15❑ NDING 7 6
MOTOR PEDAL-:. PROPERTY DAM THR OLD MET PHONE
UNIT 02 ❑✓ ❑ PEDESTRIAN ❑ ❑ D:4252415960
VEHICLE CYCLE OWNER YES�/ NO
16 a
LAST NAME HUDSPETH FIRST NAME JONATHON MIDDLE I P
INITIAL
17 STREET NEW ADOREs7 7100 132ND PL SE CITY NEWCASTLE ST WA ZIP 980593035 37
18� CDL IGNITION REQUIRED IGNITION PR-E-1SENT MEDICAL TRANSPORTED 38
INTERLOCK YEs❑No� INTERLOCK YEs It I NOF YES
t l NOF,/
19[—] DRIVER #
ON DUTY STATUS AIRBAG,6 RESTR 4 EJECT 1 HE 2 INJURY 7 NATURE of INJURIES 40
USE CLASS EVAL'D BY RRFA
LICENSE I ❑21❑ PLA E# CAZ3396 TATe 41
WA VIN# 3N1CN7AP7KL881212 1
42
22❑ PILER LATE# STATE pLATE# STATE
23❑ UIN#. 43
TRLR RLR
'IN#.
VEH YEAR 2019 MAKE NISS MODEL VERSA STYLE 4D I VEHICLE TOWED TO BLIN TOWEDBY GOV HI 44
24❑ DAMAGE YES�/ NO BANKERS YES NO
REGISTERED OWNER INFO JONATHON HUDSPETH 7100132ND PL SE APT 2-406 NEWCASTLE WA 98059 D:4252415960 VEHICLE NO.2
SHADEDAMAGEDAREA
3 4
LIABILITY
INSURANCE INSU8 PORGY#E CO PROGRESSIVE 954159645IN STOP 5
VEwCLE ❑ N,J� CITATION# CHARGE
LEG to BOTTOM
ALLY YES 6
25 OFFICER'S NAME(PRINT) OFFICER PHONE BADGE OR ID# AGENCY
26
MATT HEW NUGENT 11498 WA0171300
PART A PAGE 01 OF
3000-345-159 fR 11/181
STATE OF
POLICETRAFFICN CORRECTION REPORT NO. EE23158
COLLISION REPORT III III III III III 111
1591972 CASE# 23-13200
ADDITIONAL PERSONS INVOLVED PASSENGERS AND/OR WITNESSES ONLY)
NAME MIDDLE INITIAL) GONZALEZGAMBOA VAN►A
(LAST FIRST,
ADDRESS&PHONE# D O.B. '
NOT PROVIDED RENTON 2532758891 SEXi F MMDOYyry 09 - 20 - 2006
PASSENGER Z WITNESS❑ UNIT# i 1 SEA 9 AIRBAG 6 RESTR. 1 EJECT ? HELMET INJURY NATURE OF INJURIES
USE 2 'CLASS 1
NAME
(LAST,FIRST,MIDDLE INITIAL)
ADDRESS&PHONE# Id DOB
E MMDDYVYV
PASSENGER ❑WITNESS UNIT# SEAT AIRBAG RESTR. EJECT HELMET NJURY 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.
MATTHEW NUGENT 11-16-23 06:08 PM
INVESTIGATING OFFICER'S SIGNATURE UNIT OR DIST DET DATED PLACE SIGNED
APPROVED BY DATE
C.JACOBS 1953 11/25/2023 7:24:03 AM
BADGE OR ID# 11498 ORI# WA0171300 TIME POLICE DISPATCHED'; 1:36 PM TIME POLICE ARRIVED',1:39 PM
PART I PAGE IT]OF 6�
REPORT NO. EE23158 CASE# 23-13200 OF COLLISION
11/15/23 13:34
OF CbLLI510N
NARRATIVE
23-13200
On 11/15/2023 at approximately 1336 hours, I was dispatched to a vehicle collision with reports of
injury at ACE Hardware, located at 4601 NE Sunset Boulevard, within the City Limits of Renton,
County of King, State of Washington.
While en route, Dispatch advised that the collision involved two vehicles and that one vehicle had "t-
boned" the other. Dispatch also reported airbag deployment on at least one of the involved vehicles
therefore the Renton Regional Fire Authority (RRFA) was simultaneously dispatched to the scene.
Upon arrival, I noticed heavy mechanism to the involved vehicles which was not typical for a parking
lot-type collision. RRFA arrived on scene shortly thereafter and evaluated all involved parties at the
scene where they were later released. While on scene, I collected each of the involved parties driving
documents and their independent recollection of the events leading up to the collision.
The driver of Unit#1 stated that he and his girlfriend were inside of his father's vehicle. The driver of
Unit#1 stated that his parents did not know he was in possession of their vehicle and that they had
no idea he was driving it. The driver of Unit#1 stated that prior to the collision, he was traveling
westbound through the parking lot at no more than "30-35mph" and was in an active argument with
his girlfriend which may have distracted him. The driver of Unit#1 stated he was intending to drive to
McDonald's when a vehicle turned into the parking lot from the north entrance. Upon the involved
vehicle (Unit#2) entered the parking lot, Unit#1 collided into the driver's side of Unit#2. Both
vehicles then made secondary contact with a stationary vehicle charging station. Unit#1 suffered
significant damage to the front of the vehicle because of the collision.
The driver of Unit#2 said he was the sole occupant of his vehicle and was traveling westbound in the
4600 block of NE Sunset Blvd (JWO Duvall Ave NE) and had gotten into the two-way center-turn-
lane. The driver of Unit#2 stated that he stopped to yield to oncoming traffic with the intent to turn
south (left) into the private property parking lot located on the south side of the roadway. The driver of
Unit#2 stated that he observed Unit#1 traveling several hundred feet away from the intersecting
lanes of the parking lot and assumed Unit#1 was traveling at a safe speed within the parking lot. The
driver of Unit#2 believed that he had plenty of time and distance to continue into the parking lot. The
driver of Unit#2 stated that he continued through the parking lot when he felt the impact of Unit#1
colliding into the driver's side of Unit#2. The driver of Unit#2 stated that he believed Unit#1 was
traveling too fast in the parking lot. Unit#2 suffered significant damage to the side of the vehicle
because of the collision. Due to the initial impact, Unit#2 also made secondary contact with a
stationary vehicle charging station.
Based on the above statements and after examining the heavy mechanism from the three involved
vehicles, I believe that the driver of Unit#1 is the predominant factor for the cause of collision due to
traveling at unsafe speeds. I estimate that Unit#1 was traveling more than 45+ mph through the
parking lot. I believe that the driver of Unit#1 violated RCW 46.61.525-Negligent Driving in the
second degree. This RCW is defined as a person being guilty of negligent driving in the second
degree if, under circumstances not constituting negligent driving in the first degree, he or she
operates a motor vehicle in a manner that is both negligent and endangers or is likely to endanger
any person or property.
"Negligent" means the failure to exercise ordinary care and is the doing of some act that a reasonably
careful person would not do under the same or similar circumstances or the failure to do something
that a reasonably careful person would do under the same or similar circumstances.
PAGE 3 OF 6
REPORT NO. EE23158 CASE# 23-13200 OF COLLISION
11/15/23 13:34
OF CbLLI510N
NARRATIVE
Upon requesting the driver of Unit#1's driving documents, the driver of Unit#1 admitted to not having
a driver's license. The driver of Unit#1 presented me with a pictured `Bates College' school
identification card. Upon a DOL records check, I confirmed the driver's identity as Pena Peralta. Pena
Peralta was listed as Not Licensed -Eligible in DOL.
I believe that the drive of Unit#1 (Pena Peralta) did not exercise ordinary care and that it was
reasonable to believe Unit#2 was driving through the parking lot under a practical belief that it was
safe to do so. A reasonable driver would not have expected Unit#1 to have been traveling at a high
rate of speed through a parking lot, especially during active business hours with heavy vehicle and
pedestrian traffic. 1 cited the driver of Unit#1 (Pena Peralta) via mail for Negligent Driving in the
second degree and for No Valid Operator's License with ID.
Both Unit#1 and Unit#2 had to be impounded due to extensive damage and because they were
resting against a stationary charging station that Potelco/PSE crews were attempting to repair. An
exchange of information and case number were provided to all involved parties.
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 11/16/2023 5:28 PM Renton, King County,
WA.
PAGE 4 OF 6
SUPPLEMENTAL REPORT NO. EE23158
r`) POLICE TRAFFIC 1 27
COLLISION REPORT CASE# 23-13200
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# 3 PEDESTRIAN � ✓�' YEs NO
5 VEHICLE CYCLE OWNER ✓ D:5033173953 N:5033173953
MIDDLE' 29
LAST NAME INC FIRST NAME POTELCO I INITIAL
STREET 30
NEW AnnRFSP 14103 STEWART RD SE CITY SUMNER ST WA ZIP 98390
6
CDL IGNITION REQUIRED IGNITION PRESENT MEDICAL TANSPORTED 1 31
INTERLOCK YEs No zERLOCK YES E]Na� YEs N
L
DRIVER'S STATE SEX U M�DDYBYv 01 - 01 - 2023
LICENSE
7 F-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 E 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 } 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 AnnREs.� CITY'. ST ZIP
CDL IGNITION REQUIRED 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 '
VINE
EFFECT &POLICY# I 970P - 4 E:l
44
24 LEwGLE YES❑ NO❑ CITATION# CHARGE iq 60TiOM
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.
MATTHEW NUGENT 11-16-23 06:08 PM
25 INVESTIGATING OFFICER'S SIGNATURE OFFICER'S PHONE UNIT OR DIST DET DATED: PLACE SIGNED
APPROVED BY DATE
26 ORID# 11498 O#I WA0171300 JACOBS 11125/202 PAGE 5 OF 6
3000-345-013 IR 11118)
REPORT NO. EE23158 CASE# ' 23-13200 DATE AND TIME 11/15/23 13:34
OF COLLISION
51¢
21,
Ap
PAGE 6 OF 6