HomeMy WebLinkAbout23-15003 ITFF' "POLCERA II I !�� I III I III I IIII III II I . 1 27c
COLLISION REP FIT 1591971
CASE 23-15003 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 1 8 28
TRIBAL UNITS 03 STRUCK
RESERVATION
z
3❑ DATE OF M M D D Y Y Y Y TIME(2400) COUNTY# MILES N E IN CITY#
cawsloN 12 - 1-- 2023 2240 17 ❑-= S 8 IN e 1070 3
4❑ ON (PRIMARY TRAFFIC WAY) INTERSECTION ❑✓ NON INTERSECTION ❑
BLOCK
SUNSET BLVD NE M1000 ❑
4a❑ MILEPOST
DISTANCE OF(REFERENCE OR CROSS STREET)
5❑ ❑ FEET e S ❑ W e NE 10TH ST
0 1 29
UNIT 01 VEHICLE
MOTPI PEDAL-ORCYCLE ElDESA✓NHORESHOLDMET PHONE 1 4 30
6� LAST NAME UNKNOWN FIRSTNAME MIDDLE 1 1 2 31
INITIAL
STREET ❑ CITY ST 21P 2
NEW ADDRESS
7❑ CDL IGNITION REQUIRED IGNITION PRESENT MEDICAL TRANSPORTED 3
iNTERLOCKYEs NO INTERLOCK YES NO YES No
DRIVERS
STATE SEX D '❑- 328 LICENSE MDYY❑ M
9 ON DUTY❑ STATUS I
AIRBAG 9 RESTR 9 EJECT 1 H U EEr 9 CLAY 0 NATURE OF INJURIES z❑
3
10❑ Pi ATNES# CGJ5651 sTAT WAu N# 5UXFE43578L000516
TRAILER STATE TRAILER STATE
11 3 0 PLATE# PLATE# IR.. ro
TRLR. YRLR. 5 1 33
12 0 0 VIN#' VIN#
Rom 34
VEH.YEAR MAKE MODEL STYLE VEHICLE TOWED TO BLIN T GOVT.VEHICLE
13 2008 BMW X5 DAMAGE YES No �LII� RS TOWING YES❑ No✓
REGISTERED OWNER INFO JUAN GARCIA HERNANDEZ,JUAN 3419 NE 8TH ST RENTON WA 98056 VEHICLE NO. 1 ❑
SHADE IN DAMAGED AREA 35
14❑ ABILI V INSURANCE❑ INSURANCE CO 3 4
IN EFFECT &POLICY# 9TOP
vErIICE CHARGE 5 36
LECALLv YES❑NO❑ CITATION# 10 BOTTOM
15❑ STAIN,DIING 8 7 6
UNIT 02 VEHICCMOTOLE CYCLE ❑ PEDESTRIAN ❑ OWNER YES
❑ DYES✓ NO OLD MET PHONE
16❑
LAST NAME UNKNOWN FIRST NAME MIDDLE
INITIAL
STREET
CITY' ST ZIP 37
17❑ NEW ADDRESS❑'
18❑ CDL IGNITION REQUIRED IGNITION PtR-E-S1ENT MEDICAL t—T�RANSPORTED � 38
INTERLOCKYES�NO� INTERLOCK YES I I No� YES t l NO❑
19 LLIICENS # STATE I SEX U MMDDYY _ 39
WELMET INJURY NATURE OF INJURIES 40
20❑ ON DUTY STATUS' AIRBAG 9 RESTR 9 EJECT '1 USE 9 CLASS 0 ❑
❑ILICENSE 21❑ PLA E# AGE7152 TATe 41
WA VINt 1N4AL2AP4CN430436 4
42
22 [TRAILER TILER
❑ PLATE# STATE PLATE# STATE
23❑ 43
TRLR RLR
VIN#. IN#.
VEH YEAR 2012 MAKE NISS MODEL ALTIMA STYLE VEHICLE TOWED TO BLIN TOWEDeY GOV HI 44
24❑ DAMAGE YES✓ NO BANKERS YES NO✓
REGISTERED OWNER INFO JOSE HERNANDEZ 1008 SUNSET BLVD NE RENTON WA D:4254432365 VEHICLE NO.2
SHADE IN DAMAGEbAREA
2 3 Cd
LIABILITY
INSURANCE &POINSURGY#E CO STATE FARM 106 7685-C21-47BIN 1 9TOP
'E""LE ❑ N`L J
,J� CITATION# CHARGE
LEG
25 i o BOTTOM
ALLY YES $ '
OFFICER'S NAME(PRINT) OFFICER PHONE BADGE OR ID# JAGENCY
26
JAKE GALL 12617 WA0171300
PAGE 01 OF
PART A
3000-345-159 OR 11/181
STATE OF
POLICETRAFFICN CORRECTION REPORT NO. EE36261
COLLISION REPORT III III III III III 111
1591972 CASE# 23-15003
ADDITIONAL PERSONS INVOLVED PASSENGERS AND/OR WITNESSES ONLY)
NAME MIDDLE INITIAL) CRAMER ANN
(IAST FIRST,
ADDRESS&PHONE# D O.B.
6196510466 SEX' F MMDDYYYY
PASSENGER WITNESS UNIT# SEAT AIRBAG RESTR. EJECT ' HELMET INJURY NATURE OF INJURIES
�, POS. USE CLASS
NAME
'(LASTr FIRS' MIDDLE INITIAL)
ADDRESS&PHONE# D O B
SEX MMDDYYYY
PASSENGER ❑WITNESS UNIT# SEAT I 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.
JAKE GALL 01-01-24 12:42 AM
INVESTIGATING OFFICER'S SIGNATURE UNIT OR DIST DET DATED PLACE SIGNED
APPROVED BY DATE
J.CHRISTIANSEN 10437 11112024 7:22:31 PM
BADGE OR ID# 12617 ORI# WA0171300 TIME POLICE DISPATCHED! 10:43 PM TIME POLICE ARRIVED',10:51 PM
PART I PAGE IT]OF
TIME
REPORT NO. EE36261 CASE# 23-15003 OF COLLISION12/31/23 22:40
NARRATIVE
*This incident was captured on my body worn video camera. This report is a summary of events that
occurred and is not an exact sequencing of events. Statements have been paraphrased and
summarized. *
On 12/31/2023 at around 2243 hours, I was dispatched to a hit and run collision located near the
intersection of Sunset Blvd NE and NE 10th ST. A witness called in saying that vehicle 1 had hit two
parked vehicles at the above listed location.
Upon arriving in the area, I located vehicle 1 that had been abandoned near Edmonds Ave NE and
NE 9th ST. The vehicle was parked facing the wrong way (facing South in the Northbound lanes) and
was partially blocking the roadway. Vehicle 1 had damage to its front passenger quarter panel. 1
opened the door and looked inside the unlocked vehicle. There was no ignition damage and had a
push start ignition. Banker's towing was eventually called to take possession of the vehicle. The
driver and male passenger had left in an unknown direction.
The RP/Witness was also on scene where vehicle 1 was located. She did not know where the driver
went. She advised that the driver was a Hispanic male, mid 30's and was balding. This does not
match the description of the registered owner.
I met with the victims at the crash scene at Sunset Blvd NE and NE 10th ST. Vehicle 2 was parked
directly behind vehicle 3 on the East side of Sunset Blvd NE, 30 feet North of the intersection. Both
vehicles were parked legally.
Vehicle 1 was traveling North on Sunset Blvd NE at a high rate of speed and impacted vehicle 2's
rear driver side quarter panel. This caused vehicle 2 to lunge forward and hit the trunk of vehicle 3.
Vehicle 2 had to be towed away from the scene by Banker's towing.
I collected all the necessary documents from the owners of vehicle 2 and vehicle 3 (owned by the
same family). I photographed the scene and gave the victims my business card with the case number
attached.
While still on scene of the collision, the RO of vehicle 1 called in stating that their vehicle was stolen
from 247 Garden Ave N. approximately 30 min ago. At this time, it is unknown if driver 1 was the RO
or not. I called the RO and informed him of where his vehicle was towed too. At this time, 1 have no
evidence supporting that he was the driver of vehicle 1. 1 provided him with the case number as well.
I certify (declare) under penalty of perjury under the laws of the State of Washington that the
foregoing is true and correct.
Electronically signed by J. Gall/12617
12/31/23 at 2359 hours, Renton, Washington
PAGE 3 OF 5
SUPPLEMENTAL REPORT NO. EE36261
r`) POLICE TRAFFIC 1 1 8 27
COLLISION REPORT (CASE# 23-15003
1 COMMERCIAL MOTOR CARRIER INTERSTATE INTRASTATE G
UNIT'# USDOT ICC# VEHICLE TYPE CARGO BODY
;TYPE
2 ❑ 1 28
CARRIER
NAME
3 CARRIER L
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
5 ❑ UNIT# 3 VEHICLE t_"J � PEDESTRIAN YES IN
1 4 29
LAST NAME : UNKNOWN FIRST NAME MIDDLE
INITIAL
STREET 30
NEW AnDRFSP� CITY RENTON ST ZIP
6
CDL IGNITIttN REQUIRED IGNITION PRESENT MEDICAL TANSPORTED 1 31
INTERLOCK YES No NTERLOCK YES❑N0� YES N
DRIVER'S STATE I SEX U M��DYSYv' —� 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 B►T0591 TAr WA VIN# JH4CU2F69AC004197
PLATE#
9 TRAILER TRAILER
PLATE# STATE PLATE# STATE
10 ❑ TRLR TRLR
VIN.#. VIN.#.
11 O O VEH.YEAR MAKE MODEL STYLE VEHICLE TOVVE E T SABLIN TOWED BY anvi vEH1C P FROM TO
2010 ACUR TSX DAMAGE YES 'E YES NO
REGISTERED OWNER INFOMARTA HERNANDEZ 1008 SUNSET BLVD NE RENTON WA 98056 D:4254432365 m 33
12 � SHADE IN DAMAGED AREA
7 j FROM TO
LIABILITY INSURANCE[] INSURANCE CO
IN EFFECT &POLICY# t 9 101?
EHILLE o BarroM 34
13 LEGALLY YES N001
CITATION# CHARGE
STANDING �} 8 7
14 ❑ UNIT Tr Vd 1RE O CYDCLE OWNERRTY YES AGE NOHRESHOLD MET PHONE ❑ 35
PEDESTRIAN
15F� I LAST NAME FIRST NAME INIMIDDLETIAL ❑ 36
ET
16 STRETRE "F ' CITY ST ZIP
NEW CDL IGNITION REdUiRED IGNITION PRESENT MEDICALTANSPORTED
NTERLUCK YES NO NTERLOCK YES NO 'YES NO ❑
17 5 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 ❑ [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 4 4 AREA F 43
z
LIABILITY INSURANCE INSURANCE CO '
VINE
EFFECT &POLICY# i 970P - 4 E:l
44
24 LEwcLE YES❑ NO❑ CITATION# CHARGE iq 60TiOM
LeGAlly
STANDING S 7 6
1 CERTIFY(DECLARE)UNDER PENALTY OF PERJURY UNDER THE LAWS OF THE STATE OF WASHINGTON THAT THE FOREGOING IS TRUE AND CORRECT.
JAKE GALL 01-01-24 12:42 AM
25 INVESTIGATING OFFICER'S SIGNATURE OFFICER'S PHONE UNIT OR DIST DET DATED: PLACE SIGNED
26 OI BADGE 12617 O#I',WA0171300 APPROVED BY
111112024 PAGE F41 OF F
3000-345-013(R 11118)
REPORT NO. EE36261 CASE# 23-15003 DATE AND TIME 12/31/23 22:40
OF COLLISION
Not to scal,e
u
PAGE 5 OF 5