HomeMy WebLinkAbout23-6864 ITFF' "POLCERA II I !�� I III I III I IIII III II I . 0 27c
COLLISION REP FIT 1591971
CASE 23-6864 z
INTERSTATE ❑ CITY STREET FIRE ❑RESULTED
1 STOLEN
STATE ROUTE ❑ OTHER ❑ VFHIr.I F ❑ LOCAL AOENC 4200 3
HIT&RUN CODING
COUNTY RD PRIVATE WAY INVOLVED
2 1 TOTAL#OF OBJECT 1 1 8 28
TRIBAL UNITS OZ STRUCK
RESERVATION
z
3❑ DATE of M M D D Y Y Y Y TIME(2400) COUNTY# MILES N E IN CITY#
cowsloN 06 - 1-- 2023 1035 17 ❑-= S 8 IN e 1070 3
4❑ ON (PRIMARY TRAFFIC WAY) INTERSECTION ❑✓ NON INTERSECTION ❑
NE 12TH STREET BLOCK NO. e✓ 3300 ❑
4a❑ MILEPOST
DISTANCE OF(REFERENCE OR CROSS STREET)
5❑ ❑ FEET e S ❑ VV a MONROE AVE NE
0 3 29
MOTOR PEDAL- DAMAGE THRESHOLD MET PHONE
UNIT 01 VEHICLE ❑ CYCLE El
,/NO D:2069660695 0 11
30
6 LAST NAME SALAS PINION FIRSTNAME ABIGAIL MIDDLE E 1 1 2 31
INITIAL
STREET ❑ 701 HOQUIAM AVE NE CITY RENTON ST WA ZIP 980594681 z
NEW ADDRESS
7❑ CDL IGNITION REQUIRED I IGNITION PRESENT MEDICAL TRANSPORTED 3
iNTERLOCKYEs 1/ I NO NTERLOCKYEs NO Z YEs No�/
8 LRIIVER #
ON DUTY❑ STATUS AIRBAG 2 RESTR 4 EJECT 1 HELMET U E 2 CLASS 1 NATURE OF INJURIES 2❑
3
10 9❑ P1 aT�S� C44064R sTArI WAvIN# 3TMLU4EN4AM049729
TRAILER STATE TRAILER STATE
11 3 0 PLATE# PLATE# FROM ro
TRLR. TRLR 5 3 33
12 3 0 VIN#' VIN#
FROM TO
VEH.YEAR MAKE MODEL STYLE VEHICLE TOWED TO BLIN TOWED BY GOVT.VEHICLE 7 3 34
13 2 2010 TOYT TACOM PK DAMAGE YES NO YES[:] No
✓
REGISTERED OWNER INFO LUIS NUNEZ TURCIOS 901 SUNSET BLVD NE APT D215 RENTON WA 98056 D:2069660695 VEHICLE NO. 1 ❑
SHADE IN DAMAGED AREA 35
14 LIABILITY INSURANCE INSURANCE CO GEICO 6045376701 3 4
IN EFFECT &POLICY# 9TOP
vewcLe CHARGE 1 5 36
EGHALLY YES❑NO CITATION# 3AO431072 NO VALID OPER LICENSE WITH o aorroM
15❑ STANDING 6
MOTOR PEDAL-:. PEDESTRIAN PROPERTY DAM THR OLD MET PHONE
UNIT U2 VEHICLE ❑ CYCLE ❑ ❑ OWNER ❑ YES 1/ NO D:2062341264
16 a
LAST NAME PADERES FIRST NAME ROCHEL MIDDLE B
INITIAL
17 STREET I❑ s❑' 3233 NE 12TH ST APT 114 CITY' RENTON ST WA ZIP 980563473 4❑ 37
NEW ADOREs
18❑ CDL IGNITION REQUIRED IGNITION PtR—E—S1ENT MEDICAL—T�RANSPORTED � 38
INTERLOCKYES�NO INTERLOCK YEs I I NOF YEs t l NOF,/
19 LICENSE# STATE WA SEX F M D.C.B. 02 _ 04 1992 39
20❑ ON DUTY STATUS AIRBAG 2 RESTR 4 EJECT 1 H U EET 2 NJAURSY 1 NATURE OF INJURIES ❑ 40
LICENSE I ❑21❑ PLA E# CGN4827 TArE WA VIN# 41
JTDKTUD34ED597682 1
42
22❑ PLATE# STATE PLATE# STATE
23❑ VIN#. 43
TRLR RLR
'IN#.
VEH YEAR 2014 MAKE TOYT MODEL YARIS STYLE 4H VEHICLETOWED TO BLIN TOWEDBY GOV HI 44
24❑ DAMAGE YES NO,/ YES NO
REGISTERED OWNER INFO ROCHEL PADERES 3233 NE 12TH STAPT 114 RENTON WA 98056 D:2062341264 VEHICLE NO.2
SHADE IN DA GEbAREA
z Cdd
LIABILITY
INSURANCE INSU&POLICY#E CO SAFECO H1629149IN 1 9TOP 5
VE""LE ❑ Nu
CITATION# CHARGE
LEGAL
25 i o BOTTOM
LY YESs e
OFFICER'S NAME(PRINT) OFFICER PHONE BADGE OR ID# AGENCY
26
MATTHEW NUGENT 11498 WA0171300
PART A PAGE 01 OF
3000-345-159 OR 11/181
STATE OF
POLICETRAFFICN CORRECTION REPORT NO. ED72239
COLLISION REPORT III III III III III 111
1591972 CASE# 23-6864
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
PM 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'
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 06-16-23 12:39 PM
INVESTIGATING OFFICER'S SIGNATURE UNIT OR DIST DET DATED PLACE SIGNED
APPROVED BY E
DAT
C.JACOBS 1953 612112023 10:47:01 AM
BADGE OR ID# 11498 ORI# WA0171300 TIME POLICE DISPATCHED 10:43 AM TIME POLICE ARRIVED',10:57 AM
PART I PAGE IT]OF 4�
REPORT NO. ED72239 CASE# 23-6864 OF COLLISION
06/16/23 10:35
OF CbLLI510N
NARRATIVE
23-6864
On 06/16/2023 at approximately 1043 hours, I was dispatched to a non-injury and non-blocking
vehicle collision at the intersection of NE 12th ST and Monroe Ave NE, within the City Limits of
Renton, County of King, State of Washington.
Upon my arrival, 1 confirmed there were no complaints of injury requiring immediate medical response
at the time of report. There, I was able to collect each involved party's information and independent
summary of the events leading up to the collision.
The driver of Unit#1 said she was the sole occupant of her vehicle and was traveling northbound on
Monroe Ave NE and approaching the intersection of NE 12th ST. The driver of Unit#1 stated that she
was intending to make a right at the intersection to proceed eastbound onto NE 12th ST. The driver of
Unit#1 stated she stopped at the stop-sign controlled intersection. The driver of Unit#1 stated that
she believed traffic was clear when she noticed Unit#2 pass in front of her vehicle. The driver of Unit
#1 believed Unit#2 was speeding and that subsequently both Unit#1 and Unit#2 collided in the
roadway causing minor damage to the front driver's side bumper and quarter panel of Unit#1.
The driver of Unit#2 said she was the sole occupant of her vehicle and was traveling eastbound in
about the 3300 block of NE 12th ST approaching the intersection of Monroe Ave NE in lane 2 of 2.
The driver of Unit#2 stated she was had just exited her private residence less than a block away from
the above mentioned intersection and was intending to continue straight through the uncontrolled
intersection for her direction of travel. The driver of Unit#2 stated that upon reaching the intersection,
Unit#1 failed to stop at the intersection and collided into the passenger side doors of Unit#2 causing
moderate damage.
Based on the above statements, 1 determined that the Driver of Unit#1 (Salas Pinon) was the
predominant factor for the cause of collision as Salas Pinon did not grant the right of way to traffic
already in the roadway and underway. Salas Pinon violated RCW 46.61.190(2) as every driver of a
vehicle approaching a stop sign roadway shall stop where the driver has a view of approaching traffic
on the intersecting roadway before entering the roadway, and after having stopped shall yield the
right-of-way to any vehicle in the intersection or approaching on another roadway so closely as to
constitute an immediate hazard during the time when such driver is moving across or within the
intersection or junction of roadways.
Salas Pinon was listed as `Not Licensed -Eligible' per a DOL records check.
I cited Salas Pinon via mail for NVOL-with Identification. I issued Salas Pinon a verbal warning for
Failing to Stop/Yield at an intersection causing a collision.
Both Unit#1 and Unit#2 were able to be driven away without further incident. An exchange of
information was 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 12:34 PM 6/16/2023 Renton, King County, WA.
PAGE 3 OF 4
REPORT NO. ED72239 CASE# ' 23-6864 DATE AND TIME 06/16/23 10:35
OF COLLISION
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