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Home My WebLink About24-7819 ITFF' "POLCERA II I !�� I III I III I IIII III II I . 6 27c COLLISION REP FIT 1591971 CASE 24-7819 z INTERSTATE ❑ CITY STREET FIRE ❑RESULTED 1 STOLEN STATE ROUTE ❑ OTHER ❑ VFHICI F ❑ LOCAL AOENC 4900 3 HIT 8 RUN CODING COUNTY RD PRIVATE WAY INVOLVED 2 TOTAL#TRIBAL OF 03 OBJECT 1 1 8 28 UNITS RESERVATION I I STRUCK z 3❑ DATE OF M M D D Y Y Y Y TIME(2400) COUNTY# MILES N E IN CITY# CowsloN 07 - 1-- 2024 1107 17 ❑-= S 8 IN e 1070 3 4❑ ON (PRIMARY TRAFFIC WAY) INTERSECTION ❑✓ NON INTERSECTION ❑ 125TH AVE SE BLOCK NO. e✓ 16430 ❑ 4a❑ MILEPOST DISTANCE OF(REFERENCE OR CROSS STREET) 5 ,❑ FEET e S ❑ W e SE 166TH ST ❑ � 0 1 29 MOTOR PEDAL- DAMAGE THRESHOLD MET PHONE UNIT 01 VEHICLE ❑ CYCLE El �/No D:4799038486 1 4 30 6� LAST NAME GALVIS FIRSTNAME JONNY MIDDLE G 1 1 2 31 INITIAL STREET ❑ 17014 127TH AVE SE CITY RENTON ST WA ZIP 980586104 z NEW ADDRESS 7❑ CDL IGNITION REQUIRED IGNITION PRESENT MEDICAL TRANSPORTED 3 INTERLOCK YES[:]NO INTERLOCKYEs NO YES R NO 8❑ LRIIVER # ON DUTY❑ STATUS AIRBAG 2 RESTR 4 EJECT 1 HELMET 2 CLASS 1 NATURE OF INJURIES z❑ 3 10❑ P1 aT�S� CDV8045 sTArI WAurN# 1 D4GP24R756210818 TRAILER STATE TRAILER STATE 11 0 0 PLATE# PLATE# FROM TO TRLR. TRLR 7 3 33 12 0 0 VIN#' VIN# FROM 34 13 VEH.YEARN MAKE DODG MODEL CARAVA STYLE VN VEHICLE TOWED0NOOffBLIN TSIgWgYMEYERS- vOs❑ENO DAMAGE IILLJJII (��IV6 REGISTERED OWNER INFO MANISHA LONG 17114127TH AVE SE RENTON WA 98058 VEHICLE NO. 1 ❑ SHADE IN DAMAGED AREA 35 4 14❑ LIABILITY INSURANCE❑ INSURANCE CO 3 IN EFFECT &POLICY# 9TOP VEHicLE CHARGE 5 36 LEGALLv YFS❑NO CITATION# 4A0619898,4AO619898 FAIL STOP AT STOP to BOTTOM 15❑ STANDING 6 MOTOR PEDAL-: PEDESTRIAN PROPERTY DAM THR OLD MET PHONE UNIT U2 VEHICLE ❑ CYCLE ❑ ❑ OWNER ❑ YES 1/ NO D:2062402004 16❑ LAST NAME VELAZQUEZ 77771 FIRST NAME LIGIA MIDDLE M INITIAL 17❑ STREET ❑', 16430 125TH AVE SE CITY' RENTON ST WA ZIP 980585560 37 NEW ADDRESS ❑ 18� CDL IGNITION REQUIRED IGNITION PR—E-1SENT MEDICAL TRANSPORTED ❑ 38 INTERLOCKYES�NOR INTERLOCK YEs It I NOF YES t t— l NO❑ 19 D IVEW # INJURY NATURE OF INJURIES 40 20❑ ON DUTY STATUS' AIRBAG 9 RESTR 9 EJECT ''9 USE 9 0 CLASS ❑ 21❑ LICENSE AWG2341 TAre WA VIN# 3N1A67AP6EY201310 ❑ 41 PLATE# 42 22❑ PLATE# STATE PLATE# STATE TRLR 23❑ UIN#. N#. 43 RLR 'I VEH YEAR 2014 MAKE NIS5 MODEL SENTRA STYLE VEHICLETOWED TO BLIN TOWEDBY GOV HI 44 L4❑ DAMAGE YES NO YES NO REGISTERED OWNER INFO LIGIA VELAZQUEZ 16430125TH AVE SE RENTON WA 98058 VEHICLE NO.2 SHADE IN DAMAGED AREA 2 3 4 LIABILITY INSURANCE INSU8 PORGY#E CO AMERICAN FAMILY 41002-74703-79 1 STOP 5 IN EFFECT 'E""LE ❑ N`L J ,J� CITATION# CHARGE LEG 25 i o BOTTOM ALLY YES $ ' 7CA NAME(PRINT) OFFICER PHONE BADGE OR ID# AGENCY J 26LAN 12007 WA0171300 PART A PAGE 01 OF 3000-345-159 OR 11/181 STATE OF POLICETRAFFICN CORRECTION REPORT NO. EF00872 COLLISION REPORT III III III III III 111 1591972 CASE# 24-7819 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. C.CATALAN 07-30-24 02:31 PM INVESTIGATING OFFICER'S SIGNATURE UNIT OR DIST DET DATED PLACE SIGNED APPROVED BY DATE CO.JOHNSON 0505 1 713112024 12:26:21 PM BADGE OR ID# 12007 OR]# WA0171300 TIME POLICE DISPATCHED 11:08 AM TIME POLICE ARRIVED',11:12 AM PART I PAGE IT]OF REPORT NO. EF00872 CASE# 24-7819 OF COLLISION 07/25/24 11:07 OF CbLLI510N NARRATIVE *It is important to note that I mistakenly placed unit 2 as unit 3 and vice versa. During this report they will be identified as listed on Sector. On July 25, 2024, at 1107 hours dispatch requested that I respond to a collision that occurred near the intersection of SE 164th St and 125th Ave SE, in the city of Renton. A passerby stated that a vehicle had rolled over. They stated that blood was possibly pooling outside the vehicle. Upon my arrival I located the vehicle (unit 3)just north of the intersection of SE 166th St and 125th Ave SE. A passerby stated that 3 vehicles were involved in this collision, but one of the vehicles had fled after they collided. They described the fleeing vehicle as a black Dodge van. When sergeant Johnson arrived, we broke the front passenger window and noticed that the driver was laying across the center console. Her head was resting near the rear passenger seats, so I assume her seatbelt was not on at the time of collision, but I am unsure. Her face was bloody, but she was coherent. She was trapped. Seconds later, Renton Fire arrived and extracted her from within the vehicle. She was transported to the Harbor View Medical Center, and I was unable to get communicate with her. As I gathered more details about what occurred, the driver of unit 1 approached me. He was pale, and nervous. He asked me if the other driver was okay. I told them that she was responsive and would be transported to the hospital. He then explained that he was leaving a house nearby when the collision occurred. He was going eastbound on SE 165th St when he failed to see the stop sign as he approached 125th Ave SE. He ran the stop sign, did not see unit 3, and struck their rear left fender. The strike sent the vehicle towards unit 2 which was parked on the northeast corner of the intersection. After unit 3 struck unit 2, that caused it to flip on his roof. The driver also told me that unit 1 was disabled just south of SE 166th St and 125th Ave SE. The vehicle had severe damage to the front of the vehicle. Unit 2 was legally parked and unoccupied. Unit 2 sustained severe damage to its rear left fender and bumper. Due to the injuries sustained by the driver of unit 3, unit 1 and unit 3 were towed by Gene Meyers as evidence to the Renton City Shops. Officer Leverton performed the voluntary field sobriety tests with the driver of unit 1. After he concluded his investigation, he determined that the driver was not intoxicated. I believe unit 1 failed to obey a traffic sign, causing the collision. I photographed the scene and attached the photos to Axon Evidence. I also provided the all the involved parties with a copy of the exchange of information. See the attached documents for more information. PAGE 3 OF 5 SUPPLEMENTAL REPORT NO. EF00872 r`) POLICE TRAFFIC 1 1 8 27 COLLISION REPORT CASE# 24-7819 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:2063347471 rFO 1 Zg LAST NAME : OTIENO FIRST NAME : JANET MIDDLE'.. A INITIAL STREET 30 NFW AnDRnrtP. 16965 129TH AVE SE CITY RENTON ST WA ZIP 980586145 6 CDL IGNITION REQUIRED IGNITION PRESENT MEDICAL TAN5PORTED 1 1 2 31 INTERLOCK YEs No NTERLOCK YEs�NO� YEs N DRIVER'S LICENSE STATE I WA SEX F MMDDYYv', 06 TO] - 1987 7 HELMET :INJURY' NATURE OF INJURIES ON DUTY STATUS AIRBAG 6 RESTR. 4 EJECT 1 USE 2 CLASS 5 INJURIES THROUGHOUT BODY 8 ❑ 1 32 LICENSE BVY9376 TAT WA VIN# 5TDHBRCHOLS508568 PLATE# 9 9] TRAILER TRAILER PLATE# STATE PLATE# STATE 10 ❑ TRLR TRLR VIN.#. VIN.#. 11 0 0 VEH.YEAR2020 MAKE TOYT MODELHIGHLAN STYLF VEHICLE TOWS E T SABLIN TOWED BY anvi vFH1I' P FROM TO DAMAGE YES NO ✓ YES NO ✓ REGISTERED OWNER INFOJANET OTIENO 16965129TH AVE SE RENTONWA98058 § 1 33 12 � SHADE IN DAMAGED AREA LIABILITY INSURANCE &POLICY#E CO SAFECO INSURANCE H2490982 Tc7 FROM To N EFFECT m 34 13 ❑ LEGALLY ❑ ❑ CITATION# CHARGE ROTrOM LEGnu.v YES NO G ® Q STANDING �} 14 ❑ UNIT Tr MOTOR d 1RE O CYCLE OWNER � YESDAM[:]NO THRESHOLD MET PHONE ❑ 35 PEDESTRIAN 15 LAST NAME FIRST NAME INITIAL 36 MIDDLE ❑ STRE 16 NPW ETETnnR"� CITY ST ZIP CDL IGNITION REdUiRED IGNITtGN PRESENT MEDICALTANSPORTED NTERLOCK YES No INTERLOCK YEs NO YES NO ❑ 17 4 37 LICENSE# STATE SEX MMDDDYBYY -� II 18 ❑ ON DUTY� STATUS AIRBAG RESTR. ; EJECT HELMET INJURY NATURE of 1NJURIEs 38 USE CLASS 19 ❑ LICENSE TAr VIN# 39 PLATE# 20 ❑ TRAILER' STATE TRAILER STATE ❑ 40 PLATE#< PLATE# 21 ❑ ❑ 41 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 AREA 43 3 a 71 LIABILITY INSURANCE INSURANCE CO ' VINE EFFECT &POLICY# i 970P _ 4 E:l 44 24 LEwcLE YES❑ NO❑ CITATION# CHARGE iq 60TiOM LeGALLv STANDING & 7 6 1 CERTIFY(DECLARE)UNDER PENALTY OF PERJURY UNDER THE LAWS OF THE STATE OF WASHINGTON THAT THE FOREGOING IS TRUE AND CORRECT. C.CATALAN 07-30-24 02:31 PM 25 INVESTIGATING OFFICER'S SIGNATURE OFFICER'S PHONE UNIT OR DIST DET DATED: PLACE SIGNED APPROVED BY DATE 26 OI BADGE 12007 O#I',WA0171300 JOHNSON 7/31/2024 PAGE 4 OF F 3000-345-013 IR 11t18) REPORT NO. EF00872 CASE# ' 24-7819 DATE AND TIME 07/25/24 11:07 OF COLLISION 4 u '! it of z � Fik PAGE 5 OF 5