HomeMy WebLinkAbout23-8958 ITFF' "POLCERA II I !�� I III I III I IIII III II I . 1 27c
COLLISION REP FIT 1591971
CASE 23-8958 z
INTERSTATE ❑ CITY STREET FIRE ❑
RESULTED
1 STOLEN
STATE ROUTE ❑ OTHER ❑ VFHICI F ❑ LOCAL AGENCI 4Y00 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# ❑
cawsloN 08 - 1-- 2023 2145 17 ❑.= S 8 IN e 1070 3
4❑ ON (PRIMARY TRAFFIC WAY) INTERSECTION ❑ NON INTERSECTION ❑✓
118TH AVE SE BLOCK NO. e✓ 17521
4a❑ MILEPOST
DISTANCE OF(REFERENCE OR CROSS STREET)
5❑ ❑ FEET ❑ S ❑ W❑ 1 9 29
MOTU '�01 VEHtOR Z CLE CYDCLE. El �ESAGE NHORE✓LD MET PHONE 30
6❑ LAST NAME UNKNOWN FIRSTNAME MIDDLE 1 1 2 31
INITIAL
STREET ❑
NEW ADDRESS CITY SEATTLE ST ZIP z
7❑ CDL IGNITION REQUIRED IGNITION PRESENT MEDICAL TRANSPORTED 3
:NTERLOCKYEs NO INTERLOCK YES NO YES No
8 DRIVER'S. STATE SEX.U D.Q.B. 1 ❑32
❑ :LICENSE# MMDDYY —=
9 ON DUTY❑ STATUS I
AIRBAG 9 RESTR 9 EJECT 1 H USEEr 9 CLAY 0 NATURE OF INJURIES z❑
❑10❑ P1 ATNES# CFX3458 sTAT WA u N# 2HNYD 18662H004424 3
TRAILER STATE TRAILER STATE
11 0 0 PLATE# PLATE# IR.. ro
TRLR. TRLR m 33
12❑ VIN#' UIN#'
2002 ACUR MDX ,,CQ ❑ RO�34
❑ VEH.YEAR MAKE MODEL STYLE VEHICLE TOWED TO BLIN TOWED BY GOVT.VEHICLE
13 2 DAMAGE YES NO YES NO✓
REGISTERED OWNER INFO CARLOS LIZAMA POLIO 983426TH AVE SW SEATTLE WA 98106 VEHICLE NO. 1 ❑
SHADE IN DAMAGED AREA 35
14❑ LIABILITY INSURANCE❑ INSURANCE CO 3 4
IN EFFECT &POLICY# 9TOP
5
VE—
CHARGE 36
LEGALLv Yes❑NO❑ CITATION# 10 BOTTOM
15❑ 1.
NDING 8 6
MOTOR PEDAL- PEDESTRIAN PROPERTY DAM THR OLD MET PHONE
UNIT 02 vEHICLE ❑ CYCLE, ❑ ❑ OWNER ❑ YEs No ,/ D:4254309414 N:4252711950
16❑
LAST NAME KUBERRIE FIRST NAME BECKY MIDDLE
INITIAL
17❑ STREET ❑, UNK CITY ST' ZIP 5
❑NEW ADDRESS 37
18� CDL IGNITION REQUIRED IGNITION PRESENT MEDICAL TRANSPORTED 38
INTERLOCK YEs❑No❑ INTERLOCK YEs❑NOF YES
❑NO❑
19 LLIICENS # STATE SEX U MMDDYY —�_ 39
HELMET INJURY NATURE OF INJURIES 40
20❑ ON DUTY STATUS' AIRBAG RESTR EJECT USE CLASS ❑
❑21❑ TATE 41
IN#LICENSE V `1
PLATE#
42
22 [TRAILER TILER
❑ PLATE# STATE PLATE# 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
LIABILITY
INSURANCE❑ INSURANCE
#E CO
IN EFFECT &PO IGQVE""LE
❑ ,J� CITATION# CHARGE
LEGALLY YES N`L J
25
OFFICER'S NAME(PRINT) OFFICER PHONE BADGE OR ID# 777T�NCY
26
N AAH GIRELLO 12607 0171300
PART A PAGE 01 OF C7
3000-345-159 OR 11/181
STATE OF
POLICETRAFFICN CORRECTION REPORT NO. ED88758
COLLISION REPORT III III III III III 111
1591972 CASE# 23-8958
ADDITIONAL PERSONS INVOLVED PASSENGERS AND/OR WITNESSES ONLY)
NAME MIDDLE INITIAL) RADVLOV/CH DOMINIC
(LAST FIRST,
ADDRESS&PHONE#
2535692342 SEX i U MMDDYYYY O6 - 16 - 1996
---------------------------
PASSENGER WITNESS UNIT# SEAT AIRBAG RESTR. EJECT ' HELMET INJURY NATURE OF INJURIES
❑ �' POS. USE CLASS
NAME
'(LAST,FIRST MIDDLE INITIAL)
ADDRESS&PHONE# D O 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.MMDD -❑
YYYY.
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.
NOAH GIRELLO 08-06-23 04:33 AM
INVESTIGATING OFFICER'S SIGNATURE UNIT OR DIST DET DATED PLACE SIGNED
APPROVED BY DATE
DESIRES SCOTT 10272 1 8/13/2023 12:43:53 PM
BADGE OR ID# 12607 ORI# WA0171300 TIME POLICE DISPATCHED 9:53 PM TIME POLICE ARRIVED',10:15 PM
PART Ei PAGE IT]OF 4]
REPORT NO. ED88758 CASE# 23-8958 OF COLLISION
08/05/23 21:45
OF CbLLI510N
NARRATIVE
23-8958
At about 2153 hours on 08/06/2023 1 was dispatched to a single vehicle hit and run accident at,
Cascade Park Condos 17521 118th Ave SE, in the city of Renton, King County, Washington.
Dispatch advised me that the reporting party saw a vehicle hit the fence in front of the location and
the vehicle appeared to be stuck in the fence.
Upon my arrival I contacted the reporting party verbally identified as Dominic Radvlovich (DOB
06/16/1996). Dominic advised that the passenger of the vehicle got out of the vehicle and pushed the
car out of the fence and the vehicle took off west bound on SE Petrovitsky RD prior to my arrival.
Dominic was able to get the vehicles license plate and had a picture to verify he had the plate correct.
Dominic said he did not witness the crash, only heard the crash and came out and saw the vehicle
stuck in the fence.
In addition, Dominic said he would not be able to identify the driver or passenger and only described
them as a short male driver and a heavy-set female passenger. There were no other callers or
witnesses to the accident, and I did not observe any cameras in that area.
The vehicle hit the fence on the west side of 118th Ave SE, just by the font entrance to the condos.
The accident caused moderate damage to the first section of the fence. Pictures of the fence were
taken and uploaded of the fence via axon capture.
Renton records provided me with the only known property owner for the condos identified as Becky
Kuberrie (425)-430-9414, who oversees the HOA as well as the emergency maintenance line (425)-
271-1950. 1 got no answer on either and both did not have a voicemailbox set up.
There is no information on the vehicle's actions prior to crashing into the fence and the only known
information is that the vehicle was driving at one point coming from an unknown direction and hit the
fence before fleeing west bound on Petrovitsky.
There are no further details at this time. This concludes my involvement with this case.
I declare under penalty of perjury under the laws of the State of Washington that the foregoing is true
and correct.
Electronically signed by N. GIRELLO #12607 on 08/06/2023 at 0000 Renton, WA
PAGE 3 OF 4
REPORT NO. ED88758 CASE# ' 23-8958 DATE AND TIME 08/05/23 21:45
OF COLLISION
Fence
Cascade Park Condos
PAGE 4 OF 4