HomeMy WebLinkAbout23-9285 ITFF' "POLCERA II I !�� I III I III I IIII III II I . 1 27c
COLLISION REP FIT 1591971
CASE 23-9285 z
INTERSTATE ❑ CITY STREET ❑ FIRE ❑
RESULTED
1 STOLEN
STATE ROUTE ❑ OTHER HIT F ❑ LOCAL AOENC 4200 3
HIT&RUN CODING
COUNTY RD PRIVATE WAY INVOLVED
2 TOTAL#OF OBJECT 1 28
TRIBAL UNITS 02 STRUCK STREET LIGHT POLE
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 0644 17 ❑.= S 8 IN e 1070 3
4❑ ON (PRIMARY TRAFFIC WAY) INTERSECTION ❑ NON INTERSECTION ❑✓
SHATTUCK AVE S BLOCK NO. e
4a❑ MILEPOST
DISTANCE OF(REFERENCE OR CROSS STREET)
6❑ 20 00 FEET e S ❑B W e LAKEAVES
0 3 29
MOTOR PEDAL- DAMAGE THRESHOLD MET PHONE
UNIT 01 VEHICLE ❑ CYCLE El
✓NO D:2066041517 30
6� LASTNAMEj RABAGO FIRSTNAME LEVIE MIDDLE S 1 1 2 31
INITIAL
STREET ❑, 1808 BEACON WAY SE CITY RENTON ST WA 2jp, 98058 z
NEW ADDRESS
7❑ CDL IGNITION REQUIRED IGNITION PRESENT MEDICAL TRANSPORTED 3
INTERLOCK YES NO 1/ I INTERLOCK YES NO YES R NO
8❑ LRIIVER #
ON DUTY❑ STATUS AIRBAG 4 RESTR 4 EJECT 1 H USE 2 I CLASS NATURE OF INJURIES z❑
3
10❑ P1 ATE 14 BNX0146 STATE WA v N# 5FNRL38887BO57021
TRAILER STATE TRAILER STATE
11 0 0 PLATE# PLATE# Rom ro
TRLR. TRLR 7 5 33
12❑ VIN#' VIN#'.
HOND ODYSSE VN ❑ RO�34
❑ VEH.YEAR 2007 MAKE MODEL STYLE VEHICLE TOWED TO BLIN TOWED BY GOVT.VEHICLE
13 4 DAMAGE YES �I NO YES NO
REGISTERED OWNER INFO OWNEDBYDRIVER VEHICLE NO. 1
SHADE IN DAMAGED AREA ❑ 35
14❑ LIABILITY INSURANCE INSURANCE CO GEICO 4521508087
IN EFFECT &POLICY# �1'OP
'"CLE I 5 ❑ 36
LEGALLY YES❑NO❑ CITATION# CHARGE BOTTOM
15❑ STANDING 8 6
MOTOR PEDAL- PEDESTRIAN PROPERTY DAM THR OLD MET PHONE
UNIT VEHICLE ❑ CYCLE ❑ ❑ OWNER ❑ YES 1/ NO D:2062960648
16❑
LAST NAME METRO FIRST NAME KING COUNTY MIDDLE
INITIAL
17 STREET NEW ADDREsS❑' 500 4TH AVE#800 CITY SEATTLE ST WA ZIP 98104 37
18� CDL IGNITION REQUIRED IGNITION PtR—E—S1ENT MEDICAL TRANSPORTED 38
INTERLOCKYES�NOR INTERLOCK YEs I I NOF YES t l NO❑
19 LLIICENS RIVERIS# STATE SEX U MMDDYY 39
HELMET INJURY NATURE OF INJURIES 40
20❑ ON DUTY STATUS' AIRBAG RESTR EJECT USE CLASS ❑
❑21❑ LICENSE TATE VIN# 41
1
PLATE#
42
22❑ PLATE# STATE PLATE# STATE
23❑ 43
TRLR RLR
VIN#. IN#.
VEH YEAR MAKE MODEL STYLE VEHICLE TOWED TO BLIN
TOWEDBY Gov HI 44
L4❑ DAMAGE YES NO YES NO
REGISTERED OWNER INFO VEHICLE NO.2
SHADE IN DAMAGED AREA
2 3 4
INAEFFITY ECTNSURANCE❑ &POINSULICY#E CO I 9TOP 5
�ROSEANNE
❑ C[:] CITATION# CHARGE i o BOTTOM
YES N
25 s e
'S NAME(PRINT) OFFICER PHONE BADGE OR ID# AGENCY
26
HYNES 12612 WA0171300
PAGE 01 OF
PART A
3000-345-159 fR 11/181
STATE OF
POLICETRAFFICN CORRECTION REPORT NO. ED89867
COLLISION REPORT III III III III III 111
1591972 CASE# 23-9285
ADDITIONAL PERSONS INVOLVED PASSENGERS AND/OR WITNESSES ONLY)
NAME MIDDLE INITIAL) MALIGAYA ZENAIDA S
(LAST FIRST,
ADDRESS&PHONE# D O.B.
1808 BEACON WAY SE RENTON WA 98058 2062900158 SEXi F MMDOYyry 11 - 11 - 1956
PASSENGER WITNESS UNIT# SEAT AIRBAG RESTR. EJECT ' HELMET INJURY NATURE OF INJURIES
❑✓ ❑ 1 POS, 3 2 4 1 USE 1 2 CLASS 11
NAME
(LAST,FIRST,MIDDLE INITIAL)
ADDRESS&PHONE# DOB
SEX' 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.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.
ROSEANNE HYNES 08-13-23 04:55 PM
NVESTIGATING OFFICER'S SIGNATURE UNIT OR DIST DET DATED PLACE SIGNED
APPROVED BY DATE
QUINT TIBEAU 07691 1 8/16/2023 3:33:15 PM
BADGE OR ID# ( 12612 OR]# WA0171300 TIME POLICE DISPATCHED 6:47 AM TIME POLICE ARRIVED',6:48 AM
FART I PAGE IT]OF 5�
REPORT NO. ED89867 CASE# 23-9285 OF COLLISION
08/13/23 06:44
OF CbLLI510N
NARRATIVE
On 08/13/2023 at 0648 hours, I was in full patrol uniform and driving a marked Renton Police patrol
vehicle when I was dispatched to S Grady Way and Talbot RD S in the city of Renton, County of King,
State of Washington regarding an accident with injuries.
The comments in the call said in summary: One motor vehicle accident...ehicle over curb and into
pole...ole on top of vehicle...ehicle occupied by 2. Both are out of vehicle airbags deployed.
While en route, dispatch advised the accident was at the Park and Ride. I responded to the Park and
Ride. Upon arrival I saw V1 - Grey Honda Odyssey (WA LIC# BNX0146) was resting on all four
wheels on the sidewalk at the southwest corner of Shattuck Ave S and Lake Ave S (where Lake Ave
S runs east and west). V1 sustained major damage to the front and right side. It was obvious that V1
collided into the streetlamp pole. The streetlamp tipped over and was resting on the right side and top
of V1. There was major damage to the pole.
I spoke with D1 -Levie S. Rabago and she told me in summary: She didn't remember much of the
collision. She believed she blacked out but didn't know why. All she could remember was that she
was driving straight. D1 said she was not injured and declined medical assistance. Renton Fire
arrived on scene and D1 declined their aid. I did not observe visible injury upon D1. D1 appeared
flabbergasted as to how the vehicle crashed. 1 asked D1 if she had any medical conditions or had
recently experienced blacking out and she said no. D1 did not appear impaired.
I spoke with the front passenger of the vehicle, Zenaida S. Maligaya. Maligaya spoke Tagalo so
used the language line to communicate with her via interpreter. Maligaya told me in summary: She
was in the front passenger seat of V1 when the accident occurred. Maligaya said D1 was driving east
on Lake Ave S and turning south onto Shattuck Ave S when she felt the front of the vehicle hit
something and then drive into the pole near the sidewalk. She did not know how it happened. She
claimed no injury. I did not observe injury upon her. Renton Fire spoke with her on scene. She
declined transport.
I checked the surrounding area and did not find any other people or vehicles involved. There was
nothing in or near the roadway that indicated V1's initial direction of travel. It is unclear to me how the
accident occurred. Based on D1's statements, D1 may have suffered an unknown medical
emergency that caused the accident. Officer T. Nelson took photographs of the incident and
uploaded the photographs to evidence.com.
Renton City Streets Department and Puget Sound Energy employees arrived on scene to evaluate
the pole. They determined the pole belonged to King County Metro. Dispatch contacted King County
Metro employees respond to remove the pole and eventually they did so. Per D1's request, I
requested a tow truck for private tow and V1 was towed to 5120 S Kenyon St, Seattle by Banker's
tow. I gave the tow truck driver D1's phone number and he contacted her via telephone.
I called RP Jasmine Harris to see if she witnessed the collision and she told me she did not see. She
was walking in the area with her headphones on, heard a loud boom and saw the V1 with the
streetlamp pole on top of the vehicle. She called 911. She had nothing further.
I have nothing further.
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.
PAGE 3 OF 5
REPORT NO. ED89867 CASE# 23-9285 OF COLLISION
08/13/23 06:44
OF CbLLI510N
NARRATIVE
I certify (declare) under penalty of perjury under the laws of the State of Washington that the
foregoing is true and correct.
Electronically signed: R. Hynes #12612 Date & Place: 08/13/2023 @ 1654 hrs Renton, WA
PAGE 4 OF 5
REPORT NO. ED89867 CASE# 23-9285 DATE AND TIME 08/13/23 06:44
OF COLLISION
'Not Drawn to Scale
Lake Ave S
is
bghl Poll. VC
9,
PAGE 5 OF 5