HomeMy WebLinkAbout23-12466 ITFF' "POLCERA II I !�� I III I III I IIII III II I . 0 27c
COLLISION REP FIT 1591971
CASE 23-12466 z
INTERSTATE ❑ CITY STREET FIRE ❑RESULTED
1 STOLEN
STATE ROUTE ❑ OTHER ❑ VFHIC;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 10 - 1-- 2023 1558 17 ❑.= S 8 IN e 1070 3
4❑ ON (PRIMARY TRAFFIC WAY) INTERSECTION ❑ NON INTERSECTION ❑✓
NE 44TH ST BLOCK NO. e
4a❑ MILEPOST
DISTANCE OF(REFERENCE OR CROSS STREET)
5❑ 500 00 FMILES N EET ❑ S ❑ E e SEAHAWKS WY
0 1 29
MOTOR PEDAL- DAMAGE THRESHOLD MET PHONE
UNIT 01 VEHICLE ❑ CYCLE El
,/NO D:2062936770 0 11
30
6❑ LAST NAME CUBIAS CORNEJO FIRSTNAME JULIO MIDDLE C 1 1 2 31
INITIAL
STREET El 4702 DAVIS AVE S APT HH301 CITY RENTON ST WA Zjp, 980558246 z
NEW ADDRESS
7❑ CDL IGNITION REQUIRED IGNITION PRESENT MEDICAL TRANSPORTED 3
INTERLOCK YES NO 1/ I INTERLOCK YES NO Z/ YES R No�/
8❑ LDRIVER # STATE WA SEX'M MID
-O B 10 1— 16 — 1996 2 32
9 ON DUTY❑ STATUS AIRBAG 4 RESTR 9 EJECT 1 H USEET ICNLJAURY 1 NATURE OF INJURIES 2❑
3❑LICENSE CGK7251 STATE WA u N# JH4CU2F66BC012517
10 9❑ Pr ATE�
11[-j- TRAILER STATE TRAILER STATE
11 2 5 PLATE# PLATE# IR.. ro
TRLR. A'RL.R. 1 5 33
12 2 5 VIN#j VIN#
:: FROM TO
VEH.YEAR MAKE MODEL STYLE VEHICLE TOWED TO BLIN TOWED BY GOVT.VEHICLE 3 7 34
13 2011 ACUR TSX DAMAGE YES NO YES[:] NO✓
REGISTERED OWNER INFO JULIO CUBIAS CORNEJO 4702 DAVIS AVE S APT HH301 RENTONWA98055 VEHICLE NO. 1 ❑
SHADE IN DAMAGED AREA 35
14 LIABILITY INSURANCE INSURANCE CO GEICO 4577308366 4
IN EFFECT &POLICY# 9TOP
El .e 5 36
LvEGALHaLY YES�No� CITATION# 3A0744662,3A0744662 CHARGE FAIL STOP AT STOP )o eorroM
15❑ STANDING 8 7 6
MOTOR PEDAL-:. ❑ ❑PEDESTRIAN PROPERTY DAM THR OLD MET PHONE
UNIT 02 VEHICLE ❑ CYCLE OWNER ❑ YES 1/
16 NO D:3192131107
a
LAST NAME UMSTED FIRST NAME ANASTASIA MIDDLE C
INITIAL
17❑ STREET � 12829 SE 235TH PL CITY KENT ST WA Zip 98031 37
NEW ADDRESS ❑
18� CDL IGNITION REQUIRED IGNITION PRESENT MEDICALTRANSPORTED 38
INTERLOCK YEs❑No� INTERLOCK YEs❑NOF YES
❑NOF,/
19 D IVEW #
INJURY 1 NATURE OF INJURIES 40
20❑ ON DUTY STATUS' AIRBAG 9 RESTR 9 EJECT ''1 USE CLASS ❑
21❑ LICENSE BPV8237 TATe WA VIN# JTDKN3DU2A0033169
❑ 41
PLATE#
42
22❑ PLATE# STATE PLATE# STATE
23❑ VIN#. 43
TRLR RLR
'IN#.
VEH YEAR 2010 MAKE TOYT MODEL PRIUS STYLE VEHICLETOWED TO BLIN TOWEDBY GOV HI 44
L4❑ DAMAGE YES NO,/ YES NO
REGISTERED OWNER INFO JACOB UMSTED 12829 SE 235TH PL KENT WA 98031 VEHICLE NO.2
SHADE IN DAMAGED AREA
2 3 4
LIABILITY
INSURANCE &POINSURGY#E CO STATE FARM 4519061BI047IN STOP 5
--E ❑ ,J CITATION# CHARGE
25 i o BOTTOM
LEGALLY YES Nu
s � a
7SHA
NAME(PRINT) OFFICER PHONE BADGE OR ID# AGENCY26 CROW 12618 WA0171300
PART A PAGE 01 OF
3000-345-159 OR 11/181
STATE OF
POLICETRAFFICN CORRECTION REPORT NO. EE20370
COLLISION REPORT III III III III III 111
1591972 CASE# 23-12466
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.
SHAWN CROW 11-11-23 09:44 AM
INVESTIGATING OFFICER'S SIGNATURE UNIT OR DIST DET DATED PLACE SIGNED
APPROVED BY DATE
P.KORDEL 9676 1111612023 4:17:47 PM
BADGE OR ID# 12618 OR]# WA0171300 TIME POLICE DISPATCHED 4:09 Pry TIME POLICE ARRIVED',4:13 PM
PART I PAGE IT]OF 4�
REPORT NO. EE20370 CASE# 23-12466 OF COLLISION
10/30/23 15:58
OF CbLLI510N
NARRATIVE
On 10/30/2023 at about 1601 hours I was working uniform marked patrol as 1 R25 when I was
dispatched to a two motor vehicle collision near the intersection of Lake Washington Blvd NNE 44th
St within the city limits of Renton, Washington. The collision occurred on NE 44th St at the
intersection of the onramp to Interstate 405 just east of Seahawks Way within the city limits of
Renton, King County, Washington. The vehicles were partially blocking traffic, and there were no
reported injuries.
Driver 1: Julio Cubias Cornejo; Unit 1: 2011 Acura TSX with Washington license plate CGK7251.
Driver 2: Anastasia Umsted; Unit 2: 2010 Toyota Prius with Washington license plate BPV8237.
I spoke to both drivers involved and ascertained the following account of the collision. Unit 1 was at a
stop sign after exiting the onramp from Interstate 405. Unit 1 began to drive forward (south) and was
struck by Unit 2 that was traveling westbound on NE 44th St. Unit 2 did not have any traffic control
for westbound traffic at that location in the roadway; however, Driver 1 claimed that Unit 2 was driving
too fast. Unit 1 had damage to the driver side of the vehicle, and the side airbags were deployed.
Driver 1 did not report any injuries, but the Renton Fire Department came out to the scene and
evaluated Driver 1. Driver 1 was not taken to the hospital. Unit 1 was able to be driven from the
scene. Unit 2 had damage to the front end of the vehicle. Driver 2 did not report any injuries. Unit 2
was not able to be driven from the scene due to the extensive damage from the collision, and it was
towed (private tow).
It appeared that Julio Cubias Cornejo's (Driver 1) actions contributed to the circumstances of the
collision after failing to yield to Unit 2. Julio (Driver 1) did not have insurance for his vehicle. 1
completed an infraction against Julio for failing to yield at the intersection (RCW 46.61.190) and for
operating a motor vehicle without insurance (RCW 46.30.020). The infraction (3A0744662) was
submitted to the court for mailing.
PAGE 3 OF 4
REPORT NO. EE20370 CASE# ' 23-12466 DATE AND TIME 10/30/23 15:58
OF COLLISION
Text
'Not drawn to scale
NE
ui
�u
F '
4th St
P11-110. Point of Impact,
PAGE 4 OF 4