HomeMy WebLinkAbout24-5404 ITFF' "POLCERA II I !�� I III I III I IIII III II I . 0 27c
COLLISION REP FIT 1591971
CASE 24-5404 z
INTERSTATE ❑ CITY STREET FIRE ❑RESULTED
1 STOLEN
STATE ROUTE ❑ OTHER ❑ VFHICI F ❑ LOCAL AOENC 4Y00 3
HIT&RUN CODING
COUNTY RD PRIVATE WAY INVOLVED
2 3 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# ❑
COLLISION.. 05 - 1-- 2024 1554 17 ❑.= S 8 IN e 1070 3
4❑ oN (PRIMARY TRAFFIC WAY) INTERSECTION ❑✓ NON INTERSECTION ❑
116TH AVE SE BLOCK NO. e✓ 16400 ❑
4a❑ MILEPOST
DISTANCE OF(REFERENCE OR CROSS STREET)
5❑ ❑ FEET e S ❑ W e SE 164TH ST
0 1 29
MOTOR PEDAL- DAM THRESHOLD MET PHONE
UNIT 01 VEHICLE ❑ CYCLE El YES NO �/ D:2065049847 0 11
30
6 LAST NAME CRUZ VALENCIA FIRST NAME ALBERTO MIDDLE 1 2 31
INITIAL
STREET ❑ 3725 NE 9TH ST CITY RENTON ST WA ZIP 98056 z
NEW ADDRESS
7❑ CDL IGNITION REQUIRED IGNITION PRESENT MEDICAL TRANSPORTED 3
iNTERLOCKYEs NO 1/ INTERLOCKYEs NO�/ YES R No�/
8❑ LRIIVERS STATE WA SEX'M MM DAY' 06 1— 04 — 1997 2 32
CENSE 9 ON DUTY❑ STATUS AIRBAG 2 RESTR 4 EJECT 1 HELMETU E 2 CLASS 1 NATURE OF INJURIES z❑
3
10 9❑ Pi aT�S� C36856V sTArI WAvIN# 1GTEC14X542105869
TRAILER STATE TRAILED STATE
11 2 5 PLATE# PLATE# FROM To
TRLR. TRLR 7 3 33
vIN#
12 2 5 ' VIN#
>;. FROM TO
VEH.YEAR MAKE MODEL STYLE VEHICLE TOWED TO BLIN TOWED BY GOVT.VEHICLE 5 1 34
13 2004 GMC SIERRA PK DAMAGE YES NO YES[:] No✓
REGISTERED OWNER INFO IRASEMA DIMAS MACED020136 STATE ROUTE 534 MOUNT VERNON WA 98274 D:2065049847 VEHICLE NO. 1 ❑
SHADE IN DAMAGED AREA 35
14 LIABILITY INSURANCE❑ INSURANCE CO eq�T3 4
IN EFFECT &POLICY# 9TOP
VawcLe CHARGE 1 5 36
LEGALLY YES❑NO CITATION# 4A0344170,4AO344170 FAIL STOP AT STOP o BorroM
15❑ NDING 8 7 6
MOTOR PEDAL- PEDESTRIAN PROPERTY ❑ 1/DAM THR OLD MET PHONE
UNIT 02 VEHICLE ❑ CYCLE ❑ ❑ OWNER YES No D:2533850346
16 a
LASTNAME BAVELKA FIRST NAME DZMITRY MIDDLE
INITIAL
17 STREET I❑ 5❑' 1250 S PUGET DR APT H225 CITY RENTON ST WA ZIP 980554426 4❑ 37
NEW ADORE5
18❑ CDL IGNITION REQUIRED IGNITION PRESENT MEDICAL TRANSPORTED � 38
INTERLOCKYES�NO� INTERLOCK YEs❑NOF YEs❑NOF,/
19 D IVEW # STATE WA SEX M M D.O.B. O6 _ 29 _ 1998 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# CHA1359 TArE 41
WA vIN# 3VWPL7AJ3CM677127 1
42
22❑ PLATE# STATE PLATE# STATE
TRLR
23❑ UIN#. IN#.
43
RLR
'
VEH YEAR 2012 MAKE VOLK MODEL JETTA STYLE 4N/ VEHICLE TOWED TO BLIN TOWEDBY GOV HI 44
L4❑ DAMAGE YES NO YES NO
REGISTERED OWNER INFO DZMITRYBAVELKA 1250 S PUGET DR APT H225 RENTON WA 98055 D:2533850346 VEHICLE NO.2
SHADE IN DAMAGED AREA
2 3 4
LIABILITY INSURANCE INSU8 PORGY#E CO NATIONAL GENERAL 2021266641 STOP 5
IN EFFECT
'E""LE ❑ ,J� CITATION# CHARGE i o BOTTOM
LEGALLY YES N J
25 6
=UGENT
(PRINT) OFFICER PHONE BADGE OR ID# AGENCY
26 11498 WA0171300
PAGE 01 OF
PART A
3000-345-159 OR 11/181
STATE OF
POLICETRAFFICN CORRECTION REPORT NO. EE79850
COLLISION REPORT III III III III III 111
1591972 CASE# 1 24-5404
ADDITIONAL PERSONS INVOLVED PASSENGERS AND/OR WITNESSES ONLY)
NAME MIDDLE INITIAL) BAVELKA NADZEYA A
(LAST FIRST,
ADDRESS&PHONE# D O.B. '
1250 S PUGET DR APT H225 RENTON WA 980554426 2533850346 SEXi F MMDOYyry 08 - 01 - 1996
PASSENGER Z WITNESS❑,UNIT# 2 SEA 3 AIRBAG 2 RESTR. q EJECT ? 1 HELMET INJURY NATURE OF INJURIES
POS. USE 1 2 CLASS 1
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.
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 05-22-24 04:01 PM
INVESTIGATING OFFICER'S SIGNATURE UNIT OR DIST DET DATED PLACE SIGNED
APPROVED BY DATE
Co.JOHNSON 0505 5/23/2024 3:57:15 PM
BADGE OR ID# 11498 ORI# WA0171300 TIME POLICE DISPATCHED; 3:55 PM TIME POLICE ARRIVED]4:35 PM
PART I PAGE IT]OF 4]
TIME
REPORT NO. EE79850 CASE# 24-5404 OF COLLISION05/21/24 15:54
NARRATIVE
24-5404
On 05/21/2024 at approximately 1618 hours, I was dispatched to a non-injury and non-blocking
vehicle collision at the intersection of 116th Ave SE and SE 164th Street, within the City Limits of
Renton, County of King, State of Washington.
Upon my arrival, I confirmed there were no complaints of injury requiring immediate medical response
at the time of report. While on scene, I was able to collect each involved party's information and
independent summary of the events leading up to the collision.
Per Language Line Solutions for Spanish, the driver of Unit#1 said he was the sole occupant of his
vehicle and was traveling eastbound on SE 164th ST approaching the controlled intersection of 116th
Ave SE. The driver of Unit#1 stated that he was intending to proceed straight at the intersection to
continue eastbound. The driver of Unit#1 stated that he stopped at the intersection to yield to
approaching traffic. The driver of Unit#1 stated that he believed traffic was clear and proceeded. The
driver of Unit#1 stated that while traveling forward, Unit#2 suddenly appeared and that both Unit#1
and Unit#2 collided in the intersection causing minor damage to the front passenger bumper of Unit
#1. The driver of Unit#1 showed me a photo of his Identification Card as he did not have
identification on his person.
The driver of Unit#2 said he and his adult passenger were traveling northbound on 116th Ave SE
approaching the uncontrolled intersection of SE 164th ST. The driver of Unit#2 stated he was
intending to continue straight through the intersection but that just prior to reaching the intersection,
Unit#1 failed to yield to his vehicle and pulled out in front of lane of travel. Both vehicles collided
causing moderate damage to the front of Unit#2.
A DOL WACIC check confirmed that the driver of Unit#1 (Cruz Valencia) was in violation of RCW
46.20.015 -Driving any motor vehicle upon a highway in the State of Washington without a valid
Washington State driver's license a cancelled license listed in his name.
Based on the above statements, I determined that the Driver of Unit#1 (Cruz Valencia) was the
predominant factor for the cause of collision as Cruz Valencia did not grant the right of way to traffic
already in the roadway and underway. Cruz Valencia violated RCW 46.61.190(2) as every driver of a
vehicle approaching an intersecting 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.
I cited Cruz Valencia via mail for Failing to StopNield at an intersection causing a collision. Cruz
Valencia was also cited for NVOL with Identification. I gave Cruz Valencia a verbal warning for having
No proof of Motor vehicle insurance and expired registration greater than two months.
Unit#1 was impounded due to having no licensed driver available nor proof of motor vehicle
insurance. Unit#2 was 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 5/22/2024 3:58 PM Renton, King County, WA.
PAGE 3 OF 4
REPORT NO. EE79850 CASE# ' 24-5404 DATE AND TIME 05/21/24 15:54
OF COLLISION
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