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Home My WebLink About23-14227 ITFF' "POLCERA II I !�� I III I III I IIII III II I . 5 27c COLLISION REP FIT 1591971 CASE 23-14227 z INTERSTATE ❑ CITY STREET FIRE ❑RESULTED 1 STOLEN STATE ROUTE ❑ OTHER ❑ VFHIr.I F ❑ LOCAL AOENC 4200 3 HIT&RUN CODING COUNTY RD PRIVATE WAY INVOLVED 2 2 TOTAL#OF OBJECT 1 1 8 28 TRIBAL UNITS OS STRUCK RESERVATION z 3❑ DATE of M M D D Y Y Y Y TIME(2400) COUNTY# MILES N E IN CITY# ❑ cowsloN 12 - 11 - 2023 1625 17 ❑.❑ S 8 W H OF e 1070 3 4❑ oN (PRIMARY TRAFFIC WAY) INTERSECTION ❑ NON INTERSECTION ❑✓ SUNSET BLVD N BLOCK NO. e✓ 400 4a❑ MILEPOST DISTANCE OF(REFERENCE OR CROSS STREET) 5❑ 8501. 00 FEET e S MILES N B W e N 3RD ST 0 1 29 MOTOR PEDAL- DAMAGE THRESHOLD MET PHONE UNIT 01 VEHICLE ❑ CYCLE El �/No D:2063103103 0 7 30 6� LAST NAME PARKES FIRSTNAME DAVID MIDDLE J 1 1 2 31 INITIAL STREET El 14821 SE FAIRWOOD BLVD CITY RENTON ST WA ZIP 980588527 z NEW ADDRESS 7❑ CDL IGNITION REQUIRED IGNITION PRESENT MEDICAL TRANSPORTED 3 1/ I INTERLOCK YES[:]NO NTERLOCKYEs NO�/ YES R No�/ 8❑ LRIIVER # ON DUTY❑ STATUS AIRBAG 2 RESTR 4 EJECT 1 H USEET ICNLJAUSSY 1 NATURE OF INJURIES z❑ 3 ,OF Pi ATNES# BKM8660 sTAr WAV N# JTEBU5JROH5448367 TRAILER STATE TRAILER STATE 11 3 0 PLATE# PLATE# Rom ro TRLR. TRLR. 1 5 33 12 3 0 VIN#' VIN#' FROM TO VEH.YEAR MAKE MODEL STYLE VEHICLE TOWED TO BLIN TOWED BY GOVT.VEHICLE 1 9 34 13❑8 2017 TOYT 4RUNNE DAMAGE YES NO YES[:] No ✓ REGISTERED OWNER INFO DAVID PARKES450 MOUNT DEFIANCE CIR SW ISSAQUAH WA 98027 D:2063103103 VEHICLE NO. 1 ❑ SHADE IN DAMAGED AREA 35 14 LIABILI INSURANCE INSURANCE CO ALLSTATE 807644417 3 4 IN EFFECT &POLICY# 9TOP vIC CHARGE 5 36 LECALLEHLEv Yes❑NO❑ CITATION# 10 BOTTOM 15❑ STANDING 8 7 6 MOTOR PEDAL- PEDESTRIAN PROPERTY DAM THR OLD MET PHONE UNIT 02 VEHICLE ❑ CYCLE ❑ ❑ OWNER [:]EA. YES 1/ No D:2537091142 16 a LAST NAME BARRETT FIRST NAME DAVID MIDDLE I B INITIAL 17❑ STREETNEW ADDR11 26137 195TH PL SE CITY COVINGTON ST WA ZIP 980425010 37 18� CDL IGNITION REQUIRED IGNITION PRESENT MEDICALTRANSPORTED 38 INTERLOCKYEs❑No� INTERLOCK ves No� YES NDF] 19 DRIVER # STATE WA SEX M I D.MMDDYY 04 13 _ 1958 39 20❑ ON DUTY STATUS AIRBAG 2 RESTR 4 EJECT 1 H U EET NJAURSY 1 NATURE OF INJURIES 40 ❑ILICENSE 21❑ PLATE# BQJ0884 TArE 41 WA VIN1 JF2SJAGC1EH422784 1 42 22❑ PLATE# STATE PLATE# STATE 23❑ UIN#. 43 TRLR RLR 'IN#. VEH YEAR 2014 MAKE SUBA MODEL FORESTS STYLE VEHICLETOWED TO BLIN TOWEDBY GOV HI 44 24❑ DAMAGE YES NO YES NO REGISTERED OWNER INFO DAVID BARRETT PO BOX 7821 COVINGTON WA 98042 D:2537091142 VEHICLE NO.2 SHADE IN DAMAGED AREA 2 3 4 LIABILITY INSURANCE &POINSURGY#E CO ALLSTATE 917461567IN VEHICLE CITATION# CHARGE <E�00` LEGA YES[Z NC[:]25❑ LLY JAGENCY s a OFFICER'S NAME(PRINT) OFFICER PHONE BADGE OR ID# 26 P.LANTAGNE 12575 WA0171300 1 PART A PAGE 01 OF C7 3000-345-159 OR 11/181 STATE OF POLICETRAFFICN CORRECTION REPORT NO. EE32800 COLLISION REPORT III III III III III 111 1591972 CASE# 23-14227 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 POS. 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. P.LANTAGNE 12-16-23 07:55 AM INVESTIGATING OFFICER'S SIGNATURE UNIT OR DIST DET DATED PLACE SIGNED APPROVED BY DATE S.WOODWARD 11528 12/21/2023 6:54:15 AM BADGE OR ID# 12575 OR]4f WA0171300 TIME POLICE DISPATCHED 4:32 Pry TIME POLICE ARRIVED',4:32 PM PART I PAGE IT]OF TIME REPORT NO. EE32800 CASE# 23-14227 OF COLLISION12/11/23 16:25 NARRATIVE 23-14227 On 12/11/2023 at approximately 1625 hours, I, Officer Lantagne, responded to a non-blocking, non- injury collision which occurred in the 400 block of Sunset BLVD N, which is located in the City of Renton, County of King, and the State of Washington. I responded in my fully marked police vehicle, wearing my patrol uniform. I arrived on scene and observed Unit#1, a 2017 Toyota FourRunner with license plates BKM8660 issued out of Washington State, Unit#2, a 2014 Subaru Forrester with license plates BQJ0884 issued out of Washington State, and Unit#3, 2004 Chevrolet Silverado with license plates D61839B issued out of Washington State, parked in the lot of the drive-thru coffee shop. I was advised there were no injuries. I contacted the driver of Unit#1, David J. Parkes (DOB 10/31/1979), who told me the following: Parkes was driving southbound in the inside lane of Sunset BLVD N in the 400 block. Parkes merged into the lane to his left and did not see that traffic had come to a stop. Parkes could not stop his vehicle in time and collided with the rear end of Unit#2. 1 contacted the driver of Unit#2, David B. Barrett (DOB 04/13/1958), who told me the following: Barrett was driving southbound on Sunset BLVD N in the 400 block in the inside lane. Barrett was stopped for traffic that was backed up from N 3rd ST. As Barrett was stopped for traffic, the rear end of his vehicle was struck by Unit#1 which forced his vehicle into the rear end of Unit#3. 1 contacted the driver of Unit#3, Jose A. Puga-Hinojosa (DOB 07/09/1975), who told me the following: Puga-Hinojosa was driving southbound on Sunset BLVD N in the 400 block in the inside lane. Puga-Hinojosa was stopped for traffic which was backed up from N 3rd ST. As Puga-Hinojosa was waiting for the traffic to move, the rear end of his vehicle was struck by Unit#2. 1 observed the damage to the vehicles and other physical evidence was consistent with the statements made by all drivers. Unit#1 had significant crumple damage to the front bumper of the vehicle. Unit#2 had significant crumple damage to the rear bumper and door, along with minor crumple damage to the front bumper. Unit#3 had minor dents and scrapes on the rear bumper and a bent tow hitch. The collision diagram is an accurate illustration of the events leading up to the collision. I provided an exchange of information to all drivers. I, Officer P. Lantagne #12575, certify (or declare) under penalty of perjury, under the laws of the State of Washington, the foregoing is true and correct. Electronically signed by Officer P. Lantagne #12575 at 0755 hours on 12/16/2023 at Renton, WA. PAGE 3 OF 5 SUPPLEMENTAL REPORT NO. EE32800 r`) POLICE TRAFFIC 1 1 8 27 COLLISION REPORT CASE# 23-14227 1 COMMERCIAL MOTOR CARRIER INTERSTATE INTRASTATE G UNIT'# USDOT ICC# VEHICLE TYPE CARGO BODY ;TYPE 2 ❑ 1 28 CARRIER NAME 3 CARRIER L ADDRESS ` CITY ST ZIP—1 I ' 4 ❑ NAME # PLACARD: :❑ GI PLACARD IF NO NUMBER SOURCE AXLES + 4a ❑ ADDITIONAL UNITS MOTOR PEDAL- PROPERTY DAMAGE THRESHOLD MET PHONE 5 ❑ UNIT# 3 VEHICLE t_"J CYCLE _) PEDESTRIAN � OWNER � YES NO D:4254434387 OF 7 29 LAST NAME PUGA-HINOJOSA FIRST NAME : JOSE MIDDLE'.. A INr:j ITIAL STREET 30 NEW AnDRFSP' 375 UNION AVE SE UNIT 11 CITY RENTON ST WA ZIP 980595168 6 [2 1 1 2 31 CDL IGNITIttN REQUIRED IGNITION PRESENT MEDICAL TAN5PORTED INTERLOCK YEs NO zERLOCK YES❑N0� YES N DRIVER'S LICENSE STATE I WA SEX M MMDDYYv 07 - 09 - 1975 7 ON DUTY� STATUS AIRBAG' 2 RESTR. Q EJECT 1 HELMET I INJURY 1 1 NATURE OF INJURIES USE CLASS 8 ❑ 1 32 LICENSE D618398 [TAT WA VIN# 1GCEC14VO4Z254866 PLATE# 9 9] TRAILER TRAILER PLATE# STATE PLATE# STATE 10 ❑ TRLR TRLR VIN.It VIN.#. 11 3 O VEH.YEAR MAKE MODEL STYLE VEHICLE TOWS E T SABLIN TOWED BY anvi vEH1I' P FROM TO 2004 CHEV SILVERA DAMAGE YES NO YES NO 33 REGISTERED OWNER INFOJOSE PUGA-HINOJOSA375 UNION AVE SE UNIT 11 RENTONWA 98059 D:4254434387 SHADE IN DAMAGED AREA 1 9 12 z 3 FROM TO LIABILITY INSURANCE INSURANCE CO AMERICAN FAMILY CONNECT AI03515770 q"i"Olx IN EFFECT &POLICY# 1 VEHICLE 34 13 $ Lecnuv YES NO❑ CITATION# CHARGE 10 BOTTUM STANDING } 8 7 6 14 ❑ UNIT Tr Vd 1RE O CYDCLE 1:1OWNERRTY YES AGE NOHRESHOLD MET PHONE ❑ 35 PEDESTRIAN 15 LAST NAME FIRST NAME MIDDLE INITIAL TIAL ❑ STREET"[—] 16 NEW nnR CITY ST ZIP CDL IGNITION REdUiRED IGNITION PRESENT MEDICALTANSPORTED NTERLOCK YES No NTERLOCK YEs NO YES NO ❑ 17 4 37 LICENSE# STATE SEX MMDDDYBYY 18 ❑ ON DUTY� STATUS AIRBAG RESTR. ; EJECT HELMET INJURY NATURE of INJURIES 38 USE CLASS 19 ❑ LICENSE rnr 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 3 4 4 AREA F 43 z 3 LIABILITY INSURANCE INSURANCE CO ' VINE EFFECT &POLICY# i 970P - 4 E:l 44 24 VEHICLE YES❑ NO❑ CITATION# CHARGE iq 60TiOM LECALLv STANDING 8 7 6 1 CERTIFY(DECLARE)UNDER PENALTY OF PERJURY UNDER THE LAWS OF THE STATE OF WASHINGTON THAT THE FOREGOING IS TRUE AND CORRECT. R LANTAGNE 12-16-23 07:55 AM 25 INVESTIGATING OFFICER'S SIGNATURE OFFICER'S PHONE UNIT OR DIST DET DATED: PLACE SIGNED 26 ORID# 12575 O#II,WA0171300 APPROVED BY 12121/202 PAGE F OF 5 3000-345-013(R 11118) REPORT NO. EE32800 CASE# ' 23-14227 DATE AND TIME 12/11/23 16:25 OF COLLISION V �4 Case #23-1, 4227 Unit #1 Not, to Scale Unit #3 i +4 i V ..,, i k k PAGE 5 OF 5