HomeMy WebLinkAbout24-7967 ITFF' "POLCERA II I !�� I III I III I IIII III II I . 0 27c
COLLISION REP FIT 1591971
CASE 24-7967 z
INTERSTATE ❑ CITY STREET FIRE ❑
RESULTED
1 STOLEN
STATE ROUTE ❑ OTHER ❑ VFHICI F ❑ LOCAL AGENCI 4900 3
HIT&RUN CODING
COUNTY RD PRIVATE WAY INVOLVED
2❑ TOTAL#OF OBJECT ❑2$
i TRIBAL 1 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 07 - 29 - 2024 1431 17 ❑-= S 8 IN e 1070 3
4❑ ON (PRIMARY TRAFFIC WAY) INTERSECTION ❑✓ NON INTERSECTION ❑
BLOCK
TAYLORAVENW ST e✓
MILEPOST 221 ❑
4a❑
DISTANCE OF(REFERENCE OR CROSS STREET)
5 NW2NDPLACE
FEET S W❑ ,❑ e ❑
0 1 29
MOTOR PEDAL- DAMAGE THRESHOLD MET PHONE
UNIT 01 VEHICLE ❑ CYCLE El
✓NO D:2065798777 30
6� LAST NAME KUO FIRSTNAME LIANG MIDDLE 1 2 31
INITIAL
STREET ❑ 306 NW 2ND PL CITY RENTON WA
NEW ADDRESS ST ZIP', 98057 z
7❑ CDL IGNITION REQUIRED IGNITION PRESENT MEDICAL TRANSPORTED 3
iNTERLOCKYEs NO 1/ INTERLOCKYEs NO Z YES Z NO
$❑ DRIVERS
STATE SEX DD — 12 — 1950 32
MMYY0
LICENSE#
9 ON DUTY❑ STATUS AIRBAG 6 RESTR 4 EJECT 1 HELMET INJURY 5 NATURE OF INJURIES 2❑
USE CLASS TRANSPORTED TO VMC FOR FURTHER EVAL.
3
10❑ PI ATFSif ANT7997 STATE WA VIN#' 5TDZA23C45S228741
TRAILER STATE TRAILED STATE
11 2 5 PLATE# PLATE# FR.. ro
TRLR. TRLR 7 3 33
2❑
1 VIN#' VIN#
2005 TOYT SIENNA VNYES[:]
❑ RO�34
❑ VEH.YEAR MAKE MODEL STYLE VEHICLE TOWED TO BLIN TOWED BY GOVT.VEHICLE
13 2 DAMAGE YES NO �I YES NO✓
REGISTERED OWNER INFO LI CHIN.306 NW 2ND PL RENTON WA 98057 D:2065798777 VEHICLE NO. 1 ❑
SHADE IN DAMAGED AREA 35
I IN EFFECT <�34
14 LABILITY INSURANCE� INSURANCE# 9TOP
CO LIBERTY MUTUAL INSURANCE H2395428
&
VE—LE CHARGE BOTTOM 5 36
LECALLv YES NO CITATION# 4g0612098,4A0612098 NO VALID OPER LICENSE WITH
15❑ STANDING 6
MOTOR PEDAL- '.PEDESTRIAN PROPERTY DAM THR OLD MET PHONE
UNIT VEHICLE ❑ CYCLE ❑ ❑ OWNER ❑ YES 1/ NO D:2067186187
16❑
LAST NAME CHRISTIAN CHURCH FIRST NAME UKRANIAN MIDDLE
INITIAL
17❑ STREET ❑', 221 HARDIE AVE NW CITY' RENTON ST WA ZIP 98057 37
NEW ADDRESS ❑
18� CDL IGNITION REQUIRED IGNITION PR—E-1SENT MEDICAL—T�RANSPORTED ❑ 38
INTERLOCKYES�NOR INTERLOCK YEs It I NOF YES t l 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 LICENSE vIN# 41
PLATE#
42
22❑ PR TRAILER LATE# STATE PLATE# STATE
23❑ 43
TRLR RLR
UIN#. 'IN#.
VEH YEAR MAKE MODEL STYLE VEHICLE TOWED TO BLIN
TOWED BY GOV HI 44
L4❑ 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 I 9TOP 5
'E""LE ❑ ,J� CITATION# CHARGE i o BOTTOM
LEGALLY YES N J
25 s e
=UGENT
(PRINT) OFFICER PHONE BADGE OR ID# AGENCY
26 11498 WA0171300
PART A PAGE 01 OF
3000-345-159 OR 11/181
STATE OF
POLICETRAFFICN CORRECTION REPORT NO. EF03713
COLLISION REPORT III III III III III 111
1591972 CASE# 24-7967
ADDITIONAL PERSONS INVOLVED PASSENGERS AND/OR WITNESSES ONLY)
NAME MIDDLE INITIAL) HAMILTON JOSHUA
(LAST FIRST,
ADDRESS&PHONE# D O.B. '
13213 87TH PL SOUTH RENTON WA 98057 2062513354 SEX M MMDOYyry 07 - 22 - 1981
PASSENGER WITNESS UNIT# SEAT AIRBAG' RESTR. EJECT ' HELMET INJURY NATURE OF INJURIES
❑ ❑✓ POS. USE CLASS
NAME
(LAST,FIRST,MIDDLE INITIAL) XAYASY BOUNKHONG
ADDRESS&PHONE# D O B
8429 46TH AVE S SEATTLE WA 98118 2065657631 SEX: M MMDDYvvv 10 _ 05 _ 1978
PASSENGER ❑ POS. USE CLASS WITNESS UNIT# SEAT AIRBAG RESTR. EJECT HELMET NJURY NATURE OF INJURIES
NAME
(LAST FIR57 MIDDLE INITIAL)
AppRESS&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.
MATTHEW NUGENT 07-30-24 07:41 PM
INVESTIGATING OFFICER'S SIGNATURE UNIT OR DIST DET DATED PLACE SIGNED
APPROVED BY DATE
CO.JOHNSON 0505 8/9/2024 10:02:44 AM
BADGE OR ID# 11498 ORI# WA0171300 TIME POLICE DISPATCHED! 2:34 PM TIME POLICE ARRIVED:2:37 PM
PART I PAGE IT]OF 4�
REPORT NO. EF03713 CASE# 24-7967 OF COLLISION
07/29/24 14:31
OF CbLLI510N
NARRATIVE
24-7967
On 07/29/2024 at approximately 1434 hours, I was dispatched to single vehicle over an embankment
collision at Ukrainian Christian Church a.k.a. Church of Grace, located at 221 Hardie Ave NW, within
the City Limits of Renton, County of King, State of Washington.
While en route, Dispatch advised that a white Toyota minivan (Unit#1) had driven through a gated
fence and off a 12-foot embankment leading to the west parking lot of the Ukrainian Christian Church.
Due to the likelihood of injury, the Renton Regional Fire Authority (RRFA) was simultaneously
dispatched to the scene.
Upon my arrival, RRFA was on scene treating the involved driver and sole occupant of Unit#1. There
was a language barrier between the driver Unit#1 but I was able to identify the driver via pictured
Taiwan Passport as Kuo. Kuo complained of back pain from the collision.
I obtained information through witnesses who described what happened. Prior to the collision, Unit#1
was seen traveling eastbound on NW 2nd PL. Witnesses described the vehicle as possibly mistaking
the brake for the gas pedal as the vehicle sped up when witnesses believed it should have been
coming to a stop. Witnesses said that Unit#1 struck a metal gate that lined the west side of the
church property, which also paralleled Taylor Ave NW. Unit#1 was seen driving through the gate,
completing destroying that section of fencing, and off a 12-foot embankment before colliding into a
second fence on the west side of the church property. I also noticed damage to the pavement of the
parking lot as there were large gouge marks caused by Unit#1 falling from such a large fall.
The driver of Unit#1 was later transported via ambulance to Valley Medical Center (VMC) for further
evaluation. I was able to inform family members of Unit#1 by contacting them at the registered
vehicle address.
Based on the above statements, 1 believe the driver of Unit#1 (Kuo) was operating a motor vehicle at
a Speed Too Fast for Conditions. Kuo did not exercise ordinary care while operating a motor vehicle.
Even with the significant damages incurred, this collision still had far more potential to cause injury
and/or death if the vehicle had collided with a pedestrian in the path of Unit#1.
Kuo did not have a valid driver's license on his person. I cited Kuo via mail for Speed Too Fast for
Conditions and NVOL with Valid Identification.
Unit#1 had to be impounded from the landscaping/fencing of the church due to extensive damage.
An exchange of information was printed and provided to the driver of Unit#1.
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 7/30/2024 7:40 PM Renton, King County, WA.
PAGE 3 OF 4
REPORT NO. EF03713 CASE# ' 24-7967 DATE AND TIME 07/29/24 14:31
OF COLLISION
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