HomeMy WebLinkAbout24-8750 TFF' NoucERA II I !�� I III I III I IIII III II I O 1 27c .
COLLISION REP FIT 1591971
❑ ❑ FIRE ❑ CASE# 24-87$0 z 077
INTERSTATE CITY STREET RESULTED
1 STOLEN
STATE ROUTE ❑ OTHER ❑ VFHICI F ❑ LOCAL AGENCI 4200 3
HIT&RUN CODING
COUNTY RD PRIVATE WAY INVOLVED
2� 1 1 8 28
TOTAL#OF OBJECT
i TRIBAL UNITS 03 STRUCK' BUILDING
RESERVATION
2
3❑ DATE OF M M D D Y Y Y Y TIME(2400) COUNTY# MILES N E IN CITY# ❑
Ct ELISION' 08 - 19 - 2024 1906 17 ❑.❑ S 8 W e IN e 1070 3
4❑ ON (PRIMARY TRAFFIC WAY) INTERSECTION ❑ NON INTERSECTION ❑✓
4702 DAVIS AVE S BLOCK NO. e✓ 4700
4a❑ MILEPOST
DISTANCE OF(REFERENCE OR CROSS STREET)
5❑ 25 ❑ FEET e S ❑ W e DAVIS AVE S
0 8 29
UNIT MOTOR
E Z CYVEHICCLE ElDDAMYESA✓NOESHOLDMET PHONE 0 3 30
LAST NAME HENRIQUEZ CASERES FIRST NAME DELMI MIDDLE X
6 INITIAL 1 0 11
31
STREET ❑✓ 4702 DAVIS AVE S APT NN02 CITY RENTON ST WA 7jp, 98055 2
NEW ADDRESS
7❑ CDL IGNITION REQUIRED IGNITION PRESENT MEDICAL TRANSPORTED 3
INTERLOCK YES NO 1/ I INTERLOCK YES NOF,/ YES R NO
8❑ D
RI
VER # STATE WA SEX'F MMDDYY' 05 - 05 - 1984 1 2 32
9 ON DUTY❑ STATUS AIRBAG 3 RESTR 4 EJECT 1 1HELM
U EET 2 CLASS 1 NATURE OF INJURIES 2❑
3
10 9❑ PI ATE 14 CMS0648 STATE WA V N# 3C4PDCAB1DT508541
TRAILER STATE TRAILER STATE
11 0 0 PLATE# PLATE# FROM TO
rRLR. TRLR 1 7 33
12 0 0 VIN#' UIN#
FROM TO
❑ VEH.YEAR MAKE MODEL STYLE VEHICLE TOWED TO BLIN T GOVT.VEHICLE 1 7 34
13 9 2013 DODG JOURNE SV DAMAGE YES NO �LWkRS TOW Yes❑ No
REGISTEREDOWNERINFO OWNEDBYDRIVER VEHICLE NO. 1
SHADE IN DAMAGED AREA ❑ 35
14 LIABILITY INSURANCE❑ INSURANCE CO
IN EFFECT &POLICY# 6'eIOP
VEH'CLL 5 ❑ 36
LECALv res❑NO❑ CITATION# CHARGE BOTTOM
15❑ STANDING 6
UNIT 02 MOTOOR CYCLE ❑ PEDESTRIAN ❑ PROPE OWNFRRTY ❑ DYES NO THR OLD MET PHONE
16 a
LAST NAME VICENCIO REYES FIRST NAME VICENTO MIDDLE
INITIAL
17 STREET❑ NEW ADDRESS❑' 17804 98TH AVE S CITY RENTON ST WA ZIP 98055 4❑ 37
18❑ CDL IGNITION REQUIRED IGNITION PR-E-1SENT MEDICAL-T�RANSPORTED � 38
INTERLOCKYES�NO� INTERLOCK YEs It I NOF YES t l NOF,/
19[ LICENSE# STATE WA SEX M M D.C.B. 12 _ 28 _ 1983 39
20❑ ON DUTY STATUS AIRBAG 2 RESTR 4 EJECT 1 H U EET 2 NJAURSY 1 NATURE OF INJURIES 40
❑ILICENSE 21❑ PLA E# D97863D TATE 41
WA VIN# 1FTZR15V9YPA59672 1
42
22❑ PLATE# STATE PLATE ILER# STATE
23❑ VIN#. 43
TRLR RLR
'IN#.
VEH YEAR 2000 MAKE FORD MODEL RANGER STYLE PK VEHICLETOWED TO BLIN TOWEDBY GOV HI 44
24❑ DAMAGE YES NO YES NO
REGISTERED OWNER INFO VICENTO VICENCIO REYES 1780498TH AVE S RENTON WA 98055 VEHICLE NO.2
SHADE IN DAMAGEbAREA
2 3 Cd
INAEFFIECTTY NSURANCE❑ &POINSULICY#E CO I STOP
VE."LE ❑ ,J� CITATION# CHARGE
25 BOTTOM
LEGALLY YES N J
$ '
=AS
NAME(PRINT) OFFICER PHONE BADGE OR ID# AGENCY
26 SWAN 7 12965 WA0171300
PAGE 01 OF
PART A
3000-345-159 OR 11/181
STATE OF
POLICETRAFFICN CORRECTION REPORT NO.
COLLISION REPORT III III III III III 111
1591972 CASE# 24-8750
ADDITIONAL PERSONS INVOLVED PASSENGERS AND/OR WITNESSES ONLY)
NAME MIDDLE INITIAL) HENRIQUEZ CASERES DALIS
(LAST FIRST,
ADDRESS&PHONE# D O.B.
17804 98TH AVE S RENTON WA 98055 SEX F MMDDYyvv 04 - 12 - 2004
PASSENGER Z WITNESS❑'UMT# + 1 SEA 9 AIRBAG $ RESTR. q EJECT ? 1 HELMET INJURY NATURE OF INJURIES
USE 2 CLASS 1
NAME
(LAST,FIRST,MIDDLE INITIAL) HENRRINZ LYANNI
ADDRESS&PHONE# D O B
RENTON SEX' F MMaovvvv 12 _ 26 _ 2012
SEAT HELMET INJURY NATURE OF INJURIES
PASSENGER WITNESS UNIT# 1 POS 3 AIRBAG 2 RESTR. 4 EJECT 1 USE 2 CLASS 1
NAME
(LAST FIR57 MIDDLE INITIAL)
AppRESS&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.
NICHOLAS SWAN 08-19-24 10:00 PM
INVESTIGATING OFFICER'S SIGNATURE UNIT OR DIST DET DATED PLACE SIGNED
APPROVED BY DATE
P.SUMMERS 888 1 8/23/2024 7:30:54 PM
BADGE OR ID# ! 12965 (DR]# WA0171300 TIME POLICE DISPATCHED 7:07 PM TIME POLICE ARRIVED',7:11 PM
PART I PAGE IT]OF 6�
REPORT NO. CASE# 24-8750 OF COLLISION
08/19/24 19:06
OF CbLLI510N
NARRATIVE
#24-8750
Unless otherwise noted, all events took place in the City of Renton, in the County of King, in the State
of Washington.
This incident was captured on my body worn video camera and in-car cameras. This report is a
summary of events that occurred and is not an exact sequencing of events.
On 08/19/2024 at approximately 1907 hours I was dispatched to the Copper Ridge Apartments
building QQ located at 4702 Davis Ave S in the city of Renton, King County, WA, for a motor vehicle
collision with a building that occurred with unknown injuries.
While enroute to the location, dispatch advised that all occupants were out of their vehicles and that
fire was enroute to the location.
I arrived on scene and found Unit 1 a black 2013 Dodge Journey with WA LIC: CMS0648 and Unit 2 a
white 2000 Ford Ranger with WA LIC: D97863D. Unit 1 had struck the south stairwell of apartment
building QQ and appeared to be stuck there with extensive damage to the building. The airbags were
deployed and all occupants were able to exit the vehicle under their own ability. Unit 2 was located in
the apartment complex driveway and appeared to have been hit in its rear bumper.
Driver 1 of Unit 1 stated she was traveling south on Talbot Rd S enroute to Copper Ridge
Apartments. There were two female passengers and one baby, approximately 12-18mo old in the
vehicle. The driver of Unit 1 stated she was following Unit 2 and planned to turn into the Copper
Ridge Apartment complex. As she started to turn, she applied her brakes which did not activate or
work. She was then going too fast and saw she was going to hit Unit 2 when she then pressed the
gas and swerved in an attempt to avoid Unit 2. This caused her to hit Unit 2 in its back bumper. As
she swerved trying to avoid Unit 2, Unit 1 ended up going over a curb and into the corner stairwell of
apartment building QQ. The driver of Unit 1 and all of its passengers were treated at the scene by
Renton Fire Department and medically cleared.
Driver 2 of Unit 2 stated he was turning right in to Copper Ridge apartments. He was then hit from
behind by the driver of Unit 1 while entering the complex and then saw Unit 1 hit the QQ building.
A witness at the scene confirmed the direction of travel by Unit 1 and Unit 2. He said he was behind
Unit 1 while driving south on Talbot Rd S. The witness stated that Unit 1 was behind Unit 2 when both
slowed and signaled to turn right into Copper Ridge at a normal rate of speed. As they were turning,
Unit 1 hit the bumper of Unit 2 and then sped up, loosing control, and colliding with the QQ building.
When he saw what happened, he immediately stopped and called 911.
Unit 1 was towed away from the scene by Bankers towing. A tow impound was provided to the driver
of Unit 1 at the scene. Unit 2 was able to drive away without the need for assistance.
Officer Petty took pictures of the scene and uploaded them to Axon Evidence.
Officer Petty obtained a witness statement form at the scene.
Officer Rojas from Kent Police Department arrived on scene to help translate with both involved
parties.
The maintenance supervisor of the Copper Ridge Apartments estimated damage to be around
$100,000 to the building.
At the conclusion of my investigation, I determined that the proximate cause of the collision is due to
Unit 1 following to closely to the vehicle in front and not provided enough space for them to safely
brake and turn after signaling. The driver of Unit 1 received citation #4A0612851 for operating a
motor vehicle without a valid operators license and for operating a motor vehicle without insurance.
If Unit 1 would have provided more space between themselves and Unit 2 before turning into Copper
Ridge apartments, then this collision would not have occurred.
This concludes my report.
I certify (declare) under penalty of perjury under the laws of the State of Washington that the
foregoing is true and correct.
PAGE 3 OF 6
REPORT NO. CASE# 24-8750 OF COLLISION
08/19/24 19:06
OF CbLLI510N
NARRATIVE
Electronically signed by Officer N. Swan #12965 on 8/19/2024 at 2156 hours in the City of Renton.
PAGE 4 OF 6
SUPPLEMENTAL REPORT NO.
r` POLICE TRAFFIC 1 27
COLLISION REPORT CASE# 24-8750
1 COMMERCIAL MOTOR CARRIER INTERSTATE INTRASTATE G
UNIT'# USDOT ICC# VEHICLE TYPE CARGO BODY
;TYPE
2 ❑ 1 28
CARRIER
NAME
3 CARRIER
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 I_J CYCLE _) PEDESTRIAN � OWNER �'.. YES NO
D:2533598219
MIDDLE.. 29
LAST NAME MCLARTY FIRST NAME NEVILLE INITIAL
STREET 30
NEW AnDRFSP' 4792 DAVIS AVE S CITY RENTON ST WA ZIP 1 911055
6
II 1 31
CDL GNITItN REQUIRED GNITION PRESENT MEDEC INTERLOCK YEsNo zERLOCK YES❑N0� T
L
DRIVER'S STATE I SEX M M�DDYBYv 01 - 15 - 1973
LICENSE
7F-I ON DUTY STATUS AIRBAG RESTR. EJECT HELMET INJURY NATURE OF INJURIES
USE cLASS
8 ❑ ' 1 32
LICENSE+ rar VIN.#
PLATE#
9F-I TRAILER TRAILER
PLATE# STATE PLATE# STATE
10 ❑ TRLR TRLR
VIN.#. VIN.#.
11 VEH.YEAR MAKE I MODEL STYLE I VEHICLE TOWS E T SABLIN TOWED BY anvi vEHIG P FROM TO
DAMAGE YES NO YES NO
REGISTERED OWNER INFO. m 33
12 SHADE IN DAMAGED AREA
FROM TO
LIABILITY INSURANCE❑ INSURANCE CO
IN EFFECT &POLICY# tGQ
VEHICLE 34
13 ❑ LEGALLY YES[:] NO❑ CITATION# CHARGE
STANDING S} 8 7 6
14 ❑ UNIT Tr Vd IRE O CYDCLE OWNER
YES AGE NOHRESHOLD MET PHONE El
35
PEDESTRIAN
15 LAST NAME FIRST NAME MIDDLE': INITIAL36
STREETIAL
❑
16 NEn+AnnRFs.�' CITY'. ST ZIP
CDL IGNITION REdUiRED IGNITION PRESENT MEDICALTANSPORTED
INTERLOCK YES No INTERLOCK YEs NO YEs NO El
17 37
LICENSE# STATE SEX MMDDDYBYY
18 ❑ ON DUTY� STATUS AIRBAG RESTR. ; EJECT HELMET INJURY NATURE of INJURIES 38
USE (CLASS
19 ❑ vIN# 39
LICENSE
PLATE# rnr
20 ❑ TRAILER' TRAILER ❑ 40
PLATE# STATE PLATE# STATE
21 ❑ TRLR TRLR 41
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 AREA 43
3 4 71
LIABILITY INSURANCE INSURANCE CO '
VE EFFECT &POLICY# i 970P - 4 E:l
44
24 VEHICLE YES❑ NO❑ CITATION# CHARGE iq 60TiOM
C=DLv
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.
NICHOLAS SWAN 08-19-24 10:00 PM
25 INVESTIGATING OFFICER'S SIGNATURE OFFICER'S PHONE UNIT OR DIST DET DATED: PLACE SIGNED
APPROVED BY DATE
26 OR ID# 12965 O#I',WA0171300 SUMMERS 8/23/2024 PAGE OF 6
3000-345-013(R 11118)
REPORT NO. CASE# 24-8750 DATE AND TIME 08/19/2419:06
OF COLLISION
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PAGE 6 OF 6