HomeMy WebLinkAbout23-261 ITFF' "POLCERA II I !�� I III I III I IIII III II I . 2 27c
COLLISION REP FIT 1591971
❑ ✓❑ RESULTED ❑ CASE# 23-261 z
INTERSTATE CITY STREET FIRE
1 STOLEN
STATE ROUTE ❑ OTHER ❑ VFHICI F ❑ LOCAL AOENC 4900 3
HIT&RUN CODING
COUNTY RD PRIVATE WAY INVOLVED
2 3 TOTAL#OF OBJECT 1 1 8 28
TRIBAL UNITS OZ STRUCK
RESERVATION
2
3❑ DATE of M M D D Y Y Y Y TIME(2400) COUNTY# MILES CITY#
COLLISION.. 01 — 08 — 2024 1446 17 . N E IN� S 8 W H OF e 1070 3
4❑ ON (PRIMARY TRAFFIC WAY) INTERSECTION ❑✓ NON INTERSECTION ❑
BURNETT AVE S BLOCK NO. e✓ 300 ❑
4a❑ MILEPOST
DISTANCE OF(REFERENCE OR CROSS STREET)
5❑ ❑ FEET e S ❑ W e S 4TH ST
0 3 29
MOTOR PEDAL- DAMAGE THRESHOLD MET PHONE
UNIT 01 VEHICLE ❑ CYCLE El
NO F,/ I D:4252718751 30
6❑ LAST NAME YOUNG FIRSTNAME MARVIN MIDDLE L 1 1 2 31
INITIAL
STREET ❑ 16531 120TH AVE SE CITY RENTON ST WA ZIP 98058 2
NEW ADDRESS
7❑ CDL IGNITION REQUIRED IGNITION PRESENT MEDICAL TRANSPORTED 3
iNTERLOCKYEs No✓ INTERLOCKYEs NO✓ YES R No
8❑ LDRIVER # STATE WA SEX'M MID
LOB 06 — 29 — 1934 32
9 ON DUTY❑ STATUS AIRBAG 2 RESTR 9 EJECT 1 H U SE
ICNLJAUSSY 1 NATURE OF INJURIES 2❑
3
10❑ PI ATFBit AJK1088 sTArI WA vrN#' 2FMDA5148W6655363
TRAILER STATE TRAILER STATE
11 2 5 PLATE# PLATE# FROM TO
TRLR. TRLR. 3 1 33
12❑ VIN#j VIN#
FROM TO
❑ VEH.YEAR MAKE MODEL STYLE VEHICLE TOWED TO BLIN TOWED BY GOVT.VEHICLE 3 7 34
13 4 1998 FORD WINDST VN DAMAGE YES NO ✓ YES[:] NO✓
REGISTERED OWNER INFO MARVIN YOUNG 11531120THAVESE RENTON WA 98058 D:4252718751 VEHICLE NO. 1 ❑
SHADE IN DAMAGED AREA 35
14 LIABILITY INSURANCE INSURANCE CO ALLSTATE 007004241 3 4
IN EFFECT &POLICY# 9TOP
VEwcle CHARGE 1 5 36
LEGALLY YES No CITATION# 4AO087313 FAIL TO OBEY TRAFFIC CONTROL o eorrom
15❑ NDING 8 6
MOTOR PEDAL PEDESTRIAN PROPERTY DAM✓ THR OLD MET PHONE
UNIT VEHICLE ❑ CYCLE ❑ ❑ OWNER ❑ YES NO D:2136040621
16 a
LAST NAME AMAYA FIRST NAME TANIA MIDDLE M
INITIAL
17❑ STREET ❑', 339 BUR AVE S APT 203 CITY RENTON ST WA ZIP 98057 37
NEW ADDRESS ❑
18� CDL IGNITION REQUIRED IGNITION PR—E-1SENT MEDICAL TRANSPORTED ❑ 38
INTERLOCKYES�NOR INTERLOCK YEs It I NOF YES
t t— l NO❑
19 DRIVEW # STATE SEX F M .C.B. 12 _ 01 1975 39
ON DUTY STATUS 3 AIRBAG RESTR EJECT , HELMET I INJURY 7 NATURE OF INJURIES ❑ 40
USE CLASS LEFT HIP PAIN
❑21❑ TArE 41
LICENSE 'l
PLATE#
42
22❑ PLATE# STATE PLATE# STATE
TRLR
23❑ UIN#. IN#.
43
RLR
'
VEH YEAR MAKE MODEL STYLE VEHICLE TOWED TO BLIN
TOWED BY Gov HI 44
24 Q 1 DAMAGE YES NO YES NO
REGISTERED OWNER INFO VEHICLE NO.2
SHADE IN DAMAGED AREA
2 3 4
INAEFFIECTTY NSURANCE❑ &POINSULICY#E CO 1 9TOP 5
—e E ❑ ,J� CITATION# CHARGE i o BOTTOM
LEGALLY YES N J
25 s � a
7SHA
NAME(PRINT) OFFICER PHONE BADGE OR ID# AGENCY
26 CROW 12618 WA0171300
PART A PAGE 01 OF
3000-345-159 OR 11/181
STATE OF
POLICETRAFFICN CORRECTION REPORT NO. EE40194
COLLISION REPORT III III III III III 111
1591972 CASE# 23-261
ADDITIONAL PERSONS INVOLVED PASSENGERS AND/OR WITNESSES ONLY)
NAME MIDDLE INITIAL) MAFFEO ENOCH
(LAST FIRST,
ADDRESS&PHONE# D O.B. '
4252082027 SEX' M MMDDYYYY 07 - 27 - 1943
WITNESS UNIT# SEAT AIRBAG RESTR. EJECT ' HELMET NJURY NATURE OF INJURIES
❑ ❑✓ POS. USE CLASS
PASSENGER
NAME
'(LAST,FIRST MIDDLE INITIAL)
ADDRESS&PHONE# DOB
SEX MMDDYYYY
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.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.
SHAWN CROW 01-12-24 01:41 PM
INVESTIGATING OFFICER'S SIGNATURE UNIT OR DIST DET DATED PLACE SIGNED
APPROVED BY DATE
D.SKELTON 9139 111412024 3:54:50 AM
BADGE OR ID# 12618 ORI# WA0171300 TIME POLICE DISPATCHED! 2:48 Pry] TIME POLICE ARRIVED 2:50 PM
PART I PAGE IT]OF 4]
REPORT NO. EE40194 CASE# 23-261 OF COLLISION
01/08/24 14:46
OF CbLLI510N
NARRATIVE
CC
On 01/08/2024 at about 1448 hours I was working uniform marked patrol as 1R15 when I was
dispatched to a motor vehicle versus pedestrian collision at the intersection of Burnett Ave S/S 4th St
located within the city limits of Renton, King County, Washington. Upon arrival the pedestrian (Tanis
Amaya) was seated in a chair on the sidewalk, and the involved vehicle (Ford Windstar van with
Washington license plate AJK1088 driven by Marvin L. Young) was parked on the side of the road.
Tania did not have any known visible injuries, but she complained of pain to her left hip. Renton FD
responded and evaluated her, but she was not transported to the hospital. Marvin's van did not have
any visible damage, and it was driveable.
A witness (Enoch Maffeo) was walking eastbound on the marked crosswalk at the intersection of
Burnett Ave S/S 4th St when he saw the collision. Enoch saw that the pedestrian traffic signal
indicated that pedestrians could cross the street at the intersection as the signal flashed a numerical
countdown for pedestrians. Enoch saw the van turn right (north) onto Burnett Ave S from S 4th St,
and then he saw the van collide into Tania as she was walking westbound on the marked crosswalk.
Enoch remained on scene until officers arrived.
I walked Marvin to the intersection, and I asked him to explain what happened. Marvin was traveling
westbound on S 4th St when he stopped at the solid red light at the intersection of Burnett Ave S/S
4th St. Marvin stopped and then turned right (north) onto Burnett Ave S. Marvin did not see the
pedestrian (Tania) until it was too late, and he struck her with the front of his van. Marvin was
traveling at a slow speed, and his vehicle did not have any visible damage from the collision. The
collision caused Tania to fall onto the ground. Tania complained of pain to her left hip, but she had
no visible injuries. Tania was evaluated by the Renton Fire Department, but she was not transported
to the hospital. Tania lived at an apartment building nearby, and a couple of acquaintances of hers
later walked with her to her apartment.
A visible traffic control device (sign) was posted at the traffic light for westbound traffic on S 4th St
that indicated vehicles were not to turn right when the traffic light was red in color. Based on what
Marvin told me and the witness' account of the collision, it appeared that Marvin made an improper
right turn at a red light which contributed to the cause of the collision. I cited Marvin for obedience to
and required traffic control devices (RCW 46.61.050). The infraction (4A0087313) will be sent to the
court for mailing.
PAGE 3 OF 4
REPORT NO. EE40194 CASE# ' 23-261 DATE AND TIME 01/08/24 14:46
OF COLLISION
A'Not drawn r scale
Pedestrian, ZV
anima
Witness
PAGE 4 OF 4