HomeMy WebLinkAbout24-6656 ITFF' "POLCERA II I !�� I III I III I IIII III II I . 1 27c
COLLISION REP FIT 1591971
INTERSTATE ❑ CITY STREET ❑ FIRE ❑
CASE#r` 24-6656 2
RESULTED
1 STOLEN
STATE ROUTE ❑ OTHER � VFHIC;I F ❑ LOCAL AGENC 4250 3
HIT&RUN ✓ CODING
COUNTY RD PRIVATE WAY INVOLVED
2 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 N E IN CITY# ❑
COLLISION'. 06 - 1-- 2024 2215 17 ❑.= S 8 IN e 1070 3
4❑ ON (PRIMARY TRAFFIC WAY) INTERSECTION ❑ NON INTERSECTION ❑✓
EAGLE LN S BLOCK NO. e✓ 1113
4a❑ MILEPOST
DISTANCE OF(REFERENCE OR CROSS STREET)
5❑ J.❑ FEET MILES e S B W e EAGLE RIDGE DR S
1 9 29
UNIT 01 MOTOOR Z PEDAL ❑ YESAGE NHORE✓LDMET PHONE 1 4 30
6� LAST NAME UNKNOWN FIRSTNAME MIDDLE 1 2 31
INITIAL
STREET ❑ CITY Sr ZIP 2
NEW ADDRESS
7❑ CDL IGNITION REQUIRED IGNITION PRESENT MEDICAL TRANSPORTED 3
iNTERLOCKYEs NO INTERLOCK YES NO YES No
8❑ LIRCIENSRE# STATE SEX u MMDOBYY - 32
9 ON DUTY❑ STATUS I
AIRBAG 9 RESTR 9 EJECT 1 H U EEr 9 CLAY 0 NATURE OF INJURIES 2❑
3
LICENSE sTAT1 vrN#'
10❑ PI ATE 14
TRAILER TRAILER
STATE STATE
11 0 0 PLATE# PLATE# Rom ro
TRLR. TRLR 5 1 33
12 0 0 vIN#' VIN#
VOLV UNKNO 4D ❑ FROM
34
❑ VEH.YEAR MAKE MODEL STYLE VEHICLE TOWED TO BLIN TOWED BY GOVT.VEHICLE
13 A DAMAGE YES NO ✓ YES NO✓
REGISTERED OWNER INFO UNKNOWN VEHICLE NO. 1
SHADE IN DAMAGED AREA ❑ 35
14❑ ABILI INSURANCE❑ INSURANCE CO 4
IN EFFECT &POLICV# 9TOP
vEHICLE CHARGE 5 36
LECALLv YES❑NO❑ CITATION# 1 o BOTTOM
15❑ STAINDIING 8 6
UNIT MOTOOR CYCLE ❑ PEDESTRIAN ❑ OWNER PEDAL ES❑ DYES✓ NO AM THR OLD MET PHONE
16 VEHI❑
LAST NAME UNKNOWN FIRST NAME MIDDLE
INITIAL
STREET CITY DES MOINES ST ZIP 5
17❑ NEW ADDRESS❑ ❑ 37
18❑ CDL IGNITION REQUIRED IGNITION PtR-E-S1ENT MEDICAL t-T�RANSPORTED � 38
INTERLOCKYES�NO� INTERLOCK YEs I I No� YES t l NO❑
19 LLIICENS RIVERS# STATE I SEX U MMDDYY -=_ 39
WELMET INJURY NATURE OF INJURIES 40
20❑ ON DUTY STATUS' AIRBAG 9 RESTR 9 EJECT '1 USE 9 CLASS 0 ❑
❑ILICENSE 21❑ PLA E# BYH0657 TATe WA vIN# 41
JTMBK35V875028862 4
42
22 [TRAILER TILER
❑ PLATE# STATE PLATE# STATE
23❑ 43
TRLR RLR
UIN#. 'IN#.
VEH YEAR 2007 MAKE TOYT MODEL RAV4 STYLE 4D VEHICLE TOWED TO BLIN TOWEDeY GOV HI 44
L4❑ DAMAGE YES NO✓ YES NO✓
REGISTERED OWNER INFO ROXANNE FRANCISCO 2701 S 224TH STAPTB104 DES MOINES WA 98198 VEHICLE NO.2
SHADE IN DAMAGEbAREA
2 3 Cd
LIABILITY
INSURANCE❑ &POINSURGY#E CO N/A UNABLE TO MAKE CONTACTIN I STOP
vE""LE ❑ Nu,J CITATION# CHARGE
LEG
25 i o BOTTOM
ALLY YES $
OFFICER'S NAME(PRINT) OFFICER PHONE BADGE OR ID# JAGENCY
26
J RAYGOZA 12503 WA0171300
PAGE 01 OF
PART A
3000-345-159 fR 11/181
STATE OF
POLICETRAFFICN CORRECTION REPORT NO. EF00377
COLLISION REPORT III III III III III 111
1591972 CASE# 24-6656
ADDITIONAL PERSONS INVOLVED PASSENGERS AND/OR WITNESSES ONLY)
NAME MIDDLE INITIAL) WEAVER HAILEYA
(LAST FIRST,
ADDRESS&PHONE#
1131 EAGLE!N S APT 12 RENTON WA 98055 4256631335 SEXi F MMDDYyry 08 - 08 - 1998
PASSENGER WITNESS UNIT# SEAT AIR ' HELMET INJURY NATURE OF INJURIES
❑ O POS. BAG RESTR. EJECT USE CLASS
NAME
(LAST,FIRST,MIDDLE INITIAL)
ADDRESS&PHONE# D O B
SEX MMDDYYYY
PASSENGER ❑WITNESS❑ UNIT# SEAT AIRBAG RESTR. EJECT HELMET NJURY
POS. NATURE OF INJURIES
USE CLASS
NAME
(LAST FIRST 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.
J RAYGOZA 06-24-24 03:16 AM
INVESTIGATING OFFICER'S SIGNATURE UNIT OR DIST DET DATED PLACE SIGNED
APPROVED BY DATE
C.EDWARDS solo 1 713012024 7:32:35 AM
BADGE OR ID# 12503 OR]# WA0171300 TIME POLICE DISPATCHED 10:18 PM TIME POLICE ARRIVED 10:21 PM
PART I PAGE IT]OF 4�
REPORT NO. EF00377 CASE# 24-6656 OF COLLISION
06/23/24 22:15
OF CbLLI510N
NARRATIVE
RPD CASE#: 24-6656
On 06/23/2024 at approximately 2215 hours, I responded to Regency Woods Apartments, in the City
of Renton, King County, Washington, for a report of a non-injury hit and run accident. The reporting
party a witness identified by her WADOL as Weaver, Hailey Anne DOB (08/08/1998) said that unit 1 a
white Volvo SUV collided with a vehicle that was parked and drove away without exchanging
information or attempting to contact the registered owner. Hailey gave a plate of Z66NVM, but it didn't
return to anything after being ran from all 50 states. Hailey also recorded the incident and wanted a
follow up.
I called Hailey and asked her what vehicle was damaged and she said it was a silver-colored SUV
parked near the 1131 building and that the rear bumper was hanging off. On arrival I located unit 2
identified as a silver 2007 Toyota Rav 4 WA/LIC BYH0657 VIN#JTMBK35V875028862 parked in the
parking lot facing west. The vehicle appeared to be unoccupied, and it had major damage to the rear
end of the vehicle. I noticed that unit 2 also had white paint on the left taillight indicating that a white
vehicle collided with it. The registered owner came back to Francisco, Roxanne Rosales DOB
(05/31/1986) who had an address in Des Moines, so 1 was unable to locate the registered owner.
I took pictures of the unit 2 and left my business card with the case number on the windshield. I called
Hailey and asked her if she knew where the registered owner lived, and she said "no". I sent Hailey
an AXON link, and she provided me with the video of the incident. On the video I viewed unit 1 a
newer white sedan unknown license plate reversing out of a parking spot that was next to unit 2. Unit
1 then pulls forward into the parking spot and waits there for a few minutes before reversing and
driving away without attempting to locate the registered owner of unit 2.
If the driver of unit 1 is identified, I have probable cause to arrest them for hit and run.
I certify (declare) under penalty of perjury under the laws of the State of Washington that the
foregoing is true and correct.
Electronically signed by J. Raygoza on 06/23/2024 at 2330 hours in the City of Renton.
PAGE 3 OF 4
REPORT NO. EF00377 CASE# 24-6656 DATE AND TIME 06/23/24 22:15
OF COLLISION
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PAGE 4 OF 4