HomeMy WebLinkAbout24-748 ITFF' "POLCERA II I !�� I III I III I IIII III II I . 2 27c
COLLISION REP FIT 1591971
❑ ❑ RESULTED ❑ CASE# z4aa8 2
INTERSTATE CITY STREET FIRE
1 STOLEN
STATE ROUTE ❑ OTHER ❑ VFHICI F ❑ LOCAL AGENC 4900 3
HIT&RUN CODING
COUNTY RD PRIVATE WAY INVOLVED
2 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'. 01 - 1-— 2024 1540 17 ❑-= S 8 IN e 1070 3
4❑ ON (PRIMARY TRAFFIC WAY) INTERSECTION ❑✓ NON INTERSECTION ❑
NE 10TH ST BLOCK NO. e✓ 4600 ❑
4a❑ MILEPOST
DISTANCE OF(REFERENCE OR CROSS STREET)
5❑ �.❑ FEET e S ❑ W e CHELAN AVE NE
0 4 29
MOTOR PEDAL- DAM THRESHOLD MET PHONE
UNIT 01 VEHICLE ❑ CYCLE El YES NO �/ D:2065046235 30
6 LAST NAME ANDRADE MORA FIRST NAME JAQUELINE MIDDLE 1 2 31
INITIAL
STREET ❑ 933 EDMONDS AVE NE CITY RENTON ST WA 7jp, 980562923 2=
NEW ADDRESS
7❑ CDL IGNITION REQUIRED IGNITION PRESENT MEDICAL TRANSPORTED 3
iNTERLOCKYEs NO 1/ INTERLOCKYEs NO�/ YES R No�/
8❑ LRIIVER #
ON DUTY❑ STATUS AIRBAG 2 RESTR 4 EJECT 1 HELMET
2 CLASS 1 NATURE OF INJURIES 2❑
3
LICENSE CKS8436 sTArI WAvIN# JH4Ct96806C000463
10 F91 PI ATE#
TRAILER STATE TRAILER STATE
11 2 5 PLATE# PLATE# FROM TO
TRLR. A'RLR. 1 3 33
12❑ VIN#j VIN#
:: FROM TO
VEH.YEAR MAKE MODEL STYLE VEHICLE TOWED TO BLIN TOWED BY GOVT.VEHICLE 5 1 34
13❑2 2006 ACUR TSX 4D DAMAGE YES NO YES[:] ✓NO
REGISTERED OWNER INFO FER ..GASGA GARCIA 933 EDMONDS AVE NE RENTON WA 98056 VEHICLE NO. 1 ❑
SHADE IN DAMAGED AREA 35
14 LIABILITY INSURANCE INSURANCE CO NATIONAL GENERAL 2021338511 3 4
IN EFFECT &POLICY# 9TOP
vEHlcl.e 5 36
LEGAL
Lv Yea❑NO❑ CITATION# CHARGE 10 BOTTOM
15❑ STANDING 8 7 6
MOTOR PEDAL- PEDESTRIAN ✓ PROPERTY DAM THR OLD MET PHONE
UNIT 02 VEHICLE El PEDAL-
❑ ❑ OWNER ❑ YES 1/ NO D:9564720098
16 a
LAST NAME VILLARREAL FIRST NAME MARGARITA MIDDLE
INITIAL
17 STREET❑ NEW ADOREss❑' 960 CHELAN AVE NE CITY RENTON ST WA ZIP 98059 4❑ 37
18❑ CDL IGNITION REQUIRED IGNITION PtR—E—S1ENT MEDICAL—T�RANSPORTED � 38
INTERLOCKYES�NOR INTERLOCK YEs I I NOF YEs t l NO❑
19 DRIVER'S STATE WA SEX F D.O.B. 03 _ 03 _ 1979 39
LICENSE# MMDDYY
20 ON DUTY �A—TURE OF INJURIES STATUS 3 AIRBAG RESTR EJECT H U EET 2 IN CLASS
6 C/O L.LEG PAIN.EVALUATED BYRRFA. ❑ 40
❑21❑ TArE LICENSE vIN1 41
1
PLATE#
42
22❑ PLATE# STATE PLATE# STATE
TRLR
23❑ VIN#. IN#. 43
RLR
'
VEH YEAR MAKE MODEL STYLE VEHICLE TOWED TO BLIN
TOWED BY Gov HI 44
24 1 9 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
vE""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
PAGE 01 OF
PART A
3000-345-159 OR 11/181
STATE OF
POLICETRAFFICN CORRECTION REPORT NO. EE44307
COLLISION REPORT III III III III III 111
1591972 CASE# 1 24-748
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
PM 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.
MATTHEW NUGENT 01-23-24 11:50 AM
INVESTIGATING OFFICER'S SIGNATURE UNIT OR DIST DET DATED PLACE SIGNED
APPROVED BY E
DAT
C.JACOBS 1953 1/25/2024 2:06:36 PM
BADGE OR ID# 11498 ORI# WA0171300 TIME POLICE DISPATCHED; 3:42 PM TIME POLICE ARRIVED 3:50 PM
PART I PAGE IT]OF 4�
REPORT NO. EE44307 CASE# 24-748 OF COLLISION
01/22/24 15:40
OF CbLLI510N
NARRATIVE
24-748
On 01/22/2024 at approximately 1542 hours, I was dispatched to a motor vehicle versus pedestrian
injury collision at the intersection of NE 10th St and Chelan Ave NE, within the city limits of Renton,
County of King, Washington.
While en route, dispatch advised that one pedestrian was struck by a single vehicle and that both
parties were still on scene on NE 10th St.
Upon arrival, Renton Regional Fire Authority (RRFA) was already on scene treating the injured
pedestrian, later identified by WADL photo as VILLARREAL, MARGARITA (DOB 03/03/1979).
VILLARREAL complained of pain in her left leg due to contact from Unit#1.
I contacted the driver of the only involved vehicle, who was uninjured, and positively identified her via
pictured WADL as ANDRADE MORA, JAQUELINE (DOB 11/06/1979). Her vehicle, a silver 2006
Acura TSX (WA Lic#CKS8436), had no visible damage because of this incident. ANDRADE MORA
the following:
ANDRADE MORA and her two juvenile passengers were departing Heritage Hill Elementary and
traveling southbound on Chelan Ave NE when she reached the intersection of NE 10th ST and
stopped at the posted stop sign. After ANDRADE MORA deemed the intersection to be clear, she
proceeded out into the intersection with the intent to make a left (eastbound) turn onto NE 10th ST.
ANDRADE MORA said that school had just let out and there were lots of pedestrians in the area.
ANDRADE MORA stated she was paying attention to juveniles at the NE corner of the intersection as
she was not sure if they were going to begin to cross the roadway or not. ANDRADE MORA stated
she was traveling at low speeds and did not see VILLARREAL step into the roadway from the SE
corner of the intersection. Unit#1 struck VILLARREAL at low speeds. ANDRADE MORA claimed that
she never saw VILLARREAL.
I contacted VILLARREAL, who relayed the following:
VILLARREAL was walking northbound on Chelan Ave NE on the east side walk. VILLARREAL
reached the intersection at NE 10th St and prepared to cross the roadway. VILLARREAL said that
she originally noticed the vehicle (Unit#1). VILLARREAL began to cross the roadway when she
realized Unit#1 was getting closer in her peripheral vision. After noticing the vehicle getting closer,
VILLARREAL turned towards the car and was subsequently struck.
Based on the above statements, 1 determined ANDRADE MORA was the predominant factor for the
cause of collision based on the failure to yield the right of way to a pedestrian, which is a violation of
RCW 46.61.235-Stop for pedestrians in crosswalks or unmarked intersections. Per RCW 46.61.235,
the operator of a motor vehicle shall stop and remain stopped to allow a pedestrian to cross the
roadway upon which the vehicle is traveling.
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 1/23/2024 11:10 AM Renton, King County, WA.
PAGE 3 OF 4
REPORT NO. EE44307 CASE# 24-748 DATE AND TIME 01/22/2415:40
OF COLLISION
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