HomeMy WebLinkAbout24-926 ITFF' "POLCERA II I !�� I III I III I IIII III II I . 5 27c
COLLISION REP FIT 1591971
❑ ❑ RESULTED ❑ CASE z4-szs 2
INTERSTATE CITY STREET FIRE
1 STOLEN
STATE ROUTE ❑ OTHER ❑ VFHIC;I F ❑ LOCAL AOENC 4Y00 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 N E IN CITY#
COLLISION.. 01 - 1-- 2024 2317 17 ❑-= S 8 IN e 1070 3
4❑ ON (PRIMARY TRAFFIC WAY) INTERSECTION ❑✓ NON INTERSECTION ❑
SE CARR RD BLOCK NO. e✓ p ❑
4a❑ MILEPOST
DISTANCE OF(REFERENCE OR CROSS STREET)
5❑ ❑ FEET e S ❑ VV a SMITHERS AVE S
0 1 29
MOTOR PEDAL- DAMAGE THRESHOLD MET PHONE
UNIT 01 VEHICLE ❑ CYCLE El
,/NO D:2064967957 0 4 30
6� LAST NAME ALLEN-JOHNSON FIRSTNAME ROCHELLE MIDDLE 1 2 31
INITIAL
STREET ❑, 13725 32ND AVE NE B322 CITY SEATTLE ST WA 7jp, 98125 2
NEW ADDRESS
7❑ CDL IGNITION REQUIRED I IGNITION PRESENT MEDICAL TRANSPORTED 3
iNTERLOCKYEs 1/ I NO NTERLOCKYEs NO Z YEs No�/
8❑ LRIIVERS STATE WA SEX'F MM DAY' 10 1- 17 - 1962 2 32
CENSE 9 ON DUTY❑ STATUS AIRBAG 3 RESTR 4 EJECT 1 HELMETU E 2 CLASS 1 NATURE OF INJURIES 2❑
3
LICENSE C46164R sTArI WAvIN# 1GCCS13E178105470
10❑ PI ATE 14
TRAILER STATE TRAILER STATE
11 3 5 PLATE# PLATE# FROM TO
TRLR. TRLR 7 3 33
12 3 5 VIN#' VIN#
>; FROM TO
VEH.YEAR 2007 MAKE MODEL STYLE VEHICLE TOWED TO BLIN 5 7 TOWED By GOVT.VEHICLE 34
13 4 CHEV COLOR TR DAMAGE YES NO YES[:] No
✓
REGISTERED OWNER INFO CLEMENTMAY01253035THAVENEA305 SEATTLE WA 98125 VEHICLE NO. 1
❑ ❑
SHADE IN DAMAGED AREA 35
14 ❑ INSURANCE CO gg
LIABILITY INSURANCE IN EFFECT &POLICV#VE— CHARGE 5 ❑ 36
LEGALLY YEs❑NO CITATION# 4A0186887,4AO186887 OP MOT VEH W/OUT INSURANCE,
15❑ NDING 7 6
MOTOR PEDAL- PEDESTRIAN PROPERTY DAM THR OLD MET PHONE
16 a UNIT 02 VEHICLE ❑ CYCLE' ❑ ❑ OWNER ❑ YES 1/ NO D:2067886232
LAST NAME DELA FUENTE FIRST NAME JASON MIDDLE L
INITIAL
17 STREET❑ NEW ADDREss❑' 502 18TH AVE S CITY SEATTLE ST WA ZIP 98144 4❑ 37
18❑ CDL IGNITION REQUIRED IGNITION PtR-E-S1ENT MEDICAL-T�RANSPORTED � 38
INTERLOCK YEs❑No� INTERLOCK yEEsI I I NOF YEs t l NO�
19 DRIVER'S STATE WA SEX M D.C.B. 09 _ 24 1986 39
LICENSE# MMDDYY
20❑ ON DUTY STATUS AIRBAG 2 RESTR 4 EJECT 1 H U EET 2 NJAU EY 1 NATURE OF INJURIES ❑ 40
❑ILICENSE 21❑ PLA E# BVF8348 TArE 41
WA vIN# JF2SKARC2LH524411 1
42
22❑ PLATE# STATE PLATE# STATE
23❑ UIN#. 43
TRLR RLR
'IN#.
GI
VEH YEAR 2020 MAKE S(JB�Q MODEL FORESTE STYLE 4H DAMAGE TOWED NOO✓ BLIN TOWED BY ov HyES NO 1/ 44
24❑ ES
REGISTERED OWNER INFO OWNED SY DRIVER VEHICLE N0.2
SHADE IN DAMAGED AREA
2 3 4
LIABILITY
INSURANCE 8 POINSURGY#E CO STATE FARM 4762849DO147IN I STOP 5
—e E ❑ ,J� CITATION# CHARGE
25 i o BOTTOM
LEGALLY YES N J
$
7MICAELA
NAME(PRINT) OFFICER PHONE BADGE OR ID# AGENCY
26 CASTAIN 7 12573 WA0171300
PAGE 01 OF
PART A
3000-345-159 OR 11/181
STATE OF
POLICETRAFFICN CORRECTION REPORT NO. EE44470
COLLISION REPORT III III III III III 111
1591972 CASE# 24-926
ADDITIONAL PERSONS INVOLVED PASSENGERS AND/OR WITNESSES ONLY)
NAME MIDDLE INITIAL) EDDINS JACKSON
(I.P.ST FIRST,
ADDRESS&PHONE# D O.B.
703 142ND PL SE BELLEVUE WA 98007 4255006845 SEX M MMDOYyry 04 - 10 - 1997
PASSENGER WITNESS UNIT# SEAT AIRBAG RESTR. EJECT ' HELMET INJURY NATURE OF INJURIES
❑ POS. USE CLASS
NAME
'(LASTr FIRS' MIDDLE INITIAL)
ADDRESS&PHONE# DOB
SEX MMDDYVYV
PASSENGER ❑WITNESS❑ UNIT# SEAT I 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.
MICAELA CASTAIN 01-26-24 01:50 AM
INVESTIGATING OFFICER'S SIGNATURE UNIT OR DIST DET DATED PLACE SIGNED
APPROVED BY DATE
GREGORY BILLS 12495 1 1/26/2024 3:42:43 AM
BADGE OR ID# 12573 ORI# WA0171300 TIME POLICE DISPATCHED; 11:18 PM TIME POLICE ARRIVED i 11:24 PM
PART I PAGE IT]OF 4�
REPORT NO. EE44470 CASE# 24-926 OF COLLISION
01/25/24 23:17
OF CbLLI510N
NARRATIVE
Unit 1: Rochelle Allen-Johnson (DOB 10/17/1962); 2007 Chevrolet Colorado (WA/C46164R)
Unit 2: Jason Dela Fuente (DOB 09/24/1986); 2020 Subaru Forester (WA/BVF8348)
On 01-25-2024 at approximately 2317 hours I was dispatched to a blocking accident at SE Carr Road
and Smithers Ave S, in the City of Renton, King County, WA.
Upon arrival, I contacted both parties. Both parties declined medical aid and appeared to have no
injuries.
Both vehicles were moved off the roadway.
Fuente (Unit 2) advised he was stopped at the signal light at the above intersection facing
northbound, preparing to make a left hand turn onto SE Carr Road to travel westbound. Fuente's light
turned green, and he traveled through the intersection. As Fuente was making the left hand turn onto
SE Carr Road, Unit 1 collided into his vehicle while in the intersection. Unit 1 collided into Unit 2 on
Unit 2's driver side rear door, causing damage.
Allen-Johnson (Unit 1) advised she was traveling eastbound on SE Carr Road and continued to travel
through the intersection above because her signal light was activated green. Allen-Johnson advised
that Unit 2 collided with her while in the intersection.
While speaking to Allen-Johnson, I asked her to provide valid vehicle insurance. Allen-Johnson
advised she had Progressive insurance however did not know the policy number. Allen-Johnson
refused to provide the policy number for her insurance or show proof that her insurance was valid.
Allen-Johnson advised the Colorado truck belonged to her boyfriend and refused to call him to obtain
the insurance information.
I spoke to a witness, Jackson Eddins (DOB 04/10/1997), who advised he was traveling eastbound on
SE Carr Road and was directly behind Unit 1. Eddins advised he saw the signal light turn red and
came to a stop. Eddins advised Unit 1 continued to travel eastbound through the red light at the
intersection, causing Unit 1 to collide into Unit 2. Eddins advised Unit 2's signal light was activated
green.
There was damage to the front bumper of Unit 1. There was damage to the driver side rear
passenger door and driver side rear panel of Unit 2.
Based off the statements made by all parties, there is proximate cause for Unit 1 in the collision.
There is probable cause to believe Allen-Johnson committed RCW 46.30.020, Operating a Motor
Vehicle without Insurance, by failing to provide proof of valid vehicle insurance.
There is probable cause to believe Allen-Johnson committed RCW 46.61.050, Fail to Obey Traffic
Control Device, by failing to yield at a red light while traveling eastbound on SE Carr Road causing a
collision.
Allen-Johnson was cited (citation #4A0186887) for the above charges.
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. Castain #12573 1/26/2024 Renton, WA
PAGE 3 OF 4
REPORT NO. EE44470 CASE# 24-926 DATE AND TIME 01/25/24 23:17
OF COLLISION
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PAGE 4 OF 4