HomeMy WebLinkAbout24-3635 ITFF' "POLCERA II I !�� I III I III I IIII III II I . 2 27c
COLLISION REP FIT 1591971
CASE 24-3635 z
INTERSTATE ❑ CITY STREET FIRE ❑RESULTED
1 STOLEN
STATE ROUTE ❑ OTHER ❑ VFHIC;I F ❑ LOCAL AOENC 4Y00 3
HIT 8 RUN CODING
COUNTY RD PRIVATE WAY INVOLVED
2 1 TOTAL#OF OBJECT 1 1 8 28
TRIBAL UNITS OZ STRUCK
RESERVATION
z
3❑ DATE OF M M D D Y Y Y Y TIME(2400) COUNTY# MILES N E IN CITY# ❑
COLLISION'. 04 - 1-- 2024 1610 17 ❑.= S 8 IN e 1070 3
4❑ ON (PRIMARY TRAFFIC WAY) INTERSECTION ❑ NON INTERSECTION ❑✓
HARRINGTON AVE NE BLOCK NO. e✓ 1800
4a❑ MILEPOST
DISTANCE OF(REFERENCE OR CROSS STREET)
5❑ 95 00 FMILES N EET e S ❑ E e INDEX AVE NE
1 5 29
MOTOR PEDAL- DAMAGE THRESHOLD MET PHONE
UNIT 01 VEHICLE ❑ CYCLE El
,/No D:4252606605 0 11
30
6 LAST NAME VICTERVO ORTEGA FIRST NAME HECTOR MIDDLE 1 2 31
INITIAL
STREET ❑ 4310 NE 5TH ST APT C102 CITY RENTON ST WA ZIP 980594764 z
NEW ADDRESS
7❑ CDL IGNITION REQUIRED I IGNITION : PRESENT MEDICAL TRANSPORTED 3
iNTERLOCKYEs 1/ I NO NTERLOCKYEs NO Z YEs No�/
8 LDRIVER # STATE WA SEX'M MI B 05 1- 13 - 1989 2 32
9 ON DUTY❑ STATUS AIRBAG 2 RESTR 4 EJECT 1 HELMET
2 CLASS 1 NATURE OF INJURIES z❑
3
10 9❑ P1 aTES� D30504E sTArI WAurN# 1 FTFX1 EF56KD49493
TRAILER STATE TRAILER STATE
11 0 0 PLATE# PLATE# FROM TO
TRLR. TRLR O 0 33
12 2 5 VIN#' VIN#
FROM TO
VEH.YEAR MAKE MODEL STYLE VEHICLE TOWED TO BLIN TOWED BY GOVT.VEHICLE 3 6 34
13 9 2011 FORD F150 PK DAMAGE YES NO YES[:] NO✓
REGISTERED OWNER INFO EDWINSA1CHEZ4310 NE 5TH STAPT C102 RENTON WA 98059 D:4252606605 VEHICLE NO. 1 ❑
SHADE IN DAMAGED AREA 35
14 LIABILITY INSURANCE INSURANCECO STATE FARM 540.4422-FO5-47A 3
IN EFFECT &POLICY# 9TOP
VEHICLe CHARGE 36
LECALLv Yes❑NO❑ CITATION# 10 BOTTOM
15❑ STANDING 8 7
MOTOR PEDAL- PEDESTRIAN PROPERTY DAM THR OLD MET PHONE
UNIT 02 VEHICLE ❑ CYCLE ❑ ❑ OWNER ❑ YES 1/ NO D:4259228659
16 a
LAST NAME SOTELO FIRST NAME IRIS MIDDLE Y
INITIAL
17 NEW STREETR 7' 854 DAYTON AVE NE CITY RENTON ST WA ZIP 980563639 37
18� CDL IGNITION REQUIRED IGNITION PtR-E-S1ENT MEDICAL TRANSPORTED 38
INTERLOCK YEs❑No� INTERLOCK YEs I I NOF YEs t l NOF,/
19 D IVEW # STATE WA SEX F M .C.B. 03 _ 11 1988 39
20 ON DUTY STATUS AIRBAG,2 RESTR 4 EJECT 1 HE 2 INJURY 7 NATURE of INJURIEs 40
USE CLASS C/O BEING SHOOKEN UP
❑21❑ PLATE# BRR7687 TArE WA VIN# 41
SFNYF6H85H8066314 1
42
22❑ PLATE# STATE PLATE# STATE
23❑ UIN#. 43
TRLR RLR
'IN#.
VEH YEAR 2017 MAKE HOND MODEL PILOT STYLE SI/ VEHICLE TOWED TO BLIN TOWEDBY GOV HI 44
24❑ DAMAGE YES�/ NO BANKERS YES NO
REGISTERED OWNER INFO OBED SOTELO CASTILLO 2302 WSTNW AUBURN WA 98001 D:4259228659 VEHICLE NO.2
SHADE DAGED AREA
4
LIABILITY
INSURANCE INSU8 PORGY#E CO STATE FARM 1584505-EO8-47HIN IGQVE""LE
❑ ,J� CITATION# CHARGE
LEGALLY YES N`L J
25
=UGENT
(PRINT) OFFICER PHONE BADGE OR ID# 77P�1300
26 11498
PART A PAGE 01 OF C7
3000-345-159 OR 11/181
STATE OF
POLICETRAFFICN CORRECTION REPORT NO. EE69008
COLLISION REPORT III III III III III 111
1591972 CASE# 24-3635
ADDITIONAL PERSONS INVOLVED PASSENGERS AND/OR WITNESSES ONLY)
NAME MIDDLE INITIAL) SOTELO ADRIAN
(LAST FIRST,
ADDRESS&PHONE# D O.B. '
854 DAYTON AVE NE RENTON WA 98056 SEX M MMDoyyvv 06 - 14 - 2019
PASSENGER Z WITNESS UNIT# SEAT AIRBAG' RESTR. EJECT H USE 2 `CLASS 1 NATURE OF INJURIES
' Lr 1 ❑ 2 PQS. ' 9 2 10 1
NAME
(LAST,FIRST,MIDDLE INITIAL) SOTELO DANIEL
ADDRESS&PHONE# D O B
854 DAYTON AVE NE RENTON WA 98056 SEX M MMDDyvvv O6 _ 14 _ 2019
SEAT HELMET INJURY NATURE OF INJURIES
PASSENGER WITNESS UNIT# 2 PGS 7 AIRBAG 2 RESTR. 10 EJECT 1 USE 1 2 CLASS 1
NAME
(LAST FIR57 MIDDLE INITIAL)
AppRESS R PHONE#
SEX D.Q.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 04-04-24 07:22 PM
INVESTIGATING OFFICER'S SIGNATURE UNIT OR DIST DET DATED PLACE SIGNED
APPROVED BY DATE
C.JACOBS 1953 1 411712024 2:09:09 PM
BADGE OR ID# 11498 ORI# WA0171300 TIME POLICE DISPATCHED 4:92 Pry/ TIME POLICE ARRIVED 4:42 PM
PART I PAGE IT]OF 4�
REPORT NO. EE69008 CASE# 24-3635 OF COLLISION
04/03/24 16:10
OF CbLLI510N
NARRATIVE
24-3635
On 04/03/2024 at approximately 1616 hours, I was dispatched to a non-injury and non-blocking
vehicle collision at the residential driveway of 1829 Harrington Ave NE (JWO the intersection at
Harrington Ave NE and Index Ave NE), within the City Limits of Renton, County of King, State of
Washington.
Upon arrival, I confirmed there were no complaints of injury requiring immediate medical response at
the time of report. There, I collected each of the involved party's driving documents and their
independent recollection of the events leading up to the collision.
The driver of Unit#1 said he was the sole occupant of his vehicle and had just dropped off his
coworkers at the residential address listed above. The driver of Unit#1 stated that he was intending
to leave the residence and began reversing from the driveway towards Harrington Ave NE. The driver
of Unit#1 said he was traveling at low speeds and believed traffic was clear for him to continue
reversing. The driver of Unit#1 stated that Unit#2 was "speeding" and came out of nowhere. The
driver of Unit#1 said he began to reverse and at low speeds, collided with the front passenger side
fender of Unit#2 causing moderate damage to the rear bumper of Unit#1. The driver of Unit#1 also
accused of the driver of Unit#2 of being on her cell phone while driving.
The diver of Unit#2 said she had just picked her children up at the nearby school and had turned
southwestbound onto Harrington Ave NE from Index Ave NE. As Unit#2 was approaching the
residential driveway of where Unit#1 was backing out from, she stated that Unit#1 began reversing.
Both vehicles collided in the roadway causing moderate damage to the passenger side of Unit#2.
A neighboring residence had video surveillance of the roadway. The collision itself was not captured
but one of the security cameras did capture Unit#2 drive past the residence at a normal and
reasonable speed for that stretch of roadway. This video has since been uploaded to evidence.com
under this case number.
Based on the above statements, 1 determined that the driver of Unit#1 (Victervo Ortega) was the
predominant factor for the collision as Victervo Ortega did not properly grant the right of way to traffic
behind him while reversing. Victervo Ortega was not paying attention to the traffic in the roadway
causing a collision.
Unit#1 was able to be driven away from the scene without further incident Unit#2 had to be
impounded due to owner request. An exchange of information was provided to both involved parties.
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 4/4/2024 6:48 PM Renton, King County, WA.
PAGE 3 OF 4
REPORT NO. EE69008 CASE# ' 24-3635 DATE AND TIME 04/03/24 16:10
OF COLLISION
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