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HomeMy WebLinkAbout24-3672 ITFF' "POLCERA II I !�� I III I III I IIII III II I . 6 27c COLLISION REP FIT 1591971 CASE 24-3672 z INTERSTATE ❑ CITY STREET FIRE ❑ RESULTED 1 STOLEN STATE ROUTE ❑ OTHER ❑ VFHIC;I F ❑ LOCAL AGENCI 4Y00 3 HIT&RUN CODING COUNTY RD PRIVATE WAY INVOLVED 2 TOTAL#OF OBJECT 1 1 8 28 TRIBAL UNITS 04 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 1428 17 ❑-= S 8 IN e 1070 3 4❑ ON (PRIMARY TRAFFIC WAY) INTERSECTION ❑✓ NON INTERSECTION ❑ BL SW SUNSET BLVD OCK NO. e✓ --- ----� ❑ 4a❑ MILEPOST DISTANCE OF(REFERENCE OR CROSS STREET) 5❑ e S ❑❑ FEET VV a STEVENS AVE SW 0 1 29 MOTOR PEDAL- DAMAGE THRESHOLD MET PHONE UNIT 01 VEHICLE ❑ CYCLE El ✓NO D:2062250957 0 11 30 6� LAST NAME POREE FIRSTNAME ALAYNENA MIDDLE M 1 2 31 INITIAL STREET ❑ 6800 62ND AVE NE APT 2103 CITY SEATTLE ST WA 2jp, 981155034 z= NEW ADDRESS ]❑ CDL IGNITION REQUIRED IGNITION PRESENT MEDICAL TRANSPORTED 3 INTERLOCK YES NO I INTERLOCK YES NO YES R NO 8❑ LRIIVER # ON DUTY❑ STATUS AIRBAG 2 RESTR 4 EJECT 1 H USEET ICNLJAURY 1 NATURE OF INJURIES z❑ 3 10❑ P1 aT�S� BHH4717 sTArI WAvIN# 1G8ZS57N98F226492 TRAILER STATE TRAILER STATE 11 3 5 PLATE# PLATE# FROM TO TRLR. TRLR 3 7 33 12 3 5 VIN#' VIN# >; FROM TO VEH.YEAR MAKE MODEL STYLE VEHICLE TOWED TO BLIN TOWED BY GOVT.VEHICLE 3 ] 34 13 3 2008 STRN AURA DAMAGE YES NO YES[:] NO✓ REGISTERED OWNER INFO ALAYNENAPOREE680062NDAVENEAPT2103 SEATTLE WA 981155034 D:2062250957 VEHICLE NO. 1 ❑ SHADE IN DAMAGED AREA 35 14 LIABILITY INSURANCE❑ INSURANCE CO <53 4 IN EFFECT &POLICY# TOPVEHicLE CHARGE 36 LEGALLvYEs❑NO CITATION# OTTOM 15❑ STANDING 6 MOTOR PEDAL- PEDESTRIAN PROPERTY DAM THR OLD MET PHONE UNIT VEHICLE ❑ CYCLE ❑ ❑ 16 a OWNER ❑ YES 1/ NO D:2067537564 LAST NAME VA LE MARTINEZ FIRST NAME JOSE MIDDLE q INITIAL 17❑ STREET ❑ 555 BREMERTON AVE NE APT A 101 CITY RENTON ST WA ZIP 980594730 37 NEW ADDRESS I I I I ❑ 18� CDL IGNITION REQUIRED IGNITION PtR—E—S1ENT MEDICAL TRANSPORTED ❑ 38 INTERLOCKYES�NOR INTERLOCK Y�EsI I I NOF YEs t l NO❑ 19 DRIVER'S STATE WA SEX M D.C.B. 07 27 1976 39 LICENSE# MMDDYY WELMET INJURY1 NATURE OF INJURIES 40 20❑ ON DUTY STATUS AIRBAG 2 RESTR 4 EJECT 1 USE CLASS ❑ 21❑ LICENSE I CAZ9710 TAre WA vIN# 4T10E30P67U753656 ❑ 41 PLATE# 42 22❑ PLATE# STATE PLATE# STATE TRLR 23❑ UIN#. IN#. 43 RLR ' VEH YEAR 2007 MAKE TOYT MODEL CAMRY STYLE VEHICLE TOWED TO BLIN TOWEDBY GOV HI 44 24❑ DAMAGE YES NO BANKERS YES NO REGISTERED OWNER INFO JOSE VALLE MARTINEZ 555 BREMERTON AVE NE APTA101 RENTON WA 980594730 D:2067537564 VEHICLE NO.2 SHADEDAMAGED AREA 3 4 LIABILITY INSURANCE INSU8PORGY#ECO ST FARM 4848442-A30-47AIN STOP 5 'E""LE ❑ ,J� CITATION# CHARGE to BOTTOM LEGALLY YES N J 25 ' a OFFICER'S NAME(PRINT) OFFICER PHONE BADGE OR ID# AGENCY J 26 M.LEVERTON 2517 WA0171300 PART A PAGE 01 OF C7 3000-345-159 OR 11/181 STATE OF POLICETRAFFICN CORRECTION REPORT NO. EE69009 COLLISION REPORT III III III III III 111 1591972 CASE# 24-3672 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. M.LEVERTON 04-05-24 02:41 PM INVESTIGATING OFFICER'S SIGNATURE UNIT OR DIST DET DATED PLACE SIGNED APPROVED BY E DAT C.JACOBS 1953 411712024 2:06:33 PM BADGE OR ID# 2517 OR]# WA0171300 TIME POLICE DISPATCHED 2:28 Pry TIME POLICE ARRIVED 2:31 PM PART I PAGE IT]OF 5� REPORT NO. EE69009 CASE# 24-3672 OF COLLISION 04/04/24 14:28 OF CbLLI510N NARRATIVE wht van 3 wht sedan 2 blk sedan 3 all In 3 ped cross brake swerve to left rear RTF Within the city of Renton/King/WA I responded to a 3 car blocking crash at the intersection of SW Sunset Blvd and Stevens Ave SW. I contacted the driver of unit 3 who told me she was in lane 2 westbound when an unknown Pedestrian ran out in the middle of the intersection while her light was green. She said he just ran out, probably to catch a bus. She had to emergency brake to avoid hitting the ped when she was hit in the back by two other vehicles. She said as soon as the crash took place he ran north up the hill and disappeared. She did not complain of injury and damages did not require a tow truck. I contacted the driver of unit 2 who said he saw unit 1 brake and swerve to avoid a pedestrian running across the intersection while his light was green and red for the ped. He said unit 1 blocked his view as unit 1 swerved and hit unit 3. He said soon as he realized it unit 3 was slowed and he contacted her from behind. He did not complain of injury and damages required a tow truck. I contacted the driver of unit 1 who told me she thought both her and unit 3 were going to hit the unknown ped. She swerved and braked but glanced the driver back corner of unit 3 with her front passenger side. She was obviously shaken and upset. She did not complain of injury and damages did not require a tow truck. The Ped was never located and fled the scene on a foot north on Stevens Ave SW. Information/Insurance only I certify (declare) under penalty of perjury under the laws of the State of Washington that the foregoing is true and correct. M.Leverton/2517 City of Renton/King/Wa 4/5/2024 PAGE 3 OF 5 SUPPLEMENTAL REPORT NO. EE69009 r`) POLICE TRAFFIC 1 1 8 27 COLLISION REPORT CASE# 24-3672 1 COMMERCIAL MOTOR CARRIER INTERSTATE INTRASTATE G UNIT'# USDOT ICC# VEHICLE TYPE CARGO BODY ;TYPE 2 ❑ 1 5 28 CARRIER NAME 3 CARRIER ADDRESS `❑ CITY ST ZIP—1 I ' 4 ❑ NAME # PLACARD: :❑ GI PLACARD IF NO NUMBER SOURCE AXLES + 4a ❑ ADDITIONAL UNITS MOTOR PEDAL- PROPERTY DAMAGE THRESHOLD MET PHONE 5 ❑ UNIT# 3 VEHICLE tSJ CYCLE I_) PEDESTRIAN OWNER YES NO D:5034811973 0 1 29 LAST NAME LIAO FIRST NAME ZHE MIDDLE N INITIAL STREET 30 NEW AnDRFSP' 1929 OLYMPIA CT SE CITY RENTON ST WA ZIP 980583905 6 CDL IGNITIttN REQUIRED IGNITION PRESENT MEDICAL TANSPORTED 1 1 2 31 INTERLOCK YEs No zERLOCK YES[:]NO[:] YES N DRIVER'S LICENSE STATE I WA SEX F MMDDYYv 06 - 08 - 1982 7 ❑ ON DUTY� STATUS AIRBAG' 2 RESTR. Q EJECT 1 HELMET I INJURY 1 1 NATURE OF INJURIES USE CLASS 8 ❑ 1 32 LICENSE BGA4225 [TAT WA VIN# 5FNRL6H97JB017465 PLATE# 9 TRAILER TRAILER PLATE# STATE PLATE# STATE 10 TRLR TRLR 91 VIN.#. VIN.#. 11 3 5 VEH.YEAR2018 MAKE HOND MODELODYSSEY STYLE VEHICLE TOWS E T SABLIN TOWED BY anvi vFH1G P FROM TO DAMAGE YES NO YES NO REGISTERED OWNER INFOZHE LIAO 1929 OLYMPIA CT SE RENTON W SHADE IN DAMAGED AREA A 980583905 D:5034811973 3 ] 33 12 � 7 j FROM TO LIABILITY INSURANCE INSURANCE CO SAFECO H2329148 q"i"Olx IN EFFECT &POLICY# 1 ------- 5 1 34 13 ❑ EL L ❑ ❑ CHARGE 0 BOTTUM LEGAGALLY YES NO CITATION# STANDING �} � 7 14 UNIT# 4 VEO IOCRLE ❑ CYCLE ❑ ❑ OWNER ❑ YES�ENOHRESHOLD MET PHONE ❑ 35 PEDESTRIAN ❑UNK MIDDLE'. 36 15 LAST NAME FIRST NAME ' INITIAL 2 STREET 16 ❑ ❑; UNK CITY RENTON ST WA ZIP 98057 NEn+AnnRFSS CDL IGNITION REOUIREE7 IGNITION PRESENT MEDICALTANSPORTED 17 ❑ INTERLOCK YES NO INTERLOCK YEs N. rEs NO ElDRIVER'S STATE SEX M mooD,O _ 37 18 ❑ LICENSE# MMDDYYY ON DUTY❑ STATUS 3 AIRBAG RESTR, EJECT HELMET INJURY 0 NATURE OF INJURIES 38 USE (CLASS ❑ 19 ❑ 39 LICENSE rnr VIN# PLATE# 20 8 TRAILER I TRAILER ❑ 40 PLATE# STATE PLATE# STATE 21 ❑ TRLR TRLR 41❑ VIN# YIN#i 22 ❑ 42 ❑ VEH.YEAR MAKE I MODEL STYLE I VEHICLE TOWED DUET SABLIN TOWED BY GOVT.VEHICLE DAMAGE YES NO YES NO 23 ❑ REGISTERED OWNER INFO_ SHADE IN DAMAGED AREA 43 2 3 4 LIABILITY INSURANCE INSURANCE CO ' IN EFFECT &POLICY# i _9_rOP___ g 44 24 1 7 VEHICLE YES❑ N. CITATION# CHARGE 7060TiOM EGALLY STANDING 8 7 6 1 CERTIFY(DECLARE)UNDER PENALTY OF PERJURY UNDER THE LAWS OF THE STATE OF WASHINGTON THAT THE FOREGOING IS TRUE AND CORRECT. X LEVERTON 04-05-24 02:41 PM 25 INVESTIGATING OFFICER'S SIGNATURE OFFICER'S PHONE UNIT OR DIST DET DATED: PLACE SIGNED BADGE O#I' APPROVED 126 ORID# 2517 WA0171300 ACOBS 4 PAGE F41 OF❑ 3000-345-013(R 11118) REPORT NO. EE69009 CASE# ' 24-3672 DATE AND TIME 04/04/24 14:28 OF COLLISION �S Sr � u � tYID nN;. r PAGE 5 OF 5