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HomeMy WebLinkAbout24-11292 a ITFFi "POLCERA II IfI) 1 IlfII ('II (Illf If( fI I . 0 27c
COLLISION REP FIT 1591971
CASE 24-11292 z
INTERSTATE ❑ CITY STREET FIRE ❑RESULTED
1 STOLEN
STATE ROUTE ❑ OTHER ❑ VFHIl.I F ❑ LOCAL AOENC 4Y00 3
HIT&RUN CODING
COUNTY RD PRIVATE WAY INVOLVED
2❑ TRIBAL 02 TOTAL#OF OBJECT 1 1 8 28
UNITS
RESERVATION I STRUCK
z
3 DATE OF M M D D Y Y Y Y TIME(2400) COUNTY# MILES N E IN CITY# ❑
GowsloN 10 - 1-- 2024 1641 17 ❑.❑ S IN 1070 3
4❑ ON (PRIMARY TRAFFIC WAY) INTERSECTION ❑ NON INTERSECTION ❑✓
RENTON AVE EXT BLOCK NO. e✓ 13200
4a❑ MILEPOST
DISTANCE OF(REFERENCE OR CROSS STREET)
5❑ 115 00 FMILES
EET e S ❑ W e SW V/CTOR/A STREET
Fill1 29
MOTOR ✓ PEDAL- DAMAGETHRESHOLD MET PHONE
UNIT 01 VEHICLE ❑ CYCLE ❑ YES ✓NO D:3604046964 0 1 30
6 LAST NAME CASTELLON FIRSTNAME KEVIN MIDDLE S 1 1 2 31
INITIAL
STREET ❑, 1426 S 130TH ST CITY BURIEN ST WA 2jp, 981682800 z
NEW ADDRESS
7❑ CDL IGNITION REQUIRED IGNITION PRESENT MEDICAL TRANSPORTED 3
INTERLOCK YES �/NO INTERLOCKYEs NO�/ YES R No�/
8❑ LDRIVER # STATE WA SEX'M MID
D-O B 10 — 17 — 1996 1 2 32
9 ON DUTY❑ STATUS AIRBAG 2 RESTR 4 EJECT 1 H USEET ICNLJAURY 1 NATURE OF INJURIES z❑
3
10 9❑ Pi aT�S� BKD1690 sTArI WAvIN# JF1SG65634H766046
TRAILER STATE TRAILER STATE
11 0 0 PLATE# PLATE# FROM TO
TRLR. YRLR. 1 5 33
12 3 5 VIN#' VIN#
FROM TO
❑ VEH.YEAR MAKE MODEL STYLE IVEHICLE TOWED TO BLIN TOWED BY GOVT.VEHICLE 3 7 34
13 9 2004 SUBA FOREST 4W DAMAGE YES NO ves❑ No
REGISTEREDOWNERINFO WILMERWATSONZEPEDA10002 DES MOINES MEMORIAL DR SEATTLE INA 98168 VEHICLE NO. 1 ❑
SHADE IN DAMAGED AREA 35
2 3 4
14 4 LIABILI INSURANCE❑ INSURANCE CO
IN EFFECT &POLICY# 9TOP 5
vewcLE CHARGE 10 BOTTOM 36
LEGALLY YEs No CITATION# 4A0612162,4A0612162 FAIL YIELD PRIVATE RD MOTOR
15❑ STANDING 8 7 6
MOTOR PEDAL-: PROPERTY DAM THR OLD MET PHONE
UNIT 02 ❑✓ ❑ PEDESTRIAN ❑ ❑ D:4252044445
VEHICLE CYCLE OWNER YES�/ NO
16 a
LAST NAME HARRINGTON FIRST NAME EDWARD MIDDLE P
INITIAL
17❑ STREET ❑', 23104 126TH AVE SE CITY KENT ST WA ZIP 980313668 37
NEW ADDRESS ❑
18� CDL IGNITION REQUIRED IGNITION PRESENT MEDICALTRANSPORTED 38
INTERLOCKYES�NOR INTERLOCK YEs❑NOF YEs❑NO❑
19 LDI IVER # STATE WA SEX DDY
M M .C... 11 � 1965 28 _ El 39
WELMET INJURY 1 NATURE OF INJURIES 40
20❑ ON DUTY STATUS AIRBAG 2 RESTR 4 EJECT 1 USE CLASS ❑
21❑ LICENSE 85778C TAre WA VIN1 1B3LC46K08N191715
❑ 41
PLATE#
42
22❑ PILER LATE# STATE pLATE# STATE
TRLR
23❑ UIN#. 'IN#. 43
RLR
VEH YEAR 2008 MAKE DODG MODEL AVENGE STYLE 4D VEHICLETOWED TO BLIN TOWEDBv GOV HI 44
24❑ DAMAGE YES NO YES NO
REGISTERED OWNER INFO RENTON SCHOOL DISTRICT 300 SW 7TH ST RENTON WA 98057 VEHICLE NO.2
SHADE IN DAtYGE$�dAREA
2 L3
LIABILITY
INSURANCE INSUry�—I� &PORGY#E CO SIAWSIAW202134033IN GQI
vewcLE CITATION# CHARGE
LEGALLY YES N
25 s 7 6
=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. EF31946
COLLISION REPORT III III III III III 111
1591972 CASE# 24-11292
ADDITIONAL PERSONS INVOLVED PASSENGERS AND/OR WITNESSES ONLY)
NAME MIDDLE INITIAL) VAN DER HORN KRISTEN L
(I.P.ST FIRST,
ADDRESS&PHONE# D O.B. '
11403 71ST PL S SEATTLE WA 98178 2063838631 SEXi F MMDOYyry 11 - 04 - 1968
PASSENGER WITNESS UNIT# SEAT AIRBAG RESTR. EJECT ' HELMET INJURY NATURE OF INJURIES
❑ 0 POS. USE CLASS
NAME
'(LASTr FIRS' MIDDLE INITIAL)
ADDRESS&PHONE# DOB
SEX' MMDDYYYY
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.
MATTHEW NUGENT 10-31-24 01:51 PM
INVESTIGATING OFFICER'S SIGNATURE UNIT OR DIST DET DATED PLACE SIGNED
APPROVED BY DATE
C.JACOBS 1953 1 111412024 1:53:15 PM
BADGE OR ID# 11498 ORI# WA0171300 TIME POLICE DISPATCHED 4:41 PM TIME POLICE ARRIVED]4:46 PM
PART B PAGE IT]OF 5�
REPORT NO. EF31946 CASE# 24-11292 DATEAND
aE
dF coyL� 10/30/24 16:41
LISIO isi©�u
NARRATIVE
24-11292
On 10/30/2024 at approximately 1641 hours, I was dispatched to a blocking vehicle collision in the
13200 block of Renton Avenue Extension, within the City Limits of Renton, County of King, State of
Washington.
Upon my arrival, I confirmed there were no complaints of injury requiring immediate medical response
at the time of report. While on scene, I collected each involved party's driving documents and their
independent involvement leading up to the collision.
The driver of Unit#1 stated he was the sole occupant of his vehicle and was attempting to exit his
driveway (private property residence), located at 13256 Renton Ave Ext., and on the north side of the
roadway. The driver of Unit#1 stated that he was intending to make a left turn out of the driveway to
proceed eastbound onto Renton Ave Ext following the turn. The driver of Unit#1 stated that while
stopped, his foot slipped off the brake and he unintentionally entered the roadway. The driver of Unit
#1 stated that as a result, Unit#1 struck the passenger doors of Unit#2 which had been traveling
westbound on Renton Ave Ext. in the lane of travel nearest to Unit#1's driveway. Unit#1 suffered
moderate damage to the front bumper, specifically on the passenger side.
The driver of Unit#2 said he was the sole occupant of his Renton School District-vehicle and was
traveling westbound in about the 13200 block of Renton Ave Ext and in lane 1 of 2. The driver of Unit
#2 stated he was intending to continue west. Upon passing the location of where Unit#1 was turning
out from, Unit#2 felt Unit#1 impact the side of his vehicle. Both vehicles collided in the roadway and
Unit#2 suffered moderate damage to the rear passenger side, including the wheel.
A witness that remained at the scene, identified as Kristen Van Der Horn, confirmed the above
statements.
Based on the above statements, 1 believe that the driver of Unit#1 (Castellon) is the proximate cause
for the cause of collision as Castellon is required to comply with RCW 46.61.205(1) which states that
every driver of a vehicle about to enter or cross a highway from a private road or driveway shall yield
the right-of-way to all vehicles lawfully approaching on said highway. Unit#2 was already underway
in the roadway and had right of way.
I issued the driver of Unit#1 (Castellon) a citation via mail for Vehicle entering highway from private
driveway causing a collision. I also cited the driver of Unit#1 via mail for violating RCW 46.30.020 -
Liability Insurance as no person may operate a motor vehicle subject to registration under chapter
46.16A RCW in this state unless the person is insured under a motor vehicle liability policy with
liability limits of at least the amounts provided in RCW 46.29.090, is self-insured as provided in RCW
46.29.630, is covered by a certificate of deposit in conformance with RCW 46.29.550, or is covered
by a liability bond of at least the amounts provided in RCW 46.29.090. Proof of financial responsibility
for motor vehicle operation must be provided on the request of a law enforcement officer in the format
specified under RCW 46.30.030.
Per a DOL records check, Castellon had an Ignition Interlock (IID) requirement on his driver's license.
Castellon admitted to not having an IID installed in his vehicle as he had just purchased the vehicle
recently. Castellon stated that he is working to resolve the issue. I gave Castellon a verbal warning for
the IID violation.
Both Unit#1 and Unit#2 were able to be driven away without further incident. An exchange of
information was provided to all involved parties.
PAGE 3 OF 5
REPORT NO. EF31946 CASE# 24-11292 DATEAND
aE
dF coyL� 10/30/24 16:41
LISIO isi©�u
NARRATIVE
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 10/31/2024 1:09 PM Renton, King County,
WA.
PAGE 4 OF 5
REPORT NO. EF31946 CASE# 24-11292 DATE AND TIME 10/30/2416:41
OF COLLISION
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