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HomeMy WebLinkAbout24-4972 ITFF' "POLCERA II I !�� I III I III I IIII III II I . 1 27c COLLISION REP FIT 1591971 SASE 24-4972 2 INTERSTATE ❑ CITY STREET FIRE ❑ RESULTED 1 STOLEN STATE ROUTE ❑ OTHER ❑ VFHICI F ❑ LOCAL AOENC 4Y00 3 HIT&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 CITY# ❑ COLLISION'. 05 — 09 — 2024 1435 17 ❑.❑ N E IN S 8 W H OF e 1070 3 4❑ ON (PRIMARY TRAFFIC WAY) INTERSECTION ❑ NON INTERSECTION ❑✓ KIRKLAND AVE NE BLOCK NO. e✓ 1200 4a❑ MILEPOST DISTANCE OF(REFERENCE OR CROSS STREET) 5❑ 270 00 FEET MILES e S B W e NE 12TH ST 0 1 29 MOTOR PEDAL- DAMAGE THRESHOLD MET PHONE UNIT 01 VEHICLE ❑ CYCLE El �/No D:4255298758 1 3 30 6� LAST NAME LY FIRSTNAME VI MIDDLE L 1 1 2 31 INITIAL STREET ❑ 1508 KIRKLAND AVE NE APT F CITy RENTON ST WA 2jp, 980563294 z NEW ADDRESS 7❑ CDL IGNITION REQUIRED IGNITION PRESENT MEDICAL TRANSPORTED 3 iNTERLOCKYEs NO 1/ INTERLOCKYEs NO�/ YEs No�/ 8❑ D RI VER # STATE WA SEX'F MMDDYY' 12 — 19 — 2000 32 9 ON DUTY❑ STATUS AIRBAG 2 RESTR 4 EJECT 1 HELMETU SE CLASS 1 NATURE OF INJURIES z❑ 3 10❑ PI ATNE 14 BCX3323 sTAr WAu N# 1 NXBU4EE3A2290197 TRAILER STATE TRAILER STATE 11 2 5 PLATE# PLATE# FROM TO TRLR. YRLR $ 1 33 12 0 0 VIN#' VIN# >; FROM TO VEH.YEAR MAKE MODEL STYLE VEHICLE TOWED TO BLIN TOWED BY GOVT.VEHICLE 1 $ 34 13 2 2010 TOYT COROL 4D DAMAGE YES NO YES[:] NO✓ REGISTERED OWNER INFO OWNEDBYDRIVER VEHICLE NO. 1 SHADE IN DAMAGED AREA ❑ 14❑ LIABILITY INSURANCE INSURANCE CO STATE FARM 531 7468.616.47A 35 IN EFFECT &POLICY# 9TOP vewCLE 5 36 LECALLv res❑NO❑ CITATION# CHARGE 1 o BOTTOM 15❑ STANDING 8 6 MOTOR PEDAL- PEDESTRIAN PROPERTY DAM THR OLD MET PHONE UNIT a2 VEHICLE ❑ CYCLE ❑ ❑ OWNER ❑ YES 1/ NO D:2068566547 16❑ LAST NAME TABASONDRA FIRST NAME JOHN MIDDLE I C INITIAL 17❑ STREET - 1222 KIRKLAND AVE NE CITY' RENTON ST WA ZIP 98056 37 NEW ADDRESS ❑ 18� CDL IGNITION REQUIRED IGNITION PR—E-1SENT MEDICAL—T�RANSPORTED 38 INTERLOCKYES�NO� INTERLOCK YEs It I NOF YES t l NOF,/ 19[—] LICENSE# STATE WA SEX M MMDDW 07 25 _ 1997 0 39 HELMET INJURY NATURE OF INJURIES 40 20❑ ON DUTY STATUS AIRBAG 2 RESTR 9 EJECT 1 USE 9 1 CLASS ❑ 21❑ LICENSE I CFX4502 TAre WA vIN# WDBUF76J04A550368 ❑ 41 PLATE# 42 22❑ PLATE# STATE PLATE# STATE 23❑ VIN#. 43 TRLR RLR 'IN#. VEH YEAR 2004 MAKE MERZ MODEL E STYLE QD VEHICLETOWED TO BLIN TOWEDBY GOV HI 44 L4❑ DAMAGE YES NO YES NO REGISTERED OWNER INFO JOHN TABASONDRA 1222 KIRKLAND AVE NE RENTON WA 98056 VEHICLE NO.2 SHADE IN DAMAGED AREA 2 3 4 INAEFFIECTTY NSURANCE❑ &POINSULICY#E CO 1 9TOP 5 VEHICLE ES[:] N,.I—I CITATION# CHARGE i o BOTTOM LEGALLY Y 25 s a 7.FF1CJEO-S NAME(PRINT) OFFICER PHONE BADGE OR ID# AGENCY 26 HNSON 0505 WA0171300 PART A PAGE 01 OF 3000-345-159 OR 11/181 STATE OF POLICETRAFFICN CORRECTION REPORT NO. EE76813 COLLISION REPORT III III III III III 111 1591972 CASE# 24-4972 ADDITIONAL PERSONS INVOLVED PASSENGERS AND/OR WITNESSES ONLY) NAME MIDDLE INITIAL) TABASONDRA LEONIDAS C (LAST FIRST, ADDRESS&PHONE# 1222 K/RKLAND AVE NE RENTON WA 98058 SEX M MMDOYyry -�- PASSENGER WITNESS UNIT# SEAT AIRBAG RESTR. EJECT ' HELMET INJURY NATURE OF INJURIES ❑✓ ❑' 2 POS, 7 1 10 1 USE CLASS 11 NAME (LAST,FIRST,MIDDLE INITIAL) HERNANDEZ MARLENE ADDRESS&PHONE# D O B 1222 KIRKLAND AVE NE RENTON WA 98058 SEX F MMDDYYYv 05 _ 09 _ 1999 PASSENGER [:]WITNESS POS. USE CLASS UNIT# SEAT AIRBAG RESTR. EJECT HELMET NJURY NATURE OF INJURIES NAME (LAST FIR57 MIDDLE INITIAL) AppRESS&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. CO.JOHNSON 05-10-24 12:02 PM INVESTIGATING OFFICER'S SIGNATURE UNIT OR DIST DET DATED PLACE SIGNED APPROVED BY DATE CO.JOHNSON 0505 1 511412024 8:09:33 AM BADGE OR ID# 0505 OR]# WA0171300 TIME POLICE DISPATCHED; 2:42 PM TIME POLICE ARRIVED:2:52 PM PART I PAGE IT]OF 4� REPORT NO. EE76813 CASE# 24-4972 OF COLLISION 05/09/24 14:35 OF CbLLI510N NARRATIVE U1 NB 1200 Kirkland, U2 parked east side of roadway; passenger side of U1 into rear driver door (open) of U2 On 05-09-2024 at about 1442 hours, I was dispatched to a collision at 1222 Kirkland Ave NE in the City of Renton, County of King, Washington State. Dispatch advised a vehicle hit a parked car in front of the location and there were no injuries. I arrived at about 1452 hours. The driver of Unit 01 was identified by WA DL and seated in the driver seat of the vehicle. The driver said she was wearing a seatbelt at the time of the collision. Unit 01 was northbound in the 1200 block of Kirkland Ave NE. Another vehicle was southbound and approaching Unit 01 at a point in the roadway where vehicles were parked on the east and west sides of the roadway. Unit 01 slowed and continued northbound. The passenger side of Unit 01 collided with the open driver side rear door of Unit 02. Unit 02 was parked and occupied on the east side of the roadway, pointing to the north. The registered owner was seated in the driver seat and waiting for passengers to load into the vehicle. A 2 year old child had just been placed into a forward facing child seat in the left rear passenger seat. The witness was standing at the open door after having just placed the child into the seat. Unit 01 collided with the open door as the witness was standing next to the door. The proximate cause of the collision was the driver of Unit 01 driving in a inattentive manner by failing to sufficiently recognize the open door of Unit 02 and drive in a manner to avoid colliding with the open door. Renton Municipal Code 10-12-25, Inattentive Driving, defines "Inattentive manner" as a lack of: 1) attentiveness required to safely operate the vehicle under the prevailing conditions, including, but not limited to, the nature and condition of the roadway, the weather conditions, the presence of pedestrians, the presence of other traffic, or by the driver focusing or directing the driver's attention to something other than driving the motor vehicle; or 2) attentiveness that would permit the driver of a motor vehicle to observe anything resting on, or traveling on, or entering the roadway in time to take appropriate action as circumstances require. Were it not for the actions of the driver of Unit 01, the collision would not have occurred. No citations or infractions issued. Report for information and insurance. PAGE 3 OF 4 REPORT NO. EE76813 CASE# ' 24-4972 DATE AND TIME 05/09/24 14:35 OF COLLISION i+ Y' t i, i n u PAGE 4 OF 4