HomeMy WebLinkAbout24-6698 POLICETRAFF'c" III !�� I IIIllI111IN II II I REPORT NO. EE90924 170
27
COLLISION REP FIT 1591971
SAS 24-6698 2
INTERSTATE ❑ CITY STREET FIRE ❑
RESULTED
1 STATE ROUTE OTHER STOLEN
❑ ❑ HIT& F ❑ LOCAL AOENC 3
HIT&RUN CODING
COUNTY RD PRIVATE WAY INVOLVED
2 TOTAL#TRIBAL OF OZ OBJECT 1 1 8 28
UNITS
RESERVATION I I
STRUCK
z
3❑ DATE of M M D D Y Y Y Y TIME(2400) COUNTY# MILES N E IN CITY# ❑
COLLISION: 06 - 1-— 2024 0643 17 ❑-= S 8 IN e 1070 3
4❑ ON (PRIMARY TRAFFIC WAY) INTERSECTION ❑ NON INTERSECTION ❑✓
SUNSET BLVD N BLOCK NO. e✓ 300
4a❑ MILEPOST
DISTANCE OF(REFERENCE OR CROSS STREET)
5❑ ❑ FEET e S ❑ W e 0 6 29
MOTOR PEDAL- DAMAGE THRESHOLD MET PHONE
UNIT 01 VEHICLE ❑ CYCLE El
✓NO D:2063081806 0 11
30
6 LAST NAME REYES ROSALES FIRSTNAME JOSE MIDDLE R 1 2 31
INITIAL
STREET Z1372OS239THST CITY KENT ST WA ZIP 98032 z
NEW ADDRESS
7❑ CDL IGNITION REQUIRED IGNITION PRESENT MEDICAL TRANSPORTED 3
iNTERLOCKYEs NO 1/ INTERLOCKYEs NO�/ YEs No�/
8❑ DRIVERS
# STATE WA SEX'M I ELMIDI Y' 03 — 19 — 1995 1 2 32
9 ON DUTY❑ STATUS AIRBAG 2 RESTR 9 EJECT 1 H USE CLASS
ICNLJAURY 1 NATURE OF INJURIES z❑
3
10 9❑ P1 ATE 14 CLE1943 STATE WA v N#' JT2BG22K1 Y0498602
TRAILER STATE TRAILER STATE
11 3 5 PLATE# PLATE#t FROM TO
TRLR. TRLR 5 1 33
12 3 5 vIN#' VIN#'
: FROM TO
❑ VEH.YEAR MAKE MODEL STYLE VEHICLE TOWED TO BLIN TOWED BY GOVT.VEHICLE 5 1 34
13 2 2000 TOYT CAMRY 4D DAMAGE vesNo ves❑ NO
REGISTERED OWNER INFO JOSE REYES ROSALES 3720 S 239TH ST KENT WA 98032 VEHICLE NO. 1 ❑
SHADE IN DAMAGED AREA 35
14 ❑ INSURANCE CO 3 4
LIABILITY INSURANCE
IN EFFECT &POLICY# � 9TOP
VEHlcl.e CHARGE 36
LEGALLY YEs❑NO❑ CITATION# 4AO087000 OF,MOT VEH W/OUT INSURANCE o Borrom
15❑ NDING 8 6
MOTOR PEDAL- PEDESTRIAN PROPERTY DAM THR OLD MET PHONE
UNIT 02 VEHICLE ❑ CYCLE ❑ ❑ OWNER ❑ YES 1/ NO D:2064468066
16 a
LAST NAME ROMERO NAVA FIRST NAME OSCAR MIDDLE E
INITIAL
17❑ STREET � 13308 SE 184TH ST CITY RENTON ST WA ZIP 98058 37
NEW ADDRESS ❑
18� CDL IGNITION REQUIRED IGNITION PRESENT MEDICAL TRANSPORTED 38
INTERLOCK YES❑No� INTERLOCK YEs❑NOF YEs❑NoF,/
19 LICENSE# STATE WA SEX M M .O.B. 11 01 1985 39
WELMET INJURY1 NATURE OF INJURIES 40
20❑ ON DUTY STATUS AIRBAG 2 RESTR 9 EJECT 1 USE CLASS ❑
21❑ LICENSE I D91240A TATe WA vINIi 3C63RRGLONG377008
❑ 41
PLATE#
42
22❑ PILER LATE# STATE PLATE# STATE
TRLR
23❑ UIN#. N#.
43
RLR
'I
VEH YEAR 2022 MAKE DODG MODEL RAM 3500 STYLE PK VEHICLE TOWED TO BLIN TOWED By GOV HI 44
L4❑ DAMAGE YES NO YES NO
REGISTERED OWNER INFO PRECISION TILE 3203243RD PL SW FEDERAL WAY WA 98023 VEHICLE NO.2
SHADE IN DAMAGED AREA
2 3 4
LIABILITY INSURANCE INSU&PORGY#ECO ALLIANCE WEST INSURANCE COMPANY PRAU419174
IN EFFECTVEHICLE ❑ ,.I—I CITATION# CHARGE C�Ql
LEGALLY YES N`LJ
25 s � a
OFFICER'S NAME(PRINT) OFFICER PHONE BADGE OR ID# JAGENCY
26
JESSE VANDERHOEK 11631 WA0171300
PART A PAGE 01 OF C7
3000-345-159 OR 11/181
STATE OF
POLICETRAFFICN CORRECTION REPORT NO. EE90924
COLLISION REPORT III III III III III 111
1591972 CASE# 24-6698
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
POS. 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.
JESSE VANDERHOEK 06-25-24 10:26 AM
NVESTIGATING OFFICER'S SIGNATURE UNIT OR DIST DET DATED PLACE SIGNED
APPROVED BY DATE
D.SKELTON 9139 6/28/2024 3:48:39 AM
BADGE OR ID# 11631 OR]# WA0171300 TIME POLICE DISPATCHED 6:50 AM TIME POLICE ARRIVED i 7:09 AM
PART I PAGE IT]OF 4�
REPORT NO. EE90924 CASE# 24-6698 OF COLLISION
06/25/24 06:43
OF CbLLI510N
NARRATIVE
The driver of vehicle #2 advised he was driving north on 1-405 when he noticed a gray Toyota Camry
(vehicle #1) driving behind him was honking at him. The driver of vehicle #2 stated he exited the
freeway onto the 300 block of Sunset Blvd N, and this Toyota Camry exited behind him. The driver of
vehicle #2 stated the gray Toyota Camry then passed him on the left and quickly merged in front of
him, leaving approximately 5-10 feet between the front of his vehicle and the rear of the Toyota
Camry. The driver of vehicle #2 advised that immediately after vehicle #1 cut him off by merging right
in front of him, vehicle #1 quickly applied their brakes, not leaving enough room or time for vehicle #1
to come to a stop before colliding with the rear end of vehicle #1. The front end of vehicle #2 collided
with the rear end of vehicle #1. The driver of vehicle #2 told me that immediately after the collision,
he saw in his rear view mirror the driver of vehicle #1 exit his vehicle with an angry look and with his
hand in his waistband. The driver of vehicle #2 was concerned the driver of vehicle #1 possibly had a
gun, so he did not stop there to exchange information, and kept driving to a safe location to pull over
and call police. The driver of vehicle #2 told me that vehicle #1 chased him as he drove away. The
driver of vehicle #2 drove to the Safeway parking lot at 4300 NE 4th St, where he pulled over to call
police. The driver of vehicle #2 had dash camera video of the collision, which I viewed. This dash
camera video was consistent with the story the driver of vehicle #2 provided.
The driver of vehicle #1 stated that he exited 1-405 north and merged onto the 300 block of Sunset
Blvd N. He then merged to the right, in front of vehicle #2, and thought he gave vehicle #2 plenty of
space. The driver of vehicle #1 claimed he did not apply his brakes after merging in front of vehicle
#2, and that vehicle #2 just rear ended him. The driver of vehicle #1 advised he called police right
after the collision occurred. I then showed the driver of vehicle #1 the dash camera video from
vehicle #2. After seeing the video, the driver of vehicle #1 then agreed he did in fact cut off vehicle #2
and immediately applied his brakes to slow for traffic ahead of him, not giving vehicle #2 enough
room or time to stop.
The driver of vehicle #1 admitted to me that he did not have insurance for his vehicle.
Based on the totality of the circumstances, it appeared the driver of vehicle #1 was the proximate
cause of this collision.
PAGE 3 OF 4
REPORT NO. EE90924 CASE# 24-6698 DATE AND TIME 06/25/24 06:43
OF COLLISION
,,AN
Vehicle #1
Vehicle #2
+� r
PAGE 4 OF 4
