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HomeMy WebLinkAbout24-6899 ITFF' "POLCERA II I !�� I III I III I IIII III II I . 0 27c COLLISION REP FIT 1591971 SASE 24-6899 2 INTERSTATE ❑ CITY STREET FIRE ❑ RESULTED 1 STOLEN STATE ROUTE ❑ OTHER ❑ VFHIC;I F ❑ LOCAL AOENC 4900 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 N E IN CITY# ❑ cowsloN 07 - 01 - 2024 1525 17 ❑.❑ S 8 W H OF e 1070 3 4❑ ON (PRIMARY TRAFFIC WAY) INTERSECTION ❑ NON INTERSECTION ❑✓ VASHON PL NE BLOCK NO. e✓ 600 4a❑ MILEPOST DISTANCE OF(REFERENCE OR CROSS STREET) 5❑ 300 00 FMILES N EET e S B E e NE 6TH STREET 0 2 29 MOTOR PEDAL- DAMAGE THRESHOLD MET PHONE UNIT 01 VEHICLE ❑ CYCLE El ✓NO D:9718049015 0 4 30 LAST NAME BARRAGAN PENALOZA FIRST NAME VERONICA MIDDLE 6 INITIAL 1 2 31 STREET 01 1201 ANACORTES AVE NE APT C10 CITY RENTON ST WA 2jp, 980594442 z NEW ADDRESS 7❑ CDL IGNITION REQUIRED IGNITION PRESENT MEDICAL TRANSPORTED 3 INTERLOCK YES NO 1/ I INTERLOCK YES NO YES R NO 8❑ LRIIVER # STATE WA SEX'F MM D Y' 01 - 30 - 1982 1 2 32 9 ON DUTY❑ STATUS AIRBAG 6 RESTR 4 EJECT 1 HELMETU E 2 CLASS 1 NATURE OF INJURIES z❑ 3 10� P1 aT�S� CLS2494 sTATI WAvIN# 2HKRS4H45RH445611 TRAILER STATE TRAILER STATE 11 2 5 PLATE# PLATE# FROM TO TRLR. YRLR. 5 1 33 12 2 5 VIN#' VIN# >; FROM TO VEH.YEAR MAKE MODEL STYLE VEHICLE TOWED TO BLIN TOWED BY GOVT.VEHICLE 5 ] 34 13 2 2024 HOND CR-V SV DAMAGE YES NO YES[:] No✓ REGISTERED OWNER INFO DANIEL ZARAGOZA MENDOZA 653 VASHON PL NE RENTON WA 98059 VEHICLE NO. 1 ❑ SHADE IN DAMAGED AREA 35 4 14 2 LIABILITY INSURANCE NPOLICY E CO DAIRYLAND INSURANCE 11409358007 LI EFFECTISUR N# TOPVEHICLE CHARGE <1�3 OTTOM 5 35 EHALLY YES No clTAnoN# 4AO344202 SPEED TOO FAST FOR CONDITIONS 15❑ STANDING 7 6 MOTOR PEDAL-: 'PEDESTRIAN PROPERTY DAM THR OLD MET PHONE UNIT 02 VEHICLE ❑ CYCLE ❑ ❑ OWNER ❑ YES 1/ NO D:2065790664 16 a LAST NAME NGUYEN FIRST NAME CUONG MIDDLE I T INITIAL 17 STREET❑ NEW ADDRESS❑' 627 VASHON PL NE CITY RENTON ST WA ZIP 980595712 4❑ 37 18❑ CDL IGNITION REQUIRED IGNITION PR-E-1SENT MEDICAL-T�RANSPORTED � 38 INTERLOCK YEs❑No� INTERLOCK YEs It I NOF YES t l NoF,/ 19 DRIVERS# ML596969436 STATE WA SEX M D.O.B. 30 04 � _ 1969 39 20 ON DUTY STATUS AIRBAG,6 RESTR 4 EJECT 1 HE 2 INJURY 6 NATURE of INJURIES 40 USE CLASS C/O LEFT LEG PAIN ❑ILICENSE 21❑ PLA E# BU66238 TATE 41 WA VIN# 5FNYF6H91L6050158 1 42 22❑ PLATE# STATE PLATE# STATE 23❑ 43 TRLR RLR VIN#. IN#. VEH YEAR 2020 MAKE HOND MODEL PILOT STYLE SI/ VEHICLETOWED TO BLIN TOWEDBY GOV HI 44 24❑ DAMAGE YES NO YES NO REGISTERED OWNER INFO CUONG NGUYEN 627 VASHON PL NE RENTON WA 98059 D:2065790664 VEHICLE NO.2 SHADE IN DAMAGED AREA 2 3 4 LIABILITY INSURANCE I PORGY#E CO CONNECT BX05197090IN I STOP 5 VE"CLE ❑ ,J� CITATION# CHARGE i o BOTTOM LEGALLY YES N J 25 $ OFFICER'S NAME(PRINT) OFFICER PHONE BADGE OR ID# T AGENCY 26 MATTHEW NUGENT 11498 WA0171300 PART A PAGE 01 OF 3000-345-159 OR 11/181 STATE OF POLICETRAFFICN CORRECTION REPORT NO. EE92381 COLLISION REPORT III III III III III 111 1591972 CASE# 24-6899 ADDITIONAL PERSONS INVOLVED PASSENGERS AND/OR WITNESSES ONLY) NAME MIDDLE INITIAL) ZARAGOZA MENDOZA DANIEL (LAST FIRST, ADDRESS&PHONE# 653 VASHON PL NE RENTON WA 980595712 4257858745 SEX M MMDOYyry 04 - 26 - 1985 PASSENGER I�I WITNESS❑ UNIT# 1 POS. 3 AIRBAG 6 RESTR. q EJECT ? HELMET INJURY NATURE OF INJURIES L�!1 USE 2 CLASS 1 NAME (LAST,FIRST,MIDDLE INITIAL) ZWITT MATTHEW P ADDRESS&PHONE# D O B 571 VASHON PL NE RENTON WA 980595786 2514214157 SEX M MMDDYvvv 11 _ 01 _ 1981 PASSENGER [:]WITNESS UNIT# SEAT AIRBAG RESTR. EJECT HELMET NJURY POS. NATURE OF INJURIES USE CLASS NAME (LAST FIR57 MIDDLE INITIAL) AppRESS&PHONE# SEX D.Q.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 07-02-24 11:20 AM INVESTIGATING OFFICER'S SIGNATURE UNIT OR DIST DET DATED PLACE SIGNED APPROVED BY DATE M.LEVERTON 2517 7/3/2024 8:18:58 AM BADGE OR ID# 11498 ORI# WA0171300 TIME POLICE DISPATCHED; 3:27 PSI TIME POLICE ARRIVED',3:31 PM PART I PAGE IT]OF 5� TIME REPORT NO. EE92381 CASE# 24-6899 OF COLLISION07/01/24 15:25 NARRATIVE 24-6899 On 07/01/2024 at approximately 1527 hours, I was dispatched to a vehicle collision with reports of injury located at 627 Vashon Place NE, within the City Limits of Renton, County of King, State of Washington. While en route, Dispatch advised that the collision involved two vehicles and that the Renton Regional Fire Authority (RRFA) was dispatched to the scene for a precautionary evaluation of the involved parties as there was airbag deployment. Upon arrival, I noticed heavy mechanism and multiple airbags deployed to the involved vehicles which was not typical for a residential neighborhood street collision. While on scene, I collected each of the involved parties driving documents and their independent recollection of the events leading up to the collision. The driver of Unit#1 stated that she and her adult passenger were traveling northbound in about the 600 block of Vashon PI NE, specifically towards her personal residence. The driver of Unit#1 stated she was traveling about "38 miles per hour" and was intending to continue north but admitted to having a lot on her mind due a recent family incident and was trying to get home to her 10-year old son. While traveling north, Unit#1 proceeded around Unit#2 which she believed was stopped in the roadway. As Unit#1 continued, Unit#2 proceeded to make a turn into a residential driveway. Unit#1 collided into the driver's side doors of Unit#2 causing significant damage to the front of Unit#1 because of the collision. The driver of Unit#2 stated that he was the sole occupant of his vehicle and was traveling northbound in about the 600 block of Vashon PI NE, specifically towards his personal residence. The driver of Unit#2 stated he had reached his driveway and began to make a left turn into said driveway on the west side of the roadway. As Unit#2 began to turn, a vehicle approached Unit#2 from behind at a high rate of speed, colliding with the front and rear driver's side doors and rear fender of Unit#2 causing significant damage to the front of Unit#2 because of the collision. An independent witness, identified as Matthew Zwitt, claimed that Unit#1 was traveling at a high rate of speed which was unreasonable and unsafe. It should also be noted that the location of collision is a residential roadway leading to a cul-de-sac with residences on either side of the roadway. At the time of collision, it was an active area with several pedestrians, including children, walking around, and playing in the area due to summer break. It is fortunate that no one was struck during this collision. Based on the above statements, I believe that the drive of Unit#1 (Barragan Penaloza) did not exercise ordinary care. Unit#1 had been seen by an independent witness traveling at a high rate of speed prior to the collision. I cited the driver of Unit#1 (Barragan Penaloza) in-person for violation RCW 46.61.400 as no person shall drive a vehicle on a highway at a speed greater than is reasonable and prudent under the conditions and having regard to the actual and potential hazards then existing. In every event speed shall be so controlled as may be necessary to avoid colliding with any person, vehicle or other conveyance on or entering the highway in compliance with legal requirements and the duty of all persons to use due care. Both Unit#1 and Unit#2 were able to be limped off of the roadway and into their respective driveway but did suffer extensive damage as a result of the collision. An exchange of information and case number were provided to all 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. PAGE 3 OF 5 TIME REPORT NO. EE92381 CASE# 24-6899 OF COLLISION07/01/24 15:25 NARRATIVE Electronically signed by Officer M. Nugent#11498 7/2/2024 11:14 AM Renton, King County, WA. PAGE 4 OF 5 REPORT NO. EE92381 CASE# 24-6899 DATE AND TIME 07/01/2415:25 OF COLLISION rt h� tip, Z' "!"Now, PAGE 5 OF 5