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HomeMy WebLinkAbout24-5977 )STATE TFC 0 5 27I OCERAF EE92141 COLLISION REPRT 1591971 CASE# 24-5977 2 INTERSTATE CITY STREET FIRE ❑ RESULTED 1 STOLEN STATE ROUTE ❑ OTHER ❑ VEHICLE ❑ LOt`CO AGENCY. 4200 3 COUNTY RD NVOLVED CODING 2BJECT 1 PRIVATE WAY ❑ TRIBAL TOTAL UNITS#OF SO TRUCK 1 8 28 02 WOOD SIGN POST RESERVATION ". 2 3� M M D D Y Y Y Y TIME(2400) COUNTY# MILES CITY# DATE OF'. N E coLLISION' 06 - 05 - 2024 1827 17 �.�� S W OF 1070 a 4❑ ON (PRIMARY TRAFFIC WAY) INTERSECTION [Z NONINTERSECTION ❑ EDMONDS AVE NE BLOCK NO. e 900 .� 4a❑ MILE POST ❑ DISTANCE OF(REFERENCE OR CROSS STREET) 5 �. FEET S 8 W e NE 9TH PL 0 4 29 MOTtlR PEDAL- DAM AG THRESHOLD MET PHONE UNIT 01 VEHICLE ❑ CYCLE' ❑ YES ✓NO D:5032706026 0 1 30 5 LAST NAME ALVAREZ VELAZQUEZ FIRST NAME LUCIA MIDDLE 1 2 31 INITIAL STREET ❑ 2520 NE 9TH PL#6102 C ITY RENTON ST; WA ZIP 98056 2 NEW AbDRESS 7 CDL IGNITION REQUIRED IGNITION PRESENT MEDICAL TRANSPORTED 3 INTERLOCKYEs NO�/ INTERLOC YES D NDF,/ 8❑ DRIVERCENS M # STATE WA SEX F MOC)YY' 09 - 28 - 1967 1 2 32 9 ON DUTY STATUS AIRBAG 1 RESTR 4 EJECT 1 HELMET I I INJURY 7 NATURE of INJURIES 2 USE CLASS COMPLAINT OF PAIN/DIZZINESS BACK OF HEAD LICENSE CGS1849 STATE WA VN# JF1GE60669H512227 3 10[9� PI ATF#' 11[—j— TRAILER STATE TRAILER ,STATE ROM TO 11 0 0 PLATE# PLATE# rRLR TRLR 1 3 33 12 0 0 VIN# VIN# ( FROM TO VEH.YEAR MAKE MODEL STYLE VEHICLE TOWED TO BLIN TOWED By GOVT VEHICLE 13 4 2009 SUBA IMPREZ SD DAMAGE Yes ONO� Yes❑ No� 5 1 34 REGISTERED OWNER INFO LUCIA ALVAREZ VELAZQUEZ 2520 NE 9TH PL#B102 RENTON WA 98056 D:5032706026 VEHICLE NO. 1 SHADE IN DAMAGED AREA 35 3 4 14 4 LIABILITY INSURANCE El5 NSURANCE CO IN EFFECT &POLICY# 4TOP LewcLe CHARGE36 15 STMLE"AL we yes❑NO❑ CITATION# 4A0359548 OP MOT VEH W/OUT INSURANCE eoTTo<�7 6 5 MOTCYR PEDAL- PEDESTRIAN PROPERTY DAM THR OLD MET PHONE UNIT 02 VEHICLE CYCLE' ❑ ❑ nWNFR YEs,/ No D:2064964645 16� LAST NAME ARCHIE FIRST NAME ANTHONY MIDDLE I T 17 F1 INITIAL I STREET ❑ ' 2121 NE 17TH PL CITY I RENTON ST, WA ZIP 98056 4 37 NEW AbORESS❑ 18❑ CDL IGNITION REQUIRED IGNITION PRESENT MEDIGALTRANSPORTED' 38 INTERLOCKYES No jNTERLOCK YES No vEs NO 19 DRIVER'S STATE WA SEX M I D.O.B. 08 20 1972 39 LICENSE# MMDDYY - 20❑ ON DUTY STATUS' AIRBAG'1 RESTR 4 EJECT 1 H U ET INJ RY 1 NATURE OF INJURIES 40 21 LICENSLATE E CMB6246 TATE WA VIN# WPOCC2A86GS152691 41 22❑ PLATE# STATE PATE# STATE ❑ 42 23 TRLR kRLR 43 UIN#. 'IN#. VEH.YEAR 2016 MAKE pORS MODEL gOXSTER STYLE CV VEHICLE TOWED TO BLIN TOWED BY GOV HI 44 24 DAMAGE YES NO YES NO REGISTERED OWNER INFO BEBM PO.OX997500 SACRAMENTO CA 95899 VEHICLE NO.2 SHADE DAGED AREA 4 LIABILITY INSURANCE INSURANCE CO TRAVELERS 6156466862031 IN EFFECT &POLICY# 9TOP HICL LEIAIL YES❑ N CL J CITATION# CHARGE t080TTOM VE 25 OFFICER'S NAME(PRINT) OFFICER PHONE BADGE OR ID# AGENCY 26 RYAN KARLO RIVERA 12649 WA0171300 PAGE 01 OF PART A 3000-345-159(R 11/18) POLIICFETRAFFICN CORRECTION REPORT NO. EE92141 COLLISION REPORT III III III III III 111 1591972 CASE# 24-5977 ADDITIONAL PERSONS INVOLVED(PASSENGERS AND/OR WITNESSES ONLY) NAME WARD BENJAMIN T (LAST,FIRST MIDDLE INITIAL} ADDRESS&PHONE# 755 EDMONDS AVE NE RENTON WA 98056 SEX' M MMooYYYv 01 - 25 - 1988 PASSENGER WITNESS UNIT# SEAT AIRBAG RESTR. EJECT HELMET INJURY NATURE OF INJURIES �' 2 POS. 3 '2 4 1 USE GLASS 1 'NAME (LAST FIRS,MIDDLE INITIAL) ADDRESS&PHONE# ' D.O.B. SEX MMOD -F L----------� YYYY PASSENGER DWITNESSD UNIT# SEAT AIRBAG RESTR. EJECT HELMET NJURY NATURE OF INJURIES POS. : USE GLASS ----� '.NAME (LAST,FIRST,MIDDLE INITIAL) ADDRESS&PHONE# SEX' D.O.B.M -T L----------� MDDYYYY PASSENGER WITNESS UNIT# PO SEAT AIRBAG RESTR. EJECT HELMET INJURYSS rNATURE OF INJURIES ❑ QPOS. USE GLA — ----� 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. RYAN KARLO RIVERA 06-06-24 12:33 AM INVESTIGATING OFFICER'S SIGNATURE UNIT OR DIST.DET DATED PLACE SIGNED APPROVED BY DATE D.MOYNIHAN 11288 71212024 2:20:39 PM BADGE OR ID# 12649 ORI# ( WA0171300 TIME POLICE DISPATCHED'; 7:30 PM TIME POLICE ARRIVED 7:33 PM PART B 3 Do-lmx-,ao(Burls) PAGE 27 OF 57 REPORT NO.` EE92141 CASE# 24-5977 COLLI SICiN TIME OF 06/05/24 19:27 COLLI NARRATIVE On 06/05/2024, 1 was working uniformed patrol in a marked police car as 3R23. At approximately 1930 hours, I was dispatched to a blocking accident at the intersection of Edmonds Ave NE/NE 9th PI, which is located within the city limits of Renton, County of King, Washington. Dispatch advised there was an accident at the location with one vehicle up on the sidewalk. There were no reports of any injuries. When I arrived, I found all involved parties outside of their vehicles near the east sidewalk. I also saw a small group of people gathering around the scene of the accident. I was able to speak to the driver of Unit 2. My conversation with him is summarized as follows: Unit 2's driver stated he was driving northbound on Edmonds Ave NE. As he continued northbound, he saw Unit 1's driver in the southbound lane of Edmonds Ave NE preparing to turn left to head eastbound on NE 9th P1. Unit 2's driver said that Unit 1 began to turn left and impacted the driver's side of Unit 2. Unit 2 eventually came to rest slightly north of the intersection. I looked around Unit 2's vehicle. I saw that there were large dents and scratches along the driver and passenger side front of the vehicle. There was also some damage on the front end of the vehicle with some damage hanging from under the front hood area. Unit 2's driver stated that he only had one passenger in the front right seat of the convertible. Both Unit 2's driver and front passenger stated they were both wearing their seatbelts and were not injured. I also saw that none of their airbags deployed. I was then able to speak to Unit 1's driver. She spoke some English. She appeared to know a female in the crowd of people that gathered near the accident, and she assisted in translating some parts of our conversation to Spanish. My conversation with Unit 1's driver is summarized as follows: Unit 1's driver stated she was in the southbound lanes of Edmonds Ave NE preparing to head eastbound on NE 9th P1. She said that she began to turn and saw that Unit 2 was traveling northbound on Edmonds Ave NE at a high rate of speed. Unit 1's vehicle then impacted Unit 2. Unit 1 eventually came to rest on a nearby fire hydrant on the NE corner of the intersection. I looked around Unit 1's vehicle. I saw that there were large dents and scratches along the front passenger side of the vehicle. There was also some damage on the underside of the vehicle. Unit 1's driver was the only occupant of the vehicle. She said that she was wearing her seatbelt. I also noticed that none of her airbags were deployed. She indicated that she had some small pain or dizziness and motioned toward the back of her head. She declined aid at the scene and said she felt fine. Unit 1 also did not have any insurance to provide me. I observed the fire hydrant that Unit 1 had struck. It did not appear that the hydrant was damaged in any way. I also saw that the nearby stop sign that indicates westbound traffic from NE 9th PI to stop was broken. It was unclear which Unit struck the stop sign. I called Gene Meyer Tow for both vehicles as they were undrivable. I advised both drivers to wait on the scene for the tows to arrive. Based on the fact that Unit 1 was unable to provide me with current insurance, I found reasonable PAGE 3 OF 5 REPORT NO.` EE92141 CASE# 24-5977 O COLLI COLLISION TIME OF 06/05/24 19:27 COLLI NARRATIVE cause to cite the driver of Unit 1 for RCW 46.30.020 -Operating motor vehicle without insurance. I issued her an infraction and forwarded it to the prosecuting attorney's office to be mailed to her (Reference SECTOR Infraction: 4A0359548). A City of Renton incident report was created for the damaged stop sign. It appears that Unit 1 was the proximate cause of the collision. This concludes my report. I certify (declare) under penalty of perjury under the laws of the State of Washington that the foregoing is true and correct. Signature: Ryan Rivera (#12649) Date and Place: 06/06/2024 @ Renton, WA PAGE 4 OF 5 REPORT NO. EE92141 CASE# 24-5977 DATE AND TIME i 06/05/24 19:27 OF COLLISION #24-5977 of Drawri to Scale* a 1l Resting Sol tivr a esting Spot U1 y � y PAGE 5 OF 5