Press Alt + R to read the document text or Alt + P to download or print.
This document contains no pages.
HomeMy WebLinkAbout24-6785 IT si " II IIIII III IIIII II IIII IIIII I . 27c REPORT NO EE94097OLCERA
COLLISION REPORT 1591971
CASE# 24-6785 2
INTERSTATE CITY STREET FIRE I
RESULTEDSTOLENSTATE ROUTE OTHER VEHICLE LOCCOAGENCY 4100 3
HIT&RUN CODING
COUNTY RD PRIVATE WAY ❑ INVOLVED
2 TOTAL#OF OBJECT 1 1 s 28
TRIBAL UNITS 02 STRUCK
RESERVATION : 2
3n M M D D Y Y Y Y TIME(2400) COUNTY# MILES CITY#
eaCL s o v' 06 - 27 - 2024 1002 17 =.[� S 8 W e OF IN e 1070 3
4❑ ON (PRIMARY TRAFFIC WAY) INTERSECTION ❑✓ NON INTERSECTION ❑
BURNETT AVE SOUTH BLOCK NO. e 400 .�
4a❑ MILE POST
❑ DISTANCE OF(REFERENCE OR CROSS STREET)
5 . FEET e S 8 W e SOUTH 4TH STREET
OF 4 29
MOTOR PEDAL- DAM G THRESHOLD MET PHONE
UNIT 01 VEHICLE ❑ CYCLE ❑ YES'Vl No D:2068543922 0 1 30
6 LAST NAME SUAREZ ORTIZ FIRST NAME ZULY MIDDLE A 1 1 2 31
INITIAL
STREET Q 1455 S PUGET DR APT.H2O3 CITY; RENTON ST WA ZIP; 980558858 2
NEW ADDRESS
7� +CDL IGN(TIUN REQUIRED IGNITION PRESENT MEDICAL TRANSPORTED. 3
INTERLOCKYEs NO�/ INTERLOCKVEs NO�/ YEs NO�/
8 DRIVER # STATE WA SEXI F MMDDYY' 10 — 22 — 1997 1 2 32
9 ON DUTY❑ STATUS' AIRBAG 2 RESTR 4 EJECT 1 HELMET
2 CLASSY',1 [NATURE of INJURIES 2
LICENSE, CKG5818 STATE WA VIN#; JMIBLIVG4BI480410 3
10 Fl I as ATP tt
TRAILER STATE TRAILER STATE
11 2 5 PLATE# PLATE# FROM To
TRLR TRLR 5 7 33
12 2 5 VIN#'. VIN#:
FROM TO
13 2 VERYEAR2011 MAKE MAZD MODEL MAZDA3 STYLE 4D DAMAGETOYED NO�iS46LIN T�yYEp-QYrETOW GES❑ENO-/ 1 5 34
DAMAGE IIII._IIII FC/VA
REGISTERED OWNER INFO OWNED BY DRIVER VEHICLE NO. 1
SHADE IN DAMAGED AREA 35
2
14 2 LIABILITY INSURANCE❑ NSURANCE CO
IN EFFECT &POLICY#
LewcLe CHARGE 80TTOM 36
15
STMG YES[:]".[] CITATION# 4A0344200,4A034420Q NO VALID OPER LICENSE WITH s e
MOTOR PEDAL- PEDESTRIAN PROPERTY DAM THR OLD MET PHONE
UNIT VEHICLE ❑ CYCLE ❑ ❑ nWNRR D:2533448224
16�
LAST NAME GALAN MUJO FIRST NAME ALEJANDRA MIDDLE L
INITIAL
17 F1 STREET ❑❑ 37 16720 196TH AVE SE CITY RENTON ST, WA ZIP 980580800 4
NEW ADDRESS
1g❑ CDL IGNITION REQUIRED IGNITION PRESENT MEDTCAL TRANSPORTED 38
INTERLOCKYEs NO INTERLOCK YES N-F,4YES NO
19 DRIVER'S STATE WA SEX F I D.O B, 10 20 1991 39
LICENSE# MMDDYY —
20❑ ON DUTY❑ STATUS AIRBAG 2 RESTR 4 EJECT 1 HELMET 2 INJURY 6 NATURE OF INJURIES 40
USE CLASS C/O LEFT ARM PAIN.EVAL'D BY RRFA
21 LICENSLATE# 9BIV910 TATE CA VIN# 1G1ZD5ST6NF163118 41
22❑ PLATE# STATE PLATE# STATE 42
23 TRLR r RLR 43
UIN#. 'IN#
VEH.YEAR 2022 JAKE CHEV MODEL CRUZE STYLE 4p VEHICLE TOWED TO BLIN
TOWED BY GOV HI 44
24 DAMAGE YES NO VES NO
REGISTERED OWNER INFO EAN HOLDINGS LLC 14002 E 21ST ST STE 1500 TULSA OK 74134 VEHICLE NO.2
SHADE DAMAGED AREA
3 4
LIABILITY INSURANCE[Z INSURANCE CO NEVADA DMV SELF-INSURED SI.123
IN EFFECT &POLICY#YES❑ NJI CITATION# CHARGEUR
25
OFFICER'S NAME(PRINT) OFFICER PHONE BADGE OR ID# AGENCY
26
MATTHEW NUGENT 11498 WA0171300
PAGE 01 OF
PART A 3000-345-189(R 11/18)
STATE OF
POLICETRAFFICN CORRECTION REPORT NO. EE94097
COLLISION REPORT III III III III III 111
1591972 CASE# 24-6785
E NA ADDITIONAL PERSONS INVOLVED(PASSENGERS AND/OR WITNESSES ONLY)
M
(LAST,FIRST,MIDDLE INITIAL) BETANCOUXT ANLLIMAY
ADDRESS&PHONE#
1455 S PUGET DR APT.#H2O3 RENTON WA 98500 SEXi F MMDDD B. 11 — 24 — 2013
PASSENGER WITNESS UNIT# SEAT AIRBAG RESTR. EJECT HELMET INJURY NATURE OF INJURIES
1 POS. 11 2 10 1 USE 2 CLASS 1 ---�
:NAME
Lnsr EIRST,MIDDLE INITIAL) BETANCOUXT JHONNY
ADDRESS R PHONE# D�B
1455 S PUGET DR APT.#H2O3 RENTON WA 98055 SEX'' M MMQavvvr 08 _ 30 _ 2017
SEAT HELMET INJURY NATURE OF INJURIES
PASSENGER a WITNESS UNIT# 1 POS. 11 AIRBAG 2 RESTR. 4 EJECT 1 USE 2 CLASS 1 ----�
:NAME
(LOST,FIRST,MIDDLE INITIAL)
ADDRESS&PHONE#
SEX/ MMDDYYYY D.O.B. -C�
PASSENGER WITNESS UNIT# SEAT AIRBAG RESTR. EJECT HELMET NJURY NATURE OF INJURIES
POS. I 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 07-01-24 11:05 AM
INVESTIGATING OFFICER'S SIGNATURE UNIT OR DIST.DET DATED PLACE SIGNED
APPROVED BY DATE
M.LEVERTON 2517 1 7/9/2024 11:28:44 AM
BADGE OR ID# j 11498 ORI# WA0171300 TIME POLICE DISPATCHED 10:04 AM TIME POLICE ARRIVED i 10:04 AM
PAST B 3 Do-3mx-attar(t 1Mff) PAGE 2�OF
REPORT NO. EE94097 CASE# 24-6785 DATE OF COLLI r�510NN + 06/27/24 10:02
L1
NARRATIVE
24-6785
On 06/27/2024 at approximately 1004 hours, I was dispatched to a blocking vehicle collision with
reports of injury at the intersection of Burnett Ave South and South 4th Street, within the City Limits of
Renton, County of King, State of Washington.
Upon my arrival, I determined that one of the involved parties (driver of Unit#2) was complaining of
left arm pain. The Renton Regional Fire Authority (RRFA) had been simultaneously dispatched at the
time of call and later arrived on scene for evaluation. While on scene, I collected each of the involved
party's driving information and their independent recollection of the events leading up to the collision.
The driver of Unit#1 stated that she and her two (2)juvenile passengers were traveling northbound in
about the 400 block of Burnett Ave South approaching the controlled intersection of S. 4th Street. The
driver of Unit#1 stated she intended to turn westbound onto S. 4th Street at the intersection. The
driver of Unit#1 stated that her traffic light was green and that she believed traffic was clear for her to
proceed. The driver of Unit#1 admitted to seeing Unit#2 traveling in the southbound lanes of Burnett
Ave South which Unit#1 needed to traverse across, however, the driver of Unit#1 stated she
believed she had time to complete the turn. The driver of Unit#1 later stated that the driver of Unit#2
appeared to be speeding and on her cell phone while driving. The driver of Unit#1 stated that both
vehicles collided in the intersection causing moderate damage to the rear passenger side of Unit#1,
including wheel bearing and possible axle damage.
The driver of Unit#2 said she was the sole occupant of her vehicle and was traveling southbound in
about the 300 block of Burnett Ave South approaching the controlled intersection of S. 4th Street in
lane 2 of 2. The driver of Unit#2 stated she was intending to continue south through the intersection.
The driver of Unit#2 stated she had a green light and as she continued going straight ahead through
the intersection, the driver of Unit#2 saw Unit#1 turn in front of her vehicle. The driver of Unit#2
stated she was unable to avoid the collision and both vehicles collided causing moderate damage to
the front of Unit#2. The driver of Unit#2 complained of left arm pain and stated she would follow-up
with her doctor at a later date/time.
Upon a DOL records check, it was determined that the driver of Unit#1 (Suarez Ortiz) was listed as
Not Licensed - Eligible. Suarez Ortiz violated RCW 46.20.015 by Driving without a Valid Operators
License with valid Identification. Suarez Ortiz also admitted to not having vehicle insurance.
Based on the above statements, I determined that the Driver of Unit#1 (Suarez Ortiz) was the
predominant factor for the collision due to not granting the right of way during a left turn causing a
collision. The driver of Unit#1 violated RCW 46.61.185(1) by being the driver of a vehicle intending to
turn to the left within an intersection and not yielding the right-of-way to any vehicle approaching from
the opposite direction which is within the intersection or so close thereto as to constitute an
immediate hazard. The driver of Unit#1 (Suarez Ortiz) did not grant the right of way to Unit#2
traveling in the roadway which had the right of way and was already underway. Due to Unit#1 having
to traverse across oncoming traffic, the driver of Unit#1 must wait until the intersection is clear of
hazard prior to proceeding.
I cited the driver of Unit#1 (Suarez Ortiz) in-person for Failing to Yield the Right of Way during a left
turn and for NVOL-with ID. See Citation #4A0344200 for additional details. I issued Suarez Ortiz a
written warning for Operating a Motor Vehicle without Insurance.
Unit#1 had to be impounded due to extensive damage. Unit#2 was moved off the roadway where
the owner stated she would make other arrangements for tow. An exchange of information was
provided to all involved parties.
PAGE 3 OF 5
REPORT NO. EE94097 CASE# 24-6785 DATE OF COLLI r�510NN + 06/27/24 10:02
L1
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 10:40 AM 7/1/2024 Renton, King County, WA.
PAGE 4 OF 5
REPORT NO. EE94097 CASE# 24-6785 DATE AND TIME 06/27/24 10:02
OF COLLISION
a
i
s ,
ram not to s '
j
:T.��,,°p ...
PAGE 5 OF 5