HomeMy WebLinkAbout25-1307 ITFF' "POLCERA II I !�� I III I III I IIII III II I . 0 27c
COLLISION REP FIT 1591971
CASE 25-1307 z
INTERSTATE ❑ CITY STREET FIRE ❑RESULTED
1 STOLEN
STATE ROUTE ❑ OTHER ❑ VFHICI 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# ❑
COLLISION'. 02 - 10 - 2025 0855 17 ❑.❑ S 8 W H OF e 1070 3
4❑ ON (PRIMARY TRAFFIC WAY) INTERSECTION ❑ NON INTERSECTION ❑✓
MAPLE VALLEY HWY BLOCK NO. e✓ 3500
4a❑ MILEPOST
DISTANCE OF(REFERENCE OR CROSS STREET)
5❑ ❑ FEET e S ❑ W e 2 0 29
MOTOR PEDAL- DAMAGE THRESHOLD MET PHONE
UNIT 01 VEHICLE ❑ CYCLE El
NO D:2069926003 0 11
30
6� LAST NAME THOMPSON FIRSTNAME MAYA MIDDLE J 1 1 2 31
INITIAL
STREET ❑, 14703 SE 184TH PL CITY RENTON ST WA 2jp, 980589325 z
NEW ADDRESS
7❑ CDL IGNITION REQUIRED IGNITION PRESENT MEDICAL TRANSPORTED 3
iNTERLOCKYEs NO INTERLOCKYEs NO YES R NO
8❑ LRIIVER #
ON DUTY❑ STATUS AIRBAG 6 RESTR 4 EJECT 1 HELMET
2 CLASS 1 NATURE OF INJURIES z❑
3
10 9❑ PI aT�S11 B062869 sTArI WAvIN# JM16N1L75H1141564
TRAILER STATE PLAILER
TE
STATE
11 4 0 PLATE# PLATE# FR.. ro
TRLR. TRLR 7 3 33
12 4 VIN#' VIN#
>;. FROM TO
❑ VEH.YEAR MAKE MODEL STYLE VEHICLE TOWED TO BLIN T GOVT.VEHICLE 3 7 34
13 2 2017 MAZE) 3 DAMAGE vEs 0NO f �LAWkkRS TOWING vEs❑ No
REGISTERED OWNER INFO KERI THOMPSON 14703 SE 184TH PL RENTONWA 98058 VEHICLE NO. 1 ❑
SHADE IN DAMAGED AREA 35
14 LIABILI VINSURANCE INSURANCE CO AMERICAN FAMILY INSURANCE A103181405 4
IN EFFECT &POLICY# 9TOP
VEHICLE CHARGE 5 36
LEGALLY YES❑NO❑ CITATION# BOTTOM
15❑ STANDING 6
MOTOR PEDAL- PEDESTRIAN PROPERTY DAM THR OLD MET PHONE
UNIT VEHICLE ❑ CYCLE ❑ ❑ : OWNER ❑ YES 1/ NO D:2062754825
16 2
LAST NAME BACA FIRST NAME LORI MIDDLE R
INITIAL
17❑ STREET ❑', 22327 116TH AVE SE CITY' KENT ST WA ZIP 980312306 37
NEW ADDRESS ❑
18� CDL IGNITION REQUIRED IGNITION PR—E-1SENT MEDICAL TRANSPORTED 38
INTERLOCKYES�NOR INTERLOCK YEs It I NOF YES
t t— l NO❑
19 LDIIVEW # STATE WA ]SEX IF MMDDW 07 11 1974 39
H USE CLASS
NJAURSY CHEST AND ANKLE INJURY 40
20 F ON DUTY STATUS AIRBAG 6 RESTR 4 EJECT 1 2 6
21❑ LICENSE I CDW6331 TAre WA vIN# KNAGN4AD1E5068565
❑ 41
PLATE#
42
22❑ PLATE# STATE TILER PLATE# STATE
23❑ VIN#. 43
TRLR RLR
'IN#.
VEH YEAR 2014 MAKE KJA MODEL OPTIMA STYLE SD VEHICLETOWED TO BLIN TOWED BY GOV HI 44
24= DAMAGE YES NO BANKERS TOWING YES NO
REGISTERED OWNER INFO LORI BACA 22327116TH AVE SE KENT WA 98031 VEHICLE NO.2
SHADE DAGED AREA
4
LIABILITY INSURANCE INSU&PORGY#E CO HORACE INSURANCE 46-879300050 STOP
IN EFFECT
- 5
VE""LE ❑ ,J� CITATION# CHARGE I BOTTOM
LEGALLY YES N 6
25 7CA
NAME(PRINT) OFFICER PHONE BADGE OR ID# AGENCY
J
26LAN 12007 WA0171300
PART A PAGE 01 OF
3000-345-159 OR 11/181
STATE OF
POLICETRAFFICN CORRECTION REPORT NO. EF66457
COLLISION REPORT III III III III III 111
1591972 CASE# 25-1307
ADDITIONAL PERSONS INVOLVED PASSENGERS AND/OR WITNESSES ONLY)
NAME MIDDLE INITIAL) FOUCHE ANDREW
(IAST FIRST,
ADDRESS&PHONE#
RENTON RENTON WA 98055 4252435369 SEX M MMDOYyry 06 - 12 - 1979
PASSENGER WITNESS UNIT# SEAT : AIRBAG RESTR. EJECT ' HELMET INJURY NATURE OF INJURIES
❑ ❑✓ POS. USE CLASS
NAME
(LAST,FIRST,MIDDLE INITIAL) LUZOLO SERGE
ADDRESS&PHONE# D O B
RENTON RENTON WA 98055 2064769157 SEX: M MMDDYvvv 09 - 29 - 1972
PASSENGER UNIT# SEAT AIRBAG RESTR. EJECT HELMET INJURY NATURE OF INJURIES
[]WITNESS POS. USE CLASS
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.
C.CATALAN 02-10-25 10:06 AM
INVESTIGATING OFFICER'S SIGNATURE UNIT OR DIST DET DATED PLACE SIGNED
APPROVED BY DATE
C.JACOBS 1953 1 2/13/2025 2:49:58 PM
BADGE OR ID# 1Y007 ORI# WA0171300 TIME POLICE DISPATCHED', 8:56 AM TIME POLICE ARRIVED',9:01 AM
PART I PAGE IT]OF 4�
REPORT NO. EF66457 CASE# 25-1307 OF COLLISION
02/10/25 08:55
OF CbLLI510N
NARRATIVE
On February 10, 2025, at approximately 0855 hours, I was dispatched to an unknown-if-injury vehicle
collision at the intersection of Maple Valley Hwy and Maplewood PI SE, within the City Limits of
Renton, County of King, State of Washington.
Upon my arrival, 1 observed heavy mechanism to the involved vehicles with airbag deployment as
well as both of the involved parties complaining of pain. The Renton Regional Fire Authority (RRFA)
responded to the scene for evaluation. While on scene, I collected each of the involved party's driving
information and their independent recollection of the events.
*It is important to note that the driver of unit 2 had to be extracted from their vehicle. They were
transported to Valley Medical for chest and ankle injuries.
The driver of Unit 1, identified by her WADL as Maya Thompson, said she was traveling eastbound in
about the 3500 block of Maple Valley Hwy and had just passed Maplewood PI SE in lane 2 of 1.
Maya believes she fell asleep behind the wheel and veered left onto the westbound lanes. Maya
stated that she didn't sleep well. Unit 1 and Unit 2 collided in westbound lane 1 of 2 causing moderate
severe damage to the front of Unit 1.
The driver of Unit 2, identified by her WADL as Lori Baca, said she was the sole occupant of her
vehicle and was traveling westbound in about the 3500 block of Maple Valley Hwy approaching the
intersection of Maplewood PL S in lane 1 of 2. Lori stated she was intending to continue straight when
Unit 1 veered into oncoming traffic, and into lane 1 of 2 which Unit 2 was occupying. Lori was
ultimately unable to avoid the collision and Unit 1 subsequently collided with Unit 2. Unit 2 suffered
severe damage to the front of the vehicle due to the collision.
Two independent witnesses, identified as Andrew Fouche and and Serge Luzolo, remained at the
scene. Both confirmed the above statements claiming that Unit 1 veered into the westbound lanes
into Unit 2.
The driver of Unit 1 (Maya) was not paying attention to traffic in front of her. Maya violated Renton
Municipal Code (RMC) 10-12-25 -Inattentive Driving which is defined as any person to drive a motor
vehicle on any public highway, street, alley, or road in an inattentive manner in the City of Renton.
"Inattentive manner" in this section means 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.
(Ord. 4462, 7-25-94, eff. retroactive to 7-1-94; Ord. 5635, 11-14-11).
Based on the above statements, 1 determined that the Driver of Unit 1 (Maya) is the proximate cause
for the collision due to inattention causing a collision.
I gave maya a verbal warning for Improper Lane Usage causing a collision.
Both Unit 1 and Unit 2 required a tow due to extensive damage. An exchange of information was
provided to all involved parties.
PAGE 3 OF 4
REPORT NO. EF66457 CASE# 25-1307 DATE AND TIME 02/10/25 08:55
OF COLLISION
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