HomeMy WebLinkAbout24-10186 iiTFiNII IIIII III IIIII II IIII IIIII I . 27c REPORT NO EF22173oc� RA COLLISION REPORT 1591971 CASE# 24-10186 2 INTERSTATE CITY STREET FIRE I RESULTEDSTOLENSTATE ROUTE OTHER VEHICLE LOCALANG 4200 3 HIT&RUN CODING COUNTY RD PRIVATE WAY INVOLVED 2 TOTAL#OF OBJECT 1 s 28 TRIBAL UNITS 02 STRUCK RESERVATION : 1 1 2 3� M M D D Y Y Y Y TIME(2400) COUNTY# MILES CITY# eaCL s on' 09 - 29 - 2024 1356 17 =.= S 8 W e OF IN e 1070 s 4❑ ON (PRIMARY TRAFFIC WAY) INTERSECTION ❑ NON INTERSECTION ❑✓ BLOSERENTON-ISSAQUAH MILE POT e 14600 .� 4a❑ MILE POST ❑ DISTANCE OF(REFERENCE OR CROSS STREET) 5 400 00 FEET e✓ S 8 W e 148TH AVE SE 0 1 29 MOTOR ✓ PEDAL- DAM AG THRESHOLD MET PHONE UNIT 01 VEHICLE ❑ CYCLE ❑ YEs Vl No D:2532633373 0 8 30 5 LAST NAME EMGE FIRST NAME HANNAH MIDDLE L 1 1 2 31 INITIAL STREET ❑ 317 E TITUS ST CITY; KENT I ST WA ZIP; 98030 2 NEW ADDRESS 7❑ CDL IGNITION REQUIRED IGNITION PRESENT MEDICAL TRANSPORTED 3 INTERLOCKYEs NO✓ INTERLOCKYEs ND✓ YES No�/ 8❑ DRIVER # STATE WA SEXI F MMDDYY' 10 - 18 - 1997 1 2 32 -NJUR 9 ON DUTY STATUS' AIRBAG 2 RESTR 4 EJECT 1 HELMET 2 CLASSY 1 [NATURE of INJURIES 2 LICENSE, CKA2785 STATE WA VIN# JF2SJAAC5FH800180 3 10 Fl I as ATP tt TRAILER STATE TRAILER STATE 11 0 0 PLATE# PLATE# ROM To TRLR rRLR. 7 1 3 33 12 0 0 VIN#' VIN# FROM TO 13 2 VEH.YEAR2015 MAKE SUBA MODEL FOREST STYLE SV VEHICLETOWED2TOIyS46LIN ajWgYMEYERS VEHICLE✓ 9 9 34 DAMAGE IIII._IIII REGISTERED OWNER INFO OWNEDBYDRIVER VEHICLE NO. 1 SHADE IN DAMAGED AREA 35 2 LIABILITY INSURANCE INSURANCE CO 4 14 NATIONAL GENERAL 2023724056 IN EFFECT &POLICY# 9TOP VEn" CHARGE 5 36 Lec Ly YES❑NO❑ CITATION# t a 80TTOM 15❑ STANDING 7 e MOTOR ✓ PEDAL- PEDESTRIAN PROPERTY DAM THR OLD MET PHONE UNIT 02 VEHICLE CYCLE nWNFR D:2065513920 16� LAST NAME SERENA MARTINEZ FIRST NAME RUTH MIDDLE ,/ INITIAL 17 F1 STREET ❑ 4308 NE 24TH ST CITY RENTON ST, yyq ZIP 98059 4 37 NEW ADDRESS ❑ 18 IGNITION REQUIRED IGNITION PRESENT MEDICAL TRANSPORTED 38 CDL INTERLOCKYES No✓ INTERLOCK YEs NO✓ ves No✓ 19 DRIVER'S MMDDYY I I — 20❑ ON DUTY❑ STATUS AIRBAG 2 RESTR 4 EJECT 1 H ET 2 INJURY 1 NATURE OF INJURIES 40 21 LICENSE BAH8811 TATE WA VIN# JTLKT334854017181 41 22❑ PLATE# STATE PLATE# STATE 42 23 TRLR r RLR 43 UIN#. 'IN# VEH.YEAR 2005 MAKE TOYT MODEL $(,/Qi1J STYLE $�/ VEHICLE TOWED TO BLIN TOWED BY GOV HI 44 24 DAMAGE YES �/ No GENE MEYERS ves No✓ REGISTERED OWNER INFO OWNED BY DRIVER VEHICLE NO.2 SHADE IN DAMAGEAREA 2 3 LIABILITY INSURANCE INSURANCE CO NATIONAL GENERAL 2021529720 IN EFFECT &POLICY# 9TOP V—L ,J—I CITATION# CHARGE to BOTTOM LEGA�Y YES N`[ 25 a s OFFICER'S NAME(PRINT) OFFICER PHONE BADGE OR ID# AGENCY 26 WILLIAM RIDGEWAY 12500 WA0171300 PAGE 01 OF PART A 3000-345-189(R 11/18) STATE OF POLICETRAFFICN CORRECTION REPORT NO. EF22173 COLLISION REPORT III III III III III 111 1591972 CASE# 24-10186 E NA ADDITIONAL PERSONS INVOLVED(PASSENGERS AND/OR WITNESSES ONLY) M (LAST,FIRST,MIDDLE INITIAL) EMGE SMITH JAMARI D ADDRESS&PHONE# 317 E TITUS ST KENT WA 98030 SEX i U MMDDDYBYYY PASSENGER WITNESS UNIT SEAT AIRBAG RESTR. EJECT HELMET INJURY NATURE OF INJURIES z � 1 POS. 9 6 11 1 USE 1 2 CLASS i 1 ----� :NAME Lnsr EIRST,MIDDLE INITIAL) i BERANZA ROSAS ISRAEL ADDRESS R PHONE# D�B 4308 NE 24TH ST RENTON WA 98059 2069318404 SEX'' M MMDavvvr 08 _ 24 _ 1980 SEAT HELMET INJURY NATURE OF INJURIES PASSENGER a WITNESS UNIT# 2 POS. ' 3 AIRBAG 2 RESTR. 4 EJECT 1 USE 2 CLASS 1 ----� NAME MIDDLE INITIAL) MARTINEZ ROSAS NICOLASA (LAST,FIRST, AQQREss a PHONE# 4308 NE 24TH ST RENTON WA 98059 2065513920 SEX} F D,O.B. 11 1_M_ 1949 MMDDYYYY PASSENGER WITNESS UNIT# 2 SEAT 7 AIRBAG 2 RESTR. 4 EJECT 1 HELMET 2 INJURY' 1 NATURE OF INJURIES a 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. WILLIAM RIDGEWAY 09-29-24 04:58 PM INVESTIGATING OFFICER'S SIGNATURE UNIT OR DIST.DET DATED PLACE SIGNED APPROVED BY DATE DESIRES SCOTT 10272 10/7/2024 11:32:50 AM BADGE OR ID# 12500 ORI# WA0171300 TIME POLICE DISPATCHED 1 2:06 PM TIME POLICE ARRIVED i 2:15 PM PART B a Do-3m5-attar(t 1Mff) PAGE F2 --]OF 4 REPORT NO. EF22173 CASE# 24-10186 OF DATE AND r�N + 09/29/24 13:56 O�COLLISION NARRATIVE 24-10186 At about 1406 hours on 09/29/2024, 1 was dispatched to an accident with injuries that occurred at NE Sunset Blvd and 145th PL SE in the City of Renton, King County, Washington. Upon arrival, FIRE was on scene and stated all parties involved did not require medical transport. All parties were told they would be recorded. Unit 1 was a green 2015 Subaru Forester (CKA2785/WA). Unit 1 was driven by the registered owner: Hannah L. Emge (DOB:10/18/1997-verified by WADL photo). Hannah had her child: Jamari D. Emge -Smith (DOB:06/04/2023) in the rear pass seat (car seat). No injuries were reported. Both had seatbelts. Hannah said it was her fault and that she thought traffic was still going and did not realize Unit 2 was still stopped, when she rear ended them. Hannah said she was traveling eastbound on Sunset about 35mph, when she tried to hit the brakes, but they locked up, so she veered to the right, to minimize the impact. When asked if there were any other contributing factors, she said no. I observed heavy damage to the front end of Unit 1. Photos were taken and uploaded. Unit 1 was not drivable, and Gene Meyers Tow provided a private tow. Unit 2 was a green 2005 Toyota Scion (BAH8811/WA). Unit 2 was driven by the registered owner: Ruth J. Serena-artinez (DOB:02/10/1985-verified by WADL photo). Inside Unit 2 was her husband: Israel Beranza-Rosas (DOB:08/24/1980) who was in the front passenger's seat and her mother: Nicolasa Martinez-Rosas (DOB:11/26/1949) who was in the rear driver's side seat. All parties complained of neck and back pain. All parties were wearing their seatbelts. According to Ruth, she was stopped behind traffic at a red light on Sunset and 148th Ave SE. The cars in front of her were starting to go, when she was still stopped, and rear ended by Unit 1. Israel said he saw Hannah with a cell phone in her hand when Unit 1 passed by them and veered to the right off the roadway. I observed heavy damage to the rear passenger's side corner of the vehicle, which bent metal into the rear tire, making the vehicle unable to drive. Gene Meyers Tow provided a private tow. Both parties had valid insurance information. 1 provided both parties with an exchange of information form and business cards. Both had people on scene to take them home. This concludes my involvement in this case. I declare under penalty of perjury under the laws of the State of Washington that the foregoing is true and correct. Electronically signed by W. Ridgeway#12500 on 09/29/2024 at 1653 hours in Renton, Washington. PAGE 3 OF 4 REPORT NO. EF22173 CASE# 24-10186 DATE AND TIME 09/29/24 13:56 OF COLLISION {t t 3 t �F A A 1 tTS t �xF F v RF �e �1 4P Z f t PAGE 4 OF 4