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HomeMy WebLinkAbout24-8041 ITFF' "POLCERA II I !�� I III I III I IIII III II I . 1 27c
COLLISION REP FIT 1591971
SASE 24-8041 2
INTERSTATE ❑ CITY STREET FIRE ❑
RESULTED
1 STOLEN
STATE ROUTE ❑ OTHER ❑ VFHICI F ❑ LOCAL AGENCI 4900 3
HIT&RUN CODING
COUNTY RD PRIVATE WAY INVOLVED
2 TOTAL#OF OBJECT 1 1 8 28
TRIBAL UNITS OS STRUCK
RESERVATION
z
3❑ DATE OF M M D D Y Y Y Y TIME(2400) COUNTY# MILES N E IN CITY# ❑
CowsloN 07 - 1-- 2024 1727 17 ❑.= S 8 IN e 1070 3
4❑ ON (PRIMARY TRAFFIC WAY) INTERSECTION ❑ NON INTERSECTION ❑✓
SW GRADY WAY BLOCK NO. e✓ 1200
4a❑ MILEPOST
DISTANCE OF(REFERENCE OR CROSS STREET)
5❑ 345 00 FMILES EET e S ❑ W e OAKESOALE AVE SW
0 1 29
MOTOR PEDAL- DAMAGE THRESHOLD MET PHONE
UNIT 01 VEHICLE ❑ CYCLE El
�/No D:8053368740 0 7 30
5 LAST NAME I BARQUERO MONTOYA FIRST NAME NOEL MIDDLE A 1 1 2 31
INITIAL
STREET El 13036 AMBAUM BLVD SW CITY BURIEN ST WA ZIP, 981463155 z
NEW ADDRESS
7❑ CDL IGNITION REQUIRED IGNITION PRESENT MEDICAL TRANSPORTED 3
INTERLOCK YES NO 1/ I INTERLOCK YES NOF,/ YES R NO
8❑ DRIVERS
# STATE WA SEXI M MD- 04 - 30 - 1982 1 2 32
9 ON DUTY❑ STATUS AIRBAG 2 RESTR 4 EJECT 1 HELMETU SE CLASS 1 NATURE OF INJURIES z❑
3
10❑ Pi ATNES# A7463484 sTAr WAu N# 5J6RM4H59Ct 007643
TRAILER STATE TRAILER STATE
11 3 5 PLATE# PLATE# FROM TO
TRLR. TRLR 7 3 33
12 3 5 VIN#' VIN#
>; FROM TO
❑ VEH.YEAR MAKE MODEL STYLE VEHICLE TOWED TO BLIN T GOVT.VEHICLE g 9 34
13 4 2012 HOND CR-V EX SV DAMAGE vEsNo �LII� RS YES❑ No
REGISTERED OWNER INFO OWNEDBYDRIVER VEHICLE NO. 1
SHADE IN DAMAGED AREA ❑ 35
14 LIABILI INSURANCE INSURANCE CO BRISTOL WEST G0149203400 4
IN EFFECT &POLICY# TOPVEHICLE CHARGE 36
LEGALLYYEs❑NO❑ CITATION# 4A0612100 INATTENTIVE DRIVING <1�3
orrow
15❑ STANDING 7 6
MOTOR PEDAL-: PROPERTY DAM THR OLD MET PHONE
UNIT 02 VEHICLE CYCLE ❑ PEDESTRIAN ❑ OWNER 711
YES 1/ NO DD 2 0622 708 74
16 a
LAST NAME OROSOO FIRST NAME TSEDENJAV MIDDLE
INITIAL
17❑ STREET ❑', 25223 168TH PL SE CITY COVINGTON ST WA ZIP 980425246 37
NEW ADDRESS ❑
18� CDL IGNITION REQUIRED IGNITION PtR-E-S1ENT MEDICAL TRANSPORTED 38
INTERLOCK YEs❑No� INTERLOCK YEs I I NOF YES
t l NO
�
19 LICENSE#DRIVER'S STATE WA SEX MMDC7YY
M D.O.B. 05 _ 02 _ 1978 39
WELMET INJURY1 NATURE OF INJURIES 40
20❑ ON DUTY STATUS AIRBAG 2 RESTR 4 EJECT 1 USE CLASS ❑
21❑ LICENSE I CCW0793 TAre WA VIN# JTDZN3EUOD3286426
❑ 41
PLATE#
42
22❑ PLATE# STATE PLATE# STATE
TRLR
23❑ VIN#. IN#. 43
RLR
'
VEH YEAR 2013 MAKE TOYT MODEL PRIUSV STYLE 4H VEHICLE TOWED TO BLIN TOWEDBY GOV HI �44
L4❑ DAMAGE YES NO YES NO
REGISTERED OWNER INFO TSETSEGDULAM NAMSRAI 25223168TH PL SE COVINGTON WA 98042 VEHICLE NO.2
SHADEDAMAGEbAREA
s Cd
LIABILITY INSURANCE INSU&PORGY#E CO SAFECO INSURANCE A3507687 STOP
IN EFFECT
'E""LE CITATION# CHARGE to BOTTOM
LEGALLY YES N�1 1 -T
25❑ =UGENT
PRINT) OFFICER PHONE BADGE OR ID# AGENCY
26 11498 WA0171300
PAGE 01 OF
PART A
3000-345-159 OR 11/181
STATE OF
POLICETRAFFICN CORRECTION REPORT NO. EF03714
COLLISION REPORT III III III III III 111
1591972 CASE# 24-8041
ADDITIONAL PERSONS INVOLVED PASSENGERS AND/OR WITNESSES ONLY)
NAME MIDDLE INITIAL) ZHAO PEIQIONG
(I.P.ST FIRST,
ADDRESS&PHONE#
1313 49TH ST NE AUBURN WA 980021220 2063704304 SEXi F MMDOYyrv1951
{� SEAT HELMET INJURY NATURE OF INJURIES
PASSENGER L,WITNESS❑ UNIT# 4 POS, 9 AIRBAG 2 RESTR. 4 EJECT 1 USE CLASS 6 NATURE K PAM
NAME
(LAST,FIRST,MIDDLE INITIAL) MATHEWS DAVID L
ADDRESS&PHONE# D O B
8634 44TH AVE S SEATTLE WA 981184902 2063342325 SEX M MM ,7YBv 03 _ 01 _ 1959
SEAT HELMET INJURY NATURE OF INJURIES
PASSENGER WITNESS UNIT# 5 POS 3 AIRBAG 2 RESTR. 4 EJECT 1 USE CLASS C/O BACK PAIN
NAME
(LAST FIRST,MIDDLE INITIAL) FOSTER NEIL P
AooREss&PHONE# 13806 SE 180TH STREET RENTON WA 98058 4255182669 SEX M M D•O•B• 04 _ 06 _ 1960
MDDYYYY
PASSENGER WITNESS UNIT# SEAT AIRBAG RESTR. EJECT HELMET INJURY 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 07-31-24 07:40 PM
INVESTIGATING OFFICER'S SIGNATURE UNIT OR DIST DET DATED PLACE SIGNED
APPROVED BY E
DAT
CO.JOHNSON 0505 8/9/2024 10:06:56 AM
BADGE OR ID# 11498 ORI# WA0171300 TIME POLICE DISPATCHED! 5:30 PM TIME POLICE ARRIVED 5:33 PM
PART I PAGE IT]OF 7�
TIME
REPORT NO. EF03714 CASE# 24-8041 OF COLLISION07/31/24 17:27
NARRATIVE
24-8041
On 07/31/2024 at approximately 1730 hours, I was dispatched to an unknown-if-injury 5-vehicle
collision at the intersection of SW Grady Way and Oakesdale Ave SW (just west of the intersection),
within the City Limits of Renton, County of King, State of Washington.
While en route, Dispatch advised that all involved vehicles were blocking one lane of travel. Sergeant
C. Johnson arrived on scene prior to me and determined there were minor complaints of injury and
therefore requested the Renton Regional Fire Authority (RRFA) respond for evaluation. All involved
parties were later evaluated by RRFA at the scene and released. There, I collected each involved
party's driving information and their independent recollection of their involvement leading up to the
collision.
The driver of Unit#1 said he was the sole occupant of the vehicle and was traveling eastbound in the
1200 block of SW Grady Way in lane 1 of 2 approaching the intersection of Oakesdale Ave SW. The
driver of Unit#1 stated he was traveling directly behind Unit#2 and had fallen asleep behind the
wheel. After having fallen asleep, Unit#1 made contact with the rear of Unit#2 causing significant
damage to the front of Unit#1.
The driver of Unit#2 said he was the sole occupant of his vehicle and was also traveling eastbound in
the 1200 block of SW Grady Way in lane 1 of 2 approaching the intersection of Oakesdale Ave SW.
The driver of Unit#2 stated he was stopped for traffic. While Unit#2 was stopped for traffic that had
queued, Unit#1 collided with the rear of Unit#2 causing moderate damage. Due to the initial impact,
Unit#2 was pushed forward into Unit#3 causing additional damage to the front of Unit#2.
The driver of Unit#3 said she was the sole occupant of her vehicle and was also traveling eastbound
in the 1200 block of SW Grady Way in lane 1 of 2 and was approaching the intersection of Oakesdale
Ave SW. The driver of Unit#3 stated she was stopped for traffic with the intent to continue east
towards the traffic light. While Unit#3 was stopped for traffic that had queued, Unit#2 collided with
the rear of Unit#3 causing moderate damage. Due to the initial impact, Unit#3 was pushed into Unit
#4 causing additional damage to the front of Unit#3.
The driver of Unit#4 said she and her three occupants (1 adult, 2 juveniles) were also traveling
eastbound in the 1200 block of SW Grady Way in lane 1 of 2 and were approaching the intersection
of Oakesdale Ave SW. The driver of Unit#4 stated she was stopped for traffic with the intent to
continue towards the traffic light. While Unit#4 was stopped for traffic that had queued, Unit#3
collided with the rear of Unit#4 causing moderate damage. The driver of Unit#4 stated his vehicle
was then pushed forward into the rear of Unit#5 causing additional damage to the front of Unit#4.
The driver of Unit#5 said she and her adult passenger were also traveling eastbound in the 1200
block of SW Grady Way in lane 1 of 2 and was approaching the intersection of Oakesdale Ave SW.
The driver of Unit#5 stated she was stopped for traffic with the intent to continue east towards the
traffic light. While Unit#5 was stopped for traffic that had queued, Unit#4 collided with the rear of Unit
#5 causing moderate damage.
Based on the above statements, I determined that the Driver of Unit#1 (Barquero Montoya) is the
proximate cause for the collision due to Inattentive Driving causing a collision.
Barquero Montoya was not paying attention to traffic in front of him. Barquero Montoya 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
PAGE 3 OF 7
TIME
REPORT NO. EF03714 CASE# 24-8041 OF COLLISION07/31/24 17:27
NARRATIVE
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).
I cited Barquero Montoya by mail for Inattentive Driving causing a collision.
Unit#1 and Unit#4 had to be towed due to extensive damage. All other involved vehicles were able
to be driven away without further incident. An exchange of information was 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.
Electronically signed by Officer F. LAST#11111 7:12 PM 7/31/2024 Renton, King County, WA.
PAGE 4 OF 7
SUPPLEMENTAL REPORT NO. EF03714
r`I POLICE TRAFFIC 1 1 8 27
COLLISION REPORT CASE# 24-8041
1 COMMERCIAL MOTOR CARRIER INTERSTATE INTRASTATE G
UNIT'# USL70T !CC# VEHICLE TYPE CARGO BODY
TYPE
2 ❑ 1 1 8 28
CARRIER
NAME
3 CARRIER
ADDRESS `❑
CITY ST' ZIP'
4 ❑ NAME # PLACARD: :❑
GI NAME IF NO NUMBER
SOURCE AXLES +
4a ❑ ADDITIONAL UNITS
MOTOR PEDAL- PROPERTY DAMAGETHRESHOLD MET PHONE
UNIT# 3 �✓ � PEDESTRIAN YES NO
5 VEHICLE CYCLE OWNER ✓ D:8052484301
0 7 29
LAST NAME TAMAYO FIRST NAME : YESSENIA MIDDLE
INITIAL 30
STREET
NFW AnDRFSP 120 SW 114TH ST UNIT 602 CITY SEATTLE ST WA ZIP 981462476
6
CDL IGNITION REQUIRED IGNITION PRESENT MEDICAL TAN5PORTE6 1 1 2 31
INTERLOCK YEs No zERLOCK YES[:]NO[:]
YEs N
DRIVER'S
LICENSE STATE I WA SEX F MMDDYYv 01 TO]
— 2002
7 ❑ HELMET I INJURY' NATURE OF INJURIES
ON DUTY STATUS AIRBAG 2 RESTR. 4 EJECT 1 USE CLASS 7 C/O BEING SHOOKEN UP
8 ❑ 1 1 2 32
LICENSE CDD9632 TAT;INA VIN# JFIVA1B6XH9829391
PLATE#
9 TRAILER TRAILER
PLATE# STATE PLATE# STATE
10 TRLR TRIER
VIN.#. VIN.#.
11 3 5 VEH.YEAR2017 MAKE SUBA MODEL WRX STYLE 46 I VEHICLE TOWE E T SABLIN TOWED BY anvi vEHIO F FROM TO
DAMAGE YES NO ✓ YES NO ✓
33
REGISTERED OWNER INFO.YESSENIA TAMAYO 120 SW 114TH ST UNIT 602 SEATTLE WA 98146 J 9
12 3 5 SHADE IN DAMAGED AREA
FROM TO
LIABILITY INSURANCE INSURANCE CO PROGRESSIVE 957-137.567 TOP
IN EFFECT &POLICY# 9 9
I-ELe 10 BOTTOM 34
4 CITATION# CHARGE
13 LEcnuv YES NO gg�@
STANDING ✓ a 7
4 MOTOR P DAMAGE P THRESHOLD MET HONE ❑ 35
14 UNIT# O EDAG 11 PEDESTRIAN PROPERTY❑ ❑ YES NO
VEHICLE : CYCLE OWNER ✓ D:2063704304
CHAN YUET LAM MIDDLE C
❑ 36
15
LAST NAME FIRST NAME INITIAL
2 STREET
16 ❑ ❑; 1313 49TH ST NE CITY AUBURN ST WA ZIP 980021220
NFn+AnntxFSS
CDL IGNITION RE JUIRED IGNITtGN PRESENT MEDICALTANSPORTED
17 ❑ INTERLOCK YES NO✓ INTERLOCK YEs NO✓ rEs NO;./ ❑
DRIVER'S STATE WA SEX F D.O.B 37
MMDDYYY` 11 — 28 — 1980
18 ❑ ❑ON DUTY� STATUS' AIRBAG 2 RESTR, 4 EJECT 1 HELMET INJURY'1 NATURE OF INJURIES 38
USE CLASS
19 ❑ LICENSE ❑
PLATE#
BFS9929 TAr WA v!N# JN8AT2MV2GW132136 39
20 ❑ TRAILER' STATE TRAILER ST ❑ 40
PLATE#< PLATE# ATE
21 ❑ TRLR TRLR 41❑
ViN# YIN#i
42
22 VEH.YEAR MAKE MODEL STYLE VEHICLE TOWED DUET SABLIN TOWED BY GOVT.VEHICLE
2016 NISS ROGUE SV DAMAGE vEs ✓No BANKERS ves NOZI El
23 ❑ REGISTERED OWNER INFO_YUET LAM CHAN 131349TH ST NE AUBURN WA 98002 D:2063704304 SHADE IN DAMAGED AREA F-1 43
LIABIL
N EFFIECTNSURANCE INSURANCE CO SAFECO H2568016 F-1
44
❑ ❑ &POLICY#
24 LE ALLYLE YESZ NO CITATION# CHARGE 41�no
.STANDING
y
STANDING a 7 y;g
I CERTIFY(DECLARE)UNDER PENALTY OF PERJURY UNDER THE LAWS OF THE STATE OF WASHINGTON THAT THE FOREGOING IS TRUE AND CORRECT.
MATTHEW NUGENT 07-31-24 07:40 PM
25 INVESTIGATING OFFICER'S SIGNATURE OFFICER'S PHONE UNIT OR DIST DET DATED: PLACE SIGNED
APPROVED BY DATE
26 OI BADGE 11498 O#I,...WA0171300 JOHNSON 81912024 PAGE OF❑
3000-345-013(R 11118)
SUPPLEMENTAL REPORT NO. EF03714
r`I POLICE TRAFFIC 1 1 8 27
COLLISION REPORT CASE# 24-8041
1 COMMERCIAL MOTOR CARRIER INTERSTATE INTRASTATE G
UNIT'# USL70T !CC# VEHICLE TYPE CARGO BODY
TYPE
2 ❑ 1 28
CARRIER
NAME
3 CARRIER
ADDRESS `
CITY ST' ZIP'
4 ❑ NAME # PLACARD: :❑
GI NAME IF NO NUMBER
SOURCE AXLES +
4a ❑ ADDITIONAL UNITS
MOTOR PEDAL- PROPERTY DAMAGE THRESHOLD MET PHONE
5 ❑ UNIT# 5 VEHICLE tSJ CYCLE I_) PEDESTRIAN OWNER YES NO
D:2063342325
0 7 29
LAST NAME MATHEWS FIRST NAME FAI MIDDLE'.. E
INITIAL
STREET 30
NEW AnoR12SP 8634 44TH AVE S CITY SEATTLE ST WA ZIP 981184902
6 ❑ 1 1 2 31
CDL IGNITION REQUIRED IGNITION PRESENT MEDICAL TAN5PORTED
INTERLOCK YEs NO NTERLOCK YES❑N0� YEs N
DRIVER'S
LICENSE STATE I WA SEX F MMDDYYv 12 - 17 - 1952
7
HELMET I INJURY' NATURE OF INJURIES
ON DUTY❑ STATUS AIRBAG 2 RESTR. 4 EJECT 1 USE CLASS 6 C/O BACK PAIN
8 ❑ ,: 1 32
LICENSE CCA5599 TAT WA VIN# 5UXFE43569LO38742
PLATE#
9 TRAILER TRAILER
PLATE# STATE PLATE# STATE
10 ❑ TRLR TRLR
VIN.#. VIN.#.
11 3 5 VEH.YEAR2009 MAKE BMW MODE45 STYLE SV VEHICLE TOWS E T SABLIN TOWED BY anvi vEH1C P FROM TO
DAMAGE YES NO YES NO
REGISTERED OWNER INFOFAI MATHEWS 8634 44TH AVE S SEATTLE WA 98118 J 9 33
12 � SHADE IN DAMAGED AREA
7 j FROM TO
LIABILITY INSURANCE[] INSURANCE CO
IN EFFECT &POLICY# t 9 101?
EwcLE 34
13 4 LEGALLY YESZ NO❑ CITATION# CHARGE 0 BOTTUM
STANDING } 7
14 ❑ UNIT Tr Vd 1RE O CYDCLE OWNERRTY YES AGE NOHRESHOLD MET PHONE ❑ 35
PEDESTRIAN
15 LAST NAME FIRST NAME MIDDLE INITIAL
TIAL
❑
ET
16 STRETRE "F ' CITY ST ZIP
NEW CDL IGNITION REdUiRED IGNITtGN PRESENT MEDICALTANSPORTED
NTERLOCK YES No NTERLOCK YEs NO YEs NO El
17 37
LICENSE# STATE SEX MMDDDYBYY
18 ❑ ON DUTY� STATUS AIRBAG RESTR. ; EJECT HELMET INJURY NATURE of INJURIES 38
USE ICLASS
19 ❑ 39
LICENSE rnr VIN#
PLATE#
20 ❑ TRAILER TRAILER El40
PLATE#< STATE PLATE# STATE
21 ❑ TRLR TRLR 41
VIN# YIN#i
42
22 VEH.YEAR MAKE I MODEL STYLE I VEHICLE TO DUET SABLIN TOWED BY GOVT.VEHICLE
DAMAGE YES NO YES NO
23 REGISTERED OWNER INFO_ SHADE IN DAMAGED 3 4 4 AREA F 43
z
LIABILITY INSURANCE INSURANCE CO '
VINE
EFFECT &POLICY# i 970P - 4 E:l
44
24 LEwcLE YES❑ NO❑ CITATION# CHARGE iq 60TiOM
LEGALLv
STANDING 8 7 6
1 CERTIFY(DECLARE)UNDER PENALTY OF PERJURY UNDER THE LAWS OF THE STATE OF WASHINGTON THAT THE FOREGOING IS TRUE AND CORRECT.
MATTHEW NUGENT 07-31-24 07:40 PM
25 INVESTIGATING OFFICER'S SIGNATURE OFFICER'S PHONE UNIT OR DIST DET DATED: PLACE SIGNED
APPROVED BY DATE
26 ORID# 11498 O#IL WA0171300 JOHNSON 81912024 PAGE F OF 7
3000-345-013(R 11118)
REPORT NO. EF03714 CASE# 24-8041 DATE AND TIME 07/31/2417:27
OF COLLISION
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PAGE 7 OF 7