HomeMy WebLinkAbout24-8519 ITFF' "POLCERA II I !�� I III I III I IIII III II I . 5 27c
COLLISION REP FIT 1591971
CASE 24-8519 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 TOTAL#TRIBAL OF 03 OBJECT 1 1 8 28
UNITS
RESERVATION I I
STRUCK
z
3❑ DATE of M M D D Y Y Y Y TIME(2400) COUNTY# MILES N E IN CITY#
COLLISION'. O8 - 1-- 2024 1408 17 ❑-= S 8 IN e 1070 3
4❑ ON (PRIMARY TRAFFIC WAY) INTERSECTION ❑✓ NON INTERSECTION ❑
BLOCK
OAKESDALEAVESW ST e✓
MILEPOST 4200 ❑
4a❑
DISTANCE OF(REFERENCE OR CROSS STREET)
5❑ �,❑ FEET e S ❑ W e SW 43RD STREET
0 1 29
MOTOR PEDAL- DAMAGE THRESHOLD MET PHONE
UNIT 01 VEHICLE ❑ CYCLE El
✓NO D:2068250105 0 81
30
LAST NAME VALDIVIA RODRIGUEZ FIRST NAME VICTOR MIDDLE
6 INITIAL 1 2 31
STREET ❑ 2500 S 272ND ST APT A6 CITY KENT ST WA Zjp, 980327965 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 2 RESTR 4 EJECT 1 H USEET ICNLJAURY 1 NATURE OF INJURIES 2❑
3
10 1❑ P1ATE14 CEU3095 STATE WA vN# 2T1BU4EE4DC090337
TRAILER STATE TRAILER STATE
11 4 0 PLATE# PLATE# IR.. ro
TRLR. TRLR 1 5 33
12 4 0 VIN#' VIN#
FROM TO
VEH.YEAR 2013 TOYT COROL 4D MAKE MODEL STYLE VEHICLE TOWED TO BLIN TOWED BY GOVT.VEHICLE J 9 34
13 4 DAMAGE YES NO YES[:] NO✓
REGISTERED OWNER INFO VICTOR VALDIVIA RODRIGUEZ 1415155TH STREET CTE TACOMA WA 98445 VEHICLE NO. 1
❑ ❑
SHADE IN DAMAGED AREA 35
14 ❑ INSURANCE CO 3 4
LIABILITY INSURANCE
IN EFFECT &POLICY# 9TOP
vewcLE CHARGE 10 BOTTOM 5 36
LEGHALLY YES❑NO CITATION# 4A0680291,4A0680291 INATTENTIVE DRIVING,OP MOT VEH
15❑ STANDING 8 6
MOTOR PEDAL-: PEDESTRIAN PROPERTY DAM THR OLD MET PHONE
UNIT U2 VEHICLE ❑ CYCLE ❑ ❑ OWNER ❑ YES 1/ NO D:2068869180
16 a
LAST NAME THONG FIRST NAME DUONG MIDDLE I A
INITIAL
17❑ STREET ❑', 6928 S 120TH PL CITY SEATTLE ST WA ZIP 981784137 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 NOF
19 DRIVER'S STATE WA SEX M D.O.B. 02 _ 02 _ 1982 39
LICENSE# MMDDYY
WELMET INJURY1 NATURE OF INJURIES 40
20❑ ON DUTY STATUS AIRBAG 2 RESTR 4 EJECT 1 USE CLASS ❑
21❑ LICENSE AJK8924 TATe WA VIN# JN8AF5MV2CT113946
❑ 41
PLATE#
42
22❑ PLATE# STATE PLATE# STATE
TRLR
23❑ VIN#. N#. 43
RLR
'I
VEH YEAR 2012 MAKE NISS MODEL JUKE STYLE 4H VEHICLETOWED TO BLIN TOWEDBY GOV HI 44
24❑ DAMAGE YES NO YES NO
REGISTERED OWNER INFO DUONG THONG 6928 S 120THPL SEATTLEWA98178 D:2068869180 VEHICLE NO.2
SHADEDAMAGEbAREA
s Cd
LIABILITY INSURANCE INSU&PORGY#ECO AMERICAN FAMILY CONNECT BX13027219 STOP
IN EFFECT
vEwCLE CITATION# CHARGE to BOTTOM
LEGALLY YES N�
25❑ OFFICER'S NAME(PRINT) OFFICER PHONE BADGE OR ID# 777]�NCY26SHANNON O'ROURKE 13007 0171300
PART A PAGE 01 OF C7
3000-345-159 OR 11/181
STATE OF
POLICETRAFFICN CORRECTION REPORT NO. EF07469
COLLISION REPORT III III III III III 111
1591972 CASE# 24-8519
ADDITIONAL PERSONS INVOLVED PASSENGERS AND/OR WITNESSES ONLY)
NAME(LAST FIRST,MIDDLE INITIAL) PHAM NHU N
ADDRESS&PHONE#
6928 S 120TH PL SEATTLE WA 981784137 2068869180 SEXi F MMDovyvv 04 - 17 - 1989
SEAT HELMET INJURY NATURE OF INJURIES
PASSENGER WITNESS UNIT# 2 POS 8 AIRBAG 2 RESTR. 4 EJECT 1 USE CLASS 7 C/O HEAD INJURY
NAME
(LAST,FIRST,MIDDLE INITIAL) THONG ONSY
ADDRESS&PHONE# D O B
6928 S 120TH PL SEATTLE WA 981784137 SEX IF MMDDvyvv 03 _ 15 _ 2016
SEAT HELMET INJURY NATURE OF INJURIES
PASSENGER WITNESS UNIT# 2 POS 9 AIRBAG 2 RESTR. 4 EJECT 1 USE CLASS 1
NAME
(LAST FIRST,MIDDLE INITIAL) THONG DENISE
AooREss&PHONE# 6928 S 120TH PL SEATTLE WA 981784137 SEX MMDDYYYY _ 11 11 _ 2018
. F D.O.B.
PASSENGER WITNESS UNIT# ! 2 SEAT 7 AIRBAG 2 RESTR. 4 EJECT 1 HELMET NJURY 1 NATURE OF INJURIES
❑ POS. USE CLASS �N----�
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.
SHANNON OROURKE 08-13-24 06:47 PM
INVESTIGATING OFFICER'S SIGNATURE UNIT OR DIST DET DATED PLACE SIGNED
APPROVED BY DATE
G.BARFIELD 6476 1 8/22/2024 12:25:20 PM
BADGE OR ID# 13007 OR]# WA0171300 TIME POLICE DISPATCHED 2:92 PM TIME POLICE ARRIVED',2:19 PM
PART I PAGE IT]OF
REPORT NO. EF07469 CASE# 24-8519 OF COLLISION
08/13/24 14:08
OF CbLLI510N
NARRATIVE
On 08/13/2024 at approximately 1412 hours, I was dispatched to a non-blocking 3-vehicle collision
with reports of injury at the intersection of Oaksdale Ave SW and SW 43rd ST, within the City Limits
of Renton, County of King, State of Washington.
Upon arrival, the Renton Regional Fire Authority (RRFA) had already arrived on scene and checked
on all involved parties. There, I collected the involved parties driving documents and their
independent recollection of events leading up to the collision.
The driver of Unit#1 (Valdivia-Rodriguez, Victor) and his adult passenger (Celvantes-Pins, Maria)
said he was driving southbound down Oakkdale Ave SW just north of the intersection for Oaksdale
Ave SW and SW 43rd ST, in lane 1 of 3. He stated there was a blue Nissan hatchback in front of him
(Unit#2) and black Dodge Ram pickup truck (Unit#3) in front of Unit#2. The driver of Unit#1 stated
he was traveling directly behind Unit#2 and saw as Unit#2 was stopped for slowing traffic. The driver
of Unit#1 stated he attempted to stop the vehicle in time but was unable to and subsequently collided
with the rear of Unit#2 causing minor damage to the front of Unit#1. The driver of Unit#1 noticed the
traffic light was green at the time of collision and was unsure why traffic was stopped.
The driver of Unit#2 (Thong, Duong) said he and his adult passenger (Pharr, Nhu Ngoc Quynh) and
two children in the backseats were also traveling southbound on Oaksdale Ave SW just north of the
intersection of Oaksdale Ave SW and SW 43rd St in lane 1 of 3. The driver of Unit#2 stated he was
stopped behind Unit#3 due to traffic at the controlled intersection. While Unit#2 was stopped, Unit#1
collided with the rear of Unit#2 causing moderate damage. The driver of Unit#2 stated that due to
the initial impact, his vehicle was then pushed forward into the rear of Unit#3 causing additional
damage to the front of Unit#2.
The driver of Unit#3 (Boynton, Matthew) said he was the sole occupant of his vehicle and was also
traveling Southbound on Oaksdale Ave SW just north of the intersection of Oaksdale Ave SW and
SW 43rd St. in lane 1 of 3. Driver of Unit#3 stated he was stopped for a red light at the controlled
intersection. While Unit#3 was stopped for the traffic signal, Unit#2 collided with the rear of Unit#3
causing moderate damage to the rear of Unit#3.
Valdivia-Rodriguez was not paying attention to traffic in front of him. Valdivia-Rodriguez 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 (Valdivia-Rodriguez) is the
proximate cause for the collision due to inattention causing a collision. Valdivia-Rodriguez should
have been paying closer attention to the movement of traffic in front of him. Additionally, he disclosed
that he did not have insurance.
I issued Valdivia-Rodriguez a citation via mail for inattention causing a collision as well as driving
without insurance.
All involved vehicles were able to be driven away without further incident.
PAGE 3 OF 6
REPORT NO. EF07469 CASE# 24-8519 OF COLLISION
08/13/24 14:08
OF CbLLI510N
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 S. O'Rourke #13007 8/13/2024 4:49 PM Renton, King County, WA.
PAGE 4 OF 6
SUPPLEMENTAL REPORT NO. EF07469
r`) POLICE TRAFFIC 1 1 8 27
COLLISION REPORT CASE# 24-8519
1 COMMERCIAL MOTOR CARRIER INTERSTATE INTRASTATE G
UNIT'# USL70r ICC# 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 DAMAGETHRESHOLD MET PHONE
5 ❑ UNIT# 3 VEHICLE t_"J � PEDESTRIAN YES� NO
OF 8 29
LAST NAME FIRST NAME MIDDLE
BOYNTON MATTHEW INITIAL C
STREET 30
NEW AnDRFSP 138 S 124TH ST CITY SEATTLE ST WA Z1P 981682065
6
CDL IGNITION REQUIRED IGNITION PRESENT MEDICAL TANSPORTED 1 1 2 31
INTERLOCK YES NO NTERLOCK YES�NO� YEs N
DRIVER'S
LICENSE STATE I WA SEX M MMDDYYv', 04 - 13 - 1974
7
ON DUTYl STATUS AIRBAG' 2 RESTR. Q EJECT 1 HELMET INJURY 1 NATURE OF INJURIES
USE CLASS
8 ❑ 1 32
LICENSE D12631D [TAT WA VIN# 1C6RRFFG7PN657130
PLATE#
9 TRAILER TRAILER
PLATE# STATE PLATE# STATE
10 ❑ TRLR TRLR
VIN.#. VIN.#.
11 4 0 VEH.YEAR2023 MAKE RAM MODEL 1500 STYLE PK I VEHICLE TOWS E T SABLIN TOWED BY anvi vEH11' P FROM TO
DAMAGE YES NO YES NO
REGISTERED OWNER INFOMATTHEWSOYNTON 138S 124THST SEATTLEWA98168 J 9 33
12 � SHADE IN DAMAGED AREA
7 j FROM TO
LIABILITY INSURANCE INSURANCE CO FARMERS 190006554 q"i"Olx
IN EFFECT &POLICY# 1
SHILLS 34
13 4 LEGALLY YESZ NO❑ CITATION# CHARGE 0 BOTTUM
STANDING } 8 7
14 ❑ UNIT Tr Vd 1RE O CYDCLE OWNERRTY YES AGE NOHRESHOLD MET PHONE ❑ 35
PEDESTRIAN
15 LAST NAME FIRST NAME MIDDLE INITIAL
TIAL
❑
STREET 16 NEW
ETET".� CITY ST ZIP
AnnRCDL 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 AREA 43
3 4 71
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.
SHANNON O'ROURKE 08-13-24 06:47 PM
25 INVESTIGATING OFFICER'S SIGNATURE OFFICER'S PHONE UNIT OR DIST DET DATED: PLACE SIGNED
APPROVED BY DATE
26F7 OI BADGE 13007 O#I',WA0171300 BARFIELD 812212024 PAGE I OF F
3000-345-013(R 11118)
REPORT NO. EF07469 CASE# ' 24-8519 DATE AND TIME 08/13/24 14:08
OF COLLISION
' a 4 as
u
PAGE 6 OF 6