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HomeMy WebLinkAbout24-8775 ITFF' "POLCERA II I !�� I III I III I IIII III II I . 5 27c COLLISION REP FIT 1591971 ❑ ❑ FIRE ❑ CASE# 24-8775 2 0 7 INTERSTATE CITY STREET RESULTED 1 STOLEN STATE ROUTE ❑ OTHER ❑ VFHIr.I F ❑ LOCAL AGENC 4900 3 HIT 8 RUN CODING COUNTY RD PRIVATE WAY INVOLVED 2 3 TOTAL#OF OBJECT 1 1 8 28 TRIBAL UNITS 03 STRUCK RESERVATION 2 3❑ DATE of M M D D Y Y Y Y TIME(2400) COUNTY# MILES N E IN CITY# ❑ COLLISION.. O8 - 1-- 2024 1215 17 ❑.= S 8 E IN e 1070 3 4❑ oN (PRIMARY TRAFFIC WAY) INTERSECTION ❑ NON INTERSECTION ❑✓ NE 4TH ST BLOCK NO. e✓ 4000 4a❑ MILEPOST DISTANCE OF(REFERENCE OR CROSS STREET) 5 216 00 FEET e S ❑ E e UNION AVE NE❑ 0 1 29 MOTOR PEDAL- DAMAGE THRESHOLD MET PHONE UNIT 01 VEHICLE ❑ CYCLE El NO F,/ I D:2065499712 0 11 30 6 LAST NAME VILLALON TINOCO FIRST NAME DANIEL MIDDLE 1 2 31 INITIAL STREET ❑, 240 S 152ND ST APT T111 CITY BURIEN ST WA ZIP 981481059 2= NEW ADDRESS 7❑ CDL IGNITION REQUIRED IGNITION PRESENT MEDICAL TRANSPORTED 3 iNTERLOCKYEs NO 1/ INTERLOCKYEs NO�/ YES R No�/ 8❑ LRIIVER # ON DUTY❑ STATUS AIRBAG 2 RESTR 4 EJECT 1 HELMET 2 CLASS 1 NATURE OF INJURIES 2❑ 3 10 9❑ PI aT�S1t BYF6494 sTArI WAvIN#' 1J8GN28K38W253252 TRAILER STATE TRAILER STATE 11 3 5 PLATE# PLATE# FROM TO TRLR. TRLR 3 7 33 12 3 5 VIN#' VIN# >; FROM TO ❑ VEH.YEAR 2008 MAKE MODEL STYLE VEHICLE TOWED TO BLIN TOWED BY GOVT.VEHICLE 3 7 34 13 4 JEEP LIBERT VT DAMAGE YES NO YES[:] No✓ REGISTERED OWNER INFO DANIEL VILLALON TIN00O240 S 152ND STAPT T111 BURIEN WA 98148 VEHICLE NO. 1 ❑ SHADE IN DAMAGED AREA 35 14 LIABILITY INSURANCE INSURANCE CO GEICO 6065-80.27.43 4 LI EFFECT I SUR N# TOPVEHICLE CHARGE 36 LEGALLYYES NO CITATION# 4A0669565 INATTENTIVE DRIVING <1�3 orrom 15❑ STANDING 7 6 MOTOR PEDAL- PROPERTY DAM THR OLD MET PHONE UNIT 0' ❑✓ ❑ PEDESTRIAN ❑ ❑ YES�/ No D:2535089824 VEHICLE CYCLE OWNER 16 a LAST NAME BROWN FIRST NAME ABIGAIL MIDDLE I E INITIAL 17 STREET I❑ S❑' 219 D ST NE CITY AUBURN ST WA ZIP 980025004 4❑ 37 NEW ADDRES 18❑ CDL IGNITION REQUIRED IGNITION PR-E-1SENT MEDICAL-T�RANSPORTED � 38 INTERLOCKYES�NO� INTERLOCK YEs It I NOF YES t l NOF,/ 19 DRIVER'S STATE WA ]SEX IF D.C.B. 07 05 _ 2000 39 LICENSE# MMDDYY 20❑ ON DUTY STATUS AIRBAG 2 RESTR 4 EJECT 1 H U EET 2 NJAU EY 7 COMPLAINED OF HEAD PAIN/DECLINED MED AID ❑F—NATURE OF INJURIES 40 ❑21❑ PLATE# CEB0330 TArE 41 WA VIN 11 KNDNB4H34P6221906 1 42 22❑ PLATE# STATE PLATE# STATE 23❑ VIN#. 43 TRLR RLR 'IN#. VEH YEAR 2023 MAKE KIA MODEL CARNIVA STYLE VN I VEHICLE TOWED TO BLIN TOWED eY GOV HI 44 24 DAMAGE YES NO GENE MEYERS YES NO REGISTERED OWNER INFO ABIGAIL BROWN 219 D ST NE AUBURN WA 98002 VEHICLE NO.2 SHADEDAMAGEbAREA s Cd LIABILITY INSURANCE INSU PORGY#ECO STATE FARM 5234289-CO1-47IN 9TOP IEwcLE ❑ ,J CITATION# CHARGE LEG 25 to BOTTOM ALLY YES Nu ' OFFICER'S NAME(PRINT) OFFICER PHONE BADGE OR ID# JAGENCY 26 JEREMY ENGEL 13006 WA0171300 1 PART A PAGE 01 OF C7 3000-345-159 OR 11/181 STATE OF POLICETRAFFICN CORRECTION REPORT NO. EF07718 COLLISION REPORT III III III III III 111 1591972 CASE# 24-8775 ADDITIONAL PERSONS INVOLVED PASSENGERS AND/OR WITNESSES ONLY) NAME MIDDLE INITIAL) V►LLALONALANIZ A/DANE (I.P.ST FIRST, ADDRESS&PHONE# D.0.B. 240 S 152ND ST APT T111 BURIEN WA 98148 SEX M MMDDYyYY 06 PASSENGER WITNESS UNIT# SEAT AIRBAG RESTR. EJECT ' HELMET INJURY NATURE OF INJURIES ❑✓ ❑ 1 POS. i 9 2 10 1 USE 2 CLASS 1 NAME (LAST,FIRST,MIDDLE INITIAL) HANLEY MARTIN W ADDRESS&PHONE# D O B 219 DST NE AUBURN WA 98002 SEX' M MMobvvvv 09 _ 10 _ 2018 SEAT HELMET INJURY NATURE OF INJURIES PASSENGER Z WITNESS❑ UNIT# 2 POS 5 AIRBAG 2 RESTR. 10 EJECT 1 USE 2 CLASS 1 NAME (LAST FIRST,MIDDLE INITIAL) HANLEY GENEVIEVE L AooREss&PHONE# 219 DST NE AUBURN WA 98002 SEX MMDDYYYY 02 10 _ 2021 . F D.O.B. _ PASSENGER WITNESS UNIT# ! 2 SEAT 6 AIRBAG 2 RESTR. 4 EJECT 1 HELMET 2 INJURY 1 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. JEREMY ENGEL 08-20-24 06:58 PM NVESTIGATING OFFICER'S SIGNATURE UNIT OR DIST DET DATED PLACE SIGNED APPROVED BY DATE R.PHILLIPS 11649 1 8/23/2024 8:24:59 AM BADGE OR ID# j 13006 ORI# WA0171300 TIME POLICE DISPATCHED 12:17 PM TIME POLICE ARRIVED 12:21 PM PART I PAGE IT]OF 6� REPORT NO. EF07718 CASE# 24-8775 OF COLLISION 08/20/24 12:15 OF CbLLI510N NARRATIVE 24-8775 On 08/20/2024 at approximately 1317 hours, I was dispatched to a blocking 3-vehicle collision with injuries in the 4000 block of NE 4th St, within the City Limits of Renton, County of King, State of Washington. Upon arrival, I contacted the officer who arrived prior to me and Renton Fire Authority to confirm the report of injuries involved in the collision. By the time I arrived the roadway of NE 4th St had been cleared and all the parties were safely parked in the parking lot adjacent to the roadway. I contacted the involved parties and confirmed they did not need immediate medical response and then collected their documents and their independent recollection of the events leading up to the collision. The driver of Unit#1 (Villalon) said he and his son were the occupants of his vehicle which was traveling westbound on NE 4th St just west of the intersection of NE 4th St and Union Ave NE in lane 2 of 2. He said that he was driving through the intersection heading westbound when he looked up and noticed Unit#2 stopped in front of him and that he did not have enough time to stop before colliding with the rear end of Unit#2. This caused moderate front end damage to Unit#1. This also caused Unit#2 to collide with the rear end of Unit#3. The driver of Unit#2 (Brown) stated that her and her two children were traveling westbound on NE 4th St and drove through the intersection of NE 4th St and Union Ave NE and noticed that traffic ahead was stopped. She applied the brakes and was coming to a stop when Unit#1 collided with the rear end of her vehicle and pushed her forward causing her vehicle to collide with the rear end of Unit #3. This caused significant damage to the front and rear ends of Unit#2. Brown reported that she had a slight headache but did not need immediate medical attention. The driver of Unit#3 (Smith-Holbert) said she was the sole occupant of her vehicle and was traveling westbound on NE 4th St. She stated traffic was heavy and that she was waiting for traffic to proceed. When the vehicle in front of her started moving she started to move forward as well only reaching approximately 5mph when Unit#2 collided with the rear end of her vehicle. Her vehicle had mild damage to the rear bumper. She stated she had a mild headache but declined immediate medical aid. Villalon was not paying attention to traffic in front of him. Villalon 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 (Villalon) was a contributing cause to the collision due to inattention. Villalon should have been paying closer attention to the movement of traffic in front of him. I mailed Villalon a citation for inattention. Units #1 and #3 were able to be driven away without further incident. Unit#2 needed a tow which she PAGE 3 OF 6 REPORT NO. EF07718 CASE# 24-8775 OF COLLISION 08/20/24 12:15 OF CbLLI510N NARRATIVE arranged for her vehicle. 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 J. Engel #13006 5:06 PM 8/20/2024 Renton, King County, WA. PAGE 4 OF 6 SUPPLEMENTAL REPORT NO. EF07718 r`) POLICE TRAFFIC 1 1 8 27 COLLISION REPORT CASE# 24-8775 1 COMMERCIAL MOTOR CARRIER INTERSTATE INTRASTATE G UNIT'# USDOT ICC# VEHICLE TYPE CARGO BODY ;TYPE 2 ❑ 1 28 CARRIER NAME 3 CARRIER ADDRESS ` CITY ST ZIP—1 I ' 4 ❑ NAME # PLACARD: :❑ GI PLACARD IF NO NUMBER SOURCE AXLES + 4a ❑ ADDITIONAL UNITS MOTOR PEDAL- PROPERTY DAMAGETHRESHOLD MET PHONE UNIT# 3 �✓ � PEDESTRIAN YES NO 5 VEHICLE CYCLE OWNER ✓ D:3198559591 rFO 1 29 LAST NAME SMITH HOLBERT FIRST NAME LORI MIDDLE' ',, A INITIAL STREET 30 NEW AnDRFrtP 4408 NE 3RD LN CITY RENTON ST WA ZIP 1 980594875 6 ❑ 1 1 2 31 CDL IGNITION REQUIRED IGNITION PRESENT MEDICAL TAN5PORTED INTERLOCK YEs NO✓ NTERLOCK YES�NO� YEs N ✓ DRIVER'S LICENSE STATE I WA SEX F MMDDYYv', 04 TO] - 1982 7 HELMET INJURY NATURE OF INJURIES ON DUTY STATUS AIRBAG 2 RESTR. 4 EJECT 1 USE 2 CLASS 7 COMPLAINED OFA HEADACHE 8 ❑ 1 32 LICENSE CKT5485 TAr WA VIN# 7PDSGABA2PN028274 PLATE# 9 [9] TRAILER TRAILER PLATE# STATE PLATE# STATE 10 ❑ TRLR TRLR VIN.It VIN.#. 11 3 5 VEH.YEAR2023 MAKE UNKN MODEL UNKNOW STYLE SV VEHICLE TOVVE ET SABLIN TOWED BY anvi vEH11' P FROM TO DAMAGE YES 'E ✓ YES NO ✓ REGISTERED OWNER INFOROBERT HOLBERT 4408 NE3RD LN RENTON WA 98059 3 ] 33 12 � SHADE IN DAMAGED AREA 7 j FROM TO LIABILITY INSURANCE INSURANCE CO PROGRESSIVE 926528830 q"i"Olx IN EFFECT &POLICY# 1 EwcLE 34 13 4 LEGALLY YES❑ NO❑ CITATION# CHARGE 0 BOTTUM STANDING } 8 7 14 ❑ UNIT Tr Vd IRE 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 IGNITION 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 (CLASS 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 ' VEHICLE EFFECT &POLICY# 1 970P - 4 44 24 LE YES❑ NO❑ CITATION# CHARGE iq 60TiOM LEG E E:l 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. JEREMY ENGEL 08-20-24 06:58 PM 25 INVESTIGATING OFFICER'S SIGNATURE OFFICER'S PHONE UNIT OR DIST DET DATED: PLACE SIGNED APPROVED BY DATE 26 ORID# 13006 O#IL WA0171300 PHILLIPS 812312024 PAGE F51OF 6 3000-345-013(R 11118) REPORT NO. EF07718 CASE# ' 24-8775 DATE AND TIME 08/20/24 12:15 OF COLLISION t s � S � t ppq& lagram not t PAGE 6 OF 6