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HomeMy WebLinkAbout24-8786 ITFF' "POLCERA II I !�� I III I III I IIII III II I . 6 27c
COLLISION REP FIT 1591971
SASE 24-8786 2
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 3 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 08 - 1-- 2024 1722 17 ❑-= S 8 IN e 1070 3
4❑ ON (PRIMARY TRAFFIC WAY) INTERSECTION ❑✓ NON INTERSECTION ❑
BRONSON WAY N
BLOCK NO. e✓ --- ----� ❑
4a❑ MILEPOST
DISTANCE OF(REFERENCE OR CROSS STREET)
5❑ e S ❑❑ FEET VV a HOUSER WAY N
0 1 29
MOTOR PEDAL- DAMAGE THRESHOLD MET PHONE
UNIT 01 VEHICLE ❑ CYCLE El
,/No D:2533979746 0 11
30
6❑ LAST NAME HUSTON FIRSTNAME JASON MIDDLE A 1 2 31
INITIAL
STREET ❑✓ 43921 96TH AVE SE CITY ENUMCLAW ST WA Zjp, 98022 z
NEW ADDRESS
7❑ CDL IGNITION REQUIRED IGNITION PRESENT MEDICAL TRANSPORTED 3
1/ I INTERLOCK YES[:]NO NTERLOCKYEs NO�/ YES R No�/
8❑ LDRIVER # STATE WA SEX'M MID
-O B 01 1— 26 — 1970 2 32
9 ON DUTY❑ STATUS AIRBAG 2 RESTR 4 EJECT 1 HELMET
2 CLASS 1 NATURE OF INJURIES z❑
3
10❑ P1 aTES� BY24598 sTArI WAVIN# JTEDP21A440019460
TRAILER STATE TRAILER STATE
11 2 5 PLATE# PLATE# FROM ro
TRLR. TRLR 3 7 33
12 2 5 VIN#' VIN#I
FROM TO
VEH.YEAR MAKE MODEL STYLE VEHICLE TOWED TO BLIN TOWED BY GOVT.VEHICLE 5 1 34
13 3 2004 TOYT HIGHLA SV DAMAGE YES NO YES[:] No✓
REGISTERED OWNER INFO ..COWLES PO BOX 2528 WESTPORT WA 98595 VEHICLE NO. 1 ❑
SHADE IN DAMAGED AREA 35
4
14 3 LIABILITY INSURANCE INSURANCE CO PROGRESSIVE 979185672
LI EFFECT I SUR N# TOPVEHCLE CHARGE <1�3
OTTOM 5 36
LEGALLY YES NO CITATION# 4A0669568 VEH ENTER INTERSEC STEADY RED
15❑ STANDING 7 6
PROPERTY
PEDAL MOTOR -: PR THR OLD MET PHONE
UNIT 02 ❑✓ ❑ PEDESTRIAN ❑ ❑ DAM�/ D.4258291917
VEHICLE CYCLE OWNER YES NO
16 a
LAST NAME DELGADO FIRST NAME MARIA MIDDLE I S
INITIAL
17 STREET❑ NEW ADOREss❑' 16821 113TH AVE SE CITY RENTON ST WA ZIP 980555965 37
18❑ CDL IGNITION REQUIRED IGNITION PR—E-1SENT MEDICAL—T�RANSPORTED � 38
INTERLOCK YEs❑NO� INTERLOCK YEs It I NOF YES
t l NOF,/
19 DRIVER'S STATE WA ]SEX IF D.C.B. 07 27 1977 39
LICENSE# MMDDYY
20❑ ON DUTY STATUS AIRBAG 4 RESTR 4 EJECT 1 H U EET 2 NJAU EY 7 COMPLAINT OF ARM PAIN/DECLINED MED AID ❑F—NATURE OF INJURIES 40
❑21❑ PLATE# CBL5301 TArE 41
WA vIN# SFNYF6H37K6048411 1
42
22❑ PLATE# STATE PLATE# STATE
TRLR
23❑ UIN#. IN#.
43
RLR
'
I
VEH YEAR 2019 MAKE yOND MODEL PILOT STYLE $V VEHI DAMAGE TO ✓WED NOO BLIN TOWED BY Gov 44
Yr
H BANKERS YES No
24❑ REGISTERED OWNER INFO OWNED SY DRIVER VEHICLE N0.2
SHADE IN DA GEbAREA
z Cdd
LIABILITY INSURANCE I PORGY#ECO AMERICAN FAMILY 41021-48250-45 IN EFFECT7GQI
'E""LE ❑ ,J� CITATION# CHARGE
LEGALLY YES N`L J
25 s � e
7FI' NAME(PRINT) OFFICER PHONE BADGE OR ID# AGENCY
J
26
MY ENGEL 1
13006 WA0171300
PART A PAGE 01 OF
3000-345-159 OR 11/181
STATE OF
POLICETRAFFICN CORRECTION REPORT NO. EF08059
COLLISION REPORT III III III III III 111
1591972 CASE# 24-8786
ADDITIONAL PERSONS INVOLVED PASSENGERS AND/OR WITNESSES ONLY)
NAME MIDDLE INITIAL) DELGADO GABRIELLA
(LAST FIRST,
ADDRESS&PHONE#
16821 113TH AVE SE RENTON WA 98055 SEXi F MMDOYyvv 09 - 29 - 2021
PASSENGER WITNESS UNIT# SEAT AIRBAG' RESTR. EJECT ' HELMET INJURY NATURE OF INJURIES
❑✓ ❑ 2 POS. 9 4 10 1 USE 1 2 CLASS 1
NAME
(LAST,FIRST,MIDDLE INITIAL) SANGHA HARNINDER S
ADDRESS&PHONE# D O B
8408 127TH AVE SE NEWCASTLE WA 980569150 2064993370 SEX M MMODvvvv 04 _F
06 _ 1979
PASSENGER WITNESS UNIT# SEAT AIRBAG RESTR. EJECT HELMET INJURY NATURE OF INJURIES
❑ 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.
JEREMY ENGEL 08-23-24 06:54 PM
INVESTIGATING OFFICER'S SIGNATURE UNIT OR DIST DET DATED PLACE SIGNED
APPROVED BY DATE
R.PHILLIPS 11649 1 8/24/2024 8:59:43 AM
BADGE OR ID# j 13006 ORI# WA0171300 TIME POLICE DISPATCHED 5:24 PM TIME POLICE ARRIVED 5:28 PM
PART I PAGE IT]OF 4�
REPORT NO. EF08059 CASE# 24-8786 OF COLLISION
08/20/24 17:22
OF CbLLI510N
NARRATIVE
On 08/20/2024 at approximately 1724 hours, I was dispatched to a vehicle collision with reports of
injury at the intersection of Houser Way N and Bronson Way N, within the City Limits of Renton,
County of King, State of Washington.
While en route, Dispatch advised that two vehicles were involved in a collision, with one of the
involved vehicles blocking the roadway. I arrived on scene and began collecting the involved party's
information. The Renton Regional Fire Authority (RRFA) responded and cleared everyone on scene
for injuries.
Upon my arrival, 1 collected each involved party's information and their independent recollection of
their involvement leading up to the collision.
Officer Petty interviewed the driver of Unit#1 (Huston). He stated that he was traveling South on
Sunset Blvd N and turned West onto Bronson Way N into lane 2 of 2. When he was passing through
the intersection of Bronson Way N and Houser Way N he collided with the passenger side of Unit#2.
He stated that he thought he had the green light and that he proceeded through the intersection and
collided with Unit#2. Unit#1 was able to drive out of the intersection and park in a parking lot next to
the intersection.
The driver of Unit#2 (Delgado) stated that her and her daughter were the passengers in her vehicle
driving North in lane 4 of 4 on Houser Way N. She stated that she was waiting at a red light on
Houser Way N and Bronson Way N. When the light turned green, she started proceeding North
towards Factory Ave N when Unit#1 collided with the passenger side of her vehicle. Her passenger
side airbag deployed and the rear passenger wheel appeared to be significantly damaged and at a
severe angle. She notified me that she had pain in her right arm but did not need immediate medical
attention.
A witness to the collision (Sangha) who was two vehicles behind Unit#2 said that he was the third
vehicle in line waiting at the red light and that Unit#2 was the first vehicle in line. He stated that the
vehicles were waiting for the light to turn green and when the light changed, Unit#2 proceeded
through the intersection when he witnessed Unit#1 run the red light and collide with the passenger
side of Unit#2. He then pulled to the side and waited for police and fire to arrive to give his account of
the event.
Based on the above statements, 1 determined that the Driver of Unit#1 (Huston) is the proximate
cause for the cause of collision due to Entering an Intersection against a Steady Red Circle
(Reference RCW 46.61.055(3A)). Huston violated RCW 46.61.055(3A) as vehicle operators facing a
steady circular red signal alone shall stop at a clearly marked stop line, but if none, before entering
the crosswalk on the near side of the intersection or, if none, then before entering the intersection
control area and shall remain standing until an indication to proceed is shown.
Huston provided proof of insurance. I therefore cited Huston for Vehicle Entering Intersection against
a Steady Red Circle
Unit#1 had substantial damage but was able to be driven away without further incident. Unit#2 was
towed due to the extensive damage it incurred from the collision.
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 8/23/2024 9:34 AM Renton, King County, WA.
PAGE 3 OF 4
REPORT NO. EF08059 CASE# ' 24-8786 DATE AND TIME 08/20/24 17:22
OF COLLISION
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PAGE 4 OF 4