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Home My WebLink About24-9017 a ITFFi "POLCERA II IfI) 1 IlfII ('II (Illf If( fI I . 6 27c COLLISION REP FIT 1591971 CASE 24-9017 z INTERSTATE ❑ CITY STREET ❑ FIRE ❑ RESULTED 1 STOLEN STATE ROUTE ❑ OTHER ❑ HIT F ❑ LOCAL AOENC 4200 3 HIT&RUN CODING COUNTY RD PRIVATE WAY INVOLVED 2� 1 1 8 28 TOTAL#OF OBJECT TRIBAL UNITS 03 STRUCK' META!SIGN POST RESERVATION z 3❑ DATE OF M M D D Y Y Y Y TIME(2400) COUNTY# MILES N E IN CITY# ❑ GawsloN 08 - 1-- 2024 1404 17 ❑.= S 8 IN e 1070 3 4❑ ON (PRIMARY TRAFFIC WAY) INTERSECTION ❑ NON INTERSECTION ❑✓ BRONSON WAY NE BLOCK NO. e✓ 275 4a❑ MILEPOST DISTANCE OF(REFERENCE OR CROSS STREET) 5❑ ❑ FEET e S ❑ W e 0 1 29 MOTOR PEDAL- DAMAGE THRESHOLD MET PHONE UNIT 01 VEHICLE ❑ CYCLE El ✓NO D:2067725477 2 2 30 6� LAST NAME RETEL FIRSTNAME JACK MIDDLE V 1 1 2 31 INITIAL STREET ❑ 11717 62ND AVE S CITY SEATTLE ST WA 2jp, 98178 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 4 RESTR 4 EJECT 1 HELMET 2 CLASS 1 NATURE OF INJURIES z❑ 3 10❑ Pi aT�S� AJX5059 sTAr1 WAvIN# 3GNBACFUIB$608162 TRAILER STATE TRAILER STATE 11 3 0 PLATE# PLATE# FROM TO TRLR. TRLR 7 3 33 12 0 0 VIN#' VIN# RoM TO m 34 13� VEH.YEAR2011 MAKE CHEV MODEL HHR1L7 STYLE SO VEHICLETOWED0NOOffBLIN TSIgWgYMEYERS v�s❑ENo� DAMAGE IILLJJII (5�IV6 REGISTEREDOWNERINFO OWNEDBYDRIVER VEHICLE NO. 1 SHADE IN DAMAGED AREA ❑ 35 14❑ UABILI V INSURANCE U INSURANCE CO NATION WIDE 7246J 036548 <�O IN EFFECT &POLICY#VEHICLE CHARGE 36 LEGALLvYFS❑NO CITATION# 15❑ STANDING MOTOR PEDAL- PEDESTRIAN PROPERTY DAM THR OLD MET PHONE 16 UNIT 02 VEHICLE ❑ CYCLE ❑ ❑ OWNER ❑ YES 1/ NO D:4255857029 ❑ LAST NAME LAPLATNEY FIRST NAME REBECCA MIDDLE M INITIAL 17❑ STREET ❑', 10941 OAKWOOD AVE S CITY SEATTLE ST WA ZIP 981782706 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 NO❑ 19[-] DCENS STATE WA SEX F M .O.B. 09 09 _ 1988 39 HELMET INJURY NATURE OF INJURIES 40 20❑ ON DUTY STATUS' AIRBAG 9 RESTR 9 EJECT ''9 USE 9 0 CLASS ❑ 21❑ LICENSE I CAA9698 TAre WA VIN. 3VWC576U8MM050149 ❑ 41 PLATE# 42 22❑ PILER LATE# STATE PLATE# STATE 23❑ VIN#. 43 TRLR RLR 'IN#. TOWED BV Gov HI 44 VEH YEAR 2021 MAKE VOLK MODEL,/ETTA STYLE $D —FEHICLE TOWED✓ NOO BLIN GENE MEYERS YES No�/ 24❑ REGISTERED OWNER INFO OWNED SY DRIVER VEHICLE N0.2 SHADE DAGELLAREA LIABILITY INSURANCE &POINSURGY#E CO ALL STATE 807 842 636IN 1 9TOP VE""LE ❑ N`L J ,J� CITATION# CHARGE LEG I BOTTOM ALLY YES 25 7CA NAME(PRINT) OFFICER PHONE BADGE OR ID# AGENCY J 26LAN 12007 WA0171300 PART A PAGE 01 OF 3000-345-159 fR 11/181 STATE OF POLICETRAFFICN CORRECTION REPORT NO. EF14461 COLLISION REPORT III III III III III 111 1591972 CASE# 24-9017 ADDITIONAL PERSONS INVOLVED PASSENGERS AND/OR WITNESSES ONLY) NAME MIDDLE INITIAL) RETEL JEAN M (LAST FIRST, ADDRESS&PHONE# 11717 62ND AVE S SEATTLE WA 98178 SEXi F MMDOYyry 05 - O6 - 1936 {� SEAT HELMET INJURY NATURE OF INJURIES PASSENGER ZWITNESS UNIT# 1 POS. 3 AIRBAG 4 RESTR. 4 EJECT 1 USE 2 CLASS 7 BACK INJURYAND NECK NAME '(LAST,FIRST MIDDLE INITIAL) ADDRESS&PHONE# D O B SEX MMDDYYYY PASSENGER [:]WITNESSO UNIT# SEAT AIRBAG RESTR. EJECT HELMET INJURY NATURE OF INJURIES POS. USE CLASS NAME (LAST FIRST MIDDLE INITIAL) AppRESS&PHONE# SEX D.O.B. MMDDYYYY. - 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. C.CATALAN 09-06-24 09:58 AM INVESTIGATING OFFICER'S SIGNATURE UNIT OR DIST DET DATED PLACE SIGNED APPROVED BY DATE C.JACOBS 1953 1 9/12/2024 3:42:47 PM BADGE OR ID# 1Y007 ORI# WA0171300 TIME POLICE DISPATCHED; Y:08 Pry TIME POLICE ARRIVED',Y:09 Pry PART I PAGE IT]OF 5� REPORT NO. EF14461 CASE# 24-9017 OF COLLISION 08/27/24 14:04 OF CbLLI510N NARRATIVE On August 27, 2024, at approximately 1404 hours, I was dispatched to a vehicle collision with injuries at Kaiser Permanente, 275 Bronson Way NE, within the City Limits of Renton, County of King, State of Washington. The reporting party stated that a vehicle had struck a building. Upon my arrival, I confirmed that two vehicles had fallen down an embankment that sits behind the Kaiser Permanente building on the southside. I also confirmed that the two vehicles did not strike or damage the building. The only damage that the property sustained was two broken parking poles and superficial damages to the trees/brushes. While observing the scene, I noticed that unit 1 was occupied by two elderly subjects. A male later identified as Jack Retel was the driver, and Jean Retel was the right front passenger. Both had their seatbelts on but were struggling to exit the vehicle that laid on its left side. Renton Fire arrived seconds later and extracted the two occupants. Jean was transported to VMC for possible neck and back injuries. Unit 2 was unoccupied and parked at the time of the collision. I spoke with Jack Retel, and he explained that he struck a curb as he entered the south lot of Kaiser Permanente. As he proceeded through, his vehicle lost control and drove straight forwards towards a parked vehicle. He believes it was an issue he caused. He suspects he kept his foot on the accelerator because no skid marks were seen. Based on the above statements, I believe that the driver of Unit 1 is the proximate cause for the cause of collision as Retel is required to use due care when entering any roadway or private property. Both Unit 1 and Unit 2 had to be towed by Gene Meyers Towing due to extensive damage. An exchange of information was provided to all involved parties. PAGE 3 OF 5 SUPPLEMENTAL REPORT No. EF14461 r`I POLICE TRAFFIC 1 27 COLLISION REPORT CASE# 24-9017 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 DAMAGE THRESHOLD MET PHONE 5 ❑ UNIT# 3 VEHICLE I_J CYCLE u PEDESTRIAN � OWNER � YEs� NO D:4252352800 MIDDLE.. 29 LAST NAME PERMANENTS FIRST NAME KAISER INITIAL STREET 30 NEW AnnRFrtP 275 BRONSON WAY NE CITY RENTON ST WA ZIP 98056 6 CDL IGNITIttN REQUIRED IGNITION PRESENT MEDICAL TANSPORTED 1 31 INTERLOCK YES[:]NO zERLOCK YES❑N0� YES N DRIVER'S STATE I SEX U M��DYSYv' —� 2 LICENSE 7F-ION DUTY STATUS AIRBAG RESTR. EJECT HELMET INJURY NATURE OF INJURIES F� USE CLASS 8 ❑ ' 1 32 LICENSE+ rar V1N.# PLATE# 9 TRAILER TRAILER PLATE# STATE PLATE# STATE 10 ❑ TRLR TRLR VIN.#. VIN.#. 11 VEH.YEAR MAKE I MODEL STYLE I VEHICLE TOWS E T SABLIN TOWED BY anvi vEHIG E FROM TO DAMAGE YES NO YES NO REGISTERED OWNER INFO. m 33 12 SHADE IN DAMAGED AREA FROM TO LIABILITY INSURANCE❑ INSURANCE CO IN EFFECT &POLICY# tGQ VEHICLE 34 13 ❑ LEGALLY YES[:] NO❑ CITATION# CHARGE STANDING S} 8 7 6 14 ❑ UNIT Tr Vd IRE O CYDCLE OWNER YES AGE NOHRESHOLD MET PHONE El 35 PEDESTRIAN 15 LAST NAME FIRST NAME MIDDLE': INITIAL36 STREETIAL ❑ 16 NEn+AnnREs.�' CITY'. ST ZIP CDL IGNITION REdUiRED IGNITION PRESENT MEDICALTANSPORTED INTERLOCK YES No INTERLOCK 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 ❑ vIN# 39 LICENSE PLATE# rnr 20 ❑ TRAILER TRAILER ❑ 40 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# I 970P - 4 44 24 VEHICLE YES NO❑ CITATION# CHARGE iq 60TiOM E:l C=DLv 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. C.CATALAN 09-06-24 09:58 AM 25 INVESTIGATING OFFICER'S SIGNATURE OFFICER'S PHONE UNIT OR DIST DET DATED: PLACE SIGNED APPROVED BY DATE 26 OR ID# 12007 O#I,WA0171300 JACOBS 9/12/2024 PAGE�OF 3000-345-013(R 11118) REPORT NO.! EF14461 CASE# ' 24-9017 DATE AND TIME 08/27/24 14:04 OF COLLISION 4 t i PAGE 5 OF 5