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HomeMy WebLinkAbout24-10917 ouCE OF ASHINGcN I� I �I) , II� I I I (III I�I I) SUPPLEMENTALREPORT NO. EF26451 5 1 27 COLLISION REPOFIT 1591971 SASE# 24-10917 2 INTERSTATE ❑ CITY STREET FIRE ❑RESULTED 1 STOLEN STATE ROUTE ❑ OTHER ❑ STOLE F ❑ LOCAL AGENCY 4100 3 HIT&RUN CODING COUNTY RD PRIVATE WAY INVOLVED 2❑ TOTAL#OF OBJECT 28 s TRIBAL UNITS 02 STRUCK FENCE RESERVATION z 3 DATE of M M D D Y Y Y Y TIME(2400) COUNTY# MILES N E CITY# ❑ CowsloN 10 - 20 - 2024 0558 17 ❑.❑ S IN 1070 3 4❑ ON (PRIMARY TRAFFIC WAY) INTERSECTION ❑ NON INTERSECTION ❑✓ SE PETROVITSKY RD BLOCK NO. e✓ 11700 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:3602806895 N:3602808525 30 6� LAST NAME JAPHET FIRSTNAME MARK MIDDLE E 1 1 2 31 INITIAL STREET ❑ 2206 59TH AVE NW CITY OLYMPIA ST WA ZIP 98502 z NEW ADDRESS 7❑ CDL IGNITION REQUIRED IGNITION PRESENT MEDICAL TRANSPORTED 3 1/ I INTERLOCK YES[:]NO NTERLOCKYEs No�/ YES R No�/ 8❑ LRIIVER # ON DUTY❑ STATUS' AIRBAG 6 RESTR 9 EJECT 1 H U SE CLASS 7 SORE CHEST INJURIES z❑ 3 10[ P1 ATF 14 D611938 JBTATIJ WAv N#' 1 FTWW3BR4AEA56193 TRAILER STATE TRAILER STATE 11 3 5 PLATE# PLATE# FROM ro TRLR. TRLR 7 3 33 12❑ VIN#j VIN# RomM TO 34 13 VEH.YEAR2010 MAKE FORD MODEL F350 STYLE PK VEHICLE TOWED0NOOffBLIN WAWkkRSTOWING vOs❑ENo / DAMAGE IILLJJII REGISTERED OWNER INFO MARKJAPHET220651THAVENW OLYMPIA WA 98502 VEHICLE NO. 1 ❑ SHADE IN DAMAGED AREA 35 14❑ LIABILITY INSURANCE INSURANCE CO COUNTRY PREFERRED INSURANCE P46A4123141 IN EFFECT &POLICY#VEHICLE CHARGE 36 LECALLv YES❑NO❑ CITATION# C?> 15❑ STANDING MOTOR PEDAL- PEDESTRIAN PROPERTY DAM THR OLD MET PHONE UNIT a2 VEHICLE ❑ CYCLE' ❑ ❑ OWNER ❑ YES 1/ No D:4252917988 N:2064378931 16❑ LAST NAME THOMAS FIRST NAME SAUNDRA MIDDLE M INITIAL 17 STREET❑ NEW ADOREss❑' 17466 117TH AVE SE CITY RENTON ST WA ZIP 98058 37 18❑ CDL IGNITION REQUIRED IGNITION PR—E-1SENT MEDICAL—T�RANSPORTED ❑ 38 INTERLOCKYES�NOR INTERLOCK YEs It I NOF YES t l NO❑ 19 LLIICENS # STATE SEX U MMDDYY —�_ 39 HELMET INJURY NATURE OF INJURIES 40 20❑ ON DUTY STATUS' AIRBAG RESTR EJECT USE CLASS ❑ ❑21❑ LICENSE TATE vIN1 41 5 PLATE# 42 22❑ PIR TRAILER LATE# STATE PLATE# STATE 23❑ 000 43 TRLR RLR UIN It 'IN#. VEH YEAR MAKE MODEL STYLE VEHICLE TOWED TO BLIN TOWED BY Gov HI 44 L4❑ DAMAGE YES NO YES NO REGISTERED OWNER INFO VEHICLE NO.2 SHADE IN DAMAGED AREA 2 3 4 INAEFFIECTTY NSURANCE❑ &POINSULICY#E CO 1 9TOP 5 VEHICLE ❑ C[:] CITATION# CHARGE i o BOTTOM LEGALLY YES N 25 s e OFFICER'S NAME(PRINT) OFFICER PHONE BADGE OR ID# AGENCY 26 JESSE VANDERHOEK 11631 WA0171300 PAGE 01 OF PART A 3000-345-159 OR 11/181 STATE OF POLICETRAFFICN CORRECTION REPORT NO. EF26451 COLLISION REPORT III III III III III 111 1591972 CASE# 24-10917 ADDITIONAL PERSONS INVOLVED PASSENGERS AND/OR WITNESSES ONLY) NAME (LAST FIRST,MIDDLE INITIAL)_ ADDRESS&PHONE# SEX D.O.B. - - MMDDYYYY. PASSENGER❑WITNESS UNIT# SEAT AIRBAG RESTR. EJECT ' HELMET INJURY NATURE OF INJURIES POS. USE CLASS NAME '(LAST,FIRST MIDDLE INITIAL) ADDRESS&PHONE# D D B SEX MMDDYYYY PASSENGER ❑WITNESS UNIT# SEAT AIRBAG RESTR. EJECT HELMET INJURY NATURE OF INJURIES POS. USE CLASS NAME (LAST FIR57 MIDDLE INITIAL) AppRESS R PHONE# SEX D.O.B. MMDDYYYY. - PASSENGER WITNESS UNIT# SEAT AIRBAG RESTR. EJECT HELMET NJURY NATURE OF INJURIES ❑ ❑ POS. USE CLASS ----� NARRATIVE' Vehicle #1 was traveling eastbound in the 11700 block of SE Petrovitsky Rd. Vehicle #1 veered to the left off the roadway, causing the vehicle to collide through a wooden fence and into the back yard of the residence located at 17466 117th Ave SE, Renton, WA. As the vehicle continued through this back yard, it also collided with two trees and the back porch attached to the house before it came to a stop. No one at the residence was injured. The fence, the porch, the yard, and the trees were all damaged. MARK, who was the driver of vehicle #1 advised me he did not fall asleep, he was not distracted, and did not believe he had a medical issue. He stated he was unsure why his vehicle left the roadway. A voluntary preliminary breath test concluded MARK was not under the influence of alcohol. It should be noted that MARK had several thousand dollars of cash on his person for some contractors he was enroute to meet, however he wanted to give all of this cash to police and the tow truck drivers as a gratuity. I advised MARK I would not take the money due to Renton PD policy for gratuities. The tow truck drivers were allowed to take gratuities so MARK voluntarily gave the two tow truck drivers $1,000 each. MARK asked that I place the rest of the money in the center console of his pickup truck, which I did. The pickup truck was towed to Bankers Towing. I later spoke on the phone to MARK's wife, JULIE, and she advised me that MARK was likely experiencing a mental health episode, as all of his behavior surrounding this collision were not normal for him and were consistent with his mental health episodes in the past. I CERTIFY(DECLARE)UNDER PENALTY OF PERJURY UNDER THE LAWS OF THE STATE OF WASHINGTON THAT THE FOREGOING IS TRUE AND CORRECT. JESSE VANDERHOEK 02-21-25 10:11 AM INVESTIGATING OFFICER'S SIGNATURE UNIT OR DIST DET DATED PLACE SIGNED APPROVED BY DATE JESSE VANDERHOEK 11631 1 2/21/2025 10:12:48 AM BADGE OR ID# 11631 OR]# WA0171300 TIME POLICE DISPATCHED 6:01 AM TIME POLICE ARRIVED',6:06 AM PART I PAGE IT]OF 3� REPORT NO. EF26451 CASE# 24-10917 DATE AND TIME 10/20/24 05:58 OF COLLISION Y 'zvr, a le 1``3a t 3 o is�a �s e� t a r t t c 4" r r � v9. PAGE 3 OF 3