No preview available
HomeMy WebLinkAbout24-11881 ITFF' "POLCERA II I !�� I III I III I IIII III II I . 1 27c COLLISION REP FIT 1591971 SASE 24-11881 2 INTERSTATE ❑ CITY STREET FIRE ❑ RESULTED 1 STOLEN STATE ROUTE ❑ OTHER ❑ VFHICI F ❑ LOCAL AGENCI 4200 3 HIT&RUN ✓ CODING COUNTY RD PRIVATE WAY INVOLVED 2 TOTAL#OF OBJECT 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'. 11 - 1-- 2024 0457 17 ❑.= S 8 IN e 1070 3 4❑ ON (PRIMARY TRAFFIC WAY) INTERSECTION ❑ NON INTERSECTION ❑✓ EDMONDS AVE NE BLOCK NO. e✓ 1140 4a❑ MILEPOST DISTANCE OF(REFERENCE OR CROSS STREET) 5❑ 60 00 FEET MILES e S B W e NE 12TH ST 0 1 29 UNIT 01 VEHICLE MOTZ PEDAL-ORCYCLE ElDESA✓NHORESHOLDMET PHONE 1 4 30 6� LAST NAME UNKNOWN FIRSTNAME MIDDLE 1 1 2 31 INITIAL STREET ❑ CITY RENTON ST ZIP 2 NEW ADDRESS 7❑ CDL IGNITION REQUIRED IGNITION PRESENT MEDICAL TRANSPORTED 3 iNTERLOCKYEs NO INTERLOCK YES NO YES No DRIVERS STATE SEX D - 328 LICENSE MMDYY❑ 9 ON DUTY❑ STATUS I AIRBAG 9 RESTR 9 EJECT 1 H U EEr 9 CLAY 0 NATURE OF INJURIES z❑ 3 LICENSE sTATI urN#' 10❑ PI ATE 14 C7 TRAILER STATE TRAILER STATE 11 3 5 PLATE# PLATE# Rom ro rRLR. TRLR. 1 5 33 12 0 0 VIN#' VIN# CHEV UNKNO pK OIIF ❑ RO�34 ❑ VEH.YEAR MAKE MODEL STYLE VEHICLE TOWED If TO BLIN TOWED BY GOVT.VEHICLE 13 2 DAMAGE YES NO ✓ YES NO✓ REGISTERED OWNER INFO UNKNOWN RENTON VEHICLE NO. 1 SHADE IN DAMAGED AREA ❑ 35 14❑ ABILI INSURANCE❑ INSURANCE CO 3 4 IN EFFECT &POLICV# 9TOP VEHICLE CHARGE 5 36 LEGALLY YES❑NO❑ CITATION# 1 o BOTTOM 15❑ STAIN.D'ING 7 6 UNIT VE IMOTOOR CYCLE ❑ PEDESTRIAN ❑ OWNER PEDAL ES❑ DYES✓ NO AM THR OLD MET PHONE 16❑ LAST NAME NONE FIRST NAME MIDDLE INITIAL STREET CITY RENTON ST ZIP $ 17❑ NEW ADDRESS❑ ❑ 37 18❑ CDL IGNITION REQUIRED IGNITION PtR—E—S1ENT MEDICAL t—T�RANSPORTED � 38 INTERLOCK YEs❑NO� INTERLOCK YEs I I No� YES t l NO❑ 19 LLIICENS RIVEWS# STATE SEX U MMDDYY —=_ 39 WELMET INJURY NATURE OF INJURIES 40 20❑ ON DUTY STATUS' AIRBAG 9 RESTR 9 EJECT '1 USE 9 CLASS 0 ❑ ❑21❑ PLA E# CL(a7219 TATE 41 WA VIN# 1HGCP2F48AA185085 4 42 22 [TRAILER TILER ❑ PLATE# STATE PLATE# STATE 23❑ 43 TRLR RLR UIN#. 'IN#. VEH YEAR 2010 MAKE HOND MODEL ACCORD STYLE 4D VEHICLE TOWED TO BLIN TOWEDBy GOV HI 44 24❑ DAMAGE YES NO✓ YES NO✓ REGISTERED OWNER INFO JOSE JANCITO 1140 EDMONDS AVE NE,APT 101 RENTONWA98056 D:4253065038 VEHICLE NO.2 SHADE IN DAMAGEbAREA 2 3 Cd INAEFFITY ECTNSURANCE❑ &POINSULICY#E CO I 9TOP IETILe YES❑ N,J� CITATION# CHARGE i o BOTTOM LEGALLY J 25 $ OFFICER'S NAME(PRINT) OFFICER PHONE BADGE OR ID# JAGENCY 26 C.STEED 8770 WA0171300 PAGE 01 OF PART A 3000-345-159 OR 11/181 STATE OF POLICETRAFFICN CORRECTION REPORT NO. EF36175 COLLISION REPORT III III III III III 111 1591972 CASE# 24-11881 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' On 11/16/24 at about 0517 hrs I arrived in front of 1140 Edmonds Ave NE for a Hit and Run Collision report, in the City of Renton, County of King, and State of Washington. Jose Jacinto advised at about 0457 hrs a white Chevrolet pickup truck rear ended the back of his parked and unoccupied 2010 Honda Accord. Jose advised the witness did not see the driver or get a license plate of the vehicle. The witness, who was no longer in the area, said the hit and run vehicle went NB after the collision. Jose's vehicle was legally parked on the west side of Edmonds Ave NE about 60 ft south of NE 12th St. It appears the hit and run vehicle was traveling SB on Edmonds Ave NE and failed to stop at the stop sign. The vehicle rear ended the parked vehicle causing significant damage to the back of Jose's vehicle. There is no further suspect information. This incident was captured on my body worn video camera. This report is a summary of events that occurred and is not an exact sequencing of events. Statements have been paraphrased and summarized. The video was uploaded to evidence.com. I certify (declare) under penalty of perjury under the laws of the State of Washington that the foregoing is true and correct. Electronically Signed by Officer Steed on 11/16/24 0613 hrs, Renton Washington Cassidy Steed/8770 I CERTIFY(DECLARE)UNDER PENALTY OF PERJURY UNDER THE LAWS OF THE STATE OF WASHINGTON THAT THE FOREGOING IS TRUE AND CORRECT. C.STEED 11-16-24 06:18 AM INVESTIGATING OFFICER'S SIGNATURE UNIT OR DIST DET DATED PLACE SIGNED APPROVED BY DATE QUINT TIBEAU 07691 11/16/2024 11:40:15 AM BADGE OR ID# 8770 OR]# WA0171300 TIME POLICE DISPATCHED! 5:09 AM TIME POLICE ARRIVED 5:17 AM FART I PAGE IT]OF 3� REPORT NO. EF36175 CASE# ' 24-11881 DATE AND TIME 11/16/24 04:57 OF COLLISION i a. h m q a PAGE 3 OF 3