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Home My WebLink About24-12362 ITFF' "POLCERA II I !�� I III I III I IIII III II I . 5 27c COLLISION REP FIT 1591971 CASE 24-12362 z INTERSTATE ❑ CITY STREET FIRE ❑RESULTED 1 STOLEN STATE ROUTE ❑ OTHER ❑ VFHICI F ❑ LOCAL AOENC 4200 3 HIT&RUN CODING COUNTY RD PRIVATE WAY INVOLVED 2 1 TOTAL#OF OBJECT 1 1 8 28 TRIBAL UNITS 03 STRUCK RESERVATION z 3❑ DATE OF M M D D Y Y Y Y TIME(2400) COUNTY# MILES N E IN CITY# ❑ cawsloN 11 - 1-- 2024 1353 17 ❑.= S 8 IN e 1070 3 4❑ ON (PRIMARY TRAFFIC WAY) INTERSECTION ❑ NON INTERSECTION ❑✓ GRANTAVES BLOCK NO. e✓ 2000 4a❑ MILEPOST DISTANCE OF(REFERENCE OR CROSS STREET) 5❑ 2001. 00 FEET MILES e S B W e S PUGET DR 0 3 29 MOTOR PEDAL- DAMAGE THRESHOLD MET PHONE UNIT 01 VEHICLE ❑ CYCLE El ✓NO D:2064667082 1 4 30 6� LAST NAME VONGSADY FIRSTNAME LAYLA MIDDLE A 1 1 2 31 INITIAL STREET ❑✓ 2020 GRANTAVES#H2O1 CITY RENTON ST WA Zjp, 98055 z NEW ADDRESS 7❑ CDL IGNITION REQUIRED IGNITION PRESENT MEDICAL TRANSPORTED 3 ✓ I iNTERLOCKYEs No NTERLOCKYEs NO✓ YES R No 8❑ LRIIVER # ON DUTY❑ STATUS AIRBAG 2 RESTR 4 EJECT 1 H U SE ICNLJAUSSY 1 NATURE OF INJURIES z❑ 3 10❑ P1 aT�S� BHG2449 sTArI WAVIN# 4T18F1FK7CU552321 TRAILER STATE TRAILED STATE 11 2 5 PLATE# PLATE# FR.. To TRLR. TRLR 3 1 33 12 0 0 VIN#' VIN# 2012 TOYT CAMRY SDYES[:] ❑ RO�34 VEH.YEAR MAKE MODEL STYLE VEHICLE TOWED TO BLIN TOWED BY GOVT.VEHICLE 13� DAMAGE YES NO ✓ YES NO✓ REGISTERED OWNER INFO CHUSAK SAETEE 2020 ORANTAVE S APT H2O1 RENTON WA 98055 D:2063278392 VEHICLE NO. 1 ❑ SHADE IN DAMAGED AREA 35 14❑ LIABILI INSURANCE INSURANCE CO STATE FARM 491.5307-E07.47B 3 4 IN EFFECT &POLICY# 9TOP VEH'CLE CHARGE 5 36 ❑NO❑ CITATION# 1 o BOTTOM 15❑ LECALLv STANDING YES 8 7 6 UNIT 02 VE ICCLE CYCLE ❑ PEDESTRIAN ❑ oWNFRRTY ❑ DYES✓ NO OLD MET PHONE 16❑ LAST NAME UNKNOWN FIRST NAME MIDDLE INITIAL STREET CITY AUBURN ST ZIP 17❑ NEW ADDRESS❑ ❑ 37 18❑ CDL IGNITION REQUIRED IGNITION PtR-E-S1ENT MEDICAL-T�RANSPORTED � 38 INTERLOCK YEs❑No� INTERLOCK YEs I I NOF YEs t l NOF,/ 19 LLIICENS RIVER# SEX U MMDDYY 39 WELMET 1NJURY NATURE OF INJURIES 40 20❑ ON DUTY STATUS' AIRBAG 9 RESTR 9 EJECT ''1 USE 9 CLASS 0 ❑ 21❑ LICENSE BVL9555 TAre WA VIN# 4T1BD1FK1DU071794 ❑ 41 PLATE# 42 22❑ PLATE# STATE PLATE# STATE 23❑ 43 TRLR RLR UIN#. 'IN#. VEH YEAR 2013 MAKE TOYT MODEL CAMRY STYLE SD VEHICLE TOWED TO BLIN TOWEDBY GOV HI 44 L4❑ DAMAGE YESfj NO✓ YES NO✓ REGISTERED OWNER INFO TRISHA LE 16323 SE326TH ST AUBURN WA 98092 VEHICLE NO.2 SHADE IN DAMAGED AREA 2 3 4 INAEFFITY ECTNSURANCE❑ &POINSULICY#E CO I VEHICLE ❑ ,.II CITATION# CHARGE ��D LEGALLYYES N25 Qs OFFICER'S NAME(PRINT) OFFICER PHONE BADGE OR ID# AGENCY J 26 QUINT TIBEAU 07691 WA0171300 PART A PAGE 01 OF C7 3000-345-159 OR 11/181 STATE OF POLICETRAFFICN CORRECTION REPORT NO. EF41283 COLLISION REPORT III III III III III 111 1591972 CASE# 24-12362 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 PM 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' 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. QUINT TIBEAU 11-30-24 03:48 PM INVESTIGATING OFFICER'S SIGNATURE UNIT OR DIST DET DATED PLACE SIGNED APPROVED BY DATE D.SKELTON 9139 121112024 3:59:40 AM BADGE OR ID# 07691 OR]# ! WA0171300 TIME POLICE DISPATCHED 2:09 Pry] TIME POLICE ARRIVED:2:13 PM PART I PAGE IT]OF 5� REPORT NO. EF41283 CASE# 24-12362 OF COLLISION 11/30/24 13:53 OF CbLLI510N NARRATIVE 24-12362 Narrative The following occurred in the City of Renton, County of King, State of Washington. On 11/30/24 at about 1409 hours I was dispatched to the 2000 block of Grant Ave S for a Collision. I contacted the driver of V-1, who identified herself as Layla Vongsady with her WA Intermediate License. Vongsady told me that she was leaving her apartment complex at 2020 Grant Ave S making a right turn to go north bound on Grant. As she did this she looked down and was trying to grab some lip gloss from her center console. The vehicle continued going right and she struck V-2, then V-3, both of which were parked unoccupied on the east side of Grant Ave S. Vongsady turned her vehicle around and returned to the parking lot where she called 911. Vongsady's vehicle broke a tie rod for the right front wheel in the collision and could not be driven any further. I informed the owner of V-2 about the collision and provided him with an information exchange. The owner of V-3 has an Auburn address, so I left my business card with case number for them. This incident was captured on my Axon 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. Nothing further at this time. 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 Q. Tibeau #07691 11/30/24 1542 hours, Renton, WA. PAGE 3 OF 5 SUPPLEMENTAL REPORT NO. EF41283 r`I POLICE TRAFFIC 1 1 8 27 COLLISION REPORT CASE# 24-12362 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 t_"J � PEDESTRIAN YES� IN 1 4 29 LAST NAME : UNKNOWN FIRST NAME MIDDLE INITIAL STREET 30 NEW AnDRFSP' CITY RENTON ST ZIP 6 CDL IGNITION REQUIRED IGNITION PRESENT MEDICAL TANSPORTED 1 31 INTERLOCK YES NO INTERLOCK YES❑N0� YEs N DRIVER'S STATE I SEX U M��DYSYv' —� 2 LICENSE 7 ON DUTY STATUS AIRBAG 9 RESTR. 9 EJECT 1 HELMET 9 INJURY 0 NATURE OF INJURIES F� USE CLASS 8 ❑ 1 32 LICENSE BPL2662 TAr WA VIN# 3N1AB7AP6DL751537 PLATE# 9 TRAILER TRAILER PLATE# STATE PLATE# STATE 10 ❑ TRLR TRLR VIN.#. VIN.#. 11 0 0 VEH.YEAR2013 MAKE NISS MODELSENTRA STYLE SO VEHICLE TOWE E T SABLIN TOWED BY anvi vFH1C P FROM TO DAMAGE YES NO YES NO REGISTERED OWNER INFO?DAM ALEXSEN 2020 GRANTAVE S#A205 RENTON WA 98055 m 33 12 � SHADE IN DAMAGED AREA 34 FROM TO LIABILITY INSURANCE INSURANCE CO IN EFFECT &POLICY# tGQ EHILLE 34 13 ❑ LEGALLY YES[:] NO❑ CITATION# CHARGE STANDING } 8 7 14 ❑ UNIT Tr Vd 1RE O CYDCLE OWNERRTY YES AGE NOHRESHOLD MET PHONE ❑ 35 PEDESTRIAN 15 LAST NAME FIRST NAME MIDDLE': INITIAL ❑ 36 STREET 16 NEW AnnRFs.�' CITY'. ST ZIP CDL IGNITION REdUiRED IGNITtGN PRESENT MEDICALTANSPORTED INTERLOCK YES No INTERLOCK YEs NO YEs NO ❑ 17 5 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 ❑ [441 TRLR TRLR 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 3 4 4 AREA F 43 z LIABILITY INSURANCE INSURANCE CO ' VINE EFFECT &POLICY# i 970P - 4 E:l 44 24 LEwGLE YES❑ NO❑ CITATION# CHARGE iq 60TiOM 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. QUINT TIBEAU 11-30-24 03:48 PM 25 INVESTIGATING OFFICER'S SIGNATURE OFFICER'S PHONE UNIT OR DIST DET DATED: PLACE SIGNED 26 � OR ID# 07691 O#I',WA0171300 APSKELTON 1211/2024 PAGE F OF 5 3000-345-013(R 11118) REPORT NO. EF41283 CASE# ' 24-12362 DATE AND TIME 11/30/24 13:53 OF COLLISION It 4 � r 3 q VZl ' i } k t t , a ycs PAGE 5 OF 5