HomeMy WebLinkAbout24-12221 IT si " II IIIII III IIIII II IIII IIIII I . 27c REPORT NO EF43971OLCERA
COLLISION REPORT 1591971
CASE# 24-12221 2
INTERSTATE CITY STREET FIRE I
RESULTED STOLENSTATE ROUTE OTHER VEHICLE LOCALANG 4100 3
HIT&RUN CODING
COUNTY RD PRIVATE WAY INVOLVED
2 TOTAL#OF OBJECT 1 s 28
TRIBAL UNITS 02 STRUCK
RESERVATION : 1 1
2
3� M M D D Y Y Y Y TIME(2400) COUNTY# MILES CITY#
eDCL s o v' 11 - 25 - 2024 1650 17 =.= S 8 W e OF IN e 1070 3
4❑ ON (PRIMARY TRAFFIC WAY) INTERSECTION ❑ NON INTERSECTION ❑✓
BLOSOUTHGRADYWAY MILE POST
e 600 .�
4a❑ MILE POST
DISTANCE OF(REFERENCE OR CROSS STREET)
5❑ 125 00 FEET e✓ S 8 E e SHATTUCK AVE SOUTH
OF11
29
MOTOR PEDAL- DAM AG THRESHOLD MET PHONE
UNIT 01 VEHICLE ❑ CYCLE ❑ YEs Vl No D:2063595956 0 7 30
5 LAST NAME JOSS JOSE 1 FIRST NAME ANABERTHA MIDDLE t 0 1 31
INITIAL
STREET ❑ 7921 RENTON AVE S
NEW ADDRESS CITY', SEATTLE ST WA Zlp; 981184433 2
7 +CDL IGN(TIUN REQUIRED IGNITION PRESENT MEDICAL TRANSPORTED. 3
INTERLOCKYES Na INTERLOCKYEs NO YES NO
8❑ DRIVERICENS # STATE WA SEXI F MMDDYY' 08 — 17 — 1990 1 2 32
9 ON DUTY STATUS' AIRBAG 2 RESTR 4 EJECT 1 HELMET INJURY 7 NATURE B INJURIES 2
USE CLASS EVAL'D BY RRFA
LICENSE, CLW3528 STATE WA VIN# 1N4AL3AP6GN363494 3
10 Fq I PI ATF#
TRAILER STATE TRAILER STATE ROM To 11 3 0 PLATE# PLATE#
TRLR TRLR 3 7 33
12 3 0 VIN#' vIN#
FROM TO
13 2 VERYEAR2016 MAKE NISS MODEL ALTIMA STYLE 4D VEHICLE TOYED NO�iS46LIN T�VyED.6LRS GEES�OVT ENO 9 9 HICLE 34
DAMAGE IIII._IIII HHttVVii((tt
REGISTERED OWNER INFO ANABERTHA JOSE JOSE 7921 RENTON AVE S SEATTLE WA 93118 VEHICLE NO. 1
SHADE IN DAMAGED AREA 35
$ INSURANCE CO 3 4
14 LIABILITY INSURANCE GE/CO 611 711 8841
IN EFFECT &POLICY# 9TOP 5
V""' CHARGE
15
srnNowc YES❑NO❑ CITATION# 4A0869300,4AO869301 DWLS 3RD DEGREE,INATTENTIVE taoorrob 1 36
MOTOR PEDAL- PEDESTRIAN1:1 PROPERTY DAM THR OLD MET PHONE
UNIT 02 VEHICLE CYCLE nWNFR YES�/ NO D:4254307500
16�
LAST NAME NELSON 1 FIRST NAME TYLER MIDDLE M
INITIAL
17
STREET P/I ❑
1055 SOUTH GRADYWAY CITY' RENTON ST, Wq ZIP 98057 37
NEW ADDRESS :
18� IGNITION REQUIRED IGNITION PRESENT MEDICALTRANSPt7RTED 38
CDL INTERLOCKYEs X YESFINOF
vEs NO
19 DRIVER'S STATE WA SEXI M I D. 05 08 1995 39
LICENSE# MMDI3YY —
HELMET INJURY 7: NATURE OF INJURIES 40
20❑ ON DUTY� STATUS AIRBAG 2 RESTR 4 EJECT '1 ❑
USE CLASS POSSIBLE NECK PAIN
21 LICEN� 67627D raTE WA vIN# 1GNLCDEC7KR356286 41
PLATE 22❑ PLATE# STATE PLAAILER
TE# STATE 42
23 TRLR RLR 43
UIN#. 'IN#
VEH.YEAR 2019 MAKE CHEV MODEL TAHOE STYLE $V VEHICLE TOWED TO BLIN
TOWED BY GOV HI 44
24 DAMAGE YES NO VES NO
REGISTERED OWNER INFO CITY OF RENTON 3555 NE 2ND ST RENTON WA 98056 D:4254307500 VEHICLE NO.2
SHADE IN DAMAGED AREA
2 3 4
LIABILITY INSURANCE INSURANCE CO CITY OF RENTON SELF-INSURED i
IN EFFECT &POLICY# I STOP
HICL
L'—L YES� N.I,—I CITATION11 CHARGE to BOTTOM
VEE
25
OFFICER'S NAME(PRINT) OFFICER PHONE BADGE OR ID# AGENCY
26
MATTHEW NUGENT 11498 WA0171300
PAGE 01 OF
PART A 3000-345-189(R 11/18)
STATE OF
POLICETRAFFICN CORRECTION REPORT NO. EF43971
COLLISION REPORT III III III III III 111
1591972 CASE# 24-12221
ADDITIONAL PERSONS INVOLVED(PASSENGERS AND/OR WITNESSES ONLY)
'.NAME
(LAST,FIRST,MIDDLE INITIAL)
ADDRESS&PHONE
SEXi D.O.B. —
MMDDYYYY
PASSENGERQ WITNESS� UNIT SEAT AIRBAG RESTR. EJECT ; HELMET INJURY NATURE OF INJURIES
POS. ' USE CLASS 1 ----�
:NAME
(LAST FIRST MIDDLE INITIAL)
ADDRESS&PHONE#
SEX D.O.B. —
MMDDYYYY
PASSENGER❑WITNESS UNIT# : SEAT AIRBAG RESTR. EJECT HELMET INJURY: NATURECFINJURIES
POS. USE CLASS ----�
:NAME
(LOST,FIRST,MIDDLE INITIAL)
ADDRESS&PHONE#
SEX MMDDYY D.O.B.
YY
PASSENGER WITNESS UNIT# SEAT AIRBAG RESTR. EJECT HELMET NJURY NATURE OF INJURIES
POS. I 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.
MATTHEW NUGENT 11-25-24 06:56 PM
INVESTIGATING OFFICER'S SIGNATURE UNIT OR DIST.DET DATED PLAGE SIGNED
APPROVED BY DATE
C.JACOBS 1953 1 121912024 12:48:48 PM
BADGE OR ID# j 11498 ORI# WA0171300 TIME POLICE DISPATCHED 4:50 Pry] TIME POLICE ARRIVED i 4:50 PM
PAST B 3 Do-3mx—attar(t 1Mff) PAGE 2�OF 57
REPORT NO. EF43971 CASE# 24-12221 DATE OF COLLI r�510NN + 11/25/24 16:50
L1
NARRATIVE
24-12221
On 11/25/2024 at approximately 1650 hours, Officer T. Nelson advised via radio that his marked
patrol vehicle was just involved in an unknown-if-injury two-vehicle collision just west of the
intersection at South Grady Way and Shattuck Avenue South, within the City Limits of Renton,
County of King, State of Washington.
Upon checking on the other involved driver, Officer Nelson determined that the other involved driver
(Unit #1) was pregnant therefore he requested the Renton Regional Fire Authority (RRFA) for a
precautionary evaluation. RRFA responded to the scene where they conducted an evaluation and
treated the involved parties. RRFA released all involved parties at the scene. Upon my arrival, I
collected the involved parties driving documents and their independent recollection of events leading
up to the collision.
The driver of Unit#1 said she and her two passengers were traveling westbound in about the 600
block of South Grady Way just west of the intersection of Shattuck Ave S. The driver of Unit#1
stated she was traveling directly behind Unit#2 and saw as Unit#2 had come to a stop for queued
traffic at the upcoming intersection. The driver of Unit#1 stated that her brakes appeared to not be
functioning as expected and she simply was unable to stop in time, subsequently colliding with the
rear of Unit#2. Unit#1 suffered moderate damage to the front of the vehicle because of the collision.
The driver of Unit#2 was a marked Renton Police patrol vehicle and operated by Officer Nelson at
the time of collision. Officer Nelson said that he was the sole occupant of his department issued
vehicle and was also traveling westbound in about the 600 block of South Grady Way just west of the
intersection of Shattuck Ave S. While Unit#2 was stopped for queued traffic, Unit#1 collided with the
rear of Unit#2 causing moderate damage to the rear of Unit#2.
The driver of Unit#1 (Jose Jose) was not paying attention to traffic in front of her. Jose Jose violated
Renton Municipal Code (RMC) 10-12-25-Inattentive Driving which is defined as any person to drive a
motor vehicle on any public highway, street, alley, or road in an inattentive manner in the City of
Renton. "Inattentive manner" in this section means a lack of: 1) attentiveness required to safely
operate the vehicle under the prevailing conditions, including, but not limited to, the nature and
condition of the roadway, the weather conditions, the presence of pedestrians, the presence of other
traffic, or by the driver focusing or directing the driver's attention to something other than driving the
motor vehicle; or 2) attentiveness that would permit the driver of a motor vehicle to observe anything
resting on, or traveling on, or entering the roadway in time to take appropriate action as
circumstances require. (Ord. 4462, 7-25-94, eff. retroactive to 7-1-94; Ord. 5635, 11-14-11).
A DOL records check revealed that Jose Jose was Driving While License Suspended in the third
degree.
Jose Jose violated the crime of Driving While License Suspended in the third degree by operating a
motor vehicle at a time when her license is suspended in the third degree.
Based on the above statements, I determined that the Driver of Unit#1 (Jose Jose) is the proximate
cause for the collision due to inattention causing a collision. Jose Jose should have been paying
closer attention to the movement of traffic in front of her.
I cited Jose Jose via complaint for DWLS 3rd Degree as well as via mail for Inattention. Unit#1 was
towed due to extensive damage, defective brakes, and no licensed driver able to operate the vehicle.
Unit#2 was able to be driven away without further incident. An exchange of information was provided
to all involved parties. Sergeant J. Trader arrived on scene and assisted by capturing photographs of
the collision scene. Officer Nelson stated he would file the City Damage form via "Origami".
PAGE 3 OF 5
REPORT NO. EF43971 CASE# 24-12221 DATE OF COLLI r�510NN + 11/25/24 16:50
L1
NARRATIVE
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 M. Nugent#11498 6:44 PM 11/25/2024 Renton, King County, WA.
PAGE 4 OF 5
REPORT NO. EF43971 CASE# 24-12221 DATE AND TIME 11/25/24 16:50
OF COLLISION
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