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Home My WebLink About24-12838 IT si " II IIIII III IIIII II IIII IIIII I . 27c REPORT NO EF49252OLCERA COLLISION REPORT 1591971 ❑ ❑ FIRE I �/�$E 24-12838 2 0 7 INTERSTATE CITY STREET ✓ RESULTED STOLENSTATE ROUTE OTHER VEHICLE LOC'AI-AGENCY 4100 3 HIT&RUN CODING COUNTY RD PRIVATE WAY ❑ INVOLVED 2 TOTAL#OF OBJECT 1 s 28 TRIBAL UNITS 03 STRUCK RESERVATION : 1 1 2 3� M M D D Y Y Y Y TIME(2400) COUNTY# MILES CITY# eOCL s on' 12 - IN 15 - 2024 1657 17 �.[� S 8 W e OF e 1070 3 4❑ ON (PRIMARY TRAFFIC WAY) INTERSECTION ❑ NON INTERSECTION ❑✓ SUNSET BLVD N BLOCK NO. e 200 .� 4a❑ MILE POST ❑ DISTANCE OF(REFERENCE OR CROSS STREET) 5 2001.1 00 FEET e✓ S 8✓ W e N 3RD ST 0 1 29 MOTOR ✓ PEDAL- DAM AG THRESHOLD MET PHONE UNIT 01 VEHICLE ❑ CYCLE ❑ YEs Vl No D:2062491151 0 7 30 6 LAST NAME GOMEZ PERILLA FIRST NAME YINNA MIDDLE P 1 1 2 31 INITIAL STREET ❑ 17305 121ST LN SE W303 CITY; RENTON ST WA ZIP; 98058 2 NEW ADDRESS 7 +CDL IGN(TIUN REQUIRED IGNITION PRESENT MEDICAL TRANSPORTED 3 INTERLOCK YEs No✓ INTERLOCKvEs NO✓ YES NO�/ 8 DRIVER # STATE WA SEXI F MMDDYY' 05 — 01 — 1990 1 2 32 9 ON DUTY❑ STATUS' AIRBAG 6 RESTR 4 EJECT 1 HELMET 2 INJURY 7 NATURE OF INJURIES 2 USE :CLASS HAND PAIN 10 PI ENSrtEI A7862745 STATE WA VIN#, 2TIBURHE4EC170375 3 TRAILER STATE TRAILER STATE 11 0 0 PLATE# PLATE# FROM To TRLR TRLR. 1 5 33 12 0 0 VIN#' VIN# FROM TO 13 3 VEH.YEAR2014 MAKE TOy. MODEL COROL STYLE SD VEHICLE TOYED NO�iS46LIN T�VyED.6LR$ �ES�ENo 9 9 34 DAMAGE IIII._IIII HHttVVii((tt REGISTERED OWNER INFO OWNEDBYDRIVER VEHICLE NO. 1 SHADE IN DAMAGED AREA 35 3 LIABILITY INSURANCE INSURANCE CO 4 14 GE/CO 6182256781 IN EFFECT &POLICY# 9TOP V""' CHARGE t a 80TTOM 36 LEGALLY YES❑NO❑ CITATION# 5 15❑ STANDING 7 e MOTOR ✓ PEDAL- PEDESTRIAN PROPERTY DAM THR OLD MET PHONE UNIT 02 VEHICLE ❑ CYCLE ❑ ❑ nWNRR YEs No �/ D:2534331803 16� LAST NAME EDDINGTON FIRST NAME JACE MIDDLE H INITIAL 17 F1 STREET ❑ 14701 206TH AVE SE CITY RENTON ST, WA ZIP 98059 4 37 NEW ADDRESS ❑ 18❑ CDL IGNITION REQUIRED IGNITION PRESENT MEDICALTRANSPORTED. 38 INTERLOCKYEs NO✓ INTERLOCI£YES NO[;le YES NO✓ 19 DRIVER'S MMDDYYJ I - 20❑ ON DUTY❑ STATUS AIRBAG 2 RESTR 4 EJECT 1 R USE 2 CLASSY 1 NATURE OF INJURIES 40 21 LICENSEPLATE# BZP4271 rare WA vIN# 4S4BRBGCXA3322828 41 22❑ PLATE# STATE PLATE# STATE 42 23 TRLR RLR 43 UIN#. 'IN# VEH.YEAR 2010 MAKE $Ugq MODEL OUTBq(, STYLE 4p/ VEHICLE TOWED TO BLIN TOWED BY GOV HI 44 24 DAMAGE YES NO✓ VES NO✓ REGISTERED OWNER INFO JENNIFER LECKENBY 14701 206THAVE SE RENTON WA 98059 VEHICLE NO.2 SHADE DAMAGEAREA 3 LIABILITY INSURANCE INSURANCE CO SAFECO H2481373 IN EFFECT &POLICY# 9TOP LVEHICLE '—LY YES N CL] CITATION# CHARGE t080TTOM LEGALL 25 OFFICER'S NAME(PRINT) OFFICER PHONE BADGE OR ID# AGENCY 26 JUSTIN KAUPPILA 12883 WA0171300 PAGE 01 OF PART A 3000-345-189(R 11/18) STATE OF POLICETRAFFICN CORRECTION REPORT NO. EF49252 COLLISION REPORT III III III III III 111 1591972 CASE# 24-12838 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 GLASS 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 0,SS ----� :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. JUSTIN KAUPPILA 12-18-24 09:28 AM INVESTIGATING OFFICER'S SIGNATURE UNIT OR DIST.DET DATED PLAGE SIGNED APPROVED BY DATE P.KORDEL 9676 1212312024 8:57:51 AM BADGE OR ID# 12883 ORI# WA0171300 TIME POLICE DISPATCHED 1 5:00 PM TIME POLICE ARRIVED i 5:00 PM PAST B 3 Do-3m5—attar(t 1Mff) PAGE 2�OF 57 REPORT NO. EF49252 CASE# 24-12838 OF DATE AND r�N + 12/15/24 16:57 O�COLLISION NARRATIVE Unless otherwise noted, the following occurred within the city limits of Renton, county of King, state of Washington. On 12/15/2024, 1 was working as a uniformed police officer for the city of Renton. At approximately 1700 hours, I was dispatched to a motor vehicle accident in the 200 block of Sunset Blvd N. My involvement in the incident was captured on my department-issued bodycam. When 1 arrived on scene, 1 located the involved vehicles, blocking lane 2 of 3, just south of the intersection at Sunset Blvd N and N 3rd St. I spoke with the driver of unit 1, who offered the following (summarized) account of the collision through both a Language Line Solutions interpreter for Spanish, and a passerby who happened to speak Spanish: They were traveling southbound on Sunset Blvd N in lane 2 of 3. Under unknown circumstances, they failed to stop before colliding with unit 2, which was stopped in front of them. They remember the brief moment before impact and then just remember seeing white. Officer Weber spoke with the driver of unit 2, their conversation is summarized as follows: They were stopped for traffic while facing southbound on Sunset Blvd N in lane 2 of 3. Without notice, their vehicle was struck from behind by unit 1. Officer Weber also spoke with the driver of unit 3, her account of the collision is summarized as follows: They were stopped for traffic Sunset Blvd N in lane 2 of 3. Without notice, their vehicle was struck from behind by unit 2. Unit 1 was rendered inoperable as a result of the collision, so Bankers Tow arrived and towed it from the scene. I provided both drivers a copy of my business card with the case number on the back of it. 1 captured photos of the collision and uploaded them to evidence.com. Nothing further at this time. PAGE 3 OF 5 SUPPLEMENTAL REPORT NO. EF49252 POLICE TRAFFIC 1 1 8 27 COLLISION REPORT CASE# 24-12838 t113197 1 COMMERCIAL MOTOR CARRIER INTERSTATE INTRASTATE UNIT# USDOT ICC# VEHICLE TYPE CARGO BODY: 3 TYPE 2 ❑ 1 28 CARRIER NAME 3 CARRIER L ADDRESS CITY ST ZIP 4 ❑ NAME # PLACARa GWVR NAME IF NO NUMBER SOURCE AXLES + 4a ❑ ADDITIONAL UNITS { MOTOR PEDAL- PROPERTY DAMAGE THRESHOLD MET PHONE 5 ❑ UNIT# 3 VEhiICLE ( CYCLE C) PEDESTRIAN OWNER ❑'. YES NO D:4256382452 0 7 29 LAST NAME DEVERICK FIRST NAME ANALYN MIDDLE'. C INITIAL STREET 30 NEW AM RFfi 12235 SE 56TH ST 293 CITY BELLEVUE I ST WA ZiP gg006 6 ❑ 1 1 2 31 CDL IGNITION REQUIRED '..IGNITION :: PRESENT MEDICALTAN�PORTED'. INTERLOCK YES. ND�/ ,..INTERLOCK YES 0 NO I YES N.Z L DRIVER'S STATE WA SEX F D.O.B 03 7 LICENSE; MMDD' - 23 - 1985 ONDUTY� STATUS AIRBAG 2 RESTR. 4 EJECT 9 HELMET 2 INJURY 1 NAruREofINJURIEs USE :CLASS ; 8 ❑ 1 32 LICENSE BFP1142 TAT WA VIN 1HGCR2F37FA266992 PLATE# 9 Fq] STATE TRAILER TRAILER L PLATE# PLATE STATE 0 10 ❑ TRLR TRLR VIN.# VIN#. 11 0 0 VEIL YEAR201 Jr I MAKE HOND MODELACCORD STYLE SD VEHICLE TOWE E T ABLIN TOWED BY GOVT.VFHICI E FROM TO DAMAGE YES NO ✓ YES NO REGISTERED OWNER INFO.CORP CREDITACCEPTANCE 25505 W 12 MILE RD SOUTHFIELD M148034 SHADE IN DAMAGED AREA R 9 33 12 a FROM TO LIABILITY INSURANCE❑ INSURANCE CO STATE FARM 5330803-A27-47 J.70P IN EFFECT &POLICY# I "__`___. m 34 13 ❑ vewc�e YES NO CITATION# CHARGE 1080TTOM ecauv sTnNoiNc � 3 7 14 ❑ UNIT# MOTOR PEDAL- ❑ PROPERTY DAMAGE THRESHOLD MET PHONE 35 VEHICLE CYCLE PEDESTRIAN OWNER YES NO 36 15 LAST NAME FIRST NAME NIT AL 16 ❑ STREET CITY ST' ZIP NEW ADDRESS CDL IGNITION REQUIRED IGNITION PRESENT MEDICAL 1 NSF'ORTED. INTERLOCK YES NO INTERLOCK Y_ N4 YES NO'. 17 4 37 DRIVER'S # STATE SEX Moog L 18 ❑ HELMET INJURY NATURE OF INJURIES 38 ON DUTY STATUS AIRBAG RESTR. EJECT USE CLASS. 19 ❑ LICENSE TAT VIN# 39 PLATE# 20 TRAILER TRAILER 40 PLATE#. STATE PLATE# - STATE ❑ 21 ❑ ❑ 41 TRLR TRLR VIN# VIN#:' 42 22 VEH.YEAR MAKE MODEL STYLE VEHICLE TOWED DUET ABLIN TOWED BY GOVT.VEHICLE DAMAGE YES NO YES NO 23 REGISTERED OWNER INFO. SHADE IN DAMAC ED AREA 43 2 3 4 LIABILITY INSURANCE INSURANCE CO IN EFFECT I &POLICY# .. I E 44 24 YES❑ NO CITATION# CHARGE OM STF_ G 8 3 G 1 CERTIFY(DECLARE)UNDER PENALTY OF PERJURY UNDER THE LAWS OF THE STATE OF WASHINGTON THAT THE FOREGOING IS TRUE AND CORRECT. JUSTIN KAUPPILA 12-18-24 09:28 AM 25 INVESTIGATING OFFICER'S SIGNATURE OFFICER'S PHONE UNIT OR DIST DET DATED: PLACE SIGNED 26 ORID# 12883 O#RI WA0171300 APPROVED BY 12%23/202 PAGE OF 3000-345-013(R 11/18) REPORT NO. EF49252 CASE# 24-12838 DATE AND TIME 12/15/24 16:57 OF COLLISION {{ •,9 �1 t r. 1, �y yy, 1 t a, j t Y I 4i PAGE 5 OF 5