HomeMy WebLinkAbout24-12895 IT si " II IIIII III IIIII II IIII IIIII I . 27c REPORT NO EF49309OLCERA
COLLISION REPORT 1591971
CASE# 24-12895 2
INTERSTATE CITY STREET FIRE I
RESULTED STOLENSTATE ROUTE OTHER VEHICLE LOCAI-A`NG 4100 3
HIT&RUN CODING
COUNTY RD PRIVATE WAY INVOLVED
2 TOTAL#OF OBJECT 1 s 28
TRIBAL UNITS 06 STRUCK
RESERVATION : 1 1
2
3� M M D D Y Y Y Y TIME(2400) COUNTY# MILES CITY#
eaCL s o v' 12 - 17 - 2024 1603 17 =.= S 8 W e OF IN e 1070 3
4❑ ON (PRIMARY TRAFFIC WAY) INTERSECTION ❑ NON INTERSECTION ❑✓
BLOMAPLE VALLEY HWY MILE POST
e 500 .�
4a❑ MILE POST
❑ DISTANCE OF(REFERENCE OR CROSS STREET)
5 MILES 1.1 FEET e S 8 W e
0 1 29
MOTOR ✓ PEDAL- DAM AG THRESHOLD MET PHONE
UNIT 01 VEHICLE ❑ CYCLE ❑ YEs Vl No D:2064580647 0 1 30
LAST NAME EVANGELISTA FIRST NAME FERNANDO MIDDLE $
5 INITIAL 1 2 31
STREET ❑ 14535 SE 153RD PL CITY; RENTON ST WA ZIP; 980588106 2
NEW ADDRESS
7� +CDL IGN(TIUN REQUIRED IGNITION PRESENT MEDICAL TRANSPORTED 3
INTERLOCKYEs No INTERLOCKVEs NO YES NO
8 DCIENSE# STATE WA SEXI M MMDDYY' 07 - 19 - 1946 1 2 32
-NJUR
9 ON DUTY STATUS' AIRBAG 6 RE
STR 4 EJECT 1 N USEET 2 CLASSY 1 [NATURE of INJURIES 2
10 as ENSrtEI AHJ6817 STATE WA VIN# JHLRM4H71CCO22163 3
TRAILER STATE TRAILER STATE
11 3 5 PLATE# PLATE# ROM To
TRLR TRLR 7 1 3 33
12 3 5 VIN# vIN#
FROM TO
13 2 VEH.YEAR2012 MAKE HOND MODEL CR-V STYLE VEHICLE TOYED NO�iS46LIN Tl� {J RSTOWING GCS❑VT EHICLE
No� 3 7 34
DAMAGE IIII._IIII
REGISTERED OWNER INFO FERNANDO EVANGEL/STA t4535 SE 153RD PL RENTONWA 98058 VEHICLE RED 1
SHADE IN DAMAGED AREA 35
2 LIABILITY INSURANCE INSURANCE CO 4
14 STATEFARM 264 997t-D25
IN EFFECT &POLICY# 9TOP
VEn" CHARGE 5 36
LEGALLY YES❑NO❑ CITATION# t a 80TFOM
15❑ STM ING e
MOTOR PEDAL- PEDESTRIAN PROPERTYEl DAM THR OLD MET PHONE
UNIT 02 VEHICLE CYCLE nWNFR YES�/ NO D:2063961590
16�
LAST NAME CHUNG FIRST NAME PAUL MIDDLE' K
INITIAL
17
STREET ❑ 37
NEW ADORE SS❑ 24024 SE 277TH PL CITY I MAPLE VALLEY ST, WA ZIP 980380000
18❑ CDL IGNITION REQUIRED IGNITION PRESENT MEDICAL TRANSPORTED 38
INTERLOCKYEs No INTERLOCK YES N5 vEs NO
19 DRIVER'S STATE WA SEX I M D.O.e. 10 18 1972 39
LICENSE# MMDDYY -
: NATURE OF INJURIES
20❑ ON DUTY STATUS AIRBAG 2 RESTR 4 EJECT 1 USE HELMET 2 INJURY 40
CLASS 1 ❑
21 LICENSE I PLATE# CNK4992 rare WA vIN# USE
41
22❑ PLATE# STATE[TILER I PLATE# STATE 42
23 TRLR r RLR 43
UIN#. 'IN#
TOWED BY GOV HI 44
VEH.YEAR 2020 MAKE TESL MODEL MODEL 3 STYLE $D VEHICLE
TOWED✓ No BLIN BANKERS TOWING ves No�/
24
REGISTERED OWNER INFO OWNED BY DRIVER VEHICLE N0.2
SHADE IN DAGEAREA
2
LIABILITY INSURANCE INSURANCE CO SAFECO H2537648
IN EFFECT &POLICY# t STOP
Ve—L ,J—I CITATION# CHARGE to BOTTOM
LEGnLY YES❑ N`[
25 �
OFFICER'S NAME(PRINT) OFFICER PHONE BADGE OR ID# AGENCY
J
26
C.CATALAN 12007 WA0171300
PAGE 01 OF
PART A 3000-345-189(R 11/18)
STATE OF
POLICETRAFFICN CORRECTION REPORT NO. EF49309
COLLISION REPORT III III III III III 111
1591972 CASE# 24-12895
E NA ADDITIONAL PERSONS INVOLVED(PASSENGERS AND/OR WITNESSES ONLY)
M
(LAST,FIRST,MIDDLE INITIAL) EVANGELISTA TEODORA D
ADDRESS&PHONE#
14535 SE 153RD PL RENTON WA 980588106 SEXi F MMDDD BYYY 08 — 18 — 1947
PASSENGER WITNESS UNIT SEAT AIRBAG RESTR. EJECT HELMET INJURY NATURE OF INJURIES
z �, 1 POS. 3 6 4 1 USE 1 2 CLASS ;1 ----�
:NAME
Lnsr EIRST,MIDDLE INITIAL) LOZEAU CHARLIE
ADDRESS R PHONE#
RENTON WA SEX' F D.O.B. 09 _ 23 _ 2022
MMDDYYYY
SEAT HELMET INJURY T NATURE OF INJURIES
PASSENGER a WITNESS1:11 UNIT# 3 POB. 6 AIRBAG 2 RESTR. 11 EJECT 1 USE 2 CLASS 1 ----�
NAME MIDDLE INITIAL) REZA CRISTIAN
(LAST,FIRST,
AQQREss a PHONE# RENTON WA SEX M 11 _ 03 _ 2004 MMDDYYDYYYY
PASSENGER I
WITNESS UNIT# 4 SEAT 3 AIRBAG 2 RESTR. 4 EJECT 1 HELMET 2 INJURY' 1 NATURECFINJURIES
a 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.
C.CATALAN 12-22-24 11:54 PM
INVESTIGATING OFFICER'S SIGNATURE UNIT OR DIST.DET DATED PLACE SIGNED
APPROVED BY DATE
C.JACOBS 1953 1212312024 10:12:31 AM
BADGE OR ID# 12007 ORI# WA0171300 TIME POLICE DISPATCHED 1 4:06 PM TIME POLICE ARRIVED i 4:10 PM
PAST B 3 aDo-3mx-attar(t 1Mff) PAGE 2�OF 7�
REPORT NO. EF49309 CASE# 24-12895 OF DATE AND r�N + 12/17/24 16:03
O�COLLISION
NARRATIVE
On December 17, 2024, at approximately 1603 hours, I was dispatched to a multiple blocking vehicle
collision at the intersection of Sunset Blvd NE and NB 1405, within the City Limits of Renton, County
of King, State of Washington.
Upon my arrival, I observed heavy mechanism to the involved vehicles. The Renton Regional Fire
Authority (RRFA) responded to the scene for evaluation. While on scene, I collected each of the
involved party's driving information and their independent recollection of the events leading up to the
collision.
It is important to note that most of the involved drivers did not witness who committed the traffic
violation. Most drivers stated they were unaware of what or who caused the collision and mentioned
they were unexpectedly hit. I was able to determine the cause of the collision only by reviewing the
video camera of unit 2. 1 also relied on the damage, vehicle positioning, and verbal statements from
the drivers of unit 1 and unit 5.
After speaking with all the involved parties, I gathered the following:
The driver of Unit 1 stated that he was accompanied by his front passenger. He also mentioned that
prior to the collision he was traveling eastbound in about the 2900 block of Maple Valley Hwy and
approaching the intersection of SE 5th St in lane 2. The driver of Unit 1 stated he intended to continue
eastbound on Maple Valley Hwy. While Unit 1 approached the end of the Maple Valley S turns, he
noticed that his front windshield was fogging up from inside. He turned the cabin air on high, but the
condensation failed to dissipate. As Unit 2 approached the same turn, the driver of Unit 1 was unable
to stay in his lane and veered into the number 2 westbound lane. Both vehicles collided in the number
2 westbound lane. That initial collision caused unit 1 to deflect, lose control, and strike unit 5 which
was also westbound in the number 2 lane. Unit 1 sustained severe damage to the front bumper and
fenders.
When unit 1 struck unit 2, that collision caused unit 2 to spin 360 degrees and strike unit 3 which was
in the number 1 westbound lane. Both vehicles sustained severe damage and disabled both vehicles
near the north sidewalk. Unit 2 lost a wheel that struck the undercarriage of unit 6 which was in the
number 1 lane going westbound.
I was unable to see any visible damage underneath unit 6, but the driver stated that the wheel
definitely caused damage to the undercarriage.
The driver of unit 3 said he never saw the collision take place and was randomly struck by unit 2.
The driver of unit 4 stated said she was traveling westbound in about the 2900 block of Maple Valley
Hwy in lane 2 of 2. The driver of Unit 4 stated as she continued going straight and approached the
initial S turns, the driver of Unit 4 saw Unit 1 turn in front of her vehicle. The driver of Unit 4 stated she
was unable to avoid the collision and both vehicles collided causing significant damage to the front of
Unit 4.
The driver of unit 4 said she noticed that unit 1 had severe damage to the front of their prior to
colliding with her. When unit 4 collided with unit 1, unit 5 drove behind directly behind her. Unit 5 was
unable to avoid the collision and also struck unit 4 from behind causing significant damage to the
front bumper of unit 5.
The driver of unit 5 appeared to be confused and was unable to describe what occurred.
PAGE 3 OF 7
REPORT NO. EF49309 CASE# 24-12895 OF DATE AND r�N + 12/17/24 16:03
O�COLLISION
NARRATIVE
After reviewing the vehicle footage from unit 2, 1 did see that unit 1 failed to maintain their lane.
Based on the above statements, I determined that the Driver of Unit 1 is the proximate cause for the
collision failing to maintain their lane. The driver of unit 1 violated Improper Lane Usage for violation
of RCW 46.61.140 -driving on roadways laned for traffic. The RCW requires that a vehicle shall be
driven as nearly as practicable entirely within a single lane.
Every vehicle, besides unit 6 had to be towed due to extensive damage cause. An exchange of
information was provided to all involved parties.
PAGE 4 OF 7
SUPPLEMENTAL REPORT No. EF49309
POLICE TRAFFIC
1 1 8 27
µ ^'� COLLISION REPORT CASE# 24-12895
t113197
1 COMMERCIAL MOTOR CARRIER INTERSTATE INTRASTATE
UNIT# USDOT ICC# VEHICLE TYPE CARGO BODY 3
TYPE
2 ❑ 1 1 $ 28
CARRIER
NAME
3 CARRIER L
ADDRESS
CITY ST ZIP
4 ❑ NAME # PLACARD.
GWVR � NAME IF NO NUMBER
S
SOURCE AXLE +
4a ❑ ADDITIONAL UNITS
MOTOR PEDAL- PROPERTY DAMAGE THRESHOLD MET PHONE
UNIT# 3 �✓ PEDESTRIAN ❑ ves No D:4253147774
5 VEHICLE CYCLE OWNER
0 1 29
LAST NAME LOZEAU FIRST NAME NATHAN MIDDLE E
INITIAL
0 1 STREET 30
NFW ADDRFs 112 MONTEREY DR NE CITY RENTON ST Wq ZiP gg0564035
6 CDL PRESENT MEDICALTANSPORTED 1 1 2 31
IGNITION REQUIRED 1{iNi7iON ::
INTERLOCK YES NO NTERLOCKYESE]NOE] ja YEs N
DRIVER'S D.O,B
LICENSE' Wq SEX M MMDowvv 11 30 - 1988
7 ❑ ON DUTY STATUS AIRBAG 2 RESTR. 4 EJECT 9 HELMET 2 INJURY 1 NAruREofINJURIEs
USE :CLASS
8 ❑ 1 1 2 32
LICENSE BSG2084 TAT WA VIN 3FA6POHD2KR284821
PLATE#
9 � TRAILER TRAILER L
PLATE# STATE PLATE# STATE
0
10 ❑ TRLR TRLR
VIN.# VIN#.
11 3 5 VEIL YEAR2019 MAKE FORD MODELFUSION STYLE VEHICLE TOWE E T ABLI WkW TOWING GOVT.VFHICI F FROM TO
DAMAGE YES�/ NO YES NO
REGISTERED OWNER INFONATHAN LOZEAU 112 MONTEREYDR NE RENTON WA 98056 3 7 33
12 3 5 SHADE IN DAMAGED AREA
FROM TO
INSURANCE CO
LIABILITY INSURANCE OEICO 4482652957
IN EFFECT � &POLICY# iman
S 3 7 34
13 ❑ vEnic�E YES❑ NO❑ CITATION# CHARGE
sTnNoiNc
DAMAGE THRESHOLD MET PHONE 35
14 UNIT# 4 MOTOR 1 PEDAL- ❑ PEDESTRIAN ❑ PROPERTY YES NO
VEHICLE CYCLE OWNER �/ D:8015138590
15 LAST NAME FIRST NAME R MCCOY CAILEY MIDDLE' 36
INITIAL
16 STREET ❑' 19417 SE 209TH PL CITY; RENTON ST WA ZIP 980580513
NFW ADDRFSS
CDL IGNITION REQUIRED IGNITION PRESENT MEDICALTANSPORTED.
17 ❑ INTERLOOK YES NO INTERLOCK YEs NO 'YES NO ❑
DRIVER'S STATE WA SEX F D.O.B 37
❑ LICENSE# ', 07 - 13 - 2005
18
� '.2 !1 HELMET 2 INJURY 1 NATURE OF INJURIES 38
ON DUTY❑ STATUS AIRBAG RESTR. 4 EJECT USE CLASS
19 ❑ LICENSE' ❑
PLATE# BMF6398 TAT WA AN 4S3BL856284209577 39
20 TRAILER I I TRAILER 40
PLATE#. STATE PLATE# - STATE ❑
21 ❑ TRLR TRLR 41
VIN# VIN#Y
42
22 VEH.YEAR MAKE MODEL STYLE VEHICLE TOWED DUET ABLIN TOWED BY GOUT.VEHICLE
2008 SUBA LEGACY DAMAGE Yes No BANKERS TOWING
23 REGISTERED OWNER INFOFORRESTMCCOY 19417 SE 209TH PL RENTON WA 98058 SHADE IN DAMAC ED AREA 43
2 3
LIABILITY INSURANCE INSURANCE CO ALL STATE 817021 848 STOP
IN EFFECT &POLICY# 44
vERic�F ❑ ❑ CITATION# CHARGE
24 IU SOTiC?M
i.ecA�Ly YES NO
sTnnoinc ® 0 0
I CERTIFY(DECLARE)UNDER PENALTY OF PERJURY UNDER THE LAWS OF THE STATE OF WASHINGTON THAT THE FOREGOING IS TRUE AND CORRECT.
C.CATALAN 12-22-24 11:54 PM
25 INVESTIGATING OFFICER'S SIGNATURE OFFICER'S PHONE UNIT OR DIST DET DATED: PLACE SIGNED
26 GRID# 12007 O#RI WA0171300 APJACOBS 12%23/202 PAGE OF 7�
3000-345-013(R 11/18)
SUPPLEMENTAL REPORT No. EF49309
POLICE TRAFFIC
1 1 8 27
µ ^'� COLLISION REPORT CASE# 24-12895
t113197
1 COMMERCIAL MOTOR CARRIER INTERSTATE INTRASTATE
UNIT# USDO7 ICC# VEHICLE TYPE CARGO BODY 3
TYPE
2 ❑ 1 1 $ 28
CARRIER
NAME
3 CARRIER L
ADDRESS
CITY ST ZIP
4 ❑ NAME # PLACARD
GWVR : �+ NAME IF NO NUMBER
SOURCE AXLES
4a ❑ ADDITIONAL UNITS
MOTOR PEDAL- PROPERTY DAMAGE THRESHOLD MET PHONE
UNIT# 5 �✓ PEDESTRIAN vps No D:4253619468
5 VEHICLE CYCLE OWNER
0 1 29
LAST NAME CUNANAN FIRST NAME OSCAR MIDDLE. M
INITIAL
0 1 STREET 30
NFW ADDRFs 3425 NE 8TH ST CITY RENTON I ST WA ZiP gg0563832
6 ❑ CDL PRESENT MEDICAL TANSPORTED: 1 1 2 31
IGNITION REQUIRED 1GNiTiON
INTERLOCK YES O NO .INTERLOCK YES NO YES N..
DRIVER'S D.0.8 2
LICENSE' ' WA SEX'.M MMDDvv -
7
HELMET INJURY NATURE OF INJURIES 16 1940
1-1 ONDUTY STATUS AIRBAG 1 RES7R. ¢ ' EJECT ',1 USE 2 CLASS '7 LEG INJURY
8 ❑ 1 1 2 32
LICENSE 888TYS TAT WA VIN 2HKRL1878YH622527
PLATE#
9 TRAILER I TRAILER L
PLATE# STATE PLATE# STATE
0
10 ❑ TRLR TRLR
VIN.#. VIN#.
11 3 5 VEH.YEAR2000 MAKE HOND MODELODYSSEY STYLE VEHICLE TOWE E T ABLINY SHADE IN DAMAGED AREA.
TOWING GOVT.VFHICI F FROM TO
D �/ NO YES NO
REGISTERED OWNER INFO.OSCAR CUNANAN 3425 NE 8TH ST RENTON WA 98056 AMAGE YES 3 T 33
12 3 5 i 4
FROM TO
LIABILITY INSURANCE INSURANCE CO STATE FARM 538 9267-E18-47
IN EFFECT &POLICY# `}T(7P S 3 7 34
13 ❑ vewcEe YES NO CITATION# CHARGE 10 N07 TOM
ecauv
sTANDINc0 7 6
DAMAGE THRESHOLD MET PHONE 35
14 UNIT# 6 MOTOR PEDAL- ❑ PEDESTRIAN ❑ PF20PERTY YES NO
uEHrcLE CYCLE OWNER �/ D:2064060089
36
LAST NAME FIRST NAME
15 NETTLES JEFFERY MIDDLE' D
INITIAL
16 STREET ❑' 3302 S WASHINGTON ST CITY SEATTLE ST WA ZIP 981442537
NEW ADDRESS
CDL IGNITION REQUIRED IGNITION PRESENT MEDICAL TANSPORTED
17 ❑ INTERLOCK YES[]NO INTERLOCK YES NO YES No. ❑
DRIVER'S STATE WA SEX M D.O.B 37
❑ LICENSE# OS - 17 - 1963
18
4 HELMET INJURY NATURE OF INJURIES 38
ON DUTY❑ STATUS: AIRBAG 2 RESTR. EJECT 1 USE 2 CLASS 1
19 ❑ LICENSE'
PLATE# D52711 C TAT WA vIN# 1 N6ADOCW3AC409258 39
20 TRAILER' TRAILER 40
PLATE#. STATE PLATE# - STATE ❑
21
❑ TRLR TRLR 41
VIN#. UIN#:
42
22 VEH.YEAR MAKE MODEL STYLE VEHICLE TOWED DUET ABLIN TOWED BY GOVT.VEHICLE
2010 NIBS FRONT! DAMAGE YES NO YES NO 11/1
23 REGISTERED OWNER INFOJEFFERY NETTLES 3302 S WASHINGTON ST SEATTLE WA 98144 SHADE IN DAMAC ED AREA 43
2 3 4
LIABILITY INSURANCE INSURANCE CO SAFECO INSURANCE H2556806 1 9)(7P_.__ S 44
❑ &POLICY# •_"_
vFRICEF ❑ ❑ CITATION# CHARGE BOTiC?M
24 I..EGALLY YES NO
STANDING 3� J �
I CERTIFY(DECLARE)UNDER PENALTY OF PERJURY UNDER THE LAWS OF THE STATE OF WASHINGTON THAT THE FOREGOING IS TRUE AND CORRECT.
C.CATALAN 12-22-24 11:54 PM
25 INVESTIGATING OFFICER'S SIGNATURE OFFICER'S PHONE UNIT OR DIST DET DATED: PLACE SIGNED
BADGE ORI APPROVED
226 ORID# 12007 # WA0171300 ACOBS 122
PAGE F6 OF 7�
3000-345-013(R 11/18)
REPORT NO. EF49309 CASE# 24-12895 DATE AND TIME 12/17/24 16:03
OF COLLISION
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PAGE 7 OF 7