HomeMy WebLinkAbout25-1771 iiTFiNII IIIII III IIIII II IIII IIIII I . 27c REPORT NO EF71822oc� RA
COLLISION REPORT 1591971
CASE# 25-1771 2
INTERSTATE CITY STREET FIRE I
RESULTED STOLENSTATE ROUTE OTHER VEHICLE LOCAI-A`NG 4200 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#
eaCL s on' 02 - 25 - 2025 0843 17 =.= S 8 W e OF IN e 1070 s
4❑ ON (PRIMARY TRAFFIC WAY) INTERSECTION ❑✓ NON INTERSECTION ❑
BLOCK NO. e .�
4a
NE 4TH ST MILE POST
❑
❑ DISTANCE OF(REFERENCE OR CROSS STREET)
5 . FEET e S 8 W e DUVALL AVE NE
OF 4 29
MOTOR ✓ PEDAL- DAM AG THRESHOLD MET PHONE
UNIT 01 VEHICLE ❑ CYCLE ❑ YEs Vl No D:2295804171 0 1 30
LAST NAME MARISCAL DOMINGUEZ FIRST NAME FLORIBERTO MIDDLE N
5 INITIAL 1 2 31
STREET ] 4610B S HOLDEN ST
NEW ADDRESS CITY I SEATTLE ST: WA ZIP: 981184122 2
7 +CDL IGNITION REQUIRED IGNITION ENT MEDICAL TRANSPORTED 3
INTERLOCK YES NO INTERLOCKVESPRES NO YES F NO
8❑ DCIENSE# STATE WA SEXI M MMDDYY' 11 — 02 — 1988 1 2 32
9 ON DUTY❑ STATUS' AIRBAG 2 RESTR 4 EJECT 1 HELMET
2 CLASSY 1 [NATURE of INJURIES 2
LICENSE, CPA8124 STATE WA VIN#; 1HGCD5659SA141116 3
10 Fl I as ATF rt
TRAILER STATE TRAILER STATE
11 3 5 PLATE# PLATE# ROM To
TRLR rRLR 7 1 1 33
12 3 5 VIN# VIN#
FROM TO
VEH.YEAR 1995 MAKE yOND MODEL ACCDR STYLE VEHICLE TOWED[n TO ZBLIN TOWEDBY GOVT VEHICLE 3 7 34
13� DAMAGE YES II_II NO YESII_I) NO
REGISTERED OWNER INFO FLORIBERTO MARISCAL DOMINGUEZ 4610B S HOLDEN ST SEATTLE WA 98118 VEHICLE NO. 1
SHADE IN DAMAGED AREA 35
14 LIABILITY INSURANCE❑ NSURANCE CO 3
IN EFFECT &POLICY# i 4TOP
vEnlc�E CHARGE 36
LEGALLY YES❑NO❑ CITATION# 7 0 80TTOM
15❑ STANDING s 7
TY
MOTCYR PEDAL- PEDESTRIAN PROPER DAM THR OLD MET PHONE
UNIT VEHICLE ❑ CYCLE ❑ ❑ nWNRR YEs�/ No D:2064373525
16�
LAST NAME LINDGREN FIRST NAME CARL MIDDLE E
INITIAL
17 F1 STREET ❑❑ 37 14826 SE 282ND PL CITY KENT ST, WA ZIP 980424500
NEW ADDRESS
18❑ CDL IGNITION REQUIRED )GNITION PRESENT MEDICALTRANSPORTEDI. ❑ 38
INTERLOCKYEs No INTERLOCK YES N YEs No
19 DRIVER# STATE WA SEX'M MMD YY 09 04 1991 39
HELMET INJURY: NATURE OF INJURIES 40
20❑ ON DUTY❑ STATUS AIRBAG 2 RESTR 4 EJECT 1 USE 2 CLASS 1 ❑
21 LICENSE AWC5614 TATe WA VIN# WDDKJ5GBXAF014258 I El 41
22❑ PLATE# STATE PLATE# STATE 42
23 TRLR RLR 43
UIN#. 'IN#
VEH.YEAR 2010 MAKE MERZ MODEL E3502D STYLE VEHICLE TOWED TO BLIN
TOWED BY GOV HI 44
24 DAMAGE YES NO VES NO
REGISTERED OWNER INFO CARL LINDGREN 14826 SE 282ND PL KENT WA 98042 VEHICLE NO.2
SHADE DAMAGED AREA
3 4
LIABILITY INSURANCE INSURANCE CO STATE FARM 188 1521 D04471
IN EFFECT &POLICY# t VEHICLE ❑ J—I CITATION11 CHARGEUR
LEGALLY YES N25
OFFICER'S NAME(PRINT) OFFICER PHONE BADGE OR ID# AGENCY
J
26
C.CATALAN 12007 WA0171300
PAGE 01 OF
PART A 3000-348-189(R 11/18)
STATE OF
POLICETRAFFICN CORRECTION REPORT NO. EF71822
COLLISION REPORT III III III III III 111
1591972 CASE# 25-1771
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.
C.CATALAN 02-27-25 01:51 PM
INVESTIGATING OFFICER'S SIGNATURE UNIT OR DIST.DET DATED PLAGE SIGNED
APPROVED BY E
DAT
M.LEVERTON 2517 31712025 2:16:01 PM
BADGE OR ID# 12007 ORI# WA0171300 TIME POLICE DISPATCHED 8:45 AM TIME POLICE ARRIVED i 9:02 AM
PAST B 3 Do-3mx—attar(t 1Mff) PAGE 2�OF 4
REPORT NO. EF71822 CASE# 25-1771 OF DATE AND r�N + 02/25/25 08:43
O�COLLISION
NARRATIVE
On 02/25/2025 at approximately 0843 hours, I was dispatched to a vehicle collision with reports of
injury at the intersection of Duvall Ave NE and NE 4th St, within the City Limits of Renton, County of
King, State of Washington.
Upon my arrival, I collected each of the involved party's driving information and their independent
recollection of the events leading up to the collision.
The driver of Unit 1, identified as Floriberto Mariscal Domingo, stated that he was the sole occupant
of his vehicle and that prior to the collision she was traveling eastbound in about the 4800 block of NE
4th St approaching the entrance to QFC in the center turn lane. Floriberto had pulled into the left-turn
lane and slowed to yield to traffic for the upcoming QFC entrance. Floriberto stated he intended to
turn left, traverse across the 2 westbound lanes and the right turn lane, and into the QFC parking lot.
The driver of Unit 1 stated that 2 vehicles in the westbound through lanes stopped and created a gap
for unit 1 to traverse across. As planned, he proceeded across the westbound lanes but was struck
by unit 2 which was going westbound in the right turn lane. Floriberto did not see unit 2.
Unit 1 sustained moderate damage to the rear right quarter panel and wheel well.
The driver of Unit 2, identified as Carl Lindgren, said he was the sole occupant of his vehicle and was
traveling westbound in about the 4800 block of NE 4th St approaching the controlled intersection of
Duvall Ave NE in right turn lane. The driver of Unit 2 stated he was intending to make a right turn at
the intersection and continue northbound on Duvall Ave NE. As he approached the entrance to QFC,
he struck unit 1 which was crossing the right turn lane. The driver of Unit 2 stated he unable to avoid
the collision and both vehicles collided causing significant damage to the front of Unit 2.
Based on the above statements, I determined that the Driver of Unit 1 (Floriberto Mariscal Domingo)
is the proximate cause for the collision due to not granting the right of way during a left turn causing a
collision. The driver of Unit 1 violated RCW 46.61.185(1) by being the driver of a vehicle intending to
turn to the left within an intersection and not yielding the right-of-way to any vehicle approaching from
the opposite direction which is within the intersection or so close thereto as to constitute an
immediate hazard. The driver of Unit 1 (Floriberto) did not grant the right of way to Unit 2 traveling in
the roadway which had the right of way and was already underway. Due to Unit 1 having to traverse
across oncoming traffic, the driver of Unit 1 must wait until the intersection is clear of hazard prior to
proceeding.
Both involved vehicles sustained moderate damage but were driven away by their owners. An
exchange of information was provided to all involved parties.
No citation. Information only.
I certify (declare) under penalty of perjury under the laws of the State of Washington that the
foregoing is true and correct.
C. Catalan 03/07/2025 Renton
PAGE 3 OF 4
REPORT NO. EF71822 CASE# 25-1771 DATE AND TIME 02/25/2508:43
OF COLLISION> '
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