HomeMy WebLinkAbout25-4148 iiTFiNII IIIII III IIIII II IIII IIIII I . 27c REPORT NO EF95827oc� RA
COLLISION REPORT 1591971
CASE# 25-4148 2
INTERSTATE CITY STREET FIRE I
RESULTEDSTOLENSTATE ROUTE OTHER VEHICLE LdCAI-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#
DATE OF N E IN eDL�ISION' 05 - 11 - 2025 0724 17 =.= S 8 W E OF M 1070 a
4❑ ON (PRIMARY TRAFFIC WAY) INTERSECTION ❑ NON INTERSECTION ❑✓
SE 172ND ST BLOCK NO. e 10900 .�
4a❑ MILE POST
❑ DISTANCE OF(REFERENCE OR CROSS STREET)
5 1001.1 00 FEET e✓ S 8 W e 109 PL SE
1 2 29
MOTOR PEDAL- DAMAG THRESHOLD MET PHONE
UNIT 01 VEHICLE ❑ CYCLE ❑ YES No �/ D:2069027355 0 1 30
5 LAST NAME TOVEZ PONCE FIRST NAME PEDRO MIDDLE A 1 1 2 31
INITIAL
STREET ❑ 10930 SE 172ND ST#E203 CITY; RENTON ST WA ZIP; 98055 2
NEW ADDRESS
7 CDL IGNITION REQUIRED IGNITION PRESENT MEDICAL TRANSPORTED 3
INTERLOCKYEs ✓NO INTERLOCKVEs Na✓ YES F NO✓
8� DCIENSE# STATE WA SEXI U MMDDYY' 04 — 03 — 1989 1 2 32
9 ON DUTY STATUS' AIRBAG 2 RESTR 9 EJECT 1 N USEET 2 CLASSY 1 [NATURE of INJURIES 2
LICENSE, CNJ3085 STATE WA VIN# 1HGCS12369AO05426 3
10 Fq I as ATP tt
TRAILER STATE TRAILER STATE
11 2 5 PLATE# PLATE# 11ROM To
TRLR TRLR 9 7 33
12 2 5 VIN#' VIN#
FROM TO
VEH.YEAR 2009 MAKE yOND MODEL ACCOR STYLE SD VEHICLE TOWED[n TO ZBLIN TOWEDBY GOVT VEHICLE 3 7 34
13� DAMAGE YES II_II NO YESII_I) NO✓
REGISTERED OWNER INFO YENNIFER MONTALVAN FERNANDEZ 10930 SE 172NO ST#E203 RENTON WA 98055 D:2064080319 VEHICLE NO. 1
SHADE IN DAMAGED AREA 35
❑ ElNSURANCE CO 3 4
14 LIABILITY INSURANCE
IN EFFECT &POLICY# i 4TOP 5
vEnicLE CHARGE 7 0 80TTOM 36
STANDING yes❑NO❑ CITATION# SA0215180,5A021518Q IMPROPER LANE USAGE,OP MOT 7 e ..
15
UN# MOTOR PEDAL- ❑ PEDESTRIAN PROPERTY DAM THR OLD MET PHONE
1T 02 VEHICLE CYCLE nWNFR YES�/ NO
16�
LAST NAME WALTON FIRST NAME TALIA MIDDLE C
INITIAL
STREET ❑
17 ❑ 10615 SE 172ND ST#508 CITY' RENTON ST, WA ZIP 98055 q 37
NEW ADORE SS
18❑ CDL IGNITION REQUIRED IGNITION PRESENT MEDICAL TRANSPORTED: 38
INTERLOCKYES NO✓ INTERLOCK YES R N.✓ YES NO✓
19 DRIVER'S STATE WA II
SEX F D.O.B. 11 16 1992 39
LICENSE# MMDDYY -
20❑ ON DUTY STATUS AIRBAG 2 RESTR 9 EJECT 1 R USE 2 CLASSY 1 NATURE OF INJURIES 40
21 LICENSEPLATE# CGD9143 rare WA vIN# 5FNYFBH52PB000982 41
22❑ STATE PLAAILER TE# STATE 42
PLATE#
23 TRLR RLR 43
UIN#. 'IN#
VEH.YEAR 2Q23 MAKE HOND MODEL pq SSPOR STYLE UT VEHICLE TOWED TO BLIN
TOWED' GOV HI 44
24 DAMAGE YES NO✓ VES NO✓
REGISTERED OWNER INFO TALIA WALTON 10615 SE 172ND ST#508 RENTON WA 98055 VEHICLE NO.2
SHADE IN DA GF AREA
2
LIABILITY INSURANCE INSURANCE CO GEIC04424104356
IN EFFECT &POLICY# 9TOP
vew LE ❑ N
,.I—I CITATION#
25 CHARGE to BOTTOM
EEGnE YESY a 7 s
OFFICER'S NAME(PRINT) OFFICER PHONE BADGE OR ID# J AGENCY
26
MIRIAM LONG 12790 WA0171300
PAGE 01 OF
PART A 3000-345-189(R 11/18)
STATE OF
POLICETRAFFICN CORRECTION REPORT NO. EF95827
COLLISION REPORT III III III III III 111
1591972 CASE# 25-4148
E NA ADDITIONAL PERSONS INVOLVED(PASSENGERS AND/OR WITNESSES ONLY)
M
(LAST,FIRST,MIDDLE INITIAL) HIBBARD MICHAEL A
ADDRESS&PHONE# D�
10930 SE 172ND ST RENTON WA 98055 2533976272 SEXi M MMDDYYYY 03 — 21 — 1976
PASSENGER[:]WITNESS II UNIT# SEAT AIRBAG' RESTR. EJECT HELMET INJURY: NATURE OF INJURIES
POS. USE +CLASS � ----�
:NAME
(LAST EIRS7 MIDDLE INITIAL}
ADDRESS R PHONE#
SEX MMDDYYYY D.O.B. —
PASSENGER❑WITNESS UNIT# : SEAT AIRBAG RESTR. EJECT HELMET INJURY: NATURE CFINJURIES
POS. USE CLASS ----�
:NAME
(LOST,FIRST,MIDDLE INITIAL)
ADDRESS&PHONE#
SEX MMDDYY D.O.B.
YY
PASSENGER WITNESS UNIT# SEAT AIRBAG RESTR. EJECT HELMET NJU S' 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.
MIRIAM LONG 05-11-25 04:25 PM
INVESTIGATING OFFICER'S SIGNATURE UNIT OR DIST.DET DATED PLACE SIGNED
APPROVED BY DATE
S.WOODWARD 11528 512912025 5:31:38 AM
BADGE OR ID# 12790 ORI# WA0171300 TIME POLICE DISPATCHED 7:24 Aryl TIME POLICE ARRIVED i 7:31 AM
PAST B 3 Do-lmx—attar(t 1Mff) PAGE 2�OF 4
REPORT NO. EF95827 CASE# 25-4148 GATE OF COLLI r�510NN + 05/11/25 07:24
L1
NARRATIVE
On 5/11/2025 at approximately 0729 hours, I was dispatched to a non-injury and non-blocking vehicle
collision at the Avaya Trails Apt Building E located at 10930 SE 172nd St, within the City Limits of
Renton, County of King, State of Washington.
While enroute, dispatch advised one of the involved parties was refusing to provide information.
Upon arrival, I observed Unit#1 was partially parallel parked on the north side of 172nd St, just west
of 109th PL SE with minor damage to the front left side of the bumper. Unit#2 was pulled over to the
side of the road and had a large scratch and dents that ran along the front and rear door of the
passenger side.
I confirmed there were no complaints of injury requiring immediate medical attention at the time of
report. There, I collected both involved party's driving documents and their independent recollection
of the events leading up to the collision.
The driver of Unit#1 (Pedro) was later identified by his WA ID photo and advised he was the sole
occupant of the vehicle and that prior to the collision, he was on 172nd St attempting to parallel park
his vehicle along the north side of the road. He said he looked and did not see a vehicle coming, but
then was struck on the driver side of his vehicle by Unit#2, which he said was speeding.
The driver of Unit#2 (Talia) was positively identified by her WA DOL photo. Talia stated she was
driving west on 172nd street at approximately 15-20 mph when shortly after passing 109th PL SE,
she was struck on the passenger side of her vehicle by Unit#1, which had been parked on the side of
the road.
Talia advised her friend (Michael) was driving behind her and witnessed the incident but was no
longer at the location.
I contacted Michael via phone, and he advised he was driving approximately three car lengths behind
Unit#2 (Talia) when the collision occurred. He said Talia was driving at approximately 15 mph when
Unit#1, which was parked completely parallel on the north side of 172nd St NE, pulled out into the
road and struck the side of Unit#2 as it was already passing it.
Based on the above statements, I determined that the Driver of Unit#1 (Pedro) was the proximate
cause for the collision as Unit#1 did not grant the right of way to traffic already in the roadway and
underway. I issued the driver of Unit#1 (Pedro) a citation via mail for Improper Lane Usage (RCW
46.61.140).
Additionally, the driver of Unit#1 (Pedro) did not have proof of motor vehicle insurance or proof of a
valid driver's license. A DOL records check revealed that Pedro was listed as "Not Licensed -Eligible"
and he provided me with his WA ID. I cited driver of Unit#1 (Pedro) via mail for Driving without a
Valid Operator's License with valid Identification (RCW 46.20.015) and for not having valid Liability
Insurance (RCW 46.30.020).
1 took photos of both vehicles and uploaded them to Axon.
I provided both parties with an exchange of information and the case number.
Both vehicles were safely driven off the roadway.
My involvement in this case was captured on my department-issued Axon body camera. This report is
a summary of events that occurred and is not an exact sequencing of events. Statements have been
paraphrased and summarized.
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 M Long#12790 on 5/11/2025 @ 1537 hours in Renton WA.
PAGE 3 OF 4
REPORT NO. E F95827 CASE# 25-4148 DATE AND TIME 05/11/25 07:24
OF COLLISION> '
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