HomeMy WebLinkAbout25-5708 iiTFiNII IIIII III IIIII II IIII IIIII I . 27c REPORT NO EG06298oc� RA
COLLISION REPORT 1591971
CASE# 25-5708 2
INTERSTATE CITY STREET FIRE ❑
RESULTED
1 STOLEN
STATE ROUTE ❑ OTHER ❑ VEHICLE ❑ LOCAL AOENC'Y 4100 3
COUNTY RD ❑ NVOLVED CODING
PRIVATE WAY
2❑ TRIBAL TOTAL 1
UNITS#OF 02 SO BJECT TRUCK 1 8 28
RESERVATION 2
3� M M D D Y Y Y Y TIME(2400) COUNTY# MILES CITY#
DATE OF'. N E
coulsloN' 07 - 01 - 2025 1228 17 =.= S 8 W e OF M ?070 a
4❑ ON (PRIMARY TRAFFIC WAY) INTERSECTION �✓ NON INTERSECTION ❑
BENSON DR S BLOCK NO. e 2700 .�
4a❑ MILE POST
❑ DISTANCE OF(REFERENCE OR CROSS STREET)
5 C------�. FEET S 8 W e S 27TH PL
0 4 29
MOTtlR ✓ PEDAL- DAM AG THRESHOLD MET PHONE
UNIT 01 VEHICLE ❑ CYCLE ❑ YEs Vl No D:2067104436 0 1 30
5 LAST NAME MANUEL FIRST NAME MADELLE MIDDLE A 1 1 2 31
INITIAL
STREET ❑✓ 1411 GRANT AVE S C303 CITY RENTON ST WA ZIP 98055 2
NEW ADDRESS
7 CDL IGNITION REQUIRED IGNITION PRESENT MEDICAL TRANSPORTED 3
INTERLOCKYES NO✓ INTERLOCKYES N ✓ YES F Nor,/
8� LICIENS# STATE WA SEX F Mpmo S Y' 09 — 08 — 2000 1 2 32
9 ON DUTY STATUS AIRBAG 4 RESTR 4 EJECT 1 N USEET 2 1 INJURY
CLASS ? NAruRE of INJURIES 2
LICENSE, CRL1527 STATE WA VN# 3CZRU6H95LM702473 3
10[9� PI ATF#
11[-� TRAILER STATE TRAILER ,STATE
11 4 0 PLATE# PLATE# ROM TO
TRLR TRLR 3 5 33
12 4 0 VIN# VIN#
( FROM TO
VER YEAR MAKE MODEL STYLE VEHICLE TOWED TO BLIN GOVT VEHICLE g 1 34
13 4 SHADE IN DAMAGED A 2020 HOND HR-V P4 DAMAGE ves ✓ No {� RS TOWING YEs❑ No✓
REGISTEREDOWNERINFO MADELLEMANUEL1411GRANTAVESC303RENTONWA98055 0:2067104436 VEHICLE NO. 1 ❑
REA 35
14 LIABILITY INSURANCE� INSURANCE CO PROGRESSIVE 988059614 2 3 4
IN EFFECT &POLICY# 4TOP
srgNOLNG Yes❑NO❑ CITATION# 5A0563862 CHARGE FAIL YIELD LEFT TURN MOTOR s o ooTrom z 36
15
❑ THROLD IT PHONE
MOTCYR ✓ PEDAL- PEDESTRIAN PROPERTY DAM
UNIT 02 VEHICLE ❑ CYCLE' ❑ nWNFR YES,/ No D:36?5624013
16�
LAST NAME LAGESSE FIRST NAME ERIC MIDDLE L
INITIAL
STREET ❑ 37
17 '❑ ?9315 135TH AVE SE CITY RENTON ST, WA ZIP 980587767 4
NEW ADDRESS
18❑ CDL IGNITION REQUIRED IGNTION PRESENT MEDICAL TRANSPORTED: 38
INTERLOCKYES No✓ INTERLO RYES NO✓ YEs NO',✓
19 DRIVER'S STATE WA SEXIM D.O.B. 02 03 ?964 39
LICENSE# MMDOYY —
20❑ ON DUTY STATUS AIRBAG 3 RESTR 4 EJECT 1 6 HELMET 2 INJURY NATURE OF INJURIES 40
USE CLASS LEFT ARM CONTUSION/ABRASION
21[ LICENSE D37582G rarE WA vIN# 2HJYK16348H502033 41
22❑ PLATE# STATE PATE# STATE ❑ 42
23 TRLR kRLR 43
UIN#. 'IN#.
TOWED BY GOV HI 44
VEH.YEAR 200$ MAKE HOND MODEL RIDGELIN STYLE PK IVE DAMIAGE TOWED�/ No BLIN BANKERS TOWING YES NO✓
24
REGISTERED OWNER INFO ERIC LAGESSE 19315135TH AVE SE RENTON WA 98058 VEHICLE NQ.2
SHADEDAMAGEDAREA
3 4
LIABILITY INSURANCE INSURANCE CO PROGRESSIVE 983748645
IN EFFECT &POLICY# R
HICL LEIAIL YES❑ NCLJCITATION# CHARGEtOVEE25
OFFICER'S NAME(PRINT) OFFICER PHONE BADGE OR ID# JAGENCY
26
D.NELSON 12421 WA0171300
PAGE 01 OF
PART A 3000-345-159(R 11/18)
POLIICFETRAFFICN CORRECTION REPORT NO. EG06298
COLLISION REPORT III III III III III 111
1591972 CASE# 25-5708
ADDITIONAL PERSONS INVOLVED(PASSENGERS AND/OR WITNESSES ONLY)
NAME MIDDLE INITIAL} LAGESSE KATHRYNA
(LAST,FIRST,
ADDRESS&PHONE# DOB
19315 135TH AVE SE RENTON WA 980587767 3615625017 SEX' F MMDDYYYY 09 - 14 - 1970
PASSENGER WITNESS UNIT# SEAT AIRBAG RESTR. EJECT HELMET NJURY NATURE OF INJURIES
z Q' 2 POS. 3 3 4 1 USE 2 CLASS 11 ---�
'NAME
(LAST FIRS,MIDDLE INITIAL)
ADDRESS&PHONE#
S ' D.O
EX .B.MMDD -F L----------�
YYYY
EAT HELMETNJURY URE OF
PASSENGER ❑WITNESS UNIT# S AIRBAG RESTR. EJECT NAT INJURIESPOS. : USE CLASS ----�
'.NAME
(LAST,FIRST,MIDDLE INITIAL)
ADDRESS&PHONE#
SEX' D.O.B.M -T L----------�
MDDYYYY
PASSENGER WITNESS UNIT# SEAT AIRBAG RESTR. EJECT HELMET INJURY rNATURE OF INJURIES
❑ Q' POS. GLASS — ----�
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.
D.NELSON 07-01-25 05:19 PM
INVESTIGATING OFFICER'S SIGNATURE UNIT OR DIST.DET DATED PLACE SIGNED
APPROVED BY DATE
C.JACOBS 1953 7/3/2025 10:01:59 AM
BADGE OR ID# 12421 ORI# ( WA0171300 TIME POLICE DISPATCHED'; 12:29 PM TIME POLICE ARRIVED 12:34 PM
PART B 3 Do-3mx-,ao(Burls) PAGE 27 OF 47
REPORT NO.` EG06298 CASE# 25-5708 O COLLI COLLISION TIME
OF 07/01/25 12:28
COLLI
NARRATIVE
25-5708 ACCINP
On 7/1/2025 1 was working as a uniformed patrol officer and driving a marked patrol vehicle for the
City of Renton. I was dispatched to a two-vehicle collision with injury in the intersection of Benson Dr
S and S 27th PI Renton/King/WA. An involved party was calling to report that they were not able to
move vehicles and there was an injury to her husband's arm.
I arrived on scene and located both vehicles, the blue 2020 Honda HRV WA/CRL1527 (Unit 1) was
stopped facing west across the southbound #1 lane across Benson Dr S. The HRV had driver side
airbag deployment and damage to the driver side rear door, rear quarter panel, and rear wheel. The
driver was identified by her WADL as Madelle A Manuel DOB: 9/8/2000. Madelle said she was not
injured; she was evaluated by RRFA on scene and cleared.
Madelle said that she was turning from S 27th PI into the merge lane for southbound Benson Dr S.
She said that she entered the intersection and was struck by Unit 2 as she crossed the #2 northbound
lane.
There is no traffic control on Benson Dr S in either direction, there are merge lanes both north and
south for vehicles turning on/off S 27th Pl. S 27th PI has a stop sign for vehicles turning onto Benson
Dr S.
I then spoke with the driver of the black 2008 Honda Ridgeline WA/D37582G (Unit 2), identified by his
WADL as Eric L Lagesse DOB 2/3/1964. Eric said that he was travelling north in the #2 lane of
Benson Dr S when Unit 1 turned front of him. Eric had a laceration and contusion to his inner left
forearm. He was evaluated by RRFA on the scene and cleared. Erics passenger, Kathryn A Lagesse
DOB: 9/14/1970 was in the front right seat and was not injured.
The damage to Unit 2 was the front bumper and driver side front quarter panel. The front driver and
passenger airbags had deployed in the Ridgline.
Both vehicles were not drivable and were removed from the scene by Bankers Towing.
Since Madelle was turning onto Benson Dr S which does not have traffic control from a stop sign, it
was her responsibility to clear the intersection before entering and merging onto Benson Dr S. Based
on the this completed Sector citation #5A0563862 for Failure to Yield -Left Turn Motor Vehicle RCW
46.61.185.1. This citation should be mailed to Madelle.
Nothing further.
I certify under penalty of perjury under the laws of the State of Washington that the foregoing is true
and correct.
D. Nelson #191 7/1/2025 Renton WA
PAGE 3 OF 4
REPORT NO. EG06298 CASE# 25-5708 DATE AND TIME i 07/01/25 12:28
OF COLLISION
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