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HomeMy WebLinkAbout25-7519 IT si " II IIIII III IIIII II IIII IIIII I . 27c REPORT NO EG28204OLCERA COLLISION REPORT 1591971 CASE# 25-7519 2 INTERSTATE CITY STREET❑ FIRE I RESULTEDSTOLENSTATE ROUTE OTHER VEHICLE LOC'AI-A`CENC'Y 42QQ 3 HIT&RUN CODING ❑ COUNTY RD PRIVATE WAY ❑✓ INVOLVED 2 1 TOTAL#OF OBJECT 1 s 28 TRIBAL UNITS 03 STRUCK RESERVATION : 1 2 3� M M D D Y Y Y Y TIME(2400) COUNTY# MILES CITY# eOCL s on' 08 - 28 - 2025 1212 17 =.= S 8 W e OF IN e 1070 s 4❑ ON (PRIMARY TRAFFIC WAY) INTERSECTION ❑ NON INTERSECTION ❑✓ VUEMONT PL NE BLOCK ST e 300 .� 4a❑ MILE POST ❑ DISTANCE OF(REFERENCE OR CROSS STREET) 5 F--1 MILES 1.1 FEET B S B W e 1 9 29 MOTOR PEDAL- DAM AG THRESHOLD MET PHONE UNIT 01 VEHICLE ❑ CYCLE ❑ YEs Vl No D:4254455361 1 4 30 6 LAST NAME SPEKTOR FIRST NAME YEFIM MIDDLE t 1 2 31 INITIAL STREET ❑ 558 MT BAKER PL NE CITY; RENTON ST I WA ZIP 980594490 2 NEW ADDRESS 7 CDL IGNITION REQUIRED IGNITION PRESENT MEDICAL TRANSP6RTED 3 INTERLOCKYEs No INTERLOCICvEs No YES F NO 8❑ DCIENSE# STATE WA SEXI M MMDDYY' 12 - 22 - 1954 32 9 ON DUTY STATUS' AIRBAG 2 RESTR 4 EJECT 1 N USE ET CLASSY 1 [NATURE of INJURIES 2 LICENSE, CSC3494 STATE WA VIN#; JN8AZ1MW8DW317353 3 10 F1 as ATP rt TRAILER STATE TRAILER STATE 11 0 5 PLATE# PLATE# FROM TO TRLR zRLR. 5 1 33 12 0 Q VIN#' VIN# FROM TO 13 A VEH.YEARZOI3 MAKE NISS MODEL MURAN STYLE VEHICLETOWED2TOIyS46LIN ajWgYMEYERS VEHICLE m 34 DAMAGE IIII._IIII REGISTERED OWNER INFO OWNED BY DRIVER VEHICLE NO. 1 SHADE IN DAMAGED AREA 35 3 4 14❑ LIABILITY INSURANCE NSURANCE CO TRAVELERS 616809456 203 1 IN EFFECT &POLICY#VEHICLE CHARGE 536 yes❑NO❑ CITATION# UR 15 sTANowc UNIT 02 MOTOR PEDAL- ❑ PEDESTRIAN PROPERTY PHONE DAM THR OLD MET VEHICLE CYCLE nWNRR YES�/ NO 16❑ LAST NAME UNKNOWN FIRST NAME MIDDLE' INITIAL 17❑ STREET ❑ CITY, RENTON ST ZIP ❑ 37 NEW ADDRESS 18❑ IGNITION REQUIRED IGNITION PRESENT MEDICAL TRANSPORTED' 38 CDL INTERLOCKYES No INTERLOCK YES NO vEs NO: 19 LICENS# STATE SEX U MMDDYY —� 39 HELMET INJURY: NATURE OF INJURIES 40 20❑ ON DUTY❑ STATUS AIRBAG 9 RESTR 9 EJECT 1 USE 9 CLASS 0 ❑ 21 LICENSE CFV8267 TATE WA VIN# JTJGARDZ9L5017120 41 22❑ PLATE# STATE[TILER I PLATE# STATE 42 23 TRLR RLR 43 UIN#. 'IN# VEH.YEAR 2020 MAKE LEXS MODEL piJ($QQT STYLE VEHICLE TOWED TO BLIN TOWED BY GOV HI 44 24 DAMAGE YES NO VES NO REGISTERED OWNER INFO MARCO AURELIO P DE CARVALHO 300 VUEMONT PL NE APT F202 RENTON WA 98056 D:2066379497 VEHICLE NO.2 SHADE IN DAMAGED AREA 2 3 4 LIABILITY INSURANCE INSURANCE CO IN EFFECT &POLICY# t STOP vewcLe ❑ CITATION CHARGE to BOTTOM EEGAEEY YES N10 25 a ' s OFFICER'S NAME(PRINT) OFFICER PHONE BADGE OR ID# AGENCY 26 C.ARNOLD 12509 WA0171300 PART A PAGE 01 OF 3000-348-189(R 11/181 STATE OF POLICETRAFFICN CORRECTION REPORT NO. EG28204 COLLISION REPORT III III III III III 111 1591972 CASE# 25-7519 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.ARNOLD 09-01-25 10:00 AM INVESTIGATING OFFICER'S SIGNATURE UNIT OR DIST.DET DATED PLAGE SIGNED APPROVED BY DATE C.JACOBS 1953 1 911512025 1:53:42 PM BADGE OR ID# 12509 ORI# WA0171300 TIME POLICE DISPATCHED 12:12 PM TIME POLICE ARRIVED i 12:15 PM PAST B 3 Do-3mx—attar(t 1Mff) PAGE 2�OF F5 REPORT NO. EG28204 CASE# 25-7519 DATE OF COLLI r�510NN + 08/28/25 12:12 L1 NARRATIVE CC 25-7519 On 8/28/2025 at 1212 hours I was dispatched to a motor vehicle collision at the Lexington Height Apartments located at 300 Vuemont PI NE in the City of Renton, King County, Washington. Pre-Collision Driver 1 stated that he was in the drivers seat of Unit 1 within a parking stall at the Lexington Height Apartments located at 300 Vuemont PI NE facing Northwest and began to have a medical emergency, citing diabetes and low blood sugar. Unit 2 was parked within a garage at the time of this collision to the Northwest of Unit 1's location. Collision Driver 1 stated that during the medical emergency, his foot slipped from the brake and onto the gas and his vehicle moved forward over the curb, and then turning slightly to the left towards the garage where Unit 2 was parked. Driver 1 stated that Unit 1 collided with the rear of the garage, forcing its way through the wall, and then into the rear of Unit 2 where it came to rest. It should be noted that the rear wall of the building that Unit 1 collided with sits beneath a degraded hill, and that the front bumper of Unit 1 was at the height of around the top of the rear window of Unit 2 when the collision occurred. When speaking with Driver 1, 1 did not notice any AOB of signs of drug use. Injuries Driver 1 did not have any complaint of injuries but was evaluated at the scene by Renton Fire Authority (RFA) due to the medical emergency. Vehicle Disposition Unit 1 was towed out of the garage. Final Disposition Driver 1 suffered a medical emergency which resulted in a collision on private property. 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 Officer C. Arnold #12509 at 12:53 on 8/28/2025 in the City of Renton, King County, Washington. **** AUTO-POPULATED SECTION **** THE FOLLOWING ARE DESCRIPTIONS ENTERED FOR ITEMS SELECTED AS "OTHER": Motor Vehicle Unit 1 Action Code: MEDICAL EMERGENCY **** END OF AUTO-POPULATED SECTION **** PAGE 3 OF 5 SUPPLEMENTAL REPORT No. EG28204POLICE TRAFFIC 1 27 ... ^'� COLLISION REPORT CASE# 25-7519 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 # PLACARD GWVR NAME IF NO NUMBER SOURCE AXLES ' + 4a ❑ ADDITIONAL UNITS 'J MOTOR PEDAL- PROPERTY DAMAGETHRESHOLD MET PHONE UNIT# $ PEDESTRIAN �', YES� NO D:2535977226 5 VEHICLE CYCLE OWNER 29 LAST NAME CARIGAN FIRST NAME JENNIFER MIDDLE D INITIAL STREET 30 NEW AnnRFs'0: 19609 136TH STREET CT E CITY BONNEY LAKE ST WA ZiP gg391 6 PRESENT MEC7ICALTANSPORTED. 1 31 CDL IGNITION REQUIRED IGNITION : INTERLOCK YES NO .:INTERLOCK YesLl NO rEs N L DRIVER'S STATE SEXF M�DDgY 07 - 01 - 1985 LICENSE 7 ON DUTY STATUS AIRBAG RESTR. EJECT HELMET INJURY NAruREOFINJURIES USE CLASS 8 ❑ 1 32 LICENSE rAT VIN PLATE# 9 TRAILER I I TRAILER L PLATE# STATE PLATE# STATE 0 10 ❑ TRLR TRLR VIN.#. VIN#. 11 VEIL YEAR MAKE MODEL STYLE VEHICLE TOWE E T ABLIN TOWED BY G(,)V vEHICI F FROM To DAMAGE YES NO YES NO REGISTERED OWNER INFO. m 33 12 � SHADE IN DAMAGED AREA 4 FROM TO LIABILITY INSURANCE❑ INSURANCE CO TOP IN EFFECT &POLICY# 34 13 YES NO CITATION# CHARGE 1080TTOM ecauv s-rANoiNc MOTOR PEDAL_ ' 1:1PROPERTY : DAMAGE THRESHOLD MET PHONE 35 14 ❑ UNIT# VEHICLE CYCLE PEDESTRIAN OWNER YES NO 36 15 LAST NAME FIRST NAME NIT AL 16 ❑ STREET �' CITY ST ZIP NFW ADDRFSa CDL IGNITION REQUIRED IGNITION PRESENT MEDICAL TANSPORTED INTERLOCK YEs N{7 INTERLOCK YEs NO 'YES NO ❑ 17 37 LICENSE#RIVERS — STATE SEX MD.00.B l 18 ❑ HELMET NJURY NATURE OF INJURIES 38 ON DUTY STATUS AIRBAG RESTR. EJECT USE CLASS 19 ❑ ❑ 39 LICENSE TAT viN# PLATE# 20 TRAILER+ TRAILER 40 PLATE# STATE PLATE# STATE ❑ 21 ❑ TRLR TRLR 41 VIN# VIN#Y 42 22 VEH.YEAR MAKE MODEL STYLE VEHICLE TOWED DUE T ABLIN TOWED BY GOVT.VEHICLE DAMAGE YES NO YES NO El 23 REGISTERED OWNER INFO. SHADE IN DAMACED AREA 43 2 3 4 LIABILITY INSURANCE INSURANCE CO IN EFFECT I &POLICY# ).c;Q E. 44 vewc�e ❑ ❑ CITATION# CHARGE 24 I..EGALLY YES NO STIWDING 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. C.ARNOLD 09-01-25 10:00 AM 25 INVESTIGATING OFFICER'S SIGNATURE OFFICER'S PHONE UNIT OR DIST DET DATED: PLACE SIGNED 26 BADGE 1 OR DD# 12509 O#RI WA0171300 APJACOBS 91115/2025 PAGE OF 3000-345-013(R 11/18) REPORT NO. EG28204 CASE# 25-7519 DATE AND TIME 08/28/2512:12 OF COLLISION ...lei tx `',.2 4� '4 ..,•, � � T. �t�, q } "tat�� t� ' � }t Iy k { �y 1 { y�itay� t� 1 Y r Yi N a yV � a, t e ySt`� ltt PAGE 5 OF 5