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HomeMy WebLinkAbout25-9776 IT si " II IIIII III IIIII II IIII IIIII I . 27c REPORT NO EG49023OLCERA COLLISION REPORT 1591971 INTERSTATE CITY STREET FIRE I CASE# 25-9776 2 RESULTEDSTOLENSTATE 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 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 eDUISION' 11 - 10 - 2025 1730 17 =.= S 8 W E OF M 1070 a 4❑ ON (PRIMARY TRAFFIC WAY) INTERSECTION ❑✓ NON INTERSECTION ❑ SGRADYWAY BLOCK NO. e 200 .� 4a❑ MILE POST ❑ DISTANCE OF(REFERENCE OR CROSS STREET) 5 . FEET e S 8 W e SHATTUCKAVES OF 4 29 MOTOR ✓ PEDAL- DAM AG THRESHOLD MET PHONE UNIT 01 VEHICLE ❑ CYCLE ❑ YEs Vl No D:5087335580 0 1 30 5 LAST NAME VOGT FIRST NAME ABIGAIL MIDDLE E 1 1 2 31 INITIAL STREET ] 4235 BROOKLYN AVE NE APT 304 CITY; SEATTLE ST WA ZIP; 98105 2 NEW ADDRESS 7 CDL IGNITION REQUIRED IGNITION PRESENT MEDICAL TRANSPORTED' 3 INTERLOCKYES No INTERLOCKYEs NO YES ND 8❑ DRIVERCENSS# STATE WA SEXI F MMDDYY' O6 - 13 - 1998 1 2 32 9 ON DUTY STATUS' AIRBAG 6 RESTR 4 EJECT 1 HELMET 2 INJURY 7 NATURE OF INJURIES 2 USE :CLASS KNEE PAIN LICENSE, CEP2310 STATE WA VIN#, 3VWDB7AJ5JM256867 3 10 Fl I PI ATP tt TRAILER STATE TRAILER STATE 11 0 0 PLATE# PLATE# ROM To TRLR zRLR 3 5 33 12 0 0 VIN#' vIN# FROM TO VEH.YEAR 201s MAKE VOLK MODEL JE7.TA STYLE VEHICLE TOWED TO BLIN TOWED By GOVT VEHICLE 7 $ 34 13� DAMAGE YES II_II NO `/ YESII_] NO REGISTERED OWNER INFO ABIGAIL VOGT4215 BROOKLYN AVE NE APT 304 SEATTLEWA98105 D:5087335580 VEHICLE NO. 1 SHADE IN DAMAGED AREA 35 4 LIABILITY INSURANCE INSURANCE CO 14 STATE FARM 587216980647 IN EFFECT &POLICY# VEn" CHARGE 5 36 Lec Lv YES❑NO❑ CITATION# <14, 15❑ STANDING MOTCYR PEDAL- PEDESTRIAN PROPERTY DAM THR OLD MET PHONE UNIT 02 VEHICLE CYCLE nWNFR YES�/ NO D:2533852770 16� LAST NAME PAZ GARCIA FIRST NAME JAVIER MIDDLE A INITIAL 17 STREET ❑ 21021 RENTON MAPLE VALLEY RD CITY MAPLE VALLEY ST, WA ZIP 9803 37 88934 NEW ADDRESS I I I I I I ❑ 18❑ CDL IGNITION REQUIRED (GNI'I`iON PRESENT MEDICAL TRANSPORTED: 38 INTEIRLOCKYES No INTERLOCK YES NO ves No 19 DRIVER'S STATE WA SEX M D.O.e. 09 17 1988 39 '..LICENSE# MMDC?YY 20❑ ON DUTY STATUS AIRBAG 6 RESTR 4 EJECT 1 HELMET 2 INJURY 7 NATURE OF INJURIES 40 USE CLASS CHEST PAIN 21 LICEN# CGJ2067 raTE WA vIN# JHLRD2840YCO11267 41 22❑ PLATE# STATE PLATE# STATE 42 23 TRLR r RLR 43 UIN#. 'IN# TOWED BY GOV HI 44 VEH.YEAR 2000 MAKE HOND MODEL CR-V STYLE LIT VEHICLE TOWED✓ No BLIN BANKERS 24 REGISTERED OWNER INFO JAVIER PAZ GARCIA 21021 RENTON MAPLE VALLEY RD MAPLE VALLEY WA 980388934 D:2533852770 VEHICLE NQ.2 SHADFjy DAMAGED AREA 3 4 LIABILITY INSURANCE❑ INSURANCE CO IN EFFECT &POLICY# 9TOP 1-1— YESLI NC❑ CITATION# 5A0912005 CHARGE OP MOT VEH W/OUT INSURANCE OUR, LecALLv 25 e OFFICER'S NAME(PRINT) OFFICER PHONE BADGE OR ID# AGENCY J 26 KE17H PETTY 12809 WA0171300 PART A PAGE 01 OF 3000-348-189(R 11/181 STATE OF POLICETRAFFICN CORRECTION REPORT NO. EG49023 COLLISION REPORT III III III III III 111 1591972 CASE# 25-9776 E NA ADDITIONAL PERSONS INVOLVED(PASSENGERS AND/OR WITNESSES ONLY) M (LAST,FIRST,MIDDLE INITIAL) CERVANTES—PINA JAIME ADDRESS&PHONE# D� 1019 MONROEAVE NE RENTON WA 98056 4257775491 SEXi M MMDDYYYY 06 — 18 — 1966 SEAT HELMET INJURY NATURE OF INJURIES PASSENGERZWITNESSE] UNIT# 2 POS. 3 AIRBAG 6 RESTR. 4 EJECT 1 USE 2 CLASS ;7 LEG PAIN :NAME (LAST FIRST MIDDLE INITIAL) ADDRESS R PHONE# SEX MMDDYYYY D.O.B. — PASSENGER❑WITNESS UNIT# : SEAT AIRBAG RESTR. EJECT HELMET NJURY: 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 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. KEITH PETTY 11-10-25 07:48 PM INVESTIGATING OFFICER'S SIGNATURE UNIT OR DIST.DET DATED PLACE SIGNED APPROVED BY DATE J.THIELMAN 11462 1111612025 12:26:54 AM BADGE OR ID# 12809 ORI# WA0171300 TIME POLICE DISPATCHED 1 5:31 PM TIME POLICE ARRIVED i 5:32 PM PAST B 3 Do-3mx—attar gt 1Mffp PAGE 2�OF REPORT NO. EG49023 CASE# 25-9776 DATE OF COLLI r�510NN + 11/10/25 17:30 L1 NARRATIVE 25-9776 On 11/10/2025 at about 1732 hrs, I was dispatched to the intersection of S Grady Way and Shattuck Ave S in the City Limits of Renton, King County, Washington for and accident with possible injuries. Upon arrival I contacted (Unit 1) Abigail E Vogt (DOB 06/13/1998) who had been driving her black 2018 Volkswagen Jetta (CEP2310/WA) and (Unit 2) Javier Antonio Paz Garcia (DOB 09/17/1988) who had been driving his silver 2000 Honda CR-V (CTV6917/WA). Both drivers were identified by their WADL. Unit 2 front passenger was identified as Jaime Cervantes-Pins (DOB 06/18/1966) Unit 1 stated that she had been heading west on S Grady Way and was attempting to make a left- hand turn onto Shattuck Ave S. As she approached the intersection, she viewed unit 2 heading east on S Grady Way also approaching the Shattuck Ave S intersection. Unit 1 thought unit 2 had a turn signal on indicating they were turning right onto Shattuck Ave S. Unit 1 proceeded to turn left into the lane of travel of unit 2 and collided. The damage was estimated over$1000 on each vehicle. Both vehicles were towed from the scene by Banker's towing. Upon running the unit 1 vehicle through dispatch the return showed the black 2018 Volkswagen Jetta had expired tabs greater than 2 months. (Expired on 08/28/2024) 1 cited unit 1 for the expired registration greater than 2 months (RCW 46.16A.030) and RCW 46.61.185 for failing to grant the right of way to oncoming traffic when making a left turn. I smelled the aroma of an alcoholic beverage emanating from Abigails breath while talking to her. I asked if she was willing to perform SFST's to dispel my thought that she may be too intoxicated to drive. Abigail consented. After performing the HGN and walk and turn test, 1 was unable to view enough clues to develop probable cause of impairment. I did not see HGN and Abigail was able to walk in a steady manner. She did admit to having a single beverage within the hour of driving. Unit 2 stated that he was driving east on S Grady Way in lane 1, when he approached the Shattuck Ave S intersection. As he proceeded through a green light unit 1 turned left in front of him and the vehicles collided into each other. When asked for unit 2 insurance he was not able to provide any proof of insurance. cited the driver of Unit#2 (Paz-Garcia) for violating RCW 46.30.020 -Liability Insurance as no person may operate a motor vehicle subject to registration under chapter 46.16A RCW in this state unless the person is insured under a motor vehicle liability policy with liability limits of at least the amounts provided in RCW 46.29.090, is self-insured as provided in RCW 46.29.630, is covered by a certificate of deposit in conformance with RCW 46.29.550, or is covered by a liability bond of at least the amounts provided in RCW 46.29.090. Proof of financial responsibility for motor vehicle operation must be provided on the request of a law enforcement officer in the format specified under RCW 46.30.030. The citations were mailed to the address's provided. The collision was witnessed by Amanda Jean Mack (DOB 01/13/1998) who had viewed unit 1 turn in front of unit 2 while attempting to make a left-hand turn onto Shattuck Ave S. This incident was captured on my body worn camera. This report is a summary of the events that occurred and is not an exact sequencing of events. Statements have been paraphrased and PAGE 3 OF 5 REPORT NO. EG49023 CASE# 25-9776 DATE OF COLLI r�510NN + 11/10/25 17:30 L1 NARRATIVE summarized. "I certify (or declare) under penalty of perjury under the laws of the State of Washington that the foregoing is true and correct." Electronically signed: K.Petty, Date: 11/10/25 at 1853 hours, Place: Renton, King County, WA PAGE 4 OF 5 REPORT NO. EG49023 CASE# 25-9776 DATE AND TIME 11/10/25 17:30 OF COLLISION 44 } ,g,ti d 0 v t ir? } din i I ti \% i �k v ok n 4* t i ti, i4} �t PAGE 5 OF 5