HomeMy WebLinkAbout23-2691 ITFF' "POLCERA II I !�� I III I III I IIII III II I . 0 27c
COLLISION REP FIT 1591971
CASE 23-2691 z
INTERSTATE ❑ CITY STREET FIRE ❑RESULTED
1 STOLEN
STATE ROUTE ❑ OTHER ❑ VFHICI F ❑ LOCAL AGENCI 4Y00 3
HIT&RUN CODING
COUNTY RD PRIVATE WAY INVOLVED
2 TOTAL#OF OBJECT 2$
i TRIBAL 1 02 STRUCK FENCE
RESERVATION
z
3❑ DATE of M M D D Y Y Y Y TIME(2400) COUNTY# MILES N E IN CITY# ❑
cowsloN 03 - 06 - 2023 0652 17 ❑.= S 8 IN e 1070 3
4 4❑ ON (PRIMARY TRAFFIC WAY) INTERSECTION ❑ NON INTERSECTION ❑✓
DUVALL AVE NE BLOCK NO. e✓ 1000
4a 1❑ MILEPOST
DISTANCE OF(REFERENCE OR CROSS STREET)
5 8❑ 120 00 FEET MILES e S B W e NE 10TH ST1
0 1 29
MOTOR PEDAL- DAMAGE THRESHOLD MET PHONE
UNIT 01 VEHICLE ❑ CYCLE El
✓NO D:2062907346 30
6� INITIAL
LAST NAME MARTINEZ-SORTO FIRSTNAME JOSE MIDDLE D 1 1 2 31
STREET ❑ 22026 24TH AVE S CITY DES MOINES ST WA ZIP 981986613 z
NEW ADDRESS
7❑ CDL IGNITION REQUIRED IGNITION PRESENT MEDICAL TRANSPORTED 3
iNTERLOCKYEs NO 1/ INTERLOCKYEs NO�/ YES R No�/
8❑ LRIIVER #
ON DUTY❑ STATUS AIRBAG 2 RESTR 4 EJECT 1 H USE 2 1 CLASS NATURE OF INJURIES z❑
3
10❑ PI ATE 14 C32140P STATE WA uN# 1FTYR14U82PB43140
TRAILER STATE TRAILER STATE
11 0 0 PLATE# PLATE# FRom ro
TRLR. TRLR 5 8 33
12❑ VIN#' VIN#'.
2002 FORD RANGE nIG❑ RO�34
VEH.YEAR MAKE MODEL STYLE VEHICLE TOWED TO BLIN TOWED BY GOVT.VEHICLE
13� DAMAGE YES NO 1/ YES[:] NO
REGISTERED OWNER INFO DOSE MARTINEZ-SOIZI 2202624TH AVE S DES MOINES WA 98198 D:2062907346 VEHICLE NO. 1 ❑
SHADE IN DAMAGED AREA 35
14❑ LIABILITY INSURANCE INSURANCE CO STATE FARMQ 4454175-AO8.47A 4
IN EFFECT &POLICY# 9TOP
VEHICLE CHARGE 5 36
LEGALLY YES❑NO❑ CITATION# 1 o BOTTOM
15❑ STANDING 6
MOTOR PEDAL- PEDESTRIAN PROPERTY ✓ DAM THR OLD MET PHONE
UNIT U2 VEHICLE ❑ CYCLE ❑ ❑ OWNER ❑ YEs No 1/ D:4252042300
16❑
LAST NAME RENTON SCHOOL DISTRICT FIRST NAME MIDDLE
INITIAL
17 STREET ❑, 300 SW 7TH ST CITY RENTON ST WA ZIP 98057 37
NEW ADDRESS ❑
18� CDL IGNITION REQUIRED IGNITION PtR—E—S1ENT MEDICAL TRANSPORTED 38
INTERLOCKYES�NOR INTERLOCK YEs I I NOF YEs t l NO❑
19 LLIICENS # STATE SEX U MMDDYY —�_ 39
HELMET INJURY NATURE OF INJURIES 40
20❑ ON DUTY STATUS' AIRBAG RESTR EJECT USE CLASS ❑
❑21❑ LICENSE TATE VIN# 41
PLATE#
42
22❑ PLATE# STATE PLATE# STATE
23❑ TRLR R 43
LR
VIN#. N I #.
VEH YEAR MAKE MODEL STYLE VEHICLE TOWED TO BLIN
TOWED BY Gov HI 44
L4❑ DAMAGE YES NO YES NO
REGISTERED OWNER INFO VEHICLE NO.2
SHADE IN DAMAGED AREA
2 3 4
INAEFFITY ECTNSURANCE❑ &POINSULICY#E CO IGQ
VEHICLE ❑ C[:] CITATION# CHARGE
LEGALLY YES N`LJ
25 s � e
OFFICER'S NAME(PRINT) OFFICER PHONE BADGE OR ID# AGENCY
IQU/NT TIBEAU 07691 WA0171300
26
PART A PAGE 01 OF C7
3000-345-159 OR 11/181
STATE OF
POLICETRAFFICN CORRECTION REPORT No. ED41392
COLLISION REPORT III III III III III 111
1591972 CASE# 23-2691
ADDITIONAL PERSONS INVOLVED PASSENGERS AND/OR WITNESSES ONLY)
NAME
(LAST FIRST,MIDDLE INITIAL)_
ADDRESS&PHONE#
SEX D.O.B. - -
MMDDYYYY.
PASSENGER❑WITNESS UNIT# SEAT AIRBAG RESTR. EJECT ' HELMET INJURY NATURE OF INJURIES
POS. USE CLASS
NAME
'(LAST,FIRST MIDDLE INITIAL)
ADDRESS&PHONE# D D B
SEX MMDDYYYY
PASSENGER ❑WITNESS UNIT# SEAT AIRBAG RESTR. EJECT HELMET INJURY NATURE OF INJURIES
POS. USE CLASS
NAME
(LAST FIR57 MIDDLE INITIAL)
AppRESS R PHONE#
SEX D.O.B.
MMDDYYYY. -
PASSENGER WITNESS UNIT# SEAT AIRBAG RESTR. EJECT HELMET NJURY NATURE OF INJURIES
❑ ❑ POS. USE CLASS ----�
NARRATIVE'
23-2691
Narrative
The following occurred in the City of Renton, County of King, State of Washington.
On 03/06/23 at about 0655 hours I was dispatched to 1057 Duvall Ave NE for a single vehicle
collision into the construction fencing along Duvall Ave NE for the new elementary. 1 arrived at about
0655 hours and contacted the driver of U-1, who identified himself as the registered owner of the
vehicle, Jose Martinez-Sorto with his WADS. Martinez-Sorto told me that he was travelling north
bound on Duvall Ave NE with traffic when he tried to tap his brakes a little. He lost control of his
vehicle, went off of the roadway and struck the fence. The roadway is icy this morning, but Martinez-
Sorto managed to leave significant skid marks and still travel over the curb and through the fencing
with speed. See attached photographs for further details.
This incident was captured on my Axon body worn video camera. This report is a summary of events
that occurred and is not an exact sequencing of events. Statements have been paraphrased and
summarized.
Nothing further at this time.
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 Q. Tibeau 03/06/2023 0749 hours, Renton, WA.
I CERTIFY(DECLARE)UNDER PENALTY OF PERJURY UNDER THE LAWS OF THE STATE OF WASHINGTON THAT THE FOREGOING IS TRUE AND CORRECT.
QUINT TIBEAU 03-06-23 08:22 AM
INVESTIGATING OFFICER'S SIGNATURE UNIT OR DIST DET DATED PLACE SIGNED
APPROVED BY E
DAT
J.CHRISTIANSEN 10437 311112023 12:28:22 AM
BADGE OR ID# 07691 ORI# WA0171300 TIME POLICE DISPATCHED; 6:55 AM TIME POLICE ARRIVED',6:58 AM
PART I PAGE IT]OF
REPORT NO. ED41392 CASE# 23-2691 DATE AND TIME 03/06/23 06:52
OF COLLISION
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DUVALL AVE-NE
ON
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