HomeMy WebLinkAbout23-3653 ITFF' "POLCERA II I !�� I III I III I IIII III II I . 1 27c
COLLISION REP FIT 1591971
CASE 23-3653 z
INTERSTATE ❑ CITY STREET FIRE ❑
RESULTED
1 STOLEN
STATE ROUTE ❑ OTHER ❑ VFHICI F ❑ LOCAL AGENCI 4100 3
HIT&RUN CODING
COUNTY RD PRIVATE WAY INVOLVED
2 TOTAL#OF OBJECT 2$
0 5
RESERVATION
TRIBAL UNITS 02 STRUCK
z
3❑ DATE OF M M D D Y Y Y Y TIME(2400) COUNTY# MILES N E IN CITY#
cawsloN 03 - 1-- 2023 1411 17 ❑-= S 8 IN e 1070 3
4❑ ON (PRIMARY TRAFFIC WAY) INTERSECTION ❑✓ NON INTERSECTION ❑
108TH AVE SE
BLOCK NO. e✓ --- ----� ❑
4a❑ MILEPOST
DISTANCE OF(REFERENCE OR CROSS STREET)
5❑ ❑ FEET e S ❑ VV a SE 184TH LANE
0 1 29
MOTUNIT U1 VEHIOR Z PEDAL-CLE CYCLE ElYESA,G/E NHORESHOLD MET PHONE 30
6� LAST NAME ARGANDA FIRSTNAME ARTURO MIDDLE Y 1 1 2 31
INITIAL
STREET ❑ 5727 37TH AVE S APT 408 CITY SEATTLE ST WA 2jp, 981182654 z
NEW ADDRESS
7❑ CDL IGNITION REQUIRED IGNITION PRESENT MEDICAL TRANSPORTED 3
iNTERLOCKYEs NO INTERLOCK YES NO YES No
8❑ DRIVERS
# STATE WA SEX'M I D-MMDDYY' 02 - 21 - 1958 32
9 ON DUTY❑ STATUS AIRBAG 2 RESTR 4 EJECT 1 HELMETU SE CLASS 1 NATURE OF INJURIES z❑
3
10 9❑ Pi aT�S� BQt3634 sTArI WAvrN# 1FMCU9G92FU682016
TRAILER STATE TRAILER STATE
11 4 0 PLATE# PLATE# FROM TO
TRLR. TRLR. 5 1 33
12❑ vIN#' VIN#
:: FROM TO
❑ VEH.YEAR MAKE MODEL STYLE VEHICLE TOWED TO BLIN T GOVT.VEHICLE 3 ] 34
13 2 2015 FORD ESCAPE DAMAGE vE5 ONO f �AWkkRS vEs❑ No✓
REGISTERED OWNER INFO ARTUROAROANDA572737THAVESAPT408 SEATTLEWA98118 VEHICLE NO. 1 ❑
SHADE IN DAMAGED AREA 35
14 LIABILI INSURANCE INSURANCE CO SAME. 3 4
IN EFFECT &POLICY# 9TOP
15❑ LE
vECALLv Hla.e 5 36
res❑NO❑ CITATION# CHARGE 1 o BOTTOM
STAIN,DIING 8 7 6
UNIT U2 VEHIMOTOCLE ❑ CYCLE ❑ PEDESTRIAN PROPERTY❑PEDAL ✓ oWNFR ❑ DYES✓ NO OLD MET PHONE
16 a
LAST NAME KOWALL FIRST NAME DANIEL MIDDLE I j
INITIAL
17❑ STREET ❑', 4205 NE 9TH PL CITY RENTON ST WA ZIP 980594513 37
NEW ADDRESS ❑
18� CDL IGNITION REQUIRED IGNITION PtR-E-S1ENT MEDICALt-T�RANSPORTED ❑ 38
INTERLOCKYES�NOR INTERLOCK YEs I I NoF YES t l NO❑
19 DRIVE # STATE SEX M MMDDYY 10 _ 02 _ 1985 39
ON DUTY STATUS 3 AIRBAG RESTR EJECT HELMET INJURY 5 NATURE OF INJURIEs ❑ 40
USE CLASS HEAD
❑21❑ LICENSE TArE VIN# 41
PLATE#
42
22 [TRAILER T
❑ PLATE# STATE pLATE#ILER STATE
23❑ 43
TRLR RLR
UIN#. 'IN#.
VEH YEAR MAKE MODEL STYLE VEHICLE TOWED TO BLIN
TOWED By Gov HI 44
24 0 $ DAMAGE YES NO YES NO
REGISTERED OWNER INFO VEHICLE NO.2
SHADE IN DAMAGED AREA
2 3 4
LIABILITY
INSURANCE❑ INSURANCE
#E CO
IN EFFECT &PO IGQVE""LE
❑ ,J� CITATION# CHARGE
LEGALLY YES N`L J
25
OFFICER'S NAME(PRINT) OFFICER PHONE BADGE OR ID# 777T�NCY
26
M.LEVERTON 2517 0171300
PART A PAGE 01 OF C7
3000-345-159 OR 11/181
STATE OF
POLICETRAFFICN CORRECTION REPORT NO. ED48309
COLLISION REPORT III III III III III 111
1591972 CASE# 23-3653
ADDITIONAL PERSONS INVOLVED PASSENGERS AND/OR WITNESSES ONLY)
NAME MIDDLE INITIAL) IRGENJ CORTNEYR
(LAST FIRST,
ADDRESS&PHONE#
17735 105TH PL SE B203 RENTON WA 98055 2532189077 SEX i U MMDOYyry 12 - 12 - 1994
PASSENGER WITNESS UNIT# SEAT AIRBAG RESTR. EJECT ' HELMET INJURY NATURE OF INJURIES
❑ ✓❑ POS. USE CLASS
NAME
(LAST,FIRST,MIDDLE INITIAL)
ADDRESS&PHONE# DOB
SEX' MMDDYYYV
PASSENGER ❑WITNESS❑ UNIT# SEAT AIRBAG RESTR. EJECT HELMET NJURY
POS. NATURE OF INJURIES
USE CLASS
NAME
(LAST FIR57 MIDDLE INITIAL)
AppRESS&PHONE#
SEX D.O.B.MMDD -❑
YYYY.
PASSENGER WITNESS UNIT# SEAT AIRBAG RESTR. EJECT HELMET NJURY NATURE OF INJURIES
❑ ❑ POS. 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.
M.LEVERTON 03-31-23 03:54 PM
INVESTIGATING OFFICER'S SIGNATURE UNIT OR DIST DET DATED PLACE SIGNED
APPROVED BY E
DAT
CO.JOHNSON 0505 4/4/2023 9:54:06 AM
BADGE OR ID# 2517 ORI# WA0171300 TIME POLICE DISPATCHED 2:92 PM TIME POLICE ARRIVED',2:17 PM
PART I PAGE 2�OF❑
TIME
REPORT NO. ED48309 CASE# 23-3653 OF COLLISIONO3/31/23 14:11
NARRATIVE
red suv lane 1 ped ran out in road
RTF
Within the city limits of Renton/King/WA I responded to a car v ped crash at 108th Ave SE and SE
184th Lane.
When I arrived I found a red suv with front end damage, a silver suv parked across lane 1 NB 108th
and a white male bleeding from the head and face, face down in lane 1. 1 requested Dispatch
upgrade this to Medics call for advanced treatment.
The driver of unit 1/red SUV was clearly shaken and told me that the pedestrian went head long into
the roadway for no apparent reason. Unit 1 said he could not avoid the pedestrians intentional
actions of jumping into the roadway and the path of his car. He said he was going about 40
mph/posted.
The silver SUV was driving by listed witness who said she blocked the path of the ped who she found
face down in lane one bleeding from the face and head. She said no other person on scene
appeared to have any experience in helping with this scene so she remained and offered some verbal
comfort to the ped. I did observe her help keep the ped calm who seemed to be increasingly more
agitated and somewhat combative towards anyone near him.
The ped was able to respond to verbal commands like remain laying down or stay seated. He did
provide his ID upon request. He did not answer any questions related to the collision. The ped was
ID'd as Kowall, Daniel J 100285. A records check did show some mental health issues that may have
directly contributed to an intentional or deliberate jumping out in front of a random car.
The damage to unit 1 was localized to the right/passenger front fender/headlight area. There was
little to no clothing material marks from the ped to paint on unit 1. The impact was consistent with a
fender vault, but Kowall did not display lower abdominal or leg/pelvis injury. There was a decent
amount of blood at the damage area of unit 1. Kowall did not have any obvious bleeding injuries
below the neck, just his face/forehead and back/top of his head. There was a large blood pool in the
road and several other small traces of blood a short distance prior to POR.
I was able to locate tire marks consistent with the braking path pre and post impact from unit 1.
Those were highlighted with orange paint along with Kowall POR and some blood evidence. There
was not a speed issue with unit 1. After locating some of the roadway evidence Unit 1 wanted to look
back at the collision scene. It had been a few minutes too, and he had some time to relax. He
explained that Kowall made an intentional act to go head long into the front of his car. Unit 1 was
very upset and concerned for Kowall. (Head long-leaned over head forward, head aimed towards
unit 1)
As Unit 1 walked back though the painted collision scene and I explained my observations of
roadway evidence. He agreed with me and was able to confirm a more specific location where he
believed he was in relation to where he noticed Kowall, braked, contacted, lost sight of Kowall and
came to rest.
Based on unit 1's recollection of the event, what seems to be a very intentional negative action from
Kowall, his localized injuries vs localized damages to unit 1 vehicle that there is no criminal actions
from unit 1.
PAGE 3 OF 5
TIME
REPORT NO. ED48309 CASE# 23-3653 OF COLLISIONO3/31/23 14:11
NARRATIVE
Kowall was transported by KCM1 to Harborview for additional treatment.
Information/Insurance only.
I certify (declare) under penalty of perjury under the laws of the State of Washington that the
foregoing is true and correct.
M.Leverton/2517 City of Renton/King/Wa 3/31/2023
PAGE 4 OF 5
REPORT NO. ED48309 CASE# 23-3653 DATE AND TIME 03/31/2314:11
OF COLLISION
n' s CZ
E ane
PAGE 5 OF 5