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HomeMy WebLinkAbout23-4556 ITFF' "POLCERA II I !�� I III I III I IIII III II I . 1 27c COLLISION REP FIT 1591971 CASE 23-4556 z INTERSTATE ❑ CITY STREET FIRE ❑ RESULTED 1 STOLEN STATE ROUTE ❑ OTHER ❑ VFHIC;I F ❑ LOCAL AGENCI 4Y50 3 HIT 8 RUN ✓ CODING COUNTY RD PRIVATE WAY INVOLVED 2 TOTAL#OF OBJECT 1 1 8 28 TRIBAL UNITS 03 STRUCK TREE RESERVATION z 3❑ DATE OF M M D D Y Y Y Y TIME(2400) COUNTY# MILES N E IN CITY# ❑ CowsloN 04 - 1-- 2023 0230 17 ❑.= S 8 IN e 1070 3 4❑ ON (PRIMARY TRAFFIC WAY) INTERSECTION ❑ NON INTERSECTION ❑✓ DAVIS AVE S BLOCK NO. e✓ 4500 4a❑ MILEPOST DISTANCE OF(REFERENCE OR CROSS STREET) 5❑ 150 00 FEET MILES e S B W e S 45TH PL 0 1 29 MOTOR PEDAL- DAMAGE THRESHOLD MET PHONE UNIT 01 VEHICLE ❑ CYCLE El �/No D:2533749442 1 4 30 6� LAST NAME HARRELL FIRSTNAME ANDREW MIDDLE L 1 1 2 31 INITIAL STREET ❑✓ 4600 DAVIS AVE S#U205 CITY RENTON ST WA 2jp, 98055 z NEW ADDRESS 7❑ CDL IGNITION REQUIRED IGNITION PRESENT MEDICAL TRANSPORTED 3 INTERLOCK YES[:]No✓ INTERLOCKYEs NO✓ YES R No 8❑ LRIIVER # ON DUTY❑ STATUS AIRBAG 3 RESTR 4 EJECT 1 HELMET 2 CLASS 1 NATURE OF INJURIES z❑ 3 LICENSE C743492 sTArI WAurN# 3GNEC12T64G163383 10❑ PI ATE# TRAILER STATE TRAILER STATE 11 2 5 PLATE# PLATE# FROM TO TRLR. A'RLR. 1 5 33 12 0 0 VIN#j VIN# 2004 CHEV AVALAN 4CYES[:] ❑ FROM 34 ❑ VEH.YEAR MAKE MODEL STYLE VEHICLE TOWED TO BLIN TOWED BY GOVT.VEHICLE 13 2 DAMAGE YES NO ✓ YES NO✓ REGISTERED OWNER INFO ANTONIO HARRELL 19019 INTERNATIONAL BLVD#139 SEATAC WA 98188 VEHICLE NO. 1 ❑ SHADE IN DAMAGED AREA 35 14❑ LIABILITY INSURANCE❑ INSURANCE CO <53 4 IN EFFECT &POLICY# TOPVEHICLE CHARGE 36 LEGALLY YEs❑NO CITATION# OTTOM 15❑ STAIN."' 6 UNIT 02 VE ICCLE z CYCLE ❑ PEDESTRIAN ❑ OWNER YES ❑ DYES✓ NO OLD MET PHONE 16❑ LAST NAME UNKNOWN FIRST NAME UNKNOWN MIDDLE INITIAL STREET CITY RENTON ST ZIP $ 17❑ NEW ADDRESS❑ ❑ 37 18❑ CDL IGNITION REQUIRED IGNITION PtR-E-S1ENT MEDICAL—T�RANSPORTED � 38 INTERLOCK YEs❑No� INTERLOCK YEs I I NOF YEs t l NOF,/ 19 LLIICENS RIVER# STATE SEX U MMDDYY 39 WELMET INJURY NATURE OF INJURIES 40 20❑ ON DUTY STATUS' AIRBAG 9 RESTR 9 EJECT ''1 USE 9 CLASS 0 ❑ ❑21❑ PLATE# CDV8084 TAre 41 WA VIN# 4T1BD1FK3CU017203 4 42 22❑ PLATE# STATE PLATE# STATE 23❑ 43 TRLR RLR VIN It IN#. VEH YEAR 2012 MAKE TOYT MODEL CAMRY STYLE SD VEHICLE TOWED TO BLIN TOWEDBY GOV HI 44 L4❑ DAMAGE YESfj NO✓ YES NO✓ REGISTERED OWNER INFO VISHAL GULAT14702 DAVIS AVE S#LL202 RENTON WA 98055 D:4259456295 VEHICLE NO.2 SHADE IN DAMAGEbAREA 2 3 Cd LIABILITY INSURANCE INSU8 POLICY#E CO GEICO.IN 1U STOP VEHICLE ❑ ,.I—I CITATION# CHARGE o BOTTOMLEGALLY YES N25 OFFICER'S NAME(PRINT) OFFICER PHONE BADGE OR ID# AGENCY J 26 QUINT TIBEAU 07691 WA0171300 PART A PAGE 01 OF C7 3000-345-159 OR 11/181 STATE OF POLICETRAFFICN CORRECTION REPORT NO. ED54559 COLLISION REPORT III III III III III 111 1591972 CASE# 23-4556 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' 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. QUINT TIBEAU 04-23-23 05:16 PM INVESTIGATING OFFICER'S SIGNATURE UNIT OR DIST DET DATED PLACE SIGNED APPROVED BY E DAT D.SKELTON 9139 4/26/2023 4:32:05 AM BADGE OR ID# 07691 OR]# ! WA0171300 TIME POLICE DISPATCHED 6:03 AM TIME POLICE ARRIVED 6:09 AM PART I PAGE IT]OF 5� REPORT NO. ED54559 CASE# 23-4556 OF COLLISION 04/23/23 02:30 OF CbLLI510N NARRATIVE 23-4556 Narrative The following occurred in the City of Renton, County of King, State of Washington. On 04/23/2023 at about 0609 hours I was dispatched to Davis Ave S/S 45th PL for a report of a Hit and Run Collision on Davis Ave S near S 45th PL. I arrived to find V-2, a Toyota Camry, WA license (CDV8084) parked on the west side of Davis Ave S, north of S 45th PL, with the rear of the vehicle caved in. In the planting strip behind the vehicle was a small tree that had also sustained damage. Next to the tree I could see large tire tread consistent with a truck. On the grass to the southeast of the tree was shards of red plastic that appeared to be from the taillight of V-2. There were also bits of chrome colored plastic from what appeared to be the license plate frame from V-1 as well as a single piece of clear plastic that appeared to likely be from V-1's head light. I noted a distinct lined pattern in the plastic on one end, to look for if I located a suspect vehicle. I also noted that V-2 had been pushed forward approximately 11 feet when it was struck. I was able to measure this do to the gouges the right rear wheel made in the curb when the vehicle was struck. The wheel and tire had marks and mud consistent with this as well. I took digital photographs of the scene and began looking for V-1. I located V-1 parked in space #304 in front of the "U" building at 4600 Davis Ave S. It was a blue 2004 Chevrolet, WA license (C74349Z). The front of the vehicle had clearly been involved in a recent collision with a small tree. There was still bark similar to the tree at the collision scene, stuck to the front license plate. The pattern in the clear plastic and shape matched a missing piece from the driver's side headlight. The tire tread also appeared to match the pattern left in the mud at the scene and there was mud on the front passenger side tire consistent with the scene. A record check of the plate showed the vehicle clear and valid to Antonio Harrell out of Seatac. I was able to locate an associated apartment#U-205 and contacted Andrew Harrell. I asked him if Antonio was there and when he stated that Antonio was not, I explained that I was looking to speak to him about a collision his vehicle had been involved in. Andrew Harrell stated that he was the driver and sole occupant at the time of the collision. He stated that it occurred last night at about 0230 hours. He was heading home from work, and he doesn't know what happened. He just woke up to find he had crashed into the tree. He figured there wasn't much damage to the tree and there was a lot to his vehicle, so he didn't bother reporting it. Andrew stated that he is not allowed to drink at his job, and he did not have any alcohol after he got off work either. He has not been diagnosed yet but believes he may have narcolepsy. Andrew did not realize that he had struck V-2. This actually seemed plausible since V-2 was pushed away from the scene of the collision. Andrew verbally identified himself and matched his DOL photograph. A record check shows that he is clear, not licensed-eligible. He stated that he is in the process of purchasing the vehicle from his uncle Antonio. He does not have insurance on the vehicle and is unsure if Antonio does. 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 04/23/23 1700 hours, Renton, WA. PAGE 3 OF 5 SUPPLEMENTAL REPORT No. ED54559 r`) POLICE TRAFFIC 1 27 COLLISION REPORT CASE# 23-4556 1 COMMERCIAL MOTOR CARRIER INTERSTATE INTRASTATE G UNIT'# USDOT ICC# VEHICLE TYPE CARGO BODY ;TYPE 2 ❑ 1 28 CARRIER NAME 3 CARRIER L ADDRESS ` CITY ST ZIP—1 I ' 4 ❑ NAME # PLACARD: :❑ GI PLACARD IF NO NUMBER SOURCE AXLES + 4a ❑ ADDITIONAL UNITS MOTOR PEDAL- �`"'j PROPERTY DAMAGE THRESHOLD MET PHONE 5 ❑ UNIT# 3 VEHICLE I_J CYCLE _) PEDESTRIAN � OWNER � YES NO D:4254307600 LAST NAME : CITY OF RENTON FIRST NAME MIDDLE.. 29 INITIAL STREET _—] H 30 NEW AnDRFSP' 1055 S GRADY WAY CITY RENTON ST WA ZIP 98057 6 CDL IGNITION REQUIRED IGNITION PRESENT MEDICAL TANSPORTED 1 31 INTERLOCK YEs No zERLOCK YES E]Na� YEs N DRIVER'S STATE I SEX U M��DYSYv' —� 2 LICENSE 7F-ION DUTY STATUS AIRBAG RESTR. EJECT HELMET INJURY NATURE OF INJURIES F� USE CLASS 8 ❑ ' 1 32 LICENSE+ rar V1N.# PLATE# 9 TRAILER TRAILER PLATE# STATE PLATE# STATE 10 ❑ TRLR TRLR VIN.#. VIN.#. 11 VEH.YEAR MAKE I MODEL STYLE I VEHICLE TOWS E T SABLIN TOWED BY anvi vEHIG P FROM TO DAMAGE YES NO YES NO REGISTERED OWNER INFO. m 33 12 SHADE IN DAMAGED AREA FROM TO LIABILITY INSURANCE❑ INSURANCE CO IN EFFECT &POLICY# tGQ VEHICLE 34 13 ❑ LEGALLY YES[:] NO❑ CITATION# CHARGE STANDING S} 8 7 6 14 ❑ UNIT Tr Vd IRE O CYDCLE OWNER YES AGE NOHRESHOLD MET PHONE El 35 PEDESTRIAN 15 LAST NAME FIRST NAME MIDDLE': INITIAL36 STREET"[—] ❑ 16 NEn+AnnRFs.�' CITY'. ST ZIP CDL IGNITION REdUiRED IGNITtGN PRESENT MEDICALTANSPORTED INTERLOCK YES No INTERLOCK YEs NO YEs NO El 17 37 LICENSE# STATE SEX MMDDDYBYY 18 ❑ ON DUTY� STATUS AIRBAG RESTR. ; EJECT HELMET INJURY NATURE of INJURIES 38 USE (CLASS 19 ❑ vIN# 39 LICENSE PLATE# rnr 20 ❑ TRAILER' TRAILER ❑ 40 PLATE# STATE PLATE# STATE 21 ❑ TRLR TRLR 41 VIN# YIN#i 42 22 VEH.YEAR MAKE I MODEL STYLE I VEHICLE TO DUET SABLIN TOWED BY GOVT.VEHICLE DAMAGE YES NO YES NO 23 REGISTERED OWNER INFO_ SHADE IN DAMAGED AREA 43 3 4 71 LIABILITY INSURANCE INSURANCE CO ' VEHICLE EFFECT &POLICY# I 970P - 4 44 24 VEHICLE YES NO❑ CITATION# CHARGE iq 60TiOM E:l C=DLv STANDING 8 7 6 1 CERTIFY(DECLARE)UNDER PENALTY OF PERJURY UNDER THE LAWS OF THE STATE OF WASHINGTON THAT THE FOREGOING IS TRUE AND CORRECT. QUINT TIBEAU 04-23-23 05:16 PM 25 INVESTIGATING OFFICER'S SIGNATURE OFFICER'S PHONE UNIT OR DIST DET DATED: PLACE SIGNED APPROVED BY DATE 26 OR ID# 07691 O#I',WA0171300 SKELTON 4/26/2023 PAGE�OF 3000-345-013(R 11118) REPORT NO. ED54559 CASE# 23-4556 DATE AND TIME 04/23/23 02:30 OF COLLISION e--P Lr) Davis Ave Not t0 Seale PAGE 5 OF 5