HomeMy WebLinkAbout23-10485 ITFF' "POLCERA II I !�� I III I III I IIII III II I . 1 27c
COLLISION REP FIT 1591971
CASE 23-10485 z
INTERSTATE ❑ CITY STREET FIRE ❑
RESULTED
1 STOLEN
STATE ROUTE ❑ OTHER ❑ VFHIr.I F ❑ LOCAL AGENCI 4250 3
HIT&RUN CODING
COUNTY RD PRIVATE WAY INVOLVED
2� 1 1 8 28
TOTAL#OF OBJECT
TRIBAL UNITS 02 STRUCK' RETAINING WALL
RESERVATION
z
3❑ DATE of M M D D Y Y Y Y TIME(2400) COUNTY# MILES N E IN CITY#
cawsloN 09 - 11 - 2023 0530 17 �. S 8 W H OF e 1070 3
4❑ ON (PRIMARY TRAFFIC WAY) INTERSECTION ❑✓ NON INTERSECTION ❑
DUVALL AVE NE BLOCK NO. e✓ 1500 ❑
4a❑ MILEPOST
DISTANCE OF(REFERENCE OR CROSS STREET)
5❑ �.❑ FEET e S ❑ W e NE SUNSET BLVD
0 4 29
UNIT MOTOOR Z CYCLE ❑ DYESA✓NOESHOLDMET PHONE 0 1 30
6� LAST NAME UNKNOWN FIRSTNAME MIDDLE 1 11
31
INITIAL
STREET ❑ CITY ST ZIP 2
NEW ADDRESS
7❑ ODL IGNITION REQUIRED IGNITION PRESENT MEDICAL TRANSPORTED 3
iNTERLOCKYEs NO INTERLOCK YES NO YES No
8❑ LICIENSE#
SrA fE I
SEX u MMDOBYY '❑- 1 1 2 32
9 ON DUTY❑ STATUS I
AIRBAG 9 RESTR 9 EJECT 1 H U EEr 9 CLAY 0 NATURE OF INJURIES z❑
3
10❑ PIATNE14 CCX5842 sTAT WAuN# 1N4At11E66C256684
-- TRAILER STATE TRAILER STATE
11 3 5 PLATE# PLATE# FR.. ro
TRLR. TRLR 7 1 33
12 3 5 VIN#' VIN#
>; FROM TO
❑ VEH.YEAR MAKE MODEL STYLE VEHICLE TOWED TO BLIN T GOVT.VEHICLE 3 7 34
13 4 2006 NISS ALTIMA SD DAMAGE YES NO �LAWYkkRS TOWING YES❑ No
REGISTERED OWNER INFO ALEXMORALES MATEO 151STAVENWAPT I ISSAQUAH WA 98027 VEHICLE NO. 1 ❑
SHADE IN DAMAGED AREA 35
14 LIABILITY INSURANCE❑ INSURANCE CO
IN EFFECT &POLICY# 9TOP
VEH" CHARGE 36
LEGALLv res❑NO❑ CITATION# 1 o BOTTOM
15❑ STANDING
MOTOR PEDAL- PEDESTRIAN PROPERTY DAM THR OLD MET PHONE
UNIT 02 VEHICLE ❑ CYCLE ❑ ❑ OWNER ❑ YES 1/ NO D:2096061771
16 a
LAST NAME PALMERO FIRST NAME STEVEN MIDDLE A
INITIAL
17❑ NEW STREETREs7 1533 ILWACO AVE NE CITY' RENTON ST WA ZIP 98059 37
18❑ CDL IGNITION REQUIRED IGNITION PtR-E-S1ENT MEDICAL-T�RANSPORTED ❑ 38
INTERLOCKYES�NOR INTERLOCK Y�EsI I I NOF YES
t l NO❑
19� DRIVER # STATE WA SEX M M D.O.B. 12 _ 03 _ 1955 El 39
WELMET INJURY1 NATURE OF INJURIES 40
20❑ ON DUTY STATUS AIRBAG 2 RESTR 4 EJECT 1 USE CLASS ❑
LICENSE I ❑21❑ PLA E# BMH7827 TATE 41
WA VIN# 2T2BGMCA1JCO27016 4
42
22❑ PLATE# STATE PLATE# STATE
TRLR
23❑ UIN#. IN#.
43
RLR
'
TOWED BY Gov HI 44
VEH YEAR 2018 MAKE LEXS MODEL RX 300 STYLE UT —FEHICLE
TOWED✓ NOO BLIN BANKERS TOWING YES No�/
24❑ REGISTERED OWNER INFO OWNED BY DRIVER VEHICLE N0.2
SHADEDAMAGEDAREA
3 4
LIABILITY
INSURANCE INSU&POLICY#E CO USAA 00573 99 90CIN 9TOP 5
'E""LE ❑ Nu,J CITATION# CHARGE to BOTTOM
LEGALLY YES
25 ' e
=KI
(PRINT) OFFICER PHONE BADGE OR ID# AGENCY
J
26 12598 WA0171300
PART A PAGE 01 OF C7
3000-345-159 OR 11/181
STATE OF
POLICETRAFFICN CORRECTION REPORT NO. EE20279
COLLISION REPORT III III III III III 111
1591972 CASE# 23-10485
ADDITIONAL PERSONS INVOLVED PASSENGERS AND/OR WITNESSES ONLY)
NAME MIDDLE INITIAL) PALMERO ELISE G
(LAST FIRST,
ADDRESS&PHONE#
1533/LWACO AVE NE RENTON WA 98059 4253067992 SEXi F MMDDYyry 05 - 12 - 2007
PASSENGER WITNESS UNIT# 2 PSEAT OS CLASS
3 AIRBAG 2 RESTR. 4 EJECT ? 1 HELMET NATURE OF INJURIES
USE ' i 1
NAME
(LAST,FIRST,MIDDLE INITIAL)
ADDRESS&PHONE# D O B
SEX MMDDYYYY
PASSENGER ❑WITNESS UNIT# SEAT AIRBAG RESTR. EJECT HELMET NJURY
POS. NATURE OF INJURIES
USE CLASS
NAME
(LAST FIRST MIDDLE INITIAL)
AppRESS&PHONE#
SEX D.Q.B.
MMDDYYYY. -
PASSENGER WITNESS UNIT# SEAT AIRBAG RESTR. EJECT HELMET NJURY NATURE OF INJURIES
❑ ❑ POS. USE CLASS ----�
NARRATIVE'
On Monday, September 11, 2023 at 0536 hours, I was dispatched to a vehicle collision in the area of
Duvall Ave NE and NE 24th St in Renton, WA. The 911 caller heard the sound of a possible vehicle
collision in the area. Moments later another 911 caller stated he was involved and was struck in the
intersection of Duvall Ave NE and NE Sunset Blvd and the other driver drove away and crashed into
a retaining wall and ultimately fleeing the scene.
The following occurred within the City of Renton, King County; Unit 1 - WA/ CCX5842 was being
driven by an unknown driver and was driving eastbound in the left turn lane on NE Sunset Blvd and
turned north onto Duvall Ave NE where the collision occurred. Unit 2 - WA/ BMH7827 was driven by
Steven Palermo and was stopped facing westbound on Sunset Ave NE at the intersection of Duvall
Ave NE.
Steven stated he proceeded the intersection with a green light when the front bumper of his vehicle
was struck by Unit 1. Steven stated Unit 1 then continued northbound on Duvall Ave NE. Steven
stated he was able to turn onto Sunset Blvd NE and attempt to follow Unit 1. Steven stated he
observed Unit 1 sped off quickly as well as entered the southbound lane of travel, then over corrected
and abruptly entered the northbound lane, then immediately crashed into the concrete retaining wall
in the 2400 block of Duvall Ave NE. Steven stated the vehicle spun around and came to rest
approximately 25 feet away. Steven stated he was unable to observe who the driver of Unit 1 and
was unable to provide a description.
Both vehicles sustained damage and needed to be towed.
Unit 1 was registered to an ALEX EDUARDO MORALES MATEO to an Issaquah address. Unit 1 was
also not reported as a stolen vehicle.
I CERTIFY(DECLARE)UNDER PENALTY OF PERJURY UNDER THE LAWS OF THE STATE OF WASHINGTON THAT THE FOREGOING IS TRUE AND CORRECT.
J.WISN/EWSKI 09-11-23 01:09 PM
INVESTIGATING OFFICER'S SIGNATURE UNIT OR DIST DET DATED PLACE SIGNED
APPROVED BY E
DAT
D.MOYNIHAN 11288 1111612023 12:21:34 PM
BADGE OR ID# 112598 ORI#' WA0171300 TIME POLICE DISPATCHED! 5:36 AM TIME POLICE ARRIVED 5:44 AM
PART I PAGE IT]OF 3�
REPORT NO. EE20279 CASE# 23-10485 DATE AND TIME 09/11/23 05:30
OF COLLISION
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