HomeMy WebLinkAbout24-1524 ITFF' "POLCERA II I !�� I III I III I IIII III II I . 1 27c
COLLISION REP FIT 1591971
CASE 24-1524 z
INTERSTATE ❑ CITY STREET FIRE ❑
RESULTED
1 STOLEN
STATE ROUTE ❑ OTHER ❑ VFHICI F ❑ LOCAL AGENCI 4900 3
HIT&RUN CODING
COUNTY RD PRIVATE WAY INVOLVED
2 TOTAL#OF OBJECT 1 28
TRIBAL UNITS 02 STRUCK' BUILDING
RESERVATION
z
3❑ DATE of M M D D Y Y Y Y TIME(2400) COUNTY# MILES N E IN CITY# ❑
COLLISION.. 02 - 11 - 2024 2119 17 ❑.❑ S 8 W H OF e 1070 3
4❑ ON (PRIMARY TRAFFIC WAY) INTERSECTION ❑ NON INTERSECTION ❑✓
1520 DUVALL AVE NE#
BLOCK NO. e✓ --- ----�
4a❑ MILEPOST
DISTANCE OF(REFERENCE OR CROSS STREET)
5❑ ❑ FEET e S ❑ W e 0 1 29
MOTOR PEDAL- DAMAGE THRESHOLD MET PHONE
UNIT 01 VEHICLE ❑ CYCLE El
✓NO D:4256910685 30
6❑ LAST NAME BUCK FIRSTNAME DOMINIC MIDDLE A 1 2 31
INITIAL
STREET ❑ 46222 SE 131 ST ST CITY NORTH BEND ST WA 21p 98045 z=
NEW ADDRESS
7❑ ODL IGNITION REQUIRED IGNITION PRESENT MEDICAL TRANSPORTED 3
iNTERLOCKYEs NO INTERLOCKYEs NO YES R NO
8❑ LDRIVER # STATE WA SEX'M MID
LO B Y 02 32
9 ON DUTY❑ STATUS AIRBAG $ RESTR 1 EJECT 1 HELMET INJURY 6 NATURE OF INJURIES z❑
USE CLASS POSSIBLY HEAD INJURY
3
10❑ Pl QTNFS# C88677R STATE WA VIN#' 5TEWN72NX2Z145305
TRAILER STATE TRAILER STATE
11 0 0 PLATE# PLATE# FROM TO
TRLR. TRLR 7 3 33
12❑ VIN#' VIN#
FROM
34
VEH.YEAR 2002 MAKE TOYT MODEL TACOM STYLE TR VEHICLE TOWEDNa pLSSBLIN T,QVyEq.BLRs YES[:]13❑ DAMAGE LJI tSAlVilc
REGISTERED OWNER INFO OWNEDBYDRIVER VEHICLE NO. 1
SHADE IN DAMAGED AREA ❑ 35
14❑ LIABILI INSURANCE INSURANCE CO FARMERS 188361552 4
IN EFFECT &POLICY# TOPVEHICLE CHARGE 36
LEGALLY YES❑NO❑ CITATION# <1�3
OTTOM
15❑ STANDING 7 6
MOTOR PEDAL- PEDESTRIAN PROPERTY ✓ DAM THR OLD MET PHONE
UNIT VEHICLE ❑ CYCLE ❑ ❑ OWNER ❑ YES 1/ NO D:2069471120
16❑
LAST NAME DOCHNAHL FIRST NAME DENNY MIDDLE
INITIAL
STREET
17 NEW ADDRJ CITY ST' ZIP 37
18� CDL IGNITION REQUIRED IGNITION PR—E-1SENT MEDICAL TRANSPORTED 38
INTERLOCKYES�NOR INTERLOCK YEs It I NOF YES t t— l NO❑
19 LLIICENS RIVERIS# STATE SEX M 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❑ 43
TRLR RLR
UIN#. 'IN#.
VEH YEAR MAKE MODEL STYLE VEHICLE TOWED TO BLIN
TOWED BY Gov HI 44
24❑ DAMAGE YES NO YES NO
REGISTERED OWNER INFO VEHICLE NO.2
SHADE IN DAMAGED AREA
2 3 4
INAEFFITY ECTNSURANCE❑ &POINSULICY#E CO I 9TOP 5
NODALOVIC
❑ C[:] CITATION# CHARGE i o BOTTOM
YES N
25 s e
'S NAME(PRINT) OFFICER PHONE BADGE OR ID# AGENCY
26
11628 WA0171300
PAGE 01 OF
PART A
3000-345-159 OR 11/181
STATE OF
POLICETRAFFICN CORRECTION REPORT NO. EE50812
COLLISION REPORT III III III III III 111
1591972 CASE# 24-1524
ADDITIONAL PERSONS INVOLVED PASSENGERS AND/OR WITNESSES ONLY)
NAME MIDDLE INITIAL) DIXON SARAHLYNN A
(LAST FIRST,
ADDRESS&PHONE# D O.B.
SEX F MMDDYYYY 01 - 24 - 2006
{� SEAT HELMET INJURY NATURE OF INJURIES
PASSENGER Z WITNESS UNIT# 1 POS 3 AIRBAG 3 RESTR. 1 EJECT 1 USE CLASS 6 SMALL LACERATION,HEAD INJURY
NAME
`(LAST,FIRST,MIDDLE INITIAL)
ADDRESS&PHONE# DOB
SEX MMDDYVYY
PASSENGER ❑WITNESS UNIT# SEAT AIRBAG RESTR. EJECT HELMET NJURY 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'
U1 was traveling eastbound crossing Duvall Ave NE on NE Sunset Blvd. The driver of U1 stated he
recently started new medication for depression and axienty which has made him feel more tired. The
driver stated he fell asleep at the wheel traveling in a straight line and crashed into a building. I
observed tire marks on the northeast corner of the intersection which matches the driver's account of
events. The tire marks continued through landscaping in the plot. U1 collided into 1520 Duvall Ave
NE Ste B which is a dental office and sustained significant front end damage. U1 airbags were
deployed. The driver stated he may have hit his head but declined medical treatment. The passenger
stated she hit her head upon impact and had a small laceration on her leg. Both occupants were
treated by the Renton Fire Authority (RFA) on scene. RFA recommended both occupants go to a
hospital for further evaluation but both occupants declined. U1 was towed by Banker's Towing. RFA
found a contact for the property owner, Denny Dochnahl, and contacted him by phone due to the
building damage. Denny later responded to the scene. Denny stated the dentist office recently
changed staff and could not find current contact information for Ste B. I left a business card at the
business door with the case number. I took photos of the scene which were later uploaded to
evidence.com.
During this incident I was equipped with body-worn camera which records both audio and video.
Portions of the incident were recorded. This report is merely a summary of the incident and is not
intended to be an exact transcription of the entire investigation or what may have been captured with
the recording system.
I CERTIFY(DECLARE)UNDER PENALTY OF PERJURY UNDER THE LAWS OF THE STATE OF WASHINGTON THAT THE FOREGOING IS TRUE AND CORRECT.
N.ODALOV/C 02-12-24 03:34 AM
INVESTIGATING OFFICER'S SIGNATURE UNIT OR DIST DET DATED PLACE SIGNED
APPROVED BY DATE
D.MOYNIHAN 11288 1 2/15/2024 7:17:40 PM
BADGE OR ID# 111628 OR]# WA0171300 TIME POLICE DISPATCHED; 9:19 Pry] TIME POLICE ARRIVED';9:19 PM
PART I PAGE IT]OF 3�
REPORT NO. EE50812 CASE# 24-1524 DATE AND TIME 02/11/24 21:19
OF COLLISION
k>
4 s
} }x
3
x
Y
}
v?
S
J
}
e ;
x
4.
fin
PAGE 3 OF 3