HomeMy WebLinkAbout24-9280 ITFF' "POLCERA II I !�� I III I III I IIII III II I . 1 27c
COLLISION REP FIT 1591971
SASE 24-9280 2
INTERSTATE ❑ CITY STREET FIRE ❑
RESULTED
1 STOLEN
STATE ROUTE ❑ OTHER ❑ VFHIC;I F ❑ LOCAL AOENC 4900 3
HIT&RUN CODING
COUNTY RD PRIVATE WAY INVOLVED
2 1 TOTAL#OF OBJECT 1 1 8 28
TRIBAL UNITS OZ STRUCK
RESERVATION
z
3❑ DATE of M M D D Y Y Y Y TIME(2400) COUNTY# MILES N E IN CITY# ❑
COLLISION' 09 - 1-- 2024 2227 17 ❑-❑ S 8 IN e 1070 3
4❑ oN (PRIMARY TRAFFIC WAY) INTERSECTION ❑✓ NON INTERSECTION ❑
SE PETROVITSKY RD BLOCK NO. e✓ 11600 ❑
4a❑ MILEPOST
DISTANCE OF(REFERENCE OR CROSS STREET)
5❑ ❑ FEET e S ❑ VV e 116THAVE SE
0 1 29
MOTOR PEDAL- DAMAGE THRESHOLD MET PHONE
UNIT 01 VEHICLE ❑ CYCLE El
�/No D:4254730030 0 4 30
6❑ LAST NAME ALEJANDRO FIRSTNAME CHRISTIAN MIDDLE 1 2 31
INITIAL
STREET ❑✓ 4600 DAVIS AVE S CITY RENTON ST WA 21p 98056 z
NEW ADDRESS
7❑ CDL IGNITION REQUIRED IGNITION PRESENT MEDICAL TRANSPORTED 3
INTERLOCK YES[:]NO INTERLOCKYEs NO YES NO
8❑ DRIVER'S STATE SEX'M D.o.6. 01 - 03 - 1999 1 2 32
LICENSE# MMDI3YY
9 ON DUTY❑ STATUS AIRBAG 3 RESTR 4 EJECT 1 H 1 USE ET 2 CLAY NATURE OF INJURIES 2❑
3
10 1❑ P1 ATNES#E I NO PLATE sTAT u N# JHMCM566X3CO23717
0 TRAILER STATE TRAILER STATE
11 0 0 PLATE# PLATE# FROM TO
TRLR. TRLR 3 7 33
12 0 0 VIN#' VIN#'
>; FROM TO
VEH.YEAR MAKE MODEL STYLE VEHICLE TOWED TO BLIN TR Y GOVT.VEHICLE 34
13 2003 HOND ACCOR 4D DAMAGE YES NO �MEYER YES[:] No
✓ 7 1
REGISTERED OWNER INFO CHRISTIANALEJANDRO 4600 DAVIS AVE S RENTON WA 98056 D:4254730030 VEHICLE NO. 1 ❑
SHADE IN DAMAGED AREA 35
2 3 4
14 2 LIABILITY INSURANCE❑ INSURANCE CO
IN EFFECT &POLICY# STOP
VEwcLE CHARGE 10 BOTTOM 5 36
LEGALLY YES No CITATION# gg0694518,4A0694518 FAIL TO OBEY TRAFFIC CONTROL
15❑ STANDING 7 6
MOTOR PEDAL- PEDESTRIAN PROPERTY DAM THR OLD MET PHONE
UNIT U2 VEHICLE ❑ CYCLE ❑ ❑ OWNER ❑ YES 1/ No D:4257612380
16 a
LAST NAME WHIDBEE FIRST NAME TAKEEMA MIDDLE I C
INITIAL
17 STREET NEW ADOREs7 8695 SW MAVERICK TER APT 110 CITY BEAVERTON ST OR Zip 97008 4❑ 37
18� CDL IGNITION REQUIRED IGNITION PRESENT MEDICALTRANSPORTED 38
INTERLOCKYES�NOR INTERLOCK YEs❑NOF YEs❑NO❑
19 DRIVER'S STATE OR SEX U I D.C... 07 14 1984 39
LICENSE# MMDDYY
20❑ ON DUTY STATUS AIRBAG 3 RESTR 4 EJECT 1 HELMET 2 INJURY 7 NATURE OF INJURIES ❑ 40
USE CLASS LEG PAIN
❑ 41
21❑ ILICENSE PLATE# 732PXL TATE OR VIN1 USE
1
42
22❑ PILER LATE# STATE pLATE# STATE
TRLR
23❑ UIN#. IN#.
43
RLR
'
TOWED BY GOV HI 44
VEH YEAR 201E MAKE ,/A(,(/ MODEL F-TYPE STYLE (/T DAMAGE TOWED NOO✓ BLIN YES NO
24❑ REGISTERED OWNER INFO OWNED SY DRIVER VEHICLE N0.2
SHADEDAMAGEDAREA
3 4
LIABILITY
INSURANCE INSU POLICY#E CO USAA 020281085IN STOP 5
LE YES❑ N`[—
LALLY
CITATION# CHARGE
25 EG to BOTTOM
7 6
OFFICER'S NAME(PRINT) OFFICER PHONE BADGE OR ID# JAGENCY
26
KEITH PETTY 12809 WA0171300
PART A PAGE 01 OF C7
3000-345-159 OR 11/181
STATE OF
POLICETRAFFICN CORRECTION REPORT NO. EF11504
COLLISION REPORT III III III III III 111
1591972 CASE# 24-9280
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.
KEITH PETTY 09-04-24 01:09 AM
INVESTIGATING OFFICER'S SIGNATURE UNIT OR DIST DET DATED PLACE SIGNED
APPROVED BY DATE
✓AKE GALL 12617 9/4/2024 4:41:35 AM
BADGE OR ID# 12809 OR]#' WA0171300 TIME POLICE DISPATCHED ?0:Y7 PM TIME POLICE ARRIVED',10:31 PM
PART I PAGE IT]OF 4]
REPORT NO. EF11504 CASE# 24-9280 OF COLLISION
09/03/24 22:27
OF CbLLI510N
NARRATIVE
24-9280
Unit one is a silver 2003 Honda Accord (no plates) VIN/JHMCM566X3CO23717 driven by Christian
Alejandro (DOB 01/03/1999) identified by his passport.
Unit 2 is a gray 2018 Jaguar F type (732PXL/OR) Vin/SADCL2FXXJA289344 driven by Takeema
Carol Marie Whidbee (DOB 07/14/1984) identified by her Oregon driver's license.
Unit 2 was facing east bound in the left-hand turn lane of SE Petrovitsky waiting at 116th Ave SE to
make a left turn and to head north on 116th Ave SE. When the left turn signal turned green unit 2
advanced into the intersection. Unit 1 had been traveling westbound on SE Petrovitsky Rd. Unit 1 did
not stop for the red light and collided with unit 2 causing over $1000 of damage.
Gene Meyer towing towed both vehicles from the scene.
RRFA responded for some complaints of pain from the passengers of unit 2, and to check an infant
that had been in his car seat during the collision.
Unit 1 was cited under citation #4A0694518 for failing to obey a traffic device (RCW 46.61.050) and
operating motor vehicle without insurance (RCW 46.30.020).
Unit 1 driver only speaks Spanish. All communication was through Language Line.
This incident was captured on my body worn camera. This report is a summary of the events that
occurred and is not an exact sequencing of events. Statements have been paraphrased and
summarized.
"I certify (or declare) under penalty of perjury under the laws of the State of Washington that the
foregoing is true and correct."
Electronically signed: K. Petty, Date: 09/04/24t 0050 hours, Place: Renton, King County, WA
PAGE 3 OF 4
REPORT NO. ER 1504 CASE# 24-9280 DATE AND TIME 09/03/24 22:27
OF COLLISION
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