HomeMy WebLinkAbout24-1486 ITFF' "POLCERA II I !�� I III I III I IIII III II I . 0 27c
COLLISION REP FIT 1591971
SASE 24-1486 2
INTERSTATE ❑ CITY STREET FIRE ❑
RESULTED
1 STOLEN
STATE ROUTE ❑ OTHER ❑ VFHIr.I F ❑ LOCAL AOENC 4100 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' 02 - 10 - 2024 1718 17 ❑.❑ S 8 W H OF e 1070 3
4❑ ON (PRIMARY TRAFFIC WAY) INTERSECTION ❑✓ NON INTERSECTION ❑
STEVENS AVE SW BLOCK MILEPOST ST e✓ 570 ❑
4a❑
DISTANCE OF(REFERENCE OR CROSS STREET)
5❑ �,❑ FEET e S ❑ W e SW 5TH CT Fill
1 29
MOTOR PEDAL- DAMAGE THRESHOLD MET PHONE
UNIT 01 VEHICLE ❑ CYCLE El
✓NO D:2068162483 0 11
30
6� LAST NAME KING FIRSTNAME MARY MIDDLE I D 1 2 31
INITIAL
STREET ❑ 1900 SW CAMPUS DR APT 46-102 CITY FEDERAL WAY ST WA ZIP 980236526 z
NEW ADDRESS
7❑ CDL IGNITION REQUIRED IGNITION PRESENT MEDICAL TRANSPORTED 3
iNTERLOCKYEs NO 1/ INTERLOCKYEs NO�/ YES R No�/
8❑ LRIIVER #
ON DUTY❑ STATUS AIRBAG 2 RESTR 4 EJECT 1 HELMET
2 CLASS 1 NATURE OF INJURIES z❑
3
10 9❑ PI ATFBit BUB4355 sTArI WA urN#' 1G1BC5SM1H7222068
TRAILER STATE TRAILER STATE
11 0 0 PLATE# PLATE# Rom ro
TRLR. TRLR. 9 5 33
12 2 5 VIN#' VIN#
FROM TO
VEH.YEAR MAKE MODEL STYLE VEHICLE TOWED TO BLIN TOWED BY GOVT.VEHICLE 1 $ 34
13 2 2017 CHEV CRUZE SD DAMAGE YES NO YES[:] NO✓
REGISTERED OWNER INFO MARY KING 1900 SW CAMPUS DR APT46-102 FEDERAL WAY WA 980236526 D:2068162483 VEHICLE NO. 1 ❑
SHADE IN DAMAGED AREA 35
14 LIABILITY INSURANCE INSURANCE CO STATE FARM 551 9749-F21-47 3 4
IN EFFECT &POLICY# 9TOP
❑ LEGALLY
CHARGE t 5 36
15 1 VEH"C YES❑NO❑ CITATION# 4A0014432 FAIL TO YIELD MOTOR VEHICLE o aorrob
MOTOR PEDAL- PEDESTRIAN PROPERTY DAM THR OLD MET PHONE
UNIT VEHICLE ❑ CYCLE ❑ ❑ ': OWNER ❑ YES 1/ NO D:8086355648
16 a
LAST NAME ONG FIRST NAME ORLANDO MIDDLE D
INITIAL
17 STREET NEW ADDRESS❑' 510 STEVENS AVE SW APT.S-104 CITY RENTON ST WA ZIP 98057 4❑ 37
18� CDL IGNITION REQUIRED IGNITION PRESENT MEDICALTRANSFORTED 38
INTERLOCK YES�NO INTERLOCK YEs❑NOF YES❑ND�
19 DRIVER'S STATE WA SEX M D.C.B. 10 _ 15 _ 1946 39
LICENSE# MMDDYY
20❑ ON DUTY STATUS AIRBAG 2 RESTR 4 EJECT 1 H U EET 2 NJAURSY 1 NATURE OF INJURIES ❑ 40
❑21❑ PLATE# BKG6064 TArE WA VIN 1t 5YFBPRHEOGP486415 41
1
42
22❑ PILER LATE# STATE PLATE# STATE
23❑ 43
TRLR RLR
UIN It 'IN#.
VEH YEAR 2016 MAKE TOYT MODEL COROLL STYLE SD VEHICLETOWED TO BLIN TOWEDBY GOV HI 44
24❑ DAMAGE YES NO YES NO
REGISTERED OWNER INFO ORLANDO ONG 1126759TH AVE S SEATTLE WA 98178 VEHICLE NO.2
SHADE DA GEbAREA
LIABILITY
INSURANCE &POINSURGY#E CO STATE FARM 188 0596-EO6-47C Cdd
IN 9TOP
VEHICLE Yes N CITATION# NONE CHARGE NIA to BOTTOM
LEGALLY `LJ
25 s � e
OFFICER'S NAME(PRINT) OFFICER PHONE BADGE OR ID# JAGENCY
26
J.CHR/STIANSEN 10437 WA0171300
PAGE 01 OF
PART A
3000-345-159 OR 11/181
STATE OF
POLICETRAFFICN CORRECTION REPORT NO. EE49002
COLLISION REPORT III III III III III 111
1591972 CASE# 24-1486
ADDITIONAL PERSONS INVOLVED PASSENGERS AND/OR WITNESSES ONLY)
NAME MIDDLE INITIAL) ONG MILA T
(LAST FIRST,
ADDRESS&PHONE#
510 STEVENS AVE SW APT.S-104 RENTON WA 98057 SEXi F MMDOYyry 01 - 26 - 1947
PASSENGER WITNESS UNIT# SEAT AIRBAG RESTR. EJECT ' HELMET INJURY NATURE OF INJURIES
❑✓ 2 POS, 3 2 4 1 USE 2 CLASS 1
NAME
'(LAST,FIRST MIDDLE INITIAL)
ADDRESS&PHONE# D O B
sE MMDDYYYY
PASSENGER ❑WITNESS 0 UNIT# SEAT AIRBAG RESTR. EJECT HELMET INJURY NATURE OF INJURIES
POS. USE CLASS
NAME
(LAST FIR57 MIDDLE INITIAL)
AppRESS&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.
J.CHRISTIANSEN 02-10-24 06:25 PM
INVESTIGATING OFFICER'S SIGNATURE UNIT OR DIST DET DATED PLACE SIGNED
APPROVED BY DATE
J.CHRISTIANSEN 10437 1 211012024 6:31:37 PM
BADGE OR ID# 10437 OR]#' WA0171300 TIME POLICE DISPATCHED; 5:19 PM TIME POLICE ARRIVED]5:24 PM
PART I PAGE IT]OF
REPORT NO. EE49002 CASE# 24-1486 OF COLLISION
02/10/24 17:18
OF CbLLI510N
NARRATIVE
RPD CASE#: 24-1486
RECORDED ON AXON
*This incident was captured on my 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. *
On 02.10.2024, at approximately 1719 hours, I was dispatched to a two-vehicle, unknown-if-injury,
blocking collision in the intersection of SW 5th CT and Stevens Ave SW., in the City of Renton, WA,
the County of King.
I was assigned to uniformed marked patrol in the City of Renton, WA, the County of King. I was
operating a fully marked Renton Police Tahoe #304, equipped with "POLICE" markings, overhead
exterior lights, and audible siren. I was wearing my department-issued uniform, including a fully
equipped duty belt, exterior ballistic vest with "POLICE" stenciled on the front and back and Renton
Police badge affixed to the left breast. I was also wearing my department-issued jumpsuit with
"POLICE" patches on both shoulders and across the rear shoulders. It would be immediately obvious
to any reasonable person I was a police officer. I was assigned as 302.
At the time of this incident, it was clear, the roadways were dry, and it was dark with the streetlights
illuminated. The temperature was approximately 48 degrees.
I arrived on scene at approximately 1724 hours and met with all involved parties, who confirmed they
were not injured.
Unit 01 was identified as a white in color Chevy Cruze bearing WA/BUB4355. Unit 01 had moderate
damage to the front driver's side '/ panel and body of vehicle, but it was operable.
Unit 01's driver was identified by her WADL as KING, MARY DENISE (DOB: 03.10.1964). KING
matched the photo on her WADL and when asked what happened leading up to the collision, she
said she was in her parked vehicle on the west side of Stevens Ave SW, facing S/B. KING wanted to
enter Stevens Ave SW and travel southbound, and she states she looked in the roadway, believed it
to be clear and proceeded to pull onto the roadway from her parked position. Unit 01 did not see Unit
02, who was traveling southbound on Stevens Ave SW, and collided with Unit 02.
A WACIC/NCIC/DOL query on KING was clear and valid.
Unit 02 was identified as a white in color Toyota Corolla bearing WA/BKG6064. Unit 02 had
moderate damage to the entire passenger side body of the vehicle, but it was operable.
Unit 02's driver was identified by his WADL as ONG, ORLANDO DAYOS (DOB: 10.14.1956). ONG
stated he was traveling eastbound on SW Sunset Blvd, and took a right turn onto Stevens Ave SW.
ONG was traveling southbound on Stevens Ave SW, when Unit 01 pulled out into the roadway from a
parked position and struck his vehicle on the passenger side body.
A WACIC/NCIC/DOL query on ONG revealed he was clear and valid.
Unit 01's driver, KING, MARY DENISE (DOB: 03.10.1964) is the causing party in this collision by
failing to yield the right of way to a motor vehicle. I issued KING SECTOR citation#: 4A0014432, for
violation of RCW 46.61.180.1. The infraction will be mailed to KING via the courts, and she was
advised of same.
Both parties were given the exchange of information form and left the scene. No injuries were
reported.
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 by Officer J. Christiansen #10437, on February 10, 2024, at approximately 1822
hours, in Renton, WA.
**** AUTO-POPULATED SECTION ****
THE FOLLOWING ARE DESCRIPTIONS ENTERED FOR ITEMS SELECTED AS "OTHER":
PAGE 3 OF 5
REPORT NO. EE49002 CASE# 24-1486 OF COLLISION
02/10/24 17:18
OF CbLLI510N
NARRATIVE
Location Character: CITY STREET
**** END OF AUTO-POPULATED SECTION ****
PAGE 4 OF 5
REPORT NO. EE49002 CASE# ' 24-1486 DATE AND TIME 02/10/24 17:18
OF COLLISION
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PAGE 5 OF 5