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Home My WebLink About23-10327 ITFF' "POLCERA II I !�� I III I III I IIII III II I . 1 27c COLLISION REP FIT 1591971 CASE 23-10327 z INTERSTATE ❑ CITY STREET ❑ FIRE ❑ RESULTED 1 STOLEN STATE ROUTE ❑ OTHER ❑ VFHIC;I F W/ LOCAL AGENCI 4250 3 HIT&RUN CODING COUNTY RD PRIVATE WAY INVOLVED 2� 1 1 8 28 TOTAL#OF OBJECT TRIBAL UNITS 03 STRUCK' META!SIGN POST RESERVATION z 3❑ DATE OF M M D D Y Y Y Y TIME(2400) COUNTY# MILES N E IN CITY# ❑ cawsloN 09 - 1-- 2023 1849 17 ❑.= S 8 IN e 1070 3 4❑ ON (PRIMARY TRAFFIC WAY) INTERSECTION ❑ NON INTERSECTION ❑✓ SE PETROVITSKY RD BLOCK NO. e✓ 11900 4a❑ MILEPOST DISTANCE OF(REFERENCE OR CROSS STREET) 5❑ 200 00 FEET MILES e S ❑ W e 118THAVESE 0 4 29 UNIT 01 VEHICLE MOTZ PEDAL-ORCYCLE ElDESA✓NHORESHOLDMET PHONE 1 4 30 5[ LAST NAME UNKNOWN FIRSTNAME MIDDLE 1 1 2]31 INITIAL STREET ❑ NEW ADDRESS CITY UNIVERSITY PLACE ST 21p z 7❑ CDL IGNITION REQUIRED IGNITION PRESENT MEDICAL TRANSPORTED 3 iNTERLOCKYEs No✓ INTERLOCKYEs NO✓ YEs No✓ 8❑ LIRCIENSRE# STATE SEX u MMDOBYY - 32 9 ON DUTY❑ STATUS I AIRBAG 9 RESTR 9 EJECT 1 H U EEr 9 CLAY 0 NATURE OF INJURIES z❑ 3 10❑ P1 ATNES# BOU8211 sTAT WAV N# 5NPE24AF4GH340162 TRAILER STATE TRAILER STATE 11 0 0 PLATE# PLATE# FROM TO TRLR. TRLR 7 1 33 12 0 0 VIN If VIN# FROM 34 13❑ VEH.YEAR 2016 MAKE HYUN MODEL SONATA STYLE VEHICLE TOWED TO pLSABLIN TSIYYEp9vMEYER TOW VEHICLE✓ DAMAGE IILLJJII (S�IV6 REGISTERED OWNER INFO ANTHANYNELSON 17252128THAVESE RENTON WA 98058 VEHICLE NO. 1 ❑ SHADE IN DAMAGED AREA 35 14❑ LIABILIT INSURANCE❑ INSURANCE CO IN EFFECT &POLICY# LEGA LE CHARGE ❑ 36 LEcnlly res❑NO❑ CITATION# BOTTOM 15❑ STAIN,DIING UNIT U2 VEHICCMOTOLE CYCLE ❑ PEDESTRIAN ❑ OWNER YES ❑ DYES✓ NO OLD MET PHONE 16❑ LAST NAME UNKNOWN FIRST NAME MIDDLE INITIAL 17❑ STREETREss❑' CITY' UNIVERSITYPLACE ST Zip 37 NEW ADD �18❑ CDL IGNITION REQUIRED IGNITION PtR-E-S1ENT MEDICAL-T�RANSPORTED � 38 INTERLOCK YEs❑NOR INTERLOCK YEs I I NOF YEs t l NOF,/ 19 LLIICENS# STATE SEX U MMDDYY -�_ 39 WELMET INJURY NATURE OF INJURIES 40 20❑ ON DUTY STATUS' AIRBAG g RESTR 9 EJECT '1 USE 9 CLASS 0 ❑ LICENSE ❑21❑ PLA E# CBV2021 TATe WA VIN# 3W 41 LX7624NM036439 4 42 22 [TRAILER T ❑ PLATE# STATE PLATE#ILER STATE 23❑ 43 TRLR RLR VIN#. IN#. VEH YEAR 2022 MAKE VOLV MODEL TAOg STYLE VEHICLETOWED TO BLIN TOWEDBY GOV HI 44 24❑ DAMAGE YES NO✓ YES NO✓ REGISTERED OWNER INFO CAITLYN MANNERS 612270TH AVENUE CT W APT 102 UNIVERSITY PLACE WA 984674751 VEHICLE NO.2 SHADE IN DAMAGED AREA 2 3 4 LIABILITY INSURANCE &POINSURGY#ECO UNKNOWN AT THIS TIMEIN STOP 5 VE""LE ❑ ,J� CITATION# CHARGE i o BOTTOM LEGALLY YES N`LJ 6 25 OFFICER'S NAME(PRINT) OFFICER PHONE BADGE OR ID# JAGENCY 26 LACY SMITH 12613 WA0171300 PART A PAGE 01 OF C7 3000-345-159 fR 11/181 STATE OF POLICETRAFFICN CORRECTION REPORT NO. ED99497 COLLISION REPORT III III III III III 111 1591972 CASE# 23-10327 ADDITIONAL PERSONS INVOLVED PASSENGERS AND/OR WITNESSES ONLY) NAME MIDDLE INITIAL) JUNDUL RANDY (LAST FIRST, ADDRESS&PHONE# 4253060030 SEX' IJ MMDDYYYY -❑ ---------------------------- PASSENGER WITNESS UNIT# SEAT AIRBAG RESTR. EJECT ' HELMET INJURY NATURE OF INJURIES ❑ ❑✓ POS. USE CLASS NAME '(LAST,FIRST MIDDLE INITIAL) ADDRESS&PHONE# DOB SEX MMDDYYYY PASSENGER ❑WITNESS❑ UNIT# SEAT I AIRBAG RESTR. EJECT HELMET INJURY NATURE OF INJURIES POS. USE CLASS NAME (LAST FIR57 MIDDLE INITIAL) AppRESS&PHONE# SEX D.O.B.MMDD -❑ YYYY. PASSENGER WITNESS UNIT# SEAT AIRBAG RESTR. EJECT HELMET NJURY NATURE OF INJURIES ❑ ❑ POS. USE CLASS ----� NARRATIVE' Unit 1- BOU8211 Unit 2-CBV2021 Upon my arrival both vehicles were unoccupied. Unit 1 was a reported stolen vehicle. Unit 2 was an unoccupied parked vehicle. Per witnesses on scene, Unit 1 turned off of SE PETROVITSKY RD at a high rate of speed, turning into the entrance of Grammercy. In doing so Unit 1 left the roadway into the grass, damaging the Grammercy Sign and crashing into Unit 2 which was legally parked and not occupied. Per witnesses, after Unit 1 crashed a group of juveniles exited the stolen vehicle, and ran Westbound on SE PETROVITSKY RD while laughing. Per the evidence and the statements made on scene it appears that Unit 1 was stolen and recklessly driven when it was traveling Eastbound on SE PETROVITSKY RD attempting to turn northbound into the Grammercy Apartments entrance. At this time it left the roadway and collided into a sign and Unit 2 before it was abandoned. Both owners of the vehicles have been notified. The owner of Unit 1 came to the scene and had it privately towed. I CERTIFY(DECLARE)UNDER PENALTY OF PERJURY UNDER THE LAWS OF THE STATE OF WASHINGTON THAT THE FOREGOING IS TRUE AND CORRECT. LACY SMITH 09-06-23 10:24 PM INVESTIGATING OFFICER'S SIGNATURE UNIT OR DIST DET DATED PLACE SIGNED APPROVED BY DATE G.BARFIELD 6476 1 9/16/2023 8:57:51 PM BADGE OR ID# 12613 OR]# WA0171300 TIME POLICE DISPATCHED; 6:50 PM TIME POLICE ARRIVED 6:53 PM PART I PAGE IT]OF 4] SUPPLEMENTAL REPORT NO. ED99497 r`) POLICE TRAFFIC 1 27 COLLISION REPORT CASE# 23-10327 1 COMMERCIAL MOTOR CARRIER INTERSTATE INTRASTATE G UNIT'# USDOT ICC# VEHICLE TYPE CARGO BODY ;TYPE 2 ❑ 1 28 CARRIER NAME 3 CARRIER ADDRESS ` CITY ST ZIP—1 I ' 4 ❑ NAME # PLACARD: :❑ GI PLACARD IF NO NUMBER SOURCE AXLES + 4a ❑ ADDITIONAL UNITS MOTOR PEDAL- PROPERTY DAMAGE THRESHOLD MET PHONE 5 ❑ UNIT# 3 VEHICLE I_J CYCLE _) PEDESTRIAN � OWNER � YES� NO D:4253097710 MIDDLE.. 29 LAST NAME APTS FIRST NAME GRAMMERCY INITIAL STREET 30 NEW AnnRFSP 17425 120TH LN SE,RENTON,WA CITY RENTON ST WA ZIP 98058 6 IIGNITItN REQUIRED GNITION PRESENT MEDE 1 31 C 19 CDL INTERLOCK YEsNo zERLOCK YES❑N0� T 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 MODEL STYLE VEHICLE TOWS T SABLIN TOWED BY anvi vEHIC E FROM TO DAMAGE Y E ES NO YES NO REGISTERED OWNER INFO. m 33 12 SHADE IN DAMAGED AREA FROM TO ((ABILITY INSURANCE❑ INSURANCE CO IN EFFECT &POLICY# tGQ EHILLE 34 13 ❑ LEGALLY YES[:] NO❑ CITATION# CHARGE STANDING } 8 7 6 14 ❑ UNIT Tr Vd IRE O CYDCLE OWNERRTY YES AGE NOHRESHOLD MET PHONE ❑ 35 PEDESTRIAN 15 LAST NAME FIRST NAME MIDDLE': INITIAL ❑ 36 STREET 16 NEW AnnREs.� CITY'. ST ZIP CDL IGNITION REQUIRED IGNITION 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 LEwGLE 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. LACY SMITH 09-06-23 10:24 PM 25 INVESTIGATING OFFICER'S SIGNATURE OFFICER'S PHONE UNIT OR DIST DET DATED: PLACE SIGNED 26 � OR ID# 12613 O#I',WA0171300 APPROVED 9/116/2023 PAGE�OF 4 3000-345-013(R 11118) REPORT NO. ED99497 CASE# ' 23-10327 DATE AND TIME 09/06/23 18:49 OF COLLISION SE PETROVITSKY RD NEI Damaged sign Point of impact Unit 2 Entrance to Grammercy This diagram is not to scale PAGE 4 OF 4