Usually these roads are so small, you can barely fit a car and maybe one pedestrian on one / each side. And these streets are quite common in residential area. As in the picture, usually there are light poles along the pedestrian street. the pictures pole is pretty small but normally they're big enough you can only circumvent it by going in the path of the car, and that's a Hotspot when people get hit.
I didn't even know you were allowed to drive 60km/h on those streets. Most people slowed down because the chance of damaging your car is quite high
Edit: also why big American car are not that popular in Japan. You can't even reach your house for many, if you get an American car