HomeMy WebLinkAbout22-13177 ITFF' "POLCERA II I !�� I III I III I IIII III II I . 0 27c
COLLISION REP FIT 1591971
CASE 22-13177 z
INTERSTATE ❑ CITY STREET FIRE ❑RESULTED
1 STOLEN
STATE ROUTE ❑ OTHER ❑ VFHIr.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 03 STRUCK
RESERVATION
z
3❑ DATE OF M M D D Y Y Y Y TIME(2400) COUNTY# MILES N E IN CITY# ❑
cawsloN 12 - 1-- 2022 1514 17 ❑.= S 8 E IN e 1070 3
4❑ ON (PRIMARY TRAFFIC WAY) INTERSECTION ❑ NON INTERSECTION ❑✓
EAST VALLEYROAD BLOCK NO. e✓ 4000
4a❑ MILEPOST
DISTANCE OF(REFERENCE OR CROSS STREET)
5❑ 275 00 FEET MILES e S B W e SW41ST ST
0 4 29
MOTOR PEDAL- DAMAGE THRESHOLD MET PHONE
UNIT 01 VEHICLE ❑ CYCLE El
,/NO D:9166298661 0 11
30
6� LAST NAME MELNYK FIRSTNAME ROSTYSLAV MIDDLE 1 2 31
INITIAL
STREET ❑ 620 E MAIN ST#C CITY AUBURN ST WA 21p 980025602 z
NEW ADDRESS
7❑ CDL IGNITION REQUIRED IGNITION PRESENT MEDICAL TRANSPORTED 3
1/ I iNTERLOCKYEs NO NTERLOCKYEs NO�/ YES R No�/
8❑ LRIIVER #
ON DUTY❑ STATUS AIRBAG 2 RESTR 4 EJECT 1 HELMETU E 2 CLASS 1 NATURE OF INJURIES z❑
3
10 9❑ PI ATFBit CEJ9135 sTArI WA urN#' WBANW13598CZ79252
TRAILER STATE TRAILER STATE
11 0 0 PLATE# PLATE# FROM TO
TRLR. TRLR 7 1 33
12 3 5 VIN#' VIN#
>; FROM TO
VEH.YEAR MAKE MODEL STYLE VEHICLE TOWED TO BLIN TOWED BY GOVT.VEHICLE 1 $ 34
13 9 2008 BMW 535 4D DAMAGE YES NO YES[:] No
✓
REGISTERED OWNER INFO VITALH SITYSHOLYK 3200752NDAVE S AUBURN WA 98001 VEHICLE NO. 1 ❑
SHADE IN DAMAGED AREA 35
14 LIABILI INSURANCE❑ INSURANCE CO 3 4
IN EFFECT &POLICY# 9TOP
VEHCLE CHARGE 5 36
LEGALLY YES❑NO❑ CITATION# 2A0678634,2A0678634 FAIL STOP AT STOP I o aorrom
15❑ STANDING 7 6
MOTOR PEDAL- PEDESTRIAN PROPERTY DAM THR OLD MET PHONE
16
UNIT 02 VEHICLE ❑ CYCLE ❑ ❑ OWNER ❑ YES 1/ NO D:2069459800
a
LAST NAME MIRON MIRON FIRST NAME JAIME MIDDLE I E
INITIAL
17 STREET❑ NEW ADDRESS❑' 12626 SE 318TH WAY CITY AUBURN ST WA ZIP 980923643 37
18❑ CDL IGNITION REQUIRED IGNITION PtR—E—S1ENT MEDICAL—T�RANSPORTED � 38
INTERLOCK YEs❑No� INTERLOCK YEs I I NOF YEs t l NOF,/
19 LDIIVEW # STATE WA SEX M M .C.B. 10 _ 10 _ 1981 39
20 ON DUTY STATUS AIRBAG,2 RESTR 4 EJECT 1 H EET 2 NJAU SY 7 C/O BEING SHOOKEN UP.EVAL'D BY RFD 40
LICENSE I ❑21❑ PLA E# CFE9016 TArE WA VIN# 41
5N16T36B9NC734072 1
42
22❑ PLATE# STATE PLATE# STATE
23❑ VIN#. 43
TRLR RLR
'IN#.
VEH YEAR 2022 MAKE NISs MODEL ROGUE STYLE SV I VEHICLE TOWED TO BLIN TOWEDBY GOV HI 44
24❑ DAMAGE YES NO BANKERS YES NO
REGISTERED OWNER INFO MARICELA POCASANGREM 12626 SE318TH WAY AUBURN WA 98092 D:2069459800 VEHICLE NO.2
SHADEDAMAGEbAREA
s Cd
LIABILITY
INSURANCE &PORGY#E CO PROGRESSIVE 949285202IN STOP 5
vewGLe ❑ u CITATION# CHARGE to BOTTOM
LEGALLY YES N
25 s � a
7MA
R'S NAME(PRINT) OFFICER PHONE BADGE OR ID# AGENCY
26
HEW NUGENT 11498 WA0171300
PART A PAGE 01 OF
3000-345-159 OR 11/181
STATE OF
POLICETRAFFICN CORRECTION REPORT NO. ED19076
COLLISION REPORT III III III III III 111
1591972 CASE# 22-13177
ADDITIONAL PERSONS INVOLVED PASSENGERS AND/OR WITNESSES ONLY)
NAME MIDDLE INITIAL) POCASANGRE M MARICELA Y
(LAST FIRST,
ADDRESS&PHONE# D O.B.
12626 SE 318TH WAY AUBURN WA 980923643 2069459800 SEX F MMDDYyYv 12 - 31 - 1986
SEAT HELMET INJURY NATURE OF INJURIES
PASSENGER WITNESS UNIT# j 2 pOS 3 AIRBAG 2 RESTR. q EJECT 1 USE 2 CLASS 7 C/O BEING SHOOKEN UP.EVAL'D
BYRFQ
NAME
(LAST,FIRST,MIDDLE INITIAL) MARQUEZ LUIS A
ADDRESS&PHONE# D O B
404 27TH ST SE APT 12 AUBURN WA 980027548 2533749284 SEX: M MMDDYvvv 09 _ 01 _ 2000
SEAT HELMET INJURY NATURE OF INJURIES
PASSENGER �WITNESS UNIT# 3 pOS 3 AIRBAG 2 RESTR. 4 EJECT 1 USE 2 CLASS 1
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.
MATTHEW NUGENT 12-15-22 05:46 PM
INVESTIGATING OFFICER'S SIGNATURE UNIT OR DIST DET DATED PLACE SIGNED
APPROVED BY E
DAT
CO.JOHNSON 0505 1212712022 12:35:43 PM
BADGE OR ID# 11498 ORI# WA0171300 TIME POLICE DISPATCHED; 3:14 PM TIME POLICE ARRIVED 3:20 PM
PART I PAGE IT]OF
REPORT NO. ED19076 CASE# 22-13177 OF COLLISION
12/13/22 15:14
OF CbLLI510N
NARRATIVE
22-13177
On 12/13/2022 at approximately 1514 hours, I was dispatched to an unknown-if-injury and blocking
vehicle collision in the 4100 block of East Valley Road, within the City Limits of Renton, County of
King, State of Washington.
While en route, Dispatch advised of a three-vehicle collision that occurred in the roadway and that all
involved vehicles were blocking the roadway. Officer M. Leverton arrived on scene prior to me and
noticed airbag deployment on at least one of the involved vehicles with one of the involved parties
complaining of neck pain therefore the Renton Regional Fire Authority was dispatched as a result.
Upon my arrival, I collected each of the involved party's driving information and their independent
involvement leading up to the collision. Renton Fire later responded and triaged all parties at the
scene and released them.
The driver of Unit#1 stated that he was the sole occupant of his vehicle and was attempting to exit
from a private property parking lot located on the southwest side of the roadway, specifically in the
4100 block of East Valley Road (JSO SW 41st ST). The driver of Unit#1 stated he intended to pull
out of the parking lot and across the southbound lanes of traffic on East Valley Road with the intent to
proceed northbound on East Valley Road. The driver of Unit#1 stated that he looked for an opening
in traffic to proceed and that when he believed traffic was clear, proceeded out into the roadway.
While Unit#1 was out in the roadway, the driver of Unit#1 stated he was struck by Unit#2
subsequently causing moderate damage to the front bumper of Unit#1.
The driver of Unit#2 said he and his adult passenger were traveling southbound in about the 4100
block of East Valley Road in lane 2 of 2. The driver of Unit#2 stated he was intending to continue
south. The driver of Unit#2 stated while approaching the same area that Unit#1 was located at, he
continued going straight ahead. The driver of Unit#2 stated Unit#1 proceed out into the roadway and
struck the passenger side of his vehicle. The driver of Unit#2 stated that both Unit#1 and Unit#2
collided in the roadway causing moderate damage to the passenger side of Unit#2. As a result of the
initial impact, Unit#2 rotated and was pushed into the driver's side of Unit#3.
The driver of Unit#3 said he and his adult passenger were traveling southbound in about the 4100
block of East Valley Road but in lane 1 of 2. The driver of Unit#3 stated he was intending to continue
south. The driver of Unit#3 stated while stopped in traffic, his vehicle was struck by Unit#2 on the
driver's side of Unit#3, specifically the flatbed portion of Unit#3's truck.
Based on the above statements, I determined that the driver of Unit#1 (Melnyk) was the predominant
factor for the collision due to not granting the right of way causing a collision. The driver of Unit#1 did
not grant the right of way to Unit#2 traveling in the roadway which had the right of way and was
already underway.
I cited the driver of Unit#1 (Melnyk) in-person for violating RCW 46.61.190(2)-Failing to Stop at Stop
Sign/Intersection. Unit#1 should have stopped at the intersecting roadway and yielded the right-of-
way to any vehicle approaching on another roadway so closely as to constitute an immediate hazard
during the time when such driver is moving across or within the intersection or junction of roadways.
I also cited the of Unit#1 (Melnyk) for Operating a Motor Vehicle without Insurance as Melnyk was
unable to produce motor vehicle insurance at the time of collision. Per Officer Leverton, the insurance
had already expired/lapsed.
PAGE 3 OF 6
REPORT NO. ED19076 CASE# 22-13177 OF COLLISION
12/13/22 15:14
OF CbLLI510N
NARRATIVE
Both Unit#1 and Unit#3 were able to be driven away without further incident. Unit#2 had to be
impounded due to extensive damage. An exchange of information was provided to all involved
parties.
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 M. Nugent#11498 5:46 PM 12/15/2022 Renton, King County, WA.
PAGE 4 OF 6
SUPPLEMENTAL REPORT NO. ED19076
r`) POLICE TRAFFIC 1 1 8 27
COLLISION REPORT CASE# 22-13177
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 tSJ CYCLE I_) PEDESTRIAN � OWNER � YES NO
D:4256478897
OF 1 Zg
LAST NAME ROBERTSON FIRST NAME JAMES MIDDLE' ',, W
INITIAL
STREET r:i 30
NEW AnDRFrtP 1 14406 PACIFIC AVE S APT 3 CITY TACOMA ST WA ZIP 1 984444677
6 ❑ 1 1 2 31
CDL IGNITION REQUIRED IGNITION PRESENT MEDICAL TANSPORTED
INTERLOCK YEs NO zERLOCK YES❑N0� YEs N
DRIVER'S
LICENSE STATE I WA SEX M MMDDYYv 03 - 31 - 1966
7
ON DUTY� STATUS AIRBAG' 2 RESTR. Q EJECT 1 HELMET 2 INJURY 1 1 NATURE OF INJURIES
USE CLASS
8 ❑ 1 32
LICENSE D03717A TAr Wq VIN# 1FDUF5GT4HED87921
PLATE#
9 9] TRAILER TRAILER
PLATE# STATE PLATE# STATE
10 ❑ TRLR TRLR
VIN.#. VIN.#.
11 3 5 VEH.YEAR MAKE MODEL STYLE VEHICLE TOWS E T SABLIN TOWED BY anvi vEH1I' E FROM TO
2017 FORD F550 FB DAMAGE vEs 'E YES NO
REGISTERED OWNER INFO.QUALITY FENCE BUILDERS INC PO BOX 854 AUBURN WA 98071 D:4256478897 SHADE IN DAMAGED AREA 1 5 33
12 2 3
FROM TO
LIABILITY INSURANCE INSURANCE CO NATIONWIDE MUTUAL INS.CO.ACP3100290689 GQ
IN EFFECT &POLICY# 1VEHICLE 34
13ecnuv YEs❑ NO❑ CITATION# CHARGE
STANDING S} qg
14 ❑ UNIT Tr Vd 10RE O CYDCLE 1:1OWNERRTY YES AGE NOHRESHOLD MET PHONE ❑ 35
PEDESTRIAN
15 LAST NAME FIRST NAME NITIAL
❑ 36
ET
16 STRETRE "F]' CITY ST ZIP
NEW CDL IGNITION REdUiRED IGNITtGN PRESENT MEDICALTANSPORTED
INTERLOCK YES No INTERLOCK YEs NO YES NO ❑
17 4 37
LICENSE# STATE SEX MMDDDYBYY
18 ❑ ON DUTY� STATUS AIRBAG RESTR. ; EJECT HELMET INJURY NATURE of INJURIES 38
USE CLASS
19 ❑ LICENSE TAr VIN# 39
PLATE#
20 ❑ TRAILER' TRAILER El40
PLATE#< STATE PLATE# STATE
21 ❑ ❑ 41
TRLR TRLR
VIN# YIN#i
42
22 VEH.YEAR MAKE I MODEL STYLE I VEHICLE TOWED 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 '
VINE
EFFECT &POLICY# i 970P - 4 E:l
44
24 LEHIcLE YES❑ NO❑ CITATION# CHARGE iq 60TiOM
LEGALLv
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.
MATTHEW NUGENT 12-15-22 05:46 PM
25 INVESTIGATING OFFICER'S SIGNATURE OFFICER'S PHONE UNIT OR DIST DET DATED: PLACE SIGNED
26 ORID# 11498 O#I',WA0171300 APJOHNSON 12127/202 PAGE F51OF 6
3000-345-013(R 11118)
REPORT NO.! ED19076 CASE# ' 22-13177 DATE AND TIME 12/13/22 15:14
OF COLLISION
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PAGE 6 OF s