HomeMy WebLinkAbout23-1127 a ITFFi "POLCERA II IfI) 1 IlfII ('II (Illf If( fI I . 0 27c
COLLISION REP FIT 1591971
CASE 23-1127 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 OZ STRUCK
RESERVATION
z
3❑ DATE OF M M D D Y Y Y Y TIME(2400) COUNTY# MILES N E IN CITY# ❑
cowsloN 01 - 1-- 2023 1458 17 ❑.= S 8 IN e 1070 3
4❑ ON (PRIMARY TRAFFIC WAY) INTERSECTION ❑ NON INTERSECTION ❑✓
108TH AVE SE BLOCK NO. e✓ 17700
4a❑ MILEPOST
DISTANCE OF(REFERENCE OR CROSS STREET)
5❑ 675 00 FMILES N EET e S B E e SEPETROVITSKYRD
0 4 29
MOTOR PEDAL- DAMAGE THRESHOLD MET PHONE
UNIT 01 VEHICLE ❑ CYCLE El
,/No D:2062405487 0 11
30
6� LAST NAME SLUGIC FIRSTNAME HERBERDINE MIDDLE M 1 1 2 31
INITIAL
STREET ❑, 21049 103RD AVE SE CITY KENT ST I WA 7jp, 980312094 z
NEW ADDRESS
7❑ CDL IGNITION REQUIRED IGNITION PRESENT MEDICAL TRANSPORTED 3
1/ I INTERLOCK YES[:]NO NTERLOCKYEs NO Z/ YES R No�/
8❑ LRIIVERS STATE WA SEX'F MM DAY' 07 1- 10 - 1987 2 32
CENSE 9 ON DUTY❑ STATUS AIRBAG 2 RESTR 4 EJECT 1 HELMET U E 2 CLASS 1 NATURE OF INJURIES z❑
3
10 9❑ P1 aT�S� CDK8053 sTArI WAVIN# WP1BA2AYONDA48103
TRAILER STATE TRAILER STATE
11 4 0I PLATE# PLATE# ROM TO
TRLR. TRLR 5 7 33
12 4 0 VIN#' VIN#'
FROM TO
VEH.YEAR MAKE MODEL STYLE VEHICLE TOWED TO BLIN TOWED BY GOVT.VEHICLE 1 $ 34
13 2022 PORS CAYENN SV DAMAGE YES NO YES[:] NO✓
REGISTERED OWNER INFO SLAVEN SLUGIC 21119103RD AVE SE KENT WA 98031 D:2062405487 VEHICLE NO. 1 ❑
SHADE IN DAMAGED AREA 35
14 LIABILI INSURANCE INSURANCE CO ALLSTATE 976-331.664 4
IN EFFECT &POLICY# 9TOP
EwcL'Y 1 5 36
L YES NO CITATION# 3AO055461 CHARGE FAIL YIELD LEFT TURN MOTOR
LEGALLY o aorroM
15❑ STANDING 8 6
MOTOR PEDAL- PEDESTRIAN PROPERTY DAM THR OLD MET PHONE
UNIT U2 VEHICLE ❑ CYCLE ❑ ❑ OWNER ❑ YES 1/ NO D:2064763797
16 a
LAST NAME AWING FIRST NAME DORSILA MIDDLE D
INITIAL
17 NEW ADDRE— 23821 1STREET 09TH AVE SE CITY KENT ST WA ZIP 98031 37
18� CDL IGNITION REQUIRED IGNITION PR-E-1SENT MEDICAL TRANSPORTED 38
INTERLOCK YEs❑No� INTERLOCK YEs It I NOF YES
t l NOF,/
19 LICENSE# STATE WA SEX F M .C... 09 _ 15 _ 1993 39
20 ON DUTY STATUS AIRBAG,2 RESTR 4 EJECT 1 WEB SET 2 NJAU SY 6 [-�A—TUREOF INJURIES C/O MINOR PAIN IN LEGS AND NECK 40
❑ILICENSE 21❑ PLA E# BW0013 TArE 41
WA VIN# JA3AJ26E640008763 1
42
22❑ PLATE# STATE PLATE# STATE
23❑ UIN#. 43
TRLR RLR
'IN#.
VEH YEAR 2004 MAKE MITS MODEL LANCER STYLE QD VEHICLETOWED TO BLIN TOWEDBY GOV HI 44
L4❑ DAMAGE YES NO,/ YES NO
REGISTERED OWNER INFO SANDRA AWUOR 23701110TH AVE SE APT 1R202 KENT WA 98031 D:2064 763 79 7 VEHICLE NO.2
SHADEDAMAGEDAREA
3 4
LIABILITY
INSURANCE INSU&PORGY#E CO PROGRESSIVE 953025613IN STOP 5
VE""LE ❑ ,J� CITATION# CHARGE to BOTTOM
LEGALLY YES N J
25 e
=UGENT
(PRINT) OFFICER PHONE BADGE OR ID# AGENCY
26 11498 WA0171300
PART A PAGE 01 OF C7
3000-345-159 OR 11/181
STATE OF
POLICETRAFFICN CORRECTION REPORT NO. ED30441
COLLISION REPORT III III III III III 111
1591972 CASE# 23-1127
ADDITIONAL PERSONS INVOLVED PASSENGERS AND/OR WITNESSES ONLY)
NAME MIDDLE INITIAL) SLUGIC TEO
(IAST FIRST,
ADDRESS&PHONE#
21049 103RD AVE SE KENT WA 98031 SEX X MMDouyry -�-
PASSENGER WITNESS UNIT# SEAT AIRBAG' RESTR. EJECT ' HELMET INJURY NATURE OF INJURIES
❑✓ ❑ 1 POS, 7 2 10 1 USE 1 2 CLASS 1
NAME
(LAST,FIRST,MIDDLE INITIAL) SLUGIC ADRIAN
ADDRESS&PHONE# DOB -
21049 103RD AVE SE KENT WA 98031 SEX' MMDDuvYu
SEAT HELMET INJURY NATURE OF INJURIES
PASSENGER WITNESS❑ UNIT# 1 PGS 9 AIRBAG 2 RESTR. 10 EJECT 1 USE 1 2 CLASS 1
NAME
(LAST FIRST,MIDDLE INITIAL) PICKENS JR BILLY RAY
AooREss&PHONE# 1506 SW TENNESSEE AVE LAWTON OK 73501 2064763797 SEX M D•O•B• 03 _I. 11 _ 1981
MDDYYYY
PASSENGER WITNESS UNIT# ! 2 SEAT 3 AIRBAG 2 RESTR. 4 EJECT 1 HELMET 2 INJURY 1 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 01-31-23 04:35 PM
INVESTIGATING OFFICER'S SIGNATURE UNIT OR DIST DET DATED PLACE SIGNED
APPROVED BY E
DAT
CO.JOHNSON 0505 2/1/2023 4:54:39 PM
BADGE OR ID# 11498 ORI# WA0171300 TIME POLICE DISPATCHED'! 3:01 PM TIME POLICE ARRIVED',3:24 PM
PART I PAGE IT]OF 4�
REPORT NO. ED30441 CASE# 23-1127 OF COLLISION
01/26/23 14:58
OF CbLLI510N
NARRATIVE
23-1127
On 01/26/2023 at approximately 1501 hours, I was dispatched to a non-injury and blocking vehicle
collision in the intersection 17700 block of 108th Ave SE, within the City Limits of Renton, County of
King, State of Washington.
Upon my arrival, I located both parties and confirmed there were no complaints of injury requiring
immediate medical response. The driver of Unit#2 did complain of minor pain in her legs and neck
but stated she would follow-up with her doctor at a later date. While on scene, I collected each
involved party's information and involvement leading up to the collision.
The driver of Unit#1 stated she and her two juvenile children were traveling northbound in about the
17700 block of 108th Ave SE and approaching the driveway leading to a private parking lot located
on the west side of 108th Ave SE. The driver of Unit#1 stated that she had pulled into the dedicated
left-turn-lane to yield to traffic for an upcoming left-turn. The driver of Unit#1 stated she intended to
proceed into the private property parking lot following the turn. The driver of Unit#1 stated that
southbound traffic in lane 2 of 2 on 108th Ave SE was clear for Unit#1 to proceed out into the
intersection. While Unit#1 proceeded out into the intersection, the driver of Unit#1 stated she could
not see southbound traffic in lane 1 of 2 on 108th Ave SE. Once Unit#1 reached lane 1 of 2, she saw
Unit#2 occupying that lane. The driver of Unit#1 stated she tried to avoid the collision but was
unable to and that Unit#2 struck the rear passenger side door and fender of Unit#1 subsequently
causing moderate damage to Unit#1.
The driver of Unit#2 said she and her adult passenger were traveling southbound in about the 17700
block of 108th Ave SE in lane 1 of 2. The driver of Unit#2 stated she was intending to continue south
through the uncontrolled intersection. The driver of Unit#2 stated while approaching the intersection
of the private parking lot entrance which Unit#1 was trying to turn into, she continued going straight
ahead. The driver of Unit#2 stated she was just driving along when Unit#1 turned in front of her
vehicle. The driver of Unit#2 stated she was unable to avoid the collision and struck Unit#1 causing
significant damage to the front of Unit#2.
Based on the above statements, I determined that the Driver of Unit#1 (SLUGIC) was the
predominant factor for the collision due to not granting the right of way during a left-turn causing a
collision. The driver of Unit#1 violated RCW 46.61.185.1 by not granting the right of way to Unit#2
traveling in the roadway which had the right of way and was already underway.
I cited SLUGIC via mail for the Improper Left Turn.
Both Unit#1 and Unit#2 were able to be driven away without further incident. 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 4:15 PM 1/31/2023 Renton, King County, WA.
PAGE 3 OF 4
REPORT NO. ED30441 CASE# ' 23-1127 DATE AND TIME 01/26/23 14:58
OF COLLISION
N
m
Fred Mayor Parking Lot-East L ntranct
.�.
U�d4l
Q
108th Ave SE
PAGE 4 OF 4