HomeMy WebLinkAbout23-276 ITFF' "POLCERA II I !�� I III I III I IIII III II I . 1 27c
COLLISION REP FIT 1591971
❑ ❑ RESULTED ❑ CASE# 23-276 z
INTERSTATE CITY STREET FIRE
1 STOLEN
STATE ROUTE ❑ OTHER ❑ VFHIC;I F ❑ LOCAL AOENC 4200 3
HIT&RUN CODING
COUNTY RD PRIVATE WAY INVOLVED
2 3 TOTAL#OF OBJECT 1 1 8 28
TRIBAL UNITS OZ STRUCK
RESERVATION
2
3❑ DATE OF M M D D Y Y Y Y TIME(2400) COUNTY# MILES N E IN CITY#
COLLISION.. 01 - 1-- 2023 1703 17 ❑-= S 8 IN e 1070 3
4❑ ON (PRIMARY TRAFFIC WAY) INTERSECTION ❑✓ NON INTERSECTION ❑
BLOCK
NE SUNSET BLVD MILEPOST ST e✓ 1500 ❑
4a❑
DISTANCE OF(REFERENCE OR CROSS STREET)
5❑ �,❑ FEET e S ❑ W e 1405 S ON RAMP
0 1 29
MOTOR PEDAL- DAMAGE THRESHOLD MET PHONE
UNIT 01 VEHICLE ❑ CYCLE El
✓NO D:4256792050 0 81
30
6 LAST NAME MARIN REYES FIRST NAME LAURA MIDDLE P 1 2 31
INITIAL
STREET ❑✓ 1190 UNION AVE NE#A1 CITY RENTON ST WA ZIP 98059 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 2❑
3
10❑ PI ATE BUZ0630 sTATI WAvIN#' 2B4GP45GXYR612146
TRAILER STATE TRAILER STATE
11 3 5 PLATE# PLATE# FROM TO
TRLR. TRLR 3 7 33
12 3 5 VIN#' VIN#
>; FROM TO
VEH.YEAR MAKE MODEL STYLE VEHICLE TOWED TO BLIN TOWED BY GOVT.VEHICLE J 9 34
13 4 2000 DODG CARAVA VN DAMAGE YES NO YES[:] No
✓
REGISTERED OWNER INFO OWNEDBYDRIVER VEHICLE NO. 1
❑
SHADE IN DAMAGED AREA 35
14 ❑ INSURANCE CO <53 4
LIABILITY INSURANCEIN EFFECT &POLICV# TOPVEH CHARGE TTOM 5 36
LEGALLY YES❑NO CITATION# 3A0064263,3AO064263 INATTENTIVE DRIVING,OP MOT VEH 5
15❑ STANDING 7 6
MOTOR PEDAL- PROPERTY DAM THR OLD MET PHONE
UNIT 0' ❑✓ ❑ PEDESTRIAN ❑ ❑ YES H ,/ PHONE
5099611942
VEHICLE CYCLE : OWNER
16 a
LAST NAME WARREN FIRST NAME QUINTEN MIDDLE L
INITIAL
17 STREET❑ NEW ADDRESS❑' 511 100TH AVE NE#209 CITY BELLEVUE ST WA ZIP 98004 4❑ 37
18❑ CDL IGNITION REQUIRED IGNITION PtR—E—S1ENT MEDICAL—T�RANSPORTED � 38
INTERLOCK YEs❑No� INTERLOCK YEs I I NOF YES
t l NO
�
19 F] DRIVERIS
❑ ON DUTY STATUS AIRBAG 2 RESTR 4 EJECT 1 H U EET 2 NJAU EY 1 NATURE OF INJURIES ❑ 40
LICENSE I ❑21❑ PLA E# BIH6859 TATE 41
WA VIN# JF2GTADC2J8259609 1
42
22❑ PLATE# STATE PLATE# STATE
TRLR
23❑ VIN#. IN#. 43
RLR
'
VEH YEAR 2018 MAKE SUBA MODEL CROSS'T STYLE GA VEHICLETOWED TO BLIN TOWEDBY GOV HI �44
24❑ DAMAGE YES NO YES NO
REGISTERED OWNER INFO QUINTEN WARREN 511100TH AVE NE BELLEVUE WA 98004 D:5099611942 VEHICLE NO.2
SHADE IN DAMAGED AREA
2 3 4
LIABILITY
INSURANCE INSURANCE
#E CO TRAVELERS 9939624752031 I STOP
VEHICLE CITATION# CHARGE i o BOTTOM
IN
LEGALLY YES N�
25❑ J s a
7HAL
S NAME(PRINT) OFFICER PHONE BADGE OR ID# AGENCY
26
Y BRUS 11663 WA0171300
PART A PAGE 01 OF C7
3000-345-159 OR 11/181
STATE OF
POLICETRAFFICN CORRECTION REPORT NO. ED31197
COLLISION REPORT III III III III III 111
1591972 CASE# 23-276
ADDITIONAL PERSONS INVOLVED PASSENGERS AND/OR WITNESSES ONLY)
NAME
(/AST FIRST,MIDDLE INITIAL)_
ADDRESS&PHONE#
SEX D.O.B. - -
MMDDYYYY.
PASSENGER❑WITNESS UNIT# SEAT AIRBAG RESTR. EJECT ' HELMET INJURY NATURE OF INJURIES
PM USE CLASS
NAME
'(LAST,FIRST MIDDLE INITIAL)
ADDRESS&PHONE# D D B
SEX MMDDYYYY
PASSENGER ❑WITNESS UNIT# SEAT AIRBAG RESTR. EJECT HELMET INJURY NATURE OF INJURIES
POS. USE CLASS
NAME
(LAST FIR57 MIDDLE INITIAL)
AppRESS R 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.
HALLEYBRUS 01-07-23 09:28 PM
INVESTIGATING OFFICER'S SIGNATURE UNIT OR DIST DET DATED PLACE SIGNED
APPROVED BY DATE
P.SUMMERS 8887 2/4/2023 4:17.47 PM
BADGE OR ID# ! 11663 ORI#' WA0171300 TIME POLICE DISPATCHED'! 5:08 Pry TIME POLICE ARRIVED',5:14 PM
PART I PAGE IT]OF 4�
REPORT NO. ED31197 CASE# 23-276 OF COLLISION
01/07/23 17:03
OF CbLLI510N
NARRATIVE
Assignment:
On 1-7-23, 1 was working uniformed patrol in a marked Renton PD unit. At approximately 1708 hours,
I was dispatched to investigate a traffic collision that occurred in the 1500 block of NE Sunset Blvd at
the intersection with the 1405 southbound on ramp, in the City of Renton, County of King (WA).
Scene:
The 1500 block of NE Sunset Blvd is a two-way east-west bound street with a westbound left turn
lane onto the 1405 southbound ramp, with two lanes of travel in each direction. This intersection is
controlled by signals/traffic control devices.
Arrival:
Upon arrival, I saw a white Dodge Caravan (WALic#BUZ0630, Unit#1) with moderate/severe front
end damage. There was also a black Subaru Crosstrek (WALic#BIH6859, Unit#2) with some rear
end damage. Both units were in a small pull off, facing westbound, on the north side of the NE Sunset
Blvd. Both drivers were with their respective vehicles.
Statement of Laura Marin Reyes:
Marin Reyes (identified by WADL) was driving Unit#1 westbound in the center turn lane, approaching
the intersection with the 1405 southbound on ramp, when she came to a complete stop behind Unit
#2. The left turn signal was red. Marin Reyes mistakenly thought the light turned green so she put
her foot on the gas to proceed through the intersection. She was unable to stop in time to avoid rear
ending Unit#2.
Marin Reyes stated she was not injured and there were no defects to the vehicle prior to this incident.
Marin Reyes stated she did not have liability insurance. Additionally, a records check of Unit#1's
license plate returned expired as of 7-10-22.
Statement of Quinten Warren:
Warren (identified by WADL) was facing westbound in the left turn lane, at a complete stop at the red
light. Unit#1 rear ended Unit#2 while Unit#2 was still at a complete stop.
Warren complained of some pain to the back of his head. Fire arrived on scene to evaluate him and
stated he did not need additional/urgent medical attention. Warren stated there were no defects to
the vehicle prior to this incident.
Damage:
The damage on both vehicles on scene matched both statements.
Tow:
No tows were requested.
Summary:
Based on statements provided and the supporting physical evidence, I determined Marin Reyes
caused the collision. I issued Marin Reyes RPD citation #3A0064263 for Inattentive Driving and
Operating a Motor Vehicle without Liability Insurance. I issued Marin Reyes a warning for having
expired registration.
I certify (declare) under penalty of perjury under the laws of the State of Washington that the
foregoing is true and correct.
Electronically signed by H.Brus/11663 at 1829 hours on 1-7-23, in the City of Renton, WA.
PAGE 3 OF 4
REPORT NO. ED31197 CASE# ' 23-276 DATE AND TIME 01/07/23 17:03
OF COLLISION
140
NE Sunset Blvd
PAGE 4 OF 4