HomeMy WebLinkAbout23-1506 a ITFFi "POLCERA II IfI) 1 IlfII ('II (Illf If( fI I . 0 27c
COLLISION REP FIT 1591971
CASE 23-1506 z
INTERSTATE ❑ CITY STREET FIRE ❑
RESULTED
1 STOLEN
STATE ROUTE ❑ OTHER ❑ VFHIr.I F ❑ LOCAL AGENCI 4Y00 3
HIT&RUN CODING
COUNTY RD PRIVATE WAY INVOLVED
23❑ 0 4
TOTAL#OF OBJECT
TRIBAL UNITS 03 STRUCK STREET LIG 28
HT POLE 1
RESERVATION
z
3❑ DATE of M M D D Y Y Y Y TIME(2400) COUNTY# MILES N E IN CITY#
cowsloN 02 - 1-- 2023 2041 17 ❑-= S 8 IN e 1070 3
4❑ oN (PRIMARY TRAFFIC WAY) INTERSECTION ❑✓ NON INTERSECTION ❑
GARDEN AVE N BLOCK NO. e✓ 1300 ❑
4a❑ MILE POST
DISTANCE OF(REFERENCE OR CROSS STREET)
5❑ ❑ FEET e S ❑ W e N LANDING WAY
0 4 29
MOTOR PEDAL- DAM THRESHOLD MET PHONE
UNIT 01 VEHICLE ❑ CYCLE El YES
NO ,/ D:2404400213 0 11
30
6� LAST NAMq MELLON FIRSTNAME ANNALISE MIDDLE L 1 2 31
INITIAL
STREET ❑, 9563 NE 1ST ST CITY BELLEVUE ST WA ZIP' 98004 z
'NEW ADDRESS
7 CDL IGNITION REQUIRED IGNITION PRESENT MEDICAL TRANSPORTED 3
❑
iNTERLOCKYEs[:]NOW INTERLOCK YES NO YEs NoF,/
LRIIVER # STATE WA SEX'F MM D Y' 07 - 22 - 1991 1 1 2 32
8❑
9 ON DUTY❑ STATUS AIRBAG 2 RESTR 4 EJECT 1 HELMETU E 2 CLASS 1 NATURE OF INJURIES z❑
3
10 9❑ Pi aT�S� BNP2365 sTArI WAurN# JH4Ct96988C000366
TRAILER STATE TRAILER STATE
11 3 0 PLATE# PLATE# ROM TO
TRLR. TRLR $ 7 33
12 3 0 VIN#' VIN#
>; FROM TO
VEH.YEAR 2008 MAKE MODEL STYLE VEHICLE TOWED TO BLIN TOWED BY GOVT.VEHICLE 1 $ 34
13 4 ACUR TSX SD DAMAGE YES NO YES[:] No
✓
REGISTERED OWNER INFO OWNEDBYDRIVER VEHICLE NO. 1
❑
SHADE IN DAMAGED AREA ❑ 35
14 LIABILI INSURANCE INSURANCE CO GEICO 6115900836 3 4
IN EFFECT &POLICY# 9TOP
VE"'CLE CHARGE 5 36
LEGALLY YES❑NO❑ CITATION# 10 BOTTOM
15❑ STANDING 7 6
MOTOR PEDAL- PEDESTRIAN PROPERTY DAM THR OLD MET PHONE
UNIT 02 VEHICLE ❑ CYCLE ❑ ❑ OWNER [:]EA.
YES 1/ No D:2533497120
16 a
LAST NAME HARRIS FIRST NAME LACQUARDIO MIDDLE S
INITIAL
17 STREET NEW ADOREs7 17711 HIGHWAY 99 STE A CITY LYNNWOOD ST WA ZIP 98037 4❑ 37
18� CDL IGNITION REQUIRED IGNITION PtR-E-S1ENT MEDICAL TRANSPORTED 38
INTERLOCK YEs❑No� INTERLOCK YEs I I NOF YEs t l NOF,/
19 DRIVER'S STATE WA SEX M D.C.B. 07 O6 _ 1988 39
LICENSE# MMDDYY
20❑ ON DUTY STATUS AIRBAG 2 RESTR 4 EJECT 1 H U EET 2 NJAURSY 1 NATURE OF INJURIES ❑ 40
❑ 41
21❑ ILICENSE PLA E# BGY5084 TArE WA VIN# 19UYA2254XL002736 1
42
22❑ PLATE# STATE PLATE# STATE
23❑ VIN#. 43
TRLR RLR
'IN#.
VEH YEAR 1999 MAKE ACUR MODEL 3.0 CL STYLE SO VEHICLE TOWED TO BLIN TOWED BY GOV HI �44
L4❑ DAMAGE YES NO YES NO
REGISTERED OWNER INFO LACQUARDIO HARRIS 17711 HIGHWAY 99 STE A LYNNWOODWA98037 D:2533497120 VEHICLE NO.2
SHADEDAMAGEDAREA
3 4
LIABILITY
INSURANCE &POINSURGY#E CO PROGRESSIVE 934088602IN STOP 5
LVHICLEEGA— ❑ ,J� CITATION# CHARGE to BOTTOM
LEGALLY YES N`[J
25 7HAL
S NAME(PRINT) OFFICER PHONE BADGE OR ID# JAGENCY
26
Y BRUS 11663 WA0171300
PART A PAGE 01 OF C7
3000-345-159 OR 11/181
STATE OF
POLICETRAFFICN CORRECTION REPORT NO. ED35373
COLLISION REPORT III III III III III 111
1591972 CASE# 23-1506
ADDITIONAL PERSONS INVOLVED PASSENGERS AND/OR WITNESSES ONLY)
NAME
(LAST 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.
HALLEY BRUS 02-05-23 10:13 PM
INVESTIGATING OFFICER'S SIGNATURE UNIT OR DIST DET DATED PLACE SIGNED
APPROVED BY DATE
P.SUMMERS 8887 1 2/19/2023 7:59:25 PM
BADGE OR ID# ! 11663 ORI#' WA0171300 TIME POLICE DISPATCHED 8:44 PM TIME POLICE ARRIVED 8:47 PM
PART I PAGE IT]OF 5�
REPORT NO. ED35373 CASE# 23-1506 OF COLLISION
02/05/23 20:41
OF CbLLI510N
NARRATIVE
Assignment:
On 2-5-23, 1 was working uniformed patrol in a marked Renton PD unit. At approximately 2044 hours,
I was dispatched to investigate a traffic collision that occurred at the intersection of N Landing Way
and Garden Ave N, in the City of Renton, County of King (WA).
Scene:
The 1300 block of Garden Ave N is a two-way north-south bound street with a double center left turn
lane and one lane of travel in each direction.
Arrival:
Upon arrival, I saw a gray Acura TSX (WALic#BNP2365, Unit#1) with front driver side damage.
There was also a bronze Acura coupe (WALic#BGY5084, Unit#2) with significant front end and
driver side damage. Unit#2 was on top of a live wire stemming from a destroyed light pole, which
belonged to Target. Both drivers were with their respective vehicles.
Statement of Lacquardio Harris:
Harris (identified by WAID) was driving Unit#2 southbound in the only southbound lane of travel.
Harris stated he was approaching the intersection with N Landing Way when Unit#1 turned left in
front of him, apparently turning into the Target parking lot.
Harris stated he swerved right in an attempt to avoid the collision with Unit#1. Harris ended up
swerving into a light pole which was on Targets property off the roadway. Harris stated he believed
the speed limit was 35mph and he did not believe he was speeding.
Harris stated he was not injured and there were no defects to the vehicle prior to this incident.
A DOL records check of Harris showed his license status as Suspended in the 3rd Degree.
Statement of Annalise Mellon:
Mellon (identified by WADL) was going northbound in the center turn lane. She began her left turn,
westbound into the Target parking lot, when Unit#2 collided with her vehicle. Mellon stated she
believed Unit#2 was exceeding the speed limit by quite a bit. Mellon also stated she believed Unit#2
did not have its headlights on at the time of the collision.
Mellon stated she was not injured and there were no defects to her vehicle prior to this incident.
Target:
I contacted Target, the owner of the damaged light pole. Employees estimated the damage to be
valued at $5,000 and provided me contact information for the store manager. I sent a citizen link to
an employee so they could upload video surveillance footage of the incident to the case.
Fire arrived on scene and attempted to secure the live wire that was on the pavement.
Damage:
The damage to both vehicles (and the light pole) on scene matched both statements.
Tow:
No tows were requested. Although a private tow (Gene Meyer) arrived for Unit#2 per the owner's
request.
Summary:
Based on statements provided and the supporting physical evidence, I was not able to determine who
was caused the collision. No traffic citations were issued. Pending video surveillance footage.
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 2209 hours on 2-5-23, in the City of Renton, WA.
PAGE 3 OF 5
SUPPLEMENTAL REPORT No. ED35373
r`) POLICE TRAFFIC 1 27
COLLISION REPORT CASE# 23-1506
1 COMMERCIAL MOTOR CARRIER INTERSTATE INTRASTATE G
UNIT'# USDOT ICC# VEHICLE TYPE CARGO BODY
;TYPE
2 ❑ 1 28
CARRIER
NAME
3 CARRIER L
ADDRESS `
CITY ST ZIP—1 I '
4 ❑ NAME # PLACARD: :❑
GI PLACARD IF NO NUMBER
SOURCE AXLES +
4a ❑ ADDITIONAL UNITS
MOTOR PEDAL- PROPERTY DAMAGETHRESHOLD MET PHONE
UNIT# 3 PEDESTRIAN � ✓�' YEs NO
5 VEHICLE CYCLE OWNER ✓ D:5094232421
MIDDLE.. 29
LAST NAME TARGET FIRST NAME RANDY INITIAL
STREET 30
NEW AnDRFSP' 1215 N LANDING WAY CITY RENTON ST WA ZIP 98056
6
CDL IGNITION REQUIRED IGNITION PRESENT MEDICAL TANSPORTED 1 31
INTERLOCK YES[:]NO zERLOCK YES E]Na� YEs N
DRIVER'S STATE I SEX U M��DVSYv' —� 2
LICENSE
7 F-I ON DUTY STATUS AIRBAG RESTR. EJECT HELMET INJURY NATURE OF INJURIES
USE cLASS
8 ❑ ' 1 32
LICENSE+ rar VIN.#
PLATE#
9F-I TRAILER TRAILER
PLATE# STATE PLATE# STATE
10 ❑ TRLR TRLR
VIN.#. VIN.#.
11 VEH.YEAR MAKE I MODEL STYLE I VEHICLE TOWS E T SABLIN TOWED BY anvi vEHIG P FROM TO
DAMAGE YES NO YES NO
REGISTERED OWNER INFO. m 33
12 SHADE IN DAMAGED AREA
FROM TO
((ABILITY INSURANCE❑ INSURANCE CO
IN EFFECT &POLICY# tGQ
VEHICLE 34
13 ❑ LEGALLY YES[:] NO❑ CITATION# CHARGE
STANDING S} 8 7 6
14 ❑ UNIT Tr Vd IRE O CYDCLE OWNER
YES AGE NOHRESHOLD MET PHONE El
35
PEDESTRIAN
15 LAST NAME FIRST NAME MIDDLE': INITIAL36
STREET"[—]
❑
16 NEn+AnnRFs.�' CITY'. ST ZIP
CDL IGNITION REdUiRED IGNITtGN 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 '
VE EFFECT &POLICY# i 970P - 4 E:l
44
24 VEHICLE YES❑ NO❑ CITATION# CHARGE iq 60TiOM
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.
HALLEY BRUS 02-05-23 10:13 PM
25 INVESTIGATING OFFICER'S SIGNATURE OFFICER'S PHONE UNIT OR DIST DET DATED: PLACE SIGNED
APPROVED BY DATE
26 OR ID# 11663 O#I,WA0171300 SUMMERS 211912023 PAGE F OF
3000-345-013(R 11118)
REPORT NO. ED35373 CASE# 23-1506 DATE AND TIME 02/05/23 20:41
OF COLLISION
i
1
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N Landing Way
Target Parking Lot w"
EL
m
D
C
9 N
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1
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PAGE 5 OF 5