HomeMy WebLinkAbout23-3018 ITFF' "POLCERA II I !�� I III I III I IIII III II I . 0 27c
COLLISION REP FIT 1591971
CASE 23-3018 z
INTERSTATE ❑ CITY STREET FIRE ❑RESULTED
1 STOLEN
STATE ROUTE ❑ OTHER ❑ VFHIr.I F ❑ LOCAL AOENC 4200 3
HIT 8 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 03 - 1-- 2023 1428 17 ❑-= S 8 IN e 1070 3
4❑ ON (PRIMARY TRAFFIC WAY) INTERSECTION ❑✓ NON INTERSECTION ❑
SOUTH 2ND STREET BLOCK ST e✓
MILEPOST 200 ❑
4a❑
DISTANCE OF(REFERENCE OR CROSS STREET)
5❑ ❑ FEET e S ❑ W e LAKE AVENUE SOUTH
2 0 29
MOTOR PEDAL- DAMAGE THRESHOLDHONE
UNIT 01 VEHICLE ❑ CYCLE El MET P
YES
�/No D:2066573742 0 11
30
6� LAST NAME KIARIE FIRSTNAME SIMON MIDDLE M 1 1 2 31
INITIAL
STREET ❑ 420 S 321ST PL APT H5 CITY FEDERAL WAY ST WA 21P 980035856 z
NEW ADDRESS
7❑ CDL IGNITION REQUIRED IGNITION PRESENT MEDICAL TRANSPORTED 3
INTERLOCK YES[:]NO 1/ INTERLOCKYEs 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❑ P1 aT�S� CDK4246 sTATI WAurN# 2C3KA53G76H184454
TRAILER STATE TRAILER STATE
11 2 5 PLATE# PLATE# ROM TO
TRLR. TRLR 3 7 33
12 2 5 VIN#' VIN#
>; FROM TO
VEH.YEAR MAKE MODEL STYLE VEHICLE TOWED TO BLIN TOWED BY GOVT.VEHICLE 3 ] 34
13 2006 CHRY 300 4D DAMAGE YES NO YES[:] No✓
REGISTEREDOWNERINFO SIMON KIARIE 10605 SE 240TH ST APT 141 KENTWA98031 D:2066573742 VEHICLE NO. 1 ❑
SHADE IN DAMAGED AREA 35
14 LIABILI INSURANCE U INSURANCE CO ESURANCE PAWA-000529931 4
IN EFFECT &POLICY# 9TOP
VE—L' CHARGE 1 5 36
E�ALLY YES❑NO CITATION# 3A0055540 IMPROPER LANE USAGE o eorroM
15❑ STANDING 8 7 6
MOTOR PEDAL- PEDESTRIAN PROPERTY DAM THR OLD MET PHONE
UNIT 02 VEHICLE ❑ CYCLE ❑ ❑ OWNER ❑ YES 1/ NO D:2065104430
16 a
LAST NAME NORMAN FIRST NAME DEAN MIDDLE I R
INITIAL
17❑ NEW STREETREss❑' 11247 59TH AVE S CITY SEATTLE ST WA ZIP 981782943 4❑ 37
18❑ CDL IGNITION REQUIRED IGNITION PtR—E—S1ENT MEDICAL—T�RANSPORTED � 38
INTERLOCKYES�NO� INTERLOCK YEs I I NOF YEs t l NOF,/
19 DRIVER'S STATE WA SEX M D.C... 02 _ 25 _ 1970 39
LICENSE# MMDDYY
20❑ ON DUTY STATUS AIRBAG 2 RESTR 4 EJECT 1 H U EET 2 NJAURSY 1 NATURE OF INJURIES ❑ 40
❑LICENSE 21❑ PLA E# BZZ4338 TATE WA VIN1i JNKDA31A34T202339 41
1
42
22❑ PLATE# STATE PLATE# STATE
23❑ UIN#. 43
TRLR RLR
'IN#.
VEH YEAR 2004 MAKE INFI MODEL 135 STYLE QD VEHICLE TOWED TO BLIN TOWEDBY GOV HI 44
L4❑ DAMAGE YES NO YES NO
REGISTERED OWNER INFO DEAN NORMAN 1124759TH AVE S SEATTLEWA98178 D:2065104430 VEHICLE NO.2
SHADEDAMAGEDAREA
3 4
LIABILITY
INSURANCE INSU PORGY#E CO PROGRESSIVE 908368312IN STOP
g
'E""LE ❑ ,J� CITATION# CHARGE I�i BOTTOM
LEGALLY YES N J
25 $
=UGENT
(PRINT) OFFICER PHONE BADGE OR ID# AGENCY
26 11498 WA0171300
PAGE 01 OF
PART A
3000-345-159 OR 11/181
STATE OF
POLICETRAFFICN CORRECTION REPORT NO. ED42622
COLLISION REPORT III III III III III 111
1591972 CASE# 23-3018
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.
MATTHEW NUGENT 03-14-23 05:21 PM
INVESTIGATING OFFICER'S SIGNATURE UNIT OR DIST DET DATED PLACE SIGNED
APPROVED BY DATE
CO.JOHNSON 0505 1 311512023 10:55:20 AM
BADGE OR ID# 11498 ORI# WA0171300 TIME POLICE DISPATCHED; 2:58 Pry TIME POLICE ARRIVED',3:12 PM
PART I PAGE IT]OF 4�
REPORT NO. ED42622 CASE# 23-3018 OF COLLISION
03/14/23 14:28
OF CbLLI510N
NARRATIVE
23-3018
On 03/14/2023 at approximately 1458 hours, I was dispatched to a non-injury and non-blocking
vehicle collision at the intersection of South 2nd Street and Lake Ave South, within the City Limits of
Renton, County of King, State of Washington.
Upon arrival, I confirmed there were no complaints of injury requiring immediate medical response at
the time of report. While on scene, I was able to collect each involved party's information and
independent summary of the events leading up to the collision.
The driver of Unit#1 said he was the sole occupant of his vehicle and was traveling westbound in
about the 200 block of South 2nd Street (one-way road) after having picked up a food delivery order
from a nearby business. The driver of Unit#1 stated that he exited from the private business parking
lot located on the south side of the roadway and that his GPS was routing him to turn north onto Lake
Ave South therefore the driver of Unit#1 began to make his way over to Lake Ave South through
several lane changes as Lake Ave was on the north side of the roadway. Upon reaching lane 2 of 4,
the driver of Unit#1 stated that he signaled to turn into lane 1 of 4 and believed that the lane was
clear of traffic therefore proceeded to make a lane change. The driver of Unit#1 stated that while
making the lane change, he was struck by Unit#2 occupying lane 1 of 4 causing moderate damage
to the passenger side door and fender of Unit#1. Unit#1 believed Unit#2 was traveling too fast for
that stretch of roadway. The driver of Unit#1 was also under the impression that because he signaled
his intention to make a lane change, he believed that gave him right of way.
The driver of Unit#2 said he was the sole occupant of his vehicle and was also traveling westbound
in about the 200 block of South 2nd Street (one-way road) approaching the intersection of Lake Ave
South but in lane 1 of 4. The driver of Unit#2 stated he was intending to continue west when Unit#1
changed lanes from lane 2 of 4 and into lane 1 of 4 which Unit#2 was occupying. Unit#2 was unable
to avoid the collision and subsequently collided with Unit#1. Unit#2 suffered moderate damage to
the rear driver's side fender due to the initial impact as well as a flat tire due to being pushed into the
curb.
Based on the above statements, I determined that the Driver of Unit#1 (Kiarie) was the predominant
factor for the collision as Kiarie made an unsafe lane change that was not clear of traffic causing a
collision. Unit#2 was underway in their lane of travel and had right of way.
Kiarie violated RCW 46.61.140 - Driving on roadways laved for traffic. This RCW states that a vehicle
shall be driven as nearly as practicable entirely within a single lane and shall not be moved from such
lane until the driver has first ascertained that such movement can be made with safety. Kiarie was
issued Citation #3A055540 in-person for the above mentioned violation.
Both Unit#1 and Unit#2 were able to be driven away from the scene without 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 4:59 PM 3/14/2023 Renton, King County, WA.
PAGE 3 OF 4
REPORT NO. ED42622 CASE# ' 23-3018 DATE AND TIME 03/14/23 14:28
OF COLLISION
Tiagram natty scale
0) Unit#2
j
S 2nd ST
unit
Safeway - 200 S. 3rd ST, Ren
PAGE 4 OF 4