HomeMy WebLinkAbout23-3066 ITFF' "POLCERA II I !�� I III I III I IIII III II I . 0 27c
COLLISION REP FIT 1591971
CASE 23-3066 z
INTERSTATE ❑ CITY STREET FIRE ❑RESULTED
1 STOLEN
STATE ROUTE ❑ OTHER ❑ VFHIC;I F ❑ LOCAL AOENC 4Y00 3
HIT 8 RUN CODING
COUNTY RD PRIVATE WAY INVOLVED
2 1 TOTAL#OF OBJECT 1 1 8 28
TRIBAL UNITS 02 STRUCK
RESERVATION
z
3❑ DATE OF M M D D Y Y Y Y TIME(2400) COUNTY# MILES N E IN CITY# ❑
cawsloN 03 - 1-- 2023 1427 17 ❑.= S 8 IN e 1070 3
4❑ ON (PRIMARY TRAFFIC WAY) INTERSECTION ❑ NON INTERSECTION ❑✓
BRONSON WAY NORTH BLOCK NO. e✓ 1100
4a❑ MILEPOST
DISTANCE OF(REFERENCE OR CROSS STREET)
5❑ 100 00 FMILES N EET e S ❑ E e PARKAVENORTH
2 0 29
MOTOR PEDAL- DAMAGE THRESHOLD MET PHONE
UNIT 01 VEHICLE ❑ CYCLE El
✓NO D:2069154710 0 11
30
6� LAST NAME PHAN FIRSTNAME ALEX MIDDLE 1 2 31
INITIAL
STREET ❑ 1209 QUEEN AVE NE CITY RENTON ST WA 2jp, 980563344 z
NEW ADDRESS
7❑ CDL IGNITION REQUIRED IGNITION PRESENT MEDICAL TRANSPORTED 3
iNTERLOCKYEs NO 1/ INTERLOCKYEs NO�/ vEs No�/
8❑ DRIVERS
# STATE WA SEX'M I ELMIDI Y' 10 - 20 - 2004 1 2 32
9 ON DUTY❑ STATUS AIRBAG 2 RESTR 4 EJECT 1 H USE 2 CLASS 1 NATURE OF INJURIES 2❑
3
10 99 PI ATE 14 BYR4429 sTAT WAv N#' 5YPBU4EE2DP160725
TRAILER STATE TRAILER STATE
11 2 5 PLATE# PLATE# FROM TO
TRLR. TRLR 7 3 33
12 2 5 VIN#' VIN#
FROM TO
❑ VEH.YEAR MAKE MODEL STYLE VEHICLE TOWED TO BLIN TOWED BY GOVT.VEHICLE 7 3 34
13 2 2013 TOYT COROL 4D DAMAGE YES NO YES[:] NO✓
REGISTERED OWNER INFO LANG HUYNH 1209 QUEEN AVE NE RENTON WA 98056 D:2069154710 VEHICLE NO. 1 ❑
SHADE IN DAMAGED AREA 35
14 LIABILITY INSURANCE INSURANCE CO GEICO 4115-12.75.34 3
IN EFFECT &POLICY# 9TOP
VawcLe CHARGE 1 5 36
ALLY YES❑NO CITATION# W23010241 IMPROPER LANE USAGE I o aoTTom
15❑ STANDING 8 6
MOTOR PEDAL PROPERTY DAM THR OLD MET PHONE
UNIT 02 VEHICLE CYCLE ❑ PEDESTRIAN ❑ OWNER ❑ YES 1/ NO D:4252723445
16 a
LAST NAME KREVEY FIRST NAME KAROLYNN MIDDLE I C
INITIAL
17 STREET❑ NEW ADOREss❑' 14878 203RD AVE SE CITY RENTON ST WA ZIP 980598129 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 IF D.C... 08 27 2002 39
LICENSE# MMDDYY
20❑ ON DUTY STATUS AIRBAG 2 RESTR 4 EJECT 1 H U EET 2 NJAU EY 1 NATURE OF INJURIES 40
❑ILICENSE 21❑ PLA E# BRH9970 TATE 41
WA VIN# JTKKU10418J021105 1
42
22❑ PLATE# STATE PLATE# STATE
23❑ VIN#. 43
TRLR RLR
'IN#.
VEH YEAR 2008 MAKE TOYT MODEL SCION XD STYLE 4H VEHICLE TOWED TO BLIN TOWED BY GOV HI 44
L4❑ DAMAGE YES NO YES NO
REGISTERED OWNER INFO JODI LUTHER 14878203RD AVE SE RENTON WA 98059 D:4252723445 VEHICLE NO.2
SHADE IN DAMAGED AREA
2 3 4
LIABILITY
INSURANCE INSU8 PORGY#E CO AMICA 90094624YQIN IUQ,
'E""LE ❑ ,J� CITATION# CHARGELEGALYYES N`L J25
=UGENT
(PRINT) OFFICER PHONE BADGE OR ID# 77P�1300
26 11498
PAGE 01 OF
PART A
3000-345-159 OR 11/181
STATE OF
POLICETRAFFICN CORRECTION REPORT NO. ED43182
COLLISION REPORT III III III III III 111
1591972 CASE# 23-3066
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 03-16-23 03:41 PM
INVESTIGATING OFFICER'S SIGNATURE UNIT OR DIST DET DATED PLACE SIGNED
APPROVED BY DATE
CO.JOHNSON 0505 311712023 9:13:37 AM
BADGE OR ID# 11498 ORI# WA0171300 TIME POLICE DISPATCHED 2:31 PM TIME POLICE ARRIVED]2:43 PM
PART I PAGE IT]OF 4�
REPORT NO. ED43182 CASE# 23-3066 OF COLLISION
03/15/23 14:27
OF CbLLI510N
NARRATIVE
23-3066
On 03/15/2023 at approximately 1431 hours, I was dispatched to a non-injury and non-blocking
vehicle collision at Liberty Park, located at 1101 Bronson Way North, 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 driving his teammates to a baseball game at Liberty Park and had
just made an eastbound turn onto Bronson Way N from Park Ave North. The driver of Unit#1 began
to make his way over to the NW entrance to Liberty Park located on the south side of the roadway.
The driver of Unit#1 stated that he signaled to turn into lane 1 of 2 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 2 causing minor damage to the
rear passenger side quarter panel of Unit#1.
The driver of Unit#2 said she was with the two adult passengers and were also traveling eastbound
in about the 1100 block of Bronson Way North in lane 1 of 2. The driver of Unit#2 stated she was
intending to continue east when Unit#1 changed lanes from lane 2 of 2 and into lane 1 of 2 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 front driver's side fender and quarter panel.
It should be noted that there are permanent roadway stanchions installed along Bronson Way North
dividing turning traffic from Park Ave North (such as Unit#1 in this case) and eastbound traffic along
Bronson Way North (such as Unit#2 in this case). This traffic design allows for both directions to
receive green lights with the stanchions in place to prevent any sort of collision. The driver of Unit
#1's father repeatedly argued that Unit#1 had a green light and should have been able to turn into
the Liberty Park parking lot without interference. I informed the father of Unit#1 that both directions
often have simultaneous green lights and that regardless, any lane change must be done safely and
clear of hazard.
Based on the above statements, I determined that the Driver of Unit#1 (Phan) was the predominant
factor for the collision as Phan 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.
Phan violated RCW 46.61.140 - Driving on roadways laned 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. Phan was
issued a written warning 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 3/16/2023 3:39 PM Renton, King County, WA.
PAGE 3 OF 4
REPORT NO. ED43182 CASE# ' 23-3066 DATE AND TIME 03/15/23 14:27
OF COLLISION
Park Ave. N.
u,nut a nxz.
N. 1st St.
o
�y
PAGE 4 OF 4