HomeMy WebLinkAbout23-3320 ITFF' "POLCERA II I !�� I III I III I IIII III II I . 5 27c
COLLISION REP FIT 1591971
CASE 23-3320 z
INTERSTATE ❑ CITY STREET FIRE ❑
RESULTED
1 STOLEN
STATE ROUTE ❑ OTHER ❑ VFHICI F ❑ LOCAL AGENCI 4Y00 3
HIT&RUN CODING
COUNTY RD PRIVATE WAY INVOLVED
2❑ TOTAL#OF OBJECT 1 ❑28
TRIBAL UNITS 02 STRUCK STREET LIGHT POLE
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 0149 17 ❑-= S 8 IN e 1070 3
4❑ ON (PRIMARY TRAFFIC WAY) INTERSECTION ❑✓ NON INTERSECTION ❑
LOGAN AVE N BLOCK NO. e✓ 600 ❑
4a❑ MILE POST
DISTANCE OF(REFERENCE OR CROSS STREET)
5❑ �.❑ FEET e S ❑ w e N 6TH ST
0 1 29
MOTOR PEDAL- DAMAGE THRESHOLD MET PHONE
UNIT 01 VEHICLE ❑ CYCLE El
✓NO D:2066792737 30
6❑ LAST NAME KING FIRSTNAME MARCUS MIDDLE U 1 1 2 31
INITIAL
STREET ❑ 1204 N 10TH PL#2204 CITY RENTON ST WA 21p 98057 z
NEW ADDRESS
7❑ CDL IGNITION REQUIRED IGNITION PRESENT MEDICAL TRANSPORTED 3
iNTERLOCKYEs NO 1/ INTERLOCKYEs NO�/ YES R No�/
8❑ LDRIVER # STATE WA SEX'M MID
LOB 05 — 11 — 1973 32
9 ON DUTY❑ STATUS AIRBAG 6 RESTR 4 EJECT 1 H USEET 2 CLASS 1 NATURE OF INJURIES z❑
3
10❑ P1 ATE 14 BVW9755 STATE WA VIN# 2HNY61 H47CH500600
TRAILER STATE TRAILER STATE
11 3 5 PLATE# PLATE# FROM TO
TRLR. TRLR. 5 1 33
12❑ VIN#j VIN#
2012 ACUR ZDX SOYES[:]
❑ FROM
34
❑ VEH.YEAR MAKE MODEL STYLE VEHICLE TOWED TO BLIN TOWED BY GOVT.VEHICLE
13 2 DAMAGE YES NO YES NO✓
REGISTERED OWNER INFO MARCUS KING 12.N 10TH PL#2204 RENTON WA 98057 D:2066792737 VEHICLE NO. 1 ❑
SHADE IN DAMAGED AREA 35
14❑ LIABILITY INSURANCE❑ INSURANCE CO <53 4
IN EFFECT &POLICY# Q
vEHICLE CHARGE 536
LEGALLY YES❑NO CITATION# 3AO141409 OP MOT VEH W/OUT INSURANCE
15❑ STANDING 7
MOTOR PEDAL- PEDESTRIAN PROPERTY DAM THR PHONE
UNIT 02 VE OLD MET HICLE El PEDAL-
❑ ❑ OWNER ❑ YES NO ,/ D:4254307500
16❑
LAST NAME RENTON FIRST NAME CITY OF MIDDLE
INITIAL
17❑ NEW STREETR 1055 S 7 GRADY WAY CITY' RENTON ST WA ZIP 98057 4❑ 37
18❑ CDL IGNITION REQUIRED IGNITION PR—E-1SENT MEDICAL—T�RANSPORTED ❑ 38
INTERLOCKYES�NOR INTERLOCK YEs It I NOF YES t l NO❑
19 LLIRIVEWSTICENS # STATE SEX U MMDDYY —❑_ 39
WELMET INJURY NATURE OF INJURIES 4O
20❑ ON DUTY STATUS' AIRBAG RESTR EJECT USE CLASS ❑
❑21❑ LICENSE TATE vIN1 41
1
PLATE#
42
22❑ PLATE# STATE pLATE# STATE
23❑ 43
TRLR RLR
UIN#. 'IN#.
VEH YEAR MAKE MODEL STYLE VEHICLE TOWED TO BLIN
TOWED BY Gov HI 44
L4❑ DAMAGE YES NO YES NO
REGISTERED OWNER INFO VEHICLE NO.2
SHADE IN DAMAGED AREA
2 3 4
LIABILITY
INSURANCE❑ INSURANCE
#E CO
IN EFFECT &PO I 9TOP 5
vE""LE ❑ ,J� CITATION# CHARGE i o BOTTOM
LEGALLY YES N J
25 s e
=ORAJEWSKI
(PRINT) OFFICER PHONE BADGE OR ID# AGENCY
26 12399 WA0171300
PAGE 01 OF
PART A
3000-345-159 OR 11/181
STATE OF
POLICETRAFFICN CORRECTION REPORT NO. ED45802
COLLISION REPORT III III III III III 111
1591972 CASE# 23-3320
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
POS. 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.
RAYMOND GORAJEWSK/ 03-23-23 02:36 AM
INVESTIGATING OFFICER'S SIGNATURE UNIT OR DIST DET DATED PLACE SIGNED
APPROVED BY DATE
J.TRADER 4553 312712023 2:09:11 AM
BADGE OR ID# 12399 OR]# WA0171300 TIME POLICE DISPATCHED 1:51 AM TIME POLICE ARRIVED:1:56 AM
PART I PAGE IT]OF 4�
REPORT NO. ED45802 CASE# 23-3320 OF COLLISION
03/23/23 01:49
OF CbLLI510N
NARRATIVE
ASSIGNMENT/ARRIVAL
On 03/23/2023 at approximately 0151 hours, I was dispatched to a vehicle collision at the intersection
of Logan Avenue N and N 6th Street in the city of Renton, King County, Washington.
A reporting party said a vehicle had crashed into a traffic signal pole.
I arrived at approximately 0156 hours.
UNIT 1: ACURA ZDX
Upon arrival I observed a black Acura ZDX (WA/ BVW9755, Unit 1) stopped facing north in the
intersection of Logan Avenue N and N 6th Street. Unit 1was in the northbound lane of Logan Avenue
N at the north curb line prolongation of N 6th Street.
The front of Unit 1 was engaged with a black traffic signal pole on the northeast corner of Logan
Avenue N and N 6th Street. Unit 1 had moderate front end damage from the collision.
DRIVER: KING, MARCUS U.
I located Marcus U. King (DOB: 05/11/1973) standing on the sidewalk near Unit 1. 1 identified King by
his valid Washington Driver License. King was not injured from the collision. 1 established King as the
driver of Unit 1 by his admission.
DRIVER INJURIES
King claimed not to be injured and I did not observe any injury. King was evaluated on scene by the
Renton Fire Authority as a precaution, since the airbags in the vehicle deployed.
DAMAGED PROPERTY
Unit 1 collided with a City of Renton street signal pole (#954C95). The pole was functional and did not
appear damaged.
STATEMENT: KING, MARCUS U.
I spoke with King about the collision. The following is a summary of our conversation.
King drove Unit 1 north on Logan Avenue N toward N 6th Street. King swerved Unit 1 to the right
(east) to avoid another vehicle driving south on Logan Avenue N. King oversteered, and Unit 1's front
end collided with a street signal pole just off of the roadway on the sidewalk.
This concluded my conversation with King.
CITATION
King failed to provide proof of insurance at the scene.
I issued King a citation (#3A0141409) for Operating a Motor Vehicle without Insurance.
PHOTOGRAPHS
I took photographs of the collision scene with my department issued cell phone. I uploaded the
photographs to Axon's Evidence.com.
DISPOSITION
King's vehicle was privately towed.
This concluded my involvement in this case.
I declare under penaty of perjury under the laws of the State of Washington that the foregoing is true
and correct.
Electronically signed by Officer R. Gorajewski, #12399, on 03/23/2023 at 0229 hours in Renton,
Washington.
PAGE 3 OF 4
REPORT NO. ED45802 CASE# 23-3320 DATE AND TIME 03/23/23 01:49
OF COLLISION
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PAGE 4 OF 4