HomeMy WebLinkAbout23-3337 ITFF' "POLCERA II I !�� I III I III I IIII III II I . 0 27c
COLLISION REP FIT 1591971
CASE 23-3337 z
INTERSTATE ❑ CITY STREET FIRE ❑
RESULTED
1 STOLEN
STATE ROUTE ❑ OTHER ❑ VFHIr.I F ❑ LOCAL AGENCI 4900 3
HIT&RUN CODING
COUNTY RD PRIVATE WAY INVOLVED
2 TOTAL#OF OBJECT 1 1 8 28
TRIBAL UNITS OS 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 1422 17 ❑-= S 8 IN e 1070 3
4❑ ON (PRIMARY TRAFFIC WAY) INTERSECTION ❑✓ NON INTERSECTION ❑
SE 128TH ST BLOCK NO. e✓ 15600 ❑
4a❑ MILEPOST
DISTANCE OF(REFERENCE OR CROSS STREET)
5❑ ❑ FEET e S ❑ W e 156THAVESE
0 3 29
MOTOR PEDAL- DAMAGE THRESHOLD MET PHONE
UNIT 01 VEHICLE ❑ CYCLE El
,/No D:2064064383 0 11
30
6� LAST NAME MELKI FIRSTNAME ANTOINE MIDDLE G 1 1 2 31
INITIAL
STREET ❑ 22617 NE 26TH CT CITY SAMMAMISH ST WA ZIP 980746414 z=
NEW ADDRESS
7❑ CDL IGNITION REQUIRED IGNITION PRESENT MEDICAL TRANSPORTED 3
1/ I INTERLOCK YES[:]NO NTERLOCKYEs NO�/ YES R No�/
8❑ LRIIVER #
ON DUTY❑ STATUS AIRBAG 2 RESTR 4 EJECT 1 HELMET
2 CLASS 1 NATURE OF INJURIES z❑
3
LICENSE C31849Y sTArI WAurN# 3GCUKSEC4EG550198
10❑ PI ATE 14
TRAILER STATE TRAILER STATE
11 3 5 PLATE# PLATE# FROM To
TRLR. YRLR. 5 3 33
12 3 5 VIN#' VIN#
>; FROM TO
VEH.YEAR MAKE MODEL STYLE VEHICLE TOWED TO BLIN TOWED BY GOVT.VEHICLE 7 $ 34
13 2014 CHEV SILVER PK DAMAGE YES NO YES[:] No
✓
REGISTERED OWNER INFO GEBRAN MELKI 12811164THAVE SE RENTON WA 98059 D:2064064383 VEHICLE NO. 1 ❑
SHADE IN DAMAGED AREA 35
14 LIABILITY INSURANCE INSURANCE CO AMGUARD INS.CO.K3GP402258 3 4
IN EFFECT &POLICY# 9TOP
❑ LEGA LE CHARGE 1 5 36
El
15 2 VEHN N� YES❑NO❑ CITATION# 3A0055587 VEH ENTER INTERSEC STEADY RED ?orrom
MOTOR PEDAL-:. : PROPERTY DAM THR OLD MET PHONE
UNIT 02 VEHICLE CYCLE ❑ PEDESTRIAN ❑ OWNER ❑ YES 1/ NO D:4252709520
16 a
LASTNAME FRASER FIRSTNAME MATTHEW MIDDLE W
INITIAL
17 STREET❑ NEW ADDRESS❑' 13031 195TH PL SE CITY' ISSAQUAH ST WA ZIP 980276408 4❑ 37
18❑ CDL IGNITION REQUIRED IGNITION PR-E-1SENT MEDICAL-T�RANSPORTED � 38
INTERLOCK YEs❑No� INTERLOCK YEs It I NOF YES
t l NOF,/
19 STATEWSEXM .CB. _ _ 39
LICENSE# M .
20❑ ON DUTY STATUS AIRBAG 2 RESTR 4 EJECT 1 H U EET 2 NJAURSY 1 NATURE OF INJURIES ❑ 40
❑21❑ PLATE# C36490U TArE 41
WA VIN# 3GCPYFED9LG268387 1
42
22❑ PLATE# STATE PLATE ILER# STATE
T
23❑ VIN 43
IN##. IN RLR
' #.
VEH YEAR 2020 MAKE CHEV MODEL SILVERA STYLE PK I VEHICLE TOWED TO BLIN 0 EDBY GOV HI 44
24❑ DAMAGE YES NO GENE MEYER YES NO
REGISTERED OWNER INFO MATTHEW FRASER 13031195TH PL SEISSAQUAHWA98027 D:4252709520 VEHICLE NO.2
SHADEDAMAGEDAREA
3 4
LIABILITY
INSURANCE &POINSURGY#E CO USAA 009624037CIN STOP 5
'E""LE ❑ ,J� CITATION# CHARGE to BOTTOM
LEGALLY YES N 6
--[
25 7mHE
NAME(PRINT) OFFICER PHONE BADGE OR ID# AGENCY26W NUGENT 11498 WA0171300
PART A PAGE 01 OF
3000-345-159 OR 11/181
STATE OF
POLICETRAFFICN CORRECTION REPORT NO. ED46965
COLLISION REPORT III III III III III 111
1591972 CASE# 23-3337
ADDITIONAL PERSONS INVOLVED PASSENGERS AND/OR WITNESSES ONLY)
NAME MIDDLE INITIAL) KIM YOUNG A
(LAST FIRST,
ADDRESS&PHONE#
1072 DUVALL PL NE RENTON WA 98059 4254969062 SEXi F MMDOYyry 06 - 25 - 1957
PASSENGER I�I WITNESS E] UNIT# 5 SEA 3 AIRBAG 2 RESTR. 4 EJECT ? 1 HELMET INJURY NATURE OF INJURIES
L�!1 USE 1 2 CLASS !1
NAME
(LAST,FIRST,MIDDLE INITIAL)
ADDRESS&PHONE# DOB
SEX MMDDVYYV
PASSENGER []WITNESSO UNIT# SEAT AIRBAG RESTR. EJECT HELMET NJURY
POS. NATURE OF INJURIES
USE CLASS
NAME
(LAST FIR57 MIDDLE INITIAL)
AppRESS&PHONE#
SEX D.Q.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 03-23-23 06:57 PM
INVESTIGATING OFFICER'S SIGNATURE UNIT OR DIST DET DATED PLACE SIGNED
APPROVED BY DATE
Co.JOHNSON 0505 313012023 9:42:38 AM
BADGE OR ID# 11498 ORI# WA0171300 TIME POLICE DISPATCHED 2:23 Pry TIME POLICE ARRIVED i 2:28 Pry
PART I PAGE IT]OF 7�
REPORT NO. ED46965 CASE# 23-3337 OF COLLISION
03/23/23 14:22
OF CbLLI510N
NARRATIVE
23-3337
On 03/23/2023 at approximately 1423 hours, I was dispatched to a vehicle collision with injury at the
intersection of SE 128th Street and 156th Avenue SE, within the City Limits of Renton, County of
King, State of Washington.
While en route, Dispatch advised that five vehicles were involved in a collision at the intersection and
were blocking. Dispatch advised that the Renton Regional Fire Authority (RRFA) would be
simultaneously dispatched due heavy mechanism and suspected injuries. Officer J. Weber had
arrived on scene prior to my arrival.
Upon my arrival, 1 contacted the involved parties and confirmed the driver of Unit#4 was complaining
of left hand and leg pain and was actively being treated by RRFA. RRFA evaluated all involved
parties at the scene and later transported the driver of Unit#4 to Overlake Hospital for further
evaluation. While on scene, I collected each involved party's driving information and their
independent recollection of the incident.
The driver of Unit#1 stated he was the sole occupant of his vehicle and was traveling northbound on
156th Ave SE approaching the intersection of SE 128th ST (aka NE 4th ST). The driver of Unit#1
stated that he was intending to make a right-turn to proceed eastbound onto SE 128th ST. The driver
of Unit#1 stated the traffic light was red and stated that he believed traffic was clear and proceeded
out into the intersection to complete his intended turn. Upon traffic camera review, Unit#1 did appear
to make a right turn on red but did not turn into the nearest lane as required by law (per RCW
46.61.290). Unit#1 is seen on traffic camera turning into the furthest lane (lane 2 of 2) instead of the
closest. During the turn, Unit#1 was met by Unit#2 which had been traveling eastbound on SE 128th
ST in lane 2 of 2. Both vehicles collided in the roadway causing significant damage to driver's side of
Unit#1. As a result of the initial impact, both vehicles shifted direction and collided into several other
vehicles as described below. The driver of Unit#1 believed that Unit#2 was traveling too fast for the
road conditions. This allegation was quashed by reviewing the traffic camera which has since been
uploaded to this case.
The driver of Unit#2 stated that he was the sole occupant of his vehicle and was traveling eastbound
on SE 128th ST approaching the intersection of 156th Ave SE in lane 2 of 2. The driver of Unit#2
stated that he had a green light and was intending to continue east through the intersection. Traffic
camera review did confirm a green light for Unit#2's direction of travel with a change to yellow but
only after Unit#2 had passed the stop bar. As Unit#2 continued through the intersection, he noticed
Unit#1 had turned from the south side of the intersection and appeared to have made his turn too
wide and turned directly in front of Unit#2's lane of travel. The driver of Unit#2 was unable to avoid
the collision and collided with Unit#1 causing significant damage to the front of Unit#2. As a result of
the initial impact, Unit#2 shifted directions and collided into Unit#3 and Unit#4.
The driver of Unit#3 stated that he was the sole occupant of his vehicle and was traveling westbound
on SE 128th ST approaching the intersection of 156th Ave SE in lane 3 of 3 (left-turn lane). The driver
of Unit#3 stated that he had come to a stop at the controlled intersection which was displaying a red
light for his direction of travel. While stopped, the driver of Unit#3 noticed Unit#1 come from the
south side of the intersection and appeared to have made his turn too wide. Both Unit#1 and Unit#2
collided which caused Unit#2 to be pushed into the driver's side of Unit#3 causing significant
damage.
The driver of Unit#4 stated that she was the sole occupant of her vehicle and was traveling
westbound on SE 128th ST approaching the intersection of 156th Ave SE. The driver of Unit#4 was
unsure which lane she was traveling in, but traffic camera footage confirmed she was in lane 3 of 3
(left-turn lane), and directly behind Unit#3. The driver of Unit#4 stated that she had come to a stop at
the controlled intersection which was displaying a red light for her direction of travel. While stopped,
the driver of Unit#4 noticed both Unit#1 and Unit#2 collided which caused Unit#2 to be make an
offset head-on impact with the front of Unit#4 causing significant damage.
The driver of Unit#5 stated that he and his adult passenger were traveling westbound on SE 128th
ST approaching the intersection of 156th Ave SE in lane 1 of 3. The driver of Unit#5 stated that while
PAGE 3 OF 7
REPORT NO. ED46965 CASE# 23-3337 OF COLLISION
03/23/23 14:22
OF CbLLI510N
NARRATIVE
approaching the intersection, he noticed Unit#4 was rolling backwards across multiple lanes of
travel. The driver of Unit#5 tried swerving to avoid the collision, but that Unit#4 ultimately collided
into the driver's side doors and fender of Unit#5 causing moderate damage.
Based on the above statements, 1 believe the driver of Unit#1 (Melki) was the predominant factor for
the cause of collision as Melki violated RCW 46.61.055(3A) which outlines that upon a steady red
indication on a traffic control legend, a vehicle facing a steady circular red signal may make a right-
turn, however, operators planning to make such turns shall remain stopped to allow other vehicles
lawfully within or approaching the intersection control area to complete their movements. Melki did
not allow Unit#2 to complete such movement before turning against the red signal.
I cited Melki in-person for vehicle entering intersection on a red light causing a collision. I gave Melki
a verbal warning for violating RCW 46.61.290 as Melki should have turned into the closest lane of
travel when completing a turn.
Both Unit#1 and Unit#5 were able to be driven away without further incident. Unit#2, Unit#3, and
Unit#4 had to be impounded due to extensive damage. All involved parties were provided a copy of
the Exchange of Information.
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 3/23/2023 6:37 PM Renton, King County, WA.
PAGE 4 OF 7
SUPPLEMENTAL REPORT NO. ED46965
r`) POLICE TRAFFIC 1 1 8 27
COLLISION REPORT CASE# 23-3337
1 COMMERCIAL MOTOR CARRIER INTERSTATE INTRASTATE G
UNIT'# USDOT ICC# VEHICLE TYPE CARGO BODY
;TYPE
2 ❑ 1 1 8 28
CARRIER
NAME
3 CARRIER
ADDRESS `❑
CITY ST ZIP—1 I '
4 ❑ NAME # PLACARD: :❑
GI PLACARD IF NO NUMBER
SOURCE AXLES +
4a ❑ ADDITIONAL UNITS
MOTOR PEDAL- PROPERTY DAMAGE THRESHOLD MET PHONE
5 ❑ UNIT# 3 VEHICLE ISJ CYCLE I_) PEDESTRIAN � OWNER � YES✓ NO
D:4259884169
0 8 29
LAST NAME FIRST NAME MIDDLE
L/SSER BRIAN INITIAL i J
0 g 30
STREET
NFW AnDRFsP 25739 210TH AVE SE CITY MAPLE VALLEY ST WA ZIP 1 980387542
6 [3 1 1 2 31
CDL IGNITION REQUIRED IGNITION PRESENT MEDICAL TANSPORTED
INTERLOCK YEs NO✓ zERLOCK YEs❑NO❑✓ YES N ✓
DRIVER'S
LICENSE STATE I WA SEX M MMDDYYv', 10 - 04 - 1982
7 ❑ HELMET :INJURY' NATURE OF INJURIES
ON DUTY STATUS AIRBAG 2 RESTR. 4 EJECT 1 USE 2 CLASS 7 C/O BACK PAIN
8 ❑ 1 1 2 32
LICENSE 880ZPA TAT INA VIN# JF2SH6CC9AH733677
PLATE#
9 TRAILER TRAILER
PLATE# STATE PLATE# STATE
10 TRLR TRLR
VIN.#. VIN.#.
11 3 5 VEH.YEAR MAKE MODEL STYLE VEHICLE TOWS E T SABLI anvi vEHII' P FROM TO
2010 SUBA FORESTS 4W T WEBY'ER
DAMAGE YES✓NO YES NO ✓
REGISTERED OWNER INFO STEPHANIE LISSER 25739 210TH AVE SE MAPLE VALLEY WA 98038 D:4259884169 SHADE IN DAMAGED AREA 9 9 33
12 3 5 z a 4
FROM TO
LIABILITY INSURANCE INSURANCE CO THE CINCINNATI INS.CO.A01 1108808 <�Q,
IN EFFECT &POLICY# 9 9
VEHICLE 34
13 LEG LEY YES N001
CITATION# CHARGE
STANDING
DAMAGETHRESHOLD MET PHONE 35
14 2 UNIT# 4 MOTOR ❑✓ PEDAL- ❑ PEDESTRIAN ❑ PROPERTY ❑ YES NO
VEHICLE CYCLE OWNER ✓ D:4257532062
AVANZINO CYNTHIA MIDDLE J
❑ 36
15
LAST NAME FIRST NAME INITIAL
2 16 ❑ STREET ❑ 11436 SE 208TH ST SPC 29 CITY KENT ST WA ZIP 980314129
NFln+AnnRFss
CDL IGNITION REOUIREE7 IGNITION PRESENT MEDICALTANSPORTED
17 ❑ INTERLOCK YE.
NO✓ INTERLOCK YEs NO✓ YEs / NO ❑
D.O.B 4 37
DRIVER'S
LICENSE# STATE WA SEX F MMDDyYY' 05 - 28 - 1953
18 ❑
ON DUTY❑ STATUS' AIRBAG 6 RESTR, 4 EJECT 1 1 HELMET 2 INJURY 6 NATURE OF INJURIES 38
USE CLASS LEFT HAND AND LEG PAIN.TRANP'D BY OMB.
19 ❑ ❑
PLATE# BWP3623 Tnr WA v+N# NMTKHMBX1JR045691 3 39
20 ❑ TRAILER' STATE TRAILER ST 3❑ 40
PLATE#< PLATE# ATE
21 ❑ ❑ 41
TRLR TRLR
ViN# YIN#i
42
22 VEH.YEAR2018 MAKE 1.OY,I, MODEL C-HR STYLE 4H VEHICLE TOWED DUET SABLIN TOWED BY GOVT.VEHICLE 1
DAMAGE YES ✓NO GENE MEYER YES NO ✓
23 ❑ REGISTERED OWNER INFO CYNTHIAAVANZINO11436SE208THSTSPC29KENTWA98031 D:425753T062 SHADE IN DAMAGED AREA 43
z s 4
LIABILITY INSURANCE[2] INSURANCE CO STATE FARM 4452962-Ai7-47A <�Q
❑ VEHICLE
EFFECT ✓ &POLICY# 44
24 LE ALE YES[Z NO❑ CITATION# CHARGE
LEGALLY �y
El
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.
MATTHEW NUGENT 03-23-23 06:57 PM
25 INVESTIGATING OFFICER'S SIGNATURE OFFICER'S PHONE UNIT OR DIST DET DATED: PLACE SIGNED
APPROVED BY DATE
26 ORID# 11498 O#IL WA0171300 JOHNSON 3/30/2023 PAGE❑OF❑
3000-345-013(R 11118)
SUPPLEMENTAL REPORT NO. ED46965
r`) POLICE TRAFFIC 1 1 8 27
COLLISION REPORT CASE# 23-3337
1 COMMERCIAL MOTOR CARRIER INTERSTATE INTRASTATE G
UNIT'# USDOT ICC# VEHICLE TYPE CARGO BODY
;TYPE
2 ❑ 1 28
CARRIER
NAME
3 CARRIER
ADDRESS `
CITY ST ZIP—1 I '
4 ❑ NAME # PLACARD: :❑
GI PLACARD IF NO NUMBER
SOURCE AXLES +
4a ❑ ADDITIONAL UNITS
MOTOR PEDAL- PROPERTY DAMAGE THRESHOLD MET PHONE
5 ❑ UNIT# 5 VEHICLE tSJ CYCLE I_) PEDESTRIAN � OWNER � YES NO
D:4254969062
0 1 29
LAST NAME KIM FIRST NAME DOING MIDDLE Y
INITIAL
STREET 30
NEW AnnRFrtP 1072 DUVALL PL NE CITY RENTON ST WA ZIP 980594366
6 [3 1 1 2 31
CDL IGNITIttN REQUIRED IGNITION PRESENT MEDICAL TANSPORTED
INTERLOCK YEs NO zERLOCK YES❑N0� YES N
DRIVER'S
LICENSE STATE I WA SEX M MMDDYYv 09 TV]
- 1949
7
ON DUTY� STATUS AIRBAG' 2 RESTR. Q EJECT 1 HELMET 2 INJURY 1 1 NATURE OF INJURIES
USE CLASS
8 ❑ 1 32
LICENSE BGD6249 [TAT WA VIN# JF2SJAAC8HH808678
PLATE#
9 TRAILER TRAILER
PLATE# STATE PLATE# STATE
10 ❑ TRLR TRLR
VIN.#. VIN.#.
11 3 5 VEH.YEAR2017 MAKE SUBA MODELFORESTE STYLE 4W VEHICLE TOWE E T SABLIN TOWED BY anvi vFH1C P FROM TO
DAMAGE YES NO YES NO
REGISTERED OWNER INFOHYUNG KIM 12020 15TH AVE NE SEATTLEWA 98125 D:4254969062 SHADE IN DAMAGED AREA 3 7 33
12 z 3
FROM TO
LIABILITY INSURANCE INSURANCE CO ESURANCE INS.CO.PAWA-004960941 GQ
IN EFFECT &POLICY# 1EHICLE 34
CITATION# CHARGE
13 LEGALLY YES NO
STANDING �}
14 ❑ UNIT Tr Vd 1RE O CYDCLE OWNERRTY YES AGE NOHRESHOLD MET PHONE ❑ 35
PEDESTRIAN
15 LAST NAME FIRST NAME MIDDLE
36
❑
ITIAL
STREET
16 NEWAET [_% CITY ST ZIP
CDL IGNITION REdUiRED IGNITION PRESENT MEDICALTANSPORTED
INTERLOCK YES No INTERLOCK YEs NO YES NO ❑
17 4 37
LICENSE# STATE SEX MMDDDYBYY
18 ❑ ON DUTY� STATUS AIRBAG RESTR. ; EJECT HELMET INJURY NATURE of INJURIES 38
USE CLASS
19 ❑ LICENSE rnr VIN# 39
PLATE#
20 ❑ TRAILER' STATE TRAILER STATE ❑ 40
PLATE#< PLATE#
21 ❑ ❑ 41
TRLR TRLR
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 '
VINE
EFFECT &POLICY# i 970P - 4 E:l
44
24 LEwcLE YES❑ NO❑ CITATION# CHARGE iq 60TiOM
LEGALLv
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.
MATTHEW NUGENT 03-23-23 06:57 PM
25 INVESTIGATING OFFICER'S SIGNATURE OFFICER'S PHONE UNIT OR DIST DET DATED: PLACE SIGNED
APPROVED BY DATE
26 ORID# 11498 O#IL WA0171300 JOHNSON 3/30/2023 PAGE F OF 7
3000-345-013(R 11118)
REPORT NO. EU46005 CASE# 23-3337 DATE AND TIME 03/23/2314:22
OF COLLISION
CD
"mt#3 SE 128thST/NE4thSt