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HomeMy WebLinkAbout23-4306 ITFF' "POLCERA II I !�� I III I III I IIII III II I . 6 27c COLLISION REP FIT 1591971 CASE 23-4306 z INTERSTATE ❑ CITY STREET FIRE ❑RESULTED 1 STOLEN STATE ROUTE ❑ OTHER ❑ VFHIC;I F ❑ LOCAL AOENC 4900 3 HIT&RUN CODING COUNTY RD PRIVATE WAY INVOLVED 2 2 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 04 - 1-- 2023 0851 17 ❑-= S 8 IN e 1070 3 4❑ ON (PRIMARY TRAFFIC WAY) INTERSECTION ❑✓ NON INTERSECTION ❑ NE 4TH STREET BLOCK NO. e✓ 5700 ❑ 4a❑ MILEPOST DISTANCE OF(REFERENCE OR CROSS STREET) 5❑ ❑ FEET e S ❑ w e NILEAVE NE 0 1 29 MOTOR PEDAL- DAMAGE THRESHOLD MET PHONE UNIT 01 VEHICLE ❑ CYCLE El ,/NO D:2062350108 0 4 30 6� LAST NAME SHAPOSHNIKOVA FIRSTNAME RUSLANA MIDDLE D 1 1 2 31 INITIAL STREET ❑ 21056 132ND AVE SE CITY KENT ST I WA 2jp, 980423103 z NEW ADDRESS 7❑ CDL IGNITION REQUIRED IGNITION PRESENT MEDICAL TRANSPORTED 3 iNTERLOCKYEs NO 1/ INTERLOCKYEs NO Z/ YES R No�/ 8❑ LRIIVER # ON DUTY❑ STATUS AIRBAG 3 RESTR 4 EJECT 1 HELMET 2 INJURY 7 NATURE OF INJURIES 2❑ USE CLASS C/O PAIN FROM SB.EVAL'D BY RRFA 3 LICENSE STATE VIN# JF1GH626X8G806187 10❑ PI ATE 14 TRAILER STATE TRAILER STATE 11 3 51 PLATE# PLATE# FROM TO TRLR 3 7. TRLR 33 12 3 5 VIN If VIN# FROM TO ❑ VEH.YEAR MAKE MODEL STYLE VEHICLE TOWED TO BLIN TOWED BY GOVT.VEHICLE q 3 34 13 2 2007 SUBA IMPREZ 4H DAMAGE YES NO YES❑ NO✓ REGISTERED OWNER INFO OWNEDBYDRIVER VEHICLE NO. 1 SHADE IN DAMAGED AREA ❑ 35 14 ❑ INSURANCE CO <53 4 LIABILITY INSURANCEIN EFFECT &POLICV# TOPVE— CHARGE OTTOM 5 36 LEGALLY YEs NO CITATION# 3A0055614,3A0055614, FAIL TO INITIALLY REGISTER 15❑ STANDING 6 MOTOR PEDAL- PEDESTRIAN PROPERTY DAM THR OLD MET PHONE 16 a UNIT a2 VEHICLE ❑ CYCLE ❑ ❑ OWNER ❑ YES 1/ NO D:4257509082 LAST NAME HILL FIRST NAME KAYA MIDDLE M INITIAL 17 STREET❑ NEW ADOREss❑' 419 ORCAS PL NE CITY' RENTON ST WA ZIP 980596316 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 LDI IVER # STATE WA ]SEX IF M .C... 04 18 _ 2005 39 20❑ ON DUTY STATUS AIRBAG,4 RESTR 4 EJECT 1 WEB SET 2 NJAU SY 7 EVAL'D BY RRFA FOR PRECAUTION ❑[-�A—TURE OF INJURIES 40 ❑ILICENSE 21❑ PLA E# BSG1818 TATE 41 WA VIN# 2HNYD18945H552792 1 42 22❑ PLATE# STATE PLATE# STATE 23❑ VIN#. 43 TRLR RLR 'IN#. VEH YEAR 2005 MAKE ACUR MODEL MDX STYLE 1/T VEHICLETOWED TO BLIN TOWED BY GOV HI 44 24❑ DAMAGE YES NO,/ YES NO REGISTERED OWNER INFO SABRINA PANOS 419 ORCAS PL NE RENTON WA 98059 D:4257509082 VEHICLE NO.2 SHADE IN DAMAGED AREA 2 3 4 LIABILITY INSURANCE INSU PORGY#E CO PEMCO CA 1211919IN 1 9TOP 5 'E""LE ❑ N J ,J� CITATION# CHARGE LEG i o BOTTOM ALLY YES 25 OFFICER'S NAME(PRINT) OFFICER PHONE BADGE OR ID# AGENCY 26 MATTHEW NUGENT 11498 WA0171300 PART A PAGE 01 OF 3000-345-159 OR 11/181 STATE OF POLICETRAFFICN CORRECTION REPORT NO. ED52598 COLLISION REPORT III III III III III 111 1591972 CASE# 23-4306 ADDITIONAL PERSONS INVOLVED PASSENGERS AND/OR WITNESSES ONLY) NAME MIDDLE INITIAL) DASHEL ELISA M (IAST FIRST, ADDRESS&PHONE# 174 NILE PL NE RENTON WA 98059 2069194550 SEXi F MMDOYyvv 03 - OS - 1988 PASSENGER WITNESS UNIT# SEAT AIRBAG RESTR. EJECT ' HELMET INJURY NATURE OF INJURIES POS. USE CLASS NAME '(LASTr FIRS' MIDDLE INITIAL) ADDRESS&PHONE# Ly O SEX MMDDYYYV PASSENGER ❑WITNESS UNIT# SEAT AIRBAG RESTR. EJECT HELMET NJURY NATURE OF INJURIES POS. USE CLASS NAME (LAST FIR57 MIDDLE INITIAL) AppRESS&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 04-18-23 05:22 PM INVESTIGATING OFFICER'S SIGNATURE UNIT OR DIST DET DATED PLACE SIGNED APPROVED BY DATE co.JOHNSON 0505 4/19/2023 8:30:47 AM BADGE OR ID# 11498 ORI# WA0171300 TIME POLICE DISPATCHED 8:54 AM TIME POLICE ARRIVED:9:03 AM PART I PAGE IT]OF REPORT NO. ED52598 CASE# 23-4306 OF COLLISION 04/17/23 08:51 OF CbLLI510N NARRATIVE 23-4306 On 04/17/2023 at approximately 0854 hours, I was dispatched to an injury vehicle collision at the intersection of NE 4th Street and Nile Avenue NE, within the City Limits of Renton, County of King, State of Washington. While en route, Dispatch advised that two vehicles were involved in a collision and blocking the intersection. Dispatch advised that the Renton Regional Fire Authority (RRFA) would be simultaneously dispatched for an 18 YOF with airbag deployment and complaining of pain from the seatbelt. All involved parties were evaluated at the scene and released. Upon my arrival, RRFA was on scene and evaluating the involved parties. While on scene, I collected each involved party's information and their independent recollection of their involvement leading up to the collision. The driver of Unit#1 stated she was the sole occupant of her vehicle and was traveling westbound on NE 4th ST approaching the intersection of Nile Ave NE in lane 1 of 3. The driver of Unit#1 stated she was intending to continue west at the intersection. The driver of Unit#1 stated that she noticed an uninvolved vehicle make a turn onto NE 4th Street from Nile Ave NE and that she began to slow down but believed the traffic light was still green for her direction of travel. Upon reaching the intersection, the driver of Unit#1 stated that Unit#2 had proceeded out into the intersection. The driver of Unit#1 stated she tried to avoid the collision but was unable to and subsequently collided with Unit#2 causing significant damage to the front of Unit#1. The driver of Unit#1 admitted to operating an unregistered vehicle without insurance and claimed that she recently bought the vehicle. The driver of Unit#2 said she was the sole occupant of her vehicle and was traveling southbound on Nile Ave NE and stopped at the intersection of NE 4th Street in lane 2 of 2 (left-turn lane). The driver of Unit#2 stated she was intending to make a left-turn onto NE 4th Street to proceed eastbound upon the traffic light changing from red to green. Once the traffic light changed from red to green for her direction of travel, the driver of Unit#2 stated she proceeded out into the intersection where she noticed Unit#1 approaching the same intersection from the east and believed that Unit#1 ran a red light. The driver of Unit#2 stated that she was unable to avoid the collision and that Unit#1 struck Unit#2 on the driver's side causing significant damage to the front and rear driver's side doors of Unit #2. An independent witness, verbally identified as Elisa Dashel, left her contact information with one of the involved parties. I later contacted the witness by phone. Dashel described waiting at the same intersection but on the opposite side of Unit#2 (just south of NE 4th Street). The witness stated that upon the traffic light changing from red to green, ultimately permitting a left-turn for both Unit#2 and the witness, she noticed Unit#1 "flying" down NE 4th Street. Dashel stated that Unit#1 clearly ran the red light and that had Unit#2 not been struck, it would have been the witnesses' vehicle struck instead. While on scene, the traffic light appeared to be functioning normally. Based on the above statements, I determined that the Driver of Unit#1 (Shaposhnikova) was the predominant factor for the cause of collision due to Failing to Obey a Traffic Control Legend. The driver of Unit#1 was not paying attention to the posted traffic light at the intersection causing a collision. The driver of Unit#1 was also operating an unregistered motor vehicle upon the roadway violating the conditions set forth in RCW 46.16A.030(4). The driver of Unit#1 admitted to not having motor vehicle insurance. I therefore cited Shaposhnikova via mail for Failing to Obey a Traffic Control Legend, Failing to Initially Register a Motor Vehicle, and Operating a Motor Vehicle without Insurance. PAGE 3 OF 5 REPORT NO. ED52598 CASE# 23-4306 OF COLLISION 04/17/23 08:51 OF CbLLI510N NARRATIVE Unit#1 had extensive damage and had to be impounded. Unit#2 was able to be limped off the roadway while the owner made private arrangements. 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 5:16 PM 4/18/2023 Renton, King County, WA. PAGE 4 OF 5 REPORT NO. ED52598 CASE# 23-4306 DATE AND TIME 04/17/23 08:51 OF COLLISION Q9 - Z (D `Diagram not to scale C (D Uni@#2 m UniE#1 z 4: N E 4th St PAGE 5 OF 5