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HomeMy WebLinkAbout23-10837 ITFF' "POLCERA II I !�� I III I III I IIII III II I . 0 27c
COLLISION REP FIT 1591971
CASE 23-10837 z
INTERSTATE ❑ CITY STREET FIRE ❑RESULTED
1 STOLEN
STATE ROUTE ❑ OTHER ❑ VFHIl.I F ❑ LOCAL AOENC 4900 3
HIT&RUN CODING
COUNTY RD PRIVATE WAY INVOLVED
2 TOTAL#TRIBAL OF 02 OBJECT 1 1 8 28
UNITS
RESERVATION I STRUCK
z
3 DATE OF M M D D Y Y Y Y TIME(2400) COUNTY# MILES N E IN CITY# ❑
cawsloN 09 - 1-- 2023 1801 17 ❑.❑ S IN 1070 3
4❑ ON (PRIMARY TRAFFIC WAY) INTERSECTION ❑ NON INTERSECTION ❑✓
RAINIER AVE SOUTH BLOCK NO. e✓ 100
4a❑ MILEPOST
DISTANCE OF(REFERENCE OR CROSS STREET)
5❑ 291 00 FEET e S B W e AIRPORT WAY
0 4 29
MOTOR PEDAL- DAMAGE THRESHOLD MET PHONE
UNIT 01 VEHICLE ❑ CYCLE ❑ YES NO D:2066985394 0 11 30
6 LAST NAME AVANESOV FIRSTNAME KATHERINA MIDDLE S 1 1 2 31
INITIAL
STREET ❑✓ 30143 36TH PL S CITY AUBURN ST WA 2jp, 98001 z
NEW ADDRESS
7❑ CDL IGNITION REQUIRED IGNITION PRESENT MEDICAL TRANSPORTED 3
iNTERLOCKYEs NO 1/ INTERLOCKYEs NO�/ YEs No�/
8❑ LICENS DRIVER # STATE WA SEX'F MMDDI,Y 06 - 01 - 2005 1 2 32
9 ON DUTY❑ STATUS' AIRBAG 6 RESTR 4 . EJECT 1 H USE 2 CLASSJURY 7 EVAL'D BYRRFAS z❑
3
10 9� Pi ATNFS14 BWV2280 STATE WA VIN# WMWRC33423FJ50058
TRAILER STATE TRAILER STATE
11 0 0 PLATE# PLATE# FROM TO
TRLR. YRLR. 3 5 33
12 3 5 VIN#' VIN#
FROM TO
VEH.YEAR MAKE MODEL STYLE VEHICLE TOWED TO BLIN T k GOVT.VEHICLE 34
13Fol 2003 MNN/ COOPS 2H DAMAGE YES NO � RS 5 1 YES❑ No✓
REGISTEREDOWNERINFO SEMYONAVANES01/3014336THPLS AUBURN WA98001 D:2066985394 VEHICLE NO. 1 ❑
SHADE IN DAMAGED AREA 35
14rI LIABILITY INSURANCE INSURANCE CO STATE FARM 5138301-D29.47 3 4
IN EFFECT &POLICY# STOP
VEHICLE CHARGE 5 36
LEGALLY res❑NO❑ CITATION# 3A0637848 FAIL STOP AT STOP 10 BOTTOM
15❑ STANDING 8 7 6
MOTOR PEDAL- 'PEDESTRIAN PROPERTY DAM THR OLD MET PHONE
UNIT 02 VEHICLE ❑ CYCLE ❑ ❑ OWNER ❑ YES 1/ NO D:2066592001
16 a
LAST NAME MC CORVEY FIRST NAME DARNELL MIDDLE L
INITIAL
17 STREET I❑ s❑' 13109 83RD LN S CITY SEATTLE ST' WA ZIP 98178 4❑ 37
NEW ADOREs
18❑ CDL IGNITION REQUIRED IGNITION PtR-E-S1ENT MEDICAL-T�RANSPORTED � 38
INTERLOCK YEs❑No� INTERLOCK vEs I I NOF YES t l NOF,/
19 DRIVER'S STATE WA SEX M D.C.B. 07 03 _ 1969 39
LICENSE# MMDDYY
20❑ ON DUTY STATUS AIRBAG 6 RESTR 4 EJECT 1 HELMET 2 INJURY 7 NATURE OF INJURIES 40
USE CLASS EVAL'D BY RRFA
❑ILICENSE 21❑ PLA E# BYU0263 TATE 41
WA VIN1 SAJAL4GX1JCP36467 1
42
22❑ PILER LATE# STATE pLATE# STATE
23❑ UIN#. 43
TRLR RLR
'IN#.
TOWED BY Gov HI 44
VEH YEAR 2018 MAKE JAGU MODEL XE STYLE 4D DAMAGE TOWED✓ NOO BLIN BANKERS YES N%/
24❑ REGISTERED OWNER INFO OWNED SY DRIVER VEHICLE N0.2
SHADEd DAMAGEDAREA
4� 3 4
LIABILITY
INSURANCE INSU&PORGY#ECO STATE FARM 4925862-E18-47IN STOP
VEDICLE res� Nc❑ CITATION# 3A0637851 CHARGE DWLS 3RD DEGREE
LECAL
25 ,osorroM
Lv `LJ
a
OFFICER'S NAME(PRINT) OFFICER PHONE BADGE OR ID# AGENCY
J
26
MATTHEW NUGENT 11498 WA0171300
PART A PAGE 01 OF C7
3000-345-159 OR 11/181
STATE OF
POLICETRAFFICN CORRECTION REPORT NO. EE02918
COLLISION REPORT III III III III III 111
1591972 CASE# 23-10837
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 09-26-23 06:20 PM
INVESTIGATING OFFICER'S SIGNATURE UNIT OR DIST DET DATED PLACE SIGNED
APPROVED BY E
DAT
C.JACOBS 1953 912712023 10:18:25 AM
BADGE OR ID# 11498 ORI# WA0171300 TIME POLICE DISPATCHED 8:02 Pry TIME POLICE ARRIVED',6:05 PM
PART B PAGE IT]OF 5�
REPORT NO. EE02918 CASE# 23-10837 DATEAND
aE
dF coyL� 09/20/23 18:01
LISIO isi©�u
NARRATIVE
23-10837
On 09/20/2023 at approximately 1802 hours, I was dispatched to a vehicle collision with reports of
injury at the intersection of Rainier Avenue South and Airport Way, within the City Limits of Renton,
County of King, State of Washington.
While en route, Sergeant C. Tolliver had arrived on scene and requested Renton Regional Fire
Authority (RRFA) respond due to complaints of injury as well as airbag deployment.
Upon my arrival, 1 confirmed that both of the involved parties were complaining of injury. RRFA later
responded and evaluated the involved parties who were treated at the scene and released. 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 she was the sole occupant of her vehicle and was attempting to exit from
the driveway to Starbucks (68 Rainier Ave S, Ren) and had approached the intersecting roadway of
Rainier Ave S. The driver of Unit#1 stated that she was intending to make a left turn at the
intersection to proceed southbound onto Rainier Ave S. The driver of Unit#1 stated that she stopped
at the intersection to yield to approaching traffic. The driver of Unit#1 stated that she believed traffic
was clear. The driver of Unit#1 stated that she began to turn out into the roadway. The driver of Unit
#1 stated that Unit#2 then suddenly appeared and that both Unit#1 and Unit#2 collided in the
roadway causing significant damage to the front passenger side of Unit#1.
The driver of Unit#2 said he was the sole occupant of his vehicle and was traveling northbound on
Rainier Ave S approaching the intersection of Airport Way in lane 3 of 4. The driver of Unit#2 stated
he was intending to continue straight through the intersection but that just prior to reaching the
intersection, Unit#1 failed to yield to his vehicle and collided into the front of Unit#2 causing
significant damage to the entire front of Unit#2.
Based on the above statements, 1 determined that the Driver of Unit#1 (Avanesov) was the
predominant factor for the cause of collision as Avanesov did not grant the right of way to traffic
already in the roadway and underway. Avanesov violated RCW 46.61.190(2) as every driver of a
vehicle approaching an intersecting roadway shall stop where the driver has a view of approaching
traffic on the intersecting roadway before entering the roadway, and after having stopped shall yield
the right-of-way to any vehicle in the intersection or approaching on another roadway so closely as to
constitute an immediate hazard during the time when such driver is moving across or within the
intersection or junction of roadways.
I issued Avanesov a citation in-person for Failing to Stop/Yield at an intersection causing a collision.
A DOL WACIC check revealed that the driver of Unit#2 (Mc Corvey) was listed as Driving While
License Suspended in the third degree.
Mc Corvey was Driving While License Suspended in the third degree by operating a motor vehicle at
a time when his license is suspended in the third degree.
I cited Mc Corvey via complaint for DWLS 3rd. I later noticed that there was an Ignition Interlock (IIL)
requirement on Mc Corvey's license via DOL, but I did not check Mc Corvey's vehicle at the time of
incident as to whether the IIL was installed or not.
Both Unit#1 and Unit#2 had to be towed due to extensive damage. An exchange of information was
provided to all involved parties.
PAGE 3 OF 5
REPORT NO. EE02918 CASE# 23-10837 DATEAND
aE
dF coyL� 09/20/23 18:01
LISIO isi©�u
NARRATIVE
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 9/26/2023 6:15 PM Renton, King County, WA.
PAGE 4 OF 5
REPORT NO. EE02918 CASE# 23-10837 DATE AND TIME 09/20/2318:01
OF COLLISION
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PAGE 5 OF 5