HomeMy WebLinkAbout23-5370 ITFF' "POLCERA II I !�� I III I III I IIII III II I . 6 27c
COLLISION REP FIT 1591971
CASE 23-5370 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 OZ STRUCK
RESERVATION
z
3❑ DATE OF M M D D Y Y Y Y TIME(2400) COUNTY# MILES N E IN CITY#
cowsloN 05 - 1-- 2023 1435 17 ❑-= S 8 IN e 1070 3
4❑ ON (PRIMARY TRAFFIC WAY) INTERSECTION ❑✓ NON INTERSECTION ❑
BL
SW SUNSET BLVD OCK NO. e ❑
4a❑ MILEPOST
DISTANCE OF(REFERENCE OR CROSS STREET)
5❑ ❑ FEET e S ❑ OF HARDIEAVESW
0 1 29
MOTOR PEDAL- DAMAGE THRESHOLD MET PHONE
UNIT 01 VEHICLE ❑ CYCLE El
,/No D:2065376713 0 11
30
6❑ LAST NAME CALLANDRET FIRSTNAME JENNIFER MIDDLE E 1 1 2 31
INITIAL
STREET ❑✓ 661 TAYLOR AVE NW CITY RENTON ST WA 2jp, 98057 z
NEW ADDRESS
7❑ CDL IGNITION REQUIRED IGNITION PRESENT MEDICAL TRANSPORTED 3
INTERLOCK YES[:]NO 1/ INTERLOCKYEs NO�/ YES R No�/
8❑ LDRIVER # STATE WA SEX'F MID
.O B 07 1- 13 - 1991 2 32
9 ON DUTY❑ STATUS AIRBAG 2 RESTR 9 EJECT 1 H U SE
ICNLJAUSSY 1 NATURE OF INJURIES z❑
3
10 1❑ PI ATE LICENS
4 784XJV sTAT WA u N#' 1 ZVFT84N275245253
5 TRAILER STATE TRAILER STATE
11 2 5 PLATE# PLATE# FROM TO
FT -R TPILF1 1 5 33
12 2 5 VIN#j VIN#
FROM TO
VEH.YEAR 2007 MAKE MODEL STYLE VEHICLE TOWED TO BLIN TOWED BY GOVT.VEHICLE 7 3 34
13 FORD MUSTAN 2D DAMAGE YES NO YES[:] No✓
REGISTERED OWNER INFO JENNIFER CALLANDRET661 TAYLORAVE NW RENTON WA 98057 D:2065376713 VEHICLE NO. 1 ❑
SHADE IN DAMAGED AREA 35
14 LIABILITY INSURANCE INSURANCE CO PROGRESSIVE 969232877 3 4
IN EFFECT &POLICV# eq�T9TOP
VEHCLe CHARGE 11013
5 36
ALLY YES❑NO CITATION# 3AO344731 VEH ENTER INTERSEC STEADY RED o eorrom
15❑ STANDING 8 6
MOTOR PEDAL- PROPERTY DAM THR OLD MET PHONE
UNIT 02 ❑ PEDESTRIAN ❑ ❑ D:2065129019
VEHICLE CYCLE '. OWNER YES�/ NO
16 a
LAST NAME GILBERT FIRST NAME CYNTHIA MIDDLE R
INITIAL
17❑ STREET ❑', 25040 106TH AVE SE UNIT H105 CITY KENT ST WA ZIP 980306493 37
NEW ADDRESS ❑
18� CDL IGNITION REQUIRED IGNITION PtR-E-S1ENT MEDICAL TRANSPORTED ❑ 38
INTERLOCKYES�NO� INTERLOCK YEs I I NOF YEs t l NOF,/
19 LDIIVER # STATE WA ]SEX IF M .C.B. 08 _ 28 _ 1955 39
WELMET INJURY1 NATURE OF INJURIES 40
20❑ ON DUTY STATUS AIRBAG 2 RESTR 9 EJECT 1 USE CLASS ❑
21❑ LICENSE I CCM1331 TATe WA VIN# 1N4AL3AP2GN380762
❑ 41
PLATE#
42
22❑ PLATE# STATE PLATE# STATE
TRLR
23❑ UIN#. IN#.
43
RLR
'
VEH YEAR 2016 MAKE NISS MODEL ALTIMA STYLE 4D VEHICLETOWED TO BLIN TOWEDBY GOV HI 44
24❑ DAMAGE YES NO YES NO
REGISTERED OWNER INFO CYNTHIA GILBERT 25040106TH AVE SE H105 KENT WA 98030 D:2065129019 VEHICLE NO.2
SHADE IN DAMAGED AREA
2 3 4
LIABILITY
INSURANCE INSU PORGY#E CO PROGRESSIVE 959050683IN STOP 5
--E ❑ ,J� CITATION# CHARGE
25 i o BOTTOM
LEGALLY YES N`L J
s � a
7SHA
NAME(PRINT) OFFICER PHONE BADGE OR ID# AGENCY
J
26
CROW 12618 WA0171300
PART A PAGE 01 OF
3000-345-159 OR 11/181
STATE OF
POLICETRAFFICN CORRECTION REPORT NO. ED61929
COLLISION REPORT III III III III III 111
1591972 CASE# 23-5370
ADDITIONAL PERSONS INVOLVED PASSENGERS AND/OR WITNESSES ONLY)
NAME MIDDLE INITIAL) MOIUSER JOHN K
(LAST FIRST,
ADDRESS&PHONE#
21840 244TH AVE SE MAPLE VALLEY WA 98038 4255246928 SEX M MMDOYyry 04 - 14 - 1962
PASSENGER WITNESS UNIT# SEAT AIRBAG RESTR. EJECT ' HELMET INJURY NATURE OF INJURIES
❑ ❑✓ POS. USE CLASS
NAME
(LAST,FIRST,MIDDLE INITIAL) HILL RAYMOND A
ADDRESS&PHONE# D O B
16941 WOODSIDE DR SE RENTON WA 98058 2533243920 SEX' M MMDDYYYY 12 - 28 - 1963
PASSENGER UNIT# SEAT AIRBAG RESTR. EJECT HELMET INJURY NATURE OF INJURIES
[]WITNESS POS. USE CLASS
NAME
(LAST FIR57 MIDDLE INITIAL)
AppRESS&PHONE#
SEX D.O.B.MMDD -❑
YYYY.
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.
SHAWN CROW 05-13-23 02:34 PM
INVESTIGATING OFFICER'S SIGNATURE UNIT OR DIST DET DATED PLACE SIGNED
APPROVED BY DATE
DESIRES SCOTT 10272 1 512012023 11:32:15 AM
BADGE OR ID# 12618 ORI# WA0171300 TIME POLICE DISPATCHED 2:35 PM TIME POLICE ARRIVED',2:38 PM
PART Ei PAGE IT]OF 4�
REPORT NO. ED61929 CASE# 23-5370 OF COLLISION
05/12/23 14:35
OF CbLLI510N
NARRATIVE
On 05/09/2023 at about 1435 hours I was working uniform marked patrol as 1 R15 when I was
dispatched to a motor vehicle collision at the intersection of SW Sunset Blvd/Hardie Ave SW within
the city limits of Renton, King County, Washington. Upon arrival uniform officers had already cleared
the intersection and the two involved vehicles moved to a nearby parking lot. There were no reported
injuries.
Vehicle 1 (2007 Ford Mustang with Washington license plate 784XJV) was driven by Driver 1
(Jennifer E. Callandret) and headed southbound on Hardie Ave SW at the time of the collision.
Vehicle 2 (2016 Nissan Altima with Washington license plate CCM1331) was driven by Driver 2
(Cynthia R. Gilbert) who was headed eastbound on SW Sunset Blvd at the time of the collision.
Driver 1 stated the traffic light (for southbound traffic) was green in color as she entered the
intersection going southbound at Hardie Ave SW/SW Sunset Blvd. Driver 1 also stated the traffic
light turned yellow in color as she was already in the intersection. As Vehicle 1 was in the
intersection Driver 1 heard the sound of Vehicle 2's horn and then saw Vehicle 2 collide into her car
(Vehicle 1). Driver 1 and her 2 year old son (who was seated in a car seat in the rear passenger
seat) were not injured. Vehicle 1 had damage to the front passenger side area of the car, and it was
able to be driven from the scene.
Driver 2 said she was stopped at the traffic light (for eastbound traffic) on SW Sunset Blvd when it
turned green in color. Driver 2 said she began to drive east through the intersection of SW Sunset
Blvd/Hardie Ave SW when she saw Vehicle 1 drive directly in front of her. Driver 2 was unable to
stop her vehicle in time to avoid a collision, and the front end of Vehicle 2 struck the front passenger
side of Vehicle 1. Driver 2 was not injured, and there were no additional occupants inside Vehicle 2.
Vehicle 2 had damage to the front end of the car, and it was able to be driven from the scene.
John K. Mouser was in his vehicle while in the far left eastbound lane of SW Sunset Blvd at the
intersection at Hardie Ave SW when the collision occurred. John saw that the traffic light was green
in color for eastbound traffic, and he saw the two vehicles collide.
Raymond A. Hill was driving his vehicle on SW Sunset Blvd and was stopped directly behind Vehicle
2 when he saw the collision. Raymond said the traffic light for eastbound traffic was green in color as
Vehicle 2 entered the intersection, and the two vehicles collided.
Based on what the two witnesses and Driver 2 stated regarding the traffic light for eastbound traffic
being green in color, it appeared that Driver 1's actions contributed to the collision. Jennifer
Callandret was cited for Vehicle Entering Intersection Steady Red Circular traffic signal (RCW
46.61.055.3A). The infraction (3A0344731) was sent to the court for mailing.
PAGE 3 OF 4
REPORT NO. ED61929 CASE# ' 23-5370 DATE AND TIME 05/12/23 14:35
OF COLLISION
x:
v-
s
SW 4u—t BI'd Veh cle 5
'NaC drnwn to yculd:
f
r
Wit—(Ray—,d..Hill) Vehicle3
PAGE 4 OF 4