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HomeMy WebLinkAbout24-1358 ITFF' "POLCERA II I !�� I III I III I IIII III II I . 0 27c COLLISION REP FIT 1591971 INTERSTATE ❑ CITY STREET FIRE ❑ CASE 24-13s8 2 RESULTED 1 STOLEN STATE ROUTE ❑ OTHER ❑ VFHIl.I F ❑ LOCAL AOENC 4200 3 HIT&RUN CODING COUNTY RD PRIVATE WAY INVOLVED 2❑ TOTAL#OF OBJECT 1 1 8 28 TRIBAL UNITS 02 RESERVATION STRUCK z 3 DATE OF M M D D Y Y Y Y TIME(2400) COUNTY# MILES N E IN CITY# cowsloN 02 - 1-- 2024 2132 17 ❑.= S IN 1070 3 4❑ ON (PRIMARY TRAFFIC WAY) INTERSECTION ❑✓ NON INTERSECTION ❑ N 3RD ST BLOCK e✓ 800 ❑ 4a❑ MILEPOST DISTANCE OF(REFERENCE OR CROSS STREET) 5❑ ❑ FEET e S ❑ W e WELLS AVE N OF,1 29 MOTOR PEDAL- DAMAHRESHOLD MET PHONE UNIT 01 VEHICLE ❑ CYCLE El GE THRESHOLD D:2065383791 0 1 30 6 LAST NAME FAIZI FIRSTNAME MANSOOR MIDDLE I N 1 1 2 31 INITIAL STREET ❑ 14828 MILITARY RD S APT 103 CITY TUKWILA ST WA Zjp, 981684263 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 -O B 03 - 13 - 1992 1 2 32 9❑ ON DUTY❑ STATUS AIRBAG 6 RESTR 4 EJECT 1 H U EET ICNLJAURY 1 NATURE OF INJURIES 2❑ 3 LICENSE CER7437 STATE WA v N# 3FA6POSU5DR261366 10 9❑ Pr ATF� TRAILER STATE TRAILER STATE 11 0 0 PLATE# PLATE# ROM ro TRLR. TRLR 5 1 33 12 0 0 VIN#' VIN# :: FROM TO ❑ VEH.YEAR MAKE MODEL STYLE VEHICLE TOWED TO BLIN T GOVT.VEHICLE 7 3 34 13 2 2013 FORD FUSION SD DAMAGE YES No �LI I� RS vEs❑ HI REGISTERED OWNER INFO MANSOOR FAIZI 14828 MILITARY RD S APT 103 TUKWILA WA 98168 VEHICLE NO. 1 SHADE IN DAMAGED AREA ❑ 35 1 NSURANCE CO 4 14 LIABILITY INSURANCE LIBERTY MUTUAL AOS-268.516779 40 3 2 IN EFFECT &POLICY# TOPve FFE CHARGE <1�3 OTTOM 5 36 LE ALLY YEs No clTAnoN# 4A0225270 FAIL STOP AT INTERSECTION/STOP 5 15❑ STANDING 7 6 MOTOR PEDAL- PROPERTY DAM THR OLD MET PHONE UNIT 02 VEHICLE Z CYCLE' ❑ PEDESTRIAN ❑ PROPOWNFR ❑ YES NO D:2064963612 16 a LAST NAME CRAFT FIRST NAME SYDNEY MIDDLE I J INITIAL 17❑ NEW STREETR 7 3430 NORTON AVE CITY' EVERETT ST WA ZIP 982014222 4❑ 37 18❑ CDL IGNITION REQUIRED IGNITION PR-E-1SENT MEDICAL-T�RANSPORTED � 38 INTERLOCKYES�NO� INTERLOCK YEs It I NOF YES t l NoF,/ 19[—] DRIVER'S STATE WA ]SEX IF D.C.B. 05 _ 19 _ 2005 39 LICENSE# MMDDYY 20❑ ON DUTY STATUS AIRBAG 4 RESTR 4 EJECT 1 HEJ EET NJAU EY 1 NATURE OF INJURIES ❑ 40 LICENSE I ❑21❑ PLA E# CHZ2873 TATE WA VIN# 41 JNKCV54E84M803301 1 42 22❑ PLATE# STATE PLATE# STATE 23❑ UIN#. 43 TRLR RLR 'IN#. VEH YEAR 2004 MAKE INFI MODEL G35 STYLE CP VEHICLE TOWED TO BLIN TOWEDBY GOV HI �44 24❑ DAMAGE YES NO BANKERS YES NO REGISTERED OWNER INFO SYDNEY CRAFT 915 BARNHARD ST SHELTON WA 98584 VEHICLE NO.2 SHADEd DAtYGED AREA 4� 4 LIABILITY INSURANCE &POINSURGY#E CO PROGRESSIVE 70593687IN STOP 5 VE"LE ❑ ,J� CITATION# CHARGE 1oBOTTOM LEGALLY YES N`L J 25 ' e OFFICER'S NAME(PRINT) OFFICER PHONE BADGE OR ID# AGENCY J 26 RYAN KARLO RIVERA 1 12649 WA0171300 PART A PAGE 01 OF 3000-345-159 OR 11/181 STATE OF POLICETRAFFICN CORRECTION REPORT NO. EE48838 COLLISION REPORT III III III III III 111 1591972 CASE# 24-1358 ADDITIONAL PERSONS INVOLVED PASSENGERS AND/OR WITNESSES ONLY) NAME MIDDLE INITIAL) MOSAZAI JAMALUDDION (IAST FIRST, ADDRESS&PHONE# 26313 203RD PL SE COVINGTON WA 98042 2064980263 SEX i M MMDDYyry 04 - 21 - 1994 PASSENGER Z WITNESS❑ UNIT# SEA 3 AIRBAG 6 RESTR. 4 EJECT ? HELMET INJURY NATURE OF INJURIES USE CLASS '1 NAME (LAST,FIRST,MIDDLE INITIAL) SWEATMAN JODIE A ADDRESS&PHONE# DOB 804 N 3RD ST RENTON WA 98057 7164876742 SEX' F MMDDYVW 03 - 11 - 1995 PASSENGER UNIT# SEAT AIRBAG RESTR. EJECT HELMET INJURY NATURE OF INJURIES []WITNESS POS. USE CLASS NAME (LAST FIR57 MIDDLE INITIAL) AppRESS R 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. RYAN KARLO RIVERA 02-06-24 11:54 PM INVESTIGATING OFFICER'S SIGNATURE UNIT OR DIST DET DATED PLACE SIGNED APPROVED BY DATE D.MOYNIHAN 11288 2/9/2024 9:02:06 PM BADGE OR ID# 112649 ORI#' WA0171300 TIME POLICE DISPATCHED` 9:34 PM TIME POLICE ARRIVED',9:37 PM PART B PAGE IT]OF 5� TIM REPORT NO. EE48838 CASE# 24-1358 OFC LNaoy L isI©�ON 02/06/24 21:32 F cu NARRATIVE On 02/06/2024, 1 was working uniformed patrol in a marked police vehicle as 3R23. At approximately 2134 hours, I was dispatched to an unknown injury accident at the intersection of N 3rd St/Wells Ave N, which is located within the city limits of Renton, county of King, Washington. Dispatch advised that a witness was calling in a motor vehicle accident between 2 cars with unknown injuries. When I arrived at the call location, I was able to locate the involved subjects in the crash. They were identified as follows: Unit 1: A gray 2013 Ford Fusion (WA/CER7437, VIN/3FA6POSU5DR261366). Driver: Mansoor Faizi (DOB: 03/13/1992). Front passenger: Jamaluddion Mosazai (DOB: 04/21/1994). Unit 2: A black 2004 Infinity G35 (WA/CHZ2873, VIN/JNKCV54E84M803301) Driver: Sydney J. Craft (DOB: 05/19/2005). 1 saw that Unit 1 was facing northbound on Wells Ave N just slightly past the stop sign on the south side of the intersection. Unit 1's driver and passenger were standing nearby on the sidewalk. I also saw that Unit 2 was facing westbound on N 3rd St just east of the intersection. Unit 2 was facing westbound in the eastbound lanes. Unit 2's driver was still in the driver's seat. I was able to speak to the driver of Unit 2. My conversation with her is summarized as follows: Unit 2 stated that she was traveling in lane 1 on N 3rd St headed eastbound. As Unit 2 was passing Wells Ave N, she recalled that Unit 1 was headed north on Wells Ave N. Unit 2 stated that Unit 1 did not stop at the stop sign. Unit 1 then impacted the passenger side of Unit 2's vehicle. Unit 2 then stated her vehicle spun before it stopped just east of the intersection facing the opposite way. When I observed Unit 2's vehicle, I noticed that there was a large dent and scratches that ran along the entire passenger side of the vehicle. I also saw that the front bumper was no longer on Unit 2. 1 also saw that Unit 2's airbags on her passenger side had been deployed. Unit 2's driver stated she was uninjured but was shaken up. I was then able to speak with the driver of Unit 1. My conversation with him is summarized as follows: Unit 1 stated that he was traveling northbound on Wells Ave N approaching N 3rd St. Unit 1 then stated he saw the stop sign and stopped at the vehicle. Unit 1 then said that he then began to enter the intersection. Unit 1's front end then collided with Unit 2's passenger side. When I observed Unit 1's vehicle, I noticed that there was significant disfigurement on the front side of his vehicle. I also saw that a combination of Unit 1's airbags had been deployed. Unit 1 and his passenger stated that they were both uninjured. I had an independent witness approach me and identify herself as Jodie A. Sweatman (DOB: 03/11/1995). She stated she lives in a few houses just north of the intersection where the accident occurred. Jodie also showed me surveillance footage of the crash that was captured on a camera that faced toward the intersection. I saw that Unit 1 did not appear to stop at the stop sign as he traveled northbound on Wells Ave N. Unit 1 proceeded to enter the intersection at N 3rd St and collided with the passenger side of Unit 2. Based on the fact that I observed via surveillance that Unit 1 did not stop at the stop sign on PAGE 3 OF 5 TIM REPORT NO. EE48838 CASE# 24-1358 OFC LNaoy L isI©�ON 02/06/24 21:32 F cu NARRATIVE northbound Wells Ave N just before N 3rd St and the fact that this caused Unit 1 to collide with the passenger side of Unit 2, 1 found reasonable cause for a violation of RCW 46.61.200. 1 subsequently completed a SECTOR ticket for Unit 1 and sent it to the prosecutor queue to be mailed to him. All parties were evaluated by the fire department at the scene due to airbag deployment. Unit 1 eventually left under his own power with his passenger. Unit 1 stated he would be picked up by a friend. Unit 2 was given a courtesy transport to the station to be picked up by family. Unit 2 eventually left with her brother. An exchange of information was provided to both parties before my departure. Both vehicles in the collision were towed by Bankers Tow as they were both undrivable. Based on the above described, Unit 1 appears to be the proximate cause of the collision. This report is for informational purposes only to document the collision. This concludes my report. I certify (declare) under penalty of perjury under the laws of the State of Washington that the foregoing is true and correct. Signature: Ryan Rivera (#12649) Date and Place: 02/06/2024 @ Renton, WA PAGE 4 OF 5 REPORT NO. EE48838 CASE# 24-1358 DATE AND TIME 02/06/24 21:32 OF COLLISION nton PO Case #24-1358 vw.sx mmxvw,wnity uw=r.Gin..v.�.r 5v'�xamm�s �"� A �. ,. ,t s, PAGE 5 OF 5