HomeMy WebLinkAbout23-14056 ITFF' "POLCERA II I !�� I III I III I IIII III II I . 0 27c
COLLISION REP FIT 1591971
CASE 23-14056 z
INTERSTATE ❑ CITY STREET FIRE ❑RESULTED
1 STOLEN
STATE ROUTE ❑ OTHER ❑ VFHIr.I F ❑ LOCAL AGENC 4200 3
HIT&RUN CODING'
COUNTY RD PRIVATE WAY INVOLVED
2 2 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# ❑
COLLISION.. 12 - 1-- 2023 1121 17 ❑.= S 8 IN e 1070 3
4❑ oN (PRIMARY TRAFFIC WAY) INTERSECTION ❑ NON INTERSECTION ❑✓
SW 16TH STREET BLOCK NO. e✓ 1100
4a❑ MILEPOST
DISTANCE OF(REFERENCE OR CROSS STREET)
5❑ 209 00 FMILES N EET e S ❑ E e OAKESDALE AVE SW
0 4 29
MOTOR PEDAL- DAMAGE THRESHOLDHONE
UNIT 01 VEHICLE ❑ CYCLE El MET P
YES ,/NO D:2064060520 0 11
30
6� LAST NAME BUSTO FIRSTNAME GEOVER MIDDLE N 1 1 2 31
INITIAL
STREET ❑, 4038 169TH AVE SE CITY BELLEVUE ST WA Zjp, 980085933 z
NEW ADDRESS
7❑ CDL IGNITION REQUIRED I IGNITION : PRESENT MEDICAL TRANSPORTED 3
iNTERLOCKYEs 1/ I NO NTERLOCKYEs NO Z YEs No�/
8❑ LRIIVER #
ON DUTY❑ STATUS AIRBAG 2 RESTR 4 EJECT 1 HELMET
2 CLASS 1 NATURE OF INJURIES z❑
3
10 9❑ P1 aTES� CFP4154 sTArI WAVIN# 1N4At3APOFC233852
TRAILER STATE TRAILER STATE
11 0 0 PLATE# PLATE# FROM TO
TRLR. A'RLR. 1 3 33
12 3 0 VIN#' VIN#
>; FROM TO
VEH.YEAR MAKE MODEL STYLE VEHICLE TOWED TO BLIN T /g[ GOVT.VEHICLE 3 ] 34
13Fal 2015 NISS ALTIMA 4D DAMAGE YES NO � '` RS YES❑ No✓
REGISTERED OWNER INFO EOVER BUS14.1169TH AVE SE BELLEVUE WA 98008 D:2064060520 VEHICLE NO. 1 ❑
SHADE IN DAMAGED AREA 35
3 4
14 LIABILI INSURANCE INSURANCE CO STATE FARM 1500177015
IN EFFECT &POLICY# 9TOP
VEHICLE CHARGE 5 36
LEGALLY YES❑NO❑ CITATION# 3A0637889 FAIL STOP AT STOP 10 BOTTOM
15❑ STANDING 6
MOTOR PEDAL- PEDESTRIAN PROPERTY DAM THR OLD MET PHONE
UNIT 02 VEHICLE ❑ CYCLE ❑ ❑ OWNER ❑ YES 1/ No D:2536529540
16 a
LAST NAME WILLIAM 77771 FIRST NAME ALLAN MIDDLE M
INITIAL
17 STREET NEW ADOREss❑' 630 27TH ST SE CITY AUBURN ST WA ZIP 980027759 37
18� CDL IGNITION REQUIRED IGNITION PtR—E—S1ENT MEDICAL TRANSPORTED 38
INTERLOCKYES�NO� INTERLOCK YEs I I NOF YEs t l NOF,/
19 DRIVER'S STATE WA SEX M D.C.B. 02 _ 12 _ 1973 39
LICENSE# MMDDYY
20❑ ON DUTY STATUS AIRBAG 2 RESTR 4 EJECT 1 H U EET 2 NJAURSY 1 NATURE OF INJURIES 40
❑21❑ PLATE# CGL7092 TArE 41
WA VIN# 1C4RDJDG7DC601712 1
42
22❑ PLATE# STATE PLATE# STATE
23❑ VIN#. 43
TRLR RLR
'IN#.
VEH YEAR 2013 MAKE DODG MODEL DURANG STYLE SI/ I VEHICLE TOWED' GOV TO BLIN TOWEDBY HI 44
24❑ DAMAGE YES / NO BANKERS YES NO
REGISTERED OWNER INFO DARLENE WILLIAM 63027THSTSE AUBURN WA 98002 VEHICLE NO.2
SHADEDAMAGEDAREA
3 4
LIABILITY
INSURANCE INSU&POLICY#E CO SAFECO M2021267IN 9TOP
BOTTOM 5
L..LF YEs Nc❑ CITATION# 3A0637888 CHARGE DWLS 3RD DEGREE
LEcnLLY
25 s 7 a
OFFICER'S NAME(PRINT) OFFICER PHONE BADGE OR ID# AGENCY
26
MATTHEW NUGENT 11498 WA0171300
PART A PAGE 01 OF C7
3000-345-159 OR 11/181
STATE OF
POLICETRAFFICN CORRECTION REPORT NO. EE32475
COLLISION REPORT III III III III III 111
1591972 CASE# 23-14056
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 12-07-23 07:15 PM
INVESTIGATING OFFICER'S SIGNATURE UNIT OR DIST DET DATED PLACE SIGNED
APPROVED BY E
DAT
C.JACOBS 1953 12/20/2023 10:05:55 AM
BADGE OR ID# 11498 ORI# WA0171300 TIME POLICE DISPATCHED; 11:21 AM TIME POLICE ARRIVED 11:21 AM
PART I PAGE IT]OF 5�
REPORT NO. EE32475 CASE# 23-14056 OF COLLISION
12/07/23 11:21
OF CbLLI510N
NARRATIVE
23-14056
On 12/07/2023 at approximately 1123 hours, I was dispatched to a blocking vehicle collision in the
1100 block of SW 16th Street, within the City Limits of Renton, County of King, State of Washington.
Upon my arrival, 1 confirmed there were no complaints of injury requiring immediate medical response
at the time of report. While on scene, I collected each involved party's driving documents and their
independent involvement leading up to the collision.
The driver of Unit#1 stated he was the sole occupant of his vehicle and was attempting to exit a
private property parking lot, located at 1120 SW 16th ST, and on the north side of the roadway. The
driver of Unit#1 stated that he was intending to make a left turn out of the parking lot to proceed
eastbound onto SW 16th ST following the turn. The driver of Unit#1 stated that the only westbound
lane of SW 16th ST had created an opening in traffic to allow enough space for Unit#1 to turn. The
driver of Unit#1 believed all westbound traffic on SW 16th ST was clear and therefore proceeded out
into the roadway. As Unit#1 reached the center-turn-lane, Unit#1 was met by another vehicle - Unit
#2. The driver of Unit#1 claimed he did not see Unit#2 traveling in the center-turn-lane due to
backed up traffic. The driver of Unit#1 stated that he was unable to avoid the collision after having
pulled out into the roadway and that Unit#2 struck the front of Unit#1, specifically on the driver's
side, causing significant damage.
The driver of Unit#2 said he was the sole occupant of his vehicle and was traveling westbound in
about the 1100 block of SW 16th ST and in the center-turn-lane. The driver of Unit#2 stated he was
intending to continue west to the intersection of Oakesdale Ave SW with the intent to make a left turn.
It should be noted that the distance to reach the intersection which was another 209 feet away from
where the collision occurred. Upon reaching the location of where Unit#1 was turning out from, Unit
#2 observed Unit#1 pull out into the roadway but was unable to avoid the collision. Both vehicles
collided in the roadway and Unit#2 suffered significant damage to the front passenger side, including
the wheel bearing of the vehicle. Based on initial measurements, I do not believe Unit#2 violated
RCW 46.61.290-Improper Center Lane Usage as I believe the driver of Unit#2 was within the
allotted three-hundred feet in the center-turn-lane as allowed by law.
Based on the above statements, 1 believe that the driver of Unit#1 (Busto) was the predominant
factor for the cause of collision as Busto is required to comply with RCW 46.61.190(2) which states
that every driver of a vehicle approaching the point nearest the intersecting roadway where the driver
has a view of approaching traffic of the intersecting roadway must stop 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. Unit#2 was already underway in
the roadway and had right of way.
A DOL records check revealed that the driver of Unit#2 (William) was Driving While License
Suspended in the third degree. William violated the crime of 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 William via complaint for Driving while License Suspended in the 3rd Degree.
I issued the driver of Unit#1 (Busto) a citation via mail for Fail to Stop at Intersection causing a
collision.
Both Unit#1 and Unit#2 had to be impounded due to extensive damage. An exchange of information
was provided to all involved parties.
PAGE 3 OF 5
REPORT NO. EE32475 CASE# 23-14056 OF COLLISION
12/07/23 11:21
OF CbLLI510N
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 12/7/2023 6:42 PM Renton, King County, WA.
PAGE 4 OF 5
REPORT NO. EE32475 CASE# ' 23-14056 DATE AND TIME 12/07/23 11:21
OF COLLISION
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PAGE 5 OF 5