HomeMy WebLinkAbout24-3976 ITFF' "POLCERA II I !�� I III I III I IIII III II I . 0 27c
COLLISION REP FIT 1591971
CASE 24-3976 z
INTERSTATE ❑ CITY STREET FIRE ❑RESULTED
1 STOLEN
STATE ROUTE ❑ OTHER ❑ VFHIr.I F ❑ LOCAL AGENC 4100 3
HIT&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# ❑
COLLISION'. 04 - 11 - 2024 1204 17 ❑.❑ S 8 W H OF e 1070 3
4❑ oN (PRIMARY TRAFFIC WAY) INTERSECTION ❑✓ NON INTERSECTION ❑
NE 3RD STREET BLOCK NO. e✓ 2000 ❑
4a❑ MILEPOST
DISTANCE OF(REFERENCE OR CROSS STREET)
5❑ ❑ FEET e S ❑ W e BLA/NEAVENE
0 1 29
MOTOR PEDAL- DAM THRESHOLD MET PHONE
UNIT 01 VEHICLE ❑ CYCLE El YEs No ,/ D:3366558622 0 7 30
6� LAST NAME MILLER FIRSTNAME CHRISTOPHER MIDDLE J 1 1 2 31
INITIAL
STREET ❑ 4126 SE 4TH ST CITY RENTON ST WA ZIP 980595164 z
NEW ADDRESS
7❑ CDL IGNITION REQUIRED IGNITION PRESENT MEDICAL TRANSPORTED 3
,/ I INTERLOCK YES[:]NO NTERLOCKYEs NO�/ YES R No�/
8❑ LRIIVER #
ON DUTY❑ STATUS AIRBAG 2 RESTR 4 EJECT 1 HELMETU E 2 CLASS 1 NATURE OF INJURIES z❑
3
LICENSE CDB1402 sTArI WAurN# 1FMEU33837UA46904
10 F91 PI ATE i4
TRAILER STATE TRAILER STATE
11 3 5 PLATE# PLATE# FROM TO
TRLR. TRLR 3 7 33
12 3 5 VIN#' VIN#
>; FROM TO
VEH.YEAR MAKE MODEL STYLE VEHICLE TOWED TO BLIN TOWED BY GOVT.VEHICLE J 9 34
13 2 2007 FORD EXPLOR PK DAMAGE YES NO YES[:] No✓
REGISTERED OWNER INFO .I .LEMILLER4126SE4THST RENTON WA 98059 D:3366558622 VEHICLE NO. 1 ❑
SHADE IN DAMAGED AREA 35
2 3 4
14 2 LIABILI INSURANCE❑ INSURANCE CO
IN EFFECT &POLICY# 9TOP
vewcLE CHARGE 10 BOTTOM 5 36
EGHALLY YES❑NO CITATION# 4A0344158,4AO344158 OP MOT VEH W/OUT INSURANCE,
15❑ STANDING 8 7 6
MOTOR PEDAL- PEDESTRIAN PROPERTY DAM THR OLD MET PHONE
16
UN�T 02 VEHICLE ❑ CYCLE ❑ ❑ OWNER ❑ YES No ,/ D:2063544602
a
LAST NAME LEE FIRST NAME AH LUM MIDDLE
INITIAL
17❑ NEW STREETREs7 670 VASHON PL NE CITY RENTON ST WA ZIP 980595712 4❑ 37
18❑ CDL IGNITION REQUIRED IGNITION PRESENT MEDICAL TRANSPORTED ❑ 38
INTERLOCK YEs❑No� INTERLOCK YEs❑NOF YEs❑NOF,/
19 DRIVER'S STATE WA ]SEX IF D.C.B. 08 _ 01 1982 39
LICENSE# MMDDYY
H USE CLASS
NJAURSY [-�A—TURE OF INJURIES EVAL'D BY RRFA WHO SAID NON-INJURY ❑ 40
20❑ ON DUTY STATUS AIRBAG,2 RESTR 4 EJECT 1 2 7
❑ILICENSE 21❑ PLA E# BYW7292 TAre 41
WA VIN# SFNRL6H57M6043968 1
42
22❑ PLATE# STATE PLATE# STATE
23❑ VIN#. 43
TRLR RLR
'IN#.
VEH YEAR 2021 MAKE HOND MODEL ODYSSEY STYLE VN VEHICLETOWED TO BLIN TOWEDBY GOV HI 44
24❑ DAMAGE YES NO,/ YES NO
REGISTERED OWNER INFO JI HA 670 VASHON PL NE RENTON WA 98059 D:2063544602 VEHICLE NO.2
SHADE IN DAMAGED AREA
2 3 4
LIABILITY
INSURANCE &POINSURGY#E CO ALLSTATE 820-196417IN 1 9TOP
vE""LE CITATION# CHARGE
YES N
25 i o BOTTOM
LEGALLY u
❑ s e
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. EE69018
COLLISION REPORT III III III III III 111
1591972 CASE# 24-3976
ADDITIONAL PERSONS INVOLVED PASSENGERS AND/OR WITNESSES ONLY)
NAME(LAST FIRST,MIDDLE INITIAL) HA ER/C
ADDRESS&PHONE# D O.B. '
670 VASHON PL NE RENTON WA 98059 SEX M MMDOYyvv 11 - 14 - 2020
PASSENGER WITNESS UNIT# SEAT AIRBAG' RESTR. EJECT ' HELMET INJURY NATURE OF INJURIES
❑✓ ❑ 2 POS, 7 2 10 1 USE 2 CLASS 1
NAME
'(LAST,FIRST,MIDDLE INITIAL) HA HENRY
ADDRESS&PHONE# D O B
670 VASHON PL NE RENTON WA 98059 SEX M MMopvuvv 03 _ 24 _ 2019
SEAT HELMET INJURY NATURE OF INJURIES
PASSENGER �WITNESS❑ UNIT# 2 POS 9 AIRBAG 2 RESTR. 10 EJECT 1 USE 2 CLASS 1
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.
MATTHEW NUGENT 04-11-24 04:57 PM
INVESTIGATING OFFICER'S SIGNATURE UNIT OR DIST DET DATED PLACE SIGNED
APPROVED BY DATE
C.JACOBS 1953 1 4/16/2024 1:45:31 PM
BADGE OR ID# 11498 ORI# WA0171300 TIME POLICE DISPATCHED! 12:06 PM TIME POLICE ARRIVED',12:13 PM
PART I PAGE ❑OF❑
TIME
REPORT NO. EE69018 CASE# 24-3976 OF COLLISION04/11/24 12:04
NARRATIVE
24-3976
On 04/11/2024 at approximately 1206 hours, I was dispatched to a blocking vehicle collision with
reports of injury at the intersection of NE 3rd Street and Blaine Avenue NE, within the City Limits of
Renton, County of King, State of Washington.
While en route, Dispatch advised of a 2-vehicle collision and that the Renton Regional Fire Authority
(RRFA) would be responding for reports of injury. Both vehicles had pulled off the main roadway and
onto the shoulder of Blaine Ave NE. Upon my arrival, RRFA had already responded and cleared the
involved parties stating "non injury" as they were leaving the scene.
I contacted the involved parties, initially informing the driver of Unit#2 that 1 would be right with her
after collecting some information from the driver of Unit#1. Upon approaching Unit#1's vehicle, I was
met by a threat from the driver of Unit#1 telling me I needed to "back up" or he would "get in my face"
while walking up to his vehicle. I do not recall even introducing myself or saying anything to the driver
of Unit#1 before he said this to me. I had approached the vehicle just like any other collision and was
simply walking up to collect the driving documents from the driver as well as obtain his statement of
what occurred for proper police report documentation.
I was unable to obtain the necessary details from the driver of Unit#1 as he proceeded to call me a
"dickhead", "prick", and told me to "go fuck myself" during my initial encounter with him. The driver of
Unit#1 initially refused to provide me with any of his driving documents, stating that he would only
provide them to my Supervisor. I informed the driver of Unit#1 that his driving documents were
required by law and that he could be subject to arrest for failure to identify himself to a Police Officer
when operating a motor vehicle. The driver of Unit#1 then handed me his driver's license and asked
for a Supervisor but refused to provide proof of insurance or registration when requested. When I
attempted to get the driver of Unit#1's statement of what occurred, this is when he rolled the window
up and told me to go "fuck myself". I requested an available Sergeant respond to my location.
Sergeant C. Tolliver responded to the scene and handled the remainder of interaction with this driver.
Based on my investigation, it appeared that the driver of Unit#1 was the sole occupant of his vehicle
and was traveling westbound in about the 2000 block of NE 3rd Street approaching the intersection of
Blaine Ave NE in lane 2 of 2. It appeared there was minimal damage to the front of Unit#1 following
the collision.
The driver of Unit#2 said she and her two juvenile passengers were also traveling westbound in
about the 2000 block of NE 3rd Street approaching the intersection of Blaine Ave NE in lane 2 of 2.
The driver of Unit#2 stated she had come to a stop for traffic queued at the intersection, specifically
for an uninvolved vehicle trying to turn left. The driver of Unit#2 stated that while stopped, Unit#1
struck the rear of her vehicle causing minor damage.
Based on the above statements, 1 determined that the Driver of Unit#1 (Miller) was the predominant
factor for the collision due to following too closely causing a collision.
I cited the driver of Unit#1 in-person for violating RCW 46.61.145 -Following Too Closely as the
driver of a motor vehicle shall not follow another vehicle more closely than is reasonable and prudent,
having due regard for the speed of such vehicles and the traffic upon and the condition of the
highway.
I also cited the driver of Unit#1 in-person for violating RCW 46.30.020 -Liability Insurance as no
person may operate a motor vehicle subject to registration under chapter 46.16A RCW in this state
PAGE 3 OF 5
TIME
REPORT NO. EE69018 CASE# 24-3976 OF COLLISION04/11/24 12:04
NARRATIVE
unless the person is insured under a motor vehicle liability policy with liability limits of at least the
amounts provided in RCW 46.29.090, is self-insured as provided in RCW 46.29.630, is covered by a
certificate of deposit in conformance with RCW 46.29.550, or is covered by a liability bond of at least
the amounts provided in RCW 46.29.090. Proof of financial responsibility for motor vehicle operation
must be provided on the request of a law enforcement officer in the format specified under RCW
46.30.030.
Both Unit#1 and Unit#2 were able to be driven away without further incident. 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 4:53 PM 4/11/2024 Renton, King County, WA.
PAGE 4 OF 5
REPORT NO. EE69018 CASE# 24-3976 DATE AND TIME 04/11/2412:04
OF COLLISION
In
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PAGE 5 OF 5