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Home My WebLink About23-5046 ITFF' "POLCERA II I !�� I III I III I IIII III II I . 1 27c COLLISION REP FIT 1591971 CASE 23-5046 z INTERSTATE ❑ CITY STREET FIRE ❑RESULTED 1 STOLEN STATE ROUTE ❑ OTHER ❑ VFHIr.I F ❑ LOCAL AOENC 4900 3 HIT&RUN CODING' COUNTY RD PRIVATE WAY INVOLVED 2 3 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 1645 17 ❑.= S 8 IN e 1070 3 4❑ ON (PRIMARY TRAFFIC WAY) INTERSECTION ❑ NON INTERSECTION ❑✓ SW SUNSET BLVD BLOCK MILEPOST ST e✓ 500 4a❑ DISTANCE OF(REFERENCE OR CROSS STREET) 5❑ 30 00 FMILES EET e S ❑ W e STEVENS AVE SW 0 1 29 MOTOR PEDAL- DAMAGE THRESHOLD MET PHONE UNIT 01 VEHICLE ❑ CYCLE El ,/No D:2534575941 0 81 30 6� LAST NAME BARNES FIRSTNAME WILLIAM MIDDLE D 1 0 1 31 INITIAL STREET ❑, 10835 SE 248TH ST CITY KENT ST I WA 2jp, 980304927 z NEW ADDRESS 7❑ CDL IGNITION REQUIRED IGNITION PRESENT MEDICAL TRANSPORTED 3 INTERLOCK YES[:]NO 1/ INTERLOCKYEs NO YES R No�/ 8❑ LRIIVERS STATE WA SEXI M MID LOB 11 1- 16 - 1969 2 32 CENSE 9 ON DUTY❑ STATUS AIRBAG 2 RESTR 4 EJECT 1 H USEET ICNLJAURY 1 NATURE OF INJURIES 2❑ 3 10❑ P1 aT�S� C23527U sTAr� WAurN# 3C7WRMDL7KG686521 TRAILER STATE TRAILED STATE 11 4 0 PLATE# PLATE#1 FROM TO TRLR. TRLR 7 3 33 12 4 0 VIN#' VIN# FROM TO ❑ VEH.YEAR MAKE MODEL STYLE VEHICLE 5500 TTEHICLETOWED TO BLIN I TOWED BY GOVT.VEHICLE J 9 34 13 2 2019 RAM 5500 TT DAMAGE YES fn TO YES[:] H REGISTERED OWNER INFOSKYWAY TOWING AND RECOVERY1N 839S176TH ST BURIENWA98148 VEHICLE NO. 1 ❑ SHADE IN DAMAGED AREA 35 14 LIABILITY INSURANCE INSURANCE CO YOUZOOM INS SERV CP01642126.02 4 LI EFFECT I SUR N# TOPVEHICLE CHARGE 36 LEGALLY YES❑NO❑ CITATION# <1�3 OTTOM 15❑ STANDING 7 6 MOTOR PEDAL- PEDESTRIAN PROPERTY DAM THR OLD MET PHONE UNIT VEHICLE ❑ CYCLE ❑ ❑ : OWNER [:]EA. YES 1/ NO D:2063766584 16 a LAST NAME GRIFFIN FIRST NAME DONTEZ MIDDLE I L INITIAL 17❑ STREET ❑', 436 50TH ST SE CITY l AUBURN ST WA ZIP 980929498 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 DRIVER'S STATE WA SEX M D.C... 09 _ 09 _ 1980 El 39 LICENSE# MMDDYY WELMET INJURY1 NATURE OF INJURIES 40 20❑ ON DUTY STATUS AIRBAG 2 RESTR 4 EJECT 1 USE CLASS ❑ 21❑ LICENSE I CGE3500 TAre WA vIN# 5TDZA23C45S252957 ❑ 41 PLATE# 42 22❑ PLATE# STATE PLATE# STATE 23❑ VIN#. 43 TRLR RLR 'IN#. VEH YEAR 2005 MAKE TOYT MODEL SIENNA STYLE VN VEHICLETOWED TO BLIN TOWEDBY GOV HI 44 L4❑ DAMAGE YES NO,/ YES NO REGISTERED OWNER INFO POLAR BEAR EXTERIORS 1120847TH AVE W STE A MUKILTEO WA 98275 VEHICLE NO.2 SHADE IN DAMAGEbAREA 2 3 Cd LIABILITY INSURANCE INSU8 PORGY#E CO PROGRESSIVE 08385622-7IN 1 STOP VEHICLE CITATION# CHARGE i o BOTTOM LEGALLY YES N� 25❑ s 7.111CjEo-S NAME(PRINT) OFFICER PHONE BADGE OR ID# FA NCY 26 HNSON 0505 0171300 PART A PAGE 01 OF 3000-345-159 OR 11/181 STATE OF POLICETRAFFICN CORRECTION REPORT NO. ED61688 COLLISION REPORT III III III III III 111 1591972 CASE# 23-5046 ADDITIONAL PERSONS INVOLVED PASSENGERS AND/OR WITNESSES ONLY) NAME MIDDLE INITIAL) ANDERSON LUCAS (LAST FIRST, ADDRESS&PHONE# AUBURN 7312981607 SEX' MRV MMDDYYYY -�- SEAT HELMET INJURY NATURE OF INJURIES PASSENGERWITNESS❑ UNIT# 2 POS 8 AIRBAG 2 RESTR. 4 EJECT 1 USE CLASS 5 COMPLAINTOFPAIN BACK,LEG NAME (LAST,FIRST,MIDDLE INITIAL) VANATER KATHERIN ADDRESS&PHONE# D E4 AUBURN 2534092025 SEX: F MMOQDvvvv SEAT HELMET I INJURY NATURE OF INJURIES PASSENGER �WITNESS� UNIT# 2 PGS 7 AIRBAG'1 RESTR. 4 EJECT 1 USE CLASS 5 COMPLAINT OF PAW UPPER BACK NAME (LAST FIRST MIDDLE INITIAL) AppRESS&PHONE# SEX D.Q.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. CO.JOHNSON 05-05-23 09:39 AM INVESTIGATING OFFICER'S SIGNATURE UNIT OR DIST DET DATED PLACE SIGNED APPROVED BY DATE CO.JOHNSON 0505 1 511912023 6:10:56 PM BADGE OR ID# 0505 OR]# WA0171300 TIME POLICE DISPATCHED 4:48 PSI TIME POLICE ARRIVED',4:55 PM PART I PAGE IT]OF REPORT NO. ED61688 CASE# 23-5046 OF COLLISION 05/04/23 16:45 OF CbLLI510N NARRATIVE U2 EB 500 blk SW Sunset blvd lane #1 stopped at red light: U1 EB lane #1 behind U2: Dvr U1 applies brakes to stop, no brake response, U1 front into rear of U2, pushed U2 into intersection On 05-04-2023 at about 1648 hours, I was dispatched to a blocking collision in the vicinity of SW Sunset Blvd and Stevens Ave SW in the City of Renton, County of King. The reporting party was driving a tow truck and the other vehicle was a Toyota Sienna. I arrived in the area at about 1655 hours. I observed a vehicle blocking lane #1 of east bound SW Sunset Blvd in the intersection with Stevens Ave SW. The vehicle was facing east and a sliding door was open on the driver side. Approximately 20 feet behind the vehicle was a flatbed tow truck with the driver door ajar. There was a subject standing outside the door. It appeared the driver of the vehicle in the intersection was talking with the driver of the tow truck. Based on the location of the vehicles (high traffic volume area), I directed the drivers to move their vehicles to a parking lot to the southeast of the intersection. The driver of Unit 01 was identified by WA DL and admitted to driving the listed vehicle. The driver said he was wearing a seatbelt and not injured as a result of the collision. Unit 01 was east bound in lane #1 (of 3) of the 500 block of SW Sunset Blvd, approaching the intersection with Stevens Ave SW. The driver said he went to stop his vehicle and his brakes went all the way to the floor. Unit 01 continued east bound and collided with Unit 02 which was stopped for a red light. I asked if Unit 01 had standard disc brakes or air brakes and the driver indicated they were standard brakes. The driver of Unit 02 was identified by WA DL and admitted to driving the listed vehicle. The driver said he was wearing a seatbelt and not injured as a result of the collision. The driver said both passengers of Unit 02 needed medical attention. Unit 02 was east bound in lane #1 of the 500 block of SW Sunset Blvd and stopped for a red traffic signal at the intersection with Stevens Ave SW. Unit 02 was the first vehicle in line. The driver said his vehicle was hit from behind by Unit 01 and the collision pushed his vehicle into the intersection. There appeared to be minor damage to the front bumper of Unit 01 and moderate damage to the rear of Unit 02. The information provided by both drivers was consistent with the damage to the vehicle. Both vehicle were able to depart the location under their own power. Both passengers of Unit 02 were evaluated by RRFD personnel and transported to Valley Medical Center for additional medical treatment, The predominant factor leading to the collision was Unit 01 failing to come to a complete stop and colliding with the rear of Unit 02. If not for the actions of Unit 01, the collision would not have occurred. No infractions or citations issued. PAGE 3 OF 5 SUPPLEMENTAL REPORT NO. ED61 688 r`) POLICE TRAFFIC 1 27 COLLISION REPORT CASE# 23-5046 1 COMMERCIAL MOTOR CARRIER INTERSTATE INTRASTATE ✓ G UNIT# 1 USDOT 0503225 ICC# VEHICLE TYPE 2 CARGO BODY 1 4 TYPE 2 ❑ 1 28 CARRIER NAME SKYWAY TOWING AND RECOVER ....... 3 CARRIER ADDRESS 839 S 176TH ST STE 801 CITY BURIEN ST WA ZIP 4 ❑ NAME # PLACARD: ❑ NAME IF NO NUMBER SOURCE 1 AXLES 02 GI20000 + 4a ❑ ADDITIONAL UNITS MOTOR PEDAL- PROPERTY DAMAGE THRESHOLD MET PHONE 5 ❑ UNIT# VEHICLE I_J CYCLE _) PEDESTRIAN � OWNER � YES NO i MIDDLE'... 29 LAST NAME FIRST NAME INITIAL STREET 30 NFW AnnRFSP CITY ST ZIP 6 2 CDL IGNITION REQUIRED IGNITION PRESENT MEDICAL TANSPORTED 1 31 INTERLOCK YES No zERLOCK YES E]NO� vES N LLIICIENSE STATE I SEX M��DYRYY' 2 7 F-1 ON DUTYl STATUS AIRBAG' RESTR. EJECT HELMET INJURY NATURE OF INJURIES USE CLASS 8 ❑ ' 1 32 LICENSE+ rar VIN.# PLATE# 9 TRAILER TRAILER PLATE# STATE PLATE# STATE 10 ❑ TRLR TRLR VIN.#. VIN.#. 11 VEH.YEAR MAKE MODEL STYLE VEHICLE TOWS T SABLIN TOWED BY anvi vEHIC P FROM TO DAMAGE Y EES NO YES NO REGISTERED OWNER INFO. m 33 12 SHADE IN DAMAGED AREA FROM TO LIABILITY INSURANCE❑ INSURANCE CO IN EFFECT &POLICY# tGQ EHILLE 34 13 ❑ LEGALLY YES[:] NO❑ CITATION# CHARGE STANDING } 8 7 6 14 ❑ UNIT Tr Vd 1RE O CYDCLE OWNERRTY YES AGE NOHRESHOLD MET PHONE ❑ 35 PEDESTRIAN 15 LAST NAME FIRST NAME MIDDLE': INITIAL ❑ 36 STREET 16 NFln+AnntxFs.� CITY'. ST 21P CDL IGNITION REQUIRED IGNITtGN PRESENT MEDICALTANSPORTED INTERLOCK YES No INTERLOCK YEs NO YEs N. El 17 37 LICENSE# STATE SEX MMDDDYBYY 18 ❑ ON DUTY� STATUS AIRBAG RESTR. ; EJECT HELMET INJURY NATURE of INJURIES 38 USE (CLASS 19 ❑ vIN 39 LICENSE # PLATE# rnr 20 ❑ TRAILER TRAILER ❑ 40 PLATE# STATE PLATE# STATE 21 ❑ TRLR TRLR 41 VIN# YIN#i 42 22 VEH.YEAR MAKE I MODEL STYLE I VEHICLE TO DUET SABLIN TOWED BY GOVT.VEHICLE DAMAGE YES NO YES NO 23 REGISTERED OWNER INFO SHADE IN DAMAGED 3 4 4 AREA F 43 z LIABILITY INSURANCE INSURANCE CO ' VINE EFFECT &POLICY# i 970P - 4 E:l 44 24 LEwGLE YES❑ NO❑ CITATION# CHARGE iq 60TiOM C=DLv STANDING 8 7 6 1 CERTIFY(DECLARE)UNDER PENALTY OF PERJURY UNDER THE LAWS OF THE STATE OF WASHINGTON THAT THE FOREGOING IS TRUE AND CORRECT. CO,JOHNSON 05-05-23 09:39 AM 25 INVESTIGATING OFFICER'S SIGNATURE OFFICER'S PHONE UNIT OR DIST DET DATED: PLACE SIGNED APPROVED BY DATE 26 OR ID# 0505 O#I',WA0171300 JOHNSON 511912023 PAGE F OF 3000-345-013(R 11118) REPORT NO. ED61688 CASE# ' 23-5046 DATE AND TIME 05/04/23 16:45 OF COLLISION *Not to Scale" r ,M Stevens Ave S PAGE 5 OF 5