HomeMy WebLinkAbout23-5476 POLICETRAFF'c" III !�� I IIIllI111IN II II I REPORT NO. ED65533 170
27
COLLISION REP FIT 1591971
CASE 23-5476 z
INTERSTATE ❑ CITY STREET FIRE ❑RESULTED
1 STOLEN
STATE ROUTE ❑ OTHER ❑ VFHIC;I F ❑ LOCAL AOENC 4200 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 1039 17 ❑.= S 8 IN e 1070 3
4❑ oN (PRIMARY TRAFFIC WAY) INTERSECTION ❑✓ NON INTERSECTION ❑
UNION AVE NE BLOCK NO. e✓ 400 ❑
4a❑ MILEPOST
DISTANCE OF(REFERENCE OR CROSS STREET)
5❑ ❑ FEET e S ❑ W e NE 4TH STREET
1 2 29
MOTOR PEDAL- DAMAGE THRESHOLD MET PHONE
UNIT 01 VEHICLE ❑ CYCLE El
,/No D:4252268063 0 11
30
6� LAST NAME SMITH FIRSTNAME BRUCE MIDDLE L 1 1 2 31
INITIAL
STREET ❑ 392O NE 22ND ST CITY RENTON ST WA ZIP 980562415 z
NEW ADDRESS
7❑ CDL IGNITION REQUIRED IGNITION PRESENT MEDICAL TRANSPORTED 3
iNTERLOCKYEs NO 1/ INTERLOCKYEs NO�/ YEs No�/
8❑ LICIENSE# STATE WA SEX'M I ELMM D Y' 05 — 07 — 1954 1 2 32
9 ON DUTY❑ STATUS AIRBAG 2 RESTR 4 EJECT 1 H USE 2 CLASS 1 NATURE OF INJURIES z❑
3
10[1Pi ATNES# ADZ9108 sTAr WAV N# JTEBU17R058033673
TRAILER STATE TRAILER STATE
11 3 0 PLATE# PLATE# Rom ro
TRLR. TRLR. 5 1 33
12 3 0 VIN#' VIN#'
FROM TO
VEH.YEAR MAKE MODEL STYLE VEHICLE TOWED TO BLIN TOWED BY GOVT.VEHICLE 5 3 34
13 2 2005 TOYT 4RUNNE SV DAMAGE YES NO YES[:] No✓
REGISTERED OWNER INFO BRUCESMITH 3920 NE 22ND ST RENTON WA 98056 D:4252268063 VEHICLE NO. 1 ❑
SHADE IN DAMAGED AREA 35
14 LIABILITY INSURANCE❑ INSURANCE CO 4
IN EFFECT &POLICY# 9TOP
VE— CHARGE 5
o aorroM 36
LEGALLY YEs❑NO CITATION# 3AO055656 OP MOT VEH W/OUT INSURANCE
15❑ STANDING 8 7 6
MOTOR PEDAL- PEDESTRIAN PROPERTY DAM THR OLD MET PHONE
UNIT U2 VEHICLE ❑ CYCLE ❑ ❑ OWNER ❑ YES 1/ No D:4253512424
16 a
LAST NAME PETERSON FIRST NAME SALLY MIDDLE IM
INITIAL
17 NEW STREETREs7' 201 UNION AVE SE UNIT 204 CITY RENTON ST WA ZIP 980595182 4❑ 37
18� CDL IGNITION REQUIRED IGNITION PRESENT MEDICAL TRANSPORTED 38
INTERLOCK YEs❑No� INTERLOCK YEs❑NOF YEs❑NOF,/
19[—] LICENSE# STATE WA SEX F M D.C.B. 11 11 1952 39
20❑ ON DUTY STATUS AIRBAG 2 RESTR 4 EJECT 1 H U EET 2 NJAURSY 1 NATURE OF INJURIES ❑ 40
LICENSE I ❑21❑ PLA E# LEM865E TArE 41
WA VIN1 1FM5KSD89FGC68992 1
42
22❑ PILER LATE# STATE PLATE# STATE
23❑ UIN#. 43
TRLR RLR
'IN#.
VEH YEAR 2015 MAKE FORD MODEL EXPLORE STYLE SI/ VEHICLE TOWED TO BLIN TOWEDBY GOV HI 44
L4❑ DAMAGE YES NO YES NO
REGISTERED OWNER INFO JEREMY PETERSON 201 UNION AVE SE UNIT 204 RENTON WA 98059 D:4253512424 VEHICLE NO.2
SHADE IN DAMAGED AREA
2 3 4
LIABILITY
INSURANCE I PORGY#E CO NATIONWIDE 7246JO37873IN 1UR'E""LE
❑ ,J� CITATION# CHARGELEGALLYYES N
25 =UGENT
(PRINT) OFFICER PHONE BADGE OR ID# 77P�1300
26 11498
PART A PAGE 01 OF C7
3000-345-159 OR 11/181
STATE OF
POLICETRAFFICN CORRECTION REPORT NO. ED65533
COLLISION REPORT III III III III III 111
1591972 CASE# 23-5476
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 05-15-23 06:24 PM
INVESTIGATING OFFICER'S SIGNATURE UNIT OR DIST DET DATED PLACE SIGNED
APPROVED BY E
DAT
C.JACOBS 1953 513112023 8:01:04 AM
BADGE OR ID# 11498 ORI# WA0171300 TIME POLICE DISPATCHED! 10:43 AM TIME POLICE ARRIVED 10:45 AM
PART I PAGE IT]OF 5�
REPORT NO. ED65533 CASE# 23-5476 OF COLLISION
05/15/23 10:39
OF CbLLI510N
NARRATIVE
23-5476
On 05/15/2023 at approximately 1043 hours, I was dispatched to a non-injury and non-blocking
vehicle collision with a possible Driver Under the Influence (DUI) at the intersection of Union Ave NE
and NE 4th Street, within the City Limits of Renton, County of King, State of Washington.
Upon arrival, other Officers had arrived on scene before me and suggested that the collision was non-
DUI related. I conducted a voluntary Preliminary Breath Test (PBT) on one of the involved drivers that
was suspected of DUI by the initial responding Officers. The driver agreed to voluntary conduct the
test which returned as a .000 reading on the PBT. No other indicators were notated from me or the
other responding Officers. The driver being suspected of DUI informed Officers that he had
Parkinson's disease which is why there was an initial report/suspect of DUI.
While on scene, Officers confirmed there were no complaints of injury from either of the involved
parties at the time of report. While on scene, Officer D. Lamothe was able to collect each involved
party's information and independent summary of their involvement.
The driver of Unit#1 said he was the sole occupant of his vehicle and was traveling northbound in
about the 300 block of Union Ave NE in lane 2 of 2 and stopped at the intersection of NE 4th ST. The
driver of Unit#1 stated that he was intending to continue north at the intersection upon the traffic
control legend changing from red to green. The driver of Unit#1 stated that upon the traffic legend
changing to green, he proceed across the intersection. Upon reaching just beyond the intersection,
both Unit#1 and Unit#2 collided causing moderate damage to passenger side doors of Unit#1.
The driver of Unit#2 said she was the sole occupant of her vehicle and was also traveling northbound
in about the 300 block of Union Ave NE in lane 1 of 2. The driver of Unit#2 stated she was intending
to continue north when Unit#1 disregarded the traffic control device and proceeded to go straight
from a left-turn only lane. When the driver of Unit#2 reached just beyond and north of the intersection
at NE 4th ST and Union Ave NE, both vehicles subsequently collided with Unit#1 causing moderate
damage to the front drivers side door and fender of Unit#2.
1 reviewed the intersection and determined that lane 2 of 2 for northbound Union Ave NE at NE 4th
Street, and the lane in which Unit#1 was traveling in, was left-turn lane only. And that lane 1 of 2 for
northbound Union Ave NE at NE 4th Street, and the lane which Unit#2 was traveling in, was a
straight or right-turn only lane.
Based on the above statements, I determined that the Driver of Unit#1 (Smith) was the predominant
factor for the cause of collision as Smith violated RCW 46.61.050(1) which states that the driver of
any vehicle, shall follow the instructions of any official traffic control device applicable thereto, and as
specified in this chapter, placed in accordance with the provisions of this chapter, unless otherwise
directed by a traffic or police officer, subject to the exception granted the driver of an authorized
emergency vehicle in this chapter. Smith did not obey the traffic control device set forth indicating that
he was to turn left from his lane of travel and not proceed straight, causing a collision.
The driver of Unit#1 did not have proof of insurance and was therefore issued a citation for Operating
a Motor Vehicle without Insurance. I issued Smith a verbal warning for failing to obey a traffic control
device.
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.
PAGE 3 OF 5
REPORT NO. ED65533 CASE# 23-5476 OF COLLISION
05/15/23 10:39
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 5/15/2023 6:23 PM Renton, King County, WA.
PAGE 4 OF 5
REPORT NO. ED65533 CASE# ' 23-5476 DATE AND TIME 05/15/23 10:39
OF COLLISION
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