HomeMy WebLinkAbout23-7286 ITFF' "POLCERA II I !�� I III I III I IIII III II I . 0 27c
COLLISION REP FIT 1591971
CASE 23-7286 z
INTERSTATE ❑ CITY STREET FIRE ❑RESULTED
1 STOLEN
STATE ROUTE ❑ OTHER ❑ VFHIC;I F ❑ LOCAL AOENC 4900 3
HIT&RUN CODING
COUNTY RD PRIVATE WAY INVOLVED
2 2 TOTAL#OF OBJECT 1 1 8 28
TRIBAL UNITS 03 STRUCK
RESERVATION
z
3❑ DATE of M M D D Y Y Y Y TIME(2400) COUNTY# MILES N E IN CITY#
cowsloN 06 - 1-- 2023 0737 17 ❑-= S 8 IN e 1070 3
4❑ ON (PRIMARY TRAFFIC WAY) INTERSECTION ❑✓ NON INTERSECTION ❑
MAPLE VALLEY HWY BLOCK NO. e✓ ❑
4a❑ MILEPOST
DISTANCE OF(REFERENCE OR CROSS STREET)
5❑ ❑ FEET e S ❑ W e 140THAVESE
0 3 29
MOTUNIT U1 VEHICR Z PEDAL-CLE CYCLE ElYESA,G/E NHORESHOLDMET PHONE O 4 30
6� LAST NAME BRANLEY FIRSTNAME DOUGLAS MIDDLE J 1 1 2 31
INITIAL
STREET ❑ 500 UNION AVE NE J5 CITY RENTON ST WA ZIP 98056 z
NEW ADDRESS
7❑ CDL IGNITION REQUIRED IGNITIt)N PRESENT MEDICAL TRANSPORTED 3
:NTERLOCKYEs NO INTERLOCK YES NO YES No
8❑ DRIVERS
LICENSE# STATE WA SEX'M I ELMIDIAY' 07 - 04 - 1978 1 2 32
9 ON DUTY❑ STATUS' AIRBAG 3 RESTR 4 EJECT 1 H U SE CLASS 7 I UNKRE OF INJURIES 2❑
3
10❑ P1 aT�S� CEJ9276 sTAr� WAurN# 3KPF24ADONE502230
TRAILER STATE TRAILER STATE
11 4 0 PLATE# PLATE# FROM TO
TRLR. TRLR 7 5 33
12 4 0 VIN#' VIN#
>; FROM TO
❑ VEH.YEAR MAKE MODEL STYLE VEHICLE TOWED TO BLIN T Y GOVT.VEHICLE 5 ] 34
13 2 2022 KIA FORTE DAMAGE vES 0NO agW�MEYER vEs❑ No
REGISTERED OWNER INFO DOUGLAS BRANLEY4718 SOUTHCENTER BLVD APT D10 TUKWILA WA 981882372 VEHICLE NO. 1 ❑
SHADE IN DAMAGED AREA 35
14 ❑ INSURANCE CO 3 4
LIABILITY INSURANCE
IN EFFECT &POLICV# 9TOP
VEwcLE CHARGE to BOTTOM 5 36
LEGALLY YES No CITATION# 3A0329682,3A0329683 OP MOT VEH W/OUT INSURANCE,
15❑ STANDING 6
MOTOR ✓ PEDAL-:. :PEDESTRIAN PROPERTY DAM THR OLD MET PHONE
UNIT U2 VEHICLE ❑ CYCLE ❑ ❑ OWNER ❑ YES�/ NO D:2072998542
16 a
LAST NAME GOODINE FIRST NAME MERCEDES MIDDLE L
INITIAL
17❑ STREET ❑', 16 CHURCH ST CITY WINTERPORT ST ME ZIP 044960000 37
NEW ADDRESS ❑
18� CDL ., IGNITION REQUIRED IGNITION PtR-E-S1ENT MEDICAL—T�RANSPORTED ❑ 38
INTERLOCKYES�NOR INTERLOCK YEs I I NOF YEs t l NO❑
19 DRIVER'S STATE ME SEX IF D.Q.B. 07 20 _ 1994 39
LICENSE# MMDDYY
WELMET INJURY NATURE OF INJURIES 40
20❑ ON DUTY STATUS AIRBAG 6 RESTR 4 EJECT 1 USE CLASS 7 ARM/CHEST/BACK ❑
21❑ LICENSE 2878HH TArE ME vIN1t 1FMEE5DP7NL645436
❑ 41
PLATE#
42
22❑ PILER LATE# STATE PLATE# STATE
23❑ VIN#. 43
TRLR RLR
'IN#.
VEH YEAR 2022 MAKE FORD MODEL BRONCO STYLE VEHICLE TOWED TO BLIN TOWEDBv GOV HI 44
24❑ DAMAGE YES NO GENE MEYER YES NO
REGISTERED OWNER INFO MERCEDES GOODINE 16 CHURCH ST WINTERPORT ME 044960000 VEHICLE NO.2
SHADEDAMAGEDAREA
3 4
LIABILITY
INSURANCE INSURANCE
#E CO TRAVELERS 6095539312031IN STOP 5
VE""LE ❑ N`L J
,J� CITATION# CHARGE
LEGAL io BOTTOM
LY YES
25 ' a
OFFICER'S NAME(PRINT) OFFICER PHONE BADGE OR ID# AGENCY
J
26
M.LEVERTON 2517 WA0171300
PART A PAGE 01 OF C7
3000-345-159 OR 11/181
STATE OF
POLICETRAFFICN CORRECTION REPORT NO. ED74273
COLLISION REPORT III III III III III 111
1591972 CASE# 23-7286
ADDITIONAL PERSONS INVOLVED PASSENGERS AND/OR WITNESSES ONLY)
NAME MIDDLE INITIAL) BUTLER DARREN
(LAST FIRST,
ADDRESS&PHONE#
2539982873 SEX' U MMDDYYYY -❑
---------------------------
PASSENGER WITNESS UNIT# SEAT AIRBAG RESTR. EJECT ' HELMET INJURY NATURE OF INJURIES
❑ POS. USE CLASS
NAME
(LAST,FIRST,MIDDLE INITIAL) BRECHT ROD
ADDRESS&PHONE#
7753239530 SEX: U MMDDvuvv
PASSENGER WITNESS UNIT# SEAT AIRBAG RESTR. EJECT HELMET INJURY NATURE OF INJURIES
❑ POS. USE CLASS
NAME
(LAST FIRST,MIDDLE INITIAL) WEHRI JUSTIN
AooREss&PHONE# 7012120964 _
SEX U. M -❑
MDDYYYY
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.
M.LEVERTON 06-27-23 10:36 AM
INVESTIGATING OFFICER'S SIGNATURE UNIT OR DIST DET DATED PLACE SIGNED
APPROVED BY DATE
C.JACOBS 1953 612712023 2:13:25 PM
BADGE OR ID# 2517 OR]#' WA0171300 TIME POLICE DISPATCHED 7:38 AM TIME POLICE ARRIVED]7:43 AM
PART I PAGE IT]OF 5�
REPORT NO. ED74273 CASE# 23-7286 OF COLLISION
06/27/23 07:37
OF CbLLI510N
NARRATIVE
slv/1 making right hgh speed hit slv bronco/2 hit blue mazda 3/3
CC
On 6/27/2023 at about 0737 hours within the city limits of Renton/King/WA I responded to a 3 car
blocking injury crash at the intersection of Maple Valley Hwy at 140th Ave SE.
When I arrived I saw the driver of unit 1 laying outside his car crying out in pain. A large debris field
from the crash blocked all the lanes of NB 140th at MVH.
I contacted the driver of unit 3 who told me she was in the outside left turn lane/140th on her green
light when suddenly unit 2 and unit 1 crashed into her vehicle. She did not complain of injury and
damages to her car required a tow truck.
I contacted the driver of unit 2 who told me she was in the inside left turn/140th on her green light.
She said she saw unit 1 approaching the intersection at what appeared to her as high speed. She
said Unit 1's car did not make the right turn/merge from MVH to 140th rather it went almost head on
with her car. She said the hit spun her car into unit 3 and unit 1 spun out of control hitting unit 3. She
was checked on scene by Renton Fire for several different complaints of injury. She would be going
to either the ER or Urgent care by way of her husband. Damages to her car required a tow truck.
I contacted the driver of unit 1 ID'd by picture WADL as Branley, Douglas John 07041978. Branley
told me he was being stupid and driving way too fast. He told me he was heading to work in
Fairwood and was just going too fast. He told me he caused the crash. He told me he did not have
insurance and was "totally screwed now" but said it was on him as he was just driving too fast. He
could not tell me his speed but took responsibility for it. He told me he was east on MVH and wanted
to go right/ up the hill on 140th to Fairwood, but was going so fast his car slide across into the head
on lane and crashed into unit 2 and then unit 3. He did not complain about anything specific
reference injury but was treated and transported to VMC-ER for additional checks. His vehicle
required a tow truck for damages.
I spoke with several witnesses/listed, and all of them mentioned that Unit 1/Branley was driving at
high speed and lost control of his car causing the crash. One witness was behind unit 2 and one was
east lane one MVH. Both of these witnesses actually got to see the crash unfold.
Branley chose to drive with willful and wanton disregard for the safety of persons and property.
I cited unit 1/Branley via complaint ref RCW 46.61.500 Reckless Driving and ref RCW 46.30.020 no
insurance.
I certify (declare) under penalty of perjury under the laws of the State of Washington that the
foregoing is true and correct.
M.Leverton/2517 City of Renton/King/Wa 6/27/2023
PAGE 3 OF 5
SUPPLEMENTAL REPORT NO. ED74273
r`) POLICE TRAFFIC 1 1 8 27
COLLISION REPORT CASE# 23-7286
1 COMMERCIAL MOTOR CARRIER INTERSTATE INTRASTATE G
UNIT'# USDOT ICC# VEHICLE TYPE CARGO BODY
;TYPE
2 ❑ 1 28
CARRIER
NAME
3 CARRIER
ADDRESS `
CITY ST ZIP—1 I '
4 ❑ NAME # PLACARD: :❑
GI PLACARD IF NO NUMBER
SOURCE AXLES +
4a ❑ ADDITIONAL UNITS
MOTOR PEDAL- PROPERTY DAMAGE THRESHOLD MET PHONE
5 ❑ UNIT# 3 VEHICLE tSJ CYCLE I_) PEDESTRIAN OWNER YEs NO
D:2537206170
0 4 Zg
LAST NAME PERRY FIRST NAME REBECCA MIDDLE' K
INITIAL
STREET 30
NEW AnDRFSP' 25413 174TH AVE SE CITY COVINGTON ST WA ZIP 980425483
6
CDL IGNITION REQUIRED IGNITION PRESENT MEDICAL TAN5PORTED 1 1 2 31
INTERLOCK YEs No NTERLOCK YES�NO� YEs N
DRIVER'S
LICENSE STATE I WA SEX F MMDDYYv 06 - 08 - 1990
7
ON DUTY� STATUS AIRBAG' $ RESTR. Q EJECT 1 HELMET I INJURY 1 1 NATURE OF INJURIES
USE CLASS
8 ❑ 1 32
LICENSE BFG0780 TAr Wq VIN# 3MZBN1L79HM120104
PLATE#
9 TRAILER TRAILER
PLATE# STATE PLATE# STATE
10 ❑ TRLR TRLR
VIN.#. VIN.#.
11 4 0 VEH.YEAR2017 MAKE MAZD MODELS STYLE VEHICLE TOWS ET SABLI W_-'•ER f+nVT VFHIGP FROM TO
DAMAGE YES NO YES NO
33
REGISTERED OWNER INFOREBECCA PERRY 25413 174TH AVE SE COVINGTON WA 98042 rj ]
12 SHADE IN DAMAGED AREA
4 j FROM TO
LIABILITY INSURANCE INSURANCE CO USAA 01325 90 37U 7102 3 q TOp
IN EFFECT &POLICY#
VEHICLE 10 6QTTUM 34
13 ❑ LEGALLY YES[:] NO❑ CITATION# CHARGE gg�@
STANDING } MOTOR
l:9 7 6
14 ❑ UNIT Tr Vd IRE O CYCLE OWNERRTY YES AGE NOHRESHOLD MET PHONE ❑ 35
PEDESTRIAN
15 LAST NAME FIRST NAME INITIAL
36
MIDDLE ❑
STRE
16 NEW ETETnnR"� CITY ST ZIP
CDL IGNITION REdUiRED IGNITtGN PRESENT MEDICALTANSPORTED
NTERLOCK YES No INTERLOCK YEs NO YEs NO El
17 37
LICENSE# STATE SEX MMDDDYBYY -� II
18 ❑ ON DUTY� STATUS AIRBAG RESTR. ; EJECT HELMET INJURY NATURE of 1NJURIEs 38
USE (CLASS
19 ❑ 39
LICENSE rnr VIN#
PLATE#
20 ❑ TRAILER' STATE TRAILER STATE ❑ 40
PLATE#< PLATE#
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 VEHICLE YES❑ NO❑ CITATION# CHARGE iq 60TiOM
LEGALLv
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.
X LEVERTON 06-27-23 10:36 AM
25 INVESTIGATING OFFICER'S SIGNATURE OFFICER'S PHONE UNIT OR DIST DET DATED: PLACE SIGNED
APPROVED BY DATE
26 OI BADGE 2517 O#I WA0171300 JACOBS 612712023 PAGE F41 OF F
3000-345-013(R 11118)
REPORT NO. ED74273 CASE# 23-7286 DATE AND TIME 06/27/23 07:37
OF COLLISION
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PAGE 5 OF 5