HomeMy WebLinkAbout23-10326 ITFF' "POLCERA II I !�� I III I III I IIII III II I . 0 27c
COLLISION REP FIT 1591971
CASE 23-10326 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 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 09 - 1-- 2023 1831 17 ❑-= S 8 IN e 1070 3
4❑ ON (PRIMARY TRAFFIC WAY) INTERSECTION ❑✓ NON INTERSECTION ❑
NE 4TH STREET BLOCK NO. e✓ 4700 ❑
4a❑ MILEPOST
DISTANCE OF(REFERENCE OR CROSS STREET)
5❑ �.❑ FEET e S ❑ VV e DUVAL!AVE NE
0 4 29
MOTOR PEDAL- DAMAGE THRESHOLD MET PHONE
UNIT 01 VEHICLE ❑ CYCLE El
,/NO D:2069100059 0 11
30
6� LAST NAME LEE FIRSTNAME SHELBY MIDDLE S 1 1 2 31
INITIAL
STREET ❑ 6509 DOUGLAS AVE SE CITY AUBURN ST I WA 2jp, 980928373 z
NEW ADDRESS
7❑ CDL IGNITION REQUIRED IGNITION PRESENT MEDICAL TRANSPORTED 3
1/ I iNTERLOCKYEs NO NTERLOCKYEs NO Z/ YES R No�/
8❑ LRIIVER #
ON DUTY❑ STATUS AIRBAG 6 RESTR 4 EJECT 1 HELMET 2 INJURY 6 NATURE OF INJURIES 2❑
USE CLASS C/O R.ARM PAIN.EVAL'D BY RRFA
3
10[1Pl QTNFS# BTY6952 STATE WA VIN#' 1GYKPDRS2LZ178860
F_ TRAILER STATE TRAILER STATE
11 3 5 PLATE# PLATE# ROM ro
TRLR. TRLR 3 5 33
12 3 5 VIN#' VIN#
>; FROM TO
VEH.YEAR MAKE MODEL STYLE VEHICLE TOWED TO BLIN T Y GOVT.VEHICLE 7 3 34
13� 2020 CADI XT6 SV DAMAGE vEs 0NO agW�MEYERS ves❑ No
REGISTERED OWNER INFO SHELBYLEE 6509 DOUGLAS AVE SE AUBURNWA98092 D:2069100059 VEHICLE NO. 1 ❑
SHADE IN DAMAGED AREA 35
14 LIABILI INSURANCE INSURANCE CO USAA 0359511 7OR-7101 6 4
IN EFFECT &POLICY# 9TOP
15❑ LE
vEGALLv Hla.e 5 36
YES�No D CITATION# 3A0637846 CHARGE FAIL YIELD LEFT TURN MOTOR io sorroM
STANDING 8 7 6
MOTOR PEDAL- ❑ 'PEDESTRIAN ❑ PROPERTY DAM THR OLD MET PHONE
YE
UNIT 02 VEHICLE ❑ CYCLE OWNER ❑ S 1/ NO D:4253668166
16 a
LAST NAME LATOUR NELSON FIRST NAME JENNIFER MIDDLE I A
INITIAL
17 STREET❑ NEW ADDRESS❑' 20400 SE 145TH ST CITY RENTON ST WA ZIP 980598900 37
18❑ CDL IGNITION REQUIRED IGNITION PRESENT MEDICAL—T�RANSPORTED � 38
INTERLOCK YEs❑No� INTERLOCK YEs It I NOF YES
t l NOF,/
19 DRIVERS#
❑ ON DUTY STATUS AIRBAG,6 RESTR 4 EJECT 1 WEB SET 2 NJAURSY 6 C/O CHEST PAIN FROM SEATBELT.RRFA EVALD ❑[-�A—TUREOF INJURIES 40
LICENSE I ❑21❑ PLA E# BEE9636 TATE 41
WA VIN# JTEEW44AX82002848 1
42
22❑ PLATE# STATE PLATE# STATE
23❑ VIN#. 43
TRLR RLR
'IN#.
VEH YEAR 2008 MAKE TOy7- MODEL HIGHLAN STYLE SI/ I VEHICLE TOWED TO BLIN TOWEDII GOV HI 44
24❑ DAMAGE YES�/ NO GENE MEYERS YES NO
REGISTERED OWNER INFO MATHEW NELSON 20400 SE 145TH ST RENTON WA 98059 D:4253668166 VEHICLE NO.2
SHADEDAMAGEDAREA
3 4
LIABILITY
INSURANCE &POINSURGY#E CO ALLSTATE 964-489-074IN STOP 5
'E""LE ❑ ,J� CITATION# CHARGE io BOTTOM
LEGALLY YES N`L J
25 ' a
OFFICER'S NAME(PRINT) OFFICER PHONE BADGE OR ID# 77AGENCY
26
MATTHEW NUGENT 11498 WA0171300
PART A PAGE 01 OF
3000-345-159 OR 11/181
STATE OF
POLICETRAFFICN CORRECTION REPORT NO. EE01702
COLLISION REPORT III III III III III 111
1591972 CASE# 23-10326
ADDITIONAL PERSONS INVOLVED PASSENGERS AND/OR WITNESSES ONLY)
NAME MIDDLE INITIAL) LEE ZAYDEN
(LAST FIRST,
ADDRESS&PHONE#
6509 DOUGLAS AVE SE AUBURN WA 98092 2069100059 SEX M MMDDvyry 01 - 11 - 2017
SEAT HELMET NJURY NATURE of INJURIES
PASSENGER WITNESS UNIT# 1 POS, 9 AIRBAG 6 RESTR. 10 EJECT 1 USE 2 CLASS +7 NO INJURYSUSPECTED.EVAL'D.1
NAME
(LAST,FIRST,MIDDLE INITIAL) NELSON BRIANNA L
ADDRESS&PHONE# D O B
20400 SE 145TH ST RENTON WA 98059 4253668166 SEX' F MMDDvvvv 09 _ 25 _ 2002
SEAT HELMET INJURY NATURE OF INJURIES
PASSENGER WITNESS UNIT# 2 POS 3 AIRBAG 2 RESTR. 4 EJECT 1 USE 2 CLASS 6 C/O CHEST AND R.LEG PAIN
NAME
(LAST FIR57 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.
MATTHEW NUGENT 09-16-23 06:32 PM
INVESTIGATING OFFICER'S SIGNATURE UNIT OR DIST DET DATED PLACE SIGNED
APPROVED BY E
DAT
C.JACOBS 1953 912112023 10:45:37 AM
BADGE OR ID# 11498 ORI# WA0171300 TIME POLICE DISPATCHED'; 6:31 PM TIME POLICE ARRIVED',6:31 PM
PART I PAGE IT]OF 4]
REPORT NO. EE01702 CASE# 23-10326 OF COLLISION
09/06/23 18:31
OF CbLLI510N
NARRATIVE
23-10326
On 09/06/2023 at approximately 1832 hours, I was dispatched to an injury and blocking vehicle
collision at the intersection of NE 4th Street and Duvall Ave NE, within the City Limits of Renton,
County of King, State of Washington. Dispatched advised that the collision involved two vehicles and
that both involved parties were complaining of pain. Dispatch advised Renton Regional Fire Authority
(RRFA) would be responding as well.
Upon arrival, I confirmed there was airbag deployment and a complaint of injury for right arm pain
from the driver of Unit#1 and chest pain from both occupants of Unit#2. 1 also confirmed that the
passenger of Unit#2 was complaining of right leg pain from the collision. RRFA responded and
evaluated all involved patients and treated them at the scene.
The Driver of Unit#1 said she was traveling with a juvenile passenger and was proceeding
westbound on NE 4th Street approaching the intersection of Duvall Ave NE in the left-turn lane (lane
3 of 3). The driver of Unit#1 stated she was intending to make a southbound (left) turn from the
westbound lanes of NE 4th Street onto Duvall Ave NE. The driver of Unit#1 said she saw the traffic
signal had turned from green to yellow, which she alleged was a solid yellow light, and stated she
believed she had the right of way. The driver of Unit#1 proceeded out into the intersection to make
the left turn. While making the turn, both Unit#1 and Unit#2 collided in the intersection causing
significant damage to the front passenger side of Unit#1.
The driver of Unit#2 stated that she and her adult passenger were traveling eastbound on NE 4th
Street approaching the intersection of Duvall Ave NE in lane 2 of 3. The Driver of Unit#2 stated that
she was approaching the intersection with the intent to continue eastbound. The driver of Unit#2
stated that once she reached the intersection, which she alleged was a solid green light with a
change to yellow upon entering the intersection, when Unit#1 turned out into the intersection and in
front of Unit#2's direction of travel. Unit#2 was unable to avoid the collision and collided with the
front end of Unit#1 causing significant damage to the front of Unit#2.
Based on the above statements, I determined that the driver of Unit#1 (Lee) did not grant the right of
way to Unit#2 traveling in the roadway which had the right of way and was already underway. The
driver of Unit#1 was turning left and traversing across traffic and must not do so until it is clear of
hazard/traffic. The driver of Unit#1 (Lee) violated RCW 46.61.185.1 by being the driver of a vehicle
intending to turn to the left within an intersection and shall yield the right-of-way to any vehicle
approaching from the opposite direction which is within the intersection or so close thereto as to
constitute an immediate hazard.
I cited Lee via mail for not granting the right of way during a left turn causing a collision.
Both Unit#1 and Unit#2 had to be impounded due to extensive damage. An exchange of information
and case number were 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 6:22 PM 9/16/2023 Renton, King County, WA.
PAGE 3 OF 4
REPORT NO.! EE01702 CASE# ' 23-10326 DATE AND TIME 09/06/23 18:31
OF COLLISION
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a�
Q
*Diagram not scale Q
NE 4th St
PAGE 4 OF 4