HomeMy WebLinkAbout23-10644 ITFF' "POLCERA II I !�� I III I III I IIII III II I . 6 27c
COLLISION REP FIT 1591971
CASE 23-10644 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 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 1439 17 ❑-= S 8 IN e 1070 3
4❑ ON (PRIMARY TRAFFIC WAY) INTERSECTION ❑✓ NON INTERSECTION ❑
S GRADY WAY BLOCK NO. e✓ ----� ❑
4a❑ MILEPOST
DISTANCE OF(REFERENCE OR CROSS STREET)
5❑ ❑ FEET e S ❑ VV e SHATTUCKAVE S
0 1 29
MOTOR PEDAL- DAMAGE THRESHOLD MET PHONE
UNIT 01 VEHICLE ❑ CYCLE El
,/No D:7022440315 0 11
30
6� LAST NAME DURAN FIRSTNAME LISA MIDDLE N 1 1 2 31
INITIAL
STREET ❑ 2321 NE 9TH PL CITY RENTON ST WA 2jp, 980562937 z
NEW ADDRESS
7❑ CDL IGNITION REQUIRED IGNITION PRESENT MEDICAL TRANSPORTED 3
INTERLOCK YES[:]NO INTERLOCKYEs NO YEs NO
8❑ LRIIVER #
ON DUTY❑ STATUS AIRBAG 6 RESTR 4 EJECT 1 H USEET ICNLJAURY 1 NATURE OF INJURIES 2❑
3
10❑ Pi aT�S� CFG8974 sTArI WAurN# WBA365G52ENS09009
TRAILER STATE TRAILER STATE
11 3 5 PLATE# PLATE# FR.. ro
TRLR. TRLR 3 7 33
12 3 5 VIN#' VIN#
FROM TO
❑ VEH.YEAR MAKE MODEL STYLE VEHICLE TOWED TO BLIN T GOVT.VEHICLE 1 $ 34
13 2 2014 BMW 328 DAMAGE vEs ONO f �LII� RS vEs❑ No
REGISTERED OWNER INFO LISA DURAN 2321 NE 9TH PL RENTON WA 98056 VEHICLE NO. 1 ❑
SHADE IN DAMAGED AREA 35
❑ ❑ INSURANCE CO 3 4
14 LIABILITY INSURANCE � SAME.
IN EFFECT &POLICY# 9TOP
vE EFFECT
CHARGE to BOTTOM 5 36
LEGALLY YES No clTAnoN# 3A0681689,3A0681690 FAIL TO OBEY TRAFFIC CONTROL
15❑ STANDING 6
MOTOR PEDAL-:. PEDESTRIAN PROPERTY DAM THR PHONE
UNIT 02 VE OLD MET HICLE ❑ CYCLE ❑ ❑ OWNER ❑ YES 1/ NO D:2065730037
16 a
LAST NAME BOSS FIRST NAME CYNTHIA MIDDLE C
INITIAL
17❑ STREET ❑', 922 S 3RD ST#10 CITY' RENTON ST WA ZIP 98057 37
NEW ADDRESS ❑
18� CDL IGNITION REQUIRED IGNITION PR-E-1SENT MEDICAL TRANSPORTED ❑ 38
INTERLOCKYES�NOF INTERLOCK YEs It I NOF YES
t t- l NO❑
19F] LDI IVER # STATE WA SEX U M .C... 12 27 1976 El 39
20❑ ON DUTY STATUS AIRBAG,6 RESTR 4 EJECT 1 HELMET INJURY 7 NATURE OF INJURIES ❑ 40
USE CLASS ARM
21❑ LICENSE BLY6711 TArE WA VIN# JA4AP3AU2JZ005002
❑ 41
PLATE#
42
22❑ PLATE# STATE PLATE# STATE
23❑ UIN#. 43
TRLR RLR
'IN#.
VEH YEAR 2018 MAKE MITS MODEL OUTLAN STYLE VEHICLE TOWED TO BLIN TOWEDBY GOV HI 44
24❑ DAMAGE YES✓ NO BANKERS YES NO
REGISTERED OWNER INFO CYNTHIA BOSS 922S3RDST#10 RENTON WA 98057 D:2065730037 VEHICLE NO.2
SHADE DA GEbAREA
LIABILITY
INSURANCE INSU POLICY#E CO SAME. CCdd
IN CTOP
vE"'Le ❑ ,J� CITATION# CHARGE I BOTTOM
LEGALLY YES N`L J
25 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. EE01711
COLLISION REPORT III III III III III 111
1591972 CASE# 23-10644
ADDITIONAL PERSONS INVOLVED PASSENGERS AND/OR WITNESSES ONLY)
NAME MIDDLE INITIAL) ATTACAH SAMIR T
(LAST FIRST,
ADDRESS&PHONE#
4258944369 SEX i U MMDOYyry 05 - 08 - 1955
----------------------------
PASSENGER WITNESS UNIT# SEAT AIRBAG RESTR. EJECT ' HELMET INJURY NATURE OF INJURIES
❑ ❑✓ POS. USE CLASS
NAME
(LAST,FIRST,MIDDLE INITIAL) LANE JR ROBERT O
ADDRESS&PHONE# D O B
2532591547 SEX U MM OD BY,, 02 _ 17 _ 1976
PASSENGER WITNESS UNIT# SEAT I AIRBAG RESTR. EJECT HELMET INJURY NATURE OF INJURIES
❑ POS. USE CLASS
NAME
(LAST FIRST,MIDDLE INITIAL) SORENSEN JR CARA
AooREss PHONE# 2063345935 SEX U I. 27 _ 1986
MDDYYYY -
PASSENGER WITNESS UNIT# SEAT AIRBAG RESTR. EJECT HELMET INJURY 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 09-15-23 04:34 PM
INVESTIGATING OFFICER'S SIGNATURE UNIT OR DIST DET DATED PLACE SIGNED
APPROVED BY DATE
C.JACOSS 1953 9/23/2023 8:49:04 PM
BADGE OR ID# 2517 OR]#' WA0171300 TIME POLICE DISPATCHED 2:39 PM TIME POLICE ARRIVED]2:39 PM
PART I PAGE IT]OF 4�
REPORT NO. EE01711 CASE# 23-10644 OF COLLISION
09/15/23 14:39
OF CbLLI510N
NARRATIVE
blk/1 In 1 wb ran red blue sb on green t'd rolled on roof
CC
On 9/15/2023 at about 1439 hours within the city limit of Renton/King/WA I responded to a 2 car
rollover crash at the intersection of S Grady Way and Shattuck Ave S.
I contacted the driver of unit 2 who told me she was southbound on Shattuck starting on her green
light when she noticed unit 1 going about "40 mph" and drove into the side of her car, rolling her over
onto her roof. She remained seat belted hanging upside down until Renton Fire was able to extricate
her from the car. She was transported to VMC-ER for further checks. Damages required a tow truck.
I contacted the driver of unit 1 who was visibly upset. She was ID'd by her matching picture WADL as
Duran, Lisa 06201979. She told me she might have ran the red light. She said she was in lane 1
westbound when the crash happened. She did not complain of injury even though she had a small
bleeding cut on her right shin and a nick in her pinky finger. She did not really provide any additional
information. Damages required a tow truck.
I contacted several witnesses on scene who each had a different lane positions to observe the crash.
Each told me unit 2 was on her green light and unit 1 was against a red light. Wit/Attacah was in lane
2 next to unit 1 westbound and stopped for the red light and watch unit 1 run the red and crash into
the side of unit 2. Wit/Lane was behind unit 2 stopped for the red. Lane said the light changed to
green and he was following unit 2 into the intersection when unit 1 hit her. Wit/Sorensen was
westbound behind unit 1, could see that light turn red and watched unit 1 run the red light crashing
into the side of unit 2.
A WACIC/DOL check via IVIDC revealed Duran/unit 1 was Driving While License Suspended 3rd
Degree. I told Duran she was being arrested on paper not into jail for DWLS 3rd. She said she just
paid 2 tickets in Kent and didnt understand why she was still DWLS. I told her the court and/or DOL
can suspend a license and she would need to check with the courts and DOL for additional answers.
I told her she would receive a notice in the mail from our courts about her requirements to respond.
I cited Duran via the Renton Prosecutors office ref RCW 46.20.342 DWLS 3rd and cited Duran via
complaint ref RCW 46.61.055 FTCWTCD-Red Light 2 car injury crash.
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 9/15/2023
PAGE 3 OF 4
REPORT NO.! EE01711 CASE# ' 23-10644 DATE AND TIME 09/15/23 14:39
OF COLLISION
nts
PAGE 4 OF 4