HomeMy WebLinkAbout23-14724 POLICETRAFF'c" III !�� I IIIllI111IN II II I REPORT NO. EE37385 170
27
COLLISION REP FIT 1591971
CASE 23-14724 z
INTERSTATE ❑ CITY STREET FIRE ❑RESULTED
1 STOLEN
STATE ROUTE ❑ OTHER ❑ VFHIr.I F ❑ LOCAL AOENC 4Y00 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 12 - 1-- 2023 1515 17 ❑.= S 8 IN e 1070 3
4❑ ON (PRIMARY TRAFFIC WAY) INTERSECTION ❑ NON INTERSECTION ❑✓
BLOCK
NE SUNSET BLVD MILEPOST ST e✓ 3200
4a❑
DISTANCE OF(REFERENCE OR CROSS STREET)
5❑ ❑ FEET e S ❑ W e 0 3 29
MOTOR PEDAL- DAMAGE THRESHOLDHONE
UNIT 01 VEHICLE ❑ CYCLE El MET P
YES
�/No D:2537979390 0 11
30
6� LAST NAME MCKENZIE FIRSTNAME PHILIP MIDDLE M 1 1 2 31
INITIAL
STREET ❑, 14522 166TH PL SE CITY RENTON ST WA ZIP 98059 z
NEW ADDRESS
7❑ CDL IGNITION REQUIRED IGNITION PRESENT MEDICAL TRANSPORTED 3
1/ I INTERLOCK YES[:]NO NTERLOCKYEs NO Z/ YES R No�/
8❑ LRIIVER #
ON DUTY❑ STATUS AIRBAG 2 RESTR 4 EJECT 1 H USEET ICNLJAURY 1 NATURE OF INJURIES z❑
3
10� P1 aT�S� BXJ1814 sTATe WAurN# 1C4RJFJMXJC373667
TRAILER STATE TRAILER STATE
11 3 5 PLATE# PLATE# FROM TO
TRLR. RLR 1 7 33
12 3 5 VIN#' VIN#'
>; FROM TO
❑ VEH.YEAR 2018 MAKE MODEL STYLE VEHICLE TOWED TO BLIN 3 7 TOWED BY GOVT.VEHICLE 34
13 4 JEEP GRAND UT DAMAGE YES NO YES❑ NO✓
REGISTERED OWNER INFO OWNEDBYDRIVER VEHICLE NO. 1
SHADE IN DAMAGED AREA ❑ 35
14 LIABILITY INSURANCE INSURANCE CO GEICO 4529-69.17.52 4
LI EFFECT I SUR N# TOPVEHICLE CHARGE 36
LEGALLY YES❑NO❑ CITATION# <1�3
OTTOM
15❑ STANDING 6
MOTOR PEDAL- PEDESTRIAN PROPERTY DAM THR OLD MET PHONE
UNIT VEHICLE ❑ CYCLE ❑ ❑ OWNER ❑ YES 1/ NO D:4257654193
16 a
LAST NAME PHILIO FIRST NAME TIMOTHY MIDDLE JE
INITIAL
17❑ STREET ❑', 3324 NE 17TH ST CITY RENTON ST WA ZIP 98056 37
NEW ADDRESS ❑
18� CDL ., IGNITION REQUIRED IGNITION PtR—E—S1ENT MEDICAL t—TRANSPORTED 38
INTERLOCK YES❑NO� INTERLOCK YEs I I NOF YES
t l NOF,/
19 DRIVER'S
MMDDYY
WELMET INJURY1 NATURE OF INJURIES 40
20❑ ON DUTY STATUS AIRBAG 2 RESTR 4 EJECT 1 USE CLASS ❑
21❑ LICENSE REPTAR TATe I WA VIN# 1FTFW1R676FD42180
❑ 41
PLATE#
42
22❑ PLATE# STATE pLATE ILER# STATE
TRLR
23❑ VIN#. IN#. 43
RLR
'
TOWED BY GOV HI 44
VEH YEAR 2011 MAKE FORD MODEL F150 SVT STYLE 4C DAMAGE TOWED NOO✓ BLIN YES NO 1/
24❑ REGISTERED OWNER INFO OWNED SY DRIVER VEHICLE N0.2
SHADE IN DA GEbAREA
z Cdd
LIABILITY
INSURANCE INSURANCE
#E CO PEMCO CA 0764247IN 1GQ'E""LE
❑ ,J� CITATION# CHARGE
LEGALLY YES N`L J
25
=KI
(PRINT) OFFICER PHONE BADGE OR ID# AGENCY
J
26 12598 WA0171300
PART A PAGE 01 OF C7
3000-345-159 OR 11/181
STATE OF
POLICETRAFFICN CORRECTION REPORT No. EE37385
COLLISION REPORT III III III III III 111
1591972 CASE# 23-14724
ADDITIONAL PERSONS INVOLVED PASSENGERS AND/OR WITNESSES ONLY)
NAME MIDDLE INITIAL) SOARES-MCKENZ/E MIDIAN
(LAST FIRST,
ADDRESS&PHONE#
14522 166TH PL SE RENTON WA 98059 2537979390 SEXi F MMDDYyry 11 - 25 - 1974
PASSENGER WITNESS UNIT# 1 POS 'I 3 AIRBAG 2 RESTR. q EJECT ? HELMET INJURY NATURE OF INJURIES
USE CLASS 11
NAME
(LAST,FIRST,MIDDLE INITIAL)
ADDRESS&PHONE# D O B
SEX MMDDYYYY
PASSENGER ❑WITNESS UNIT# SEAT AIRBAG RESTR. EJECT HELMET NJURY NATURE OF INJURIES
POS. USE CLASS
NAME
(LAST FIR57 MIDDLE INITIAL)
AppRESS&PHONE#
SEX D.O.B.
MMDDYYYY. -
PASSENGER WITNESS UNIT# SEAT AIRBAG RESTR. EJECT HELMET NJURY NATURE OF INJURIES
❑ ❑ POS. USE CLASS ----�
NARRATIVE'
On Saturday, December 23, 2023 at 1520 hours, I was dispatched to a two-vehicle collision in the
area of 3200 block of NE Sunset Blvd in Renton, WA.
The following occurred within the City of Renton, King County; Unit 1 - WA/ BXJ1814 was being
driven by Philip McKenzie and Unit 1 was attempting to turn right, westbound onto NE Sunset Blvd
from the parking area waiting. Unit 2 - WA/ REPTAR was driven by Tim Philio and was travelling
westbound on NE Sunset in the lane closest to the curb.
Tim stated he was driving westbound when Unit 1 turned directly in front of him without yielding and
was unable to avoid the vehicle which resulted in the vehicles to collide. Tim stated he attempted to
swerve but was unable to make an aggressive maneuver due to other vehicles traveling on the
roadway, subsequently the passenger side of Unit 2 was struck by Unit 1.
Philip stated he was trying to turn onto NE Sunset Blvd and did not initially see the oncoming vehicle
which was Unit 2.
From what Philip explained to me 1 believe he did not yield to oncoming traffic while make a right turn.
Both vehicles sustained damage and but did not need to be towed.
I CERTIFY(DECLARE)UNDER PENALTY OF PERJURY UNDER THE LAWS OF THE STATE OF WASHINGTON THAT THE FOREGOING IS TRUE AND CORRECT.
J.WISN/EWSKI 12-23-23 05:00 PM
INVESTIGATING OFFICER'S SIGNATURE UNIT OR DIST DET DATED PLACE SIGNED
APPROVED BY E
DAT
D.MOYNIHAN 1128E 11512024 12:57:09 AM
BADGE OR ID# 112598 ORI#' WA0171300 TIME POLICE DISPATCHED; 3:20 PM TIME POLICE ARRIVED f 3:29 PM
PART I PAGE IT]OF 3�
REPORT NO. EE37385 CASE# 23-14724 DATE AND TIME 12/23/2315:15
OF COLLISION
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