HomeMy WebLinkAbout23-11641 ITFF' "POLCERA II I !�� I III I III I IIII III II I . 1 27c
COLLISION REP FIT 1591971
CASE 23-11641 z
INTERSTATE ❑ CITY STREET FIRE ❑
RESULTED
1 STOLEN
STATE ROUTE ❑ OTHER ❑ VFHIl.I F ❑ LOCAL AGENCI 4Y00 3
HIT 8 RUN CODING
COUNTY RD PRIVATE WAY INVOLVED
2 TOTAL#OF OBJECT 0 5 28
TRIBAL 1 02 STRUCK
RESERVATION
z
3❑ DATE OF M M D D Y Y Y Y TIME(2400) COUNTY# MILES N E IN CITY# ❑
CowsloN 10 - 11 - 2023 1118 17 ❑.❑ S 8 W H OF e 1070 3
4❑ ON (PRIMARY TRAFFIC WAY) INTERSECTION ❑✓ NON INTERSECTION ❑
BLOCK
NE SUNSET BLVD M4500 ❑
4a❑ MILEPOST
DISTANCE OF(REFERENCE OR CROSS STREET)
5❑ ❑ S ❑ W❑ FEET ❑ ANACORTES AVE NE
0 1 29
MOTOR PEDAL- DAMAGE THRESHOLD MET PHONE
UNIT 01 VEHICLE ❑ CYCLE El
�/No D:2064763594 0 3 30
6 LAST NAME MORENO RIOS FIRST NAME JORGE MIDDLE A 1 2 31
INITIAL
STREET ❑✓ 11400 SE MAY VALLEY RD CITy RENTON ST WA 7jp, 98056 z=
NEW ADDRESS
7❑ CDL IGNITION REQUIRED IGNITION PRESENT MEDICAL TRANSPORTED 3
INTERLOCK YES[:]NO 1/ INTERLOCKYEs NO�/ YES R No�/
8 LRIIVERCENS # STATE SEX'M MDMDD 01 - 24 - 2002 1 2 32
9 ON DUTY❑ STATUS AIRBAG 2 RESTR 4 EJECT 1 HELMET U E 2 1 CLAY NATURE OF INJURIES z❑
❑10❑ Pi aT�S� CHR3091 sTArI WWAurN# 2HGFG21536H703741 3
TRAILER STATE TRAILER STATE
11 3 5 PLATE# PLATE# ROM ro
TRLR. TRLR 3 7 33
12 2 5 VIN#' VIN#
>; FROM TO
VEH.YEAR MAKE MODEL STYLE VEHICLE TOWED TO BLIN TOWED BY GOVT.VEHICLE 1 7 34
13 3 2006 HOND CIVIC CP DAMAGE YES NO YES[:] No
✓
REGISTERED OWNER INFO ALLAN ORTIZ GUTIERREZ 11846 SE 170TH PL RENTON WA 980586009 D:2064763594 VEHICLE NO. 1 ❑
SHADE IN DAMAGED AREA 35
14 ❑ INSURANCE CO eq�T3 4
LIABILITY INSURANCE
IN EFFECT &POLICY# 9TOP 5
VEwcLE CHARGE 10 BOTTOM 36
LEGALLY YEs❑NO CITATION# 3A0637855,3A0637855 NO VALID OPER LICENSE WITH
15❑ NDING 8 7 6
MOTOR PEDAL-:. PROPERTY DAM THR OLD MET PHONE
UNIT a2 ❑ ❑ PEDESTRIAN ❑ ❑ D:4252711893
VEHICLE CYCLE OWNER YES�/ NO
16 a
LAST NAME MORIARTY FIRST NAME LOELL MIDDLE M
INITIAL
17 STREET I❑ 1007 PIERCE CT NE CITY' RENTON ST WA ZIP 980563536 37
NEW ADOREss❑'
18❑ CDL IGNITION REQUIRED IGNITION PRESENT MEDICAL TRANSPORTED � 38
INTERLOCKYES�NO INTERLOCK YEs❑NOF YEs❑NOF,/
19 DRIVER'S STATE WA ]SEX IF D.C.B. 04 23 _ 1936 39
LICENSE# MMDDYY
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# DP69601 TArE 41
WA VIN 1t KNMAT2MTXJP592723 1
42
22❑ PILER LATE# STATE PLATE# STATE
23❑ UIN#. 43
TRLR RLR
'IN#.
VEH YEAR 2018 MAKE NIS8 MODEL ROGUE STYLE SV VEHICLE TOWED TO BLIN TOWEDBY GOV HI 44
L4❑ DAMAGE YES NO YES NO
REGISTERED OWNER INFO EILEEN MORIARTY 1007 PIERCE CT NE RENTON WA 98056 D:4252711893 VEHICLE NO.2
SHADE IN DAMAGED AREA
2 3 4
LIABILITY
INSURANCE INSU PORGY#E CO NATIONWIDE 7246JO18944IN 1 9TOP 5
'E""LE ❑ N`L J
,J� CITATION# CHARGE
LEG
25 i o BOTTOM
ALLY YES s 6
=UGENT
(PRINT) OFFICER PHONE BADGE OR ID# 77P�1300
26 11498
PAGE 01 OF
PART A
3000-345-159 OR 11/181
STATE OF
POLICETRAFFICN CORRECTION REPORT NO. EE10849
COLLISION REPORT III III III III III 111
1591972 CASE# 23-11641
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
POS. 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 10-16-23 02:58 PM
INVESTIGATING OFFICER'S SIGNATURE UNIT OR DIST DET DATED PLACE SIGNED
APPROVED BY E
DAT
C.JACOBS 1953 1011912023 10:42:08 AM
BADGE OR ID# 11498 ORI# WA0171300 TIME POLICE DISPATCHED 11:21 AM TIME POLICE ARRIVED',11:33 AM
PART I PAGE IT]OF 4�
TIME
REPORT NO. EE10849 CASE# 23-11641 OF COLLISION10/11/23 11:18
NARRATIVE
23-11641
On 10/11/2023 at approximately 1121 hours, I was dispatched to a non-injury and non-blocking
vehicle collision at the intersection of NE Sunset Boulevard and Anacortes Ave NE, within the City
Limits of Renton, County of King, State of Washington.
Upon my arrival, I confirmed there were no complaints of injury from the involved parties. While on
scene, I was able to collect each involved party's information and independent summary of the events
leading up to the collision.
The driver of Unit#1 said he was the sole occupant of his friend/coworker's vehicle and was traveling
westbound on NE Sunset Blvd approaching the intersection of Anacortes Ave NE in lane 1 of 2. The
driver of Unit#1 stated he was intending to continue straight through the intersection, but he noticed
that just prior to reaching the intersection, Unit#1 turned into his lane of travel. The driver of Unit#1
stated that he attempted to avoid the collision by swerving into lane 2 of 2 but ultimately collided into
the driver's side of Unit#2 causing moderate damage to the front passenger side quarter panel and
fender of Unit#2.
The driver of Unit#2 said she was traveling southbound on Anacortes Ave NE and had reached the
intersection of NE Sunset Blvd. The driver of Unit#2 stated that she was intending to make a right
turn at the intersection to proceed westbound onto NE Sunset Blvd. The driver of Unit#2 stated that
although the traffic light was red for her direction of travel, she believed traffic was clear. The driver of
Unit#2 stated that she began to turn out into the roadway. The driver of Unit#2 stated that Unit#1
then suddenly appeared and that both Unit#1 and Unit#2 collided in the roadway causing moderate
damage to the driver's side of Unit#2.
A DOL WACIC check revealed that the driver of Unit#1 (Moreno Rios) was listed as No Valid
Operator's License. Moreno Rios had provided me a Honduras Passport for identification purposes
but confirmed he had not yet obtained a driver's license.
Based on the above statements, 1 determined that the Driver of Unit#1 (Moreno Rios) was a
contributing factor for the cause of collision as Moreno Rios violator RCW 46.20.015 as he was not
properly licensed to be on the roadway and operate a motor vehicle. The driver of Unit#2
(MORIARTY) was also a contributing factor for the cause of collision as MORIARTY violated RCW
46.61.190(2) as every driver of a vehicle approaching an intersecting roadway shall stop where the
driver has a view of approaching traffic on the intersecting roadway before entering the roadway, and
after having stopped shall yield the right-of-way to any vehicle in the intersection or approaching on
another roadway so closely as to constitute an immediate hazard during the time when such driver is
moving across or within the intersection or junction of roadways.
I issued Moreno Rios a citation via mail for NVOL with ID and Operating a Motor Vehicle without
Insurance.
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.
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 2:57 PM 10/16/2023 Renton, King County, WA.
PAGE 3 OF 4
REPORT NO.! EE10849 CASE# ' 23-11641 DATE AND TIME 10/11/23 11:18
OF COLLISION
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