HomeMy WebLinkAbout23-12516 ITFF' "POLCERA II I !�� I III I III I IIII III II I . 0 27c
COLLISION REP FIT 1591971
CASE 23-12516 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 10 - 1-- 2023 1402 17 ❑-= S 8 IN e 1070 3
4❑ ON (PRIMARY TRAFFIC WAY) INTERSECTION ❑✓ NON INTERSECTION ❑
NORTH 4TH STREET BLOCK NO. e✓ 1000 ❑
4a❑ MILEPOST
DISTANCE OF(REFERENCE OR CROSS STREET)
5❑ �.❑ FEET e S ❑ VV e PELLYAVE NORTH
0 3 29
MOTOR PEDAL- DAMAGE THRESHOLD MET PHONE
UNIT 01 VEHICLE ❑ CYCLE El
✓NO D:2068330102 0 11
30
6 LAST NAME CRUZ LUNA FIRSTNAME JUAN MIDDLE D 1 1 2 31
INITIAL
STREET ❑ 402 SW LANGSTON RD CITY RENTON ST WA 21p 980572212 z
NEW ADDRESS
7❑ CDL IGNITION REQUIRED IGNITION PRESENT MEDICAL TRANSPORTED 3
iNTERLOCKYEs NO 1/ INTERLOCKYEs NO�/ YES R No�/
8❑ LRIIVER #
ON DUTY❑ STATUS AIRBAG 6 RESTR 4 EJECT 1 HELMET
2 CLASS 1 NATURE OF INJURIES z❑
3
LICENSE CBP4309 sTArI WAVIN# JTEEP21A040048300
10 F91 PI ATE i4
TRAILER STATE TRAILER STATE
11 2 5 PLATE# PLATE# FROM ro
TRLR. TRLR 1 7 33
12 3 0 VIN#' VIN#'
ROM TO
VEH.YEAR MAKE MODEL I STYLE VEHICLE TOWED TO BLIN TOWED BY GOVT.VEHICLE 3 ] 34
13Fq—1 2004 TOYT HIGHLA SV DAMAGE YES NO YES[:] No✓
REGISTERED OWNER INFO JUL.I.CRUZ 402 SW LANGSTON RD RENTON WA 98057 D:2068330102 VEHICLE NO. 1 ❑
SHADE IN DAMAGED AREA 35
14 LIABILITY INSURANCE INSURANCE CO NATIONAL GENERAL 2017683472 3 4
IN EFFECT &POLICY# 9TOP
❑ LEGALLYE LE CHARGE 1 5 36
15 2 YES No clTAnoN# 3A0637863 PROH/IMPROPER TURN 8 BOTTOM
MOTOR PEDAL PROPERTY DAM THR OLD MET PHONE
UNIT 02 ❑✓ ❑ PEDESTRIAN ❑ ❑ YES 1/ NO D:2068175441
VEHICLE CYCLE OWNER
16 a
LAST NAME MC CLOSKEY FIRST NAME JENNIFER MIDDLE I A
INITIAL
17 STREET❑ NEW ADDRESS❑' 4137 CORLISS AVE N CITY SEATTLE ST WA ZIP 981038432 37
18❑ CDL IGNITION REQUIRED IGNITION PtR-E-S1ENT MEDICAL-T�RANSPORTED � 38
INTERLOCK YEs❑No� INTERLOCK YEs I I NOF YEs t l NoF,/
19[—] LICENSE# STATE WA SEX F M D.C.B. 04 15 _ 1961 39
20❑ ON DUTY STATUS AIRBAG,6 RESTR 4 EJECT 1 H EET 2 NJAU SY 7 C/O CHEST PAIN. BY RRFA ❑ 40
❑21❑ PLATE# BRH3565 TArE 41
WA VIN# SFRYD4H91GB060767 1
42
22❑ PLATE# STATE PLATE# STATE
TRLR
23❑ UIN#. IN#.
43
RLR
'
VEH YEAR 2016 MAKE ACUR MODEL MDX STYLE SI/ VEHICLETOWED TO BLIN TOWEDBY GOV HI 44
24❑ DAMAGE YES NO YES NO
REGISTERED OWNER INFO JENNY MCCLOSKEY 4137 CORLISS AVE N SEATTLEWA98103 D:2068175441 VEHICLE NO.2
SHADEDAMAGEDAREA
3 4
LIABILITY
INSURANCE &POLICY#E CO USAA 00372 5147CIN 9TOP 5
'E""LE ❑ ,J� CITATION# CHARGE io BOTTOM
LEGALLY YES N`L J
25 ' e
7mHE
NAME(PRINT) OFFICER PHONE BADGE OR ID# AGENCY
26W NUGENT 11498 WA0171300
PART A PAGE 01 OF
3000-345-159 OR 11/181
STATE OF
POLICETRAFFICN CORRECTION REPORT NO. EE15741
COLLISION REPORT III III III III III 111
1591972 CASE# 23-12516
ADDITIONAL PERSONS INVOLVED PASSENGERS AND/OR WITNESSES ONLY)
NAME MIDDLE INITIAL) LUNA CRUZ JULIA M
(IAST FIRST,
ADDRESS&PHONE# D O.B.
7127 S.130TH ST SEATTLE WA 98178 SEX F MMDDYyYv 05 - 22 - 1964
SEAT HELMET INJURY NATURE OF INJURIES
PASSENGER WITNESS❑IUNIT# 1 POS. 3 AIRBAG 6 RESTR. q EJECT USE 2 CLASS 7 C/O BACK PAtN.EVAL'DBYRRPA
NAME
(LAST,FIRST,MIDDLE INITIAL)
ADDRESS&PHONE# Id I
DOB
E 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'
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 11-02-23 04:21 PM
INVESTIGATING OFFICER'S SIGNATURE UNIT OR DIST DET DATED PLACE SIGNED
APPROVED BY DATE
Co.JOHNSON 0505 11/2/2023 5:02:53 PM
BADGE OR ID# 11498 ORI# WA0171300 TIME POLICE DISPATCHED 2i05 PM TIME POLICE ARRIVED]2:24 PM
PART I PAGE IT]OF 4�
TIME
REPORT NO. EE15741 CASE# 23-12516 OF COLLISION10/31/23 14:02
NARRATIVE
23-12516
On 10/31/2023 at approximately 1405 hours, I was dispatched to a non-injury and non-blocking
vehicle collision at the intersection of North 4th Street and Pelly Avenue North, within the City Limits
of Renton, County of King, State of Washington.
While en route, Officer P. Lantagne had arrived on scene and requested Renton Regional Fire
Authority (RRFA) respond as a precaution due to airbag deployment.
Upon my arrival, I confirmed that the passenger of Unit#1 was complaining of back pain and the
driver of Unit#2 was complaining of chest pain. RRFA had already responded and evaluated the
involved parties prior to my arrival. All parties were treated at the scene and released by RRFA. 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 and his adult passenger were traveling southbound on Pelly Ave N and
had approached the stop-sign controlled intersecting roadway of N 4th ST. The driver of Unit#1
stated that he was intending to make a right turn at the intersection to proceed westbound onto N 4th
ST (one-way road). The driver of Unit#1 stated that he stopped at the intersection to yield to
approaching traffic. The driver of Unit#1 stated that he believed traffic was clear and began to turn
out into the roadway. The driver of Unit#1 stated that he took the turn "a little wide" when Unit#2 then
suddenly appeared. Both Unit#1 and Unit#2 collided in the roadway causing significant damage to
the rear driver's wheel well, fender, and wheel bearing of Unit#1.
The driver of Unit#2 said she was the sole occupant of her vehicle and was traveling westbound on
N 4th ST approaching the intersection of Pelly Ave N where Unit#1 was located. The driver of Unit#2
stated she was intending to continue straight on the one-way road through the uncontrolled
intersection for her direction of travel. The driver of Unit#2 stated that upon reaching the intersecting
driveway, Unit#1 failed to yield to her vehicle at the intersection. The driver of Unit#1 was unable to
avoid the collision and subsequently collided into Unit#1 causing significant damage to the front of
Unit#2.
Based on the above statements, I determined that the Driver of Unit#1 (Cruz Luna) was the
predominant factor for the cause of collision as Cruz Luna did not grant the right of way to traffic
already in the roadway and underway. Cruz Luna 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 cited Cruz Luna via mail for Failing to Stop/Yield at an intersection causing a collision.
Both Unit#1 and Unit#2 had to be privately towed due to extensive damage. 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 11/2/2023 4:20 PM Renton, King County, WA.
PAGE 3 OF 4
EE15741 CASE# 23-12518 DATE AND TIME 10/31/2314:02