HomeMy WebLinkAbout23-12889 ITFF' "POLCERA II I !�� I III I III I IIII III II I . 5 27c
COLLISION REP FIT 1591971
CASE 23-12889 z
INTERSTATE ❑ CITY STREET FIRE ❑RESULTED
1 STOLEN
STATE ROUTE ❑ OTHER ❑ VFHIC;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 03 STRUCK
RESERVATION
z
3❑ DATE of M M D D Y Y Y Y TIME(2400) COUNTY# MILES CITY#
cowsloN 11 - 08 - 2023 1616 17 . N E IN� S 8 W H OF e 1070 3
4❑ ON (PRIMARY TRAFFIC WAY) INTERSECTION ❑✓ NON INTERSECTION ❑
SW SUNSET BLVD BLOCK NO. e✓ 700 ❑
4a❑ MILE POST
DISTANCE OF(REFERENCE OR CROSS STREET)
5❑ e S ❑❑ FEET OF EARLINGTON AVE SW
0 1 29
MOTOR PEDAL- DAMAGE THRESHOLD MET PHONE
UNIT 01 VEHICLE ❑ CYCLE El
�/No D:2537378496 0 7 30
6� LAST NAME GOLOVASHEV FIRSTNAME DIANA MIDDLE A 1 1 2 31
INITIAL
STREET ❑ 3222 COTTONWOOD AVE CITY BELLINGHAM ST WA ZIp, 982251221 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 HELMET USE 2 CLASS 1 NATURE OF INJURIES z❑
3
10 9❑ PI ATE BCU2840 sTArI WAurN#' 2HGF62F74FH530904
TRAILER STATE TRAILER STATE
11 3 5 PLATE# PLATE# FROM TO
TRLR. TRLR 7 3 33
12 3 5 VIN#' VIN#
>; FROM TO
❑ VEH.YEAR MAKE MODEL STYLE VEHICLE TOWED TO BLIN TOWED By GOVT.VEHICLE g 9 34
13 2 2015 HOND CIVIC DAMAGE YES NO YES[:] NO✓
REGISTERED OWNER INFO DIANA G01OVASHE13222 COTTONWOOD AVE BELLINGHAM WA 98225 D:2537378496 VEHICLE NO. 1 ❑
SHADE IN DAMAGED AREA 35
14 LIABILITY INSURANCE� INSURANCE E CO COUNTRY FINANCIAL P46A5203906 <1�3 4
LI EFFECTISUR N# TOPvEHCLE CHARGE 36
-ALLY YES NO CITATION# 3A0637864 INATTENTIVE DRIVING orrom
15❑ STANDING 6
MOTOR PEDAL- PROPERTY DAM THR OLD MET PHONE
UNIT 02 ❑✓ ❑ PEDESTRIAN ❑ ❑ D:3032412740
VEHICLE CYCLE OWNER YES�/ NO
16 a
LAST NAME GIBBENS FIRST NAME LEE MIDDLE ID
INITIAL
17 STREET I❑ s❑' 2423 8TH AVE S#101 CITY' SEATTLE ST' WA ZIP 98109 4❑ 37
NEW ADOREs
18❑ CDL IGNITION REQUIRED IGNITION PR-E-1SENT MEDICAL-T�RANSPORTED � 38
INTERLOCK YES❑No� INTERLOCK yEs It I NOF YES
t l NOF,/
19 DRIVER #
❑ ON DUTY STATUS AIRBAG 2 RESTR 4 EJECT 1 H U EET 6 NJAU EY 1 NATURE OF INJURIES ❑ 40
❑ 41
21❑ PLATE# STRWHAT TArE CO vIN KL4MMBS24N6086760 1
42
22❑ PLATE# STATE PLATE# STATE
23❑ UIN#. 43
TRLR RLR
'IN#.
TOWED BY Gov HI 44
VEH YEAR 2022 MAKE BUIC MODEL ENCORE STYLE $V DAMAGE TOWED TOO✓ BLIN yES NO 1/
24❑ REGISTERED OWNER INFO OWNED SY DRIVER VEHICLE N0.2
SHADE IN DAMAGED AREA
2 3 4
LIABILITY
INSURANCE INSU PORGY#ECO STATE FARM 4014081-F28-06BIN
VE""LE CITATION# CHARGE <E�00,
LEGALLY YES N�
25❑ s a
=UGENT
(PRINT) OFFICER PHONE BADGE OR ID# AGENCY26 11498 WA0171300
PART A PAGE 01 OF C7
3000-345-159 OR 11/181
STATE OF
POLICETRAFFICN CORRECTION REPORT NO. EE20387
COLLISION REPORT III III III III III 111
1591972 CASE# 23-12889
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
PM 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 11-09-23 11:04 AM
INVESTIGATING OFFICER'S SIGNATURE UNIT OR DIST DET DATED PLACE SIGNED
APPROVED BY DATE
CO.JOHNSON 0505 1111612023 4:36:54 PM
BADGE OR ID# 11498 ORI# WA0171300 TIME POLICE DISPATCHED 4:97 Pry TIME POLICE ARRIVED',4:21 PM
PART I PAGE IT]OF
REPORT NO. EE20387 CASE# 23-12889 OF COLLISION
11/08/23 16:16
OF CbLLI510N
NARRATIVE
23-12889
On 11/08/2023 at approximately 1619 hours, I was dispatched to an unknown-if-injury vehicle
collision at the intersection of SW Sunset Boulevard and Earlington Avenue SW, within the City Limits
of Renton, County of King, State of Washington.
While en route, dispatch advised of three involved vehicles with extensive damage and that all were
pulled off the roadway and located along Earlington Ave SW awaiting police contact.
Officer K. Lane arrived on scene prior to me and confirmed there were no complaints of injury
requiring immediate medical response at the time of report. While on scene, I collected each of the
involved party's information and their independent involvement leading up to the collision.
The driver of Unit#1 stated that she and her juvenile passenger were traveling eastbound in about
the 700 block of SW Sunset Blvd and approaching the intersection of Earlington Ave SW in lane 2 of
2. The driver of Unit#1 stated that traffic had queued ahead of her vehicle for an involved and turning
vehicle, and that she needed to come to an abrupt stop. The driver of Unit#1 tried to avoid colliding
with stopped traffic ahead of her but ultimately Unit#1 contacted the rear of Unit#2. Unit#1 suffered
significant damage to the front of the vehicle.
The driver of Unit#2 stated that he was the sole occupant of his vehicle and was traveling eastbound
in the 700 block of SW Sunset Blvd approaching the intersection of Earlington Ave SW in lane 2 of 2.
The driver of Unit#2 stated that he had come to stop for a vehicle directly in front of him (Unit#3)
which was waiting to turn left. While stopped, the driver of Unit#2 stated that Unit#1 contacted the
rear of his vehicle causing moderate damage. As a result of the initial impact from Unit#1, Unit#2
was pushed forward, contacting the rear of Unit#3. This caused additional and moderate damage to
the front of Unit#2.
The driver of Unit#3 stated that she was the sole occupant of her vehicle and was traveling
eastbound in the 700 block of SW Sunset Blvd approaching the intersection of Earlington Ave SW in
lane 2 of 2. The driver of Unit#2 stated that she had come to stop and was yielding to oncoming
traffic before making a left turn with the intend to proceed northbound onto Earlington Ave SW. While
stopped, the driver of Unit#3 stated that Unit#2 contacted the rear of her vehicle causing minor
damage to the rear of Unit#3.
1 determined the driver of Unit#1 (GOLOVASHEV) to be the predominant factor in the cause of
collision. GOLOVASHEV violated Renton Municipal Code (RMC) 10-12-25 INATTENTIVE DRIVING:
It shall be a traffic infraction, subject to RCW 7.80.120(1)(a), for any person to drive a motor vehicle
on any public highway, street, alley, or road in an inattentive manner in the City of Renton.
"Inattentive manner" in this section means a lack of: 1) attentiveness required to safely operate the
vehicle under the prevailing conditions, including, but not limited to, the nature and condition of the
roadway, the weather conditions, the presence of pedestrians, the presence of other traffic, or by the
driver focusing or directing the driver's attention to something other than driving the motor vehicle; or
2) attentiveness that would permit the driver of a motor vehicle to observe anything resting on, or
traveling on, or entering the roadway in time to take appropriate action as circumstances require.
(Ord. 4462, 7-25-94, eff. retroactive to 7-1-94; Ord. 5635, 11-14-11). The driver of Unit#1 was not
safely attentive to the vehicles stopped in front of her vehicle.
Unit#1 had to be privately impounded due to extensive damage. Unit#2 and Unit#3 were able to
drive away from the scene without further incident. An exchange of information was provided to all
involved parties.
PAGE 3 OF 6
REPORT NO. EE20387 CASE# 23-12889 OF COLLISION
11/08/23 16:16
OF CbLLI510N
NARRATIVE
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 11/9/2023 10:35 AM Renton, King County, WA.
PAGE 4 OF 6
SUPPLEMENTAL REPORT NO. EE20387
r`) POLICE TRAFFIC 1 1 8 27
COLLISION REPORT CASE# 23-12889
1 COMMERCIAL MOTOR CARRIER INTERSTATE INTRASTATE G
UNIT'# USDOT ICC# VEHICLE TYPE CARGO BODY
;TYPE
2 ❑ 1 28
CARRIER
NAME
3 CARRIER L
ADDRESS `
CITY ST ZIP—1 I '
4 ❑ NAME # PLACARD: :❑
GI PLACARD IF NO NUMBER
SOURCE AXLES +
4a ❑ ADDITIONAL UNITS
MOTOR PEDAL- PROPERTY DAMAGETHRESHOLD MET PHONE
UNIT# 3 �✓ � PEDESTRIAN YES NO
5 VEHICLE CYCLE OWNER ✓ D:2069281541
0 9 29
LAST NAME HAMPTON BRYANT FIRST NAME : RIKKISA MIDDLE' M
INITIAL
STREET 30
NEW AnDRFSP' 2614 TOWER LN NE CITY TACOMA ST WA ZIP 984221521
6 [6 1 1 2 31
CDL IGNITIttN REQUIRED IGNITION PRESENT MEDICAL TANSPORTED
INTERLOCK YEs NO✓ zERLOCK YES❑N0� YES N ✓
DRIVER'S
LICENSE STATE I WA SEX F MMDDYYv 11 TV]
- 1995
7
ON DUTY� STATUS AIRBAG' 2 RESTR. Q EJECT 1 HELMET 2 INJURY 1 NATURE OF INJURIES
USE CLASS
8 ❑ 1 32
LICENSE BLN1040 TAr Wq VIN# 1G1ZC5EO9CF386044
PLATE#
9 9] TRAILER TRAILER
PLATE# STATE PLATE# STATE
10 ❑ TRLR TRLR
VIN.#. VIN.#.
11 3 5 VEH.YEAR MAKE MODEL STYLE VEHICLE TOME E T SABLIN TOWED BY anvi vEH1C P FROM TO
2012 CHEV MALIBU 4D DAMAGE YES NO ✓ YES NO ✓
REGISTERED OWNER INFORIKKISA HAMPTON BRYATN 365 EARLINGTON AVE SW RENTON WA 98057 D:2069281541 J 9 33
12 � SHADE IN DAMAGED AREA
34 FROM TO
LIABILITY INSURANCE INSURANCE CO USAA 045860841R GQO
IN EFFECT &POLICY# 1EHICLE 34
13LTAGFlGEGALLY YES NO❑ CITATION# CHARGE
STANDING S} 8 7 6
14 ❑ UNIT Tr Vd IRE O CYDCLE OWNER
RTY YES[—]AGE NOHRESHOLD MET PHONE ❑ 35
PEDESTRIAN
15 LAST NAME FIRST NAME N DL 36
❑
AL
STREET
16 NFWAET F-] CITY ST ZIP
CDL IGNITION REdUiRED IGNITION PRESENT MEDICALTANSPORTED
INTERLOCK YES No INTERLOCK YEs NO YEs NO ❑
17 4 37
LICENSE# STATE SEX MMDDDYBYY -� II
18 ❑ ON DUTY� STATUS AIRBAG RESTR. ; EJECT HELMET INJURY NATURE of 1NJURIEs 38
USE CLASS
19 ❑ LICENSE TAr VIN# 39
PLATE#
20 ❑ TRAILER' STATE TRAILER STATE ❑ 40
PLATE#< PLATE#
21 ❑ ❑ 41
TRLR TRLR
VIN# YIN#i
42
22 VEH.YEAR MAKE I MODEL STYLE I VEHICLE TO DUET SABLIN TOWED BY GOVT.VEHICLE
DAMAGE YES NO YES NO
23 REGISTERED OWNER INFO_ SHADE IN DAMAGED AREA 43
3 4 71
LIABILITY INSURANCE INSURANCE CO '
VINE
EFFECT &POLICY# i 970P - 4 E:l
44
24 VEHICLE YES❑ NO❑ CITATION# CHARGE iq 60TiOM
LEGALLv
STANDING 8 7 6
1 CERTIFY(DECLARE)UNDER PENALTY OF PERJURY UNDER THE LAWS OF THE STATE OF WASHINGTON THAT THE FOREGOING IS TRUE AND CORRECT.
MATTHEW NUGENT 11-09-23 11:04 AM
25 INVESTIGATING OFFICER'S SIGNATURE OFFICER'S PHONE UNIT OR DIST DET DATED: PLACE SIGNED
APPROVED BY DATE
26 ORRID# 11498 O#I',WA0171300 JOHNSON 11/16/202 PAGE F OF 6
3000-345-013(R 11118)
REPORT NO. EE20387 CASE# ' 23-12889 DATE AND TIME 11/08/23 16:16
OF COLLISION
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PAGE 6 OF 6