HomeMy WebLinkAbout23-13464 ITFF' "POLCERA II I !�� I III I III I IIII III II I . 6 27c
COLLISION REP FIT 1591971
CASE 23-13464 z
INTERSTATE ❑ CITY STREET FIRE ❑RESULTED
1 STOLEN
STATE ROUTE ❑ OTHER ❑ VFHIC;I F ❑ LOCAL AOENC 4Y00 3
HIT 8 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 11 - 1-- 2023 1559 17 ❑-= S 8 IN e 1070 3
4❑ oN (PRIMARY TRAFFIC WAY) INTERSECTION ❑✓ NON INTERSECTION ❑
NE 7TH STREET BLOCK NO. e✓ 3100 ❑
4a❑ MILEPOST
DISTANCE OF(REFERENCE OR CROSS STREET)
5❑ ❑ FEET e S ❑ VV a KlRKLAND AVE NE
0 1 29
MOTOR PEDAL- DAMAGE THRESHOLD MET PHONE
UNIT 01 VEHICLE ❑ CYCLE El
�/No D:3605062547 0 4 30
6� LAST NAME ROBERTS FIRSTNAME KIARA MIDDLE A 1 1 2 31
INITIAL
STREET ❑✓ 707 NEWPORT CT NE CITY RENTON ST WA ZIP 98056 z
NEW ADDRESS
]❑ CDL IGNITION REQUIRED IGNITION PRESENT MEDICAL TRANSPORTED 3
1/INTERLOCK YES[:]NO INTERLOCKYEs Z/NO YES �No /
LRIIVER # STATE WA SEX'F MM D Y' 06
8❑ - 30 - 2001 1 2 32
9 ON DUTY❑ STATUS AIRBAG 2 RESTR 4 EJECT 1 HELMET USE 2 CLASS 1 NATURE OF INJURIES 2❑
3
LICENSE CBU3598 sTATe WA urN# WBA3R1C5XFK193400
10 PI ATE#
TRAILER STATE TRAILER STATE
11 2 5 PLATE# PLATE# FROM TO
TRLR. TRLR 3 7 33
12 2 5 VIN#' VIN#
>; FROM TO
❑ VEH.YEAR MAKE MODEL STYLE VEHICLE TOWED TO BLIN T GOVT.VEHICLE 1 3 34
13 2 2015 BMW 4351 4D DAMAGE vEs ONO f �AWkkRS vEs❑ No
REGISTERED OWNER INFO KAYLASAMUEL 1071EWPORTCTNE RENTON WA 98059 D:3605062547 VEHICLE NO. 1 ❑
SHADE IN DAMAGED AREA 35
2 3 4
14 2 LIABILITY INSURANCE INSURANCE CO USAA GAR01 9 9 8 0 551 71 01
IN EFFECT &POLICY# STOP 5
VEH'C CHARGE BOTTOM 36
-ALLY YES No CITATION# W23067373,W23067373 INATTENTIVE DRIVING,FL RENEW
15❑ STANDING 6
MOTOR PEDAL PEDESTRIAN PROPERTY DAM THR OLD MET PHONE
UNIT VEHICLE ❑ CYCLE ❑ ❑ OWNER ❑ YES 1/ No D:2532059230 N:2532059230
16 a
LAST NAME TAYLOR FIRST NAME JOSEPH MIDDLE I D
INITIAL
17 STREET❑ NEW ADOREss❑' 815 ABERDEEN AVE NE CITY RENTON ST WA ZIP 980562857 4❑ 37
18❑ CDL IGNITION REQUIRED IGNITION PtR-E-S1ENT MEDICAL-T�RANSPORTED � 38
INTERLOCKYES�NO INTERLOCK YEs I I NOF YEs t l NOF%/
19 F] DRIVER #
❑ ON DUTY STATUS AIRBAG 2 RESTR 4 EJECT 1 H U EET 2 NJAURSY 1 NATURE OF INJURIES ❑ 40
❑21❑ PLATE# BL69507 TATE 41
WA vIN# KNDCB3LC1H5069535 1
42
22❑ PLATE# STATE PLATE# STATE
TRLR
23❑ UIN#. IN#.
43
RLR
'
VEH YEAR 2017 MAKE KJA MODEL NIRO STYLE SV VEHICLE TOWED TO BLIN TOWEDBY GOV HI 44
24❑ DAMAGE YES NO BANKERS YES NO
REGISTERED OWNER INFO JOSEPHTAYLOR815ABERDEENAVENE RENTONWA98056 D:2532059230 VEHICLE NO.2
SHADE IN DAMAGED AREA
2 3 4
LIABILITY
INSURANCE 8 POINSURGY#E CO TRAVELERS 989742583-101-1IN Q��LEGALLYIES
g
'E""LE ❑ ,J� CITATION# CHARGE N`L J25 $
=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. EE26989
COLLISION REPORT III III III III III 111
1591972 CASE# 23-13464
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 11-28-23 05:45 PM
INVESTIGATING OFFICER'S SIGNATURE UNIT OR DIST DET DATED PLACE SIGNED
APPROVED BY E
DAT
C.JACOBS 1953 12/5/2023 11:35:11 AM
BADGE OR ID# 11498 ORI# WA0171300 TIME POLICE DISPATCHED' 4:02 Pry TIME POLICE ARRIVED',4:10 PM
PART I PAGE IT]OF 4�
REPORT NO. EE26989 CASE# 23-13464 OF COLLISION
11/22/23 15:59
OF CbLLI510N
NARRATIVE
23-13464
On 11/22/2023 at approximately 1602 hours, I was dispatched to a blocking vehicle collision at the
intersection of NE 7th Street and Kirkland Ave NE, within the City Limits of Renton, County of King,
State of Washington.
While en route, Dispatch advised that there was a two-vehicle collision, no injuries reported, and that
the involved vehicles were blocking the roadway.
Upon arrival, I contacted all involved parties and confirmed there were no complaints of injury
requiring immediate medical response at the time of report.
The driver of Unit#1 stated that she was the sole occupant of her vehicle and was traveling
westbound on NE 7th Street approaching the intersection of Kirkland Ave NE. The driver of Unit#1
stated she was intending to continue westbound on NE 7th Street but claimed that there was sun
glare coming into her vehicle obstructing her view. The driver of Unit#1 stated that while traveling
westbound, she stated she did not see a stop sign and continued through the intersection without
stopping. Upon entering the intersection, Unit#1 contacted Unit#2 causing significant damage to the
front driver's quarter panel and axle of Unit#1. The driver of Unit#1 admitted the collision was her
fault as she simply did not see the stop sign.
I contacted the driver of Unit#2 who stated he was the sole occupant of his vehicle and was traveling
southbound on Kirkland Ave NE approaching the intersection of NE 7th Street. The driver of Unit#2
stated he was intending to turn east onto NE 7th ST. The driver of Unit#2 stated that he stopped at
the intersection and checked for other traffic. Upon determining that it was Unit#2's turn to proceed,
Unit#2 proceeded out into the intersection. As Unit#2 entered the intersection, he observed Unit#1
also proceed into the intersection from the east, and that Unit#1 did not stop or try to stop at the
intersection. Unit#1 and Unit#2 collided in the intersection subsequently causing significant damage
to the rear driver's side quarter panel and wheel bearing of Unit#2.
1 reviewed the intersection and discovered that it is a 4-way stop with posted stop signs at all 4
corners of the intersection. Unit#1's direction of travel had a stop sign posted and therefore should
have stopped and granted the right of way to traffic in the roadway.
Based on the above statements, 1 determined that the Driver of Unit#1 (Roberts) was the
predominant factor for the cause of collision as Roberts did not obey the traffic control device, (i.e. the
posted Stop Sign) nor did she grant the right of way to traffic already in the roadway and underway.
I issued Roberts a written warning in-person for inattentive driving and expired registration greater
than two months. See warning #W23067373 for additional details.
Both Unit#1 and Unit#2 had to be impounded 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 5:44 PM 11/28/2023 Renton, King County, WA.
PAGE 3 OF 4
REPORT NO. EE26989 CASE# 23-13464 DATE AND TIME 11/22/2315:59
OF COLLISION
e
*Diagram not, to scale
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PAGE 4 OF 4