HomeMy WebLinkAbout23-12963 ITFF' "POLCERA II I !�� I III I III I IIII III II I . 0 27c
COLLISION REP FIT 1591971
CASE 23-12963 z
INTERSTATE ❑ CITY STREET FIRE ❑RESULTED
1 STOLEN
STATE ROUTE ❑ OTHER ❑ VFHICI F ❑ LOCAL AOENC 4200 3
HIT&RUN CODING
COUNTY RD PRIVATE WAY INVOLVED
2 1 TOTAL#OF OBJECT 1 1 8 28
TRIBAL UNITS OZ RESERVATION STRUCK
z
3❑ DATE OF M M D D Y Y Y Y TIME(2400) COUNTY# MILES N E IN CITY# ❑
cawsloN 11 - 10 - 2023 1504 17 ❑.❑ S 8 W H OF e 1070 3
4❑ ON (PRIMARY TRAFFIC WAY) INTERSECTION ❑ NON INTERSECTION ❑✓
MAPLE VALLEY HWY BLOCK NO. e✓ Y200
4a❑ MILEPOST
DISTANCE OF(REFERENCE OR CROSS STREET)
5❑ 1151 FMILES EET ❑ S ❑ E ❑ CEDAR RIVER PARK DR
0 4 29
UNIT MOTOR
VEHICL ❑ CYDDAL ElO YES
A✓NOESHOGE LD MET PHONE 0 1 30
6� LAST NAME COLLIER FIRSTNAME ETHAN MIDDLE A 1 2 31
INITIAL
STREET ❑, 16056 160TH PL SE CITY RENTON ST WA ZIP 980586326 z
NEW ADDRESS
7❑ CDL IGNITION REQUIRED IGNITION : PRESENT MEDICAL TRANSPORTED 3
iNTERLOCKYEs NO 1/ INTERLOCKYEs NO Z/ YES R No�/
8❑ LDRIVER # STATE WA SEX'M MID
-O B 09 1— 07 — 2007 2 32
9 ON DUTY❑ STATUS AIRBAG 6 RESTR 4 EJECT 1 HELMET USE 2 CLASS 1 NATURE OF INJURIES z❑
❑10 9❑ P1 aTES� A6613326 sTArI WWAVrN# 19XFC2F75GE243211 3
TRAILER STATE TRAILER STATE
11 0 0 PLATE# PLATE# FROM TO
TRLR. TRLR $ 7 33
12 4 0 VIN#' VIN#'
>; FROM TO
VEH.YEAR MAKE MODEL STYLE VEHICLE TOWED TO BLIN T Y GOVT.VEHICLE 7 $ 34
13 9 2016 HOND CIVIC 4D DAMAGE YES NO 14 NI TE IMPOUND YES❑ NO
REGISTERED OWNER INFO OWNEDBYDRIVER VEHICLE NO. 1
SHADE IN DAMAGED AREA ❑ 35
14 LIABILI INSURANCE INSURANCE CO FARMERS 189735625 4
IN EFFECT &POLICY# TOPVEHCLE CHARGE 36
LEGALLYYES❑NO❑ CITATION# W23067368,W23067368 FAIL STOP AT STOP <1�3
orrom
15❑ STANDING 6
MOTOR PEDAL-: PROPERTY DAM THR OLD MET PHONE
UNIT U2 ❑ ❑ PEDESTRIAN ❑ ❑ D:2063354772
VEHICLE CYCLE OWNER YES�/ NO
16 a
LAST NAME CLYATT FIRST NAME GARY MIDDLE W
INITIAL
17 NEW STREETRE87 23833 SE 245TH ST CITY' MAPLE VALLEY ST WA ZIP 980388357 37
18� CDL ., IGNITION REQUIRED IGNITION PRESENT MEDICALTRANSPORTED 38
INTERLOCK YEs❑No� INTERLOCK YEs❑NOF YES
❑NOF,/
19[ LICENSE# STATE WA SEX M M DDY
D.O.B.
10 _ 31 1961 39
20❑ ON DUTY STATUS I
AIRBAG 2 RESTR 4 EJECT 1 H U EET 2 NJAU EY 1 NATURE OF INJURIES 40
❑21❑ PLATE# C84607R TArE WA VIN# 41
STFAY5F19LX889306 1
42
22❑ PLATE# STATE PLATE# STATE
TRLR
23❑ VIN#. N#. 43
RLR
'I
VEH YEAR 2020 MAKE TOYT MODEL TUNDRA STYLE PK VEHICLETOWED TO BLIN TOWEDBY GOV HI 44
L4❑ DAMAGE YES NO YES NO
REGISTERED OWNER INFO GARY CLYATT23833 SE 245TH ST MAPLE VALLEY WA 98038 D:2063354772 VEHICLE NO.2
SHADE IN DA GEbAREA
z Cdd
LIABILITY
INSURANCE INSU&PORGY#E CO GEIC04255-26-53-34IN IGQVE""LE
❑ ,J� CITATION# CHARGE
LEGALLY YES N`L J
25
=UGENT
(PRINT) OFFICER PHONE BADGE OR ID# 77P�1300
26 11498
PART A PAGE 01 OF C7
3000-345-159 OR 11/181
STATE OF
POLICETRAFFICN CORRECTION REPORT NO. EE23156
COLLISION REPORT III III III III III 111
1591972 CASE# 23-12963
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 11-13-23 04:22 PM
INVESTIGATING OFFICER'S SIGNATURE UNIT OR DIST DET DATED PLACE SIGNED
APPROVED BY E
DAT
C.JACOBS 1953 11/25/2023 7:45:32 AM
BADGE OR ID# 11498 ORI# WA0171300 TIME POLICE DISPATCHED 3:07 Pry TIME POLICE ARRIVED',3:07 PM
PART I PAGE IT]OF 4�
REPORT NO. EE23156 CASE# 23-12963 OF COLLISION
11/10/23 15:04
OF CbLLI510N
NARRATIVE
23-12963
On 11/10/2023 at approximately 1507 hours, I was traveling eastbound in about the 2200 block of
Maple Valley Highway, within the City Limits of Renton, County of King, State of Washington, when
was flagged down about a two-vehicle collision that had just occurred.
Dispatch was already aware of the collision; therefore I confirmed non-injury upon contacting both the
involved parties. While on scene, I collected each involved party's driving documents and
independent involvement leading up to the collision.
The driver of Unit#1 stated he was the sole occupant of his vehicle and was attempting to exit a
private property parking lot, located at 2201 Maple Valley Highway, on the south side of the roadway.
The driver of Unit#1 stated that he was intending to make a left turn out of the parking lot to proceed
westbound onto Maple Valley Hwy following the turn. The driver of Unit#1 believed all eastbound
traffic on Maple Valley Hwy was clear and therefore proceeded out into the roadway. As Unit#1
pulled out in the roadway, Unit#1 was met by another vehicle - Unit#2. The driver of Unit#1 stated
that he was unable to avoid the collision after having pulled out into the roadway and that both
vehicles collided causing significant damage to the front of Unit#1.
The driver of Unit#2 said he and his adult passenger were traveling eastbound in about the 2200
block of Maple Valley Hwy in lane 1 of 2. The driver of Unit#2 stated he was intending to continue
east. Upon reaching the location where Unit#1 was turning out from, Unit#2 observed Unit#1 and
attempted to swerve to the left to avoid the collision but was ultimately unable to avoid the collision.
Both vehicles collided in the roadway and Unit#2 suffered moderate damage to the passenger side
of the vehicle.
Based on the above statements, I believe that the driver of Unit#1 (Collier) was the predominant
factor for the cause of collision as Collier is required to comply with RCW 46.61.190(2) which states
that every driver of a vehicle approaching the point nearest the intersecting roadway where the driver
has a view of approaching traffic of the intersecting roadway must stop 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. Unit#2 was already underway in
the roadway and had right of way.
I issued the driver of Unit#1 (Collier) a written warning via mail for Fail to Stop at Intersection causing
a collision.
Unit#1 had to be privately impounded due to extensive damage. Unit#2 was 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 11/13/2023 a Renton, King County, WA.
PAGE 3 OF 4
REPORT NO. EE23156 CASE# ' 23-12963 DATE AND TIME 11/10/23 15:04
OF COLLISION
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PAGE 4 OF 4