The URL can be used to link to this page

Home My WebLink About23-13249 ITFF' "POLCERA II I !�� I III I III I IIII III II I . 5 27c COLLISION REP FIT 1591971 CASE 23-13249 z INTERSTATE ❑ CITY STREET FIRE ❑RESULTED 1 STOLEN STATE ROUTE ❑ OTHER ❑ VFHIr.I F ❑ LOCAL AOENC 4200 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 N E IN CITY# cowsloN 11 - 1-- 2023 1553 17 ❑-= S 8 IN e 1070 3 4❑ ON (PRIMARY TRAFFIC WAY) INTERSECTION ❑✓ NON INTERSECTION ❑ NE 4TH STREET BLOCK NO. e✓ 5700 ❑ 4a❑ MILEPOST DISTANCE OF(REFERENCE OR CROSS STREET) 5❑ ❑ FEET e S ❑ V\a NILEAVENE 0 1 29 MOTOR PEDAL- DAMAGE THRESHOLD MET PHONE UNIT 01 VEHICLE ❑ CYCLE El ,/No D:4255125458 0 81 30 6� LAST NAME MALARKEY FIRSTNAME SEAN MIDDLE S 1 1 2 31 INITIAL STREET ❑, 19229 131 ST DR SE CITY SNOHOMISH ST WA Zjp, 982967844 z NEW ADDRESS 7❑ CDL IGNITION REQUIRED IGNITION PRESENT MEDICAL TRANSPORTED 3 1/ I INTERLOCK YES[:]NO NTERLOCKYEs NO�/ YES R No�/ 8❑ LRIIVER # ON DUTY❑ STATUS AIRBAG 2 RESTR 4 EJECT 1 HELMETU E 2 CLASS 1 NATURE OF INJURIES z❑ 3 10❑ P1 aT�S� B09765K sTArI WAurN# 1 FDAF56P25E665509 TRAILER STATE TRAILER STATE 11 3 5 PLATE# PLATE# FROM TO TRLR. TRLR 3 7 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 2005 FORD F550 TR DAMAGE YES NO YES[:] No✓ REGISTERED OWNER INFO PIERONIINDUSTRIAL EQUIPMENT 23722 NE 192ND WAY WOODINWLLEWA 98077 D:4255125458 VEHICLE NO. 1 ❑ SHADE IN DAMAGED AREA 35 14 LIABILI INSURANCE INSURANCE CO WEST AMERICAN INS.CO.BAW 57443652 3 4 IN EFFECT &POLICY# 9TOP vErIICLE CHARGE 5 36 EGHALLY YES❑NO❑ CITATION# W23067372 INATTENTIVE DRIVING o aorrom 15❑ STANDING 8 7 6 MOTOR PEDAL- 'PEDESTRIAN PROPERTY DAM THR OLD MET PHONE UNIT VEHICLE ❑ CYCLE ❑ ❑ OWNER ❑ YES 1/ NO D:4254664650 16 a LAST NAME MALONEY FIRST NAME HEATHER MIDDLE I L INITIAL 17❑ NEW STREETR 17415 S 7 E RENTON ISSAQUAH RD CITY' RENTON ST WA ZIP 980598404 4❑ 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 DRIVER'S STATE WA ]SEX IF I D.Q.B. 12 _ 19 _ 1970 39 LICENSE# MMDDYY 20❑ ON DUTY STATUS I AIRBAG 2 RESTR 4 EJECT 1 H U EET 2 NJAURSY 1 NATURE OF INJURIES ❑ 40 ❑LICENSE I 21❑ PLA E# CFG7048 TArE WA VIN# JTJHW31 U760036276 41 1 42 22❑ PLATE# STATE PLATE# STATE TRLR 23❑ UIN#. IN#. 43 RLR ' VEH YEAR 2006 MAKE LEXS MODEL RX STYLE SV VEHICLETOWED TO BLIN TOWEDBY GOV HI 44 L4❑ DAMAGE YES NO YES NO REGISTERED OWNER INFO HEATHER MALONEY 17415 SE RENTON ISSAQUAH RD RENTON WA 98059 D:4254664650 VEHICLE NO.2 SHADE IN DAMAGED AREA 2 3 4 LIABILITY INSURANCE &POINSURGY#E CO PROGRESSIVE 917064901IN STOP vE""LE CITATION# CHARGE i o BOTTOM LEGALLY YES N� 25❑ s e =UGENT (PRINT) OFFICER PHONE BADGE OR ID# AGENCY26 11498 WA0171300 PAGE 01 OF PART A 3000-345-159 OR 11/181 STATE OF POLICETRAFFICN CORRECTION REPORT NO. EE22366 COLLISION REPORT III III III III III 111 1591972 CASE# 23-13249 ADDITIONAL PERSONS INVOLVED PASSENGERS AND/OR WITNESSES ONLY) NAME MIDDLE INITIAL) MALONEY MEGAN C (LAST FIRST, ADDRESS&PHONE# D O.B. ' 837 RAINIER BLVD N ISSAQUAH WA 980272413 4254664650 SEXi F MMDOYyry 01 - 18 - 2002 SEAT ' HELMET INJURY NATURE OF INJURIES PASSENGER I�I WITNESS UNIT# 2 POS S AIRBAG 2 RESTR. 4 EJECT USE 2 CLASS 7 cio Htrr�N�HeaD SON HEADREST NAME L�1 (LAST,FIRST,MIDDLE INITIAL) ADDRESS&PHONE# D O B SEX MMDDYYYV PASSENGER []WITNESSO 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 11-16-23 07:08 PM INVESTIGATING OFFICER'S SIGNATURE UNIT OR DIST DET DATED PLACE SIGNED APPROVED BY DATE C.JACOBS 1953 1112212023 10:27:03 AM BADGE OR ID# 11498 ORI# WA0171300 TIME POLICE DISPATCHED; 4:00 PSI TIME POLICE ARRIVED 4:26 PM PART I PAGE IT]OF 5� REPORT NO. EE22366 CASE# 23-13249 OF COLLISION 11/16/23 15:53 OF CbLLI510N NARRATIVE 23-13249 On 11/16/2023 at approximately 1611 hours, I was dispatched to a non-injury and non-blocking 3- vehicle collision at the intersection of NE 4th Street and the Nile Ave NE, within the City Limits of Renton, County of King, State of Washington. Upon arrival, I contacted the involved parties and confirmed no injuries had occurred requiring immediate medical response at the time of report. There, I collected the involved parties driving documents and their independent recollection of events leading up to the collision. The driver of Unit#1 said he was the sole occupant of his company's vehicle and was traveling westbound on NE 4th ST just east of the intersection of Nile Ave NE in lane 1 of 2. The driver of Unit #1 stated he was traveling directly behind Unit#2 and saw as Unit#2 was stopped or slowing for traffic. The driver of Unit#1 stated that he was not paying close enough attention to the roadway and attempted to stop the vehicle in time but was unable to and subsequently collided with the rear of Unit #2 causing moderate damage to the front of Unit#1. The driver of Unit#2 said she and her adult passenger were also traveling westbound on NE 4th ST- just east of the intersection of Nile Ave NE in lane 1 of 2. The driver of Unit#2 stated she was stopped for behind Unit#3 for a red light at the controlled intersection. While Unit#2 was stopped for the traffic signal, Unit#1 collided with the rear of Unit#2 causing moderate damage. The driver of Unit#2 stated that due to the initial impact, her vehicle was then pushed forward into the rear of Unit #3 causing additional damage to the front of Unit#2. The driver of Unit#3 said he was the sole occupant of his vehicle and was also traveling westbound on NE 4th ST just east of the intersection of Nile Ave NE in lane 1 of 2. The driver of Unit#3 stated he was stopped for a red light at the controlled intersection. While Unit#3 was stopped for the traffic signal, Unit#2 collided with the rear of Unit#3 causing minor damage to the rear of Unit#3. Based on the above statements, 1 determined that the Driver of Unit#1 (Malarkey) was the predominant factor for the collision due to inattention causing a collision. Malarkey should have been paying closer attention to the movement of traffic in front of him. I issued Malarkey a written warning in-person for inattention causing a collision. All involved vehicles 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 6:57 PM 11/16/2023 Renton, King County, WA. PAGE 3 OF 5 SUPPLEMENTAL REPORT NO. EE22366 r`) POLICE TRAFFIC 1 1 8 27 COLLISION REPORT CASE# 23-13249 1 COMMERCIAL MOTOR CARRIER INTERSTATE INTRASTATE G UNIT'# USDOT ICC# VEHICLE TYPE CARGO BODY ;TYPE 2 ❑ 1 28 CARRIER NAME 3 CARRIER ADDRESS ` CITY ST ZIP—1 I ' 4 ❑ NAME # PLACARD: :❑ GI PLACARD IF NO NUMBER SOURCE AXLES + 4a ❑ ADDITIONAL UNITS MOTOR PEDAL- PROPERTY DAMAGE THRESHOLD MET PHONE 5 ❑ UNIT# 3 VEHICLE tSJ CYCLE I_) PEDESTRIAN OWNER YES NO D:2068251695 0 8 29 LAST NAME : TRAINFIRST NAME TAM MIDDLE T INITIAL STREET 30 NEW AnDRFrtP 11709 SE 246TH PL CITY KENT ST WA ZIP 980309212 6 ❑ 1 1 2 31 CDL IGNITION REQUIRED IGNITION PRESENT MEDICAL TANSPORTED INTERLOCK YEs NO NTERLOCK YES❑N0� YEs N DRIVER'S LICENSE STATE I WA SEX M MMDDYYv 06 - 28 - 1971 7 ON DUTY� STATUS AIRBAG' 2 RESTR. Q EJECT 1 HELMET 2 INJURY 1 1 NATURE OF INJURIES USE CLASS 8 ❑ 1 32 LICENSE 727YKK TAr WA VIN# JTMBK33V486042160 PLATE# 9 TRAILER TRAILER PLATE# STATE PLATE# STATE 10 ❑ TRLR TRLR VIN It VIN.#. 11 3 5 VEH.YEAR2008 MAKE TOYT MODELRAW STYLE SV VEHICLE TOWE ET SABLIN TOWED BY anvi vEH1I' P FROM TO DAMAGE YES 'E YES NO REGISTERED OWNER INFONGUYET NGUYEN 11709 SE 246TH PL KENT WA 98030 D:2068251695 J 9 33 12 � SHADE IN DAMAGED AREA 34 FROM TO ((ABILITY INSURANCE INSURANCE CO PROGRESSIVE 926243772 GQO IN EFFECT &POLICY#VEHICLE 34 13Lecnuv YES NO❑ CITATION# CHARGE STANDING } 8 7 6 14 ❑ UNIT Tr Vd 1RE O CYDCLE 1:1OWNER YE YES AGE NOHRESHOLD MET PHONE ❑ 35 PEDESTRIAN 15 LAST NAME FIRST NAME MIDDLE INITIAL TIAL ❑ ET 16 STRETRE "F ' CITY ST ZIP NEW CDL IGNITION REdUiRED IGNITtGN PRESENT MEDICALTANSPORTED NTERLOCK YES No NTERLOCK YEs NO YES NO ❑ 17 4 37 LICENSE# STATE SEX MMDDDYBYY 18 ❑ ON DUTY� STATUS AIRBAG RESTR. ; EJECT HELMET INJURY NATURE of INJURIES 38 USE CLASS 19 ❑ LICENSE TAr VIN# 39 PLATE# 20 ❑ TRAILER' TRAILER El40 PLATE#< STATE PLATE# STATE 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 a 71 LIABILITY INSURANCE INSURANCE CO ' VINE EFFECT &POLICY# i 970P _ 4 E:l 44 24 VEHICLE YES❑ NO❑ CITATION# CHARGE iq 60TiOM LECALLv 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 11-16-23 07:08 PM 25 INVESTIGATING OFFICER'S SIGNATURE OFFICER'S PHONE UNIT OR DIST DET DATED: PLACE SIGNED 26 OI BADGE 11498 O#I WA0171300 APJACOBS 11122/202 PAGE 4 OF F 3000-345-013 IR 11t18) REPORT NO. EE22366 CASE# ' 23-13249 DATE AND TIME 11/16/23 15:53 OF COLLISION IM F Al3w. "'a m �i 1Ym n PAGE 5 OF 5