HomeMy WebLinkAbout23-8188 ITFF' "POLCERA II I !�� I III I III I IIII III II I . 0 27c
COLLISION REP FIT 1591971
CASE 23-8188 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 OZ STRUCK
RESERVATION
z
3❑ DATE OF M M D D Y Y Y Y TIME(2400) COUNTY# MILES N E IN CITY#
cawsloN 07 - 1-- 2023 1558 17 ❑-= S 8 IN e 1070 3
4❑ ON (PRIMARY TRAFFIC WAY) INTERSECTION ❑✓ NON INTERSECTION ❑
RAINIER AVE NORTH BLOCK NO. e✓ 300 ❑
4a❑ MILEPOST
DISTANCE OF(REFERENCE OR CROSS STREET)
5❑ ❑ FEET e S ❑ VV a NW 3RD PL
0 3 29
MOTOR PEDAL- DAMAGE THRESHOLD MET PHONE
UNIT 01 VEHICLE ❑ CYCLE El
NO D:9179512077 0 11
30
6� LAST NAME RUBIO FIRSTNAME JUAN MIDDLE P 1 1 2 31
INITIAL
STREET ❑ 329 MEADOW AVE N CITY RENTON ST WA 21p 980575722 z
NEW ADDRESS
7❑ CDL IGNITION REQUIRED IGNITION PRESENT MEDICAL TRANSPORTED 3
1/ I iNTERLOCKYEs 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❑ P1 aTES� AYA1006 sTArI WAvIN# JTDKN3DU5F1984726
TRAILER STATE TRAILER STATE
11 2 5 PLATE# PLATE# FROM TO
TRLR. TRLR 7 5 33
12 3 5 VIN#' VIN#
>; FROM TO
VEH.YEAR MAKE MODEL STYLE VEHICLE TOWED TO BLIN TOWED BY GOVT.VEHICLE 1 $ 34
13 2 2015 TOYT PRIUS 4H DAMAGE YES NO YES[:] No
✓
REGISTERED OWNER INFO JUAN RUBIO 329 MEADOW AVE N RENTONWA98057 D:9179512077 VEHICLE NO. 1 ❑
SHADE IN DAMAGED AREA 35
14 LIABILITY INSURANCE INSURANCE CO LIBERTY MUTUAL A0226831317140 3 4
IN EFFECT &POLICY# 9TOP
VEHICLe 5 36
LEGALLY
Yes❑NO❑ CITATION# CHARGE 10 BOTTOM
15❑ STANDING 6
MOTOR PEDAL- PEDESTRIAN PROPERTY DAM THR OLD MET PHONE
UNIT a2 VEHICLE ❑ CYCLE ❑ ❑ OWNER
❑ YES 1/ NO D:2064882351
16 a
LAST NAME SIN FIRST NAME DAMIAN MIDDLE I V
INITIAL
17 STREET❑ NEW ADOREss❑' 6868 132ND PL SE APT 6-403 CITY NEWCASTLE ST WA ZIP 980590000 4❑ 37
18❑ CDL IGNITION REQUIRED IGNITION PRESENT MEDICAL t—T�RANSPORTED � 38
INTERLOCK YEs❑No� INTERLOCK Y�EsI I I NOF YES
t l NO�
19 D IVEW # STATE WA SEX M M.C... 12 _ 18 _ 2002 39
20❑ ON DUTY STATUS AIRBAG 2 RESTR 4 EJECT 1 H U EET 2 NJAURSY 1 NATURE OF INJURIES ❑ 40
❑ 41
21❑ PLATE# CDL6020 TArE WA vIN# 4T1BE30K25U023112 1
42
22❑ PLATE# STATE PLATE# STATE
TRLR
23❑ UIN#. IN#.
43
RLR
'
VEH YEAR 2005 MAKE TOYT MODEL CAMRY STYLE 4D VEHICLE TOWED TO BLIN TOWEDBY GOV HI 44
L4❑ DAMAGE YES NO,/ YES NO
REGISTERED OWNER INFO DAMIAN SINGH 6868132ND PL SE APT 6-403 NEWCASTLE WA 98059 D:2064882351 VEHICLE NO.2
SHADE IN DAGED AREA
2 4
LIABILITY
INSURANCE INSU&PORGY#E CO GEIC04609536166IN 1 9TOP 5
vE"'LE ❑ ,J� CITATION# CHARGE i o BOTTOM
LEGALLY YES N J
25 s e
=UGENT
(PRINT) OFFICER PHONE BADGE OR ID# AGENCY
26 11498 WA0171300
PAGE 01 OF
PART A
3000-345-159 OR 11/181
STATE OF
POLICETRAFFICN CORRECTION REPORT NO. ED85956
COLLISION REPORT III III III III III 111
1591972 CASE# 23-8188
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 07-20-23 01:17 PM
INVESTIGATING OFFICER'S SIGNATURE UNIT OR DIST DET DATED PLACE SIGNED
APPROVED BY DATE
CO.JOHNSON 0505 1 8/3/2023 4:42:09 PM
BADGE OR ID# 11498 ORI# WA0171300 TIME POLICE DISPATCHED! 4:04 Pry TIME POLICE ARRIVED',4:08 Pry
PART I PAGE IT]OF 4�
REPORT NO. ED85956 CASE# 23-8188 OF COLLISION
07/17/23 15:58
OF CbLLI510N
NARRATIVE
23-8188
On 07/17/2023 at approximately 1605 hours, I was dispatched to a non-injury and blocking vehicle
collision at the intersection of Rainier Avenue North and NW 3rd Place, within the City Limits of
Renton, County of King, State of Washington.
Upon my arrival, I confirmed there were no complaints of injury requiring immediate medical response
at the time of report. 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 was the sole occupant of his vehicle and was traveling eastbound on
NW 3rd PL and approaching the intersection of Rainier Ave N. The driver of Unit#1 stated that he
was intending to make a right-turn at the intersection to proceed southbound onto Rainier Ave N. The
driver of Unit#1 stated he stopped at the stop-sign controlled intersection. The driver of Unit#1
stated that queued traffic had created an opening for him to turn out into the roadway. The driver of
Unit#1 stated that he was intending to cross one lane of travel and get into the far left turn lane. As
Unit#1 proceeded out into the road, Unit#2 appeared in front of his vehicle and that subsequently
both Unit#1 and Unit#2 collided in the roadway causing moderate damage to the front driver's side
of Unit#1. The driver of Unit#1 believed Unit#2 was speeding.
The driver of Unit#2 said he was the sole occupant of his vehicle and was traveling southbound in
about the 300 block of Rainier Ave N approaching the intersection of NW 3rd PL in lane 3 of 3. There
was active construction in this area so the lanes were slightly shifted to account for roadwork in lane 1
of 3 which was closed to traffic. The driver of Unit#2 stated he was intending to continue straight
through the uncontrolled intersection for his direction of travel. The driver of Unit#2 stated that upon
reaching the intersection, Unit#1 failed to yield to his vehicle at the intersection and collided into the
passenger side doors of Unit#2 causing moderate damage.
Based on the above statements, I determined that the Driver of Unit#1 (Rubio) was the predominant
factor for the cause of collision as Rubio did not grant the right of way to traffic already in the roadway
and underway. Rubio violated RCW 46.61.190(2) as every driver of a vehicle approaching a stop sign
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 did not issue Rubio a citation.
Both Unit#1 and Unit#2 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 1:17 PM 7/20/2023 Renton, King County, WA.
PAGE 3 OF 4
REPORT NO. ED85956 CASE# 23-8188 DATE AND TIME 07/17/23 15:58
OF COLLISION
ArIllhL
F—Mol,
V1,11"
*Diagram not to scale
Rainier Ave North
------ --—--—--------------------
............ ................................................
Unit#2 Unit#1
a.
to
PAGE 4 OF