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HomeMy WebLinkAbout23-8894 ITFF' "POLCERA II I !�� I III I III I IIII III II I . 1 27c COLLISION REP FIT 1591971 CASE 23-8894 z INTERSTATE ❑ CITY STREET FIRE ❑ RESULTED 1 STOLEN STATE ROUTE ❑ OTHER ❑ VFHICI F ❑ LOCAL AGENCI 4Y00 3 HIT&RUN CODING COUNTY RD PRIVATE WAY INVOLVED 2❑ TOTAL#OF OBJECT 1 ❑28 TRIBAL UNITS 02 STRUCK' TRAFFIC SIGNAL POLE RESERVATION z 3❑ DATE OF M M D D Y Y Y Y TIME(2400) COUNTY# MILES N E IN CITY# cawsloN 08 - 1-- 2023 1118 17 ❑-= S 8 IN e 1070 3 4❑ ON (PRIMARY TRAFFIC WAY) INTERSECTION ❑✓ NON INTERSECTION ❑ SW GRADY WAY BLOCK NO. e✓ ❑ 4a❑ MILEPOST DISTANCE OF(REFERENCE OR CROSS STREET) 5❑ �.❑ FEET e S ❑ W e LIND AVE SW 0 1 29 MOTOR PEDAL- DAM THRESHOLD MET PHONE UNIT 01 VEHICLE ❑ CYCLE El YES NO �/ D:6787932473 30 6� LAST NAME ARYKU FIRSTNAME ALEKSANDR MIDDLE P 1 1 2 31 INITIAL STREET ❑ 2057 RIDGE RD CITY DALLAS NEW ADDRESS ST GA 2jp, 301576787 z 7❑ CDL IGNITION REQUIRED IGNITION PRESENT MEDICAL TRANSPORTED 3 iNTERLOCKYEs NO INTERLOCKYEs NO YES R NO 8❑ LRIIVER # ON DUTY❑ STATUS AIRBAG 2 RESTR 4 EJECT 1 HELM USEET I IINLJA URY 1 [!!RE OF INJURIES 2❑ 3 10❑ P1 ATE 14 P 1164857 STATE I! VIN# 4V4X99KLOHN969302 TRAILER 794231ST STATE IL TRAILER STATE 11 3 5 PLATE# PLATE# FROM ro 12❑ rRLR. TRLR. 3 7 33 vIN#' 13NE53301C3554781 VIN# 2017 VOLV SEMI nIG FROM 34 VEH.YEAR MAKE MODEL STYLE VEHICLE TOWED TO❑BLIN TOWED BY GOVT.VEHICLE 13 DAMAGE YES NO 1I YES[:] NO REGISTERED OWNER INFO GCT 1111011 IR.G PARK RD STE 207 ROSELLE OD 1L 60172 D:7737069002 VEHICLE NO. 1 ❑ SHADE IN DAMAGED AREA 35 14❑ LIABILITY INSURANCE INSURANCE CO ACORD SAME 3 4 IN EFFECT &POLICY# 9TOP VEwcLE CHARGE 5 36 LEGALLY res❑NO❑ CITATION# 10 BOTTOM 15❑ STANDING 8 6 MOTOR PEDAL- PEDESTRIAN PROPERTY DAM THR OLD MET PHONE UNIT VEHICLE ❑ CYCLE ❑ ❑ OWNER ❑ YES 1/ NO D:4254307400 16❑ LAST NAME RENTON FIRST NAME CITY OF MIDDLE INITIAL 17❑ STREET ❑', 3555 NE 2ND ST CITY' RENTON ST WA ZIP 98056 37 NEW ADDRESS ❑ 18� CDL IGNITION REQUIRED IGNITION PR—E-1SENT MEDICAL TRANSPORTED ❑ 38 INTERLOCKYES�NOR INTERLOCK YEs It I NOF YES t t— l NO❑ 19 LLIICENS # STATE SEX U MMDDYY —❑_ 39 HELMET INJURY NATURE OF INJURIES 40 20❑ ON DUTY STATUS' AIRBAG RESTR EJECT USE CLASS ❑ ❑21❑ TATE LICENSE vIN# 41 PLATE# 42 22❑ PLATE# STATE PLATE# STATE 23❑ 43 TRLR RLR UIN#. 'IN#. VEH YEAR MAKE MODEL STYLE VEHICLE TOWED TO BLIN TOWED BY Gov HI 44 24❑ DAMAGE YES NO YES NO REGISTERED OWNER INFO VEHICLE NO.2 SHADE IN DAMAGED AREA 2 3 4 LIABILITY INSURANCE❑ INSURANCE #E CO IN EFFECT &PO I 9TOP 5 vE""LE ❑ ,J� CITATION# CHARGE i o BOTTOM LEGALLY YES Nu 25 s � e OFFICER'S NAME(PRINT) OFFICER PHONE BADGE OR ID# 26 M.LEVERTON 2517 [V7�ENCY A0171300 PAGE 01 OF PART A 3000-345-159 OR 11/181 STATE OF POLICETRAFFICN CORRECTION REPORT NO. ED86328 COLLISION REPORT III III III III III 111 1591972 CASE# 23-8894 ADDITIONAL PERSONS INVOLVED PASSENGERS AND/OR WITNESSES ONLY) NAME MIDDLE INITIAL) HEWITT GRANT W (/AST FIRST, ADDRESS&PHONE# D O.B. ' 3605928655 SEX M MMDDYYYY O6 - 09 - 1970 PASSENGER WITNESS UNIT# SEAT AIRBAG RESTR. EJECT ' HELMET INJURY NATURE OF INJURIES ❑ �', POS. USE CLASS NAME (LAST,FIRST,MIDDLE INITIAL) ADDRESS&PHONE# D O 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.MMDD -❑ YYYY. 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. M.LEVERTON 08-04-23 01:40 PM INVESTIGATING OFFICER'S SIGNATURE UNIT OR DIST DET DATED PLACE SIGNED APPROVED BY DATE CO.JOHNSON 0505 1 8/4/2023 5:50:04 PM BADGE OR ID# 2517 ORI# WA0171300 TIME POLICE DISPATCHED 11:19 AM TIME POLICE ARRIVED',11:28 AM PART I PAGE 2�OF❑ REPORT NO. ED86328 CASE# 23-8894 OF COLLISION 08/04/23 11:18 OF CbLLI510N NARRATIVE hewitt, grant w 6-9-70 360-592-8655 lane 2 wb 16-11 pole 17.4ft RTF Information/Insurance only Within the city limits of Renton/King/WA I responded to the intersection of SW Grady Way at Lind Ave S for a semi truck vs light pole. When I arrived the electric traffic control device over lane 2 westbound was hanging by only wires. I had a police vehicle block this lane while waiting for Signals to arrive. I contacted the driver of the semi-truck trailer. He was hauling a large spool of rolled pipe. The spool was standing on end and measured 16'11" at its highest point. This was the outer edges of the spool. The inner portion of the spool was about 6 inches lower. Unit 1 driver told me he was communicating by radio to he spotter/surveyor truck in front of him that gave him direction and the go ahead to pass under this light fixture. After hitting the light he stopped a short distance later and waited for police. I contacted Wit/hewitt, the driver of the spotter vehicle. He has a measuring post mounted on the front of his vehicle. He stated the measuring post is set of 174". He measured the lane 2 signal and directed the driver of unit 1 to proceed with the outer portions of the spool on either side of the light fixture. Although Hewitt believed this would be sufficient clearance the light still touched, bending the fixture and breaking off the mounting bracket. It also tore the insulation around the rolled piping. There was no other damage to any other vehicle or injury to any person(s). Unit 1 and Hewitt remained on scene to provide the required information ref the contact and damage. They also provided me with 6-7 page oversize permit. A picture is attached with the permit number on the front page and following each additional page. The Signal shops arrived and took over traffic control so they could repair the damaged parts. I certify (declare) under penalty of perjury under the laws of the State of Washington that the foregoing is true and correct. M.Leverton/2517 City of Renton/King/Wa 8/4/2023 PAGE 3 OF 5 SUPPLEMENTAL REPORT NO. ED86328 r`) POLICE TRAFFIC 1 27 COLLISION REPORT CASE# 23-8894 1 COMMERCIAL MOTOR CARRIER INTERSTATE ✓ INTRASTATE G UNIT# 1 USDOT 2292399 ICC# VEHICLE TYPE 4 CARGO BODY 1 4 TYPE 2 ❑ 1 28 CARRIER NAME CT EXPRESS ....... G 3 CARRIER ADDRESS 701 E IRWING PARK RD STE 207 CITY ROSELLE OD ST IL ZIP 60172 4 ❑ NAME # PLACARD: :❑ NAME IF NO NUMBER SOURCE 2 AXLES 08 GI 80001 + 4a ❑ ADDITIONAL UNITS MOTOR PEDAL- PROPERTY DAMAGE THRESHOLD MET PHONE 5 ❑ UNIT# VEHICLE I_J CYCLE _) PEDESTRIAN � OWNER � YES NO i MIDDLE'... 29 LAST NAME FIRST NAME INITIAL STREET 30 NFW AnnRFrtP. CITY ST ZIP 6 � CDL GNITIttN REQUIRED GNITION PRESENT MEDICAL TANSPORTED 1 31 INTERLOCK YES No zERLOCK YES❑N0� vES N LLIICIENSE STATE I SEX M��DYRYY' 2 7 F-1 ON DUTYl STATUS AIRBAG' RESTR. EJECT HELMET INJURY NATURE OF INJURIES USE CLASS 8 ❑ ' 1 32 LICENSE+ rar VIN.# PLATE# 9 TRAILER TRAILER PLATE# STATE PLATE# STATE 10 ❑ TRLR TRLR VIN.#. VIN.#. 11 VEH.YEAR MAKE MODEL STYLE VEHICLE TOWS T SABLIN TOWED BY anvi vEHIG P FROM TO DAMAGE Y EES NO YES NO REGISTERED OWNER INFO. m 33 12 SHADE IN DAMAGED AREA FROM TO LIABILITY INSURANCE❑ INSURANCE CO IN EFFECT &POLICY# tGQ EHICLE 34 13 ❑ LEGALLY YES[:] NO❑ CITATION# CHARGE STANDING } 8 7 6 14 ❑ UNIT Tr Vd 1RE O CYDCLE OWNERRTY YES AGE NOHRESHOLD MET PHONE ❑ 35 PEDESTRIAN 15 LAST NAME FIRST NAME MIDDLE': INITIAL ❑ 36 STREET 16 NFln+AnntxFs.� CITY'. ST 21P CDL IGNITION REDUIRED IGNITION PRESENT MEDICALTANSPORTED INTERLOCK YES No INTERLOCK YEs NO YEs NO El 17 37 LICENSE# STATE SEX MMDDDYBYY 18 ❑ ON DUTY� STATUS AIRBAG RESTR. ; EJECT HELMET INJURY NATURE of INJURIES 38 USE (CLASS 19 ❑ vIN 39 LICENSE # PLATE# rnr 20 ❑ TRAILER TRAILER ❑ 40 PLATE# STATE PLATE# STATE 21 ❑ TRLR TRLR 41 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 3 4 4 AREA F 43 z LIABILITY INSURANCE INSURANCE CO ' VINE EFFECT &POLICY# i 970P - 4 E:l 44 24 LEwGLE YES❑ NO❑ CITATION# CHARGE iq 60TiOM C=DLv 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. X LEVERTON 08-04-23 01:40 PM 25 INVESTIGATING OFFICER'S SIGNATURE OFFICER'S PHONE UNIT OR DIST DET DATED: PLACE SIGNED APPROVED BY DATE 26 ORID# 2517 O#IL WA0171300 JOHNSON 8/4/2023 PAGE F41 OFF 3000-345-013(R 11118) REPORT NO. ED86328 CASE# ' 23-8894 DATE AND TIME 08/04/23 11:18 OF COLLISION Y r PAGE 5 OF 5