HomeMy WebLinkAbout24-6304 ITFF' "POLCERA II I !�� I III I III I IIII III II I . 0 27c
COLLISION REP FIT 1591971
❑ ❑ FIRE ❑ CASE$# 24-6304 2 573
INTERSTATE CITY STREET RESULTED
1 STOLEN
STATE ROUTE ❑ OTHER ❑ VFHIl.I F ❑ LOCAL AGENC 4900 3
HIT 8 RUN CODING
COUNTY RD PRIVATE WAY INVOLVED
2 TOTAL#TRIBAL OF 03 OBJECT 1 1 8 28
UNITS
RESERVATION STRUCK
2
3❑ DATE OF M M D D Y Y Y Y TIME(2400) COUNTY# MILES N E IN CITY# ❑
COLLISION'. 06 - 1-- 2024 1823 17 ❑.= S 8 IN e 1070 3
4❑ ON (PRIMARY TRAFFIC WAY) INTERSECTION ❑✓ NON INTERSECTION ❑
NE 4TH ST BLOCK NO. e✓ 4700
4a❑ MILEPOST
DISTANCE OF(REFERENCE OR CROSS STREET)
5❑ �.❑ FEET e S ❑ W e DUVAL!AVE NE
0 1 29
MOTOR PEDAL- DAMAGE THRESHOLD MET PHONE
UNIT 01 VEHICLE ❑ CYCLE El
,/No D:4253816801 0 11
30
6� LAST NAME TAYLOR FIRSTNAME CURTIS MIDDLE G 1 1 2 31
INITIAL
STREET ❑ 12643 156TH AVE SE CITY RENTON ST WA ZIP 980596314 2
NEW ADDRESS
7❑ CDL IGNITION REQUIRED IGNITION PRESENT MEDICAL TRANSPORTED 3
1/ I INTERLOCK YES[:]NO NTERLOCKYEs NO�/ YES R No�/
8❑ LRIIVER #
ON DUTY❑ STATUS' AIRBAG 3 RESTR 4 EJECT 1 H U EETI I INJURY [NATURE OF INJURIES
CLASS ju BLEEDING ON HAND FROM CUT 2❑
3
10 1❑ P1 ATNES# CFU8239 sTAr WAuN# JM3KFBDM1L0732455
F_ TRAILER STATE TRAILER STATE
11 0 0 PLATE# I PLATE# I I FROM TO
TRLR. TRLR 3 7 33
12 0 0 VIN#' VIN#
>; FROM TO
VEH.YEAR ZO2O MAKE MODEL STYLE VEHICLE TOWED TO BLIN TOWED BY GOVT.VEHICLE 1 5 34
13 MAID CX-$ UT DAMAGE YES NO YES[:] No
✓
REGISTERED OWNER INFO CURTIS TAYLOR 11114171STSTE PUYALLUP WA 98374 D:4253816801 VEHICLE NO. 1
SHADE IN DAMAGED AREA 35
4 INSURANCE CO 3 4
14 LIABILITY INSURANCE PEMCO CA 2123109
IN EFFECT &POLICV# 9TOP
VEwcLE CHARGE 1060TTOM 5 36
LEGALLY YES❑NO❑ CITATION# 4A0359550 FAIL TO OBEY TRAFFIC CONTROL 5
15❑ STANDING 8 7 6
MOTOR PEDAL-: PEDESTRIAN PROPERTY DAM THR OLD MET PHONE
�U-NIT U2 VEHICLE ❑ CYCLE ❑ ❑ OWNER ❑ YES 1/ NO D:2065828515
16 a
LAST NAME CONTRERAS FARFAN FIRST NAME JC MIDDLE /
INITIAL
17 STREET❑ NEW ADOREss❑' 4455 NE 12TH ST APT 24-2 CITY RENTON ST WA ZIP 980594076 37
18❑ CDL IGNITION REQUIRED IGNITION PR-E-1SENT MEDICAL-T�RANSPORTED � 38
INTERLOCKYES�NO� INTERLOCK YEs It I NOF YES
t l NOF,/
19 !DINER # STATE WA SEX M M .O.B. 08 _ 11 2005 39
20❑ ON DUTY STATUS AIRBAG 2 RESTR 4 EJECT 1 H U EET NJAURSY 1 NATURE OF INJURIES 40
LICENSE I ❑21❑ PLA E# CLY1128 TArE WA VIN# 41
JTHCK262562000941 1
42
22❑ PLATE# STATE PLATE# STATE
23❑ 43
TRLR RLR
UIN#. 'IN#.
VEH YEAR 2006 MAKE LEXS MODEL IS STYLE SD VEHICLETOWED TO BLIN TOWEDBY GOV HI 44
24❑ DAMAGE YES NO YES NO
REGISTERED OWNER INFO JC CONTRERAS FARFAN 4455 NE 12TH ST APT 24-2 RENTON WA 980594076 D:2065828515 VEHICLE NO.2
SHADE IN DAMAGED AREA
2 3 4
LIABILITY
INSURANCE 8 POINSURGY#E CO PROGRESSIVE 932356042IN 1 9TOP 5
VE"LE ❑ Nu,J CITATION# CHARGE i o BOTTOM
LEGALLY YES
25 7RYAN=L0
ERME(PRINT) OFFICER PHONE BADGE OR ID# [AGENCY
26
RIVERA 12649 WA0171300
PART A PAGE 01 OF
3000-345-159 OR 11/181
STATE OF
POLICETRAFFICN CORRECTION REPORT NO. EE92142
COLLISION REPORT III III III III III 111
1591972 CASE# 24-6304
ADDITIONAL PERSONS INVOLVED PASSENGERS AND/OR WITNESSES ONLY)
NAME MIDDLE INITIAL) WILLIAMS CHRISTOPHER J
(LAST FIRST,
ADDRESS&PHONE# D O.B.
14207 177TH AVE SE RENTON WA 98059 9287133933 SEX M MMDOYyry 03 - 03 - 2005
PASSENGER WITNESS UNIT# SEAT AIRBAG RESTR. EJECT ' HELfV ET INJURY NATURE OF INJURIES
❑✓ 1 POS. 3 3 4 1 USE CLASS 1
NAME
(LAST,FIRST,MIDDLE INITIAL)
ADDRESS&PHONE# D O B
SEX MMDDVYYV
PASSENGER ❑WITNESS UNIT# SEAT AIRBAG RESTR. EJECT HELMET NJURY NATURE OF INJURIES
POS. USE CLASS
NAME
(LAST FIR57 MIDDLE INITIAL)
AppRESS&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.
RYAN KARLO RIVERA 06-16-24 01:45 AM
INVESTIGATING OFFICER'S SIGNATURE UNIT OR DIST DET DATED PLACE SIGNED
APPROVED BY DATE
D.MOYNIHAN 11288 71212024 2:20:23 PM
BADGE OR ID# 112649 ORI#' WA0171300 TIME POLICE DISPATCHED; 6:25 PM TIME POLICE ARRIVED',6:30 PM
PART I PAGE IT]OF 6�
REPORT NO. EE92142 CASE# 24-6304 OF COLLISION
06/15/24 18:23
OF CbLLI510N
NARRATIVE
On 06/15/2024, 1 was working uniformed patrol in a marked police car as 3R23. At approximately
1825 hours, officers were dispatched to an unknown injury accident at the intersection of NE 4th
St/Duvall Ave NE which is located within the city limits of Renton, County of King, Washington.
Dispatch advised that there was a 3-vehicle collision at the location.
As I was driving to the call, multiple other callers reported similar information at the same location.
One person mentioned that a vehicle had "T-Boned" another car.
I arrived at the scene at approximately 1832 hours. I noticed that there was one other officer at the
scene who was already speaking to the involved drivers in the accident. I also noticed that Renton
Fire had already arrived and begun to speak to some involved drivers.
Officer J. Christiansen told me that Unit 1 was traveling westbound on NE 4th St. Unit 2 was in the
southbound lanes of Duvall Ave NE just north of the intersection in the straight and left turn lane. Unit
3 was also in the southbound lanes of Duvall Ave NE just north of the intersection in the left turn lane
(eastbound) onto NE 4th St. Officer J. Christiansen relayed that Unit 1 was not paying attention to
the light on westbound NE 4th St at Duvall Ave NE and continued straight past the intersection. Unit 1
then collided with Unit 3 and pushed Unit 3 into Unit 2.
1 then spoke to each involved driver at the scene. I spoke to the driver and front passenger of Unit 1.
My conversation with him is summarized as follows:
Unit 1 stated he was traveling westbound on NE 4th St approaching Duvall Ave NE. Unit 1 stated he
was not paying attention and did not notice that the light at the intersection was red for westbound
traffic. Unit 1 continued past the intersection and the front passenger end of Unit 1 with the front
driver's side of Unit 3.
1 observed Unit 1 and saw that there was a large dent and a partially broken front passenger bumper.
I also saw that both front driver and passenger airbags were deployed.
Unit 1's driver stated he was seat belted. He also said he sustained minor lacerations to his hands as
a result of the collision. He was seen by the Renton Fire Department at the scene.
Unit 1's front passenger stated he was seat belted. He did not sustain any injury.
I was then able to speak to the sole driver of Unit 2. My conversation with him is summarized as
follows:
The driver of Unit 2 was in the southbound lanes of Duvall Ave NE and stopped at the light at NE 4th
St. Unit 2 was in the straight and left turn lane preparing to continue southbound on Duvall Ave NE.
Unit 2 stated that his light turned green. Unit 2 entered the intersection and noticed that the vehicle
next to him had impacted his entire driver's side.
I observed Unit 2 and saw that some large scratches and dents ran along the entire driver's side front
wheel well and door panel areas. Unit 2's airbags did not deploy.
Unit 2's driver stated that he was seat-belted and was uninjured.
I then spoke to the sole driver of Unit 3. My conversation with him is summarized as follows:
The driver of unit 3 was in the southbound lanes of Duvall Ave NE and stopped at the light at NE 4th
PAGE 3 OF 6
REPORT NO. EE92142 CASE# 24-6304 OF COLLISION
06/15/24 18:23
OF CbLLI510N
NARRATIVE
St. Unit 3 was in the dedicated left turn lane preparing to turn left to head eastbound on NE 4th St.
Unit 3 stated his light turned green. Unit 3 entered the intersection and noticed that Unit 1's front
passenger side hit his front driver's side. Unit 3 said the force of the impact caused him to slide over
and his entire passenger side collided with the entire driver's side of Unit 2 in the adjacent lane.
I observed Unit 3 and saw that some large scratches and dents ran along the entire passenger side
front wheel well and door panels. I also saw that his driver's side front bumper area was damaged.
Unit 3's airbags did not deploy.
Unit 3's driver stated that he was seat-belted and was uninjured.
Unit 3's driver said the vehicle he had was a rental vehicle and that he was having trouble trying to
find his insurance. He stated he would contact me via email with his insurance information at a later
date.
Based on the fact that Unit 1 did not follow the signaling device at the intersection which indicated for
him to stop and the fact that this caused Unit 1 to collide with Unit 3 and push Unit 3 into Unit 2, 1
found reasonable cause for a violation of RCW 46.61.050 -Failure to obey traffic control device.
subsequently completed a SECTOR infraction for Unit 1 and sent it to the prosecutor queue to be
mailed to him.
Gene Meyers tow took possession of all the involved vehicles.
An exchange of information was provided to all parties before I left.
All parties left the scene under their own power.
Associated photos and videos were uploaded to Evidence.com to be added to the case file.
Based on the above described, Unit 1 appears to be the proximate cause of the collision.
This report is for informational purposes only to document the collision.
This concludes my report.
I certify (declare) under penalty of perjury under the laws of the State of Washington that the
foregoing is true and correct.
Signature: Ryan Rivera (#12649) Date and Place: 06/16/2024 @ Renton, WA
PAGE 4 OF 6
SUPPLEMENTAL REPORT NO. EE92142
r`) POLICE TRAFFIC 1 1 8 27
COLLISION REPORT CASE# 24-6304
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 _) PEDESTRIAN � OWNER � YES� NO
D:6312607895
rFO 1 29
LAST NAME KO FIRST NAME : JUN MIDDLE
INITIAL
STREET 30
NEW AnnRFSP' 15 FINDLEY DR CITY E NORTHPORT ST NY ZIP 11731
6 ❑ 1 1 2 31
CDL IGNITION REQUIRED IGNITION PRESENT MEDICAL TAN5PORTED
INTERLOCK YEs NO zERLOCK YES❑N0� YEs N
DRIVER'S D.O.B
LICENSE STATE NY SEX M MMDDYYv', 06 - 04 - 2003
7
HELMET I INJURY NATURE OF INJURIES
ON DUTY STATUS AIRBAG 1 RESTR. 4 EJECT 1 USE CLASS 7 HEAD PAIN
8 ❑ 1 32
LICENSE 8402AU TAT FL VIN# KMHL64JA5MA164656
PLATE#
9 TRAILER TRAILER
PLATE# STATE PLATE# STATE
10 ❑ TRLR TRLR
VIN It VIN.#.
11 0 0 VEH.YEAR2021 MAKE HYUN I MODELSONATA STYLE SO VEHICLE TOWE E T SABLIN TOWED BY anvi vFH1C P FROM TO
DAMAGE YES NO YES NO
REGISTERED OWNER INFOPV HOLDING CORP 8600 HANGAR BLVD ORLANDO FL 32827 1 5 33
12 SHADE IN DAMAGED AREA
LIABILITY� INSURANCE❑ INSURANCE CO FROM TO
IN EFFECT &POLICY# 4 TLSP
13 vN-0CLE 01 CITATION# CHARGE 060 Y)M
34
LEGALLY YES NO
STANDING S} 7 G
14 ❑ UNIT Tr Vd 1RE O CYDCLE 1:1OWNERRTY YES AGE NOHRESHOLD MET PHONE 35
PEDESTRIAN
15 LAST NAME FIRST NAME MDDLE NI 36
STREETI7 aL
❑
16 NEW AnnRFs� CITY ST ZIP
CDL IGNITION REOUIREE7 IGNITION PRESENT MEDICALTANSPORTED
INTERLOCK YES No INTERLOCK 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 TAT VIN If 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 4 71
LIABILITY INSURANCE INSURANCE CO '
VE EFFECT &POLICY# i 970P - 4 E:l
44
24 VEHICLE 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.
RYAN KARLO RIVERA 06-16-24 01:45 AM
25 INVESTIGATING OFFICER'S SIGNATURE OFFICER'S PHONE UNIT OR DIST DET DATED: PLACE SIGNED
26 � OR BADGE
12649 O#I',WA0171300 APMOYNIHAN 71212024 PAGE F OF 6
3000-345-013(R 11118)
REPORT NO. EE92142 GAGE At ' 206304 DATE AND TIME 06/15/24 18:23
OF COLLISION
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PAGE 6 OF 6