HomeMy WebLinkAbout24-8735 ITFF' "POLCERA II I !�� I III I III I IIII III II I . 6 27c
COLLISION REP FIT 1591971
CASE 24-8735 z
INTERSTATE ❑ CITY STREET FIRE ❑RESULTED
1 STOLEN
STATE ROUTE ❑ OTHER ❑ VFHIr.I F ❑ LOCAL AOENC 4900 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 CITY#
COLLISION'. OS — 19 — 2024 1303 17 . N E IN� S 8 W H OF e 1070 3
4❑ ON (PRIMARY TRAFFIC WAY) INTERSECTION ❑✓ NON INTERSECTION ❑
NE 4TH STREET 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:2065914937 0 4 30
6� LAST NAME SERAFICA FIRSTNAME ARISTOTLE MIDDLE C 1 1 2 31
INITIAL
STREET ❑1 119 211TH P!SW CITY BOTHELL ST I WA 21p' 980216269 z
NEW ADDRESS
7❑ CDL IGNITION REQUIRED IGNITION PRESENT MEDICAL TRANSPORTED 3
iNTERLOCKYEs NO INTERLOCKYEs NO YES NO
DRIVERS
E# STATE WA SEX'M MI DAY
8❑ ' 04 - 19 - 1972 1 2 32
9 ON DUTY❑ STATUS' AIRBAG 2 RESTR 4 . EJECT 1 H U EET CLJURYASS 7 C/O LEFT SHOULDER PAIN z❑
3
10[1P1 ATNES# CHM2112 sTAr WAv N# 1 N4At 3APODN433115
5 TRAILER STATE TRAILER STATE
11 3 5 PLATE# PLATE# FROM TO
TRLR. TRLR 7 3 33
12 3 5 VIN#' VIN#
>; FROM TO
❑ VEH.YEAR 2013 MAKE MODEL STYLE VEHICLE TOWED TO BLIN T /g[ GOVT.VEHICLE 34
13 4 NISS ALTIMA 4D DAMAG 1 3 E YES NO YES❑ No✓
REGISTERED OWNER INFO ARISTOTLE SERAFICA 119 211THPL SW BOTHELL WA 98021 VEHICLE NO. 1 ❑
SHADE IN DAMAGED AREA 35
2 3 4
14 4 LIABILI INSURANCE❑ INSURANCE CO
IN EFFECT &POLICY# 9TOP
VEHlcl.e CHARGE BOTTOM 5 36
LEGALLY YES❑NO❑ CITATION# 4A0612106,4A0612106, NO VALID OPER LICENSE WITH
15❑ STANDING 7 6
MOTOR PEDAL- PEDESTRIAN PROPERTY DAM THR OLD MET PHONE
UNIT VEHICLE ❑ CYCLE ❑ OWNER ❑ YES V NO D:2535087209
16 a
LAST NAME KAREL FIRST NAME MELANIE MIDDLE M
INITIAL
17❑ STREET ❑', 1050 LA ST CITY ENUMCLAW ST WA ZIP 980222538 37
NEW ADDRESS ❑
18� CDL IGNITION REQUIRED IGNITION PtR—E—S1ENT MEDICAL t—T�RANSPORTED ❑ 38
INTERLOCKYES�NOR INTERLOCK YEs I I No� YES t l NO❑
19 DRIVER'S STATE WA ]SEX IF I D.C... 02 _ 10 _ 1970 39
LICENSE# MMDDYY
H USE ET NJAURSY "SHOOKEN UP"E C/O HEAD PAIN ❑ 40
20❑ ON DUTY STATUS AIRBAG,2 RESTR 4 EJECT 1 7 [NATURE OF INJUR
21❑ LICENSE BUZ8644 TAre WA VIN# 5J8TC2H60LL016907
❑ 41
PLATE#
42
22❑ PLATE# STATE PLATE# STATE
23❑ UIN#. 43
TRLR RLR
'IN#.
VEH YEAR 2020 MAKE ACUR MODEL RDX STYLE SV VEHICLE TOWED TO BLIN TOWEDBY GOV HI 44
24❑ DAMAGE YES NO BANKERS YES NO
REGISTERED OWNER INFO MELANIE KAREL 1050 LAFROMBOISE ST ENUMCLAW WA 98022 D:2535087209 VEHICLE NO.2
SHADEDAMAGEDAREA
3 4
LIABILITY
INSURANCE &POINSURGY#ECO STATE FARM 4752396-1320-47IN 9TOP 5
vewcLE YES N❑ CITATION# CHARGE io BOTTOM
LEGALLY Cl
25 s 7 a
=UGENT
(PRINT) OFFICER PHONE BADGE OR ID# AGENCY
26 11498 WA0171300
PART A PAGE 01 OF C7
3000-345-159 OR 11/181
STATE OF
POLICETRAFFICN CORRECTION REPORT NO. EF11728
COLLISION REPORT III III III III III 111
1591972 CASE# 24-8735
ADDITIONAL PERSONS INVOLVED PASSENGERS AND/OR WITNESSES ONLY)
NAME MIDDLE INITIAL) BAS/LIO JR ELEAZAR S
(LAST FIRST,
ADDRESS&PHONE#
4809 S GARDEN ST SEATTLE WA 981183826 SEX M MMDOYyry 09 - O6 - 1970
SEAT HELMET I INJURY NATURE OF INJURIES
PASSENGER WITNESS[-] UNIT# ', 1 POS 3 AIRBAG',2 RESTR. 4 EJECT 1 USE CLASS 7 C/O RIGHT SHOULDER PAIN
NAME
(LAST,FIRST,MIDDLE INITIAL) LAMB CRAG J
ADDRESS&PHONE# D O B
14300 SE 171ST WAYAPT L9 RENTON WA 980588732 2064274435 SEX' M MMDovvvv 04 - 18 - 1997
PASSENGER UNIT# SEAT AIRBAG RESTR. EJECT HELMET INJURY NATURE OF INJURIES
[]WITNESS POS. USE CLASS
NAME
(LAST FIR57 MIDDLE INITIAL)
AppRESS&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.
MATTHEW NUGENT 08-25-24 04:36 PM
INVESTIGATING OFFICER'S SIGNATURE UNIT OR DIST DET DATED PLACE SIGNED
APPROVED BY DATE
CO.JOHNSON 0505 9/4/2024 3:57.42 PM
BADGE OR ID# 11498 ORI# WA0171300 TIME POLICE DISPATCHED 4:04 Pry TIME POLICE ARRIVED',4:07 Pry
PART I PAGE IT]OF
REPORT NO. EF11728 CASE# 24-8735 OF COLLISION
08/19/24 13:03
OF CbLLI510N
NARRATIVE
24-8735
On 08/19/2024 at approximately 1304 hours, I was dispatched to a blocking vehicle collision at the
intersection of NE 4th ST and Duvall Ave NE, within the City Limits of Renton, County of King, State
of Washington.
While en route, Dispatch advised that three vehicles were involved in a collision, with at least one of
the involved vehicles still blocking the roadway.
Upon my arrival, 1 discovered heavy mechanism to all of the involved vehicles. There were no
complaints of injury requiring immediate medical response at the time of report from any of the
involved parties. I collected each involved party's driving information and their independent
recollection of their involvement leading up to the collision.
The driver of Unit#1 stated that he and his adult passenger were traveling eastbound on NE 4th ST
approaching the intersection of Duvall Ave NE in lane 1 of 3. The driver of Unit#1 stated that he
entered the intersection on what he believed to be a green light. Upon entering the intersection,
opposing traffic had begun to proceed. Both Unit#1 and Unit#2 collided in the intersection causing
significant damage to the front of Unit#1 because of the collision.
The driver of Unit#2 said she was the sole occupant of her vehicle and was traveling southbound on
Duvall Ave NE approaching the intersection of NE 4th ST in lane 2 of 3. The driver of Unit#2 stated
she was intending to turn east (left) at the intersection. The driver of Unit#2 stated that upon the
traffic signal turning from red to green, the driver of Unit#2 proceeded into the intersection. Unit#2
was partially into the intersection when it was struck by Unit#1 causing significant damage to the
entire front passenger side of Unit#2. Due to the initial impact, Unit#2 was redirected and collided
into a third vehicle, Unit#3 causing additional damage to the front of Unit#2.
The driver of Unit#3 said she was the sole occupant of her vehicle and was traveling westbound on
NE 4th Street approaching the intersection of Duvall Ave NE in lane 3 of 3 (left-turn lane). The driver
of Unit#3 stated she was intending to turn south (left) at the intersection. The driver of Unit#3 stated
that her traffic signal was red and she remained stopped at the intersection waiting for the traffic
signal to change. While stopped, Unit#1 and Unit#2 collided in the intersection. Due to the initial
impact, Unit#2 was redirected and collided into the front of Unit#3 causing significant damage to the
front.
A witnesses remained on scene, identified by their respective pictured WADL as Craig Lamb. Lamb
stated that he was traveling directly behind Unit#2 in traffic at the time of collision. Lamb stated that
their direction of travel had received a green light and that all other traffic, including Unit#1's direction
of travel had come to a stop. As the witness and other southbound traffic began to proceed, Unit#1
appeared to not stop at the controlled intersection, specifically while Unit#1 was eastbound on NE
4th ST at Duvall Ave NE and continued into the intersection against the displayed red light at a high
rate of speed.
A WACIC/NCIC query was negative but a DOL records check revealed that the driver of Unit#1
(SERAFICA) was listed as Not Licensed - Eligible.
Serafica was also unable to provide proof of motor vehicle insurance.
Based on the above statements, 1 determined that the Driver of Unit#1 (SERAFICA) was the
predominant factor for the cause of collision due to Entering an Intersection against a Steady Red
Circle (Reference RCW 46.61.055(3A)). SERAFICA violated RCW 46.61.055(3A) as vehicle
PAGE 3 OF 6
REPORT NO. EF11728 CASE# 24-8735 OF COLLISION
08/19/24 13:03
OF CbLLI510N
NARRATIVE
operators facing a steady circular red signal alone shall stop at a clearly marked stop line, but if none,
before entering the crosswalk on the near side of the intersection or, if none, then before entering the
intersection control area and shall remain standing until an indication to proceed is shown.
SERAFICA was also unable to provide proof of motor vehicle insurance. I therefore cited SERAFICA
in-person for Vehicle Entering Intersection against a Steady Red Circle, Operating a Motor Vehicle
without Insurance, and for NVOL with Identification.
All involved vehicles had extensive damage and had to be towed from the roadway. 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 4:31 PM 8/25/2024 Renton, King County, WA.
PAGE 4 OF 6
SUPPLEMENTAL REPORT NO. EF1 1 728
r`) POLICE TRAFFIC 1 1 8 27
COLLISION REPORT CASE# 24-8735
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:2063498390
0 8 29
LAST NAME JEWETT FIRST NAME ALICIA MIDDLE A
INITIAL
STREET 30
NFW AnDRFrtP 13305 186TH AVE SE CITY RENTON ST WA ZIP 980597234
6
CDL IGNITION REQUIRED IGNITION PRESENT MEDICAL TANSPORTED 1 1 2 31
INTERLOCK YEs No NTERLOCK YEs�NO� YEs N
DRIVER'S
LICENSE STATE I WA SEX F MMDDYYv 06 TO]
- 1968
7
ON DUTY� STATUS AIRBAG' 2 RESTR. Q EJECT 1 HELMET I INJURY 1 1 NATURE OF INJURIES
USE CLASS
8 ❑ 1 32
LICENSE AYT4544 TAr Wq VIN# WDDGF56X08Fl35542
PLATE#
9 TRAILER TRAILER
PLATE# STATE PLATE# STATE
10 ❑ TRLR TRLR
VIN.#. VIN.#.
11 3 5 VEH.YEAR2008 MAKE MERZ MODEL C3004D STYLE 4D VEHICLE TOWS E T SABLI �d�i' anvi vEH1G P FROM TO
DAMAGE YES NO YES NO
REGISTERED OWNER INFOALICIA JEWETT 13305186TH AVE SE RENTON WA 98059 J 9 33
12 � SHADE IN DAMAGED AREA
j 4 FROM TO
LIABILITY INSURANCE INSURANCE CO CONNECT A102075803 q"i"Olx
IN EFFECT &POLICY#
VEHICLE 10 6QTTUM 34
13 ❑ LEGALLY YESZ NO❑ CITATION# CHARGE gg�@,
STANDING �} MOTOR
l:9 7 6
14 ❑ UNIT Tr Vd 1 RE O CYCLE � OWNERRTY � DASMMNOHRESHOLDMET PHONE ❑ 35
El PEDESTRIAN YE
15 LAST NAME FIRST NAME INITIAL
36
MIDDLE ❑
STRE
16 NFW ETETnnR"� CITY ST ZIP
CDL IGNITION REdUiRED IGNITtGN PRESENT MEDICALTANSPORTED
NTERLOCK YES No INTERLOCK YES NO YEs NO El
17 37
LICENSE# STATE SEX MMDDDYBYY -� II
18 ❑ ON DUTY� STATUS AIRBAG RESTR. ; EJECT HELMET INJURY NATURE of 1NJURIEs 38
USE (CLASS
19 ❑ 39
LICENSE rnr VIN#
PLATE#
20 ❑ TRAILER' STATE TRAILER STATE ❑ 40
PLATE#< PLATE#
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 AREA 43
3 4 71
LIABILITY INSURANCE INSURANCE CO '
VEHICLE
EFFECT &POLICY# i 970P - 4 44
24 VEHICLE YES❑ NO❑ CITATION# CHARGE iq 60TiOM
LEG E
E:l
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 08-25-24 04:36 PM
25 INVESTIGATING OFFICER'S SIGNATURE OFFICER'S PHONE UNIT OR DIST DET DATED: PLACE SIGNED
APPROVED BY DATE
26 ORID# 11498 O#I WA0171300 JOHNSON 9/4/2024 PAGE F51OF 6
3000-345-013(R 11118)
REPORT NO. ER 1728 CASE# ' 24-8735 DATE AND TIME 08/19/24 13:03
OF COLLISION
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PAGE 6 OF 6