HomeMy WebLinkAbout24-440 ITFF' "POLCERA II I !�� I III I III I IIII III II I . 0 27c
COLLISION REP FIT 1591971
❑ ❑ RESULTED ❑ CASE z4-44o 2
INTERSTATE CITY STREET FIRE
1 STOLEN
STATE ROUTE ❑ OTHER ❑ VFHICI 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
2
3❑ DATE of M M D D Y Y Y Y TIME(2400) COUNTY# MILES N E IN CITY# ❑
COLLISION'. 01 - 1-- 2024 1909 17 ❑.= S 8 IN e 1070 3
4❑ oN (PRIMARY TRAFFIC WAY) INTERSECTION ❑✓ NON INTERSECTION ❑
SUNSET BLVD NE BLOCK NO. e ❑
4a❑ MILEPOST
DISTANCE OF(REFERENCE OR CROSS STREET)
5❑ �,❑ FEET ❑ S ❑ W e N6/405 0 1 29
MOTOR PEDAL- DAMAGE THRESHOLD MET PHONE
UNIT 01 VEHICLE ❑ CYCLE El
,/No D:2533816539 0 11
30
g� LAST NAME LOCKEY FIRSTNAME ANDREW MIDDLE R 1 1 2 31
INITIAL
STREET ❑ 505 W ALASKA AVE CITY ROSLYN ST I WA ZIP 989410000 2
NEW ADDRESS
7❑ CDL IGNITION REQUIRED IGNITION PRESENT MEDICAL TRANSPORTED 3
1/ I INTERLOCK YES[:]NO NTERLOCKYEs NO Z/ YES R No�/
8❑ LRIIVER #
ON DUTY❑ STATUS AIRBAG 9 RESTR 9 EJECT 1 H USEET ICNLJAURY 1 NATURE OF INJURIES 2❑
❑
10 9❑ PI ATFBit BLG2180 sTArI WA urN#' 1FTSS34F92HB40118 3
IT STATE TRAILER STATE
11 0 0 PLATE# PLATE# ROM TO
TRLR. YRLR. 5 1 33
12 0 0 VIN#' VIN#
>; FROM TO
❑ VEH.YEAR 2002 MAKE MODEL STYLE VEHICLE TOWED TO BLIN T /g[ GOVT.VEHICLE 34
13 4 FORD ECONO CG DAMAG 1 5 E YES NO YES❑ No✓
REGISTERED OWNER INFO ANDREW LOCKEY PO BOX 223 ROSLYN WA 98941 VEHICLE NO. 1
SHADE IN DAMAGED AREA 35
4 INSURANCE CO
14 IN EF IT INSURANCE PEMCO CA1610830
IN EFFECT &POLICY# 9TOP
vEGALLY HICLe 10 BOTTOM 5 36
YES�No D CITATION# 4A0150775 CHARGE FAIL YIELD AT YIELD 5
15 LE❑ STANDING 8 6
MOTOR PEDAL- PEDESTRIAN PROPERTY DAM THR OLD MET PHONE
�U-NIT U2 VEHICLE ❑ CYCLE ❑ ❑ PROPS ❑ YES 1/ No D:4256061923
16 a
LAST NAME HAGEN FIRST NAME THEODORE MIDDLE A
INITIAL
17 STREET IOR AVE NW APT 303 CITY RENTON ST WA ZIP 980575114 4❑ 37
NEW ADOREs�' 390 TAYL
18� CDL IGNITION REQUIRED IGNITION PRESENT MEDICALTRANSPORTED 38
INTERLOCKYES�NO INTERLOCK YEs❑NOF YEs❑NoF,/
19 DRIVER #
❑ ON DUTY STATUS AIRBAG g RESTR g EJECT 1 HEJ EET INCLAJURYSS 1 NATURE OF INJURIES ❑ 40
❑21❑ PLATE# CHT4032 TArE 41
WA VIN# 1FMZK05116GA55264 1
42
22❑ PLATE# STATE PLATE# STATE
23❑ UIN#. 43
TRLR RLR
'IN#.
VEH YEAR 2006 MAKE FORD MODEL FREESTY STYLE UT VEHICLE TOWED TO BLIN TOWEDBY GOV HI 44
L4❑ DAMAGE YES NO,/ YES NO
REGISTERED OWNER INFO ROBERT HAMILTON 11804268TH DR NE DUVALLWA98019 VEHICLE NO.2
SHADEDAMAGEDAREA
3 4
INAEFFIECTTY NSURANCE❑ &POINSULICY#E CO 9TOP 5
VE"LE ❑ ,J� CITATION# CHARGE to BOTTOM
LEGALLY YES N J
25 e
OFFICER'S NAME(PRINT) OFFICER PHONE BADGE OR ID# AGENCY
26
RYAN KARLO RIVERA 12649 WA0171300
PART A PAGE 01 OF
3000-345-159 OR 11/181
STATE OF
POLICETRAFFICN CORRECTION REPORT NO. EE48836
COLLISION REPORT III III III III III 111
1591972 CASE# 24-440
ADDITIONAL PERSONS INVOLVED PASSENGERS AND/(OR WITNESSES ONLY)
NAME MIDDLE INITIAL) RASURE JORDAN S
(I.P.ST FIRST,
ADDRESS&PHONE#
2353 ALPINE PL ENUMCLAW WA 980223449 5404244392 SEXi F MMDDYyry 03 - 25 - 1998
PASSENGER Z WITNESS❑ UNIT# 1 Pas 3 AIRBAG 9 RESTR. 9 EJECT ? 1 HELMET NATURE OF INJURIES
USE CLASS
'1
NAME
LAST,FIRs MIDDLE INITIAL) RANDALL MCKENNA E
ADDRESS&PHONE# 470 EVERWOOD W CT N ISSAQUAH WA 98027 4259414516 SEX' F D.O.B. 10 _
MMDDYYYY - 25 1995
PASSENGER [:]WITNESS UNIT# SEAT AIRBAG RESTR. EJECT HELMET NJURY
POS. NATURE OF INJURIES
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.
RYAN KARLO RIVERA 01-12-24 10:34 PM
INVESTIGATING OFFICER'S SIGNATURE UNIT OR DIST DET DATED PLACE SIGNED
APPROVED BY DATE
D.MOYNIHAN 11288 1 2/9/2024 9:04:49 PM
BADGE OR ID# 112649 ORI#' WA0171300 TIME POLICE DISPATCHED; 7:11 PM TIME POLICE ARRIVED',7:17 PM
PART I PAGE IT]OF 5�
REPORT NO. EE48836 CASE# 24-440 OF COLLISION
01/12/24 19:09
OF CbLLI510N
NARRATIVE
On 01/12/2024 1 was working uniformed patrol in a marked police car as 3R23. At approximately
1911 hours, I was dispatched to a blocking collision at the intersection of Sunset Blvd NE/NB 1 405 on
-ramp which is located within the city of Renton, county of King, Washington. Dispatch advised that
on Sunset Blvd NE, there was a 2 vehicle motor vehicle accident on the roadway. Dispatch also
advised that the vehicles were blocking and that there were no injuries.
When I arrived at the dispatch location, I was able to locate both Unit 1, Unit 2, and a witness who
stayed on the scene of the crash. All occupants inside Unit 1 and Unit 2 were outside of their vehicles
standing on the median. There was also another officer on the scene who had already begun
gathering information from the involved parties and the witness.
The other officer on scene had explained that Unit 1 was in the left turn lane from Sunset Blvd NE
getting ready to turn onto the NB 1 405 on-ramp. Unit 2 was continuing southbound on Sunset Blvd
NE down the hill. Unit 1 had then continued to head northbound on the NB 1 405 on-ramp at the same
time Unit 2 was passing this intersection to continue southbound on Sunset Blvd NE. Unit 2's front
end had then collided with the passenger side of Unit 1 at the intersection and had apparently pushed
Unit 1 slightly south of the intersection on Sunset Blvd NE.
The other officer on scene also stated he spoke to a witness who was behind Unit 2 traveling
southbound on Sunset Blvd NE. She identified herself to officers as McKenna E. Randall (DOB:
10/25/1995, verified via DOL photo). She stated that she witnessed the collision as described above.
I also spoke to the driver and front right passenger of Unit 1. They both similarly stated that they were
approaching the NB 1 405 on-ramp from the northbound lanes of Sunset Blvd NE. They continued
past to head onto the ramp when Unit 2 collided with them.
Both the driver and front right passenger of Unit 1 stated they were not injured.
I also noticed that Unit 1 sustained damage to the passenger side of the vehicle. There was a large
dent that ran along the passenger side of the vehicle.
I then spoke to the driver of Unit 2. He also similarly stated that he was headed southbound on
Sunset Blvd NE about to pass the NB 1 405 on-ramp. He then stated that Unit 1 continued to head
toward the on-ramp. Unit 2's front end then collided with Unit 1's passenger side. Unit 2 stated that
the vehicle belonged to a friend and did not have insurance for the vehicle at the time. I advised him
to contact Unit 1 once he had the insurance and warned him that he needed a copy of the insurance
on his person.
The driver of Unit 2 stated he was not injured.
I also noticed that Unit 2 sustained damage to the entire front end of the vehicle. Unit 2 had a large
dent that crushed the front end of the vehicle.
I did a brief observation of the scene and saw that the turn area that Unit 1 was in to head from NB
Sunset Blvd NE to the NB 1 405 on-ramp had a yield sign.
Based on the fact that Unit 1 had a yield sign that indicated for him to grant right of way to
southbound traffic that was between Unit 1 and the NB 1 405 on-ramp; and the fact that Unit 1 had
continued past the yield sign which resulted in Unit 2 colliding with Unit 1, 1 found that Unit 1 did not
grant right of way to Unit 2 which resulted in the collision. I subsequently issued Unit 1 with a traffic
citation for violation of RCW 46.61.190 (3) -Vehicles entering stop or yield intersection. Unit 1
PAGE 3 OF 5
REPORT NO. EE48836 CASE# 24-440 OF COLLISION
01/12/24 19:09
OF CbLLI510N
NARRATIVE
confirmed his current address with me and I forwarded a citation to be mailed to his address.
I provided both parties with a copy of the exchange of information before departing the scene.
Bankers tow eventually arrived and towed both vehicles out of the roadway.
The Washington State Patrol (WSP) arrived on the scene of the collision and provided traffic control
assistance for a brief period as Renton officers conducted the traffic collision investigation.
This report is for informational purposes 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: 01/12/2024 @ Renton, WA
**** AUTO-POPULATED SECTION ****
THE FOLLOWING ARE DESCRIPTIONS ENTERED FOR ITEMS SELECTED AS "OTHER":
Location Character: FREEWAY ON RAMP INTERSECTION
**** END OF AUTO-POPULATED SECTION ****
PAGE 4 OF 5
REPORT NO. EE48836 CASE# ' 24-440 DATE AND TIME 01/12/24 19:09
OF COLLISION
ti-
s
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PAGE 5 OF 5