HomeMy WebLinkAbout24-1031 a POLICETRAFFic" II I f I) 11I1ll(111(111l If( f 11 REPORT NO. EE50413 170
27
COLLISION REP FIT 1591971
CASE 24-1031 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 OZ STRUCK
RESERVATION
z
3❑ DATE of M M D D Y Y Y Y TIME(2400) COUNTY# MILES N E IN CITY# ❑
COLLISION'. 01 - 1-- 2024 1652 17 ❑.= S 8 E IN e 1070 3
4❑ ON (PRIMARY TRAFFIC WAY) INTERSECTION ❑ NON INTERSECTION ❑✓
S 2ND ST BLOCK e✓ 200
4a❑ MILEPOST
DISTANCE OF(REFERENCE OR CROSS STREET)
5 MILES S❑ 100 00 FEET e ❑ E e LAKEAVES
0 4 29
MOTOR PEDAL- DAMAGE THRESHOLD MET PHONE
UNIT 01 VEHICLE ❑ CYCLE El
NO F,/ I D:8509196708 0 11
30
6❑ LAST NAME COWAN FIRSTNAME KIRSTIE MIDDLE R 1 2 31
INITIAL
STREET ❑, 18305 SE NEWPORT WAY APT P201 CITY ISSAQUAH ST WA jj
2jp, 980279054 z
NEW ADDRESS
7❑ CDL IGNITION REQUIRED IGNITION PRESENT MEDICAL TRANSPORTED 3
1/ I iNTERLOCKYEs NO NTERLOCKYEs NO Z/ YES R No�/
8❑ LDRIVER # STATE WA SEX'F MID
.O B 12 1- 02 - 1989 2 32
9 ON DUTY❑ STATUS AIRBAG 2 RESTR 4 EJECT 1 HELMET U E 2 CLASS 1 NATURE OF INJURIES z❑
3
10 9❑ Pi aT�S� CDt6889 sTArI WAvIN# 5NPEG4JA4NH144063
TRAILER STATE TRAILER STATE
11 2 5 PLATE# PLATE# ROM ro
TRLR. TRLR 3 5 33
12 2 5 VIN#' VIN#
;. FROM TO
VEH.YEAR MAKE MODEL STYLE VEHICLE TOWED TO BLIN TOWED BY GOVT.VEHICLE 3 ] 34
13 1 2022 HYUN SONATA DAMAGE vesNo ves❑ No
REGISTERED OWNER INFO KIRSTIE WEISS 18305 SENEWPORT WAYAPTP201 ISSAQUAH WA 98027 VEHICLE NO. 1 ❑
SHADE IN DAMAGED AREA 35
14 LIABILI INSURANCE INSURANCE CO ESURANCE#PAWA9569061 3 4
IN EFFECT &POLICY# 9TOP
VE—L' 1 5 36
LEGALLY YEs No CITATION# 4A0178112 CHARGE INATTENTIVE DRIVING I o eorrom
15❑ STANDING 8 7
MOTOR PEDAL- 'PEDESTRIAN PROPERTY DAM THR OLD MET PHONE
UNIT 02 VEHICLE ❑ CYCLE ❑ ❑ OWNER ❑ YES 1/ NO D:5642018819
16 a
LAST NAME VERSEY FIRST NAME AMARIS MIDDLE I E
INITIAL
17 STREET I❑ P.O.BOX 257 PMB 4499A CITY' OLYMPIA ST WA ZIP 985070257 37
NEW ADOREss❑'
18❑ CDL IGNITION REQUIRED IGNITION PtR-E-S1ENT MEDICAL-T�RANSPORTED � 38
INTERLOCK YEs❑No� INTERLOCK YEs I I NOF YEs t l NOF,/
19 DRIVER'S STATE WA SEX F D.C... 09 _ 04 1977 39
LICENSE# MMDDYY
20❑ ON DUTY STATUS AIRBAG 2 RESTR 4 EJECT 1 HELMET 2 INJURY 7 NATURE OF INJURIES 40
USE CLASS BACK NECK
❑ILICENSE 21❑ PLA E# BIV3167 TArE WA VIN It 2C3CCAAG5DH508248 41
1
42
22❑ PLATILER E# STATE PLATE# STATE
23❑ 43
TRLR RLR
VIN#. IN#.
VEH YEAR 2013 MAKE CHRY MODEL 300 STYLE SO VEHICLETOWED TO BLIN TOWEDBY GOV HI 44
24❑ DAMAGE YES NO,/ YES NO
REGISTERED OWNER INFO AMARIS VERSEYPO BOX 257 PMB 4499 OLYMPIA WA 98507 VEHICLE NO.2
SHADEDAMAGEDAREA
3 4
LIABILITY
INSURANCE &POINSURGY#E CO ALLSTATE 820103654IN STOP 5
VEHICLE ❑ ,.I—I CITATION# CHARGE
25 to BOTTOM
LEGALLY YES N
a
OFFICER'S NAME(PRINT) OFFICER PHONE BADGE OR ID# JAGENCY
0(
26
E.CHANG 10065 WA0171300
PAGE 01 OF
PART A
3000-345-159 OR 11/181
STATE OF
POLICETRAFFICN CORRECTION REPORT No. EE50413
COLLISION REPORT III III III III III 111
1591972 CASE# 24-1031
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
POS. 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'
On 01-28-2024 at about 1706 hours I was sent to a collision located in the 200 block of S 2nd St, in
the City of Renton, King County, Washington.
Driver of unit 2 informed me that she was driving westbound in lane 4 in the 200 block of S 2nd St.
Unit 1 was driving in lane 3 and made a southbound turn into the Safeway parking lot driveway in
front of unit 2.
Driver of unit 1 told me she was driving westbound in lane 3 in the 200 block of S 2nd St. She turned
southbound into the driveway of Safeway parking lot and was struck by unit 2. She was not from the
area and was going to a pizza restaurant in the property.
Based on the above statement, I believe the driver of unit 1 was a contributing factor in the collision.
The driver of unit 1 committed inattentive driving by
10-12-25 INATTENTIVE DRIVING:
It shall be a traffic infraction, subject to RCW 7.80.120(1)(a), for any person to drive a motor vehicle
on any public highway, street, alley, or road in an inattentive manner in the City of Renton.
"Inattentive manner" in this section means a lack of: 1) attentiveness required to safely operate the
vehicle under the prevailing conditions, including, but not limited to, the nature and condition of the
roadway, the weather conditions, the presence of pedestrians, the presence of other traffic, or by the
driver focusing or directing the driver's attention to something other than driving the motor vehicle.
(Ord. 4462, 7-25-94, eff. retroactive to 7-1-94; Ord. 5635, 11-14-11)
I CERTIFY(DECLARE)UNDER PENALTY OF PERJURY UNDER THE LAWS OF THE STATE OF WASHINGTON THAT THE FOREGOING IS TRUE AND CORRECT.
E.CHANG 02-14-24 04:29 PM
INVESTIGATING OFFICER'S SIGNATURE UNIT OR DIST DET DATED PLACE SIGNED
APPROVED BY DATE
P.KORDEL 9676 1 2/14/2024 5:41:28 PM
BADGE OR ID# 10065 OR]# ': WA0171300 TIME POLICE DISPATCHED; 5:06 PM TIME POLICE ARRIVED'5:14 PM
PART I PAGE IT]OF 3�
REPORT NCV EE50413 GAGE At ' 201031 DATE AND TIME 01/28/24 16:52
OF COLLISION
PAGE 3 OF 3