HomeMy WebLinkAbout24-1517 POLICETRAFF'c" III !�� I IIIllI111IN II II I REPORT NO. EE52216 170
27
COLLISION REP FIT 1591971
CASE 24-1517 z
INTERSTATE ❑ CITY STREET FIRE ❑RESULTED
1 STOLEN
STATE ROUTE ❑ OTHER ❑ VFHIr.I F ❑ LOCAL AOENC 4Y00 3
HIT&RUN CODING
COUNTY RD PRIVATE WAY INVOLVED
2 3 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.. 02 — 11 — 2024 1944 17 �. S 8 W H OF e 1070 3
4❑ ON (PRIMARY TRAFFIC WAY) INTERSECTION ❑✓ NON INTERSECTION ❑
S 3RD ST BLOCK e✓ 800 ❑
4a❑ MILEPOST
DISTANCE OF(REFERENCE OR CROSS STREET)
5❑ ❑ FEET e S ❑ W e W/L!IAMS AVE S
2 0 29
MOTOR PEDAL- DAMAGE THRESHOLD MET PHONE
UNIT 01 VEHICLE ❑ CYCLE El
,/No D:4255180815 0 11
30
6 LAST NAME DOMINGUEZ RAMIREZ FIRST NAME SCOTT MIDDLE B 1 2 31
INITIAL
STREET ❑1 32642 39TH P!SIN CITY FEDERAL WAY ST WA ZIP 980232648 z
NEW ADDRESS
7❑ CDL IGNITION REQUIRED IGNITION PRESENT MEDICAL TRANSPORTED 3
iNTERLOCKYEs NO 1/ INTERLOCKYEs NO�/ YEs No�/
8❑ LICIENSE# STATE yyq SEX'M I D-MM DAY' 09 — 08 — 1972 1 2 32
9 ON DUTY❑ STATUS AIRBAG 2 RESTR 9 EJECT 1 H USE 2 CLASS 1 NATURE OF INJURIES z❑
3
10 9❑ P1 ATNES# CFY7414 sTAT WAuN# 5YJ3E1EB9NF246505
5 TRAILER STATE TRAILER STATE
11 2 5 PLATE# PLATE# FROM TO
TRLR. TRLR 7 3 33
12 2 5 VIN#' VIN#
FROM TO
VEH.YEAR MAKE MODEL STYLE VEHICLE TOWED TO BLIN TOWED By GOVT.VEHICLE 7 3 34
13 1 2023 TESL MODEL SD DAMAGE YES NO ves❑ No
REGISTEREDOWNERINFO OWNEDBYDRIVER VEHICLE NO. 1
SHADE IN DAMAGED AREA 35
1 INSURANCE CO 3 4
14 LIABILITY INSURANCE STATE FARM 5364618D0747B
IN EFFECT &POLICY# 9TOP
VEwcLE CHARGE 10 BOTTOM 5 36
EGALLY YES No CITATION# 4AO189472 SIGNALS REQUIRED-SAFETY 5
15❑ STANDING 7 6
MOTOR PEDAL-: ..PEDESTRIAN PROPERTY DAM THR OLD MET PHONE
UNIT a2 VEHICLE ❑ CYCLE' ❑ ❑ OWNER ❑ YES 1/ NO D:2066127228
16 a
LAST NAME ANTHONY FIRST NAME DAVID MIDDLE R
INITIAL
17❑ STREET Is❑' 5628 S AVON ST CITY' SEATTLE ST WA ZIP 981782821 37
NEW ADDREs
18❑ CDL IGNITION REQUIRED IGNITION PRESENT MEDICAL—T�RANSPORTED � 38
INTERLOCK YEs❑NO INTERLOCK yEEsl I I NOF YEs t l No�
19 LICENSE# STATE WA SEX M MMDDW 12 _ 05 _ 1982 39
20❑ ON DUTY STATUS AIRBAG 2 RESTR 9 EJECT 1 H U EET 2 NJAURSY 1 NATURE OF INJURIES ❑ 40
❑ILICENSE 21❑ PLA E# BXH3720 TATE 41
WA vIN# ML32F4FJ2JHF12124 1
42
22❑ PLATE# STATE PLATE# STATE
23❑ VIN#. 43
TRLR RLR
'IN#.
TOWED By Gov HI 44
VEH YEAR 2018 MAKE IIgJ7-$ MODEL MIRAGE STYLE $D DAMAGE TOWED NOO✓ BLIN YES
NO
24❑ REGISTERED OWNER INFO OWNED SY DRIVER VEHICLE N0.2
SHADE IN DAGED AREA
2 4
LIABILITY
INSURANCE I PORGY#E CO pROGRESSIVE 974051038IN 1GQ'E""LE
❑ ,J� CITATION# CHARGE
LEGALLY YES N`L J
25
OFFICER'S NAME(PRINT) OFFICER PHONE BADGE OR ID# AGENCY
J
26
C.ARNOLD 12509 WA0171300
PART A PAGE 01 OF C7
3000-345-159 OR 11/181
STATE OF
POLICETRAFFICN CORRECTION REPORT NO. EE52216
COLLISION REPORT III III III III III 111
1591972 CASE# 24-1517
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
PM 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'
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.
C.ARNOLD 02-11-24 09:50 PM
NVESTIGATING OFFICER'S SIGNATURE UNIT OR DIST DET DATED PLACE SIGNED
APPROVED BY DATE
D.MOYNIHAN 11288 2/21/2024 12:57:51 AM
BADGE OR ID# 112509 ORI#' WA0171300 TIME POLICE DISPATCHED' 7:46 PM TIME POLICE ARRIVED',7:52 PM
PART I PAGE IT]OF 4�
TIME
REPORT NO. EE52216 CASE# 24-1517 OF COLLISIONO2/11/24 19:44
NARRATIVE
24-1517
On 2/11/2024 at 20:17 1 was dispatched to a collision at S 3rd St and Wells Ave S located in the City
of Renton, King County, Washington. I arrived on scene at 1946 hours and met with Drivers' 1 and 2.
The following information is based off of the statements of Drivers' 1 and 2.
Unit 1 was traveling Eastbound on S 3rd St approaching the intersection of S 3rd St and Williams Ave
S in the number 1 lane.
Unit 2 was traveling Eastbound on S 3rd St approaching the intersection of S 3rd St and Williams Ave
S in the number 2 lane.
Unit 1's driver stated that he was attempting to merge left from the number 1 lane to the number 2
lane, and then into a parking spot along side the North side of S 3rd St, just past the intersection of S
3rd St and Williams Ave S. Unit 1's driver stated that when he did this, he was unable to see Unit 2 to
his left, and the front driver side wheel well of Unit 1 made contact with the front passenger side door
of Unit 2. Unit 1's driver stated that he had his turn signal on when the collision occurred.
Unit 2's driver stated that he was continuing Eastbound in the number 2 lane and was going straight
ahead. Unit 2's driver stated that as he proceeded through the intersection, he observed Unit 1
attempt to merge left from lane 1 to lane 2. Unit 2's driver stated that he was unable to stop or slow to
avoid the collision, and the front driver side wheel well of Unit 1 made contact with the front
passenger side of Unit 2.
Collision description:
No injuries
Both vehicles remained operational and were driven away by each of the drivers.
Proximate Cause:
If not for the actions of Driver 1 for move his vehicle left upon the roadway unless and until such
movement can be made with reasonable safety, then this collision would not have occurred.
I determined that Driver 1 (DOMINGUEZ RAMIREZ) was the predominant factor in this collision
because he was in violation of RCW 46.61.305.1 for failing move right or left upon a roadway unless
and until such movement can be made with reasonable safety.
I certify (declare) ender penalty of perjury under the laws of the State of Washington that the
foregoing is true and correct.
Electronically signed by Officer C. Arnold #12509 at 20:29 hours on 2/11/2024, in the City of Renton,
King County, Washington.
PAGE 3 OF 4
REPORT NO. EE52216 CASE# ' 24-1517 DATE AND TIME 02/11/24 19:44
OF COLLISION
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