HomeMy WebLinkAbout24-3202 ITFF' "POLCERA II I !�� I III I III I IIII III II I . 6 27c
COLLISION REP FIT 1591971
CASE 24-3202 z
INTERSTATE ❑ CITY STREET FIRE ❑
RESULTED
1 STOLEN
STATE ROUTE ❑ OTHER ❑ VFHIr.I F ❑ LOCAL AGENCI 4Y00 3
HIT&RUN CODING
COUNTY RD PRIVATE WAY INVOLVED
2❑ TOTAL#OF OBJECT 28
6 0
RESERVATION
TRIBAL UNITS 02 STRUCK
z
3❑ DATE OF M M D D Y Y Y Y TIME(2400) COUNTY# MILES N E IN CITY#
CowsloN 03 - 1-- 2024 2010 17 ❑-= S 8 IN e 1070 3
4❑ ON (PRIMARY TRAFFIC WAY) INTERSECTION ❑✓ NON INTERSECTION ❑
KIRKLAND AVE NE BLOCK NO. e ❑
4a❑ MILEPOST
DISTANCE OF(REFERENCE OR CROSS STREET)
5❑ �,❑ FEET e S ❑ we NE7THST
0 3 29
MOTOR PEDAL- DAMAGE THRESHOLDHONE
UNIT 01 VEHICLE ❑ CYCLE El MET P
YES
�/No D:2537098959 0 11
30
6� LAST NAME TONEY FIRSTNAME JAMES MIDDLE 1 1 2 31
INITIAL
STREET ❑, 126 11TH ST SE CITY AUBURN ST WA ZIP 98002 z
NEW ADDRESS
7❑ CDL IGNITION REQUIRED IGNITION PRESENT MEDICAL TRANSPORTED 3
INTERLOCK YES[:]NO 1/ INTERLOCKYEs NO�/ YES R No�/
8❑ LRIIVER #
ON DUTY❑ STATUS AIRBAG 2 RESTR 4 EJECT 1 HELMETU E 2 CLASS 1 NATURE OF INJURIES z❑
3
10 2❑ Pi ATE 14 WDt 29342883E STATE WA VIN# WBAlW3C52CC892059
TRAILER STATE TRAILER STATE
11 0 0 PLATE# PLATE# FROM TO
rRLR. TRLR. 5 3 33
12 0 0 VIN#' VIN#
FROM TO
❑ VEH.YEAR MAKE MODEL STYLE VEHICLE TOWED TO BLIN TOWED By GOVT.VEHICLE 7 3 34
13 2 ZO12 BMW 64O SD DAMAGE YES NO YES❑ NO✓
REGISTERED OWNER INFO OWNEDBYDRIVER VEHICLE NO. 1
SHADE IN DAMAGED AREA ❑ 35
14 LIABILITY INSURANCE INSURANCE CO NATIONAL GENERAL 2020551180 4
LI EFFECT I SUR N# TOPVEHCLE CHARGE 36
LEGALLY YES❑NO❑ CITATION# <1�3
OTTOM
15❑ STANDING 6
MOTOR PEDAL- PEDESTRIAN PROPERTY DAM THR OLD MET PHONE
UNIT VEHICLE ❑ CYCLE ❑ ❑ : OWNER ❑ YES 1/ NO D:2067098959
16 a
LAST NAME PRESTON FIRST NAME DERIK MIDDLE IM
INITIAL
17 STREET NEW ADDREs7 450 MONROE AVE NE APT 212 CITY RENTON ST WA ZIP 98056 4❑ 37
18� CDL IGNITION REQUIRED IGNITION PR-E-1SENT MEDICAL TRANSPORTED 38
INTERLOCKYES�NO� INTERLOCK YEs It I NOF YES
t l NOF,/
19[-] DRIVER #
❑ ON DUTY STATUS AIRBAG 2 RESTR 4 EJECT 1 H U EET 2 NJAURSY 1 NATURE OF INJURIES ❑ 40
❑LICENSE 21❑ PLA E# CBW9192 TATE WA VIN# JF1(BG29654ra808599 41
1
42
22❑ PLATE# STATE PLATE# STATE
23❑ VIN#. 43
TRLR RLR
'IN#.
GI
VEH YEAR jpOQ MAKE S'(JB�Q MODEL Iq/RX STYLE GA DAMAGE TOWED NOO✓ BLIN TOWED BY ov HyES NO 1/ 44
24❑ ES
REGISTERED OWNER INFO OWNED SY DRIVER VEHICLE N0.2
SHADE IN DAMAGED AREA
2 3 4
LIABILITY
INSURANCE INSU PORGY#E CO STATE FARM 503 5361-E05-47CIN I STOP 5
VE."Le ❑ ,J� CITATION# CHARGE i o BOTTOM
LEGALLY YES N J
25 =TURNER
NAME(PRINT) OFFICER PHONE BADGE OR ID# AGENCY
J
26 12650 WA0171300
PAGE 01 OF
PART A
3000-345-159 OR 11/181
STATE OF
POLICETRAFFICN CORRECTION REPORT NO. EE69667
COLLISION REPORT III III III III III 111
1591972 CASE# 24-3202
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.
JASON TURNER 03-28-24 02:13 AM
NVESTIGATING OFFICER'S SIGNATURE UNIT OR DIST DET DATED PLACE SIGNED
APPROVED BY DATE
D.MOYNIHAN 11288 4/19/2024 8:40:00 PM
BADGE OR ID# 112650 OR]# WA0171300 TIME POLICE DISPATCHED 8:15 PM TIME POLICE ARRIVED',8:29 pry
PART I PAGE IT]OF 4�
REPORT NO. EE69667 CASE# 24-3202 OF COLLISION
03/24/24 20:10
OF CbLLI510N
NARRATIVE
The driver of Unit 1 reported that he was traveling north bound on Kirkland Ave NE approaching a
stop sign at the crosstreet of NE 7th ST. Unit 2 was traveling eastbound on NE 7th ST approaching a
stop sign at the intersection NE 7th ST and Kirkland Ave NE. Unit 1 was attempting to make a right
turn to go east on NE 7th ST, Unit 1 stopped at the sign, checked for traffic and made the turn. Unit 1
reported that Unit 2 ran the stop sign at NE 7th and Kirkland at a high rate of speed with no lights on,
which resulted in Unit 2 striking Unit 1's front bumper. The force of the collision caused unit 2's
vehicle to spin fully around.
Unit 2 reported that he was traveling east bound on NE 7th ST approaching a stop sign at the above
inersection. Unit 2 was traveling northbound on Kirkland Ave NE approaching a stop sign at the
above intersection. Unit 2 came to a complete stop at the stop sign and continued straight through the
intersection. Unit 1 performed a rolling stop at their stop sign and collided with the passenger side of
Unit 1, causing the vehicle to spin fully around.
I observed skid marks in the roadway from where Unit 2 spun all the way around.
Both driver's were uninjured. Unit 1 had significant damage to their front bumper to where it was
nearly hanging off. Unit 2 had significant damage to their passenger side door to where the frame of
the B pillar was dented. Both vehicles left the scene on their own power.
Based upon skid marks in the roadway it is apparent that one of the vehicles was driving at a high
rate of speed before the collision. The proximate cause of the collision is an unknown unit ran a stop
sign at a high rate of speed.
PAGE 3 OF 4
REPORT NO. EE69667 CASE# 24-3202 DATE AND TIME 03/24/24 20:10
OF COLLISION
atr e
4
t
m
t...
t' y
PAGE 4 OF 4