HomeMy WebLinkAbout24-9118 a ITFFi "POLCERA II IfI) 1 IlfII ('II (Illf If( fI I . 0 27c
COLLISION REP FIT 1591971
❑ ❑ FIRE ❑ CASE# 24-9118 z 6 0
INTERSTATE CITY STREET ✓ RESULTED
1 STOLEN
STATE ROUTE ❑ OTHER ❑ VFHICI F ❑ LOCAL AOENC 4100 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#
cowsloN 08 - 1-- 2024 1533 17 ❑-= S 8 IN e 1070 3
4❑ ON (PRIMARY TRAFFIC WAY) INTERSECTION ❑✓ NON INTERSECTION ❑
N
BLOCK NO.
FACTORY AVE e✓ --- ----� ❑
4a❑ MILEPOST
DISTANCE OF(REFERENCE OR CROSS STREET)
5❑ ❑ FEET e S ❑ W e N 3RD ST
0 1 29
MOTUNIT O1 VEHICR Z PEDAL-CLE CYCLE ElYYESA✓NO THRESHOLD MET PHONE 0 1 30
6� LAST NAME OBRIEN FIRSTNAME TYLER MIDDLE S 1 1 2 31
INITIAL
STREET ❑ 6901 MLK JR WAYS#315 CITY SEATTLE ST WA 2jp, 98118 2
'NEW ADDRESS
7❑ CDL IGNITION REQUIRED IGNITION PRESENT MEDICAL TRANSPORTED 3
iNTERLOCKYEs NO INTERLOCKYEs NO YES NO
8❑ DRIVERS
E#
ON DUTY❑ STATUS' AIRBAG 2 RESTR 4 EJECT 1 HELM ICNLJAUSSY 7 }N(A,pTURE OF INJURIES 2❑
3
10❑ P1 aT�S� CHT2505 sTAr� WAurN# 4F2CZ94104KM16120
TRAILER STATE TRAILER STATE
11 2 5 PLATE# PLATE# IR.. ro
TRLR. TRLR 7 3 33
12 2 5 VIN#' VIN#
>; FROM TO
❑ VEH.YEAR MAKE MODEL STYLE VEHICLE TOWED TO BLIN T GOVT.VEHICLE 5 1 34
13 2 2004 MAZD TRIBUT DAMAGE vE8 0NO f �LII� RS vEs❑ No✓
REGISTERED OWNER INFO HARMONYAUSTIN 330 VUEMONT PL NE RENTON WA 98056 VEHICLE NO. 1 ❑
SHADE IN DAMAGED AREA 35
4
14 LIABILITY INSURANCE❑ INSURANCE CO 3
IN EFFECT &POLICY# 9TOP
VEHICLE CHARGE 5 36
LEGALLY res No CITATION# FAIL TO OBEY TRAFFIC CONTROL o sorrow
15❑ STANDING 7 6
UNIT a2 VE IMOTOCLE CYCLE ❑ PEDESTRIAN ❑ OWNER
❑ DYES✓ NO OLD MET PHONE
16 a
LAST NAME POOT FIRST NAME LA MIDDLE I T
INITIAL
17❑ STREET ❑', 271 DAYTON AVE SE CITY' RENTON ST WA ZIP 980568856 37
NEW ADDRESS ❑
18� CDL ., IGNITION REQUIRED IGNITION PtR—E—S1ENT MEDICAL TRANSPORTED ❑ 38
INTERLOCKYES�NOR INTERLOCK YEs I I NOF YES
t l NO❑
19 D IVEW #
INJURY6 NATURE OF INJURIES 40
20❑ ON DUTY STATUS AIRBAG 2 RESTR 4 EJECT 1 USE CLASS NECK BACK
21❑ LICENSE I B5999C TAre WA vIN1t 1(BB6t^iUBG7Ca1305883
❑ 41
PLATE#
42
22❑ PILER LATE# STATE pLATE# STATE
23❑ UIN#. 43
TRLR RLR
'IN#.
24❑ DVEH YEAR 2016 MAKE FORD MODEL F550 STYLE YY VEHICLE TOWED TO BLIN TOWEDev GOV!TN-
REGISTERED 44
AMAGE YES✓ NO BANKERS YES
OWNER INFO RENTON DISTRICT 300 SW 7TH ST RENTON WA 98055 VEHICLE NO.2
SHADE IN DAMAGED AREA
2 3 4
INAEFFITY ECTNSURANCE INSU&POLICY#E CO SAME. 1URVE""LE
❑ ,J� CITATION# CHARGELEGALLYYES N
25 OFFICER'S NAME(PRINT) OFFICER PHONE BADGE OR ID# AGENCY
J
26
M.LEVERTON 2517 WA0171300
PART A PAGE 01 OF C7
3000-345-159 OR 11/181
STATE OF
POLICETRAFFICN CORRECTION REPORT NO. EF14460
COLLISION REPORT III III III III III 111
1591972 CASE# 24-9118
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.
M.LEVERTON 09-03-24 03:49 PM
INVESTIGATING OFFICER'S SIGNATURE UNIT OR DIST DET DATED PLACE SIGNED
APPROVED BY E
DAT
C.JACOBS 1953 9/12/2024 3:50:25 PM
BADGE OR ID# 2517 OR]#' WA0171300 TIME POLICE DISPATCHED! 3:34 PM TIME POLICE ARRIVED]3:37 PM
PART I PAGE IT]OF 4�
REPORT NO. EF14460 CASE# 24-9118 OF COLLISION
08/30/24 15:33
OF CbLLI510N
NARRATIVE
BLK/1 EB RED BUS NB GREEN
CC
On 8/30/20204 at about 1533 hours within the city limits of Renton/King/WA I responded to a car v
bus blocking crash at the intersection of N 3rd St at Factory Ave N.
When I arrived a white male was laying face down in the street near the driver door and hardly
responsive. He was checked by Renton Fire and later transported to VMC for additional checks. He
was later verbally ID'd as OBRIEN, TYLER SHANE. DATE OF BIRTH: 06-03-1981
1 contacted the driver of unit 2 who told me she was northbound on Factory Ave N on her green light
when she was hit by unit 1. She was checked on scene by Flre. She was later transported to
Swedish in Issaquah for additional checks. Damages to the school bus required a tow truck,.
I contacted the passenger of unit 1 who told me it was her car her friend Tyler was driving but didnt
know his last name. She said she had been drinking so he was driving and may have ran a red light
crashing into the bus/unit 2. She was checked on scene by Renton Fire and later transported to VMC
for further checks.
After the roadway was cleared by towing both vehicles I responded to VMC-ED and followed up with
Obrien/unit 1 driver. He was talking and much more alert. He told me he knew he did not have a
drivers license and wasnt suppose to be driving. He told me he ran a red light and crashed into the
side of a bus. He told me he got out of the car and lay face down on the pavement because he
thought he might have hurt some kids. He was wearing an ankle monitor and currently on monitored
probation.
A WACIC/DOL check revealed Obrien did not have a drivers license. I was not able to Id him with
any other form of provided ID. He did not produce insurance for the vehicle he was operating and did
admit to running a red light as the cause of the injury collision.
I cited Obrien via complaint and via the Renton Prosecutors Office for RCW 46.20.005 Nvol 1 st
degree no ID, RCW 46.61.055 FTCWTCD-Red Light 2 vehicle injury crash and RCW 46.30.020 No
valid proof of insurance,
I certify (declare) under penalty of perjury under the laws of the State of Washington that the
foregoing is true and correct.
M.Leverton/2517 City of Renton/King/Wa 9/3/2024
PAGE 3 OF 4
REPORT NO.! EF14460 CASE# ' 24-9118 DATE AND TIME 08/30/24 15:33
OF COLLISION
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PAGE 4 OF 4