HomeMy WebLinkAbout24-6944 ITFF' "POLCERA II I !�� I III I III I IIII III II I . 0 27c
COLLISION REP FIT 1591971
SASE 24-6944 z
INTERSTATE ❑ CITY STREET FIRE ❑
RESULTED
1 STOLEN
STATE ROUTE ❑ OTHER ❑ VFHIr.I F ❑ LOCAL AGENC 4100 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' 07 - 1-- 2024 1802 17 ❑.❑ S 8 W e IN e 1070 3
4❑ ON (PRIMARY TRAFFIC WAY) INTERSECTION ❑✓ NON INTERSECTION ❑
103RD AVE SE BLOCK NO. e✓ 17400 ❑
4a❑ MILEPOST
DISTANCE OF(REFERENCE OR CROSS STREET)
5❑ ❑ FEET e S ❑ VV e S 36TH PL
0 4 29
MOTOR PEDAL- DAMAGE THRESHOLD MET PHONE
UNIT 01 VEHICLE ❑ CYCLE El
,/No D:4436836044 N:4436836044 0 11
30
6� LAST NAME JAKKAL FIRSTNAME NIRAJ MIDDLE 1 2 31
INITIAL
STREET ❑ 10413 SE 174TH ST APT 4452 CITY RENTON ST WA Zjp, 980555874 z
NEW ADDRESS
7❑ CDL IGNITION REQUIRED IGNITION PRESENT MEDICAL TRANSPORTED 3
✓ I INTERLOCK YES[:]No NTERLOCKYEs NO✓ YES R No
8❑ LRIIVERS STATE WA SEX'M MM DAY' 04 1— 10 — 1991 2 32
CENSE 9 ON DUTY❑ STATUS AIRBAG 2 RESTR 4 EJECT 1 HELMET
2 CLASS 1 NATURE OF INJURIES z❑
3
10 9❑ PI ATFBit BSM6424 sTATI WA urN#' JF2SKAMC8LH424501
TRAILER STATE TRAILER STATE
11 2 5 PLATE# PLATE# FROM TO
TRLR. A'RLR. 1 3 33
12 2 5 VIN#' VIN#
>; FROM TO
VEH.YEAR MAKE MODEL STYLE VEHICLE TOWED TO BLIN TOWED BY GOVT.VEHICLE 7 $ 34
13 2020 SUBA FOREST 4W DAMAGE YES NO ✓ YES[:] No
✓
REGISTERED OWNER INFO NIRAJJAKKAL 10413 SE 174TH STAPT4452 RENTON WA 98055 D:4436836044 VEHICLE NO. 1 ❑
SHADE IN DAMAGED AREA 35
14 LIABILI INSURANCE INSURANCE CO GEICO 613 311.03613 3 4
IN EFFECT &POLICY# 9TOP
36
VE—L' CHARGE 1 5
LECALLv YES❑NO❑ CITATION# W24011643 FAIL STOP AT STOP )o BOTTOM
15❑ STANDING 8 7 6
MOTOR PEDAL- PROPERTY DAM THR OLD MET PHONE
✓ '.PEDESTRIAN
UNIT VEHICLE ❑ CYCLE YES NO❑ ❑ OWNER ❑ ✓ D:2536006260 N:2536006260
16 a
LAST NAME WILLIAMS FIRST NAME DAJUANTE MIDDLE A
INITIAL
17❑ NEW STREETREs7 10406 SE 174TH ST#A309 CITY RENTON ST WA ZIP 98055 4❑ 37
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 GA SEX M I D.C.B. 05 _ 13 _ 2001 39
LICENSE# MMDDYY
20❑ ON DUTY STATUS AIRBAG 2 RESTR 4 EJECT 1 H U EET 2 NJAU EY 6 C/O SHOULDER PAIN.EVAL'D BY RRFA ❑[-�A—TUREOF INJURIES 40
❑ 41
21❑ PLATE# CNA0362 TATE WA VIN# 2C3CCAEG3JH123454 1
42
22❑ PLATE# STATE PLATE# STATE
23❑ UIN#. 43
TRLR RLR
'IN#.
TOWED BV Gov HI 44
VEH YEAR 201E MAKE CHRY MODEL 300 STYLE 4D DAMAGE TO WED NOO✓ BLIN YES NO✓
24❑ REGISTERED OWNER INFO OWNED SY DRIVER VEHICLE N0.2
SHADE IN DAMAGED AREA
2 3 4
LIABILITY
INSURANCE &POINSURGY#E CO GEICO 6141-81-73-07IN I STOP 5
vE""LE ❑ ,J� CITATION# CHARGE i o BOTTOM
LEGALLY YES N`L J
25 s a
OFFICER'S NAME(PRINT) OFFICER PHONE BADGE OR ID# AGENCY
26
MATTHEW NUGENT 11498 WA0171300
PART A PAGE 01 OF
3000-345-159 OR 11/181
STATE OF
POLICETRAFFICN CORRECTION REPORT NO. EE94099
COLLISION REPORT III III III III III 111
1591972 CASE# 24-6944
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 FIRST 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.
MATTHEW NUGENT 07-03-24 12:17 PM
INVESTIGATING OFFICER'S SIGNATURE UNIT OR DIST DET DATED PLACE SIGNED
APPROVED BY E
DAT
M.LEVERTON 2517 7/9/2024 11:21:59 AM
BADGE OR ID# 11498 ORI# WA0171300 TIME POLICE DISPATCHED 6:17 PM TIME POLICE ARRIVED 6:21 PM
PART I PAGE IT]OF 5�
REPORT NO. EE94099 CASE# 24-6944 OF COLLISION
07/02/24 18:02
OF CbLLI510N
NARRATIVE
24-6944
On 07/02/2024 at approximately 1819 hours, I was dispatched to a blocking vehicle collision at the
intersection of South 36th Place and 103rd Ave SE (aka SE 174th Street), within the City Limits of
Renton, County of King, State of Washington.
While en route, Dispatch advised that there were updated reports of injury from one of the involved
parties and that the Renton Regional Fire Authority (RRFA) would be responding as well. Dispatch
also advised of an active dispute between the involved parties.
Upon my arrival, RRFA was already on scene evaluating the involved parties. All involved parties
were treated at the scene and released. While on scene, I was able to collect each involved party's
information and independent summary of the events leading up to the collision.
The driver of Unit#1 said he was the sole occupant of his vehicle and was traveling southbound on S.
36th PL approaching the stop-sign controlled intersection of 103rd Ave SE. The driver of Unit#1
stated that he was intending to turn left at the intersection to proceed eastbound. The driver of Unit#1
stated that he stopped at the intersection to yield to approaching traffic. The driver of Unit#1 stated
that he believed traffic was clear and proceeded into the intersection. The driver of Unit#1 stated that
while traveling forward, Unit#2 suddenly appeared and that both Unit#1 and Unit#2 collided in the
intersection causing moderate damage to the front passenger quarter panel, to include the headlight
and bumper, of Unit#1.
The driver of Unit#1 stated that following the collision, the driver of Unit#2 approached him in an
aggressive manner on foot and proceeded to assault him. Officer T. Ediger was arrived on scene and
completed an investigation into the alleged assault. Please see Officer Ediger's supplemental report
for further details.
The driver of Unit#2 said he was the sole occupant of his vehicle and was traveling eastbound on
103rd Ave SE approaching the uncontrolled intersection of S. 36th PL. The driver of Unit#2 stated he
was intending to continue straight through the intersection but that just prior to reaching the
intersection, Unit#1 failed to yield to his vehicle and pulled out into the side of his vehicle. Both
vehicles collided causing moderate damage to the driver's side doors of Unit#2.
Based on the above statements, 1 determined that the Driver of Unit#1 (Jakkal) was the predominant
factor for the cause of collision as Jakkal did not grant the right of way to traffic already in the
roadway and underway. Jakkal violated RCW 46.61.190(2) as every driver of a vehicle approaching
an intersecting roadway shall stop where the driver has a view of approaching traffic on the
intersecting roadway before entering the roadway, and after having stopped shall yield the right-of-
way to any vehicle in the intersection or approaching on another roadway so closely as to constitute
an immediate hazard during the time when such driver is moving across or within the intersection or
junction of roadways.
I issued Jakkal a written warning for Failing to StopNield at an intersection causing a collision.
Both Unit#1 and Unit#2 were able to be driven away from the scene without further incident. An
exchange of information was provided to all involved parties.
I certify (or declare) under penalty of perjury under the laws of the State of Washington that the
foregoing is true and correct.
Electronically signed by Officer M. Nugent#11498 11:23 AM 7/3/2024 Renton, King County, WA.
PAGE 3 OF 5
REPORT NO. EE94099 CASE# 24-6944 OF COLLISION
07/02/24 18:02
OF CbLLI510N
NARRATIVE
PAGE 4 OF 5
REPORT NO. EE94099 CASE# ' 24-6944 DATE AND TIME 07/02/24 18:02
OF COLLISION
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