HomeMy WebLinkAbout24-4223 ITFF' "POLCERA II I !�� I III I III I IIII III II I . 0 27c
COLLISION REP FIT 1591971
CASE 24-4223 z
INTERSTATE ❑ CITY STREET FIRE ❑RESULTED
1 STOLEN
STATE ROUTE ❑ OTHER ❑ VFHIC;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 CITY#
COLLISION'. 04 — 16 — 2024 0805 17 . N E IN� S 8 W H OF e 1070 3
4❑ ON (PRIMARY TRAFFIC WAY) INTERSECTION ❑✓ NON INTERSECTION ❑
DUVALL AVE NE BLOCK NO. e✓ 200 ❑
4a❑ MILEPOST
DISTANCE OF(REFERENCE OR CROSS STREET)
5 .❑ FEET e S ❑ W e NE 2ND PL
❑ �
0 1 29
MOTOR PEDAL- DAMAGE THRESHOLD MET PHONE
UNIT 01 VEHICLE ❑ CYCLE El
,/NO D:4258297688 0 11
30
6� LAST NAME SHI FIRSTNAME XIANSONG MIDDLE 1 1 2 31
INITIAL
STREET ❑ 24001 SE BLACK NUGGET RD CITY ISSAQUAH ST I WA Zjp, 980297616 z
NEW ADDRESS
7❑ CDL IGNITION REQUIRED IGNITION PRESENT MEDICAL TRANSPORTED 3
1/ I iNTERLOCKYEs NO NTERLOCKYEs NO Z/ YES R No�/
8❑ LRIIVER #
ON DUTY❑ STATUS AIRBAG 6 RESTR 4 EJECT 1 HELM
USEET I IINLJA
URY 1 [!!RE OF INJURIES z❑
3
10 9❑ P1 ATE 14 BBA4660 STATE WA VIN# 4JGDA5H69DA171407
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 T GOVT.VEHICLE 5 1 34
13 2 2013 MERZ ML350 4H DAMAGE vEs 0NO f �LAWkkRS vEs❑ No
REGISTERED OWNER INFO YANGFENG CUI 4085236TH PL SE SAMMAMISH WA 98075 VEHICLE NO. 1 ❑
SHADE IN DAMAGED AREA 35
14 LIABILITY INSURANCE INSURANCE CO COUNTRY FINANCIAL P46A4109176 4
IN EFFECT &POLICY# 9TOP
vE E CHARGE 5 36
LEGALLY YES❑NO CITATION# 4A0400315 FAIL STOP AT STOP o sorroM
15❑ NDING 8 6
MOTOR PEDAL- PEDESTRIAN PROPERTY DAM THR OLD MET PHONE
UNIT 02 VEHICLE ❑ CYCLE' ❑ ❑ OWNER ❑ YES 1/ NO D:4258916070
16 a
LAST NAME SMITH FIRST NAME STEPHEN MIDDLE I F
INITIAL
17❑ STREET ❑', 212 DUVALL PL SE CITY' RENTON ST WA ZIP 980595290 37
NEW ADDRESS ❑
18� CDL IGNITION REQUIRED IGNITION PRESENT MEDICAL TRANSPORTED ❑ 38
INTERLOCK YEs❑No� INTERLOCK YEs I I NOF YEs t l NOF,/
19 LDI IVERI # STATE WA SEX M MMDDW 11 29 _ 1961 El 39
WELMET INJURY 6 NATURE OF INJURIES 40
20❑ ON DUTY STATUS AIRBAG,3 RESTR 4 EJECT 1 USE CLASS LACERATION LT HAND
21❑ LICENSE DV22296 TATe WA VIN# 3GNKBKRS1PS189836
❑ 41
PLATE#
42
22❑ PLATE# STATE TILER PLATE# STATE
TRLR
23❑ UIN#. IN#.
43
RLR
'
VEH YEAR 2023 MAKE CHEV MODEL BLAZER STYLE 4H VEHICLE TOWED TO BLIN TOWEDBY GOV HI 44
24❑ DAMAGE YES�/ NO BANKERS YES NO
REGISTERED OWNER INFO STEPHEN SMITH 212 DUVALL PL SE RENTON WA 98059 VEHICLE NO.2
SHADEDAMAGEDAREA
3 4
LIABILITY
INSURANCE I PORGY#E CO USAA 04818 27 27GIN 9TOP 5
VEHICLE ❑ C[:] CITATION# CHARGE
25 io BOTTOM
LEGALLY YES N
e
7.111CjEo-S NAME(PRINT) OFFICER PHONE BADGE OR ID# JAGENCY
26
HNSON 0505 WA0171300
PART A PAGE 01 OF
3000-345-159 OR 11/181
STATE OF
POLICETRAFFICN CORRECTION REPORT NO. EE69623
COLLISION REPORT III III III III III 111
1591972 CASE# 24-4223
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'
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.
CO.JOHNSON 04-18-24 02:39 PM
INVESTIGATING OFFICER'S SIGNATURE UNIT OR DIST DET DATED PLACE SIGNED
APPROVED BY DATE
CO.JOHNSON 0505 1 4/19/2024 4:07:15 PM
BADGE OR ID# 0505 OR]# WA0171300 TIME POLICE DISPATCHED; 8:09 AM TIME POLICE ARRIVED',8:15 AM
PART I PAGE IT]OF 4�
REPORT NO. EE69623 CASE# 24-4223 OF COLLISION
04/18/24 08:05
OF CbLLI510N
NARRATIVE
U2 NB Duvall Ave NE no traffic controls ROW; U1 EB NE 2nd PI with stop sign; sun on horizon to
east
On 04-18-2024 at about 0809 hours, I was dispatched to a collision in the vicinity of Duvall Ave NE
and NE 2nd PI in the City of Renton, County of King, Washington State. Dispatch advised there was
an Onstar notification in the area and someone was bleeding from their hand. I arrived in the area at
about 0815 hours.
The driver of Unit 02 was identified by WA DL and admitted to driving the listed vehicle. The driver
said his hand was injured when the vehicle airbag activated during the collision. The driver said he
was northbound on Duvall Ave NE when Unit 01 pulled in front of his vehicle from the left and the
vehicles collided. The driver of Unit 02 said the driver of Unit 01 told him that the sun was in his eyes.
The driver of Unit 01 was identified by WA DL and admitted to driving the listed vehicle. The driver
said he was not injured as a result of the collision. Unit 01 was eastbound on NE 2nd PI and stopped
at the stop sign for the intersection with Duvall Ave NE. Unit 01 proceeded into the intersection with
the intent to continue eastbound on NE 2nd PI when the vehicles collided. The driver said the sun
was in his eyes and he did not see Unit 02.
1 looked to the east and observed the sun rising in a clear blue sky and aligned with NE 2nd Pl. At the
time of the collision, the sun would have been shining directly at Unit 01 with little to no obscuration.
There was major damage to the passenger side of Unit 01 and major damage to the front end of Unit
02. Both vehicles were towed by Bankers Towing. The damage to both vehicles was consistent with
the information provided by both drivers.
The intersection of Duvall Ave NE and NE 2nd PI is controlled by stop signs for east-west traffic on
NE 2nd Pl. There are no traffic controls for vehicles travelling northbound or southbound on Duvall
Ave NE. Vehicles on Duvall Ave NE have the right of way in the intersection.
The proximate cause of the collision was the driver of Unit 01 failing to yield the right of way after
stopping for the stop sign. RCW 46.61.190 indicates every driver of a vehicle approaching a stop
sign shall stop 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. Were it not for the actions of the driver
of Unit 01, the collision would not have occurred.
Notice of Infraction 4AO400315 was sent to the Renton Municipal Court to mail to the driver of Unit
01.
PAGE 3 OF 4
REPORT NO. EE69623 CASE# ' 24-4223 DATE AND TIME 04/18/24 08:05
OF COLLISION
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