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HomeMy WebLinkAbout24-4648 POLICETRAFF'c" III !�� I IIIllI111IN II II I REPORT NO. EE75525 170
27
COLLISION REP FIT 1591971
SASE 24-4648 z
INTERSTATE ❑ CITY STREET FIRE ❑
RESULTED
1 STOLEN
STATE ROUTE ❑ OTHER ❑ VFHICI F ❑ LOCAL AOENC 4900 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#
cawsloN 04 - 1-- 2024 1244 17 ❑-= S 8 IN e 1070 3
4❑ ON (PRIMARY TRAFFIC WAY) INTERSECTION ❑✓ NON INTERSECTION ❑
TALBOT RD SOUTH BLOCK NO. e✓ 1500 ❑
4a❑ MILEPOST
DISTANCE OF(REFERENCE OR CROSS STREET)
5❑ �.❑ FEET e S ❑ VV e SOUTH 15TH STREET
0 3 29
MOTOR PEDAL- DAMAGE THRESHOLD MET PHONE
UNIT 01 VEHICLE ❑ CYCLE El
✓NO D:2064300901 0 81
30
6� LAST NAME TAYLOR FIRSTNAME MATTHEW MIDDLE 1 2 31
INITIAL
STREET ❑ 808 FIR ST UNIT 635 CITY SEATTLE ST WA ZIP', 981045154 z
NEW ADDRESS
]❑ CDL IGNITION REQUIRED IGNITION PRESENT MEDICAL TRANSPORTED 3
1/ I iNTERLOCKYEs NO NTERLOCKYEs NO�/ YES 1/ NO
8❑ LRIIVER #
ON DUTY❑ STATUS AIRBAG 2 RESTR 4 EJECT 1 HELMET 2 INJURY 6 NATURE OF INJURIES z❑
USE CLASS POSSIBLE MEDICAL RELATED INCIDENT
3
10❑ PI ATE 14 CJt3459 STATE WA v N#' 1 FA6POHD7E5400909
TRAILER STATE TRAILER STATE
11 3 5 PLATE# PLATE# FROM To
TRLR. TRLR 4 1 33
12 0 0 VIN#j VIN#
FROM TO
VEH.YEAR MAKE MODEL STYLE VEHICLE TOWED TO BLIN TOWED BY GOVT.VEHICLE J 9 34
13 2 2014 FORD FUSION 4D DAMAGE YES NO YES[:] No✓
REGISTERED OWNER INFO MATTHEW TAILOR 808 FIR ST UNIT 635 SEATTLE WA 98104 D:2064300901 VEHICLE NO. 1 ❑
SHADE IN DAMAGED AREA 35
14 LIABILITY INSURANCE z INSURANCE CO SAFECO H1771499 4
LI EFFECT I POLICY# TOPVEHICLE CHARGE 36
LEGALLv res❑NO❑ CITATION# <1�3
OTTOM
15❑ STANDING 7 6
MOTOR PEDAL- PEDESTRIAN PROPERTY DAM THR OLD MET PHONE
UNIT VEHICLE ❑ CYCLE ❑ ❑ OWNER ❑ YES 1/ NO D:2062188050
16 a
LAST NAME CHU FIRST NAME YUK MIDDLE K
INITIAL
17 STREET❑ NEW ADDREss❑' 23910 232ND PL SE CITY MAPLE VALLEY ST WA ZIP 98038 37
18❑ CDL IGNITION REQUIRED IGNITION PR—E-1SENT MEDICAL—T�RANSPORTED � 38
INTERLOCK YEs❑No� INTERLOCK YEs It I NOF YES
t l NOF,/
19 D IVEW # STATE WA SEX M M D.O.B. 07 23 _ 1950 39
20❑ ON DUTY STATUS AIRBAG 2 RESTR 4 EJECT 1 H U EET 2 NJAURSY 1 NATURE OF INJURIES ❑ 40
❑ 41
21❑ ILICENSE PLA E# BEB9973 TATE WA VIN# 4S4BSENC9H3327358 1
42
22❑ PLATE# STATE PLATE# STATE
23❑ 43
TRLR RLR
UIN#. 'IN#.
VEH YEAR 2017 MAKE SUBA MODEL OUTBAC STYLE 4N/ VEHICLE TOWED TO BLIN TOWEDeY GOV HI 44
24❑ DAMAGE YES NO YES NO
REGISTERED OWNER INFO YUK CHU 23910232ND PL SE MAPLE VALLEY WA 98038 D:2062188050 VEHICLE NO.2
SHADE IN DAMAGED AREA
2 3 4
LIABILITY INSURANCE I PORGY#ECO AMERICAN FAMILY 41074-04388-77 9TOP 5
IN EFFECT
vE""LE CITATION# CHARGE
YES
25 N i o BOTTOM
LEGALLY u
❑ 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. EE75525
COLLISION REPORT III III III III III 111
1591972 CASE# 24-4648
ADDITIONAL PERSONS INVOLVED PASSENGERS AND/OR WITNESSES ONLY)
NAME(LAST FIRST,MIDDLE INITIAL) LAM KAM L
ADDRESS&PHONE# D O.B. '
23910 232ND PL SE MAPLE VALLEY WA 980385215 2062188050 SEXi F MMDOYyry 09 - 09 - 1955
PASSENGER Z WITNESS❑ UNIT# 2 POS 3 AIRBAG 2 RESTR, 4 EJECT ? 1 HELMET NATURE OF INJURIES
USE 2 CLASS
1
NAME
(LAST,FIRST,MIDDLE INITIAL)
ADDRESS&PHONE# D O B
SEX MMDDYYYV
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.
MATTHEW NUGENT 04-30-24 05:51 PM
INVESTIGATING OFFICER'S SIGNATURE UNIT OR DIST DET DATED PLACE SIGNED
APPROVED BY DATE
Co.JOHNSON 0505 51912024 12:36:33 PM
BADGE OR ID# 11498 ORI# WA0171300 TIME POLICE DISPATCHED! 12:44 PM TIME POLICE ARRIVED 12:47 PM
PART I PAGE IT]OF 4�
REPORT NO. EE75525 CASE# 24-4648 OF COLLISION
04/30/24 12:44
OF CbLLI510N
NARRATIVE
24-4648
On 04/30/2024 at approximately 1244 hours, I was dispatched to a vehicle collision with report of
injury at the intersection of Talbot Road South and South Puget Drive, within the City Limits of
Renton, County of King, State of Washington.
While en route, Dispatch advised that Renton Fire was on scene and requesting Police response for
a minor injury collision. Upon arrival, I confirmed that one of the involved parties (driver of Unit#1)
was complaining that his right eye was closing and was unsure why. Renton Fire arrived and
evaluated the driver of Unit#1 who was later transported via ambulance to Valley Medical Center
(VMC) for further evaluation.
The driver of Unit#1 said he was the sole occupant of his vehicle and was traveling northwest bound
in about the 1500 block of S Puget Dr approaching the intersection of Talbot Road South. The driver
of Unit#1 stated he was intending to continue north onto Talbot Road South and said he had a green
light to do so. The driver of Unit#1 continued into the intersection with the intent to make a right turn
when he said that his right eye began to bother him and that distracted him enough that his vehicle
collided with Unit#2 in the intersection causing minor damage to the front of Unit#1.
The driver of Unit#2 said he and his adult passenger were traveling southbound in about the 1500
block of Talbot Road South and stopped at a red light at the intersection of South Puget Drive in one
of the two left-turn lanes, specifically lane 4 of 4. The driver of Unit#2 stated he was stopped for the
red traffic light. The driver of Unit#2 stated that while stopped, Unit#1 collided by turning too widely
into his vehicle. Both vehicles collided in the roadway causing minor damage to the front of Unit#2.
The driver of Unit#1 (TAYLOR) violated Renton Municipal Code (RMC) 10-12-25 INATTENTIVE
DRIVING: It shall be a traffic infraction, subject to RCW 7.80.120(1)(a), for any person to drive a
motor vehicle on any public highway, street, alley, or road in an inattentive manner in the City of
Renton. "Inattentive manner" in this section means a lack of: 1) attentiveness required to safely
operate the vehicle under the prevailing conditions, including, but not limited to, the nature and
condition of the roadway, the weather conditions, the presence of pedestrians, the presence of other
traffic, or by the driver focusing or directing the driver's attention to something other than driving the
motor vehicle; or 2) attentiveness that would permit the driver of a motor vehicle to observe anything
resting on, or traveling on, or entering the roadway in time to take appropriate action as
circumstances require. (Ord. 4462, 7-25-94, eff. retroactive to 7-1-94; Ord. 5635, 11-14-11). The
driver of Unit#1 was not safely attentive to vehicular traffic at the time of incident.
Based on the above statements, I determined that the Driver of Unit#1 (TAYLOR) was the
predominant factor for the cause of collision due to not paying attention to vehicular traffic around his
vehicle causing a collision.
A family member of Unit#1 responded to the scene and was able to move the vehicle out of the
roadway. Unit#2 was also able to drive away from the scene without 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 5:32 PM 4/30/2024 Renton, King County, WA.
PAGE 3 OF 4
REPORT NO. EE75525 CASE# ' 24-4648 DATE AND TIME 04/30/24 12:44
OF COLLISION
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