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HomeMy WebLinkAbout24-4929 ITFF' "POLCERA II I !�� I III I III I IIII III II I . 0 27c COLLISION REP FIT 1591971 INTERSTATE ❑ CITY STREET FIRE ❑ CASE 24-492s 2 RESULTED 1 STOLEN STATE ROUTE ❑ OTHER ❑ VFHICI F ❑ LOCAL AOENC 4Y00 3 HIT&RUN CODING COUNTY RD PRIVATE WAY INVOLVED 2 1 TOTAL#OF OBJECT 1 1 8 28 TRIBAL UNITS 03 STRUCK RESERVATION z 3❑ DATE of M M D D Y Y Y Y TIME(2400) COUNTY# MILES CITY# COLLISION'. 05 - 08 - 2024 0830 17 . N E IN� S 8 W H OF e 1070 3 4❑ oN (PRIMARY TRAFFIC WAY) INTERSECTION ❑✓ NON INTERSECTION ❑ AIRPORT WAY BLOCK NO. e✓ 100 ❑ 4a❑ MILEPOST DISTANCE OF(REFERENCE OR CROSS STREET) 5❑ �.❑ FEET e S ❑ W e RAINIER AVE NORTH 0 1 29 MOTOR PEDAL- DAMAGE THRESHOLD MET PHONE UNIT 01 VEHICLE ❑ CYCLE El �/No D:2063353653 0 7 30 6� LAST NAME CHEN FIRSTNAME YU MIDDLE P 1 2 31 INITIAL STREET ❑ 6711 29TH AVE S CITY SEATTLE ST WA ZIP 981083791 z NEW ADDRESS 7❑ CDL IGNITION REQUIRED IGNITION PRESENT MEDICAL TRANSPORTED 3 1/INTERLOCK YES[:]NO INTERLOCKYEs �NO / YES 0 NOZ 8❑ LRIIVER # ON DUTY❑ STATUS AIRBAG 2 RESTR 4 EJECT 1 HELMET 2 CLASS 1 NATURE OF INJURIES 2❑ 3 10❑ P1 ATE 14 3282FZ STATE WA VIN# 2T2GK31U07C003097 TRAILER STATE TRAILER STATE 11 3 5 PLATE# PLATE# ROM TO TRLR. TRLR 3 7 33 12 3 5 VIN#' VIN# >; FROM TO VEH.YEAR MAKE MODEL STYLE VEHICLE TOWED TO BLIN TOWED BY GOVT.VEHICLE J 9 34 13 2 2007 LEXS RX 350 SV DAMAGE YES NO YES[:] No✓ REGISTERED OWNER INFO OWNEDBYDRIVER VEHICLE NO. 1 SHADE IN DAMAGED AREA ❑ 35 14 LIABILI INSURANCE INSURANCE CO SAFECO H2401165 IN EFFECT &POLICY# 9TOP VEH" 5 36 LEGALLY YES❑NO❑ CITATION# CHARGE 10 BOTTOM 15❑ STANDING 8 MOTOR PEDAL- PEDESTRIAN PROPERTY DAM THR OLD MET PHONE UNIT 02 VEHICLE ❑ CYCLE ❑ ❑ OWNER [:]EA. YES 1/ No D:4254424325 16 a LAST NAME KARAZHOV FIRST NAME IVAN MIDDLE INITIAL ET 17 STRE❑ NEW ADDRESS❑' 25402 166TH AVE SE CITY COVINGTON ST Wq ZIP 980425243 4❑ 37 18❑ CDL IGNITION REQUIRED IGNITION PR—E-1SENT MEDICAL—T�RANSPORTED � 38 INTERLOCKYES�NO� INTERLOCK YEs It I NOF YES t l NOF,/ 19[—] LDI IVEW # STATE WA SEX M M .C... 11 25 _ 1995 39 20❑ ON DUTY STATUS AIRBAG 2 RESTR 4 EJECT 1 H U EET 2 NJAURSY 1 NATURE OF INJURIES ❑ 40 ❑21❑ PLATE# C23566Z TATE 41 WA vIN1i 1C6SRFHM6MN822553 1 42 22❑ TRAILER 3200RB STATE WA TRAILER STATE PLATE# PLATE# 43 23❑ -LIl 184BU1212KCO28293 IN# VEH YEAR 2021 MAKE RAM MODEL 1500 STYLE PK VEHICLETOWED TO BLIN TOWEDBY GOV HI 44 24❑ DAMAGE YES NO YES NO REGISTERED OWNER INFO IVAN KARAZHOV 25402 166TH AVE SE COVINGTON WA 98042 VEHICLE NO.2 SHADE IN DAMAGED AREA 2 3 4 LIABILITY INSURANCE INSU&PORGY#ECO STATE FARM 5255769-DO5-47-001 1 9TOP 5 IN EFFECT 'E""LE CITATION# CHARGE LEG i o BOTTOM ALLY YES N� 6 25❑ 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. EE75530 COLLISION REPORT III III III III III 111 1591972 CASE# 24-4929 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. MATTHEW NUGENT 05-08-24 06:40 PM INVESTIGATING OFFICER'S SIGNATURE UNIT OR DIST DET DATED PLACE SIGNED APPROVED BY DATE CO.JOHNSON 0505 1 51912024 2:05:26 PM BADGE OR ID# 11498 ORI# WA0171300 TIME POLICE DISPATCHED! 10:54 AM TIME POLICE ARRIVED',11:02 AM PART I PAGE IT]OF REPORT NO. EE75530 CASE# 24-4929 OF COLLISION 05/08/24 08:30 OF CbLLI510N NARRATIVE 24-4929 On 05/08/2024 at approximately 1054 hours, I was dispatched to a non-injury and blocking vehicle collision at the intersection of Rainier Avenue North and Airport Way, within the City Limits of Renton, County of King, State of Washington. While en route, Dispatch advised that the collision occurred at the intersection around 0830 hours and involved a black Dodge truck, a grey Lexus RX350, and a white Nissan sedan. Upon my arrival, I confirmed there were no complaints of injury at the time of report. There, I collected the involved parties driving documents and their independent summary of the collision. The driver of Unit#1 stated that she was the sole occupant of her vehicle and was traveling westbound on Airport Way approaching the intersection of Rainier Ave North in lane 1 of 4. The driver of Unit#1 stated that she was intending to continue west. The driver of Unit#1 stated that upon approaching the intersection, she observed Unit#2 stopped and waiting. The driver of Unit#1 said that there was a green light for her direction of travel and was unsure why traffic was stopped. The driver of Unit#1 attempted to pass Unit#2 to proceed forward but subsequently collided with the front driver's side door, fender, and mirror of Unit#2. Unit#1 suffered minor damage to the rear passenger side door and fender. Due to the impact between Unit#1 and Unit#2, Unit#3 was also struck causing additional damage to the rear driver's side fender of Unit#1. The driver of Unit#2 said he was the sole occupant of his vehicle and was also traveling westbound on Airport Way approaching the intersection of Rainier Ave North in lane 1 of 4. The driver of Unit#2 stated he was intending to make a northbound turn onto Rainier Ave North but had stopped for queued traffic. The driver of Unit#2 stated that while stopped, Unit#1 attempted to pass his vehicle but must have miscalculated how much room they had and subsequently collided with the driver's side door, fender, and mirror. Unit#2 suffered moderate damage to his vehicle and could not open the front driver's side door following the collision. The driver of Unit#3 said he was the sole occupant of his vehicle and was also traveling westbound on Airport Way approaching the intersection of Rainier Ave North but in lane 2 of 4. The driver of Unit #3 stated he was intending to continue westbound on Airport Way and across Rainier Ave North but had stopped for queued traffic. The driver of Unit#3 stated that while stopped, Unit#1 attempted to pass his vehicle and must have miscalculated how much room they had and subsequently collided with the passenger side door and fender. No witnesses were immediately available at the scene. Upon checking to see if there was an available traffic camera at this location, it was determined that there is not a traffic camera and footage was not obtained. Based on the above statements, I determined that the driver of Unit#1 (Chen) was the predominant factor for the cause of collision. The driver of Unit#1 violated RCW 46.61.140 as any vehicle shall be driven as nearly as practicable entirely within a single lane and shall not be moved from such lane until the driver has first ascertained that such movement can be made with safety. All involved vehicles were able to be driven away 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. PAGE 3 OF 6 REPORT NO. EE75530 CASE# 24-4929 OF COLLISION 05/08/24 08:30 OF CbLLI510N NARRATIVE Electronically signed by Officer M. Nugent#11498 6:19 PM 5/8/2024 Renton, King County, WA. PAGE 4 OF 6 SUPPLEMENTAL REPORT NO. EE7555530 r`) POLICE TRAFFIC 1 1 8 27 COLLISION REPORT CASE# 24-4929 1 COMMERCIAL MOTOR CARRIER INTERSTATE INTRASTATE G UNIT'# USDOT ICC# VEHICLE TYPE CARGO BODY ;TYPE 2 ❑ 1 28 CARRIER NAME 3 CARRIER ADDRESS ` CITY ST ZIP—1 I ' 4 ❑ NAME # PLACARD: :❑ GI PLACARD IF NO NUMBER SOURCE AXLES + 4a ❑ ADDITIONAL UNITS MOTOR PEDAL- PROPERTY DAMAGE THRESHOLD MET PHONE 5 ❑ UNIT# 3 VEHICLE tSJ CYCLE I_) PEDESTRIAN � OWNER � YES NO D:2062406038 OF 7 29 LAST NAME HUNTER FIRST NAME BRUCE MIDDLE'.. W INITIAL STREET r:i 30 NEW AnDRFSP' 10424 60TH AVE S CITY SEATTLE ST WA ZIP 98178 6 ❑ 1 1 2 31 CDL IGNITION REQUIRED IGNITION PRESENT MEDICAL TANSPORTED INTERLOCK YEs NO NTERLOCK YES❑N0� YEs N DRIVER'S LICENSE STATE I WA SEX M MMDDYYv', 08 - 04 - 1972 7 ON DUTY� STATUS AIRBAG' 2 RESTR. Q EJECT 1 HELMET 2 INJURY 1 1 NATURE OF INJURIES USE CLASS 8 ❑ 1 32 LICENSE AAD1456 [TAT WA VIN# JN1CA31D4YT744016 PLATE# 9 TRAILER TRAILER PLATE# STATE PLATE# STATE 10 ❑ TRLR TRLR VIN It VIN.#. 11 3 5 VEH.YEAR2000 MAKE NISS I MODELMAXIMA STYLE 4D VEHICLE TOWS E T SABLIN TOWED BY anvi vEH1I' P FROM TO DAMAGE YES NO YES NO REGISTERED OWNER INFO OWNED BY DRIVER J 9 33 12 � SHADE IN DAMAGED AREA 7 FROM TO LIABILITY INSURANCE❑ INSURANCE CO STATE FARM 1397038-816.47 IN EFFECT &POLICY# 1 4 TCSP S LEGA LE 34 13 ❑ LEGALLY YES NO❑ CITATION# CHARGE 0 0Q Y)M STANDING �} 8 7 6 14 ❑ UNIT Tr Vd 1RE O CYDCLE OWNERRTY YES AGE NOHRESHOLD MET PHONE ❑ 35 PEDESTRIAN 15 LAST NAME FIRST NAME MIDDLE INITIAL TIAL ❑ ET 16 STRETRE "F1' CITY ST ZIP NEW CDL IGNITION REdUiRED IGNITtGN PRESENT MEDICALTANSPORTED NTERLOCK YES No NTERLOCK YEs NO YES NO ❑ 17 4 37 LICENSE# STATE SEX MMDDDYBYY 18 ❑ ON DUTY� STATUS AIRBAG RESTR. ; EJECT HELMET INJURY NATURE of INJURIES 38 USE CLASS 19 ❑ LICENSE TAr VIN# 39 PLATE# 20 ❑ TRAILER' TRAILER El40 PLATE#< STATE PLATE# STATE 21 ❑ ❑ 41 TRLR TRLR VIN# YIN#i 42 22 VEH.YEAR MAKE I MODEL STYLE I VEHICLE TO DUET SABLIN TOWED BY GOVT.VEHICLE DAMAGE YES NO YES NO 23 REGISTERED OWNER INFO SHADE IN DAMAGED 3 4 4 AREA F 43 z LIABILITY INSURANCE INSURANCE CO ' VINE EFFECT &POLICY# i 970P - 4 E:l 44 24 LEwcLE YES❑ NO❑ CITATION# CHARGE iq 60TiOM LeGALLv STANDING 8 7 6 1 CERTIFY(DECLARE)UNDER PENALTY OF PERJURY UNDER THE LAWS OF THE STATE OF WASHINGTON THAT THE FOREGOING IS TRUE AND CORRECT. MATTHEW NUGENT 05-08-24 06:40 PM 25 INVESTIGATING OFFICER'S SIGNATURE OFFICER'S PHONE UNIT OR DIST DET DATED: PLACE SIGNED APPROVED BY DATE 26 ORID# 11498 O#IL WA0171300 JOHNSON 51912024 PAGE F OF 6 3000-345-013(R 11118) REPORT NO. EE75530 CASE# 24-4929 DATE AND TIME 05/08/24 08:30 OF COLLISION k y � k e PAGE 6 OF 6