HomeMy WebLinkAbout24-5459 ITFF' "POLCERA II I !�� I III I III I IIII III II I . 0 27c
COLLISION REPOFIT 1591971
CASE 24-5459 z❑
INTERSTATE ❑ CITY STREET El
1❑
STATE ROUTE ❑ OTHER ❑ LOCAL AOENC 4900 3❑
CODING
COUNTY RD ❑ PRIVATE WAY ❑
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#
cowsloN 05 - 1-- 2024 0045 17 ❑.= S 8 IN a 1070 3❑
4❑ ON (PRIMARY TRAFFIC WAY) INTERSECTION ❑✓ NON INTERSECTION ❑
SUNSET BLVD NE BLOCK ST e✓
MILEPOST 600 ❑ ❑
4a❑
DISTANCE OF(REFERENCE OR CROSS STREET)
5❑ ❑ FEET ❑ S ❑ W❑ BRONSONWAYNE
0 4 29
MOTOR PEDAL- DAMAGE THRESHOLD MET PHONE
UNIT 01 VEHICLE ❑ CYCLE El
,/No D:9392907833 0 11
30
❑ LAST NAME SANGUINETTI PIZARRO FIRST NAME GIANFRANCO MIDDLE INITIAL E 1 1 2 6 31
STREET ❑1 1428 W JAMES PL APT 1N-05 CITY KENT ST WA ZIP' 980324361 z❑
NEW ADDRESS
7❑ CDL IGNITION REQUIRED IGNITION PRESENT MEDICAL TRANSPORTED 3❑
iNTERLOCKYEs 1/ I NO NTERLOCKYEs NO Z/ YES R No�/
8❑ L NER # STATE yyq SEX'M MM D Y' 08 - 04 - 2004 1 1 2 32
9 ON DUTY❑ STATUS AIRBAG 2 RESTR 4 EJECT 1 HELM
U EET ICNLJASS URY 1 NATURE OF INJURIES 2❑
❑10 9❑ P1 ATNES# D23667D sTAr WWAu N# NMOt S7S77N1518194 3
TRAILER STATE TRAILER STATE
11 0 0 PLATE# PLATE# FROM TO
TRLR. YRLR. 3 5 33
12 0 0 VIN#' VIN#
>; FROM TO
❑ VEH.YEAR T Y GOVT.VEHICLE 5 1
13 34
4 2022 MAKE MODEL STYLE VEHICLE TOWED TO BLIN FORD TRANSI CG DAMAGE YES NO g MEYER YES[:] No✓
REGISTERED OWNER INFO ATLAS COPCO COMPRESSORS LLC 666 GARLAND PL DES PLAINES IL 60016 VEHICLE NO. 1
SHADE IN DAMAGED AREA 35
4 INSURANCE CO 3 4
14 IN EF IT INSURANCE LIBERTY MUTUAL AS2.631.004250.423
IN EFFECT &POLICY# 9TOP
❑ LEGALLY CHARGE 10BOTTOM 5 36
15 1 YES❑No❑ clTAnoN# 4A0359543 FAIL STOP AT STOP e 5
MOTOR PEDAL- PEDESTRIAN PROPERTY DAM THR OLD MET PHONE
UNIT 02 VEHICLE ❑ CYCLE ❑ ❑ OWNER ❑ YES 1/ NO D:2067658597
16❑
LAST NAME MATYAKUBOV FIRST NAME MIRZABEK MIDDLE
INITIAL
17 STREET 5915 LE
NEW ADOREs�' ONA ST CITY OAKLAND ST' CA ZIP 94605 4❑ 37
18❑ CDL IGNITION REQUIRED IGNITION PtR-E-S1ENT MEDICAL TRANSPORTED 38
INTERLOCK YEs❑jNO� INTERLOCK YEs I I NOF YEs t l NoF,/
19❑ DRIVER'S STATE CA SEX M I D.Q.B. O6 ❑_ 07 1997 ❑ 39
LICENSE# MMDDYY
F—NATURE OF INJURIES
20❑ ON DUTY❑ STATUS AIRBAG 3 RESTR 4 EJECT 1 WEB EET LASSY 6 COMPLAINT OF MINOR PAIN ❑ 40
❑LICENSE I 21❑ PLA E# LEM698J TArE WA VIN 1l JTJHW31 U182862399 41
1
22❑ PLATE# STATE PLATE# 42
STATE
❑
23❑ UIN#. 43
TRLR RLR
'IN#.
VEH YEAR 2008 MAKE LEXS MODEL RX STYLE (�7- VEHICLE TOWED TO BLIN TOWED eY GOV HI �44
24❑ DAMAGE YES�/ NO GENE MEYER YES NO
REGISTERED OWNER INFO ULADZIMIR MAROZ 2610228TH ST SW BRIER WA 98036 D:6605281088 VEHICLE NO.2
SHADE DAGED AREA
4
LIABILITY
INSURANCE INSU PORGY#E CO PROGRESSIVE 969159614IN CQVE"LE
❑ ,J—I CITATION# CHARGE to
LEGALLY YES N`L J
25
OFFICER'S NAME(PRINT) OFFICER PHONE BADGE OR ID# AGENCY
J
26
RYAN KARLO RIVERA 1
12649 WA0171300
PART A PAGE 01 OF
3000-345-159 OR 11/181
STATE OF
POLICETRAFFICN CORRECTION REPORT NO. EE80520
COLLISION REPORT III III III III III 111
1591972 CASE# 24-5459
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.
RYAN KARLO RIVERA 05-23-24 05:20 AM
INVESTIGATING OFFICER'S SIGNATURE UNIT OR DIST DET DATED PLACE SIGNED
APPROVED BY DATE
DESIRES SCOTT 10272 5/26/2024 9:46:27 AM
BADGE OR ID# 12649 ORI#' WA0171300 TIME POLICE DISPATCHED'; 12:47 AM TIME POLICE ARRIVED:12:50 AM
PART Ei PAGE 2�OF
REPORT NO. EE80520 CASE# 24-5459 OF COLLISION
05/23/24 00:45
OF CbLLI510N
NARRATIVE
On 05/23/2024, 1 was working uniformed patrol in a marked police car as 3R23. At approximately
0047 hours, I was dispatched to an unknown injury collision at the intersection of Sunset Blvd
NE/Bronson Way NE, which is located within the city limits of Renton, County of King, Washington.
Dispatch advised that there was an automatic crash notification at the location.
As I was driving to the call, one of the involved drivers called and said there was a blocking accident
at the intersection with one subject complaining of back and knee/leg pain.
When I arrived at the dispatch location, I saw both Unit 1 and Unit 2 in the middle of the intersection
blocking. The drivers of each vehicle were outside. I directed both of them to the nearby sidewalk.
I spoke to Unit 1. My conversation with him is summarized as follows:
Unit 1 stated he was headed westbound on Bronson Way NE down the hill approaching Sunset Blvd
NE. There is a stop sign at this location for westbound traffic leaving Bronson Way NE. Unit 1 stated
he had begun to make a left turn to head southbound on Sunset Blvd NE and did not see Unit 2
approaching the intersection from the south. Unit 1 then collided with Unit 2.
Unit 1 stated he was wearing his seatbelt and that his airbags did not deploy.
Unit 1 also stated that he was not injured.
I observed Unit 1 and saw damage to its driver's side front door panel and wheel well area. Part of the
driver's side front end was also dented in.
I then spoke to Unit 2. My conversation with him is summarized as follows:
Unit 2 stated he was headed northbound on Sunset Blvd NE approaching Bronson Way NE. He saw
Unit 1 attempting to turn left to head southbound on Sunset Blvd NE. Unit 2 said that Unit 1 continued
to make his left-hand turn while Unit 2 was still proceeding northbound. Unit 2 attempted to swerve
left out of the way of Unit 1 but was unable to and collided with Unit 1.
Unit 2 stated he was wearing his seatbelt and that his driver's side airbags were the only ones that
deployed.
Unit 2 also stated that he felt minor pain in his leg area and was evaluated by the fire department at
the scene.
I observed unit 2 and saw damage to the passenger side front door panel and wheel well area. Part of
the passenger side front end was also dented in.
Gene Meyer tow was called to take possession of both of the vehicles as they were not drivable.
Both Unit 1 and Unit 2 left the scene under their own power.
Based on the fact that Unit 1 had a stop sign in the westbound lanes of Bronson Way NE indicating
for him to stop and make sure traffic was clear before proceeding onto Sunset Blvd NE; the fact that
Unit 1 admitted to not seeing Unit 2 on northbound Sunset Blvd NE; and the fact that a collision
occurred as the result, I found reasonable cause to cite the driver of Unit 1 with RCW 46.61.190.2 -
Vehicle entering stop of yield intersection (failure to stop at stop sign/intersection).
PAGE 3 OF 5
REPORT NO. EE80520 CASE# 24-5459 OF COLLISION
05/23/24 00:45
OF CbLLI510N
NARRATIVE
Based on the circumstances described above, it appears that Unit 1 is the proximate cause of the
accident.
This concludes my report.
I certify (declare) under penalty of perjury under the laws of the State of Washington that the
foregoing is true and correct.
Signature: Ryan Rivera (#12649) Date and Place: 05/23/2024 @ Renton, WA
PAGE 4 OF 5
REPORT NO. EE80520 CASE# 24-5459 DATE AND TIME 05/23/24 00:45
OF COLLISION
w
Renton
�.s
------------
�a.
7
PAGE 5 OF 5
