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HomeMy WebLinkAbout24-5798 ITFF' "POLCERA II I !�� I III I III I IIII III II I . 0 27c COLLISION REP FIT 1591971 CASE 24-5798 z INTERSTATE ❑ CITY STREET FIRE ❑RESULTED 1 STOLEN STATE ROUTE ❑ OTHER ❑ VFHIC;I F ❑ LOCAL AOENC 4Y00 3 HIT 8 RUN CODING COUNTY RD PRIVATE WAY INVOLVED 2 2 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'. 06 — 01 — 2024 1715 17 ❑.❑ S 8 W H OF e 1070 3 4❑ ON (PRIMARY TRAFFIC WAY) INTERSECTION ❑ NON INTERSECTION ❑✓ SW 43RD ST BLOCK NO. e✓ 330 4a❑ MILEPOST DISTANCE OF(REFERENCE OR CROSS STREET) 5 A❑ 500 00 FEET MILES e S ❑ W e LIND AVE SW 1 9 29 MOTOR PEDAL- DAMAGE THRESHOLD MET PHONE UNIT 01 VEHICLE ❑ CYCLE El NO D:2067780618 0 11 30 5� LAST NAME NELSON FIRSTNAME AZIA MIDDLE A 1 1 2 31 INITIAL STREET ❑ 19019 100TH AVE NE APT 2 CITY BOTHELL ST WA 2jp, 980116012 z NEW ADDRESS 7❑ CDL IGNITION REQUIRED IGNITION PRESENT MEDICAL TRANSPORTED 3 iNTERLOCKYEs NO 1/ INTERLOCKYEs NO�/ YES R No�/ 8❑ LRIIVER # ON DUTY❑ STATUS AIRBAG 2 RESTR 4 EJECT 1 HELMET U E 2 1 CLASS NATURE OF INJURIES z❑ 3 10 9❑ P1 ATE 14 BON4746 STATE WA -# YS3FD49Y971139703 TRAILER STATE TRAILER STATE 11 0 0 PLATE# PLATE# FROM ro TRLR. TRLR 9 3 33 12 3 5 VIN#' VIN# :: FROM TO VEH.YEAR MAKE MODEL STYLE VEHICLE TOWED TO BLIN TOWED BY GOVT.VEHICLE 3 ] 34 13 9 2007 SAA 9-3 SD DAMAGE YES NO YES[:] No✓ REGISTERED OWNER INFO TINA TERRY 17731105TH PL SE APT E201 RENTON WA 98055 VEHICLE NO. 1 ❑ SHADE IN DAMAGED AREA 35 4 INSURANCE CO 3 4 14 LIABILITY INSURANCE❑ NO INSURANCE NONE IN EFFECT &POLICY# � 9TOP 5 VEwcI.E CHARGE 10 BOTTOM 36 LE-ALLv YES No CITATION# 4A0505780,4A0505780, FLD TO YIELD FROM DRIVEWAY OR 15❑ STANDING 6 MOTOR PEDAL-: PEDESTRIAN PROPERTY DAM THR OLD MET PHONE UNIT 02 VEHICLE ❑ CYCLE ❑ ❑ OWNER ❑ YES 1/ NO D:4252219656 16 a LAST NAME JOHNSON FIRST NAME ERIKA MIDDLE M INITIAL 17 STREET NEW ADOREs7 1406 WESTERN AVE APT 806 CITY SEATTLE ST WA ZIP 981012064 � 37 18� CDL IGNITION REQUIRED IGNITION PtR-E-S1ENT MEDICAL TRANSPORTED 38 INTERLOCK YEs❑No� INTERLOCK YEs I I NOF YEs t l NoF,/ 19[—] LDI IVERI # STATE WA ]SEX IF M D.C.B. 04 02 _ 1971 39 20❑ ON DUTY STATUS AIRBAG 2 RESTR 4 EJECT 1 H U EET 2 NJAURSY 1 NATURE OF INJURIES 40 ❑ILICENSE 21❑ PLA E# AVG1980 TATE 41 WA VIN# 3FAHPOHA1CR239742 1 42 22❑ PLATE# STATE PLATE# STATE 23❑ UIN#. 43 TRLR RLR 'IN#. VEH YEAR 2012 MAKE FORD MODEL FUSION STYLE SD VEHICLETOWED TO BLIN TOWEDBY GOV HI 44 24❑ DAMAGE YES NO YES NO REGISTERED OWNER INFO RON ESDAILLE 2050783RD ST E BONNEY LAKE WA 98391 VEHICLE NO.2 SHADEDAMAGED AREA 3 4 LIABILITY INSURANCE 8 POINSURGY#E CO STATE FARM 489-4893-D15-47IN 9TOP VEHICLE Yes Nc❑ CITATION# 4A0505782 CHARGE NO VALID OPER LICENSE WITH VALID GD aoTroM- s GALLY 25 s a OFFICER'S NAME(PRINT) OFFICER PHONE BADGE OR ID# AGENCY 26 J.CHRISTIANSEN 10437 WA0171300 PART A PAGE 01 OF 3000-345-159 OR 11/181 STATE OF POLICETRAFFICN CORRECTION REPORT NO. EE82485 COLLISION REPORT III III III III III 111 1591972 CASE# 24-5798 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. J.CHRISTIANSEN 06-01-24 06:41 PM INVESTIGATING OFFICER'S SIGNATURE UNIT OR DIST DET DATED PLACE SIGNED APPROVED BY DATE J.CHRISTIANSEN 10437 6/1/2024 6:45:28 PM BADGE OR ID# 10437 OR]#' WA0171300 TIME POLICE DISPATCHED 5:16 PM TIME POLICE ARRIVED',5:22 PM PART I PAGE IT]OF TIME REPORT NO. EE82485 CASE# 24-5798 OF COLLISION06/01/24 17:15 NARRATIVE RPD CASE#: 24-5798 RECORDED ON AXON Unit 01: black in color Saab 9-3 bearing expired WA/BON4746 -expired 03.11.2022 Unit 01's driver: NELSON, AZIA AIYANNAH (DOB: 06.01.2004) -driving status: Suspended/revoked in the 3rd degree. ISSUED SECTOR citations: 4AO505780-781 Unit 02: gray in color Ford Fusion bearing WA/AVG1980 Unit 02's driver: JOHNSON, ERIKA MICHAEL (DOB: 04.02.1971) -driving status: clear "Not Licensed -Eligible". ISSUED SECTOR citation 4AO505782 *This incident was captured on my body worn video camera. This report is a summary of events that occurred and is not an exact sequencing of events. Statements have been paraphrased and summarized. * On 06.01.2024, at approximately 1721 hours, I was dispatched to a two-vehicle, non-injury, blocking collision in the area of 330 SW 43rd ST, in the City of Renton, WA, the County of King. I was assigned to uniformed marked patrol in the City of Renton, WA, the County of King. I was operating a fully marked Renton Police Tahoe #304, equipped with "POLICE" markings, overhead exterior lights, and audible siren. I was wearing my department-issued uniform, including a fully equipped duty belt, exterior ballistic vest with "POLICE" stenciled on the front and back and Renton Police badge affixed to the left breast. I was also wearing my department-issued jumpsuit with "POLICE" patches on both shoulders and across the rear shoulders. It would be immediately obvious to any reasonable person I was a police officer. I was assigned as 3r12. At the time of this incident, it was overcast, the roadway was clear and dry, and it was daylight, streetlights were not illuminated. Prior to my arrival, dispatch advised both vehicles moved in the parking lot of the 76 gas station on the south side of the roadway. I arrived on scene at approximately 1723 hours and met with both parties, who confirmed they were not injured. Unit 01 was identified as black in color Saab 9-3 bearing expired WA/BON4746 -expired 03.11.2022. Unit 01 had damage to the front driver's side bumper and '/ panel, but it was operable. Unit 01's driver was identified by her WAID as NELSON, AZIA AIYANNAH (DOB: 06.01.2004) NELSON matched the photo on her Identification Card and when asked what happened leading up to the collision, NELSON stated she was leaving the nail salon in the 330 block of SW 43rd ST, attempting to make a left turn, eastbound, onto SW 43rd ST. NELSON observed Unit 02 traveling westbound on SW 43rd ST, with the right turn signal activated, and she believed the vehicle was attempting to turn into the driveway at 330 SW 43rd ST, so NELSON pulled out and struck Unit 02 on the front passenger side tire/wheel well and 1/4 panel. NELSON confirmed she did not have insurance on the vehicle. A WACIC/NCIC/DOL query on NELSON was clear and her driving status is listed as suspended/revoked in the 3rd degree (DRIVER LICENSE NON-COMMERCIAL CLASS: Suspended/Revoked 3rd Degree). Unit 02 was identified as a gray in color Ford Fusion bearing WA/AVG1980. Unit 02 had damage to the passenger side front tire/wheel well and 1/4 panel and it was not operable. Unit 02's driver was identified by her WA State Enhanced Identification Card as JOHNSON, ERIKA MICHAEL (DOB: 04.02.1971). JOHNSON stated she was westbound on SW 43rd ST and had `just activated' her right turn signal to turn right, northbound, onto Lind Ave SW. As JOHNSON was bypassing the driveway to 330 SW 43rd ST, Unit 01 pulled out into the side of her vehicle. A WACIC/NCIC/DOL query on JOHNSON revealed she was clear, and her driving status was "Not Licensed -Eligible." Unit 01's driver, NELSON, AZIA AIYANNAH (DOB: 06.01.2004) was in violation of RCW 46.61.365: Fail to Yield ROW to vehicle while exiting private driveway. Further, she was in violation of RCW 46.30.020: Operating a motor vehicle without proof of insurance, violation of RCW 46.16A.030.5.0: Fail to renew expired vehicle registration, greater than 2 months, and violation of RCW 46.20.342.1 C: PAGE 3 OF 5 TIME REPORT NO. EE82485 CASE# 24-5798 OF COLLISION06/01/24 17:15 NARRATIVE Driving while license suspended/revoked in the 3rd degree. NELSON was issued the following citations: ISSUED SECTOR citations: 4A0505780-781, for the above listed violations. The criminal citation will be forwarded to the City of Renton Prosecuting Attorney's Office for review and the infraction will be mailed via the courts. In addition, Unit 02's driver, JOHNSON, was issued SECTOR citation 4A0505782, via the mail, for violation of RCW 46.20.015: No VOL with valid ID as she did not have a valid license. It should be noted JOHNSON was confused about her driving status, so I printed the return from DOL and gave it to her, clearly showing she was not licensed, but `eligible' to become licensed. Unit 01 was removed from the scene by a valid driver and Unit 02 was towed privately. No injuries were reported. 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 J. Christiansen #10437, on June 1, 2024, at approximately 1839 hours, in Renton, WA. **** AUTO-POPULATED SECTION **** THE FOLLOWING ARE DESCRIPTIONS ENTERED FOR ITEMS SELECTED AS "OTHER": Location Character: CITY STREET Motor Vehicle Unit 1 Action Code: ATTEMPTING TO MAKE A LEFT TURN ONTO ROAD **** END OF AUTO-POPULATED SECTION **** PAGE 4 OF 5 REPORT NO. EE82485 CASE# 24-5798 DATE AND TIME 06/01/2417:15 OF COLLISION 'Renton Police Case#.-, 24-5798 06.01 -2024 OfficeT J. Cliristiansen k U� lzZ ; L fro.. t , i t tom: �3 � q tt Y n�� .. ¢ 4"• '" rc� PAGE 5 OF 5