HomeMy WebLinkAbout24-6154 ITFF' "POLCERA II I !�� I III I III I IIII III II I . 0 27c
COLLISION REP FIT 1591971
CASE 24-6154 z
INTERSTATE ❑ CITY STREET FIRE ❑RESULTED
1 STOLEN
STATE ROUTE ❑ OTHER ❑ VFHIl.I F ❑ LOCAL AOENC 4Y00 3
HIT&RUN CODING
COUNTY RD PRIVATE WAY INVOLVED
2 1 TOTAL#OF OBJECT 1 0 4 28
TRIBAL UNITS OZ RESERVATION STRUCK
z
3❑ DATE of M M D D Y Y Y Y TIME(2400) COUNTY# MILES N E IN CITY#
Ct ELISION' 06 - 11 - 2024 1447 17 �. S 8 W H OF e 1070 3
4❑ ON (PRIMARY TRAFFIC WAY) INTERSECTION ❑✓ NON INTERSECTION ❑
LOGAN AVENUE SOUTH BLOCK ST e✓ 100 ❑
4a❑ MILE POST
DISTANCE OF(REFERENCE OR CROSS STREET)
5❑ ❑ FEET e S ❑ OF SOUTH TOB/N STREET
0 1 29
MOTOR PEDAL- DAMAGE THRESHOLD MET PHONE
UNIT 01 VEHICLE ❑ CYCLE El
NO D:2066976491 0 11
30
6� LAST NAME GABRESELASS/E FIRSTNAME NAHOM MIDDLE T 1 1 2 31
INITIAL
STREET ❑ 5519 156TH ST SW CITY EDMONDS ST WA 21p 98026 z
'NEW ADDRESS
7❑ CDL IGNITION REQUIRED IGNITION PRESENT MEDICAL TRANSPORTED 3
iNTERLOCKYEs NO 1/ INTERLOCKYEs NO�/ YES R No�/
8❑ LRIIVERS STATE WA SEX'M MID
LOB 11 1- O6 - 1997 2 32
CENSE 9 ON DUTY❑ STATUS AIRBAG 2 RESTR 4 EJECT 1 HELMETU E 2 CLASS 1 NATURE OF INJURIES z❑
3
LICENSE CCA7606 sTArI WAVIN# 1FM5K8AR9FGC52336
10 F91 PI ATE#
TRAILER STATE TRAILER STATE
11 2 5 PLATE# PLATE# FROM TO
TRLR. TRLR 7 3 33
12 3 0 VIN#' VIN#
>; FROM TO
❑ VEH.YEAR MAKE MODEL STYLE VEHICLE TOWED TO BLIN TOWED BY GOVT.VEHICLE 5 1 34
13 2 2015 FORD EXPLOR SV DAMAGE YES NO YES[:] NO✓
REGISTERED OWNER INFO OWNEDBYDRIVER VEHICLE NO. 1
SHADE IN DAMAGED AREA ❑ 35
14 LIABILITY INSURANCE❑ INSURANCE CO 3 4
IN EFFECT &POLICY# 9TOP o eorrom
V- CHARGE 1 5 36
LEA Lv YEs No clTAnoN# W24011640 OP MOT VEH W/OUT INSURANCE
15❑ NDING 8 7 6
MOTOR PEDAL- PEDESTRIAN PROPERTY DAM THR OLD MET PHONE
16 a UNIT 02 VEHICLE ❑ CYCLE ❑ ❑ OWNER ❑ YES 1/ NO D:4259198955
LAST NAME MINTZ FIRST NAME JAMES MIDDLE I F
INITIAL
STREET I17❑ NEW ADOREss❑' 18005 113TH AVE SE CITY RENTON ST WA Zlp 98055 4❑ 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 DRIVER'S STATE WA SEX M D.O.B. 08 _ 01 2005 39
LICENSE# MMDDYY
20❑ ON DUTY STATUS I
AIRBAG 2 RESTR 4 EJECT 1 H U EET 2 NJAURSY 1 NATURE OF INJURIES ❑ 40
❑21❑ PLA E# CFU1622 TArE 41
WA VIN 3VWRM71K68M131394 1
42
22❑ PLATE# STATE pLATE# STATE
TRLR
23❑ VIN#. N#. 43
RLR
'I
TOWED BV Gov HI 44
VEH YEAR 2008 MAKE VOLK MODEL JETTA STYLE 4D —FEHICLE
TOWED✓ NOO BLIN PRIVATE TOW YES No�/
24❑ REGISTERED OWNER INFO OWNED SY DRIVER VEHICLE N0.2
SHADE IN DAMAGED AREA
2 3 4
LIABILITY INSURANCE❑ INSURANCE CO
IN EFFECT &POLICY# 5Q,
EFFYES❑ N� CITATION# W24011639,W24011639 CHARGE OP MOT VEH W/OUT INSURANCE,NO25
=UGENT
(PRINT) OFFICER PHONE BADGE OR ID# AGENCY
26 11498 WA0171300
PART A PAGE 01 OF
3000-345-159 OR 11/181
STATE OF
POLICETRAFFICN CORRECTION REPORT NO. EE86220
COLLISION REPORT III III III III III 111
1591972 CASE# 24-6154
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.
MATTHEW NUGENT 06-12-24 12:36 PM
INVESTIGATING OFFICER'S SIGNATURE UNIT OR DIST DET DATED PLACE SIGNED
APPROVED BY E
DAT
C.JACOBS 1953 6/13/2024 8:09:26 AM
BADGE OR ID# 11498 ORI# WA0171300 TIME POLICE DISPATCHED! 2:51 PM TIME POLICE ARRIVED i 2:55 PM
PART I PAGE IT]OF 4�
TIME
REPORT NO. EE86220 CASE# 24-6154 OF COLLISION06/11/24 14:47
NARRATIVE
24-6154
On 06/11/2024 at approximately 1448 hours, I was dispatched to a non-injury and non-blocking
vehicle collision at the intersection of Logan Ave South and South Tobin Street, within the City Limits
of Renton, County of King, State of Washington.
Upon my arrival, 1 confirmed there were no complaints of injury requiring immediate medical response
at the time of report. I collected each involved party's information and involvement leading up to the
collision.
The driver of Unit#1 stated that prior to the collision, he and his adult passenger were traveling
eastbound on S Tobin Street approaching the stop-sign controlled intersection of Logan Ave S. The
driver of Unit#1 stated he was intending to continue eastbound. The driver of Unit#1 stated he
stopped at the posted stop sign. When the driver of Unit#1 believed it was safe to do so, Unit#1
proceeded out into the intersection and had assumed Unit#2 would stop for him due to him being
"half way out into the intersection". The driver of Unit#1 stated that he believed Unit#2 was traveling
at speeds of 40-45 MPH and had Unit#2 not been speeding, the collision could have been avoided.
The driver of Unit#1 stated he was ultimately unable to avoid the collision and that both vehicles
collided in the intersection causing minor damage to the front passenger bumper of Unit#1. The
driver of Unit#1 was unable to provide proof of motor vehicle insurance.
The driver of Unit#2 said he was the sole occupant of his vehicle and was traveling northbound in the
100 block of Logan Ave South approaching the uncontrolled intersection of S Tobin ST. The driver of
Unit#2 stated he was intending to continue north. The driver of Unit#2 stated that while approaching
the intersection, Unit#1 proceeded out into the intersection. The driver of Unit#2 stated he was
unable to avoid the collision but that ultimately Unit#1 struck Unit#2 causing significant damage to
the front driver's side wheel bearing and quarter panel of Unit#2. The driver of Unit#2 was unable to
provide proof of motor vehicle insurance nor had his license on his person.
Based on the above statements, I believe that the driver of Unit#1 (GABRESELASSIE) was the
predominant factor for the cause of collision as GABRESELASSIE is required to comply with RCW
46.61.190(2) which states that every driver of a vehicle approaching the point nearest the intersecting
roadway where the driver has a view of approaching traffic of the intersecting roadway must stop
before entering the roadway, 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 or junction of roadways.
Unit#2 was already underway in the roadway and had right of way.
Unit#1 was able to be driven away without further incident. Unit#2 had suffered extensive damage
and the driver stated he would be making arrangements for a private impound. An exchange of
information was provided to all involved parties.
I issued the involved parties a correction notice for having no proof of motor vehicle insurance. The
driver of Unit#2 was issued an additional correction notice for having no license on person.
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 7:52 PM 6/11/2024 Renton, King County, WA.
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REPORT NO. EE86220 CASE# ' 24-6154 DATE AND TIME 06/11/24 14:47
OF COLLISION
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