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HomeMy WebLinkAbout24-10002 )STATE TFcN 6 Q 27i t Oc� RA EF23547 COLLISION REPRT 1591971 CASE# 24-10002 2 INTERSTATE CITY STREET FIRE ❑ RESULTED 1 STOLEN STATE ROUTE ❑ OTHER ❑ VEHICLE ❑ LOCAL ACENC'Y 4200 3 COUNTY RD ❑ NVOLVED CODING PRIVATE WAY 2❑ TRIBAL TOTAL 1 UNITS#OF 03 SO BJECT TRUCK 1 8 28 RESERVATION 2 3� M M D D Y Y Y Y TIME(2400) COUNTY# MILES CITY# DATE OF'. N E COLLISION'. 09 - 24 - 2024 0801 17 =.= S 8 W E IN OF M 1070 a 4❑ ON (PRIMARY TRAFFIC WAY) INTERSECTION �✓ NON INTERSECTION ❑ BLOCK NO. MAPLE VALLEY HWY 4a❑ MILE POST ❑ DISTANCE OF(REFERENCE OR CROSS STREET) 5 �. FEET H S 8 W e 152ND AVE SE 0 1 29 MOTtlR PEDAL- DAMAG THRESHOLD MET PHON UNIT 01 E VEHICLE ❑ CYCLE ❑ YES No �/ D:2063831522 0 1 30 5 LAST NAME GRAVELLE FIRST NAME ILONA MIDDLE N 1 1 2 31 INITIAL STREET ❑ 23811 132ND AVE SE APT P1 CITY KENT ST; WA ZIP 980423261 2 NEW ADDRESS 7 CDL IGNITION REQUIRED IGNITION PRESENT MEDICAL TRANSPORTED 3 INTERLOCKYES ND INTERLOCKYEs N YES R NOF 8 DRIVERCENS STATE WA SEX F MMOCSYY 05 - 12 - 1997 1 2 32 9 ON DUTY STATUS AIRBAG 2 RESTR 4 EJECT 1 N USEET 2 CLASS 1 NAruRE of INJURIES 2 LICENSE, CGS1925 STATE WA VIN# 4S4BSALC2F3214022 3 10 PI ATF# TRAILER STATE TRAILER ,STATE 11 5 0 PLATE# PLATE# FROM TO TRLR TRLR 7 3 33 12 2 5 VIN# VIN# ( FROM TO VEH.YEAR MAKE MODEL STYLE VEHICLE TOWED TO BLIN TOWED BY GOVT VEHICLE 13 2 2015 SUBA OVTBA DAMAGE YES ✓ YES❑ NO 1 5 34 REGISTERED OWNER INFO NATHANIEL GRAVELLE6801 S 133RDSTAPT1281 SEATTLEWA98178 VEHICLE NO. 1 ❑ SHADE IN DAMAGED AREA 35 2 LIABILITY INSURANCE INSURANCE CO 4 14 GEICO 4556819938 IN EFFECT &POLICY# 4TOP vEnic�E CHARGE 5 36 LEGALLY YES❑NO❑ CITATION# 7 0 80TTOM 15❑ STANDING 7 e MOTCYR PEDAL- PEDESTRIAN PROPERTY DAM THR OLD MET PHONE UNIT 02 VEHICLE ❑ CYCLE' ❑ ❑ nWNFR YEs,/ No D:4255985462 16� LAST NAME PERDIDO FIRST NAME ERICO MIDDLEI L INITIAL 37 ❑ 17 STREET'❑ 1818 ELMA AVE NE CITY RENTON ST, WA ZIP 980594173 NEW ADDRESS 18❑ CDL IGNITION REQUIRED IGNITION PRESENT MEDIGALTRANSPORTED. 38 INTERLOCKYEs No INTERLOCK YES NO Yes NO 19 DRIVER'S STATE WA SEXIM D•CLB. 11 16 1971 39 LICENSE# MMDDYY' - HELMET INJURY NATURE OF INJURIES 40 20❑ ON DUTY❑ STATUS' AIRBAG 6 RESTR 4 EJECT 1 USE 2 CLASS 1 ❑ 21 LICENSLATE E BKF2025 TATE WA VIN# 2HKRW2H86JH641086 41 22❑ PLTL ATE# STATE TILER PATE# STATE ❑ 42 23 TRLR kRLR 43 UIN#. 'IN#. VEH.YEAR 2Q1$ MAKE HOND MODEL CR—V STYLE VEHICLE TOWED TO BLIN TOWED BY GOV HI 44 24 DAMAGE YES NO YES NO REGISTERED OWNER INFO THAPANEE PANVISAVAS 1818 ELMA AVE NE RENTON WA 98059 VEHICLE NO.2 SHADE DAGAREA LIABILITY INSURANCE INSURANCECO AMERICAN FAMILY BX09174884 IN EFFECT &POLICY# I 9TOP HICL LEIAIL YES❑ N CL J CITATION# CHARGE t080TTOM VEE 25 OFFICER'S NAME(PRINT) OFFICER PHONE BADGE OR ID# AGENCY J 26 C.CATALAN 12007 WA0171300 PAGE 01 OF PART A 3000-345-159(R 11/18) POLIICFETRAFFICN CORRECTION REPORT NO. EF23547 COLLISION REPORT III III III III III 111 1591972 CASE# 24-10002 ADDITIONAL PERSONS INVOLVED(PASSENGERS AND/OR WITNESSES ONLY) NAME GRAVELLE ODIN (LAST,FIRST MIDDLE INITIAL) ADDRESS&PHONE# D(?B SEX M MMooYYYv 08 - 24 - 2016 PASSENGER WITNESS UNIT# SEAT AIRBAG RESTR. EJECT HELMET NJURY NATURE OF INJURIES E 1 SOS. 9 2 4 1 USE 2 CLASS 1 �_ ---� 'NAME LAsr F RST,MIDDLE INITIAL) GRAVELLE LYLA ADDRESS&PHONE# SEX F D.O.B. 12 15_ _ 2017 MMDDYVYY SEAT HELMET NJURY NATURE OF INJURIES PASSENGER z WITNESSEl UNIT# 1 POS. 7 AIRBAG 2 RESTR. 4 EJECT 1 USE 2 CLASS 1 ----� NAME MIDDLE INITIAL) PANVISAVAS THAPANEE N ',(LAST,FIRST, AOQREss a PHONE# 1818 ELMA AVE NE RENTON WA 980594173 SEX; F D.O.B. 09 _ 04 _ 1978 MMDDYVYY PASSENGER Z WITNESS UNIT# 2 SEAT 3 AIRBAG 6 RESTR. 4 EJECT 1 HELMET 2 NJURY 1 NATURE OF INJURIES Q 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. C.CATALAN 09-26-24 11:01 AM INVESTIGATING OFFICER'S SIGNATURE UNIT OR DIST.DET DATED PLACE SIGNED APPROVED BY DATE CO.JOHNSON 0505 10/7/2024 12:41:51 PM BADGE OR ID# 12007 ORI# ( WA0171300 TIME POLICE DISPATCHED'; 8:02 AM TIME POLICE ARRIVED 8:07 AM PART B 3 Do-3mx-,ao(Rtrras) PAGE 27 OF 7� POLIICFETRAFFICN CORRECTION REPORT NO. EF23547 COLLISION REPORT III III III III III 111 1591972 CASE# 24-10002 ADDITIONAL PERSONS INVOLVED(PASSENGERS AND/OR WITNESSES ONLY) NAME PERDZDO ERICA (LAST,FIRST,MIDDLE INITIAL} ADDRESS&PHONE# DOB RENTONWA SEX' F MMDDYYYY 09 — 10 — 2011 PASSENGER WITNESS UNIT# SEAT AIRBAG RESTR. EJECT HELMET INJURY NATURE OF INJURIES z Ej 2 POS. 7 6 4 1 USE 2 OLASS ;1 --� 'NAME (LAST FIRS,MIDDLE INITIAL) ADDRESS&PHONE# S ' D.O EX .B.MMDD -F L----------� YYYY EAT HELMETNJURY URE OF PASSENGER ❑WITNESS UNIT# S AIRBAG RESTR. EJECT NAT INJURIES POS. : USE CLASS ----� '.NAME (LAST,FIRST,MIDDLE INITIAL) ADDRESS&PHONE# SEX' D.O.B.M —T L----------� MDDYYYY PASSENGER WITNESS UNIT# SEAT AIRBAG RESTR. EJECT HELMET INJURY NATURE OF INJURIES ❑ Q' POS. USE CLASS r— ----j 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. C.CATALAN 09-26-24 11:01 AM INVESTIGATING OFFICER'S SIGNATURE UNIT OR DIST.DET DATED PLACE SIGNED APPROVED BY DATE CO.JOHNSON 0505 10/7/2024 12:41:51 PM BADGE OR ID# 12007 ORI# ( WA0171300 TIME POLICE DISPATCHED'; 6:02 AM TIME POLICE ARRIVED 6:07 AM PART B 3 Do-3mx-,ao(Rtrras) PAGE 37 OF 7� EAN REPORT No.` EF23547 CASE# 24-10002 OF COLLI COLLISION TIME 09/24/24 08:01 COLLI NARRATIVE On September 24, 2024, at approximately 0801 hours, I was dispatched to an injury and blocking vehicle collision at the intersection of Maple Valley Hwy and 152nd Ave SE, within the City Limits of Renton, County of King, State of Washington. Upon my arrival Renton Regional Fire Authority (RRFA) had already respond as a precaution due to airbag deployment. While on scene, I was able to collect each involved party's information and independent summary of the events leading up to the collision. The driver of Unit 1 said he was traveling eastbound on Maple Valley Hwy and was approaching the signal-controlled intersecting roadway of 152nd Ave SE. The driver of Unit 1 stated that she was intending to continue straight at the intersection. The driver of Unit 1 stated that that the light was in a standstill yellow, so she tried to "beat" the light. The driver of Unit 1 proceeded through the intersection when Unit 2 suddenly appeared in front of her. The driver of unit 1 stated she was unable to bring her vehicle to a complete stop. Both Unit 1 and Unit 2 collided in the roadway causing minor damage to the front bumper of Unit 1. The driver of Unit 2 was accompanied by his wife in the front passenger seat, and his daughter rear right seat. The driver stated he was stopped in the southbound lane at the intersection of 152nd Ave SE and Maple Valley Hwy. The driver of Unit 2 stated he intended to go through the controlled intersection, but all four signals at the intersection were flashing red. Once it was his turn to proceed forward, he drove through the intersection. The driver of Unit 2 stated that upon reaching the intersecting driveway, Unit 1 failed to yield to his vehicle at the intersection. The driver of Unit 1 was unable to avoid the collision and subsequently collided into Unit 1 causing significant damage to the right side of Unit 2. The driver of unit 3 was also stopped at the intersection of Maple Valley Hwy and 152nd Ave SE. The driver of unit 3 provided a similar story as unit 2. The driver of unit 3 was stopped facing northbound and stated that the signals at the intersection were flashing red. As unit 2 drove southbound through the intersection, they was subsequently hit by unit 1. After the two vehicles collided, unit 2 rolled back into unit 3 causing minor damage to the front bumper of unit 3. Later, I was told by a supervisor that the traffic cameras were pointed towards a signal crew working on a box instead of the intersection. The driver of unit 2 does have a dash camera, but I was unable to review the video because he could not upload at that time. Based on the above statements, 1 determined that the Driver of Unit 1 is the proximate cause for the cause of collision as the driver did not grant the right of way to traffic already in the roadway and underway. The driver violated RCW 46.61.190(2) as every driver of a vehicle approaching an intersecting roadway shall stop where the driver has a view of approaching traffic on the intersecting roadway 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 had to be privately towed due to extensive damage. An exchange of information was provided to all involved parties. PAGE 4 OF 7 EAN REPORT NO.` EF23547 CASE# 24-10002 O OF COLLI COLLISION TIME 09/24/24 08:01 COLLI NARRATIVE PAGE 5 OF 7 SUPPLEMENTAL REPORT No. EF23547 POLICE TRAFFIC 1 1 8 27 µ ^'� COLLISION REPORT CASE#+ 24-10002 1 COMMERCIAL MOTOR CARRIER INTERSTATE INTRASTATE UNIT# USDOT ICC# VEHICLE TYPE CARGO BODY TYPE 2 ❑ 1 28 CARRIER NAME 3 CARRIER L ADDRESS CITY ST ZIP 4 ❑ NAME # PLACARD GWVR NO NUMBER SOURCE AXLES1:1 + NAME IF 4a ❑ ADDITIONAL UNITS ,µ MOTOR PEDAL- PROPERTY DAMAGE THRESHOLD MET PHONE 5 � UNIT# 3 VEHICLE CYCLE ❑ PEDESTRIAN ❑ OWNER ❑'. YES NO D:4257584159 0 8 29 LAST NAME JEFFERS FIRST NAME MYRANDA MIDDLE L INITIAL STREET 30 NEW ArnDRF 3124 SE 6TH ST CITY RENTON ST WA ZIP 980582816 6 ❑ CDL GNITION REQUIRED PRESENT MEC7ICALTANSPORTED: 1 1 2 31 I :{GNi71ON INTERLOCK YES NO INTERLOCK YES NO DRIVER'S STATE SEX F D.O.B 01 - 26 - 1994 2 LICENSE' MMDD; 7 ON DUTY STATUS: AIRBAG 2 RESTR. ¢ EJEG7 1 H USEE7 2 1 INJURY CLASS 1 NATURE OF INJURIES LICENSE CKCO214 TAT WA VIN# 1YVHZ8BH8A5M14345 PLATE# 9 TRAILER TRAILER 2 PLATE#i STATE PLATE# STATE 10 ❑ TRLR TRLR VIN.# VIN.#. 11 2 5 VEH.YEAR2010 MAKE MAZD MODEL6 I STYLE VEHICLE TOWE E T ABLIN TOWED BY GOVT.VFHICI F FROM TO DAMAGE YES NO ✓ YES NO SCOTT JEFFERS 2721191STAVE E GRAHAM WA 98338 9 9 33 REGISTERED OWNER INFO SHADE IN DAMAGED AREA 12 LIABILITY INSURANCE❑ INSURANCE CO 4 FROM TO O IN EFFECT &POLICY# T ;5 m 34 YES❑ NO 13 2 vEnICEE CITATION# CHARGE tE28OT"!OM ALLY ❑ sTANoINc MOTOR PEDAL- ' PROPERTY DAMAGE THRESHOLD MET 35 PHONE ❑ 14 ❑ UNIT# VEHICLE CYCLE PEDESTRIAN OWNER YESF-1 NO ❑ 36 15 LAST NAME FIRST NAME : INITIAL 16 ❑ STREET F' CITY ST! ZIP NEW ADDRESS" GDL IGNITION RE(]UIRED IGNITION PRESENT MEDICAL TANSPORTED INTERLOCK YES NO INTERLOCK YES NO 'YES NOD 1 17 37 DRIVERS # STATE SEX M�DDWY - 18 ❑ ❑ HELMET INJURY NATURE OF INJURIES 38 ON DUTY STATUS AIRBAG RESTR. EJECT USE CLASS 19 ❑ LICENSE TAT viN ❑ 39 PLATE# # 20 ❑ TRAILER' TRAILER ❑ 40 PLATE#. STATE PLATE# STATE 21 ❑ TRLR TRLR 41 VIN#; VIN#+. 42 22 VEH.YEAR MAKE I MODEL I STYLE I VEHICLE TOWED DUE T SABLIN TOWED BY GOVT.VEHICLE DAMAGE YES NO YES NO 23 REGISTERED OWNER INFO. SHADE IN DAMAGED AREA 43 2 3 4 LIABILITY INSURANCE[—] INSURANCE CO IN EFFECT &POLICY# t.K-99 5 44 vFHICEE ❑ ❑ CITATION# CHARGE 24 IEGALLY VES NO3 3 6 I CERTIFY(DECLARE)UNDER PENALTY OF PERJURY UNDER THE LAWS OF THE STATE OF WASHINGTON THAT THE FOREGOING IS TRUE AND CORRECT. C.CATALAN 09-26-24 11:01 AM 25 INVESTIGATING OFFICER'S SIGNATURE OFFICER'S PHONE UNIT OR DIST DET DATED: PLACE SIGNED 26 BADGE A D# 12007 O#RI WA0171300 APJOHNSON 10n/2024 PAGE OF 7� 3000-345-013(R 11l18) REPORT NO. EF23547 CASE# 24-10002 DATE AND TIME i 09/24/24 08:01 OF COLLISION t ��t SS \ c �y �I s t ik Y 3s 3 s yy z ! t4` PAGE 7 OF 7