HomeMy WebLinkAbout24-6969 a ITFFi "POLCERA II IfI) 1 IlfII ('II (Illf If( fI I . 2 27c COLLISION REPOFIT 1591971 SASE 24-6969 2❑ INTERSTATE ❑ CITY STREET El 1❑ STATE ROUTE ❑ OTHER ❑ LOCAL AGENC 4Y00 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 07 - 1-- 2024 1411 17 ❑.= S 8 IN a 1070 3❑ 4❑ ON (PRIMARY TRAFFIC WAY) INTERSECTION ❑✓ NON INTERSECTION ❑ SW GRADY WAY BLOCK NO. e✓ ❑ ❑ 4a❑ MILEPOST DISTANCE OF(REFERENCE OR CROSS STREET) 5❑ �.❑ FEET ❑ S ❑ VV❑ OAKESDALE AVE SW 0 5 29 MOTOR PEDAL- DAMAGE THRESHOLD MET PHONE UNIT 01 VEHICLE ❑ CYCLE El ✓NO D:6026635182 0 7 30 6❑ LAST NAME HODSON FIRSTNAME KENNETH MIDDLE A 1 1 2 31 INITIAL STREET ❑ 241 BRISTLECONE CT CITY MONTROSE ST CO Zjp', 814030000 z❑ NEW ADDRESS 7❑ CDL IGNITION REQUIRED IGNITION PRESENT MEDICAL TRANSPORTED 3❑ iNTERLOCKYEs NO INTERLOCKYEs NO YES NO 8❑ LRIIVER # STATE CO 03 SEX'M MI B Y' - 05 1- 1954 1 2 32 9 ON DUTY❑ STATUS AIRBAG 2 RESTR 4 EJECT 1 HELM USEET I ICNLJAURY 1 NATURE OF INJURIES z❑ ❑P1 ATE 14 DFC947 STATE CID VIN# YV1622FS3C2139986 3 10❑ TRAILER STATE TRAILER STATE 11 3 5 PLATE# PLATE# ROM To TRLR. YRLR 3 3 33 12 0 0 VIN#' VIN# >; FROM TO ❑ VEH.YEAR MAKE MODEL STYLE VEHICLE TOWED TO BLIN T/yj�)��p/ggY GOVT.VEHICLE J 9 34 13 2 2012 VDLV S6U DAMAGE YES NO �"-"--"TE YES❑ NO✓ REGISTERED OWNER INFO KENNETH HODSON.1 BRISTLECONE CT MONTROSE CO 814030000 D:6026635182 VEHICLE NO. 1 ❑ SHADE IN DAMAGED AREA 35 3 4 14 LIABILITY INSURANCE INSURANCE CO SAFECO Y8900489 IN EFFECT &POLICY# 9TOP ❑ LEGALLYE LE CHARGE I 5 36 15 2 YES❑No❑ clTAnoN# gg0361535 PROHIBITED U TURN o aorrob MOTOR PEDAL- PROPERTY DAM THR OLD MET PHONE UNIT 02 ❑✓ ❑ PEDESTRIAN ❑ ❑ YES 1/ NO VEHICLE CYCLE OWNER 16❑ LAST NAME WE►LER FIRST NAME DAISHA MIDDLE I S INITIAL 17❑ STREET ❑', 1203 N 10TH PL APT 1234 CITY' RENTON ST WA ZIP 980575472 37 NEW ADDRESS ❑ 18❑ CDL IGNITION REQUIRED IGNITION PR-E-1SENT MEDICAL TRANSPORTED ❑ 38 INTERLOCK YEs❑INOR INTERLOCK YEs It I NOF YES t t- l NOF 19❑ DRIVER # STATE WA SEX F M .C... 09 ❑_ 22 _ 1995 ❑ 39 WELMET INJURY1 NATURE OF INJURIES 40 20❑ ON DUTY[:I] STATUS AIRBAG 2 RESTR 4 EJECT 1 USE CLASS ❑ 21❑ LICENSE I CEB5804 TATe WA vIN# SALYL2RV5JA760501 ❑ 41 PLATE# 22❑ PLATE# STATE PLA 42 TE# STATE ❑ 23❑ VIN#. 43 TRLR RLR 'IN#. VEH YEAR 2018 MAKE LNDR MODEL RANGE STYLE VEHICLETOWED TO BLIN TOWEDBY GOV HI 44 24❑ DAMAGE YES NO YES NO✓ REGISTERED OWNER INFO NATHANAEL VIEIRA 1205 N 10TH PL APT 2329 RENTONWA 98057 VEHICLE NO.2 SHADE IN DA GEbAREA z Cdd INAEFFITY ECTNSURANCE INSU&POLICY#E CO SAME. I LEGAL25 GQ LY YES❑ N❑ ❑ s e OFFICER'S NAME(PRINT) OFFICER PHONE BADGE OR ID# AGENCY J 26 M.LEVERTON 2517 WA0171300 PART A PAGE 01 OF ❑❑ 3000-345-159 OR 11/181 STATE OF POLICETRAFFICN CORRECTION REPORT NO. EE94139 COLLISION REPORT III III III III III 111 1591972 CASE# 24-6969 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. M.LEVERTON 07-09-24 09:54 AM INVESTIGATING OFFICER'S SIGNATURE UNIT OR DIST DET DATED PLACE SIGNED APPROVED BY DATE J.CHRISTIANSEN 10437 7/9/2024 1:24:14 PM BADGE OR ID# 2517 OR]#' WA0171300 TIME POLICE DISPATCHED! 2:13 PM TIME POLICE ARRIVED',2:14 PM PART I PAGE IT]OF 4� REPORT NO. EE94139 CASE# 24-6969 OF COLLISION 07/03/24 14:11 OF CbLLI510N NARRATIVE wht suv/Itl stop slv suv u turn CC Within the city limits of Renton/King/WA I responded to a 2 car crash near the intersection of SW Grady Way at Oakesdale Ave SW. The crash initially came out as a blocking crash where both drivers moved their cars from the roadway and canceled my response. Later calling me back. In that amount of time unit 1 had already had his car removed from the area by a private tow company. He remained on scene on foot. I contacted the driver of unit 2 who told me she was stopped in the left turn lane about 1-2 car length back from the intersection when unit 1 crashed into the side of her stopped car. She did not complain of injury and damages did not require a tow truck. I contacted the driver of unit 1 ID'd by matching picture CoDL/Hodson. Unit 1 told me he was visiting from Colorado and told me he was attempting to make a U-turn from westbound lane 2 SW Grady Way. He told me he was hit by unit 2 while attempting this illegal turn. He also told me he he was not near the intersection and pointed to a location on the road, which did not align with debris left from the impact between the two cars. Hodson/unit 1 did not complain of injury. His vehicle was towed prior to my arrival. I contacted unit 2 again and she assured me she was completely stopped when contacted by unit 1. She also said she had been stopped for a moment and had not just come to a stop. She was established in her lane lawful upon the roadway. I cited unit 1 ref RCW 46.61.295 unlawful U-turn 2 car crash via complaint. I certify (declare) under penalty of perjury under the laws of the State of Washington that the foregoing is true and correct. M.Leverton/2517 City of Renton/King/Wa 7/9/2024 PAGE 3 OF 4 REPORT NO. EE94139 CASE# ' 24-6969 DATE AND TIME 07/03/24 14:11 OF COLLISION xt th � 4 y{ 1. R Ir n't, PAGE 4 OF 4