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HomeMy WebLinkAbout24-8076 ITFF' "POLCERA II I !�� I III I III I IIII III II I . 0 27c
COLLISION REP FIT 1591971
SASE 24-8076 2
INTERSTATE ❑ CITY STREET FIRE ❑
RESULTED
1 STOLEN
STATE ROUTE ❑ OTHER ❑ VFHIC;I F ❑ LOCAL AOENC 4900 3
HIT&RUN CODING
COUNTY RD PRIVATE WAY INVOLVED
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# ❑
COLLISION' 08 - 01 - 2024 1721 17 ❑.❑ S 8 W H OF e 1070 3
4❑ ON (PRIMARY TRAFFIC WAY) INTERSECTION ❑ NON INTERSECTION ❑✓
NE 4TH STREET BLOCK NO. e✓ 4700
4a❑ MILEPOST
DISTANCE OF(REFERENCE OR CROSS STREET)
5❑ 267 00 FMILES NEET e S ❑ E e DUVALL AVE NE
0 3 29
MOTOR PEDAL- DAMAGE THRESHOLD MET PHONE
UNIT 01 VEHICLE ❑ CYCLE El
,/No D:4252297127 0 11
30
6� LAST NAME VIRK FIRSTNAME RIANNA MIDDLE I K 1 1 2 31
INITIAL
STREET ❑ 13728 174TH AVE SE CITY RENTON ST WA ZIP 980596502 z=
NEW ADDRESS
7❑ CDL IGNITION REQUIRED IGNITION PRESENT MEDICAL TRANSPORTED 3
1/ I INTERLOCK YES[:]NO NTERLOCKYEs NO�/ YES R No�/
8❑ LRIIVER #
ON DUTY❑ STATUS AIRBAG 2 RESTR 4 EJECT 1 H USEET ICNLJAURY 1 NATURE OF INJURIES z❑
3
LICENSE CGH0856 BTAT WA VIN# 3FMCR9D94NRD68362
10 9❑ Pr ATE�
11[-j- TRAILER STATE TRAILER STATE
11 3 5 PLATE# PLATE# IR.. ro
TRLR. YRLR. 3 1 33
12 3 5 VIN#j VIN#
FROM TO
❑ VEH.YEAR MAKE MODEL STYLE VEHICLE TOWED TO BLIN TR Y GOVT.VEHICLE 3 7 34
13 4 2022 FORD BRONC SV DAMAGE YES NO �MEYERS YES❑ No✓
REGISTERED OWNER INFO RASHPAL VIRK 13728174THAVESE RENTON WA 98059 D:4252297127 VEHICLE NO. 1 ❑
SHADE IN DAMAGED AREA 35
3 4
14 LIABILI INSURANCE INSURANCE CO USAA 051193088G
IN EFFECT &POLICY# 9TOP
15❑ LE
vEGALLv HICLe 1 5 36
YES�No D CITATION# 4A0612101 CHARGE PROH/IMPROPER TURN I o eorrom
STANDING 8 7 6
MOTOR PEDAL- PEDESTRIAN PROPERTY DAM THR OLD MET PHONE
UNIT 02 VEHICLE ❑ CYCLE' ❑ ❑ OWNER ❑ 1/ NO DD 2064276887
16 a YES
LAST NAME HOFF FIRST NAME SHEILA MIDDLE L
INITIAL
17❑ STREET � 22529 SE 187TH ST CITY MAPLE VALLEY ST WA ZIP 98038 37
NEW ADDRESS ❑
18� CDL IGNITION REQUIRED IGNITION PR—E-1SENT MEDICAL TRANSPORTED 38
INTERLOCK YEs❑No� INTERLOCK YEs It I NOF YES
t l NOF,/
19 LDI IVERS STATE WA ]SEX IF M D.C.B. 07 29 _ 1963 39
WELMET INJURY6 NATURE OF INJURIES 40
20 F1 ON DUTY STATUS AIRBAG,2 RESTR 4 EJECT 1 USE CLASS C/O COLLARBONE PAIN
21❑ LICENSE BMD7354 TATe WA VIN# 5NPDH4AE9EH532501
❑ 41
PLATE#
42
22❑ PLATE# STATE PLATE# STATE
23❑ 43
TRLR RLR
VIN#. IN#.
VEH YEAR 2014 MAKE HYUN MODEL ELANTRA STYLE 4D VEHICLE TOWED TO BLIN TOWEDev G.. HI 44
24❑ DAMAGE YES NO YES NO
REGISTERED OWNER INFO SHEILA HOFF 22529 SE 187TH ST MAPLE VALLEY WA 98038 D:2064276887 VEHICLE NO.2
SHADE IN DAMAGED AREA
2 3 4
LIABILITY
INSURANCE &POINSURGY#E CO GEICO 6131-13-25-70IN I STOP 5
'EwCLE ,J� CITATION# CHARGE
25 i o BOTTOM
LEGALLY YES❑ N`L I
s a
OFFICER'S NAME(PRINT) OFFICER PHONE BADGE OR ID# 77AGENCY
26
MATTHEW NUGENT 11498 WA0171300
PART A PAGE 01 OF
3000-345-159 OR 11/181
STATE OF
POLICETRAFFICN CORRECTION REPORT NO. EF03719
COLLISION REPORT III III III III III 111
1591972 CASE# 24-8076
ADDITIONAL PERSONS INVOLVED PASSENGERS AND/OR WITNESSES ONLY)
NAME MIDDLE INITIAL) HOFF AUDREYA
(LAST FIRST,
ADDRESS&PHONE# D O.B.
22529 SE 187TH PL MAPLE VALLEY WA 98038 SEX F MMDDYyYv 02 - 18 - 2016
{� SEAT HELMET INJURY NATURE OF INJURIES
PASSENGER Z WITNESS
o UNIT# 2 POS 9 AIRBAG 2 RESTR. 4 EJECT 1 USE CLASS 16 C/O COLLARBONE PAIN
NAME
'(LAST,FIRST MIDDLE INITIAL)
ADDRESS&PHONE# DOB
SEX' MMDDYYYY
PASSENGER ❑WITNESS UNIT# : SEAT AIRBAG RESTR. EJECT HELMET NJURY 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 08-01-24 07:15 PM
INVESTIGATING OFFICER'S SIGNATURE UNIT OR DIST DET DATED PLACE SIGNED
APPROVED BY E
DAT
CO.JOHNSON 0505 8/9/2024 10:51:13 AM
BADGE OR ID# 11498 ORI# WA0171300 TIME POLICE DISPATCHED 5:23 PM TIME POLICE ARRIVED 5:26 PM
PART I PAGE IT]OF 4�
TIME
REPORT NO. EF03719 CASE# 24-8076 OF COLLISION08/01/24 17:21
NARRATIVE
24-8076
On 08/01/2024 at approximately 1723 hours, I was dispatched to a blocking vehicle collision in the
4700 block of NE 4th ST, within the City Limits of Renton, County of King, State of Washington.
While en route, Dispatch advised that the collision involved two vehicles and that they were blocking
one of the lanes of traffic on NE 4th Street.
Upon my arrival, both occupants of Unit#2 complained of collarbone injury from their seatbelt but
declined aid response. 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 she was the sole occupant of her vehicle and was traveling westbound in
about the 4700 block of NE 4th ST and approaching the South entrance to the QFC private parking
lot (JEO Duvall Ave NE). The driver of Unit#1 stated that she was in lane 2 of 3 but needed to get
into the QFC parking lot which was on the north side of the roadway. It should be noted that just east
of the South/SE entrance to the QFC parking lot, a new right-turn only lane becomes available
expanding NE 4th ST from 2 westbound lanes of travel into 3 westbound lanes of travel. The driver of
Unit#1 stated she needed to get into the right lane (lane 1 of 3) to make an upcoming right turn at the
parking lot entrance. The driver of Unit#1 stated she proceeded to make a right turn from lane 2 of 3
towards the South entrance of the QFC parking lot not realizing that Unit#2 was occupying lane 1 of
3. Unit#1 and Unit#2 collided in the roadway causing moderate damage to the front passenger
bumper of Unit#1. The driver of Unit#1 claimed that Unit#2 was traveling fast in their respective lane
of travel.
The driver of Unit#2 said she and her juvenile passenger were also traveling westbound in about the
4700 block of NE 4th ST approaching the intersection of Duvall Ave NE but in lane 1 of 3. The driver
of Unit#2 stated she was intending to continue towards the intersection of Duvall Ave NE where she
was going make a right turn to proceed north. Upon Unit#2 passing where Unit#1 was located at in
traffic, Unit#2 felt a sudden impact on the driver's side. Unit#2 suffered moderate damage to the
front and rear driver's side doors as a result of the collision.
Based on the above statements, I determined that the driver of Unit#1 (Virk) is the proximate cause
for the collision as Virk violated RCW 46.61.290 which covers right turns and stated that "both the
approach for a right turn and a right turn shall be made as close as practicable to the right-hand curb
or edge of the roadway." Virk instead made her turn into the parking lot from lane 2 of 3 instead of the
furthest right lane (lane 1 of 3). 1 issued a Virk a citation via mail for the improper turn.
Unit#1 was moved off the roadway where the driver stated they would make private tow
arrangements. Unit#2 was able to be driven away without further incident with the exception of the
front driver's side door operation. An exchange of information was provided to all involved parties.
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 8/1/2024 6:55 PM Renton, King County, WA.
PAGE 3 OF 4
REPORT NO. EF03719 CASE# ' 24-8076 DATE AND TIME 08/01/24 17:21
OF COLLISION
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