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HomeMy WebLinkAbout24-8915 ITFF' "POLCERA II I !�� I III I III I IIII III II I . 6 27c
COLLISION REP FIT 1591971
CASE 24-8915 z
INTERSTATE ❑ CITY STREET FIRE ❑RESULTED
1 STOLEN
STATE ROUTE ❑ OTHER ❑ VFHIr.I F ❑ LOCAL AOENC 4900 3
HIT&RUN CODING
COUNTY RD PRIVATE WAY INVOLVED
2 3 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.. O8 - 1-- 2024 0814 17 ❑-= S 8 IN e 1070 3
4❑ ON (PRIMARY TRAFFIC WAY) INTERSECTION ❑✓ NON INTERSECTION ❑
BLOCK
SUNSET BLVD NE ST e✓
MILEPOST 200 ❑
4a❑
DISTANCE OF(REFERENCE OR CROSS STREET)
5❑ ❑ FEET e S ❑ W e I405 N
0 1 29
MOTOR PEDAL- DAMAGE THRESHOLD MET PHONE
UNIT 01 VEHICLE ❑ CYCLE El
NO D:2134716880 0 11
30
6 LAST NAME MAMONOV FIRSTNAME DENIS MIDDLE 1 1 1 2 31
INITIAL
STREET ❑✓ 26826 17TH PLACE SOUTH CITY DES MOINES ST WA ZIP 98198 z
NEW ADDRESS
7❑ CDL IGNITION REQUIRED IGNITION PRESENT MEDICAL TRANSPORTED 3
1/ I iNTERLOCKYEs NO NTERLOCKYEs NO�/ YES R No�/
8❑ LRIIVER #
ON DUTY❑ STATUS' AIRBAG 6 RESTR 4 EJECT 1 HELMETU E 2 CLASS 7 [NATURE OF INJURIES
COMPLAINED OF PAIN z❑
3
10 9❑ Pi ATNES# CLV6509 sTAr WAv N# KNDJT2A2967736131
5 TRAILER STATE TRAILER STATE
11 2 5 PLATE# PLATE# FROM TO
TRLR. TRLR. 5 1 33
12 2 5 VIN#' VIN#
>; FROM TO
❑ VEH.YEAR MAKE MODEL STYLE VEHICLE TOWED TO BLIN TR Y GOVT.VEHICLE 3 7 34
13 4 2011 KIA SOUL UT DAMAGE YES NO �MEYERS YES❑ No✓
REGISTERED OWNER INFO OWNEDBYDRIVER VEHICLE NO. 1
SHADE IN DAMAGED AREA ❑ 35
4
14 4 LIABILITY INSURANCE❑ INSURANCE CO NONE
IN EFFECT &POLICY# STOP
vEH .e la CHARGE to BOTTOM 5 36
YES No CITATION# 4A0703463,4A0703463 INATTENTIVE DRIVING,OP MOT VEH
15❑ STANDING 8 7 6
MOTOR PEDAL-: PROPERTY DAM THR OLD MET PHONE
16
UNIT 02 VEHICLE CYCLE ❑ PEDESTRIAN ❑ OWNER ❑ YES 1/ NO D:8642055773
a
LAST NAME KRAUS FIRST NAME CHAD MIDDLE A
INITIAL
17❑ NEW STREETREO 1000 BLAINE AVE NE#A CITY RENTON ST WA ZIP 98056 37
18❑ CDL IGNITION REQUIRED IGNITION PRESENT MEDICAL t-T�RANSPORTED � 38
INTERLOCK YEs❑No� INTERLOCK Y�EsI I I NOF YES
t l NO�
19� DRIVERS
# STATE WA SEX M Mr D.C.B. 04 22 _ 1983 39
20❑ ON DUTY STATUS AIRBAG,6 RESTR 4 EJECT 1 H EET 2 NJAU SY 7 COMPLAINED OF BACK PAIN AND WHIPLASH ❑F—NATURE OF INJURIES 40
LICENSE I ❑21❑ PLA E# CKM1186 TArE 41
WA vIN# KNDRHDLG6P5188259 1
42
22❑ PLATE# STATE PLATE# STATE
23❑ VIN#. 43
TRLR RLR
'IN#.
Gov HI
VEH YEAR 2023 MAKE I(IA MODEL SORENT STYLE UT DAMAGE TO TOWED I, 44
Yr
✓WED NOO BLIN GENE MEYERS YES No�/
24❑ REGISTERED OWNER INFO OWNED SY DRIVER VEHICLE N0.2
SHADEDAMAGEDAREA
3 4
LIABILITY
INSURANCE INSU&PORGY#E CO USAA 03028178OGIN STOP 5
'E""LE ❑ N`L J
,J� CITATION# CHARGE io BOTTOM
LEGALLY YES
25 ' e
7.1 -F1'S NAME(PRINT) OFFICER PHONE BADGE OR ID# JAGENCY
26
UMM/NG 11488 WA0171300
PART A PAGE 01 OF C7
3000-345-159 OR 11/181
STATE OF
POLICETRAFFICN CORRECTION REPORT NO. EF08264
COLLISION REPORT III III III III III 111
1591972 CASE# 24-8915
ADDITIONAL PERSONS INVOLVED PASSENGERS AND/OR WITNESSES ONLY)
NAME MIDDLE INITIAL) OKUNEVYCH DENYS
(LAST FIRST,
ADDRESS&PHONE# D O.B. '
9311 S ASH ST#C TACOMA WA 98444 2533258039 SEX M MMDOYyry 08 - 16 - 1992
{� SEAT HELMET INJURY NATURE OF INJURIES
PASSENGER ZWITNESS❑ UNIT# 1 POS. 3 AIRBAG 6 RESTR. 4 EJECT 1 USE 2 CLASS !7 COMPLAINED OF PAIN
NAME
(LAST,FIRST,MIDDLE INITIAL) KAYLOR JOHN D
ADDRESS&PHONE# D O B
15216 111TH AVENUE CT E PUYALLUP WA 98374 2539617511 SEX M MMDbvuvv 12 - 20 - 1973
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.MMDD -❑
YYYY.
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.
TIM CUMMING 08-24-24 09:48 AM
INVESTIGATING OFFICER'S SIGNATURE UNIT OR DIST DET DATED PLACE SIGNED
APPROVED BY DATE
R.PHILLIPS 11649 1 8/25/2024 7:20:33 AM
BADGE OR ID# j 11488 ORI# WA0171300 TIME POLICE DISPATCHED 8:16 AM TIME POLICE ARRIVED 8:22 AM
PART I PAGE IT]OF 5�
REPORT NO. EF08264 CASE# 24-8915 OF COLLISION
08/24/24 08:14
OF CbLLI510N
NARRATIVE
24-8915
On 08/24/2024 at approximately 0816 hours, I was working as a Police Officer for the city of Renton.
While I was working, I was dispatched to a collision with injuries at the intersection of Sunset Blvd NE
and northbound 1405, in the City of Renton, the County of King, State of Washington. The collision
took place in the 200 block of Sunset Blvd NE.
This report is a summary of events that occurred and is not an exact sequencing of events.
Statements have been paraphrased and summarized. My involvement in this incident was captured
on my department issued Axon body camera. For exact statements made during my investigation
please see my Axon camera footage.
According to the notes in the call, there was a two-vehicle collision at the location and aid was
required. The collision was blocking both directions. One of the vehicles was described as a black
KIA Soul with an unknown license plate and the second vehicle was described as a gray SUV. There
were three total patients, and it was unknown what type of injuries they had. No bleeding was seen.
I arrived on scene around 0822 hours. When I arrived on scene, I saw 2 damaged cars matching the
description that dispatch provided.
The black KIA Soul was identified as a black 2011 KIA Soul SUV (WA LIC# CLV6509). For the
duration of this case, this vehicle will be identified as Unit 1. The driver was identified by his WADOL
as Denis Igorevich Mamonov (DOB 12/09/1995). His identity was confirmed by WADOL photo. The
passenger in the vehicle was identified by his WADOL as Denys Okunevych (DOB 08/16/1992). His
identity was confirmed by WADOL photo.
The gray SUV was identified as a gray 2023 KIA Sorento SUV (WA LIC# CMK1186). For the duration
of this case, this vehicle will be identified as Unit 2. The driver was identified by his WADOL as Chad
Allen Kraus (DOB 04/22/1983). His identity was confirmed by WADOL photo.
Unit 1 had damage to the front passenger side. The airbags had gone off. Mamonov and Okunevych
told me that they been wearing their seatbelts, and they did not know if they were injured. They were
provided with medical attention.
Unit 2 had damage to the front of the vehicle. The airbags had gone off. Kraus stated that his back
was tight, and he might have gotten whiplash. He was provided with medical attention.
None of the involved parties were transported to a medical facility.
I met with the driver of Unit 1. The following is Mamonov's statement regarding what happened;
Unit 1 was traveling east along NE Sunset Blvd and was going to turn onto 1 405 northbound. He was
not paying attention and missed the yield sign. He drove into the intersection and collided with Unit 2
which was traveling west along NE Sunset Blvd.
I met with the driver of Unit 2. The following is Kraus's statement regarding what happened;
Unit 2 was traveling west along NE Sunset Blvd. As he approached the intersection described above,
unit 1 drove into the intersection and they collided.
All parties provided me with their required information, but Mamonov told me that he did not have
insurance for the vehicle.
Photos were taken of the scene and uploaded to evidence.com.
Gene Meyers towing came to the scene and towed both vehicles for the owners.
Based on all of the information gathered, I determined that unit 1 was the at fault vehicle. Unit 1 was
at fault as they did not see a yield sign and drove into an uncontrolled intersection causing unit 2 to
collide with unit 1. Based on the investigation I determined that there is probable cause to charge the
driver of unit 1, Denis Igorevich Mamonov (DOB 12/09/1995), with violation of Renton Municipal Code
10-12-25 Inattentive Driving and violation of RCW 46.30.020 Operating a Motor Vehicle Without
Liability Insurance.
Mamonov violated Renton Municipal Code 10-12-25 Inattentive Driving by driving without the
attentiveness required to observe unit 2 while it was traveling along NE Sunset Blvd.
Mamonov violated RCW 46.30.020 Operating a Motor Vehicle Without Liability Insurance by
operating a motor vehicle on a roadway without liability insurance.
Citation number 4AO703463 was forwarded to the City of Renton Prosecutor for review.
PAGE 3 OF 5
REPORT NO. EF08264 CASE# 24-8915 OF COLLISION
08/24/24 08:14
OF CbLLI510N
NARRATIVE
Both drivers were provided with an exchange of information.
A witness, John D Kaylor Jr (DOB 12/20/1973) witnessed the collision. His statements were
consistent with the statements made by the drivers of unit 1 and 2.
There is no further information available at this time.
I certify (declare) under penalty of perjury under the laws of the state of Washington that the foregoing
is true and correct.
Electronically signed by T. Cumming #11488 on 08/24/2024 @ 0926 hours in Renton WA.
PAGE 4 OF 5
REPORT NO. EF08264 CASE# ' 24-8915 DATE AND TIME 08/24/24 08:14
OF COLLISION
E
Scale
PAGE 5 OF 5