The URL can be used to link to this page

Home My WebLink About24-10321 ("7— STATE.w,-" .:.. TcN 5 27cRaFFi O EF22189 COLLISION REP F 1591971 CASE# 24-10321 2 INTERSTATE CITY STREET FIRE ❑ RESULTED STOLEN 1 1 STATE ROUTE OTHER VFHICI F LOCAL AGENCY 4200 9[� HIT 8 RUN CODING COUNTY RD PRIVATE WAY INVOLVED 2 TRIBAL UN 75 TOTAL#OF 03 STRUCK 1 8 2$ RESERVATION 2 3 M M D D Y Y Y Y TIME I2400) COUNTY# MILES CITY# coAT sloN 10 - 02 - 2024 1514 17 �. e W 8 OF IN 8 1070 a S 4❑ ON (PRIMARY TRAFFIC WAY) INTERSECTION ❑ NONINTERSECTION ❑✓ 108THAVESE BLOCK NO. 8 17604 4a❑ MILEPOST ❑ DISTANCE OF(REFERENCE OR CROSS STREET) 5 1.= FEET e S e W B 0 1 29 MOTOR PEDAL- DAM ETHRESHOLD MET PHONE ��0� VEHICLE CYCLE YES ,/No D:2064078551 0 8 30 6� LAST NAME BLA/R FIRST NAME JOSEPH MIDDLE' J 1 2 31 INITIAL STREET E:1' 21648 SE 271ST ST CI7y MAPLE VALLEY WA NEW ADDRESS Sr ZIP 980386140 z 7❑ CDL IGNITION REQUIRED IGNITION PRESENT MEDICAL TRANSPORTED a INTERLOCK YEs No INTERLOCKVES No YES NO ICEN 8❑ LDRIVE STATE WA SEX'M MM flYY 02 - 17 - 2002 1 2 32 9 ON DUTY STATUS AIRBAG 2 RESTR 4 EJECT 1 H L E7 2 �� 1 NATURE OF INJURIES z SS LICnNSE BGC5552 srArE WA WIN# 9BWPG61J614048543 10 9❑ 3 11 3 5 PLATE# STATE TRAIPLATE# STATE ROM To RA TRLR TRLR.. 5 1 33 12 3 5 VIN#' v1N# FROM TO VT,VEHICLE VEH,YEAR 2001 MAKE VOLK MODEL GTI STYLE VEHICLE TOWED TO BLIN TOWED BY GO g 9 34 13 DAMAGE YES NO ✓ YES❑ NO REGISTERED OWNER INFO JOSEPH BLAIR 21648 SE 271ST ST MAPLE VALLEY WA 98038 VEHICLE NO. 1 ❑ SHADE 1N DAMAGED AREA 35 2 LIABILITY INSURANCE INSURANCE CO ft 4 14 BRISTEL WEST GOI-5078191.00 IN EFFECT &POLICY# STOP VEHICLE YESCHARGE 5 ❑ 36 EGALI v [:]NO[:] CITATION# 10 ftOTTOM 15❑ sTAnowG 6 MOTOR PEDAL- PROPERTY DAM THR OLD MET PHONE UNIT ❑ PEDESTRIAN ❑ ❑ HO 2063714121 VEHICLE CYCLE OWNER YES NO 16� LAST NAME I MARROQUIN TORRES FIRST NAME ALEXANDER MIDDLE N WITIAL 17 STREET El 11436 1ST AVE S APT 4 CITY SEATTLE ST', WA ZIP 981685024 37 NEW ADDRESS I I I 1 ❑ 18❑ CDL IGNITION REQUIRED IGNITION PRESENT MEDICAL TRANSPORTED ❑ 38 1NTERLOCKvEs No IN7ERLOCKvEs uo YES NOR I 19❑ DRIVER'# ❑ ON DUTY STATUS AIRBAG 2 RESTR 4 EJECT 1 HELM USEE7 2 CLASSY' 1 NATURE OF INJURIES ❑ 40 21❑ LICENSE,CGZ4287 TATE WA YIN# 5N1BT3CBOPC818041 ❑ 41 PLATE# TRAILER TRAILER ❑22 PLATE# STATE PLATE STATE 42 23 43 TRLR RLR VIN#. '[N#, VEH.YEAR 202$ MAKE /I//SS MODEL ROGUE STYLE DAMIAGE TOWED NOO✓ BLIN TOWED BY GO YES N HI 44 YES O 24 REGISTERED OWNER INFO ALEXANDER MARROQUIN TORRES 114361STAVES APT 4 SEATTLEWA 98168 VEHICLE NO.2 SHADDAMAGE&AREA 3 LIABILITY INSURANCE INSURANCE CO NATIONAL GENERAL 2024742518 IN EFFECT &POLICY# 4TOP VEHICLE YES J � N.1-1 LEGALLY CITATION# CHARGE tO eOTTQM 25 ' 71FFIIIR�S NAME(PRINT) OFFICER PHONE BADGE OR ID# AGENCY 26 TALAN 12007 WA0171300 PART A . PAGE 01 OF 9000-345-159(R 11(181 STATE OF POLICETRAFFICN CORRECTION REPORT NO. EF22189 COLLISION REPORT III III III III III 111 1591972 CASE# 24-10321 ADDITIONAL PERSONS INVOLVED(PASSENGERS AND/OR WITNESSES ONLY) '.NAME (LAST,FIRST,MIDDLE INITIAL) ADDRESS&PHONE# SEXi D.O.B. - MMDDYYYY PASSENGER❑WITNESS❑;UNIT# SEAT AIRBAG RESTR. EJECT HELMET INJURY NATURECFINJURIES POS. ' USE CLASS 1 ----� :NAME (LAST FIRST MIDDLE INITIAL) ADDRESS&PHONE# SEX D.O.B. - MMDDYYYY PASSENGER❑WITNESS UNIT# : SEAT AIRBAG RESTR. EJECT HELMET INJURY: NATURECFINJURIES POS. USE CLASS ----� :NAME (LOST,FIRST,MIDDLE INITIAL) ADDRESS&PHONE# SEX MMDDYY D.O.B. YY PASSENGER WITNESS UNIT# SEAT AIRBAG RESTR. EJECT HELMET NJU S' NATURE OF INJURIES ❑ ❑ POS. I 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 10-02-24 04:29 PM INVESTIGATING OFFICER'S SIGNATURE UNIT OR DIST.DET DATED PLAGE SIGNED APPROVED BY DATE C.JACOBS 1953 10/7/2024 12:30:51 PM BADGE OR ID# 12007 ORI# WA0171300 TIME POLICE DISPATCHED 3:16 PM TIME POLICE ARRIVED i 3:20 PM PART B 3000-345.160(R1Vt8) PAGE F2 --]OF F5 REPORT NO. EF22189 CASE# 24-10321 OF COLLI ION 10/02/24 15:14 OF COLLISION NARRATIVE 24-10321 On October 2, 2024 at approximately 1514 hours, I was dispatched to a injury and blocking 3-vehicle collision at US Bank, 17604 108th Ave SE, within the City Limits of Renton, County of King, State of Washington. Upon arrival, I contacted the involved parties and confirmed no injuries had occurred requiring immediate medical response at the time of report. There, I collected the involved parties driving documents and their independent recollection of events leading up to the collision. The driver of Unit 1 said he was the sole occupant of his vehicle and was traveling northbound on 108th Ave SE just south of the intersection of SE Petrovitsky RD in lane 1 of 2. The driver of Unit 1 stated he was traveling directly behind Unit 2 and saw as Unit 2 was stopped or slowing for traffic. The driver of Unit 1 stated that he was not paying close enough attention to the roadway and in addition, his dogs jumped on his dash. The driver of unit 1 attempted to stop the vehicle in time but was unable to and subsequently collided with the rear of Unit 2 causing moderate damage to the front of Unit 1. The driver of Unit 2 said he was also traveling northbound but was stopped on 108th Ave SE just south of the intersection of SE Petrovitsky Rd in lane 1 of 2. The driver of Unit 2 stated she was stopped for behind Unit 3 for a red light at the controlled intersection. While Unit 2 was stopped for the traffic signal, Unit 1 collided with the rear of Unit 2 causing moderate damage. The driver of Unit 2 stated that due to the initial impact, his vehicle was then pushed forward into the rear of Unit 3 causing additional damage to the front of Unit 2. The driver of Unit 3 said she was the sole occupant of her vehicle and was also stopped in the northbound lanes of 108th Ave SE, just south of the intersection of SE Petrovitsky Rd in lane 1 of 2. The driver of Unit 3 stated he was stopped for a red light at the controlled intersection. While Unit 3 was stopped for the traffic signal, Unit 2 collided with the rear of Unit 3 causing minor damage to the rear of Unit 3. Based on the above statements, I determined that the Driver of Unit 1 is the proximate cause for the collision due to inattention causing a collision. An exchange of information was provided to all involved parties. I certify (declare) under penalty of perjury under the laws of the State of Washington that the foregoing is true and correct. C. Catalan 10/02/2024 Renton PAGE 3 OF 5 4( � SUPPLEMENTAL REPORT NO. EF22189POLICE TRAFFIC 1 s 27 }_ COLLISION REPORT CASE#+ 24-10321 1 COMMERCIAL MOTOR CARRIERT INTERSTATE INTRASTATE L UNIT# USDOT ICC# VEHICLE TYPE CARGO BODY TYPE 2 ❑ 1 28 CARRIER NAME 3 CARRIER 7 ADDRESS CITY ST ZIP 4 NAME # PLACARD GWVR ❑ NAME IF NO NUMBER SOURCE AXLES + 4a ❑ ADDITIONAL UNITS MOTOR PEDAL- PROPERTY DAMAGE THRESHOLD MET PHONE t PEDESTRIAN �] l/ D:2067781799 5 11NIT 3 VEHICLE CYCLE I--7 OWNER :� YES NO 0 8 29 LAST NAME FIRST NAME MIDDLE L1ANG DAN-MEI INITIAL N STREET 30 NEwAnnRER"F] 17012 165TH AVE SE CITY RENTON ST WA ZIP 980589592 6 PRESENT MEDICAL TANSF+ORTED 1 2 31 CDL IGNITION RE IGNITION INTERLOCK YES: No '.INTERLOCK YES NO YEs N DRIVER'S D.O:B 7 LICENSE; STATE WA SEX.F MMDDYYY 05 - 22 - 1974 HELMET INJURY NATURE OF INJURIES ON DUTY STATUS AIRBAG 2 RE5TR. 4 EJECT 1 USE 2 CLASS 7 RIGHT HAND INJURY LICENSE'CND0166 TA WA VIN JTJGKCEZ5S5025707 PLATE# 9 TRAILER TRAILER e PLATE If STATE PLATE# :STATE 10 ❑ TRLR TRLR .UIN.#. VIN.#. 11 3 5 VEH.YEAR2025 MAKE LEXS MODELNX STYLE VEHICLE TOWS E T ABLIN TOWED BY arn/r.vEHlci F FROM TO DAMAGE YES NO REGISTERED OWNER INFODAN-MEI LIANG 17012165TH AVE SE RENTON WA 98058 9 9 33 12 SHADE DAMAGED AREA FROM TO LIABILITY INSURANCE INSURANCE CO STILL WATER INSURANCE CV300983 ❑ IN EFFECT &POLICY# 1 9FC1P___ m 34 Q 1080TTC)M 13 ewcLe YES NO CITATION# CHARGE IFGALIY sTn"olNc � R T 14 ❑ UNIT MOTOR1:1 PEDAL_ PEDESTRIAN PROPERTY ❑ : DAMAGE THRESHOLD MET PHONE 1:1 35 VEHICLE CYCLE OWNER YES NO 15 LAST NAME FIRST NAME MIDDLEINITIALEl36 16 STREET, SS CITY ST' ZIP NEW AnnR CDL IGNITION Rl=•.OUIRED 1GNITIGN PRESENT MEDICAL 7ANSPGRTED INTERLOCK YES --El INTERLOCK YES[:]NO YES NO'. 17 37 DRIVER'S STATE I SEX D.O.B 18 ❑ LICENSE:# MMDDYY ON DUTY STATUS AIRBAG RESTR. EJECT HELMET INJURY NATURE OF INJURIES ❑ 38 USE CLASS 19 ❑ ❑ 39 LICENSE TAT VIN# PLATE# 20 TRAILER TRAILER Ll 40 PLATE# STATE PLATE# STATE 21 TRLR TRLR 41 UIN#i U[N 42 22 VEH.YEAR MAKE I MODEL I STYLE VEHICLE TOWED DUET ABLIN 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# 1 U K T()F'`"' ,. 44 vewcLe ❑ ❑ CITATION# CHARGE C1TT061 24 LECALLy YES NO srnNOlNc S L 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 10-02-24 04:29 PM 25 INVESTIGATING OFFICER'S SIGNATURE OFFICER'S PHONE UNIT OR DIST DET DATED: PLACE SIGNED [-� BADGE # APPROVED 10 26 ORD# 12007 WA0171300 ACOBS h/ PAGE F OF 3000-345-013(R 11/181 REPORT NO. EF22189 CASE# 24-10321 DATE AND TIME 10/02/2415:14 OF COLLISION 1 k t " e, 3) 1 w Y i stir �q a s is f i 1 te,'e i �. 0. i� �h w PAGE 5 OF 5