Press Alt + R to read the document text or Alt + P to download or print.
This document contains no pages.
HomeMy WebLinkAbout24-9765 a POLICETRAFFic" II I f I) 11I1ll(111(111l If( f 11 REPORT NO. EF49294 170
27
COLLISION REP FIT 1591971
CASE 24-9765 z
INTERSTATE ❑ CITY STREET FIRE ❑RESULTED
1 STOLEN
STATE ROUTE ❑ OTHER ❑ VFHIC;I F ❑ LOCAL AOENC 4200 3
HIT&RUN CODING
COUNTY RD PRIVATE WAY INVOLVED
2 1 TOTAL#OF OBJECT 1 1 8 28
TRIBAL UNITS 03 STRUCK
RESERVATION
z
3❑ DATE OF M M D D Y Y Y Y TIME(2400) COUNTY# MILES N E IN CITY#
cowsloN 09 - 1-- 2024 1125 17 ❑-= S 8 IN e 1070 3
4❑ ON (PRIMARY TRAFFIC WAY) INTERSECTION ❑✓ NON INTERSECTION ❑
BLOCK NO. e✓ --- ----� ❑
SW 43RD ST MILEPOST
4a❑
DISTANCE OF(REFERENCE OR CROSS STREET)
5❑ �.❑ FEET e S ❑ VV a OAKESDALE AVE SW
0 4 29
MOTOR PEDAL- DAMAGE THRESHOLD MET PHONE
UNIT 01 VEHICLE ❑ CYCLE El
,/No D:5642004737 0 11
30
6� LAST NAME LELAND FIRSTNAME DANE MIDDLE G 1 2 31
INITIAL
STREET ❑ 1341 EAST BAY DR NE CITY OLYMPIA ST WA Zjp, 985063960 z
NEW ADDRESS
7❑ CDL IGNITION REQUIRED IGNITION PRESENT MEDICAL TRANSPORTED 3
INTERLOCK YES[:]NO INTERLOCKYEs NO YES R NO
8❑ LRIIVER #
ON DUTY❑ STATUS AIRBAG 6 RESTR 4 EJECT 1 HELMETU E 2 CLASS 0 NATURE OF INJURIES z❑
3
10[1Pi ATNES# CJM5738 sTAr WAu N# 5UX2V5C01 M9F24036
5 TRAILER STATE TRAILE{ STATE
11 3 5 PLATE# PLATE# FROM TO
TRLR. TRLR 7 1 33
12 3 5 VIN#' VIN#
>; FROM TO
VEH.YEAR 2021 BMW X4 MAKE MODEL STYLE VEHICLE TOWED TO BLIN T BS k GOVT.VEHICLE 34
13 4 DAMAGE YES NO TOWING YES[:] ✓ 3 7 No
REGISTERED OWNER INFO KRISTLELAND 1341 EASTBAYDR NE OLYMPIA WA 98506 VEHICLE NO. 1
❑ ❑
SHADE IN DAMAGED AREA 35
14 LIABILITY INSURANCE INSURANCE CO MUTUAL OFENUMCLAW PA11022510
IN EFFECT &POLICY# 9TOP
VEwcLE CHARGE 36
LECALLv YES❑NO❑ CITATION# 10 BOTTOM
15❑ STANDING 8 7 6
MOTOR PEDAL- PEDESTRIAN PROPERTY DAM THR OLD MET PHONE
UNIT 02 VEHICLE ❑ CYCLE ❑ ❑ OWNER ❑ YES 1/ NO D:2534865936
16 2
LAST NAME TIPTON FIRST NAME ANNALIES MIDDLE G
INITIAL
17❑ STREET ❑', 14306 SE 286TH CT CITY' KENT ST WA ZIP 980423938 37
NEW ADDRESS ❑
18� CDL IGNITION REQUIRED IGNITION PtR—E—S1ENT MEDICAL TRANSPORTED ❑ 38
INTERLOCKYES�NOR INTERLOCK YEs I I NOF YEs t l NO❑
19 LDIIVER # STATE WA SEX F M .C.B. 04 19 _ 1999 0 39
HELMET {NJURY 1 NATURE OF INJURIES 40
20❑ ON DUTY STATUS AIRBAG 6 RESTR 4 EJECT 1 USE 2 CLASS ❑
21❑ LICENSE CGN5598 TAre 41
WA VIN1 2HGF62FS6FH562008
❑
pLATE#
42
22❑ PLATE# STATE TILER PLATE# STATE
23❑ UIN#. 43
TRLR RLR
'IN#.
VEH YEAR 2015 MAKE HOND MODEL CIVIC STYLE VEHICLE TOWED TO BLIN TOWEDBY GOV HI 44
24❑ DAMAGE YES NO BANKERS TOWING YES NO
REGISTERED OWNER INFO ANNALIES TIPTON 14306 SE 286TH CT KENT WA 98042 VEHICLE NO.2
SHADE IN DAMAGED AREA
2 3 4
LIABILITY
INSURANCE 8 POINSURGY#E CO PROGRESSIVE 980 423 632IN STOP 5
'E""LE ❑ ,J� CITATION# CHARGE i o BOTTOM
LEGALLY YES N`L J
25 ' a
7CA
NAME(PRINT) OFFICER PHONE BADGE OR ID# AGENCY
J
26LAN 12007 WA0171300
PART A PAGE 01 OF
3000-345-159 OR 11/181
STATE OF
POLICETRAFFICN CORRECTION REPORT NO. EF49294
COLLISION REPORT III III III III III 111
1591972 CASE# 24-9765
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
PM 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.
C.CATALAN 09-20-24 08:52 AM
INVESTIGATING OFFICER'S SIGNATURE UNIT OR DIST DET DATED PLACE SIGNED
APPROVED BY DATE
C.JACOSS 1953 1212312024 9:56:28 AM
BADGE OR ID# 1Y007 ORI# WA0171300 TIME POLICE DISPATCHED 11:27 AM TIME POLICE ARRIVED',11:59 AM
PART I PAGE IT]OF 5�
REPORT NO. EF49294 CASE# 24-9765 OF COLLISION
09/17/24 11:25
OF CbLLI510N
NARRATIVE
(*It is important to note that I had this document saved as a draft, and I recently opened the folder
realizing I had not submitted it.)
On September 17, 2024, at approximately 1125 hours, I was dispatched to a vehicle collision with
reports of injury at the intersection of SW 43rd St and Oakesdale Avenue SW, within the City Limits of
Renton, County of King, State of Washington.
While on scene, I collected each of the involved party's driving information and their independent
recollection of the events leading up to the collision.
The driver of Unit 1 stated that he was the sole occupant of his vehicle and that prior to the collision
he was traveling eastbound in about the 1200 block of SW 43rd St approaching the controlled
intersection of Oakesdale Ave SW in the center turn lane. The driver of Unit 1 had pulled into the
center lane and slowed to yield to traffic for the entrance to Seven Eleven. The driver of Unit 1 stated
he intended to enter the parking lot.
The driver of Unit1 proceeded to make the left turn across the westbound lanes of travel, not seeing
Unit2 traveling in the westbound lanes of SW 43rd St. While Unit1 was turning, he noticed Unit 2
approaching the same area. The driver of Unit 1 stated that both vehicles collided in the number 2
westbound lane causing significant damage to the rear passenger side quarter panel and front of
Unit1. When the two vehicles collided, that caused Unit 1 to turn 180 degrees, and reverse into Unit 3
which was exiting the Seven Eleven parking lot.
The driver of Unit 2 said she was the sole occupant of her vehicle and was traveling westbound in
about the 1200 block of SW 43rd St approaching the entrance of Seven Eleven in lane 2 of 2. The
driver of Unit 2 stated he was intending to continue west. The driver of Unit 2 stated as he continued
going straight ahead, the driver of Unit 2 saw Unit 1 turn in front of his vehicle. The driver of Unit 2
stated she was unable to avoid the collision and both vehicles collided causing significant damage to
the front of Unit 2.
The driver of Unit 3 said he was exiting the parking lot when he observed Unit 2 collide with the right
passenger quarter panel of Unit 1. Unit 1 spun around and veered backwards into his driver's side
door, causing moderate damage.
Based on the above statements, I determined that the Driver of Unit 1 is the proximate cause for the
collision due to not granting the right of way during a left turn causing a collision. The driver of Unit 1
violated RCW 46.61.185(1) by being the driver of a vehicle intending to turn to the left within an
intersection and not yielding the right-of-way to any vehicle approaching from the opposite direction
which is within the intersection or so close thereto as to constitute an immediate hazard. The driver of
Unit 1 did not grant the right of way to Unit 2 traveling in the roadway which had the right of way and
was already underway. Due to Unit 1 having to traverse across oncoming traffic, the driver of Unit 1
must wait until the intersection is clear of hazard prior to proceeding.
Both involved vehicles (Unit 1 and Unit 2) had to be towed due to extensive damage cause. An
exchange of information was provided to all involved parties.
PAGE 3 OF 5
SUPPLEMENTAL REPORT No. EF49294
r`) POLICE TRAFFIC 1 1 8 27
COLLISION REPORT CASE# 24-9765
1 COMMERCIAL MOTOR CARRIER INTERSTATE INTRASTATE G
UNIT'# USDOT ICC# VEHICLE TYPE CARGO BODY
;TYPE
2 ❑ 1 28
CARRIER
NAME
3 CARRIER
ADDRESS `
CITY ST ZIP—1 I '
4 ❑ NAME # PLACARD: :❑
GI PLACARD IF NO NUMBER
SOURCE AXLES +
4a ❑ ADDITIONAL UNITS
MOTOR PEDAL- PROPERTY DAMAGE THRESHOLD MET PHONE
5 ❑ UNIT# 3 VEHICLE tSJ CYCLE I_) PEDESTRIAN OWNER YES NO
D:2064712505
0 7 29
LAST NAME HARRISON FIRST NAME PERCELL MIDDLE L
INITIAL
STREET 30
NEW AnDRFrtP 16504 139TH AVE E CITY PUYALLUP ST WA ZIP 983749591
6
CDL IGNITION REQUIRED IGNITION PRESENT MEDICAL TANSPORTED 1 1 2 31
INTERLOCK YEs No NTERLOCK YES�NO� YEs N
DRIVER'S
LICENSE STATE I WA SEX M MMDDYYv 06 - 29 - 1957
7
ON DUTY� STATUS AIRBAG' 2 RESTR. Q EJECT 1 HELMET 2 INJURY 1 1 NATURE OF INJURIES
USE CLASS
8 ❑ 1 32
LICENSE C55345Y TAr WA VIN# 3GNEC12J77G140987
PLATE#
9 TRAILER TRAILER
PLATE# STATE PLATE# STATE
10 ❑ TRLR TRLR
VIN.#. VIN.#.
11 0 0 VEH.YEAR2007 MAKE CHEV I MODELA VALANC STYLE VEHICLE TOWS E T SABLIN TOWED BY anvi vFH1I' P FROM TO
DAMAGE YES NO YES NO
33
REGISTERED OWNER INFOPERCELL HARRISON 16504139TH AVE E PUYALLUPWA98374 J 9
SHADE IN DAMAGED AREA
12 z 3
FROM TO
LIABILITY INSURANCE INSURANCE CO STATE FARM 5061837-F17.47D q"i"Olx
IN EFFECT &POLICY# 1
VEHICLE � 34
13 ❑ LEGALLY YESZ NO❑ CITATION# CHARGE OggBOTTUM
STANDING } qg
14 ❑ UNIT Tr Vd IRE O CYDCLE OWNER
YES AGE NOHRESHOLD MET PHONE El
35
PEDESTRIAN
15 LAST NAME FIRST NAME MIDDLE INITIAL
TIAL
❑
ET
16 STRETRE "F ' CITY ST ZIP
NEW CDL IGNITION REdUiRED IGNITtGN PRESENT MEDICALTANSPORTED
NTERLOCK YES NO NTERLOCK YES NO YES NO El
17 37
LICENSE# STATE SEX MMDDDYBYY -� II
18 ❑ ON DUTY� STATUS AIRBAG RESTR. ; EJECT HELMET INJURY NATURE of 1NJURIEs 38
USE (CLASS
19 ❑ 39
LICENSE rnr VIN#
PLATE#
20 ❑ TRAILER' STATE TRAILER STATE ❑ 40
PLATE#< PLATE#
21 ❑ TRLR TRLR 41
VIN# YIN#i
42
22 VEH.YEAR MAKE I MODEL STYLE I VEHICLE TO DUET SABLIN TOWED BY GOVT.VEHICLE
DAMAGE YES NO YES NO
23 REGISTERED OWNER INFO_ SHADE IN DAMAGED 3 a 4 AREA F 43
z 3
LIABILITY INSURANCE INSURANCE CO '
VINE
EFFECT &POLICY# i 970P - 4 E:l
44
24 VEHICLE YES❑ NO❑ CITATION# CHARGE iq 60TiOM
LE C E
STANDING 8 7 6
1 CERTIFY(DECLARE)UNDER PENALTY OF PERJURY UNDER THE LAWS OF THE STATE OF WASHINGTON THAT THE FOREGOING IS TRUE AND CORRECT.
C.CATALAN 09-20-24 08:52 AM
25 INVESTIGATING OFFICER'S SIGNATURE OFFICER'S PHONE UNIT OR DIST DET DATED: PLACE SIGNED
APPROVED BY DATE
26 OI BADGE 12007 O#I WA0171300 JACOBS 12123/202 PAGE 4 OF F
3000-345-013 IR 11t18)
REPORT NO. EF49294 CASE# ' 24-9765 DATE AND TIME 09/17/24 11:25
OF COLLISION
e
r <<
I U
v
? � Z
Z
�y sf ry f
4n
v
M1
Y
PAGE 5 OF 5