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HomeMy WebLinkAbout24-10561 ("7— STATETcN 27CERAFFi O EF23243 COLLISION REP(F 1591971 CASE 24-10561 2 INTERSTATE CITY STREET FIRE ❑ RESULTED 1 1 STATE ROUTE OTHER STOLEN vEwCLE ❑ LOCALAGENC, 4200 3 HIT&RUN CODING COUNTY RD PRIVATE WAY INVOLVED 2 TRIBAL UN TS#OF 02 STRUCK' 1 8 2$ RESERVATION: 2 3 M M D D Y Y Y Y TIME(2400) COUNTY# MILES CITY# coi slog 10 - 09 - 2024 14?3 17 �.� S e W e OF 8 IN ?070 3 4❑ ON (PRIMARY TRAFFIC WAY) INTERSECTION ❑ NON INTERSECTION ❑✓ NE4THST BLOCK NO. 8✓ 3900 .� 4a❑ MILEPOST DISTANCE OF(REFERENCE OR CROSS STREET) 5❑ FEET e S e W 8 0 4 29 MOTOR PEDAL- DAM ETHRESHOLD MET PHONE UNIT 01 VEHICLE CYCLE' YEs ,/No D:2062579359 0 1 30 6 LAST NAME GIFFORD FIRST NAME JASON MIDDLE T 1 1 2 31 INITIAL STREET [:] 13046 SE 184TH PL CITY RENTON WA NEW ADDRESS ST ZIP 980587914 z 7❑ CDL fGNITION REQUIRED IGNITION PRESENT MEDICAL TRANSPORTED 3 1NTERLOCKYEs NO INTERLOCKYEs No YES No 8 1 DRIVERS E# ON DUTY STATUS AIRBAG 2 RES7R 4 EJECT 1 HELMET 7 2 INJURY ? NATURE OF INJURIES 2= �ci CEN ATF#' CNG6558 srnr� WA uIN# SCBGR3ZA8CC074600 3 10 9❑ ILER 11 3 ER 5 PLATE# STATE PLATE# STATE ROM To RA TRLR. TRLR. 1 3 33 12 3 5 VIN# VIN# FROM TO ❑ VEH,YEAR MAKE MODEL STYLE VEHICLE TOWED TO BLIN T Y GOVT,VEHICLE 3 7 34 13 4 2012 BENT CONTIN YES ✓ NO (4, �MEYERS TOWING YES❑ No DAMAGE REGISTERED OWNER INFO UASON GIFFORD 14229228THAVE SE ISSAQUAH WA 98027 VEHICLE NO. 1 ❑ SHADE IN DAMAGED AREA 35 4 LIABILITY INSURANCE INSURANCE CO 2 3 4 14❑ ClNCINNATIINSURANCE A011118503 & IN EFFECT POLICY# 9TOF VEHICLE ❑ 36 I LLY YEs❑NO❑ CITATION# CHARGE I to BOTTOM $ 1 5❑ sTANo Nc PEDAL- PROPERTY ❑ PHONE UNIT 02VMEOHTIOCRLE CYCLE PEDESTRIAN OWNER D:2 162877497 16F1 LAST NAME YEAGER-WILLIAMS FIRST NAME DOMiN/QUE MIDDLE' + D INITIAL 17 STREET e 115 MONTEREYPL NE CITY RENTON ST' WA ZIP 98057 37 NEW ADDRESS 18� IGNITION REQUIRED IGNITION PRESENT MEDICAL TRANSPORTED' 38 CDL zERLOCKYEs NOF INTERLOCK YES Nb YES NO 19 DRIVER'S; STATE OH SEX M D.O,B. F 04 14 199? 39 LICENSE# MMDDYYJ I - 20❑ ON DUTY❑ STATUS I AIRBAG 2 RESTR 4 EJECT 1 H USEE7 2 CLASSY' ? NATURE OF INJURIES ❑ 40 21❑ LICENSE I S568899 TATE OH 3VWEF71K67M202648 ❑ 41 PLATE# vIN# 42 22 PLATE# STAILER TATE PLATE#TRAILER STATE 23 43 TRLR RLft UIN#. IN# VEH.YEAR 2007 MAKE VOLK MODEL JETTA STYLE SD VEHICLE TOWED TO BLIN TOWED BY GO HI 44 24 DAMAGE YES NO YES NO REGISTERED OWNER INFO OWNEDBYDRIVER VEHICLE NO.2 SHADEDAMAGEDAREA 3 4 LIABILITY INSURANCE INSURANCE CO FOUNDERS INSURANCE OAOH188773 IN EFFECT &POLICY# STOP -- 5 vEeia..E ❑ CITATION# CHARGE 1060TTOM LEGALLY YES INC] 25 e 71FRIERS NAME(PRINT) OFFICER PHONE BADGE OR ID# AGENCY 26 TALAN 12007 WA0171300 00-345-159 rR 11/1M PAGE 01 OF PART A .30 STATE OF POLICETRAFFICN CORRECTION REPORT NO. EF23243 COLLISION REPORT III III III III III 111 1591972 CASE# 24-10561 E NA ADDITIONAL PERSONS INVOLVED(PASSENGERS AND/OR WITNESSES ONLY) M (LAST,FIRST,MIDDLE INITIAL) SMITH RICHARD J ADDRESS&PHONE# D O 1828 S 311TH PL FEDERAL WAY WA 98003 2067124817 SEX' MMDDYYYY PASSENGER WITNESS UNIT# SEAT AIRBAG RESTR. EJECT HELMET INJURY NRE OF INJURIES POS. ATUUSE CLASS ----� :NAME (LAST FIRST MIDDLE INITIAL) ADDRESS R PHONE# SEX — MMDDYYYY PASSENGER❑WITNESS UNIT# : SEAT AIRBAG RESTR. EJECT HELMET NJURY NATURE OF INJURIES POS. USE CJURY T --� SS :NAME (LOST,FIRST,MIDDLE INITIAL) ADDRESS&PHONE# SEX MMDDYY D.O.B. YY PASSENGER WITNESS UNIT# SEAT AIRBAG RESTR. EJECT HELMET NJURY 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 10-10-24 11:58 AM INVESTIGATING OFFICER'S SIGNATURE UNIT OR DIST.DET DATED PLAGE SIGNED APPROVED BY DATE CO.JOHNSON 0505 1 1011012024 12:43:34 PM BADGE OR ID# ; 12007 ORI# WA0171300 TIME POLICE DISPATCHED 1 2:18 PM TIME POLICE ARRIVED i 2:25 PM PART B 35e0-345.160(R1Vt8) PAGE 0 OF 47 E AND REPORT NO.i EF23243 CASE# 24-10561 OF C COLLISION 10/09/24 14:13 OF Cb4Lfi510N NARRATIVE On October 9, 2024, at approximately 1418 hours, I was dispatched to a blocking vehicle collision in the 3904 of NE 4th St, within the City Limits of Renton, County of King, State of Washington. Upon my arrival, I confirmed there were no complaints of injury requiring immediate medical response at the time of report. While on scene, I collected each involved party's driving documents and their independent involvement leading up to the collision. The driver of Unit 1 stated he was the sole occupant of his vehicle and was attempting to exit a private property parking lot, located at 3904 NE 4th St, and on the north side of the roadway. The driver of Unit 1 stated that he was intending to make a left turn out of the parking lot to proceed eastbound onto NE 4th St. The driver of Unit 1 stated that the number one westbound lane of NE 4th St was occupied. The driver in lane 1 had stopped and created an opening in traffic to allow enough space for Unit 1 to turn. The driver of Unit 1 believed all westbound traffic on NE 4th St was clear and therefore proceeded out into the roadway. As Unit 1 reached the number 2 westbound lane, Unit 1 was met by another vehicle - Unit 2. The driver of Unit 1 claimed he did not see Unit 2 traveling in the number 2 westbound lane due to the other vehicle being large and obscuring his vision. The driver of Unit 1 stated that he was unable to avoid the collision after having pulled out into the roadway and that Unit 2 struck the drivers side of Unit 1, causing significant damage. The driver of Unit 2 said he was the sole occupant of his vehicle and was traveling westbound in about the 4000 block of NE 4th St and in the number 2 westbound lane. The driver of Unit 2 stated he was intending to continue west. Upon reaching the location of where Unit 1 was turning out from, Unit 2 observed Unit 1 pull out into the roadway but was unable to avoid the collision. Both vehicles collided in the roadway and Unit 1 suffered minor damage to the front bumper. Based on the above statements, I believe that the driver of Unit 1 is the proximate cause for the cause of collision as the driver is required to comply with RCW 46.61.205(1) which states that every driver of a vehicle about to enter or cross a highway from a private road or driveway shall yield the right-of-way to all vehicles lawfully approaching on said highway. Unit 2 was already underway in the roadway and had right of way. I spoke with a witness who happened to be the vehicle that created the space for unit 1. The driver stated he felt bad for waiving unit 1 across the westbound lanes. He also failed to see unit 2 driving westbound on NE 4th St. Unit 1 had to be towed due to moderate damage. 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 10/10/2024 Renton PAGE 3 OF 4 REPORT NO. EF23243 CASE# 24-10561 DATE AND TIME 10/09/24 14:13 OF COLLISION �S. k, 4. am ;5 'i 8 J S'y a i t t k. e, 5 c �t �t fit PAGE 4 OF 4