HomeMy WebLinkAbout25-2023 ITFF' "POLCERA II I !�� I III I III I IIII III II I . 0 27c
COLLISION REP FIT 1591971
CASE 25-2023 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#
cowsloN 03 - 1-- 2025 1225 17 ❑-= S 8 IN e 1070 3
4❑ ON (PRIMARY TRAFFIC WAY) INTERSECTION ❑✓ NON INTERSECTION ❑
BLOCK NO. e✓ --- ----� ❑
SE CARR RD MILEPOST
4a❑
DISTANCE OF(REFERENCE OR CROSS STREET)
5❑ ❑ FEET e S ❑ VV e 105TH PL SE
0 4 29
MOTOR PEDAL- DAMAGE THRESHOLD MET PHONE
UNIT 01 VEHICLE ❑ CYCLE El
,/No D:2564411656 0 11
30
6� LAST NAME PAGE FIRSTNAME JOCELYN MIDDLE M 1 1 2 31
INITIAL
STREET ❑ 17725 105TH PL SE CITY RENTON WA
NEW ADDRESS ST zlp, 980558422 z
7❑ CDL IGNITION REQUIRED IGNITION PRESENT MEDICAL TRANSPORTED 3
INTERLOCK YES[:]NO INTERLOCKYEs NO YES R NO
8❑ LRIIVERS STATE WA SEX'F MM DAY' 07 1- 31 - 2000 2 32
CENSE 9 ON DUTY❑ STATUS AIRBAG 2 RESTR 4 EJECT 1 HELMET
2 CLASS 1 NATURE OF INJURIES z❑
3
10 9❑ PI ATE 14 894DBG STATE IN VIN#' JM1GL1VM2M1604415
TRAILER STATE TRAILER STATE
11 3 5 PLATE# PLATE# FROM TO
TRLR. TRLR. 3 5 33
12 3 5 VIN#' VIN#
>; FROM TO
VEH.YEAR MAKE MODEL STYLE VEHICLE TOWED TO BLIN TOWED BY GOVT.VEHICLE
DAMAGE YES NO 7 $ 34
13 2 2021 MAID 6 SD YES❑ NO✓
REGISTERED OWNER INFO OWNEDBYDRIVER VEHICLE NO. 1
❑
14 LIABILITY INSURANCE INSURANCE CO PROGRESSIVE
IN DAMAGED AREA 35E 980874657 4
IN EFFECT &POLICY# 9TOP
Ela.e CHARGE 5 36
LvECALHLv res❑NO❑ CITATION# 1 o BOTTOM
15❑ STANDING 8 6
MOTOR PEDAL- PEDESTRIAN PROPERTY DAM THR OLD MET PHONE
UNIT 02 VEHICLE ❑ CYCLE ❑ ❑ OWNER [:]EA.
YES 1/ NO D:9164688879
16 a
LAST NAME TAYLOR FIRST NAME DYLAN MIDDLE I M
INITIAL
17❑ STREET ❑', 22911 SE 271 ST PL CITY' MAPLE VALLEY ST WA ZIP 98038 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 LDI IVER # STATE WA SEX M M D.C.B. 02 _ 11 1985 39
HELMET I INJURY NATURE OF INJURIES 40
20❑ ON DUTY STATUS AIRBAG,2 RESTR 1 EJECT 3 USE 5 CLASS 5 BROKEN RIBS
21❑ LICENSE 5J7975 TATe WA VINI JKA2JCCR16JA007265
❑ 41
PLATE#
42
22❑ PLATILER E# STATE PLATE# STATE
23❑ 43
TRLR RLR
VIN#. IN#.
rowed ev Gov HI 44
VEH YEAR 2018 MAKE KAWK MODEL ZX1000 STYLE MC DAMAGE TOWED✓ NOO BLIN GENEMEYERS TOWING YES NOn
24❑ REGISTERED OWNER INFO OWNED SY DRIVER VEHICLE N0.2
SHADEDAMAGEDAREA
3 4
LIABILITY
INSURANCE I PORGY#E CO pROGRESSIVE 974498264IN STOP 5
VEwcLE ❑ ,J CITATION# CHARGE
LEGALLY YES Nu
' 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. EF71845
COLLISION REPORT III III III III III 111
1591972 CASE# 25-2023
ADDITIONAL PERSONS INVOLVED PASSENGERS AND/(OR WITNESSES ONLY)
NAME MIDDLE INITIAL) PAGE JANESSA T
(LAST FIRST,
ADDRESS&PHONE# D O.B.
17735 105TH PL SE RENTON WA 980558455 SEX F MMDOYyry 08 - 08 - 2006
PASSENGER Z WITNESS UNIT# 1 POS USE 2 CLASS
'I 3 AIRBAG 2 RESTR. 4 EJECT ? 1 HELMET NATURE OF INJURIES
'1
NAME
(LAST,FIRST,MIDDLE INITIAL)
ADDRESS&PHONE# DOB
SEX MMDDYVYV
PASSENGER ❑WITNESS UNIT# SEAT AIRBAG RESTR. EJECT HELMET NJURY NATURE OF INJURIES
POS. USE CLASS
NAME
(LAST FIR57 MIDDLE INITIAL)
AppRESS&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 03-04-25 03:34 PM
INVESTIGATING OFFICER'S SIGNATURE UNIT OR DIST DET DATED PLACE SIGNED
APPROVED BY DATE
M.LEVERTON 2517 1 31712025 2:33:07 PM
BADGE OR ID# 12007 OR]#` WA0171300 TIME POLICE DISPATCHED 12:26 PM TIME POLICE ARRIVED',12:28 pM
PART I PAGE IT]OF 4�
REPORT NO. EF71845 CASE# 25-2023 OF COLLISION
03/04/25 12:25
OF CbLLI510N
NARRATIVE
On March 4, 2025, at approximately 1225 hours, I was dispatched to a vehicle collision with reports of
injury at the intersection of SE Carr Rd and 105th PI SE, within the City Limits of Renton, County of
King, State of Washington.
Upon my arrival, I observed heavy mechanism to the involved motorcycle. The rider was complaining
of possible broken ribs. The Renton Regional Fire Authority (RRFA) responded to the scene for
evaluation. 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 prior to the collision she was traveling westbound in about the 10500
block of SE Carr RD approaching the intersection of 105th PI SE. The driver of Unit 1 had pulled into
the left-turn lane and slowed to yield to oncoming traffic. The driver of Unit 1 stated she intended to
turn southbound onto 105th PI SE. The driver stated that eastbound traffic in lane 2 of 2 created an
opening for her to traverse across. She proceeded through the opening but did not see Unit 2
traveling in the number 1 eastbound lane. Both vehicles collided in the lane 1 of 1 causing significant
damage to the front passenger side fender and front bumper of Unit 1.
The driver of Unit 2 said he was traveling eastbound in about the 10500 block of SE Carr Rd
approaching the intersection of 105th PI SE in lane 1 of 2. The driver of Unit 2 stated he was
intending to continue east. The driver of Unit 2 stated as he continued going straight ahead through
the intersection, they saw Unit 1 turn in front of his vehicle. The driver of Unit 2 was unable to avoid
the collision and both vehicles collided causing significant damage to the front of Unit 2.
The driver of Unit 2 was transported via ambulance to Valley Medical Center (VMC) Emergency
Room for further evaluation.
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 (Smith) 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.
Unit 2 had to be towed due to extensive damage cause. An exchange of information was provided to
all involved parties.
No citation. Information only.
I certify (declare) under penalty of perjury under the laws of the State of Washington that the
foregoing is true and correct.
C. Catalan 03/07/2025 Renton
PAGE 3 OF 4
REPORT NO. EF71845 CASE# ' 25-2023 DATE AND TIME 03/04/25 12:25
OF COLLISION
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