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HomeMy WebLinkAbout24-10935 ITFF' "POLCERA II I !�� I III I III I IIII III II I . 1 27c COLLISION REP FIT 1591971 CASE 24-10935 z INTERSTATE ❑ CITY STREET FIRE ❑RESULTED 1 STOLEN STATE ROUTE ❑ OTHER ❑ VFHIr.I F ❑ LOCAL AOENC 4Y00 3 HIT&RUN CODING COUNTY RD PRIVATE WAY INVOLVED 2 1 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' 10 - 1-- 2024 1926 17 ❑.❑ S 8 W e IN e 1070 3 4❑ ON (PRIMARY TRAFFIC WAY) INTERSECTION ❑✓ NON INTERSECTION ❑ MAPLE VALLEY HWY BLOCK NO. e✓ 1820 ❑ 4a❑ MILEPOST DISTANCE OF(REFERENCE OR CROSS STREET) 5❑ �.❑ FEET e S ❑ VV e PARKING LOT 0 1 29 MOTOR PEDAL- DAMAGE THRESHOLD MET PHONE UNIT 01 VEHICLE ❑ CYCLE El �/No D:4254663030 0 4 30 6❑ LAST NAME SHIM FIRSTNAME SO MIDDLE E 1 1 2 31 INITIAL STREET ❑✓ 2007 REDMOND AVE SE CITY RENTON ST WA Zjp, 98056 z NEW ADDRESS 7❑ CDL IGNITION REQUIRED IGNITION : PRESENT MEDICAL TRANSPORTED 3 iNTERLOCKYEs NO 1/ INTERLOCKYEs NO�/ YEs No�/ 8❑ LDRIVER # STATE WA SEX'F MMDDYY 07 - 15 - 2002 1 2 32 9 ON DUTY❑ STATUS AIRBAG 2 RESTR 4 EJECT 1 H USE 2 CLASS 1 NATURE OF INJURIES z❑ 3 LICENSE CGS8169 sTArI WAurN# 4S3GTAV69P3718874 10❑ PI ATE 14 TRAILER STATE TRAILER STATE 11 0 0 PLATE# PLATE# ROM ro TRLR. TRLR 3 7 33 12 0 0 VIN#' VIN# :: FROM TO VEH.YEAR MAKE MODEL STYLE VEHICLE TOWED TO BLIN TOWED BY GOVT.VEHICLE 5 7 34 13 3 2023 SUBA IMPREZ DAMAGE YES NO YES[:] No✓ REGISTERED OWNER INFO HYON KIM 450 CENTRAL WAY UNIT 1505A KIRKLAND WA 98033 VEHICLE NO. 1 ❑ SHADE IN DAMAGED AREA 35 14 LIABILITY INSURANCE INSURANCE CO STATE FARM 5430177A2147A 3 4 IN EFFECT &POLICY# 9TOP VEHICLe 5 36 LEGALLY Yes❑NO❑ CITATION# CHARGE 10 BOTTOM 15❑ STANDING MOTOR PEDAL- PEDESTRIAN PROPERTY DAM THR OLD MET PHONE UNIT VEHICLE ❑ CYCLE ❑ ❑ : OWNER ❑ YES NO ,/ D:2063994876 16 a LAST NAME LAU FIRST NAME MING MIDDLE I C INITIAL 17 STREET I13TH AVE SE CITY KENT ST WA ZIP 980305059 4❑ 37 NEW ADOREs�' 25029 1 18� CDL IGNITION REQUIRED IGNITION PR-E-1SENT MEDICAL-T�RANSPORTED 38 INTERLOCKYES�NO� INTERLOCK YEs It I NOF YES t l NOF,/ 19 DRIVER # ❑ ON DUTY STATUS AIRBAG 2 RESTR 4 EJECT 1 H U EET 2 NJAURSY 1 NATURE OF INJURIES ❑ 40 ❑ILICENSE 21❑ PLA E# BA63472 TArE WA VIN# 41 2HKRM4H54GH601699 1 42 22❑ PLATE# STATE PLATE# STATE 23❑ UIN#. 43 TRLR RLR 'IN#. VEH YEAR 2016 MAKE HOND MODEL CRV STYLE 5D VEHICLETOWED TO BLIN TOWEDBY GOV HI 44 24❑ DAMAGE YES NO YES NO REGISTERED OWNER INFO MING LAU 25029113TH AVE SE KENT WA 980305059 D:2063994876 VEHICLE NO.2 SHADEDAMAGEDAREA 3 4 LIABILITY INSURANCE INSU&PORGY#E CO STATE FARM 0445061EI8471IN STOP 5 VEwCLE ❑ ,J� CITATION# CHARGE 25 io BOTTOM LEGALLY YES N J ' a =TURNER NAME(PRINT) OFFICER PHONE BADGE OR ID# AGENCY J 26 12650 WA0171300 PART A PAGE 01 OF C7 3000-345-159 OR 11/181 STATE OF POLICETRAFFICN CORRECTION REPORT NO. EF27829 COLLISION REPORT III III III III III 111 1591972 CASE# 24-10935 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. JASON TURNER 10-22-24 03:38 PM NVESTIGATING OFFICER'S SIGNATURE UNIT OR DIST DET DATED PLACE SIGNED APPROVED BY DATE J.CHRISTIANSEN 10437 1 1012312024 7:57:23 PM BADGE OR ID# 12650 ORI# WA0171300 TIME POLICE DISPATCHED 7:28 Pry TIME POLICE ARRIVED',7:35 PM PART I PAGE IT]OF 4� REPORT NO. EF27829 CASE# 24-10935 OF COLLISION 10/20/24 19:26 OF CbLLI510N NARRATIVE Unit 1 was driving westbound on Maple Valley HWY in the #2 lane approaching a redlight at the 1800 block of Maple Valley Hwy. Unit 1 stated that they were pretty certain they had a green light and proceeded through the intersection. While proceeding through the intersection Unit 2 was making a left turn to proceed northbound into the parking lot of 1800 Maple Valley HWY. Unit 1 stated that Unit 2 collided with them striking the driver's side door panel of the vehicle. Unit 1 reported no injuries and the vehicle was able to drive under it's own power. The vehicle had significant damage to the driver's side door. Unit 2 stated that they were attempting to make left turn to proceed northbound at the 1800 block of Maple Valley HWY. Unit 2 stated that they had a solid green arrow while oncoming traffic had a solid red light. Unit 2 proceeded to make their turn when Unit 1 ran through the red light proceeding westbound on Maple Valley HWY.Unit 1 drove directly into the path of Unit 2's turn and caused the vehicle's to collide. Unit 2 had minor damage to the front end of the vehicle and no injuries were reported. Unit 2 was able to drive under it's own power. Both vehicles had dash cameras but I was unable to review footage from either vehicle. Unit 1 stated that the dash camera came unplugged during the collision. Unit 2 stated that they may have footage but had no way of reviewing it a the time. There is no further information at this time. I declare under penalty of perjury under the laws of the State of Washington that the foregoing is true and correct. Electronically signed by J. Turner 12650 on 10/22/2024 at 1537 hours. PAGE 3 OF 4 REPORT NO. EF27829 CASE# ' 24-10935 DATE AND TIME 10/20/24 19:26 OF COLLISION %a ti. S t PAGE 4 OF 4