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HomeMy WebLinkAbout24-11051 a ITFFi "POLCERA II IfI) 1 IlfII ('II (Illf If( fI I . 0 27c
COLLISION REP FIT 1591971
CASE 24-11051 z
INTERSTATE ❑ CITY STREET FIRE ❑RESULTED
1 STOLEN
STATE ROUTE ❑ OTHER ❑ VFHICI F ❑ LOCAL AGENC 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 1742 17 ❑-= S 8 IN e 1070 3
4❑ ON (PRIMARY TRAFFIC WAY) INTERSECTION ❑✓ NON INTERSECTION ❑
NORTH 3RD STREET BLOCK NO. e✓ 1000 ❑
4a❑ MILEPOST
DISTANCE OF(REFERENCE OR CROSS STREET)
5❑ ❑ FEET e S ❑ W e PELLYAVENUE NORTH
0 1 29
MOTOR PEDAL- DAMAGE THRESHOLD MET PHONE
UNIT 01 VEHICLE ❑ CYCLE El
✓NO D:2063906097 N:2063906097 o 11 30
6� LAST NAME ROSS FIRSTNAME CEDRIC MIDDLE R 1 1 2 31
INITIAL
STREET ❑1 3252 S FERDINAND ST CITY SEATTLE ST WA ZIP 981181732 z
NEW ADDRESS
7❑ CDL IGNITION REQUIRED IGNITION PRESENT MEDICAL TRANSPORTED 3
iNTERLOCKYEs NO INTERLOCKYEs NO YES NO
LRIIVER # STATE WA SEX'M MI MIT Y
8❑ ' 05 - 12 - 1967 1 2 32
9 ON DUTY❑ STATUS AIRBAG 2 RESTR 4 EJECT 1 H USEET ICNLJAURY 1 NATURE OF INJURIES z❑
3
10 9❑ P1 aT�S� BLZ7790 sTArI WAvIN# JTMDJREV4HD096291
TRAILER STATE TRAILER STATE
11 2 5 PLATE# PLATE# FROM TO
FTRL-R TPILF1 1 5 33
12 2 5 VIN#j VIN#
FROM TO
VEH.YEAR MAKE MODEL STYLE VEHICLE TOWED TO BLIN T /g[ GOVT.VEHICLE 7 3 34
13 2017 TOYT RAV4 SV DAMAGE YES NO � '` RS YES❑ No✓
REGISTERED OWNER INFO CEDR/C ROSS 3252 S FERDINAND ST SEATTLE WA 98118 D:2063906097 N:2063906097 VEHICLE NO. 1 ❑
SHADE IN DAMAGED AREA 35
14 LIABILI INSURANCE INSURANCE CO GEICO 4270646443 4
IN EFFECT &POLICY# 9TOP
15❑ Le
vEcnELv Hla.e 5 36
res❑NO❑ CITATION# W24011675 CHARGE FAIL STOP AT STOP BOTTOM
STANDING 8 7 6
MOTOR PEDAL- PEDESTRIAN PROPERTY DAM THR OLD MET PHONE
UNIT VEHICLE ❑ CYCLE ❑ ❑ OWNER ❑ YES 1/ NO D:4
16 a 258302521
LAST NAME DE JESUS C FIRST NAME JOSIAS MIDDLE I A
INITIAL
17❑ STREET ❑', 1033 SUNSET BLVD NE APT 5 CITY RENTON ST WA ZIP 980562994 37
NEW ADDRESS ❑
18� CDL IGNITION REQUIRED IGNITION PtR-E-S1ENT MEDICALt-T�RANSPORTED ❑ 38
INTERLOCK YEs❑NOR INTERLOCK YEs I I NoF YES t l NO❑
19 LICENSE# STATE WA SEX M M .C... 01 11 1985 El 39
HELMET I INJURY NATURE OF INJURIES 40
20❑ ON DUTY STATUS AIRBAG 2 RESTR 4 EJECT 1 USE CLASS 1 ❑
21❑ LICENSE I C56660E TAre WA vIN1t 1FTRF12276NA97655
❑ 41
PLATE#
42
22❑ PILER LATE# STATE PLATE# STATE
23❑ 43
TRLR RLR
UIN#. 'IN#.
TOWED BY Gov HI 44
VEH YEAR 2006 MAKE FORD MODEL F150 STYLE PK DAMAGE TOWED NOO✓ BLIN YES NO
24❑ REGISTERED OWNER INFO OWNED SY DRIVER VEHICLE N0.2
SHADE IN DAMAGED AREA
2 3 4
LIABILITY INSURANCE❑ INSURANCE CO
IN EFFECT &POLICY# 9TOP 5
VLEFGALLYHICLF vES❑ NEI CITATION# W24011674 CHARGE OP MOT VEH W/OUT INSURANCE ,o BOTTOM
25 ' a
=UGENT
(PRINT) OFFICER PHONE BADGE OR ID# TENCY
26 11498 A0171300
PART A PAGE 01 OF
3000-345-159 OR 11/181
STATE OF
POLICETRAFFICN CORRECTION REPORT NO. EF31934
COLLISION REPORT III III III III III 111
1591972 CASE# 24-11051
ADDITIONAL PERSONS INVOLVED PASSENGERS AND/OR WITNESSES ONLY)
NAME MIDDLE INITIAL) CAFFEE CALVIN C
(LAST FIRST,
ADDRESS&PHONE# D O.B. '
121 WELLS AVENUE NORTH RENTON WA 98057 4259884775 SEX M MMDovyry 11 - 24 - 2010
PASSENGER WITNESS UNIT# SEAT AIRBAG RESTR. EJECT ' HELMET INJURY NATURE OF INJURIES
❑✓ 1 POS. 7 2 4 1 USE CLASS 1
NAME
(LAST,FIRST,MIDDLE INITIAL) ROSS JAMARI N
ADDRESS&PHONE# D O B
3252 S FERDINAND ST RENTON WA 98118 2063906097 SEX I M MMDDvvvv 07 _ 16 _ 2011
SEAT HELMET INJURY NATURE OF INJURIES
PASSENGER WITNESS UNIT# 1 POS 9 AIRBAG 2 RESTR. 4 EJECT 1 USE CLASS 1
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.
MATTHEW NUGENT 10-24-24 02:43 PM
INVESTIGATING OFFICER'S SIGNATURE UNIT OR DIST DET DATED PLACE SIGNED
APPROVED BY DATE
C.JACOBS 1953 1 111412024 1:45:06 PM
BADGE OR ID# 11498 ORI# WA0171300 TIME POLICE DISPATCHED 5:48 PM TIME POLICE ARRIVED]5:54 PM
PART I PAGE IT]OF 4]
REPORT NO. EF31934 CASE# 24-11051 OF COLLISION
10/23/24 17:42
OF CbLLI510N
NARRATIVE
24-11051
On 10/23/2024 at approximately 1748 hours, I was dispatched to a blocking vehicle collision at the
intersection of North 3rd Street and Pelly Avenue North, 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 and his two juvenile passengers were traveling southbound on Pelly Ave
N and had approached the stop-sign controlled intersection of N 3rd ST. The driver of Unit#1 stated
that he was intending to continue straight across the intersection to proceed southbound on Pelly Ave
N. The driver of Unit#1 stated that he stopped at the intersection to yield to approaching traffic. The
driver of Unit#1 stated that he believed traffic was clear and proceeded across the intersection. The
driver of Unit#1 stated that he did not clear lane 1 of 3 and that Unit#2 suddenly appeared. Both Unit
#1 and Unit#2 collided in the roadway causing significant damage to the front passenger wheel
bearing, fender, and bumper of Unit#1.
The driver of Unit#2 said he was the sole occupant of his vehicle and was traveling eastbound on N
3rd ST approaching the intersection of Pelly Ave N in lane 1 of 3. The driver of Unit#2 stated he was
intending to continue straight on the one-way road through the uncontrolled intersection for his
direction of travel. The driver of Unit#2 stated that upon reaching the intersection, Unit#1 failed to
yield to his vehicle at the intersection. The driver of Unit#2 was unable to avoid the collision and
subsequently collided into Unit#1 causing moderate damage to the front of Unit#2.
Based on the above statements, 1 determined that the Driver of Unit#1 (Ross) is the proximate cause
for the cause of collision as Ross did not grant the right of way to traffic already in the roadway and
underway. Ross violated RCW 46.61.190(2) as every driver of a vehicle approaching an intersecting
roadway shall stop where the driver has a view of approaching traffic on the intersecting roadway
before entering the roadway, and after having stopped shall yield the right-of-way to any vehicle in
the intersection or approaching on another roadway so closely as to constitute an immediate hazard
during the time when such driver is moving across or within the intersection or junction of roadways.
I issued Ross a written warning in-person for Failing to Stop/Yield at an intersection causing a
collision.
Unit#1 had to be towed due to extensive damage. Unit#2 was able to be driven away from the scene
without further incident. An exchange of information was provided to all involved parties.
I certify (or declare) under penalty of perjury under the laws of the State of Washington that the
foregoing is true and correct.
Electronically signed by Officer M. NUGENT#11498 2:36 PM 10/24/2024 Renton, King County,
WA.
PAGE 3 OF 4
REPORT NO. EF31934 CASE# ' 24-11051 DATE AND TIME 10/23/24 17:42
OF COLLISION
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