HomeMy WebLinkAbout24-11346 ITFF' "POLCERA II I !�� I III I III I IIII III II I . 6 27c
COLLISION REP FIT 1591971
CASE 24-11346 z
INTERSTATE ❑ CITY STREET FIRE ❑RESULTED
1 STOLEN
STATE ROUTE ❑ OTHER ❑ VFHICI F ❑ LOCAL AOENC 4Y00 3
HIT&RUN CODING
COUNTY RD PRIVATE WAY INVOLVED
2 3 TOTAL#OF OBJECT 1 1 8 28
TRIBAL UNITS 02 STRUCK
RESERVATION
z
3❑ DATE OF M M D D Y Y Y Y TIME(2400) COUNTY# MILES N E IN CITY#
COLLISION.. 11 - 01 - 2024 0859 17 �. S 8 W H OF e 1070 3
4❑ ON (PRIMARY TRAFFIC WAY) INTERSECTION ❑✓ NON INTERSECTION ❑
BLOCK NO. e✓ --- ----� ❑
DAMS AVE S MILEPOST
4a❑
DISTANCE OF(REFERENCE OR CROSS STREET)
5❑ ❑ FEET e S ❑ W e S 45TH PL
0 1 29
MOTOR PEDAL- DAMAGE THRESHOLD MET PHONE
UNIT 01 VEHICLE ❑ CYCLE El
✓NO D:2066050065 1 4 30
6 LAST NAME OGANS FIRST NAME SAVANNAH R. MIDDLE 1 2 31
INITIAL
STREET ❑ 4600 DAVIS AVE S#GG102 CITY RENTON ST WA 2jp, 98059 z
NEW ADDRESS
7❑ CDL IGNITION REQUIRED IGNITION PRESENT MEDICAL TRANSPORTED 3
iNTERLOCKYEs NO INTERLOCKYEs NO YES R NO
8❑ LDRIVER # STATE NV SEX'F MID
IF B 04 — 23 — 1987 32
9 ON DUTY❑ STATUS AIRBAG 2 RESTR 4 EJECT 1 H USEET 2 INJURY CLASS 1 NATURE OF INJURIES 2❑
3
10❑ P1 ATNES# 5362GK sTAT WAv N# 4JGAB54E3XA122837
TRAILER STATE TRAILER STATE
11 2 5 PLATE# PLATE# FROM TO
TRLR. A'RLR. 1 5 33
12 0 0 VIN#j VIN#
9OM TO
�34
VEH.YEAR 1 999 MAKE MERZ MODEL ML320 STYLE VEHICLE TOWED TO BLIN TOWED BY GOVT.VEHICLE
13 2 DAMAGE YES NO YES[:] NO✓
REGISTERED OWNER INFO PAUL MITCHELL 151512TH AVE S APT 201 SEATTLE WA 98144 VEHICLE NO. 1 ❑
SHADE IN DAMAGED AREA 35
14❑ LIABILITY INSURANCE❑ INSURANCE CO <53 4
IN EFFECT &POLICY# TOPVEHicLE CHARGE 36
LEGALL'YYEs❑NO CITATION# OTTOM
15❑ STANDING 6
MOTOR PEDAL- PEDESTRIAN PROPERTY DAM THR OLD MET PHONE
UNIT VEHICLE ❑ CYCLE ❑ ❑ OWNER ❑ YES 1/ NO D:2535795517
16❑
LAST NAME MILLEN-SPARKS FIRST NAME RICKEY MIDDLE A
INITIAL
17❑ STREET ❑', 811 HYAK WAY CITY FOX ISLAND ST WA ZIP 983339611 37
NEW ADDRESS ❑
18� CDL IGNITION REQUIRED IGNITION PR—E-1SENT MEDICAL TRANSPORTED ❑ 38
INTERLOCKYES�NOR INTERLOCK YEs It I NOF YES t t— l NO❑
19 DRIVER'S STATE WA SEX M D.C.B. O6 _ 03 _ 1996 0 39
LICENSE# MMDDYY
HELMET INJURY NATURE OF INJURIES 40
20❑ ON DUTY STATUS' AIRBAG 9 RESTR 9 EJECT ''9 USE 9 0
CLASS ❑
21❑ LICENSE A7791454 TATe WA vIN1i 2C4RC1CG7NR229690
❑ 41
PLATE#
42
22❑ PILER LATE# STATE pLATE# STATE
23❑ VIN#. 43
TRLR RLR
'IN#.
VEH YEAR 2022 MAKE CHRY MODEL VOYAGE STYLE VN VEHICLETOWED TO BLIN TOWEDBY GOV HI 44
L4❑ DAMAGE YES NO YES NO
REGISTERED OWNER INFO RICKEY MILLEN-SPARKS 811 HYAK WAY FOX ISLAND WA 983339611 D:2535795517 VEHICLE NO.2
SHADE IN DAMAGEbAREA
2 3 Cd
INAEFFIECTTY NSURANCE❑ &POINSULICY#E CO I 9TOP
'E""LE ❑ N`L J
,J� CITATION# CHARGE
LEG
25 i o BOTTOM
ALLY YES $ '
7CA
NAME(PRINT) OFFICER PHONE BADGE OR ID# 777T�NCY
26LAN 12007 0171300
PART A PAGE 01 OF
3000-345-159 OR 11/181
STATE OF
POLICETRAFFICN CORRECTION REPORT NO. EF37920
COLLISION REPORT III III III III III 111
1591972 CASE# 24-11346
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 11-05-24 04:09 PM
INVESTIGATING OFFICER'S SIGNATURE UNIT OR DIST DET DATED PLACE SIGNED
APPROVED BY DATE
C.JACOBS 1953 1112112024 7:28:36 AM
BADGE OR ID# 1Y007 ORI# WA0171300 TIME POLICE DISPATCHED 9:01 AM TIME POLICE ARRIVED',9:13 AM
PART I PAGE IT]OF 4�
DATE AND
REPORT NO. EF37920 CASE# 24-11346 OFCOLISION 11101/2408:59
OF COLLISION
NARRATIVE
On November 01, 2024, at approximately 0859 hours, I was dispatched to a two-vehicle collision at
the intersection at David Ave S and S 45th PI, within the City Limits of Renton, County of King, State
of Washington.
Upon arrival, I contacted the involved parties. While on scene, I collected the involved parties driving
documents and their independent recollection of events leading up to the collision.
The driver of Unit#1 said she was the sole occupant of his vehicle and was traveling southbound in
about the 4400 block of Davis Ave S just north of the intersection of S 45th PL. The driver of Unit#1
stated she was traveling southbound when her vehicle's steering wheel began to wobble. She
believed she was about to lose control of her vehicle, so she decided to turn right and drive towards a
open clear area. In doing so, she struck a parked vehicle.
The driver of Unit#1 stated that she simply was unable to control her vehicle, causing moderate
damage to the front of Unit#1 and Unit 2.
The driver of Unit#2 said his vehicle was unattended and unoccupied at the time of the collision. He
also mentioned that he would prefer to handle the collision civilly without the use of insurance.
Due to the collision, Unit 1 became undriveable. It sustained severe damage to the passenger side
wheel. The driver of unit 1 called AAA Towing and removed the vehicle without police assistance.
An exchange of information was provided to all involved parties.
PAGE 3 OF 4
REPORT NO. EF37920 CASE# ' 24-11346 DATE AND TIME 11/01/24 08:59
OF COLLISION
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