HomeMy WebLinkAbout24-11410 a ITFFi "POLCERA II IfI) 1 IlfII ('II (Illf If( fI I . 4 27c
COLLISION REP FIT 1591971
CASE 24-11410 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 2 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 11 - 1-- 2024 1132 17 ❑.= S 8 IN e 1070 3
4❑ ON (PRIMARY TRAFFIC WAY) INTERSECTION ❑ NON INTERSECTION ❑✓
S 43RD STREET BLOCK NO. e
4a❑ MILEPOST
DISTANCE OF(REFERENCE OR CROSS STREET)
5❑ 40 00 FEET MILES e S ❑ W e TALBOT ROAD S
0 1 29
MOTOR PEDAL- DAMAGE THRESHOLD MET PHONE
UNIT 01 VEHICLE ❑ CYCLE El
✓NO D:2067783022 0 7 30
6� LAST NAME TODAVCHYCH FIRSTNAME VALERIY MIDDLE 1 2 31
INITIAL
STREET ❑ 27556 212TH PL SE CITY MAPLE VALLEY WA
NEW ADDRESS ST 2jp', 96038 2
7❑ CDL IGNITION REQUIRED IGNITION PRESENT MEDICAL TRANSPORTED 3
1/ I iNTERLOCKYEs NO NTERLOCKYEs NO�/ YES R No�/
8❑ LRIIVERS STATE WA SEXI M MM DAY' 08 1- 08 - 2002 2 32
CENSE 9 ON DUTY❑ STATUS AIRBAG 3 RESTR 4 EJECT 1 H USE 2 1 CLASS NATURE OF INJURIES z❑
3
10 1❑ PICENS11 ATE 14 CAZ1655 STATE WA vN# WAUBFAFL2CN009513
TRAILER STATE TRAILER STATE
11 3 5 PLATE# PLATE# FROM ro
TRLR. TRLR. 3 7 33
12 3 5 VIN#j VIN#'
:: FROM TO
❑ VEH.YEAR 2012 AUDI A4 4D MAKE MODEL STYLE VEHICLE TOWED TO BLIN T /g[ GOVT.VEHICLE 9 9 34
13 4 DAMAGE YES NOBS TOWING YES❑ No✓
REGISTERED OWNER INFO OWNEDBYDRIVER VEHICLE NO. 1
SHADE IN DAMAGED AREA ❑ 35
14 LIABILI INSURANCE INSURANCE CO SAFECO H2564667 4
IN EFFECT &POLICY# TOPVEHICLE CHARGE 36
LEGALLY YES❑NO❑ CITATION# <1�3
OTTOM
15❑ STANDING 7 6
MOTOR PEDAL- PEDESTRIAN PROPERTY DAM THR OLD MET PHONE
UNIT VEHICLE ❑ CYCLE ❑ ❑ OWNER ❑ YES 1/ NO D:2533260610
16 a
LAST NAME DHAMI FIRST NAME MALKIAT MIDDLE IS
INITIAL
17❑ NEW STREETR 14700 S
7 E PETROVITSKY RD F204 CITY RENTON ST WA ZIP 98058 4❑ 37
18❑ CDL IGNITION REQUIRED IGNITION PtR-E-S1ENT MEDICAL-T�RANSPORTED � 38
INTERLOCK YEs❑No� INTERLOCK YEs I I NOF YES
t l NO
�
19 S STATE WA SEX M D. 02 _ 25 _ 1977 39
DRIVER'
LICENSE# MMDC7YY
20❑ ON DUTY STATUS AIRBAG 2 RESTR 4 EJECT 1 H U EET 2 NJAU EY 1 NATURE OF INJURIES 40
❑21❑ PLATE# CNS4274 TATE 41
WA VIN# 7FARS6H88SE016342 1
42
22❑ PLATE# STATE PLATE# STATE
23❑ VIN#. 43
TRLR RLR
'IN#.
TOWED BY Gov HI 44
VEH YEAR 2025 MAKE HOND MODEL CRV STYLE (/T —FEHICLE
TOWED✓ NOO BLIN BANKERS TOWING YES No�/
24❑ REGISTERED OWNER INFO OWNED SY DRIVER VEHICLE N0.2
SHADE IN DAMAGEbAREA
2 3 Cd
LIABILITY INSURANCE INSU&PORGY#E CO AMERICAN FAMILY CONNECT BX12814199 I STOP
IN EFFECT
VEHICLE N
,.I it CITATION# CHARGE to BOTTOM
LEGALLY YES[:]
25 $
OFFICER'S NAME(PRINT) OFFICER PHONE BADGE OR ID# AGENCY
J
26
PAUL BUDROW 13153 WA0171300
PAGE 01 OF
PART A
3000-345-159 OR 11/181
STATE OF
POLICETRAFFICN CORRECTION REPORT NO. EF35113
COLLISION REPORT III III III III III 111
1591972 CASE# 24-11410
ADDITIONAL PERSONS INVOLVED PASSENGERS AND/OR WITNESSES ONLY)
NAME MIDDLE INITIAL) TODAVCHYCH MARK
(LAST FIRST,
ADDRESS&PHONE#
27556 212TH PL SE MAPLE VALLEY WA 98038 2066938539 SEX M MMDoyyvv 06 - 25 - 2005
PASSENGER WITNESS UNIT# SEAT AIRBAG RESTR. EJECT ' HELMET INJURY NATURE OF INJURIES
✓❑ ❑ 1 POS. ( 3 3 2 1 USE 2 CLASS 1
NAME
(LAST,FIRST,MIDDLE INITIAL) KAUR JASPREET
ADDRESS&PHONE# D O B
14700 SE PETROVISKY RD F204 RENTON WA 98058 2533260610 SEX' F MMDDvvvv 12 _ 03 _ 1979
SEAT HELMET INJURY NATURE OF INJURIES
PASSENGER �WITNESS❑ UNIT# 2 POS 3 AIRBAG 2 RESTR. 4 EJECT 1 USE 2 CLASS 1
NAME
(LAST FIR57 MIDDLE INITIAL)
AppRESS&PHONE#
SEX D.O.B.MMDD -❑
YYYY.
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.
PAUL BUDROW 11-03-24 03:01 PM
INVESTIGATING OFFICER'S SIGNATURE UNIT OR DIST DET DATED PLACE SIGNED
APPROVED BY DATE
K.LANE 10008 1 1111312024 10:52:12 AM
BADGE OR ID# 13153 ORI# WA0171300 TIME POLICE DISPATCHED 11:32 AM TIME POLICE ARRIVED 11:35 AM
PART I PAGE IT]OF 4�
REPORT NO. EF35113 CASE# 24-11410 OF COLLISION
11/03/24 11:32
OF CbLLI510N
NARRATIVE
24-11410
This collision occurred in the City of Renton, County of King, and in the State of Washington.
NOTIFICATION:
On 11/03/2024 at approximately 1132 hours, I was traveling eastbound on S 43rd Street approaching
the intersection of Talbot Rd S when I observed a two-vehicle collision in the westbound lanes with an
ambulance directly behind it with its emergency lights activated. I advised Valley Comm of my
observations and arrived on scene at approximately 1135 hours.
VEHICLES / PARTIES INVOLVED:
When I arrived, I observed Unit-1, (white Audi A4 /WA CAZ1655), collided up against the rear end
of Unit-2, (white Honda CR-V/WA CNS4274). All parties had already exited their vehicles.
I contacted both drivers involved. Party -1 was identified by his DOL photo as Valeriy Todavchych.
Party-2 was identified by his DOL photo as Malkiat Dhami. All parties involved were asked about
injuries. All parties stated that they did not sustain any injuries.
Based upon the damages to both vehicles and that one had airbag deployment, I requested Renton
Fire and two impounds/Tow trucks to respond. Bankers Towing handled the towing of both vehicles.
SUMMARY:
Party-2 stated that he was stopped for stopped traffic in the #3 lane of westbound 43rd Street S just
west of Talbot Rd S. Party-1 stated that he was stopped in the #2 lane at the red light at the
intersection of S 43rd Street just east of Talbot Rd S. The red light changed to green and Party-1
began to drive Unit-1 westbound through the intersection as the #2 lane became the #3 lane. Party-1
picked up his cell phone and looked down at it, taking his eyes off traffic ahead of him. Party-1 stated
that he did not realize that traffic remained stopped, ahead of him. He looked up and observed Unit-
2. Party-1 applied Unit-1's brakes and failed to stop and collided into the rear end of Unit-2. The
collision caused moderate damages to the front end of Unit-1 and to the rear of Unit-2.
CONCLUSION:
I was lead to believe that the approximate cause of this collision was Party-1's driving of Unit-1 while
being distracted by his cellphone.
PAGE 3 OF 4
REPORT NO. EF35113 CASE# ' 24-11410 DATE AND TIME 11/03/24 11:32
OF COLLISION
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PAGE 4 OF 4
