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Q 27c REPORT NO EF35243OLCERA COLLISION REPORT 1591971 CASE# 24-11695 2 INTERSTATE CITY STREET FIRE I RESULTED STOLENSTATE ROUTE OTHER VEHICLE LOCAI-A`NG 4200 3 HIT&RUN CODING COUNTY RD PRIVATE WAY ❑ INVOLVED 2 TOTAL#OF OBJECT 1 s 28 TRIBAL UNITS 02 STRUCK RESERVATION : 1 1 2 3� M M D D Y Y Y Y TIME(2400) COUNTY# MILES CITY# DATE OF N E IN cDLLISION' 11 - 11 - 2024 1201 17 �.�� S W e OF 1070 3 4❑ ON (PRIMARY TRAFFIC WAY) INTERSECTION ❑ NON INTERSECTION ❑✓ 108TH AVE SE BLOCK NO. e 17800 .� 4a❑ MILE POST DISTANCE OF(REFERENCE OR CROSS STREET) 5❑ 687 00 EET FEET e✓ S 8 W e SE 180TH STR OF 3 29 MOTOR ✓ PEDAL- DAM AG THRESHOLD MET PHONE UNIT 01 VEHICLE ❑ CYCLE ❑ YEs Vl No D:3604699790 0 1 30 5 LAST NAME KAVAEFIAFI FIRST NAME EKIAKI MIDDLE T 1 1 2 31 INITIAL STREET ❑ 16629105THAVESE CITY; RENTON ST WA ZIP; 98055 2 NEW ADDRESS 7 CDL IGN(TIUN REQUIRED IGNITION PRESENT MEDICAL TRANSPORTED 3 INTERLOCK YEs No INTERLOCKVEs NO YES NO 8 DRIVER # STATE WA SEXI F MMDDYY' 10 - 03 - 2003 1 2 32 9 ON DUTY❑ STATUS' AIRBAG 2 RESTR 4 EJECT 1 N USE ET CLASSY',1 [NATURE of INJURIES 2 LICENSE, CMU0338 STATE WA VIN# 2FMDK52C49BA93936 3 10 Fq I PI ATP tt TRAILER STATE TRAILER STATE 11 0 0 PLATE# PLATE# ROM To TRLR TRLR 7 1 5 33 12 4 0 VIN#' VIN# FROM TO VEH.YEAR 2009 MAKE FORD MODEL FLEX STYLE SV VEHICLE TOWED[n TO ZBLIN TOWEDBY GOVT VEHICLE 1 5 34 13� DAMAGE YES II_II NO YESII_I) NO REGISTERED OWNER INFO EKIAKI TUPOUMALOHI 11629105TH AVE SE RENTON WA 98055 D:3 604 699 790 VEHICLE NO. 1 SHADE IN DAMAGED AREA 35 2 3 4 14 $ LIABILITY INSURANCE❑ NSURANCE CO 11 IN EFFECT &POLICY# iQ�Q 5 VEn" CHARGE 36 15 Lrn Lyc YES❑NO❑ CITATION# 4A0612168,4A0612168, FA►L YIELD PRIVATE RD MOTOR MOTOR PEDAL- PEDESTRIAN PROPERTY DAM THR OLD MET PHONE UNIT 02 VEHICLE ❑ CYCLE ❑ ❑ nWNRR vEs�/ No D:2533040905 16� LAST NAME SENNER FIRST NAME KEVIN MIDDLE W INITIAL ❑ 17 STREET ❑ 9939 GREENLEAF LOOP SE CITY YELM ST, yyq ZIP 37 985978814 NEW ADDRESS 18� IGNITION REQUIRED IGNITION PRESENT MEDICAL TRANSPORTED 38 CDL INTEt�LOCKYES ND �NTERLOC�C YES NOR YES n No 19 DRIVER'S STATE WA SEXI M D. DY 20 1993 39 LICENSE# MMDiYY 08 - HELMET INJURY: NATURE OF INJURIES 4Q 20❑ ON DUTY❑ STATUS AIRBAG 2 RESTR 4 EJECT 1 USE CLASS 1 ❑ 21 LICENSLATE E C00917Z rare WA VIN 1GB3WREY2MF261605 41 22❑ PLATE# STATE PLAAILER TE# STATE 42 23 TRLR RLR 43 UIN#. 'IN# VEH.YEAR 2021 MAKE CHEV MODEL SIlVERA STYLE pi( VEHICLE TOWED TO BLIN TOWED BY GOV HI 44 24 DAMAGE YES NO VES NO REGISTERED OWNER INFO VAN HOOF CONSTURCTION LLC 718 GRIFFIN AVE#907 ENUMCLAWWA98022 D:2533040905 VEHICLE NO.2 SHADE IN DAGED AREA 2 4 LIABILITY INSURANCE[Z INSURANCE CO MUTUAL OF ENUMCLAW BAP 0004863 08 IN EFFECT &POLICY# 9TOP vewaE ❑ ,.I—I CITATION# CHARGE to BOTTOM EEGnEEY YES N 25 a 7 e OFFICER'S NAME(PRINT) 26 OFFICER PHONE BADGE OR ID# JAGENCY MATTHEW NUGENT 11498 WA0171300 PART A PAGE 01 OF 3000-345-189(R 11/181 STATE OF POLICETRAFFICN CORRECTION REPORT NO. EF35243 COLLISION REPORT III III III III III 111 1591972 CASE# 24-11695 E NA ADDITIONAL PERSONS INVOLVED(PASSENGERS AND/OR WITNESSES ONLY) M (LAST,FIRST,MIDDLE INITIAL) KAVAEFIAFI MILIKA ADDRESS&PHONE# D� 16629 105THAVE SE RENTON WA 980555466 3604699790 SEXi F MMDDYYYY B. 05 — 23 — 1978 PASSENGER Z WITNESS UNIT# SEAT AIRBAG RESTR. EJECT HELMET INJURY NATURE OF INJURIES 1 POS. 'I 3 2 4 1 USE :CLASS :NAME (LAST EIRS7 MIDDLE INITIAL} ADDRESS R PHONE# SEX D.O.B. — MMDDYYYY PASSENGER❑WITNESS UNIT# : SEAT AIRBAG RESTR. EJECT HELMET NJURY: NATURE OF INJURIES POS. USE CLASS ----� :NAME (LOST,FIRST,MIDDLE INITIAL) ADDRESS&PHONE# SEX MMDDYY D.O.B. YY PASSENGER WITNESS UNIT# SEAT AIRBAG RESTR. EJECT HELMET INJURY NATURE OF INJURIES POS. I 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 11-11-24 04:12 PM INVESTIGATING OFFICER'S SIGNATURE UNIT OR DIST.DET DATED PLACE SIGNED APPROVED BY DATE C.JACOBS 1953 1111312024 3:39:08 PM BADGE OR ID# j 11498 ORI# WA0171300 TIME POLICE DISPATCHED'; 12:03 PM TIME POLICE ARRIVED i 12:16 PM PAST B 3 aDo-3mx—attar(t 1Mff) PAGE 2�OF REPORT NO. EF35243 CASE# 24-11695 OATS OF COLLI r�510NN + 11/11/24 12:01 L1 NARRATIVE 24-11695 On 11/11/2024 at approximately 1203 hours, I was dispatched to a blocking vehicle collision in the 17800 block of 108th Ave SE, within the City Limits of Renton, County of King, State of Washington. Upon my arrival, I confirmed there were no complaints of injury requiring immediate medical response at the time of report. While on scene, I collected each involved party's driving documents and their independent involvement leading up to the collision. The driver of Unit#1 stated she and her adult passenger were attempting to exit a private property parking lot, located at 17800 108th Ave SE, and on the west side of the roadway. The driver of Unit #1 stated that she was intending to make a right turn out of the parking lot to proceed southbound onto 108th Ave SE following the turn. The driver of Unit#1 believed all southbound traffic on 108th Ave SE was clear and therefore proceeded out into the roadway. During the turn, Unit#1 was met by another vehicle - Unit#2. The driver of Unit#1 stated that she was unable to avoid the collision after having pulled out into the roadway and that Unit#2 struck the front of Unit#1, specifically on the driver's side, causing moderate damage. The driver of Unit#1 was unable to provide a driver's license nor proof of insurance. The driver of Unit#1 was later verified via DOL photo. The driver of Unit#2 said he was the sole occupant of his company work vehicle and was traveling southbound in about the 17800 block of 108th Ave SE and lane 1 of 2. The driver of Unit#2 stated he was intending to continue south. Upon reaching the location of where Unit#1 was turning out from, Unit#2 observed Unit #1 pull out into the roadway and he attempted to swerve into the other lane of travel but was unable to avoid the collision. Both vehicles collided in the roadway and Unit#2 suffered moderate damage to the passenger side of the vehicle. Based on the above statements, I believe that the driver of Unit#1 (KAVAEFIAFI) is the proximate cause for the cause of collision as KAVAEFIAFI is required to comply with RCW 46.61.205(1) which states that every driver of a vehicle about to enter or cross a highway from a private road or driveway shall yield the right-of-way to all vehicles lawfully approaching on said highway. Unit#2 was already underway in the roadway and had right of way. A DOL records check revealed that the driver of Unit#1 (KAVAEFIAFI) was listed as `Not Licensed - Eligible'. KAVAEFIAFI violated RCW 46.20.015 by Driving without a Valid Operator's License with valid Identification. KAVAEFIAFI did not have any form of photo identification with her at the time of report. I am citing KAVAEFIAFI for NVOL with Identification as an infraction rather then NVOL without identification which would have been a criminal citation. I cited the driver of Unit#1 via mail for NVOL with ID (RCW 46.20.015) and for Fail to Yield from Private Road (RCW 46.61.205(1)). 1 also cited the driver of Unit#1 via mail for violating RCW 46.30.020 -Liability Insurance as no person may operate a motor vehicle subject to registration under chapter 46.16A RCW in this state unless the person is insured under a motor vehicle liability policy with liability limits of at least the amounts provided in RCW 46.29.090, is self-insured as provided in RCW 46.29.630, is covered by a certificate of deposit in conformance with RCW 46.29.550, or is covered by a liability bond of at least the amounts provided in RCW 46.29.090. Proof of financial responsibility for motor vehicle operation must be provided on the request of a law enforcement officer in the format specified under RCW 46.30.030. Both vehicles were able to be driven away without further incident. An exchange of information was provided to all involved parties. PAGE 3 OF 5 REPORT NO. EF35243 CASE# 24-11695 DATE OF COLLI r�510NN + 11/11/24 12:01 L1 NARRATIVE 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 11/11/2024 4:00 PM Renton, King County, WA. PAGE 4 OF 5 REPORT NO. EF35243 CASE# 24-11695 DATE AND TIME 11/11/24 12:01 OF COLLISION c. 4 X i 6 d t It 4 i Vw, 1 ' Fr � t 3q q} PAGE 5 OF 5