HomeMy WebLinkAbout24-11820 IT si " II IIIII III IIIII II IIII IIIII I . 27c REPORT NO EF40657OLCERA
COLLISION REPORT 1591971
CASE# 24-11820 2
INTERSTATE CITY STREET FIRE I
RESULTEDSTOLENSTATE ROUTE OTHER VEHICLE LOCALANG 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
eDL�ISION' 11 - 14 - 2024 1336 17 =.�� S W OF 1070 3
4❑ ON (PRIMARY TRAFFIC WAY) INTERSECTION ❑✓ NON INTERSECTION ❑
BLOCK NO.
NE SUNSET BLVD
4a❑ MILE POST
❑ DISTANCE OF(REFERENCE OR CROSS STREET)
5 MILES 1.1 FEET e S 8 W e NE 12TH ST
0 4 29
MOTOR ✓ PEDAL- DAM AG THRESHOLD MET PHONE
UNIT 01 VEHICLE ❑ CYCLE ❑ YEs Vl No D:4251234706 0 1 30
5 LAST NAME AL AJILI FIRST NAME ZAHRA MIDDLE A 1 1 2 31
INITIAL
STREET ] 1190 UNION AVE NE APT A8 CITY; RENTON ST I WA Zlp; 980594429 2
NEW ADDRESS
7 CDL IGNITION REQUIRED IGNITION PRESENT MEDICAL TRANSPORTED 3
INTERLOCK YES NO INTERLOCKYES NO YES NO
DRIVER # STATE WA SEXI F MMDDYY' O6 - O6 - 1986 t 1 2 32
8❑
9 ON DUTY STATUS' AIRBAG 6 RESTR 4 EJECT 1 JHELM
USEET 2 CLASSY 1 NATURE of INJURIES 2
LICENSE, CHR7033 STATE WA V # JTMI6RFV8PD544601 3
10� PI ATE#
TRAILER STATE TRAILER STATE
11 3 5 PLATE# PLATE# FROM To
TRLR TRLR. 5 7 33
12 3 5 VIN# vIN#
FROM TO
13 2 VEH.YEAR2023 MAKE TDYT MODEL RAw STYLE VEHICLE TOYED NO�iS46LIN Tl� {J RSTOWING YES❑EN ICLE
O� 7 3 34
DAMAGE IIII._IIII
REGISTERED OWNER INFO ZAHRA AL AJILI 1190 UNION AVE NE APT AB RENTON WA 98059 VEHICLE NO. 1
SHADE IN DAMAGED AREA 35
2 3 4
3 LIABILITY INSURANCE INSURANCE CO
14 Z GEICO 6082032522
IN EFFECT &POLICY# 4TOP
CHARGE t S 36
VEHICLE
Lemur yes❑NO❑ CITATION# 7 o BOTTOM
15❑ sTnNowc
MOTCSR PEDAL- PEDESTRIAN PROPERTY DAM THR OLD MET PHONE
UNIT VEHICLE CYCLE nWNFR YES�/ NO D:2064749340
16�
LAST NAME WARREN FIRST NAME REGGIE MIDDLE L
INITIAL
17 F1 STREET ❑❑ 10803 185TH ST E CITY PUYALLUP ST, WA ZIP 983746527 37
NEW ADDRESS
18❑ CDL IGNITION REQUIRED IGNITION PRESENT MEDICAL TRANSPORTED ❑ 38
INTERLOCKYES No INTERLOCK YES No YEs No
19 DRIVERS STATE WA SEX M D.O.a. 1 12 22 1999 � 39
LICENSE# MMDBYY —
HELMET INJURY: NATURE OF INJURIES 4Q
20❑ ON DUTY STATUS AIRBAG 6 RESTR 4 EJECT 1 USE 2 CLASS 1 ❑
21 LICENSE PATE# CAY6472 raTE WA vIN# USE
41
22❑ PLATE# STATE[TILER I PLATE# STATE 42
23 TRLR r RLR 43
UIN#. 'IN#
TOWED BY GOV HI 44
VEH,YEAR 201$ MAKE HOND MODEL CIVIC STYLE VEHICLE
TOWED✓ No BLIN BANKERS TOWING
24
REGISTERED OWNER INFO REGGlEWARREN 10803185TH STE PUYALLUP WA 98374 VEHICLE N0.2
SHADFjy DAMAGED AREA
3 4
LIABILITY INSURANCE INSURANCE CO PROGRESSIVE 953166464
IN EFFECT &POLICY# 9TOP
VEHICLE
❑ ,J—I CITATION# CHARGE tO BOTTOM
LEGn��y YES N`[
25 6
OFFICER'S NAME(PRINT) OFFICER PHONE BADGE OR ID# AGENCY
J
26
C.CATALAN 12007 WA0171300
PAGE 01 OF
PART A 3000-345-189(R 11/18)
STATE OF
POLICETRAFFICN CORRECTION REPORT NO. EF40657
COLLISION REPORT III III III III III 111
1591972 CASE# 24-11820
E NA ADDITIONAL PERSONS INVOLVED(PASSENGERS AND/OR WITNESSES ONLY)
M
(LAST FIRST,MIDDLE IINITIAL) PHOMMAKHOT JAYZ
ADDRESS&PHONE# DOB
1555 UNION AVE NE APT 59 RENTON WA 980593973 SEX M MM DDYVYY 01 IT
02 — 2001
PASSENGER WITNESS[:] UNIT# SEAT AIRBAG RESTR. EJECT HELMET INJURY NATURE OF INJURIES
2 POS. 3 6 4 1 USE 2 CLASS 1 ----�
:NAME
(LAST FIRST MIDDLE INITIAL)
ADDRESS&PHONE#
SEX D.O.B. —
MMDDYYYY
PASSENGER❑WITNESS UNIT# : SEAT AIRBAG RESTR. EJECT HELMET NJURY: NATURECFINJURIES
POS. USE CLASS ----�
:NAME
(LOST,FIRST,MIDDLE INITIAL)
ADDRESS&PHONE#
SEX MMDDYY D.O.B.
YY
PASSENGER WITNESS UNIT# SEAT AIRBAG RESTR. EJECT HELMET NJURY 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.
C.CATALAN 11-19-24 03:41 PM
INVESTIGATING OFFICER'S SIGNATURE UNIT OR DIST.DET DATED PLAGE SIGNED
APPROVED BY DATE
C.JACOBS 1953 11/28/2024 2:09:54 PM
BADGE OR ID# 12007 ORI# WA0171300 TIME POLICE DISPATCHED 1 1:38 PM TIME POLICE ARRIVED i 1:42 PM
PAST B 3 Do-3mx—attar gt 1Mfft PAGE 2�OF 4
REPORT NO. EF40657 CASE# 24-11820 DATE OF COLLI r�510NN + 11/14/24 13:36
L1
NARRATIVE
On November 14, 2024, at approximately 1336 hours, I was dispatched to a blocking vehicle collision
at 3011 NE Sunset Blvd, 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, 1 collected each involved party's driving documents and their
independent involvement leading up to the collision.
The driver of Unit 1 stated he was the sole occupant of his vehicle and was attempting to exit a
private property parking lot, located at 3011 NE Sunset Blvd, and on the south side of the roadway.
The driver of Unit 1 stated that he was intending to make a left turn out of the parking lot to proceed
westbound onto NE Sunset Blvd following the turn. The driver of Unit 1 stated she looked both ways
and did not see any traffic going east or westbound. The driver of Unit 1 believed all eastbound traffic
on NE Sunset Blvd was clear and therefore proceeded out into the roadway. As Unit 1 reached the
center-turn-lane, Unit 1 was met by another vehicle - Unit 2. The driver of Unit 1 stated that he was
unable to avoid the collision after having pulled out into the roadway. Unit 1, sustained severe
damage specifically on the driver's side.
The driver of Unit 2 said he was the sole occupant of his vehicle and was traveling eastbound in
about the 3000 block of NE Sunset Blvd and in the number 2 lane. The driver of Unit 2 stated he was
intending to continue east to the intersection of NE 12th St. Upon reaching the location of where Unit
1 was turning out from, Unit 2 observed Unit 1 pull out into the roadway but was unable to avoid the
collision. Both vehicles collided in the roadway and Unit 2 suffered significant damage to the front
bumper
Based on the above statements, 1 believe that the driver of Unit 1 is the proximate cause for the
cause of collision as the driver 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.
Both Unit 1 and Unit 2 had to be towed due to extensive damage. An exchange of information was
provided to all involved parties.
PAGE 3 OF 4
REPORT NO. EF40657 CASE# 24-11820 DATE AND TIME 11/14/2413:36
OF COLLISION
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