HomeMy WebLinkAbout25-1974 a POLICETRAFFic" I� I �I) II� I I (III I�I �) REPORT NO. EF74532 0 4 27
COLLISION REPORT 1591971
CASE 25-1974 z
INTERSTATE CITY STREET El
STATE ROUTE OTHER LOCALANG 3
CODING 41UUCOUNTY RD PRIVATE WAY
2❑ TOTAL#OF OBJECT 1 8 28
TRIBAL UNITS 03 STRUCK! ❑
RESERVATION ' z
3 M M D D Y Y Y Y TIME(2400) COUNTY# MILES CITY#
CDt�usloN' 03 - 03 - 2025 1019 17 ❑.❑ S 8 E IN e 1070 3
4❑ ON (PRIMARY TRAFFIC WAY) INTERSECTION ❑ NON INTERSECTION ❑✓
MAPLE VALLEY HWY BLOCK NO. e✓ 13900
4a❑ MILEPOST
DISTANCE OF(REFERENCE OR CROSS STREET)
5❑ 30 00 FEET e S ❑ W V 140THWAYSE
0 1 29
UNITMOTOR Z PEDAL- ❑ DAMAGE THRESHOLD MET PHONE
VEHICLE CYCLE'. YES `/No D:2533316467 0 8 30
6❑ LAST NAME BROWNELL FIRSTNAME KARL MIDDLE W 1 1 2 31
INITIAL
STREET ❑ 4113 156TH ST SW APT C5 C{1 Y LYNNWOOD ST WA 2jp', 980876155 z=
NEW ADDRESS
]❑ CDL IGNITION REQUIRED IGNITION PRESENT MEDICAL TRANSPORTED 3
INTERLOCK YES NOZINTERLOCKYES NO,/ YES R NO,/
8❑ LCEENSE# STATE WA SEX M MM D Y' 03 — 07 — 1990 1 1 2 32
9 ON DUTY❑ STATUS'. AIRBAG 2 RESTR 9 EJECT 1 HELMETU E 2 'NJURu 1 NATURE OF INJURIES 2❑
3
10 1❑ LICENSE CKC7275 sTAr' WA VrN# 2G1WG5E31C1336327
PLATE 4
TRAILER STATE TRAILER STATE
11 4 0 PLATE# PLATE# FROM To
TRLR' TRUl 7 3 33
12 4 0 VIN# VIN#
FROM TO
VEH.YEAR MAKE MODEL STYLE IV
EHICLE TOWED TO BLIN T{� EN�/� GOVT.VEHICLE g 9 34
2012 CHEV IMPALA SD DAMAGE YES NO '"" RS YES : NO
13❑ REGISTERED OWNER INFO KARLBROWNELL4113156THSTSWAPTC5 LYNNWOOD WA 980876155 D:2533316467 VEHICLE NO. 1
SHADE IN DAMAGED AREA ❑ 35
14 ❑ INSURANCE CO 3 4
LIABILITY INSURANCE
IN EFFECT &POLICY# 9TOP
vewcLE CHARGE to BOTTOM 5 36
YES No CITATION# 5A0005659,5A0005660, D WLS 3RD DEGREE,OP MOT VEH
15❑ STANDING 7 6
UNIT 02 VEHICLE � ' CYCLE ❑ PEDESTRIAN ❑ OWNERMOTOR PEDAL- ES
❑ DESK/ NO OLD MET PHONE
16 2
LAST NAME HARRIS FIRST NAME SUE MIDDLE E
INITIAL
17❑ STREET NEW ADOREsS❑' 26 SKAGITKY CITY BELLEVUE ST WA ZIP 980061022 37
18� CDL IGNITION REQUIRED IGNITION PR-E-1SENT MEDICAL TRANSPORTED 38
INTERLOCK YES❑No� INTERLOCK YEs It I NOF YES t t— l NoF,/]
19 DRIVER'S STATE WA SEX'F I D.O.B. 07 20 _ 1945 39
LICENSE# MMDDYY
WELMET {NJURY NATURE OF INJURIES 3 40
20❑ ON DUTY STATUS' AIRBAG 2 RESTR 4 EJECT 1 USE 2 CLASS 1 ❑
❑21❑ PLATE# BHX7778 TAr 41
WA VIN1 JH4KC1F93HC000515 1
El42
22❑ PLATE# STATE PLATE#ILER STATE
TRLR
23❑ UIN#. IN#. 43
RLR
'
VEH YEAR 2017 MAKE ACUR MODEL RLX STYLE SO VEHICLE TOWED TO BLIN TOWEDBY GOV HI 44
24❑ DAMAGE YES�/ NO BANKERS YES NO
REGISTERED OWNER INFO SUE HARRIS 26 SKAGIT KY BELLEVUE WA 98006 D:4258941490 VEHICLE NO.2
SHADE IN DAMAGE$AREA
2 3 la
LIABILITY INSURANCE INSU&PORKY#E CO STATE FARM L213915-EO5471 1 9TOP
IN EFFECT Ri
VEHICLE CITATION# CHARGE
25❑ 1 o BOTTOM
LEGALLY YES N�
s
OFFICER'S NAME(PRINT) OFFICER PHONE BADGE OR ID# AGENCY
26
E.CHANG 10065 WA0171300
PAGE 01 OF
PART A 3000-345-159(R 11/18)
STATE OF
POLICETRAFFICN CORRECTION REPORT No. EF74532
COLLISION REPORT III III III III III 111
1591972 CASE# 25-1974
ADDITIONAL PERSONS INVOLVED PASSENGERS AND/OR WITNESSES ONLY)
NAME
(LP.ST FIRST,MIDDLE INITIAL)
ADDRESS a PHONE# 14905 SE 309TH ST KENT WA 980424626 2069141361 SEX M D.O.B. 08 27 1986
MMDDYYYY.
{� SEAT HELMET INJURY NATURE OF INJURIES
PASSENGER LrIWITNESS❑'UNIT# 3 POS, 3 AIRBAG'2 RESTR. 4 EJECT 1 USE 2 CLASS 7 BACK AND HEAD
NAME
'(LASTr FIRS' MIDDLE INITIAL)
ADDRESS&PHONE# Id Ly O
E MMDDYVYV
PASSENGER ❑WITNESS UNIT# SEAT AIRBAG RESTR. EJECT HELMET NJURY 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'
On 03-03-2025 at about 1019 hours, I was sent to a collision at the intersection of Maple Valley Hwy
and 140th Way SE, in the City of Renton, King County, Washington.
Upon arrival Officer Bills informed of the following. Unit 2 was in lane 3 and Unit 3 was in lane 2
stopped at the stop light. Unit 1 collided in the back of unit 2 and then hit unit 3. The passenger of
unit 3 said he had a sore back and sore neck but refused treatment. The passenger Cunningham,
James said he was going to get checked out later for his back and headache.
I spoke with the driver of unit 1 Brownell, Karl W (03-07-1990) he was identified via a WAID. He
informed me of the following. He was driving 40 mph and then he pressed on his brakes and they
were spongy. He skidded and collided in the back of unit 2 then 3.
The roads were wet during the collision.
A DOL check of Brownell showed he was suspended in the 3rd Degree. He did not have insurance
when requested. Even though Brownell was driving at the posted speed limit, he did not take into
consideration the weather and wet roads. No person shall drive a vehicle on a highway at a speed
greater than is reasonable and prudent under the conditions and having regard to the actual and
potential hazards then existing. In every event speed shall be so controlled as may be necessary to
avoid colliding with any person, vehicle or other conveyance on or entering the highway in
compliance with legal requirements and the duty of all persons to use due care. He did not control his
speed and collided with two other vehicles in front of him which were stopped at a red light.
He was cited for DWLS 3rd Degree, No insurance, and speeds to fast for conditions.
I CERTIFY(DECLARE)UNDER PENALTY OF PERJURY UNDER THE LAWS OF THE STATE OF WASHINGTON THAT THE FOREGOING IS TRUE AND CORRECT.
E.CHANG 03-09-25 04:07 PM
INVESTIGATING OFFICER'S SIGNATURE UNIT OR DIST DET DATED PLACE SIGNED
APPROVED BY DATE
J.TRADER 4553 1 311712025 9:11:48 AM
BADGE OR ID# 10065 OR]#' WA0171300 TIME POLICE DISPATCHED! 10:19 AM TIME POLICE ARRIVED 10:29 AM
PART PAGE IT]OF 4]
SUPPLEMENTAL REPORT No. EF74532
r`) POLICE TRAFFIC 1 1 8 27
COLLISION REPORT CASE# 25-1974
1 COMMERCIAL MOTOR CARRIER INTERSTATE INTRASTATE G
UNIT'# USDOT ICC# VEHICLE TYPE CARGO BODY
;TYPE
2 ❑ CARRIER 1 28
NAME
3 CARRIER L
ADDRESS `
CITY ST ZIP'
4 ❑ NAME # PLACARD "❑
AME
GGIN IF NO NUMBER
SOURCE AXLES +
4a ❑ ADDITIONAL UNITS
MOTOR PEDAL- PROPERTY DAMAGETHRESHOLD MET PHONE
UNIT# 3 PEDESTRIAN YEs IN D:2534576194 N:2067309392
5 VEHICLE CYCLE OWNER
OF 8 29
LAST NAME LARSEN FIRST NAME AARON MIDDLE' ',, J
NITIAL
STREET 30
❑ NEW AnnRnrtP 6325 NATHAN PL SE CITY AUBURN ST WA ZIP 980928136
6 PRESENT MEDICALTANSPORTED 1 1 2 31
CDL IGNITIttN REQUIREb IGNITION
INTERLOCK YEs No Z/ zERLOCK Y.
�NO� vES N �/
DRIVER'S D.O.B 2
LICENSE STATE wq SEX M MMDDYYv 12 - 31 - 2001
7
ON DUTY� STATUS AIRBAG' 2 RESTR. Q EJECT 1 HELMET 2 INJURY 1 1 NATURE OF INJURIES
USE CLASS
8 ❑ 1 32
LICENSE D91164D TAr WA VIN# JALCDW165R7K00592
PLATE#
9 TRAILER TRAILER
PLATE# STATE PLATE# STATE
10 ❑ TRLR TRLR
VIN.#. VIN.#
11 4 U VEH.YEAR MAKE MODEL STYLE VEHICLE TOME E T SABLIN TOWED BY anvi vEHIG P FROM TO
2024 CHEV 4500XD CY DAMAGE YES NO YES NO
REGISTERED OWNER INFO.TRUSTED PLUMBING AND HEAT 1201 MONSTER RD SW 350 RENTON WA 98057 D:2534576194 N:2067309392 SHADE IN DAMAGED AREA 9 9 33
12 z 3
FROM TO
((ABILITY INSURANCE INSURANCE CO EVIDENCE OF INSURANCE STATE OF WASHMGTO 60699.18.38 GQ
IN EFFECT &POLICV# i 34
13VEHICLE ❑ CITATION# CHARGE
LEGALLY YES NO
STAND NG �f} 8 7 Q
14 ❑ UNIT�T UEO IOCRLE O CYDCLE OWNERRTY YES AGE NOHRESHOLD MET PHONE ❑ 35
PEDESTRIAN
15 LAST NAME FIRST NAME MIDDLE INITIAL
TIAL
❑
STREET
16 NFWA0FRFS� CITY ST ZIP
CDL IGNITION REOUIREE7 IGNITION PRESENT MEDICAL TANSPORTED
NTERLOCK YES No NTERLOCK YEs NO YES NO ❑
17 4 37
LICENSE# STATE SEX MMDDDYBYY -
18 ❑ ON DUTY� STATUS AIRBAG RESTR. ; EJECT HELMET INJURY NATURE of INJURIES 38
USE CLASS
19 ❑ LICENSE TAr VIN# 39
PLATE#
20 ❑ TRAILER' STATE TRAILER STATE ❑ 40
PLATE#< PLATE#
21 ❑ ❑ 41
TRLR TRLR
VIN# YIN#_
42
22 VEH.YEAR MAKE I MODEL STYLE I VEHICLE TOWED DUET SABLIN TOWED BY GOVT.VEHICLE
DAMAGE YES NO YES NO111 El
23 REGISTERED OWNER INFO_ SHADE IN DAMAGED AREA 43
z 3 4
LIABILITY INSURANCE INSURANCE CO '
VINE
EFFECT &POLICY# i 970P - 4 44
24 VEHICLE YES❑ NO❑ CITATION# CHARGE iq 60TiOM
LECALLv
STANDING S 7 6
I CERTIFY(DECLARE)UNDER PENALTY OF PERJURY UNDER THE LAWS OF THE STATE OF WASHINGTON THAT THE FOREGOING IS TRUE AND CORRECT.
E,CHANG 03-09-25 04:07 PM
25 INVESTIGATING OFFICER'S SIGNATURE OFFICER'S PHONE UNIT OR DIST DET DATED: PLACE SIGNED
APPROVED
BY %26 BADGE O#I'WA0171300 PAGE OF OII # F
3000-345-013(R 11118)
REPORT NO. EF74532 CASE# 25-1974 DATE AND TIME 03/03/2510:19
OF COLLISION
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