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HomeMy WebLinkAbout24-12074 a ITFFi "POLCERA II IfI) 1 IlfII ('II (Illf If( fI I . 5 27c
COLLISION REP FIT 1591971
CASE 24-12074 z
INTERSTATE ❑ CITY STREET FIRE ❑RESULTED
1 STOLEN
STATE ROUTE ❑ OTHER ❑ VFHIr.I F ❑ LOCAL AOENC 4900 3
HIT&RUN CODING
COUNTY RD PRIVATE WAY INVOLVED
2 3 TOTAL#OF OBJECT 1 1 8 28
TRIBAL UNITS 03 STRUCK
RESERVATION
z
3❑ DATE of M M D D Y Y Y Y TIME(2400) COUNTY# MILES N E IN CITY#
COLLISION.. 11 - 1-- 2024 1651 17 ❑-= S 8 IN e 1070 3
4❑ ON (PRIMARY TRAFFIC WAY) INTERSECTION ❑✓ NON INTERSECTION ❑
MAPLE VALLEY HWY BLOCK NO. e✓ 3500 ❑
4a❑ MILEPOST
DISTANCE OF(REFERENCE OR CROSS STREET)
5❑ �.❑ FEET e S ❑ VV a MAPLEWOOD PL SE
0 1 29
MOTOR PEDAL- DAMAGE THRESHOLD MET PHONE
UNIT 01 VEHICLE ❑ CYCLE El
�/No D:2063495850 0 7 30
6� LAST NAME BRETT FIRSTNAME TAUNIE MIDDLE J 1 2 31
INITIAL
STREET ❑✓ 24311 252ND AVE SE CITY MAPLE VALLEY ST WA 2jp, 98038 z=
NEW ADDRESS
7❑ CDL IGNITION REQUIRED IGNITION PRESENT MEDICAL TRANSPORTED 3
INTERLOCK YES[:]NO INTERLOCKYEs NO YES R NO
8❑ LRIIVER #
ON DUTY❑ STATUS AIRBAG 2 RESTR 4 EJECT 1 H USEET ICNLJAUSSY 1 NATURE OF INJURIES z❑
3
10 9❑ Pi aT�S� DP40476 sTArI WAurN# 5FRYD4H40G8048033
TRAILER STATE TRAILER STATE
11 4 0 PLATE# PLATE# FROM TO
TRLR. TRLR 7 3 33
12 4 0 VIN#' VIN#
>; FROM TO
❑ VEH.YEAR 2016 ACUR MDX SV MAKE MODEL STYLE VEHICLE TOWED fn TO VBLINJ TOWED BY GOVT.VEHICLE g 9 34
DAMAGE YES NO
13 4 YES[:] No
REGISTERED OWNER INFO TAUNIEBRE124311252NDAVESE MAPLE VALLEY WA 98038 D:2063495850 VEHICLE NO. 1 ❑
SHADE IN DAMAGED AREA 35
14� IN EF ITY INSURANCE� INSURANCE CO GEICO 61742 99476 4
LI EFFECT I POLICY# TOPVEHICLE CHARGE 36
LEGALLYYES NO CITATION# 4AO869298 INATTENTIVE DRIVING <1�3
orrom
15❑ STANDING 7 6
MOTOR PEDAL-: PROPERTY DAM THR OLD MET PHONE
UNIT 02 ❑✓ ❑ PEDESTRIAN ❑ ❑ YES 1/ :H D:2067557014
VEHICLE CYCLE OWNER
16 a
LAST NAME HILFRINK FIRST NAME TAUNYA MIDDLE I D
INITIAL
17❑ STREET ❑', 14191 SE 153RD PL CITY RENTON ST WA ZIP 980588041 37
NEW ADDRESS ❑
18� CDL IGNITION REQUIRED IGNITION PR-E-1SENT MEDICAL TRANSPORTED ❑ 38
INTERLOCK YES❑NOR INTERLOCK YEs It I NOF YES
t t- l NO❑
19 DRIVER'S STATE WA SEX F D.C.B. 09 _ 29 _ 1966 39
LICENSE# MMDDYY
H USE ET LASSY [-�A—TUREOF INJURIES C/O NECK&LOW.BACK PAIN.EVAL BY RRFA ❑ 40
20❑ ON DUTY STATUS AIRBAG,2 RESTR 4 EJECT 1 6
21❑ LICENSE I BNP5022 TAre WA YIN# ZACCJBC69JPH85195
❑ 41
PLATE#
42
22❑ PLATE# STATE PLATE# STATE
23❑ UIN#. 43
TRLR RLR
'IN#.
TOWED BV Gov HI 44
VEH YEAR 2018 MAKE JEEP MODEL RENEGA STYLE $V —FEHICLE
TOWED✓ NOO BLIN GENE MEYERS YES No�/
24❑ REGISTERED OWNER INFO OWNED SY DRIVER VEHICLE N0.2
SHADE IN DAMAGEbAREA
2 3 Cd
LIABILITY
INSURANCE INSU POLICY#E CO PEMCO CA 0761713IN I 9TOP
VE""LE CITATION# CHARGE
LEG
25 BOTTOM
ALLY YES N�
❑ s
=UGENT
PRINT) OFFICER PHONE BADGE OR ID# AGENCY26 11498 WA0171300
PAGE 01 OF
PART A
3000-345-159 OR 11/181
STATE OF
POLICETRAFFICN CORRECTION REPORT NO. EF43961
COLLISION REPORT III III III III III 111
1591972 CASE# 24-12074
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.
MATTHEW NUGENT 11-25-24 01:02 PM
INVESTIGATING OFFICER'S SIGNATURE UNIT OR DIST DET DATED PLACE SIGNED
APPROVED BY E
DAT
C.JACOBS 1953 12/9/2024 12:50:48 PM
BADGE OR ID# 11498 ORI# WA0171300 TIME POLICE DISPATCHED! 4:53 PM TIME POLICE ARRIVED',5:00 PM
PART I PAGE IT]OF 6�
TIME
REPORT NO. EF43961 CASE# 24-12074 OF COLLISION11/21/24 16:51
NARRATIVE
24-12074
On 11/21/2024 at approximately 1653 hours, I was dispatched to 3-vehicle collision with reports of
injury at the intersection of Maple Valley Highway and Maplewood Avenue SE, within the City Limits
of Renton, County of King, State of Washington.
While en route, Dispatch advised that all involved vehicles were blocking one of the southbound
lanes of travel. Upon arrival, I determined that one of the involved parties had complained of injury
and therefore I requested the Renton Regional Fire Authority (RRFA) respond for evaluation. All
involved parties were later evaluated by Renton Fire at the scene and released. There, I collected
each involved party's driving information and their independent recollection of their involvement
leading up to the collision.
The driver of Unit#1 said she was traveling southbound in the 3500 block of Maple Valley Highway in
lane 1 of 2 approaching the intersection of Maplewood Ave SE. The driver of Unit#1 stated she was
traveling directly behind Unit#2 in "stop and go" traffic and saw as Unit#2 was stopped or slowing for
traffic. Unit#1 stated that she attempted to stop her vehicle in time but could not avoid the collision
and subsequently collided into the rear of Unit#2. Following impact, Unit#1's momentum redirected
in-between lane 1 and lane 2 essentially "splitting" the lanes, making contact with both Unit#2 and
Unit#3 which were occupying lane 1 and lane 2, respectively.
The driver of Unit#2 said she was the sole occupant of her vehicle and was also traveling
southbound in the 3500 block of Maple Valley Highway in lane 1 of 2 approaching the intersection of
Maplewood Ave SE. The driver of Unit#2 stated she was stopped for traffic with the intent to continue
south. While Unit#2 was stopped for traffic that had queued, Unit#1 collided with the rear of Unit#2
causing moderate damage.
The driver of Unit#3 said he was the sole occupant of his vehicle and was also traveling southbound
in the 3500 block of Maple Valley Highway but in lane 2 of 2. The driver of Unit#3 stated he was
stopped for traffic with the intent to continue south. While Unit#3 was stopped for traffic that had
queued, Unit#1 collided with the rear passenger side quarter panel and fender of Unit#2 causing
moderate damage.
Based on the above statements, I determined that the Driver of Unit#1 (Brett) is the proximate cause
for the collision due to inattention causing a collision.
Brett was not paying attention to traffic in front of her. Brett violated Renton Municipal Code (RMC) 10
-12-25 -Inattentive Driving which is defined as any person to drive a motor vehicle on any public
highway, street, alley, or road in an inattentive manner in the City of Renton. "Inattentive manner" in
this section means a lack of: 1) attentiveness required to safely operate the vehicle under the
prevailing conditions, including, but not limited to, the nature and condition of the roadway, the
weather conditions, the presence of pedestrians, the presence of other traffic, or by the driver
focusing or directing the driver's attention to something other than driving the motor vehicle; or 2)
attentiveness that would permit the driver of a motor vehicle to observe anything resting on, or
traveling on, or entering the roadway in time to take appropriate action as circumstances require.
(Ord. 4462, 7-25-94, eff. retroactive to 7-1-94; Ord. 5635, 11-14-11).
I cited Brett by mail for Inattention causing a collision.
Unit#1 was able to be driven away without further incident. Both Unit#2 and Unit#3 had to be
impounded due to extensive damage. An exchange of information was provided to all involved
parties.
PAGE 3 OF 6
TIME
REPORT NO. EF43961 CASE# 24-12074 OF COLLISION11/21/24 16:51
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 12:24 PM 11/25/2024 Renton, King County,
WA.
PAGE 4 OF 6
SUPPLEMENTAL REPORT No. EF43961
r`I POLICE TRAFFIC 1 1 8 27
COLLISION REPORT CASE# 24-12074
1 COMMERCIAL MOTOR CARRIER INTERSTATE INTRASTATE G
UNIT'# USL70r ICC# VEHICLE TYPE CARGO BODY
TYPE
2 ❑ 1 28
CARRIER
NAME
3 CARRIER L
ADDRESS `
CITY ST' ZIP'
4 ❑ NAME # PLACARD: :❑
GI NAME IF NO NUMBER
SOURCE AXLES +
4a ❑ ADDITIONAL UNITS
MOTOR PEDAL- PROPERTY DAMAGE THRESHOLD MET PHONE
5 ❑ UNIT# 3 VEHICLE tSJ CYCLE I_) PEDESTRIAN OWNER YEs NO
D:3607700035
0 7 29
LAST NAME BATES FIRST NAME : JACOB MIDDLE'.. E
INITIAL
STREET 30
NEW AnDRFrtP 31441 E LAKE MORTON DR SE CITY KENT ST WA ZIP 980429743
6
CDL IGNITION REQUIRED IGNITION PRESENT MEDICAL TANSPORTED 1 1 2 31
INTERLOCK YEs No INTERLOCK YES�NO� YEs N
DRIVER'S
LICENSE STATE I WA SEX M MMDDYYv 09 - 10 - 1990
7
ON DUTY� STATUS AIRBAG' 2 RESTR. Q EJECT 1 HELMET I INJURY 1 1 NATURE OF INJURIES
USE CLASS
8 ❑ 1 32
LICENSE D320908 [TAT WA VIN# 5TFLA5ECORX028668
PLATE#
9 9] TRAILER TRAILER
PLATE# STATE PLATE# STATE
10 ❑ TRLR TRLR
VIN.#. VIN.#.
11 4 O VEH.YEAR MAKE MODEL STYLE VEHICLE TOWS E T SABLIN TOWED BY anvi vEHIG E FROM TO
2024 TOYT TUNDRA PM DAMAGE YES NO YES NO
REGISTERED OWNER INFOJACOB BATES 31441 E LAKE MORTON DR SE KENT WA 98042 D:3607700035 SHADE IN DAMAGED AREA R 9 33
12 � z
FROM TO
LIABILITY INSURANCE❑ INSURANCE CO AMERICAN FAMILY CONNECT A1041 0 4 3 2 2
IN EFFECT &POLICY# 1 4 TCSP S
LEGA LE 34
13 ❑ LEGALLY YES NO❑ CITATION# CHARGE 0 0Q Y)M
STANDING �} 8 7 6
14 ❑ UNIT Tr Vd 1RE O CYDCLE OWNERRTY YES AGE NOHRESHOLD MET PHONE ❑ 35
PEDESTRIAN
15 LAST NAME FIRST NAME MIDDLE INITIAL
TIAL
❑
STREET"[-]
16 NEW nnR CITY ST ZIP
CDL IGNITION REdUiRED IGNITtGN PRESENT MEDICALTANSPORTED
NTERLOCK YES No NTERLOCK YEs NO YES NO El
17 37
LICENSE# STATE SEX MMDDDYBYY
18 ❑ ON DUTY� STATUS AIRBAG RESTR. ; EJECT HELMET INJURY NATURE of INJURIES 38
USE ICLASS
19 ❑ 39
LICENSE rnr VIN#
PLATE#
20 ❑ TRAILER TRAILER El40
PLATE#< STATE PLATE# STATE
21 ❑ TRLR TRLR 41
VIN# YIN#i
42
22 VEH.YEAR MAKE I MODEL STYLE I VEHICLE TO DUET SABLIN TOWED BY GOVT.VEHICLE
DAMAGE YES NO YES NO
23 REGISTERED OWNER INFO SHADE IN DAMAGED 3 4 4 AREA F 43
z
LIABILITY INSURANCE INSURANCE CO '
VINE
EFFECT &POLICY# i 970P - 4 E:l
44
24 LEwcLE YES❑ NO❑ CITATION# CHARGE iq 60TiOM
LeGALLv
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.
MATTHEW NUGENT 11-25-24 01:02 PM
25 INVESTIGATING OFFICER'S SIGNATURE OFFICER'S PHONE UNIT OR DIST DET DATED: PLACE SIGNED
APPROVED BY DATE
26 ORID# 11498 O#IL WA0171300 JACOBS 12/9/2024 PAGE F OF 6
3000-345-013(R 11118)
REPORT NO. EF43961 CASE# 24-12074 DATE AND TIME 11/21/2416:51
OF COLLISION
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PAGE 6 OF 6