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HomeMy WebLinkAbout25-2074 IT si " II IIIII III IIIII II IIII IIIII I . 27c REPORT NO EF71836OLCERA COLLISION REPORT 1591971 CASE# 25-2074 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 03 STRUCK RESERVATION : 1 1 2 3� M M D D Y Y Y Y TIME(2400) COUNTY# MILES CITY# eaCL s on' 03 - 06 - 2025 0835 17 =.= S 8 W e OF e 1070 s 4❑ ON (PRIMARY TRAFFIC WAY) INTERSECTION ❑✓ NON INTERSECTION ❑ BLOCK NO. LAKE WASHINGTON BLVD 4a❑ MILE POST ❑ DISTANCE OF(REFERENCE OR CROSS STREET) 5 1.� FEET e S 8 W e BURNETTAVEN 0 1 29 MOTOR PEDAL- DAM AG THRESHOLD MET PHONE UNIT 01 VEHICLE ❑ CYCLE ❑ YEs Vl No D:2062653748 0 8 30 5 LAST NAME JOHNSON FIRST NAME MARVIN MIDDLE N 1 1 2 31 INITIAL STREET ] 417 WILLIAMS AVE S UNIT 404 CITY; RENTON ST WA ZIP; 980572793 2 NEW ADDRESS 7� +CDL IGNITION REQUIRED IGNITION PRESENT MEDICAL TRANSPORTED'. 3 INTERLOCK YEs Nb INTERLOCKVES NO YEs Nb 8 DCIENSE# STATE WA SEXI M MMDDYY' 10 - 17 - 1987 t 1 2 32 -NJUR 9 ON DUTY STATUS' AIRBAG 2 RESTR 4 EJECT 1 HELMET 2 CLASSY 1 [NATURE of INJURIES 2 10 2 aiCENSE' DP65880 STATE WA VIN# 1G6KD54Y83U230945 3� TRAILER STATE TRAILER STATE 11 2 5 PLATE# PLATE# ROM To TRLR TRLR 5 1 33 12 2 5 VIN#' VIN# FROM TO VEH.YEAR 2003 MAKE CADI MODEL DEVILL STYLE VEHICLE TOWED TO BLIN TOWED By GES VEHICLE 9 9 34 13 DAMAGE YES YES NO REGISTERED OWNER INFO AMANDA JENSEN 1.MANCHESTER WAY KENT WA 98032 VEHICLE NO. 1 SHADE IN DAMAGED AREA 35 2 LIABILITY INSURANCE INSURANCE CO 4 14 NATIONAL GENERAL 29742 IN EFFECT &POLICY# 9TOP V""' CHARGE 5 36 LEGALLY YES❑NO❑ CITATION# t a 80TTOM 15❑ STANDING 7 e MOTOR PEDAL- PEDESTRIAN PROPERTY DAM THR OLD MET PHONE UNIT 02 VEHICLE CYCLE nWNFR D:2067133808 16� LAST NAME ALLEN-PARKS FIRST NAME DEBORAH MIDDLE D INITIAL 17 STREET ❑ 12314 SE 165TH ST CITY' RENTON ST, WA ZIP 37 980585343 NEW ADDRESS I I I I I 1 ❑ 1$❑ IGNITION REQUIRED IGNITION PRESENT MEDICAL TRANSPORTED' ❑ 38 CDL INTERLOCKYES No INTERLOCK YES No Fc DL YEs Nb 19 DRIVER'S MMDDYY' HELMET INJURY: NATURE OF INJURIES 40 20❑ ON DUTY❑ STATUS AIRBAG 2 RESTR 4 EJECT 1 USE 2 CLASS 1 ❑ 21 LICENSLATE E CAZ7583 TATE WA VIN# KL4MMGSL2MB138570 41 22❑ [TILER TAILER PLATE# STATE PLATE# STATE 42 23 TRLR RLR 43 UIN#. 'IN# VEH.YEAR 2021 MAKE BUI(, MODEL ENCORE STYLE 4p VEHICLE TOWED TO BLIN TOWED BY GOV HI 44 24 DAMAGE YES NO VES NO REGISTERED OWNER INFO DEBORAH ALLEN-PARKS 12314 SE 165TH ST RENTON WA 980585343 D:2067133808 VEHICLE NO.2 SHADFjyDAMAGE AREA 3 LIABILITY INSURANCE INSURANCE CO SAFECO H1797724 IN EFFECT &POLICY# 9TOP LVEHICLE '—LY YES N CL] CITATION# CHARGE t080TTOM LEGALL 25 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. EF71836 COLLISION REPORT III III III III III 111 1591972 CASE# 25-2074 ADDITIONAL PERSONS INVOLVED(PASSENGERS AND/OR WITNESSES ONLY) '.NAME (LAST,FIRST,MIDDLE INITIAL) ADDRESS&PHONE SEXi D.O.B. — MMDDYYYY PASSENGERQ WITNESS� UNIT SEAT AIRBAG RESTR. EJECT ; HELMET INJURY NATURE OF INJURIES POS. ' USE GLASS 1 ----� :NAME (LAST FIRST MIDDLE INITIAL) ADDRESS&PHONE# SEX D.O.B. — MMDDYYYY PASSENGER❑WITNESS UNIT# : SEAT AIRBAG RESTR. EJECT HELMET INJURY: 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 03-06-25 11:46 AM INVESTIGATING OFFICER'S SIGNATURE UNIT OR DIST.DET DATED PLAGE SIGNED APPROVED BY E DAT M.LEVERTON 2517 31712025 2:27:51 PM BADGE OR ID# 12007 ORI# WA0171300 TIME POLICE DISPATCHED 8:38 AM TIME POLICE ARRIVED i 8:48 AM PAST B 3 Do-3mx—attar(t 1Mff) PAGE 2�OF F6 REPORT NO. EF71836 CASE# 25-2074 OF DATE AND r�N + 03/06/25 08:35 O�COLLISION NARRATIVE 25-2074 On 03/06/2025 at approximately 0835 hours, I was dispatched to a non-injury and non-blocking 3- vehicle collision at the intersection of Lake Washington BLVD N and Burnett Ave N, within the City Limits of Renton, County of King, State of Washington. Upon arrival, I contacted the involved parties and confirmed no injuries had occurred requiring immediate medical response at the time of report. There, I collected the involved parties driving documents and their independent recollection of events leading up to the collision. The driver of Unit 1, Marvin Johnson, said he was the sole occupant of his vehicle and was traveling northbound on Lake Washington BLVD N just south of the intersection of Burnett AVE N. Marvin stated he was traveling directly behind Unit 2 and saw as Unit 2 was stopped or slowing for traffic. Marvin was unable to stop in time and subsequently collided with the rear of Unit 2 causing moderate damage to the front of Unit 1. The driver of Unit 2, Deborah D. Allen, said she was stopped on Lake Washington BLVD N just south of the intersection of Burnett Ave N. Deborah stated that she was stopped behind Unit 3 for a stop sign at the controlled intersection. While Deborah was stopped for the stop sign, Marvin collided with the rear of Deborah, causing moderate damage. Deborah stated that due to the initial impact, her vehicle was then pushed forward into the rear of Unit 3 causing additional damage to the front of Unit 2. The driver of Unit 3, Jose Rodriguez, said he was the sole occupant of his vehicle and was traveling northbound on Lake Washington BLVD N just south of the intersection of Burnett Ave N. Jose stated he was stopped for stop sign at the controlled intersection. While Jose was stopped for the stop sign, Unit 2 collided with the rear of Unit 3 causing minor damage to the rear of Unit 3. Marvin was not paying attention to traffic in front of him. Marvin 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). Based on the above statements, I determined that the Driver of Unit 1 (Marvin) is the proximate cause for the collision due to inattention causing a collision. Marvin should have been paying closer attention to the movement of traffic in front of him. I issued Marvin a verbal warning in-person for inattention causing a collision. Unit 1 was off the roadway and had a personally arranged tow enroute to the location, while the other units were able to be driven away without further incident. An exchange of information was provided to all involved parties. No citation. Information only. I certify (declare) under penalty of perjury under the laws of the State of Washington that the foregoing is true and correct. PAGE 3 OF 6 REPORT NO. EF71836 CASE# 25-2074 O OF COLLI r�510NN + 03/06/25 08:35 COLL1 NARRATIVE C. Catalan 03/07/2025 Renton PAGE 4 OF 6 SUPPLEMENTAL REPORT NO. EF71 836 POLICE TRAFFIC 1 1 8 27 COLLISION REPORT CASE# 25-2074 t113197 1 COMMERCIAL MOTOR CARRIER INTERSTATE INTRASTATE UNIT# USDOT ICC# VEHICLE TYPE CARGO BODY 3 TYPE 2 ❑ 1 28 CARRIER NAME 3 CARRIER L ADDRESS CITY ST ZIP: 4 ❑ NAME # PLACARD GWUR NAME IF NO NUMBER SOURCE AXLES + 4a ❑ ADDITIONAL UNITS MOTOR PEDAL- PROPERTY DAMAGE THRESHOLD MET PHONE 5 ❑ UNIT 3 VEHICLE CYCLE ❑ PEDESTRIAN :.. OWNER '� YES NO D:4257738902 0 8 29 LAST NAME RODRIGUEZALCALA FIRST NAME MIDDLE'. JOSE INITIAL. t STREET 30 NEW ADDRFs 16204 122ND AVE SE CITY RENTON ST Wq ZiP 980585367 6 CDL GNITION REQUIRED PRESENT MEC7ICALTANSPORTED: 1 1 2 31 I 1{iNiTiON :: INTERLOCK YES D NO ,.INTERLOCK YES NO YES N DRIVER'S D-O B 2 7 LICENSE' STATE WA SEX M MMDDv 03 15 - 1970 ON DUTY STATUS AIRBAG 2 RESTR. 4 EJECT 1 HELMET 2 INJURY 1 NATUREOFINJURIES USE CLASS 8 ❑ 1 32 LICENSE CGU6829 TAT WA uIN 1HGEJ8640YL005299 PLATE# 9 2] TRAILER TRAILER L PLATE# STATE PLATE# STATE 0 10 TRLR TRLR VIN.#. VIN#. 11 2 5 VEH.YEAR2000 MAKE HOND MODEL CIVIC STYLE VEHICLE TOWE E T ABLIN TOWED BY GovT vEHICI F FROM To DAMAGE YES NO ✓ YES NO REGISTERED OWNER INFOALONDRA RODRIGUEZ RAMIREZ 16204122ND AVE SE RENTONWA98058 SHADE IN DAMAGED AREA R 9 33 12 3 FROM TO LIABILITY INSURANCE INSURANCE CO NATIONAL GENERAL 2025031774 � IN EFFECT &POLICY# 1 _JTt1P___ m 34 13 ❑ vewc�e YES NO CITATION# CHARGE 1080TTOM ecauv s-rnNoiNc � � 3 7 MOTOR PEDAL_ ' 1:1PROPERTY : DAMAGE THRESHOLD MET PHONE 35 14 ❑ UNIT# VEHICLE CYCLE PEDESTRIAN OWNER YES NO 36 15 LAST NAME FIRST NAME NIT AL 16 ❑ STREET CITY ST' ZIP NEW ADDRESS" CDL IGNITION REQUIRED IGNITION PRESENT MEDICALTANSPORTED INTERLOCK YES N{7 INTERLOCK YEs No YES NO ❑ 17 37 LLIRIVERS ICENSE# STATE SEX MDD©W - C--� 18 ❑ HELMET INJURY NATURE OF INJURIES 38 ON DUTY STATUS AIRBAG RESTR. EJECT USE CLASS. 19 ❑ ❑ 39 LICENSE TAT viN# PLATE# 20 TRAILER' TRAILER 40 PLATE#. STATE PLATE# - STATE ❑ 21 ❑ TRLR TRLR 41 VIN# VIN#. 42 22 VEH.YEAR MAKE I MODEL I STYLE VEHICLE TOWED DUE T SABLIN TOWED BY GOVT.VEHICLE DAMAGE YES NO YES NO 23 REGISTERED OWNER INFO. SHADE IN DAMAC ED AREA 43 2 3 4 LIABILITY INSURANCE INSURANCE CO IN EFFECT I &POLICY# w� E 44 24 vIece YES❑ NO CITATION# CHARGE K-99 STF_ G 3 3 G 1 CERTIFY(DECLARE)UNDER PENALTY OF PERJURY UNDER THE LAWS OF THE STATE OF WASHINGTON THAT THE FOREGOING IS TRUE AND CORRECT. C.CATALAN 03-06-25 11:46 AM 25 INVESTIGATING OFFICER'S SIGNATURE OFFICER'S PHONE UNIT OR DIST DET DATED: PLACE SIGNED 26 OR Ib# 12007 O#RI WA0171300 APPROVED BY 3n/2025 PAGE OF� 3000-345-013(R 11/18) REPORT NO. EF71836 CASE# 25-2074 DATE AND TIME 03/06/2508:35 OF COLLISION F a-' n� 5 q4} � s � l rs q;t PAGE 6 OF e