HomeMy WebLinkAbout25-2525 IT si " II IIIII III IIIII II IIII IIIII I . 27c REPORT NO EF77248OLCERA
COLLISION REPORT 1591971
CASE# 25-2525 2
INTERSTATE CITY STREET❑ FIRE I
RESULTED STOLENSTATE ROUTE OTHER VEHICLE LOC'AI-A`GENC'Y 4200 3
HIT&RUN CODING
❑ COUNTY RD PRIVATE WAY ❑✓ INVOLVED
2 3 TOTAL#OF OBJECT 28
TRIBAL UNITS 02 STRUCK
RESERVATION : 1
2
3� M M D D Y Y Y Y TIME(2400) COUNTY# MILES CITY#
eaCL s on' 03 - 20 - 2025 1018 17 =.= S 8 W e OF IN e 1070 s
4❑ ON (PRIMARY TRAFFIC WAY) INTERSECTION ❑ NON INTERSECTION ❑✓
BLOEASTVALLEYRD MILE POST
e 3700 .�
4a❑ MILE POST
❑ DISTANCE OF(REFERENCE OR CROSS STREET)
5 MILES 1.1 FEET B S B W e
0 1 29
MOTOR ✓ PEDAL- DAM AG THRESHOLD MET PHONE
UNIT 01 VEHICLE ❑ CYCLE ❑ YEs Vl No D:6615479833 30
6 LAST NAME FOSTER FIRST NAME MARCUS MIDDLE D 1 1 2 31
INITIAL
STREET ❑ 36464 PALIO CT CITY; PALMDALE ST CA ZIp; 935500000 2
NEW ADDRESS
7� +CDL IGNITION REQUIRED IGNITION PRESENT MEDICAL TRANSPORTED. 3
INTERLOCKYEs No INTERLOCKYEs NO YES NO
8❑ DRIVERCENSS# STATE CA SE XI M MMDDYY' 07 — 27 — 1996 32
9 ON DUTY STATUS' AIRBAG 2 RESTR 4 EJECT 1 HELM
USEET 5 CLASSY 1 NATURE of INJURIES 2
10 LI ENS 79631C3 STATE CA VIN# 3ALACWFC2MDMS2482 3
TRAILER STATE TRAILER STATE
11 0 0 PLATE# PLATE# ROM To
TRLR TRLR 3 7 33
12� UIN#' VIN#
FROM TO
VEH.YEAR 2021 MAKE FRHT MODEL M21OO STYLE TR VEHICLE TOWED fn TO ZBUN TOWEDBY GOVT VEHICLE m 34
13 DAMAGE YES II_II NO YESII_I) NO✓
REGISTERED OWNER INFO MEATHEAD MOVERS INC.3600 S HIGUERA ST SAINT LUIS OBISPO CA 93401 D:6615479833 VEHICLE NO. 1
SHADE IN DAMAGED AREA 35
14❑ LIABILITY INSURANCE[ NSURANCE CO WESCO INSURANCE COMPANY 25011 3 4
IN EFFECT &POLICY# CITOP
CHARGE t S ❑ 36
ecnvewcLeur yes❑NO❑ CITATION# 7 0 80TTOM
15❑ TM ING s 7 e
CYCLE. OWNER D:42 52519591PROPERTY ✓ PHONE
1:1EUNIT 02VMEOHTIOCRLE PEDAL-: PEDESTRIAN NO
16❑
LAST NAME INN FIRST NAME CLARION MIDDLE'
INITIAL
STREET ❑
17 ❑ 3700 E VALLEY RD CITY RENTON ST, yyq ZIP 98057 37
NEW ADDRESS
18❑ CDL IGNITION REQUIRED IGNITION PRESENT MEDICAL TRANSPORTED ❑ 38
INTERLOCKYEs NO INTERLOCK YES 0NO vEs NO
19 LICENS# STATE SEX U MMDDYY [ 39
HELMET I INJURY' NATURE OF INJURIES 40
20❑ ON DUTY STATUS AIRBAG RESTR EJECT USE CLASS ❑
21 PLATE# TATE VIN# 41
22❑ [TILER TAILER
PLATE# STATE PLATE# STATE 42
23 TRLR RLR 43
UIN#. 'IN#
VEH.YEAR MAKE MODEL STYLE VEHICLE TOWED TO BLIN
TOWED BY GOV HI 44
24 DAMAGE YES NO YES NO
REGISTERED OWNER INFO VEHICLE NO.2
SHADE IN DAMAGED AREA
2 3 4
LIABILITY INSURANCE❑ INSURANCE CO
IN EFFECT &POLICY# 9TOP
vemcLE ❑ ,.I—I CITATION# CHARGE to BOTTOM
EEGnEEY YES NC
25 a s
OFFICER'S NAME(PRINT) OFFICER PHONE BADGE OR ID# AGENCY
26
C.CATALAN 12007 WA0171300
PART A PAGE 01 OF
3000-345-189(R 11/181
STATE OF
POLICETRAFFICN CORRECTION REPORT NO. EF77248
COLLISION REPORT III III III III III 111
1591972 CASE# 25-2525
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 CLASS 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 03-26-25 11:29 AM
INVESTIGATING OFFICER'S SIGNATURE UNIT OR DIST.DET DATED PLAGE SIGNED
APPROVED BY E
DAT
M.LEVERTON 2517 3/26/2025 2:36:03 PM
BADGE OR ID# 12007 ORI# WA0171300 TIME POLICE DISPATCHED 10:44 AM TIME POLICE ARRIVED i 10:53 AM
PAST B 3 Do-3mx—attar(t 1Mff) PAGE 2�OF 57
REPORT NO. EF77248 CASE# 25-2525 OF DATE AND r�N + 03/20/25 10:18
O�COLLISION
NARRATIVE
On 03/20/2025 at approximately 1018 hours, I was dispatched to a single vehicle collision in the
parking lot of Clarion Inn, 3700 East Valley Rd, 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.
The driver of Unit 1, identified as Marcus Foster, said he was exiting the parking lot to enter East
Valley Rd. He was traveling westbound along the northside of the hotel and approaching the portico.
The building has a height indicator of 12'3". Marcus said he misjudged the height of his box truck and
struck the portico.
The truck sustained moderate damage to the cargo container and the portico only sustained
superficial damage to the underside of the structure.
Later, a Renton City building inspector confirmed that the damage on the hotel was only superficial
and said that the structure was not compromised.
An exchange of information was given to Marcus and the Hotel Manager.
This is an information report only. No citations were given.
I certify (declare) under penalty of perjury under the laws of the State of Washington that the
foregoing is true and correct.
C. Catalan 03/20/2025 Renton
PAGE 3 OF 5
SUPPLEMENTAL REPORT No. EF77248POLICE TRAFFIC
1 27
... ^'� COLLISION REPORT CASE#1 25-2525
013197
1 COMMERCIAL MOTOR CARRIER INTERSTATE INTRASTATE
UNIT# 1 USDOT 0921143 ICC#CARRIER + 24082 VEHICLE TYPE 2 CARGO BODY 2
TYPE
2 ❑ 1 28 NAME. MEAT HEAD MOVERS
..;
3 CARRIER L
ADDRESS 3600 S HIGUERA ST
CITY LUIS OBISPO I ST CA ZIP 93302
4 ❑ NAME # PLACARD
NAME IF NO NUMBER
SOURCE 1 1 1 AXLES 02 GWVR 26000 +
4a ❑ ADDITIONAL UNITS
UNIT# MOTOR PEDAL- PROPERTY DAMAGE THRESHOLD MET PHONE
5 ❑ VEHICLE ❑ ( CYCLE CI PEDESTRIAN C OWNER '.C� YES NO
MIDDLE; 29
LAST NAME FIRST NAME INITIAL
STREET 30
NFW ADDRES CITY ST ZiP
6 PRESENT MEDICAL TANSPORTED 1 31
CDL IGNITION REQUIRED 1{iNi710N ::
INTERLOCK YES NO :INTERLOCK YES 0 No YES N
DRIVER'S STATE I SEX D.O.B _F� I
LICENSE, MMDD'
7
ON DUTY STATUS AIRBAG RESTR. EJECT HELMET INJURY NAruRE of INJURIES
USE CLASS
8 ❑ 1 32
LICENSE TAT VIN
PLATE#
9 TRAILER TRAILER L
PLATE# STATE PLATE# STATE
0
10 TRLR TRLR
VIN.#. VIN#.
11 VEH.YEAR MAKE MODEL STYLE VEHICLE TOWE E T ABLIN TOWED BY Y(-E V VFHICI E FROM TO
DAMAGE YES NO YES NO
m 33
REGISTERED OWNER INFO.� SHADE IN DAMAGED AREA
12
LIABILITY INSURANCE❑ INSURANCE CO 4 FROM TO
IN EFFECT &POLICY# �GQl
34
13 vewc�e YES NO CITATION# CHARGE
ecauv
sTnNoiNc
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 MEDICALTANSF'ORTED
17 .
INTERLOCK YES NO INTERLOCK YES No 'YES NO ❑
37
LDRIVERS — ICENSE# STATE SEX M�D°B _ C-----�
18 ❑
HELMET NJURY 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#Y
42
22 VEH.YEAR MAKE I MODEL I STYLE VEHICLE TOWED DUET ABLIN 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#
..
)
E 44
24 YES❑ NO CITATION# CHARGE OM
SWG 8 3 6
1 CERTIFY(DECLARE)UNDER PENALTY OF PERJURY UNDER THE LAWS OF THE STATE OF WASHINGTON THAT THE FOREGOING IS TRUE AND CORRECT.
C.CATALAN 03-26-25 11:29 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
3%26/2025
PAGE OF�
3000-345-013(R 11t18)
REPORT NO. EF77248 CASE# 25-2525 DATE AND TIME 03/20/2510:18
OF COLLISION
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PAGE 5 OF 5