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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 } s. y ll ��53 f Y tt 7 Cr S 1} t� x � Y t y ao ik c i t 4T 5is f t lyi� F S}},SYi k ~mow z x.. r� 1 PAGE 5 OF 5