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HomeMy WebLinkAbout22-13147 a ITFFi "POLCERA II IfI) 1 IlfII ('II (Illf If( fI I . 5 27c COLLISION REP FIT 1591971 CASE 22-13147 z INTERSTATE ❑ CITY STREET FIRE ❑RESULTED 1 STOLEN STATE ROUTE ❑ OTHER ❑ VFHICI F ❑ LOCAL AGENC 4Y00 3 HIT&RUN CODING COUNTY RD PRIVATE WAY INVOLVED 2 1 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'. 12 - 1-- 2022 1703 17 ❑.= S 8 IN e 1070 3 4❑ oN (PRIMARY TRAFFIC WAY) INTERSECTION ❑ NON INTERSECTION ❑✓ BLOCK NE SUNSET BLVD MILEPOST ST e✓ 3200 4a❑ DISTANCE OF(REFERENCE OR CROSS STREET) 5❑ 750 00 FEET MILES e S B W e NE 12TH ST 0 1 29 MOTOR PEDAL- DAMAGE THRESHOLD MET PHONE UNIT 01 VEHICLE ❑ CYCLE El NO D:7143061961 0 7 30 5� LAST NAME FENTON FIRSTNAME SHAUN MIDDLE L 1 1 2 31 INITIAL STREET ❑, 3715 NE 14TH ST CITY RENTON ST WA ZIP 980563399 z NEW ADDRESS 7❑ CDL IGNITION REQUIRED IGNITION PRESENT MEDICAL TRANSPORTED 3 iNTERLOCKYEs NO 1/ INTERLOCKYEs NO�/ YES R No�/ 8❑ LRIIVER # ON DUTY❑ STATUS AIRBAG 3 RESTR 4 EJECT 1 HELMETU E 2 CLASS 1 NATURE OF INJURIES z❑ 3 10 9❑ P1 aT�S� CDV0903 sTArI WAVIN# WA 1 CNAFY6L2064144 TRAILER STATE TRAILER STATE 11 3 5 PLATE# PLATE# FROM TO TRLR. TRLR 3 7 33 12 3 5 VIN#' VIN# >; FROM TO VEH.YEAR MAKE MODEL STYLE VEHICLE TOWED TO BLIN T GOVT.VEHICLE g 9 34 13 2020 AUDI Q5 SV DAMAGE YES NO �LII� RS YES[:] No REGISTERED OWNER INFO S..FENTON 3711 NE 14TH ST RENTON WA 98056 D:7143061961 VEHICLE NO. 1 ❑ SHADE IN DAMAGED AREA 35 14LIABILI INSURANCE INSURANCE CO GEICO 6020867591 3 4 IN EFFECT &POLICY# 9TOP VEHICLE CHARGE 5 36 LEGALLY Yes❑NO❑ CITATION# W22067723 INATTENTION 1 o BOTTOM 15❑ STANDING 7 6 MOTOR PEDAL- PEDESTRIAN PROPERTY DAM THR OLD MET PHONE UNIT 02 VEHICLE ❑ CYCLE ❑ ❑ OWNPR ❑ YES 1/ No D:4 16 a 256334783 LAST NAME HOU FIRST NAME FAY MIDDLE X INITIAL 17❑ NEW STREETR 12560 S 7 E 52ND ST CITY BELLEVUE ST WA ZIP 980062911 4❑ 37 18❑ CDL IGNITION REQUIRED IGNITION PR—E-1SENT MEDICAL—T�RANSPORTED � 38 INTERLOCK YEs❑NO� INTERLOCK vEs It I NOF YES t l NOF,/ 19 DRIVER # ❑ ON DUTY STATUS AIRBAG 2 RESTR 4 EJECT 1 H U EET 2 NJAURSY 1 NATURE OF INJURIES 40 ❑ 41 21❑ ILICENSE PLA E# BOB5823 TArE WA VIN# 1HGCV1F19JA231500 1 42 22❑ PLATE# STATE PLATE# STATE 23❑ UIN#. 43 TRLR RLR 'IN#. TOWED By Gov HI 44 VEH YEAR 2018 MAKE yOND MODEL ACCORD STYLE 4W —7EHICLE TOWED✓ NOO BLIN BANKERS YES No�/ 24❑ REGISTERED OWNER INFO OWNED SY DRIVER VEHICLE N0.2 SHADE IN DAMAGEbAREA 2 3 Cd LIABILITY INSURANCE INSU&PORGY#E CO AMERICAN FAMILY BX11657700 1 9TOP IN EFFECT 'E""LE CITATION# CHARGE LEG 25 i o BOTTOM ALLY YES N� ❑ s =UGENT (PRINT) OFFICER PHONE BADGE OR ID# 77P�1300 26 11498 PAGE 01 OF PART A 3000-345-159 OR 11/181 STATE OF POLICETRAFFICN CORRECTION REPORT NO. ED14495 COLLISION REPORT III III III III III 111 1591972 CASE# 22-13147 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 12-13-22 03:11 PM INVESTIGATING OFFICER'S SIGNATURE UNIT OR DIST DET DATED PLACE SIGNED APPROVED BY DATE S.MORR/S 2613 1211412022 3:53:54 PM BADGE OR ID# 11498 ORI# WA0171300 TIME POLICE DISPATCHED; 5:05 PM TIME POLICE ARRIVED',5:11 PM PART I PAGE IT]OF 5� REPORT NO. ED14495 CASE# 22-13147 OF COLLISION 12/12/22 17:03 OF CbLLI510N NARRATIVE 22-13147 On 12/12/2022 at approximately 1705 hours, I was dispatched to an unknown-if-injury and blocking vehicle collision in the 3200 block of NE Sunset Blvd, within the City Limits of Renton, County of King, State of Washington. Dispatch advised of a 3-vehicle collision and that the involved vehicles were blocking an unknown direction of travel. Upon arrival and contacting the involved parties, I noticed airbag deployment on one of the involved vehicles and heavy mechanism to two of the involved vehicles therefore I requested the Renton Regional Fire Department respond for a precautionary evaluation. While on scene, I collected each involved party's driving information and independent recollection of the events leading up to the collision. Renton Fire later responded and treated all involved parties at the scene. The driver of Unit#1 said he was the sole occupant of his vehicle and was traveling westbound in about the 3200 block of NE Sunset Blvd in lane 2 of 2. The driver of Unit#1 stated that an uninvolved vehicle had triggered a collision warning sensor inside of Unit#1's vehicle. The driver of Unit#1 stated he was momentarily distracted by the warning alerts inside of the vehicle and upon looking back up at the roadway, he noticed Unit#2 stopped in traffic directly in front of Unit#1. The driver of Unit#1 stated that he tried swerving into the center-turn-lane to avoid the collision but ultimately was unable to stop in time and collided with the rear of Unit#2 causing significant damage to the front of Unit#1. The driver of Unit#2 said she was the sole occupant of her vehicle and traveling westbound in about the 3200 block of NE Sunset Blvd in lane 2 of 2. The driver of Unit#2 stated she was stopped for queued traffic at the upcoming intersection. The driver of Unit#2 stated that while stopped, Unit#1 collided with the rear of Unit#2 causing significant damage. As a result of the initial impact between Unit#1 and Unit#2, Unit#2 was then pushed into the rear of Unit#3 causing additional damage to the front bumper of Unit#2. The driver of Unit#3 said he was the sole occupant of his vehicle and was also traveling westbound in about the 3200 block of NE Sunset Blvd in lane 2 of 2. The driver of Unit#3 stated he was stopped for queued traffic at the upcoming intersection. The driver of Unit#3 stated that while stopped, Unit#2 collided with the rear of Unit#3 causing minor damage to the rear bumper of Unit#3. Based on the above statements, I determined that the Driver of Unit#1 (Fenton) was the predominant factor for the cause of collision due to Inattention causing a collision. The driver of Unit#1 should have been paying more attention to traffic in front of him. Both Unit#1 and Unit#2 had to be impounded due to extensive damage. Unit#3 was able to be driven away without further incident. An exchange of information was provided to all involved parties. I issued the driver of Unit#1 (Fenton) a Written Warning for Inattention. 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 3:10 PM 12/13/2022 Renton, King County, WA. PAGE 3 OF 5 SUPPLEMENTAL REPORT No. ED14495 r`) POLICE TRAFFIC 1 1 8 27 COLLISION REPORT CASE# 22-13147 1 COMMERCIAL MOTOR CARRIER INTERSTATE INTRASTATE G UNIT'# USDOT ICC# VEHICLE TYPE CARGO BODY ;TYPE 2 ❑ 1 28 CARRIER NAME 3 CARRIER L ADDRESS ` CITY ST ZIP—1 I ' 4 ❑ NAME # PLACARD: :❑ GI PLACARD IF NO NUMBER SOURCE AXLES + 4a ❑ ADDITIONAL UNITS MOTOR PEDAL- PROPERTY DAMAGE THRESHOLD MET PHONE 5 ❑ UNIT# 3 VEHICLE t_"J CYCLE _) PEDESTRIAN � OWNER � YES NO D:2064223262 0 7 29 LAST NAME : KHUU FIRST NAME TAN MIDDLE Q INITIAL STREET 30 NEW AnDRFSP'. 10211 6TH AVE SW CITY SEATTLE ST WA ZIP 981461521 6 ❑ 1 1 2 31 CDL IGNITIttN REQUIRED IGNITION PRESENT MEDICAL TAN5PORTED INTERLOCK YEs NO zERLOCK YES❑N0� YES N DRIVER'S LICENSE STATE I WA SEX M MMDDYYv 10 TOE]- 1994 7 ON DUTY� STATUS AIRBAG' 2 RESTR. Q EJECT 1 HELMET 2 INJURY 1 1 NATURE OF INJURIES USE CLASS 8 ❑ 1 32 LICENSE BNE4321 TAr Wq VIN# 4T1BK36B27U178004 PLATE# 9 9] TRAILER TRAILER PLATE# STATE PLATE# STATE 10 ❑ TRLR TRLR VIN.#. VIN.#. 11 3 5 VEH.YEAR2007 MAKE TOYT MODELA VALON STYLE 4D I VEHICLE TOME E T SABLIN TOWED BY anvi vFH1C P FROM TO DAMAGE YES NO YES NO REGISTERED OWNER INFO CUONG KHUU 10211 6TH AVE SW SEATTLE WA 98146 D:2064223262 SHADE IN DAMAGED AREA 9 9 33 12 z 3 FROM TO LIABILITY INSURANCE INSURANCE CO COUNTRY FINANCIAL P46A5110828 GQO IN EFFECT &POLICY# 1EHICLE 34 13LTAGFlGEGALLY YES NO❑ CITATION# CHARGE STANDING S} 8 7 6 14 ❑ UNIT Tr Vd 1RE O CYDCLE OWNER RTY YES[—]AGE NOHRESHOLD MET PHONE ❑ 35 PEDESTRIAN 15 LAST NAME FIRST NAME N DL 36 ❑ AL STREET 16Fl NFWAET F-] CITY ST ZIP CDL IGNITION REdUiRED IGNITION PRESENT MEDICALTANSPORTED INTERLOCK YES No INTERLOCK YEs NO YES NO ❑ 17 4 37 LICENSE# STATE SEX MMMOOYBYY -� II 18 ❑ ON DUTY� STATUS AIRBAG RESTR. ; EJECT HELMET INJURY NATURE of 1NJURIEs 38 USE CLASS 19 ❑ LICENSE TAr VIN# 39 PLATE# 20 ❑ TRAILER' STATE TRAILER STATE ❑ 40 PLATE#< PLATE# 21 ❑ ❑ 41 TRLR TRLR 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 3 LIABILITY INSURANCE INSURANCE CO ' VINE EFFECT &POLICY# i 970P - 4 E:l 44 24 VEHICLE YES❑ NO❑ CITATION# CHARGE iq 60TiOM LEGALLv STANDING 8 7 6 1 CERTIFY(DECLARE)UNDER PENALTY OF PERJURY UNDER THE LAWS OF THE STATE OF WASHINGTON THAT THE FOREGOING IS TRUE AND CORRECT. MATTHEW NUGENT 12-13-22 03:11 PM 25 INVESTIGATING OFFICER'S SIGNATURE OFFICER'S PHONE UNIT OR DIST DET DATED: PLACE SIGNED 26 OI BADGE 11498 O#I',WA0171300 APMORRIS 12114/202 PAGE F41 OF F 3000-345-013(R 11118) REPORT NO.! ED14495 CASE# ' 22-13147 DATE AND TIME 12/12/22 17:03 OF COLLISION U„ttl [J�It 92. 'Pianram not kscalc NE 12th:St PAGE 5 OF 5