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HomeMy WebLinkAbout23-1506 a ITFFi "POLCERA II IfI) 1 IlfII ('II (Illf If( fI I . 0 27c COLLISION REP FIT 1591971 CASE 23-1506 z INTERSTATE ❑ CITY STREET FIRE ❑ RESULTED 1 STOLEN STATE ROUTE ❑ OTHER ❑ VFHIr.I F ❑ LOCAL AGENCI 4Y00 3 HIT&RUN CODING COUNTY RD PRIVATE WAY INVOLVED 23❑ 0 4 TOTAL#OF OBJECT TRIBAL UNITS 03 STRUCK STREET LIG 28 HT POLE 1 RESERVATION z 3❑ DATE of M M D D Y Y Y Y TIME(2400) COUNTY# MILES N E IN CITY# cowsloN 02 - 1-- 2023 2041 17 ❑-= S 8 IN e 1070 3 4❑ oN (PRIMARY TRAFFIC WAY) INTERSECTION ❑✓ NON INTERSECTION ❑ GARDEN AVE N BLOCK NO. e✓ 1300 ❑ 4a❑ MILE POST DISTANCE OF(REFERENCE OR CROSS STREET) 5❑ ❑ FEET e S ❑ W e N LANDING WAY 0 4 29 MOTOR PEDAL- DAM THRESHOLD MET PHONE UNIT 01 VEHICLE ❑ CYCLE El YES NO ,/ D:2404400213 0 11 30 6� LAST NAMq MELLON FIRSTNAME ANNALISE MIDDLE L 1 2 31 INITIAL STREET ❑, 9563 NE 1ST ST CITY BELLEVUE ST WA ZIP' 98004 z 'NEW ADDRESS 7 CDL IGNITION REQUIRED IGNITION PRESENT MEDICAL TRANSPORTED 3 ❑ iNTERLOCKYEs[:]NOW INTERLOCK YES NO YEs NoF,/ LRIIVER # STATE WA SEX'F MM D Y' 07 - 22 - 1991 1 1 2 32 8❑ 9 ON DUTY❑ STATUS AIRBAG 2 RESTR 4 EJECT 1 HELMETU E 2 CLASS 1 NATURE OF INJURIES z❑ 3 10 9❑ Pi aT�S� BNP2365 sTArI WAurN# JH4Ct96988C000366 TRAILER STATE TRAILER STATE 11 3 0 PLATE# PLATE# ROM TO TRLR. TRLR $ 7 33 12 3 0 VIN#' VIN# >; FROM TO VEH.YEAR 2008 MAKE MODEL STYLE VEHICLE TOWED TO BLIN TOWED BY GOVT.VEHICLE 1 $ 34 13 4 ACUR TSX SD DAMAGE YES NO YES[:] No ✓ REGISTERED OWNER INFO OWNEDBYDRIVER VEHICLE NO. 1 ❑ SHADE IN DAMAGED AREA ❑ 35 14 LIABILI INSURANCE INSURANCE CO GEICO 6115900836 3 4 IN EFFECT &POLICY# 9TOP VE"'CLE CHARGE 5 36 LEGALLY YES❑NO❑ CITATION# 10 BOTTOM 15❑ STANDING 7 6 MOTOR PEDAL- PEDESTRIAN PROPERTY DAM THR OLD MET PHONE UNIT 02 VEHICLE ❑ CYCLE ❑ ❑ OWNER [:]EA. YES 1/ No D:2533497120 16 a LAST NAME HARRIS FIRST NAME LACQUARDIO MIDDLE S INITIAL 17 STREET NEW ADOREs7 17711 HIGHWAY 99 STE A CITY LYNNWOOD ST WA ZIP 98037 4❑ 37 18� CDL IGNITION REQUIRED IGNITION PtR-E-S1ENT MEDICAL TRANSPORTED 38 INTERLOCK YEs❑No� INTERLOCK YEs I I NOF YEs t l NOF,/ 19 DRIVER'S STATE WA SEX M D.C.B. 07 O6 _ 1988 39 LICENSE# MMDDYY 20❑ ON DUTY STATUS AIRBAG 2 RESTR 4 EJECT 1 H U EET 2 NJAURSY 1 NATURE OF INJURIES ❑ 40 ❑ 41 21❑ ILICENSE PLA E# BGY5084 TArE WA VIN# 19UYA2254XL002736 1 42 22❑ PLATE# STATE PLATE# STATE 23❑ VIN#. 43 TRLR RLR 'IN#. VEH YEAR 1999 MAKE ACUR MODEL 3.0 CL STYLE SO VEHICLE TOWED TO BLIN TOWED BY GOV HI �44 L4❑ DAMAGE YES NO YES NO REGISTERED OWNER INFO LACQUARDIO HARRIS 17711 HIGHWAY 99 STE A LYNNWOODWA98037 D:2533497120 VEHICLE NO.2 SHADEDAMAGEDAREA 3 4 LIABILITY INSURANCE &POINSURGY#E CO PROGRESSIVE 934088602IN STOP 5 LVHICLEEGA— ❑ ,J� CITATION# CHARGE to BOTTOM LEGALLY YES N`[J 25 7HAL S NAME(PRINT) OFFICER PHONE BADGE OR ID# JAGENCY 26 Y BRUS 11663 WA0171300 PART A PAGE 01 OF C7 3000-345-159 OR 11/181 STATE OF POLICETRAFFICN CORRECTION REPORT NO. ED35373 COLLISION REPORT III III III III III 111 1591972 CASE# 23-1506 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. HALLEY BRUS 02-05-23 10:13 PM INVESTIGATING OFFICER'S SIGNATURE UNIT OR DIST DET DATED PLACE SIGNED APPROVED BY DATE P.SUMMERS 8887 1 2/19/2023 7:59:25 PM BADGE OR ID# ! 11663 ORI#' WA0171300 TIME POLICE DISPATCHED 8:44 PM TIME POLICE ARRIVED 8:47 PM PART I PAGE IT]OF 5� REPORT NO. ED35373 CASE# 23-1506 OF COLLISION 02/05/23 20:41 OF CbLLI510N NARRATIVE Assignment: On 2-5-23, 1 was working uniformed patrol in a marked Renton PD unit. At approximately 2044 hours, I was dispatched to investigate a traffic collision that occurred at the intersection of N Landing Way and Garden Ave N, in the City of Renton, County of King (WA). Scene: The 1300 block of Garden Ave N is a two-way north-south bound street with a double center left turn lane and one lane of travel in each direction. Arrival: Upon arrival, I saw a gray Acura TSX (WALic#BNP2365, Unit#1) with front driver side damage. There was also a bronze Acura coupe (WALic#BGY5084, Unit#2) with significant front end and driver side damage. Unit#2 was on top of a live wire stemming from a destroyed light pole, which belonged to Target. Both drivers were with their respective vehicles. Statement of Lacquardio Harris: Harris (identified by WAID) was driving Unit#2 southbound in the only southbound lane of travel. Harris stated he was approaching the intersection with N Landing Way when Unit#1 turned left in front of him, apparently turning into the Target parking lot. Harris stated he swerved right in an attempt to avoid the collision with Unit#1. Harris ended up swerving into a light pole which was on Targets property off the roadway. Harris stated he believed the speed limit was 35mph and he did not believe he was speeding. Harris stated he was not injured and there were no defects to the vehicle prior to this incident. A DOL records check of Harris showed his license status as Suspended in the 3rd Degree. Statement of Annalise Mellon: Mellon (identified by WADL) was going northbound in the center turn lane. She began her left turn, westbound into the Target parking lot, when Unit#2 collided with her vehicle. Mellon stated she believed Unit#2 was exceeding the speed limit by quite a bit. Mellon also stated she believed Unit#2 did not have its headlights on at the time of the collision. Mellon stated she was not injured and there were no defects to her vehicle prior to this incident. Target: I contacted Target, the owner of the damaged light pole. Employees estimated the damage to be valued at $5,000 and provided me contact information for the store manager. I sent a citizen link to an employee so they could upload video surveillance footage of the incident to the case. Fire arrived on scene and attempted to secure the live wire that was on the pavement. Damage: The damage to both vehicles (and the light pole) on scene matched both statements. Tow: No tows were requested. Although a private tow (Gene Meyer) arrived for Unit#2 per the owner's request. Summary: Based on statements provided and the supporting physical evidence, I was not able to determine who was caused the collision. No traffic citations were issued. Pending video surveillance footage. I certify (declare) under penalty of perjury under the laws of the State of Washington that the foregoing is true and correct. Electronically signed by H.Brus/11663 at 2209 hours on 2-5-23, in the City of Renton, WA. PAGE 3 OF 5 SUPPLEMENTAL REPORT No. ED35373 r`) POLICE TRAFFIC 1 27 COLLISION REPORT CASE# 23-1506 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 DAMAGETHRESHOLD MET PHONE UNIT# 3 PEDESTRIAN � ✓�' YEs NO 5 VEHICLE CYCLE OWNER ✓ D:5094232421 MIDDLE.. 29 LAST NAME TARGET FIRST NAME RANDY INITIAL STREET 30 NEW AnDRFSP' 1215 N LANDING WAY CITY RENTON ST WA ZIP 98056 6 CDL IGNITION REQUIRED IGNITION PRESENT MEDICAL TANSPORTED 1 31 INTERLOCK YES[:]NO zERLOCK YES E]Na� YEs N DRIVER'S STATE I SEX U M��DVSYv' —� 2 LICENSE 7 F-I ON DUTY STATUS AIRBAG RESTR. EJECT HELMET INJURY NATURE OF INJURIES USE cLASS 8 ❑ ' 1 32 LICENSE+ rar VIN.# PLATE# 9F-I TRAILER TRAILER PLATE# STATE PLATE# STATE 10 ❑ TRLR TRLR VIN.#. VIN.#. 11 VEH.YEAR MAKE I MODEL STYLE I VEHICLE TOWS E T SABLIN TOWED BY anvi vEHIG P FROM TO DAMAGE YES NO YES NO REGISTERED OWNER INFO. m 33 12 SHADE IN DAMAGED AREA FROM TO ((ABILITY INSURANCE❑ INSURANCE CO IN EFFECT &POLICY# tGQ VEHICLE 34 13 ❑ LEGALLY YES[:] NO❑ CITATION# CHARGE STANDING S} 8 7 6 14 ❑ UNIT Tr Vd IRE O CYDCLE OWNER YES AGE NOHRESHOLD MET PHONE El 35 PEDESTRIAN 15 LAST NAME FIRST NAME MIDDLE': INITIAL36 STREET"[—] ❑ 16 NEn+AnnRFs.�' CITY'. ST ZIP CDL IGNITION REdUiRED IGNITtGN PRESENT MEDICALTANSPORTED INTERLOCK YES No INTERLOCK 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 (CLASS 19 ❑ vIN# 39 LICENSE PLATE# rnr 20 ❑ TRAILER' TRAILER ❑ 40 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 AREA 43 3 4 71 LIABILITY INSURANCE INSURANCE CO ' VE EFFECT &POLICY# i 970P - 4 E:l 44 24 VEHICLE YES❑ NO❑ CITATION# CHARGE iq 60TiOM C=DLv 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. HALLEY BRUS 02-05-23 10:13 PM 25 INVESTIGATING OFFICER'S SIGNATURE OFFICER'S PHONE UNIT OR DIST DET DATED: PLACE SIGNED APPROVED BY DATE 26 OR ID# 11663 O#I,WA0171300 SUMMERS 211912023 PAGE F OF 3000-345-013(R 11118) REPORT NO. ED35373 CASE# 23-1506 DATE AND TIME 02/05/23 20:41 OF COLLISION i 1 i N Landing Way Target Parking Lot w" EL m D C 9 N i z 1 i l PAGE 5 OF 5