HomeMy WebLinkAbout23-01716 ITFF' "POLCERA II I !�� I III I III I IIII III II I . 5 27c
COLLISION REP FIT 1591971
CASE 23-01716 z
INTERSTATE ❑ CITY STREET FIRE ❑RESULTED
1 STOLEN
STATE ROUTE ❑ OTHER ❑ VFHICI F ❑ LOCAL AGENC 4200 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#
cowsloN 02 - 10 - 2023 1704 17 �. S 8 W H OF e 1070 3
4❑ ON (PRIMARY TRAFFIC WAY) INTERSECTION ❑✓ NON INTERSECTION ❑
SE CARR ROAD BLOCK NO. e✓ 10800 ❑
4a❑ MILEPOST
DISTANCE OF(REFERENCE OR CROSS STREET)
5❑ 1.❑ FEET e S ❑ W e 108THAVESE
1 2 29
MOTOR PEDAL- DAM THRESHOLD MET PHONE
UNIT 01 VEHICLE ❑ CYCLE El YES NO �/ D:2066439363 0 81
30
6� LAST NAME BARZUL FIRSTNAME IVAN MIDDLE 1 2 31
INITIAL
STREET ❑ 10930 SE 172ND ST APT H101 CITY RENTON ST WA 21p 980555992 z
NEW ADDRESS
7❑ CDL IGNITION REQUIRED IGNITION PRESENT MEDICAL TRANSPORTED 3
iNTERLOCKYEs NO 1/ INTERLOCKYEs NO Z/ YES R No�/
8 LRIIVER #
ON DUTY❑ STATUS AIRBAG 2 RESTR 4 EJECT 1 HELMET U E 2 CLASS 1 NATURE OF INJURIES 2❑
3
10❑ Pi aT�S� CFt0002 sTArI WAvIN# WBSFV9C51DC774049
TRAILER STATE TRAILER STATE
11 3 5 PLATE# PLATE# FROM TO
TRLR. TRLR 7 3 33
12 0 0 VIN#' VIN#
>; FROM TO
VEH.YEAR MAKE MODEL STYLE VEHICLE TOWED TO BLIN TOWED BY GOVT.VEHICLE J 9 34
13 A 2013 BMW M5 SD DAMAGE YES NO YES[:] NO✓
REGISTEREDOWNERINFO IVAN BARZUL 10930 SE 172ND ST APT H101 RENTON WA 98055 VEHICLE NO. 1 ❑
SHADE IN DAMAGED AREA 35
14[Al
LIABILITY INSURANCE INSURANCE CO PROGRESSIVE 964896342 4
LI EFFECT &POLICY# TOPvECA LE CHARGE 36
LEGALLY YEs No clTAnoN# 3A0005206 INATTENTIVE DRIVING <1�3
orrow
15❑ STANDING 7 6
MOTOR PEDAL- PROPERTY DAM THR OLD MET PHONE
UNIT 02 VEHICLE CYCLE ❑ PEDESTRIAN ❑ OWNER ❑ YES 1/ NO D:2064549655
16 a
LAST NAME HENDERSON FIRST NAME DEREK MIDDLE L
INITIAL
17❑ NEW STREETRE37 495 RENTON CENTER WAY SW APT CITY RENTON ST WA ZIP 980573504 37
18❑ CDL IGNITION REQUIRED IGNITION PtR-E-S1ENT MEDICAL-T�RANSPORTED � 38
INTERLOCK YEs❑No� INTERLOCK vEs I I NOF YEs t l NOF,/
19[—] DRIVER'S STATE WA SEX M D.C... 10 � 1968_ 31 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 PLATE# 883ZLP TArE WA VIN1 2FMDK36C996A87824 1
42
22❑ PILER LATE# STATE PLATE# STATE
23❑ UIN#. 43
TRLR RLR
'IN#.
VEH YEAR 2009 MAKE FORD MODEL EDGE STYLE VEHICLETOWED TO BLIN TOWEDBY GOV HI 44
L4❑ DAMAGE YES NO,/ YES NO
REGISTERED OWNER INFO DEREK HENDERSON 495 RENTON CENTER WAY SWAPT RENTON WA 98057 VEHICLE NO.2
SHADEDAMAGEbAREA
s Cd
LIABILITY INSURANCE❑ INSURANCE CO NONE NONE
IN EFFECT &POLICY# 9TOP
VEHICLE-HLYEs[Z Nc❑ CITATION# W23001446 CHARGE OP MOT VEH W/OUT INSURANCE Io aoTroM
GAILY
25
OFFICER'S NAME(PRINT) OFFICER PHONE BADGE OR ID# AGENCY
26
J.CHRISTIANSEN 10437 WA0171300
PAGE 01 OF
PART A
3000-345-159 OR 11/181
STATE OF
POLICETRAFFICN CORRECTION REPORT NO. ED32897
COLLISION REPORT III III III III III 111
1591972 CASE# 23-01716
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.
J.CHRISTIANSEN 02-10-23 07:03 PM
INVESTIGATING OFFICER'S SIGNATURE UNIT OR DIST DET DATED PLACE SIGNED
APPROVED BY DATE
J.CHRISTIANSEN 10437 1 211012023 11:33:09 PM
BADGE OR ID# 10437 OR]#' WA0171300 TIME POLICE DISPATCHED'! 5:05 PM TIME POLICE ARRIVED',5:06 PM
PART I PAGE IT]OF
REPORT NO. ED32897 CASE# 23-01716 OF COLLISION
02/10/23 17:04
OF CbLLI510N
NARRATIVE
RPD SUPPLEMENTAL CASE#: 23-01716
RECORDED ON AXON
*This incident was captured on my body worn video camera. This report is a summary of events that
occurred and is not an exact sequencing of events. Statements have been paraphrased and
summarized. *
On 02.10.2023, at approximately 1705 hours, I was dispatched to a three-vehicle, non-injury, blocking
collision at the intersection of SE Carr Road and 108th Ave SE., in the City of Renton, WA, the
County of King.
I was assigned to uniformed marked patrol in the City of Renton, WA, the County of King. I was
operating a fully marked Renton Police Tahoe #277, equipped with "POLICE" markings, overhead
exterior lights, and audible siren. I was wearing my department-issued uniform, including a fully
equipped duty belt, exterior ballistic vest with "POLICE" stenciled on the front and back and Renton
Police badge affixed to the left breast. I was also wearing my department-issued jumpsuit with
"POLICE" patches on both shoulders and across the rear shoulders. It would be immediately obvious
to any reasonable person I was a police officer. I was assigned as 302.
At the time of this incident, it was cold, approximately 49 degrees, clear skies and daylight,
streetlights were not illuminated. SE Carr Road is a 5-lane roadway with a dedicated left turn lane
that runs northbound onto 108th Ave SE.
I arrived on scene at approximately 1706 hours and met with all involved drivers, no injuries were
reported but the vehicles were blocking the left turn lane on SE Carr Road.
Unit 01 was identified as a black in color BMW M5 bearing WA/CFL0002. Unit 01 had minimal
damage to the front bumper and was operable.
Unit 01's driver was identified by his WADL as Barzul, Ivan (DOB: 09.11.2003). Barzul matched the
photo on his WADL and when asked what happened leading up to the collision, he said he was
entering SE Carr Road from a private driveway and crossed lanes of traffic to enter the left turn lane,
when he `thought' Unit 03, later identified, was going to proceed through a yellow signal light. Unit 03
stopped at the yellow signal light, and Unit 01 struck the rear of Unit 02, who was pushed into the rear
of Unit 03 in a secondary collision. Barzul later changed his version of events and said he was
directly behind Unit 02 when he saw Unit 02 strike Unit 03, then Unit 02 `rolled back' and struck him in
the front bumper.
A WACIC/NCIC/DOL query on Barzul was clear and valid.
Unit 02 was identified as a silver in color Ford Edge bearing WA/883ZLP. Unit 02 had moderate
damage to the front bumper and minimal damage to the rear bumper, but it was operable.
Unit 02's driver was identified by his WADL as Henderson, Derek Leron (DOB: 10.31.1968).
Henderson matched the photo shown on his WADL and he stated he was traveling eastbound on SE
Carr Road, stopped in the left turn lane at the intersection with 108th Ave SE. Unit 02 was stopped
directly behind Unit 03, when he was struck from behind "hard" by Unit 01 and pushed into the back
of Unit 03, who was stopped for a yellow signal light at the intersection. Henderson did not have
insurance on his vehicle, and he was issued Warning violation#: 23001446 for violation of RCW
46.30.020: Operating a motor vehicle without insurance-warning only.
Unit 03 was identified as a red in color Toyota Prius bearing WA/ CFU1368. Unit 03 had moderate
damage to the rear bumper/undercarriage, and it was operable.
Unit 03's driver was identified by her WADL as Pankiv, Nataliya (DOB: 11.03.1982). Pankiv matched
the photo on her WADL stated she was stopped for a yellow signal light in the left turn lane on SE
Carr Road and 108th Ave SE. Pankiv was at a complete stop when Unit 02 struck the rear of her
vehicle after being hit from behind by Unit 01.
Unit 01's driver, Barzul, Ivan (DOB: 09.11.2003) is the causing party in this collision by failing to pay
full time and attention to the roadway, resulting in a collision -in violation of R 10-12-25: Inattentive
Driving. I issued Barzul SECTOR citation#: 3A0005206, for the above listed violation. The infraction
will be mailed via the courts. Barzul wanted to argue he was the `at fault' driver in this collision and 1
advised him to contact his insurance company as I would not argue his actions on the roadside.
PAGE 3 OF 6
REPORT NO. ED32897 CASE# 23-01716 OF COLLISION
02/10/23 17:04
OF CbLLI510N
NARRATIVE
No injuries were reported.
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 J. Christiansen #10437, on February 10, 2023, at approximately 1901
hours, in Renton, WA.
**** AUTO-POPULATED SECTION ****
THE FOLLOWING ARE DESCRIPTIONS ENTERED FOR ITEMS SELECTED AS "OTHER":
Location Character: CITY STREET
**** END OF AUTO-POPULATED SECTION ****
PAGE 4 OF 6
SUPPLEMENTAL REPORT NO. ED32897
r`) POLICE TRAFFIC 1 1 8 27
COLLISION REPORT CASE# 23-01716
1 COMMERCIAL MOTOR CARRIER INTERSTATE INTRASTATE G
UNIT'# USDOT ICC# VEHICLE TYPE CARGO BODY
;TYPE
2 ❑ 1 28
CARRIER
NAME
3 CARRIER
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:2063318691
0 8 29
LAST NAME PANKIV FIRST NAME : NATALIYA MIDDLE
INITIAL
STREET 30
NEW AnDRE.P 3000 SE ROYAL HILLS DR APT 25 CITY RENTON ST WA ZIP 1 980583846
6 [2 1 1 2 31
CDL IGNITIttN REQUIRED IGNITION PRESENT MEDICAL TANSPORTED
INTERLOCK YEs NO✓ NTERLOCK YES❑N0f✓ YES N ✓
DRIVER'S
LICENSE STATE I WA SEX F MMDDYYv', 11 TO]
- 1982
7
ON DUTY� STATUS AIRBAG' 2 RESTR. Q EJECT 1 HELMET 2 INJURY 1 1 NATURE OF INJURIES
USE CLASS
8 ❑ 1 32
LICENSE CFU1368 TAr WA VIN# JTDKB20U153090556
PLATE#
9 TRAILER TRAILER
PLATE# STATE PLATE# STATE
10 ❑ TRLR TRLR
VIN It VIN.#.
11 0 0 VEH.YEAR200 Jr MAKE TOYT MODELPRIUS STYLE SD VEHICLE TOWS E T SABLIN TOWED BY anvi vEH1I' FROM TO
DAMAGE YES NO ✓ YES NO ✓
REGISTERED OWNER INFONATALIYA PANKIV 3000 SE ROYAL HILLS DR APT 25 RENTON W SHADE IN DAMAGED AREA A 98058 J 9 33
12 �
7 j FROM TO
LIABILITY INSURANCE INSURANCE CO SAFECO H2272572 q"i"Olx
IN EFFECT &POLICY# _
13 A VEHICLE YESZ NO❑ CITATION# NONE CHARGE
L N/A O
BarTUM 34
LEGALLY
STANDING �}
14 ❑ UNIT# Vd 1CRE O CYCLE ❑ OWNER YES AGE NOHRESHOLD MET PHONE ❑ 35
PEDESTRIAN
36
15 LAST NAME FIRST NAME INITIALAL
MDDLE
❑
ET
16 STRETRENEW "F ' CITY ST ZIP
CDL IGNITION REdUiRED IGNITION PRESENT MEDICALTANSPORTED
NTERLUCK YES NO NTERLOCK YES NO 'YES NO ❑
17 4 37
LICENSE# STATE SEX MMDDDYBYY -� 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 AREA 43
3 4 71
LIABILITY INSURANCE INSURANCE CO '
VINE
EFFECT &POLICY# i 970P - 4 E:l
44
24 LEHIcLE YES❑ NO❑ CITATION# CHARGE iq 60TiOM
Lec E
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.
J,CHRISTIANSEN 02-10-23 07:03 PM
25 INVESTIGATING OFFICER'S SIGNATURE OFFICER'S PHONE UNIT OR DIST DET DATED: PLACE SIGNED
APPROVED BY EAT
E
26 ORID# 10437 O#I',WA0171300 CHRISTIANSEN 1 2110/2023 PAGE F51OF 6
3000-345-013(R 11118)
REPORT NO. ED32897 CASE# ' 23-01716 DATE AND TIME 02/10/23 17:04
OF COLLISION
*NOT T ` ` LE*
Renton PD Case#: 23-01716 108t 1 Ave SE
02.10.2023
Officer I Christiansen #10437
Secondary collision between Unit 02 an Unit 03
Primary coilision between Unit Oi and.Unit 02
�J
PAGE 6 OF 6