HomeMy WebLinkAbout23-3283 ITFF' "POLCERA II I !�� I III I III I IIII III II I . 0 27c
COLLISION REP FIT 1591971
CASE 23-3283 z
INTERSTATE ❑ CITY STREET FIRE ❑RESULTED
1 STOLEN
STATE ROUTE ❑ OTHER ❑ VFHIC;I F ❑ LOCAL AOENC 4200 3
HIT&RUN CODING
COUNTY RD PRIVATE WAY INVOLVED
2 1 TOTAL#OF OBJECT 1 1 8 28
TRIBAL UNITS OZ STRUCK
RESERVATION
z
3❑ DATE OF M M D D Y Y Y Y TIME(2400) COUNTY# MILES N E IN CITY# ❑
cowsloN 03 - 1-- 2023 1729 17 ❑.= S 8 IN e 1070 3
4❑ ON (PRIMARY TRAFFIC WAY) INTERSECTION ❑ NON INTERSECTION ❑✓
NE 6TH STREET BLOCK NO. e✓ 3700
4a❑ MILEPOST
DISTANCE OF(REFERENCE OR CROSS STREET)
5❑ 150 00 FEET e MILES S ❑ W e QUEEN AVE NE
0 1 29
MOTOR PEDAL- DAMAGE THRESHOLD MET PHONE
UNIT 01 VEHICLE ❑ CYCLE El
,/No D:3135807552 1 51
30
6 1❑ LAST NAME OGLETREE FIRST NAME SYLVESTER JARON MIDDLE D 1 1 2 31
INITIAL
STREET El 517 REDMOND PL NE CITY RENTON ST WA 2jp, 980563988 z
NEW ADDRESS
7❑ CDL IGNITION REQUIRED IGNITION PRESENT MEDICAL TRANSPORTED 3
INTERLOCK YES[:]NO,/ INTERLOCKYEs NO,/ YES R No�/
8❑ LRIIVER #
ON DUTY❑ STATUS AIRBAG 2 RESTR 4 EJECT 1 H USE 2 1 CLASS NATURE OF INJURIES 2❑
3
10 9❑ P1 ATE 14 BXJ8028 STATE WA u N# 4T3E6RFV4MU030549
11[-j- TRAILER STATE TRAILER STATE
11 2 5 PLATE# PLATE# IR.. ro
TRLR. TRLR 3 7 33
12 0 0 VIN#j VIN#
:: FROM TO
VEH.YEAR MAKE MODEL STYLE VEHICLE TOWED TO BLIN TOWED BY GOVT.VEHICLE Q 0 34
13 rI 2021 TOYT RAV4 UT DAMAGE YES NO YES[:] No✓
REGISTERED OWNER INFO SHAKARI LIGE 511 REDMOND PL NE RENTON WA 98056 D:3135807552 VEHICLE NO. 1 ❑
SHADE IN DAMAGED AREA 35
14� LIABILITY INSURANCE INSURANCE CO PROGRESSIVE 946 639 999 3 4
IN EFFECT &POLICY# 9TOP
VE'CLE CHARGE 5 36
LEGALLv Yes❑NO❑ CITATION# 10 BOTTOM
15❑ STANDING 8 6
MOTOR PEDAL- PEDESTRIAN PROPERTY DAM THR OLD MET PHONE
UNIT VEHICLE ❑ CYCLE ❑ ❑ OWNER ❑ YES NO ,/ PHONE
2062146160
16 a
LAST NAME ADAMS FIRST NAME DANIEL MIDDLE M
INITIAL
17 STREET❑ NEW ADOREss❑' 3704 NE 6TH ST CITY RENTON ST WA ZIP 980563943 4❑ 37
18❑ CDL IGNITION REQUIRED IGNITION PtR—E—S1ENT MEDICAL—T�RANSPORTED � 38
INTERLOCKYES�NO INTERLOCK YEs I I NOF YEs t l NOF,/
19 LDI IVER # STATE WA SEX M M .C... 11 23 _ 1964 39
20❑ ON DUTY STATUS I
AIRBAG 2 RESTR 4 EJECT 1 H U EET 2 NJAURSY 1 NATURE OF INJURIES 40
❑ 41
21❑ PLATE# CCW4775 TATE WA VIN 1t KMHDN46D36U271409 1
42
22❑ PLATE# STATE pLATE# STATE
23❑ UIN#. 43
TRLR RLR
'IN#.
VEH YEAR 2006 MAKE HYUN MODEL ELANTRA STYLE 4D VEHICLETOWED TO BLIN TOWEDBY GOV HI 44
L4❑ DAMAGE YES NO,/ YES NO
REGISTERED OWNER INFO DANIEL ADAMS 3704 NE 6TH ST RENTON WA 98056 D:2062146160 VEHICLE NO.2
SHADE IN DAMAGED AREA
2 3 4
LIABILITY
INSURANCE INSU&PORGY#ECO STATE FARM 5157858-E18-47IN 1GD
vE""LE ❑ ,J� CITATION# CHARGE
LEGALLY YES N`L J
25 s � a
=UGENT
(PRINT) OFFICER PHONE BADGE OR ID# AGENCY26 11498 WA0171300
PART A PAGE 01 OF C7
3000-345-159 OR 11/181
STATE OF
POLICETRAFFICN CORRECTION REPORT NO. ED46964
COLLISION REPORT III III III III III 111
1591972 CASE# 23-3283
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 03-22-23 05:36 PM
INVESTIGATING OFFICER'S SIGNATURE UNIT OR DIST DET DATED PLACE SIGNED
APPROVED BY DATE
CO.JOHNSON 0505 1 313012023 9:28:19 AM
BADGE OR ID# 11498 ORI# WA0171300 TIME POLICE DISPATCHED 5:31 PM TIME POLICE ARRIVED 5:35 PM
PART I PAGE IT]OF 4�
TIME
REPORT NO. ED46964 CASE# 23-3283 OF COLLISIONO3/21/23 17:29
NARRATIVE
23-3283
On 03/21/2023 at approximately 1735 hours, I was dispatched to a non-injury and non-blocking
vehicle collision at 3704 NE 6th Street (JEO Queen Ave NE), within the City Limits of Renton, County
of King, State of Washington.
Upon arrival, I confirmed there were no complaints of injury requiring immediate medical response at
the time of report. There, I collected each of the involved party's driving documents and their
independent recollection of the events leading up to the collision.
The driver of Unit#1 said he was the sole occupant of his vehicle and was traveling westbound in the
3700 block of NE 6th ST. The driver of Unit#1 said he was traveling behind Unit#2 and noticed as
Unit#2 turned to the south and across the opposing lane of travel. The driver of Unit#1 believed that
Unit#2 was making a U-turn in the roadway. The driver of Unit#1 believed he could maneuver his
vehicle around Unit#2. As Unit#1 proceeded around Unit#2, Unit#2 began to reverse and collided
with the driver's side fender of Unit#1 causing moderate damage.
The diver of Unit#2 said he was headed westbound in about the 3700 block of NE 6th Street and had
approached his personal residence. The driver of Unit#2 stated that as he was approaching his
residence, he maneuvered his vehicle by turning across the opposing lane and began reversing into
his driveway. While reversing, the driver of Unit#2 stated that the roadway was initially clear but
claims that Unit#1 was speeding on the residential roadway and was not paying attention to traffic.
The driver of Unit#2 stated that once he began reversing, both vehicles collided in the roadway
causing minor damage to the rear of Unit#2.
Based on the above statements, I determined that the driver of Unit#1 (Ogletree) was the
predominant factor for the collision as Ogletree did not properly grant the right of way to traffic in front
of him and was already underway. Ogletree was not paying attention to the traffic in the roadway
causing a collision.
Both Unit#1 and Unit#2 were able to be driven away from the scene without further incident. An
exchange of information was provided to both involved parties.
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 5:35 PM 3/22/2023 Renton, King County, WA.
PAGE 3 OF 4
REPORT NO. ED46 6 RASE# 2y3 a3 DATE m°M\ 03/2]g3 ]22
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