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HomeMy WebLinkAbout23-3345 ITFF' "POLCERA II I !�� I III I III I IIII III II I . 5 27c COLLISION REP FIT 1591971 CASE 23-3345 z INTERSTATE ❑ CITY STREET FIRE ❑RESULTED 1 STOLEN STATE ROUTE ❑ OTHER ❑ VFHIr.I F ❑ LOCAL AOENC 4900 3 HIT 8 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 03 - 1-- 2023 1700 17 ❑.= S 8 IN e 1070 3 4❑ ON (PRIMARY TRAFFIC WAY) INTERSECTION ❑ NON INTERSECTION ❑✓ BLOCK NE SUNSET BLVD MILEPOST ST e✓ 2400 4a❑ DISTANCE OF(REFERENCE OR CROSS STREET) 5❑ 130 00 FMILES EET e S ❑ E e EDMONDS AVE NE 0 1 29 MOTOR PEDAL- DAMAGE THRESHOLD MET PHONE UNIT 01 VEHICLE ❑ CYCLE El �/No D:4065318339 0 7 30 6� LAST NAME STRIGHT FIRSTNAME KYLEAH MIDDLE R 1 1 2 31 INITIAL STREET ❑✓ 200 SW 5TH CT#C202 CITY RENTON ST WA 21p 98057 z NEW ADDRESS 7❑ CDL IGNITION REQUIRED IGNITIt)N PRESENT MEDICAL TRANSPORTED 3 iNTERLOCKYEs NO 1/ NTERLOCKYEs NO Z YES R No�/ 8❑ LRIIVER # ON DUTY❑ STATUS AIRBAG 2 RESTR 4 EJECT 1 HELMET U E 2 INJCLASSY 1 NATURE OF INJURIES 2❑ 3 LICENSE 901DJU sTAT� ND vN# 1J4GR48K85C560334 10❑ PI ATE 14 — TRAILER STATE PL 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 TOWED BY GOVT.VEHICLE J 9 34 13 3 2005 JEEP GRAND UT DAMAGE YES NO YES[:] NO✓ REGISTERED OWNER INFO OWNEDBYDRIVER VEHICLE NO. 1 SHADE IN DAMAGED AREA ❑ 35 14 ❑ INSURANCE CO 3 4 LIABILITY INSURANCE IN EFFECT &POLICY# STOP 15❑ LE vEGALLY Hla.e CHARGE 10BOTTOM 5 36 YES�No D CITATION# 3A0055590,3A0055590 INATTENTIVE DRIVING,OP MOT VEH STANDING 8 7 6 MOTOR PEDAL-:. 'PEDESTRIAN PROPERTY DAM THR OLD MET PHONE 16 UNIT 02 VEHICLE ❑ CYCLE ❑ ❑ OWNER ❑ YES 1/ NO D:2069627227 a LAST NAME WHITE FIRST NAME MACKENZIE MIDDLE I L INITIAL 17❑ NEW STREETR 17237 S 7 E 142ND ST CITY RENTON ST WA ZIP 980597635 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 LICENSE# STATE WA ]SEX IF M .C... 09 _ 24 2002 39 20❑ ON DUTY STATUS I AIRBAG 2 RESTR 4 EJECT 1 H U EET 2 NJAURSY 1 NATURE OF INJURIES 40 ❑ILICENSE 21❑ PLA E# BU65242 rare 41 WA vIN# JTKDE167590277746 1 42 22❑ PLATE# STATE PLATE# STATE TRLR 23❑ UIN#. IN#. 43 RLR ' YEAR 2009 MAKE TOYT MODEL SCION TC STYLE CP VEHICLE TOWED ToffBLIN TOWED BY GOV HI 44 VEH 24❑ DAMAGE YES NO YES NO REGISTERED OWNER INFO SHAUN WHITE 17237 SE 142ND ST RENTON WA 98059 D:2069627227 VEHICLE NO.2 SHADE IN DAMAGED AREA 2 3 4 LIABILITY INSURANCE INSU PORGY#E CO ALLSTATE 817 262 860IN STOP vE""LE CITATION# CHARGE YES 25 i o BOTTOM LEGALLY Nu ❑ s e OFFICER'S NAME(PRINT) OFFICER PHONE BADGE OR ID# AGENCY 26 MATTHEW NUGENT 11498 WA017771300 PART A PAGE 01 OF C7 3000-345-159 OR 11/181 STATE OF POLICETRAFFICN CORRECTION REPORT NO. ED46970 COLLISION REPORT III III III III III 111 1591972 CASE# 23-3345 ADDITIONAL PERSONS INVOLVED PASSENGERS AND/OR WITNESSES ONLY) NAME MIDDLE INITIAL) HARDCASTLE RYLEE M (LAST FIRST, ADDRESS&PHONE# 16919 SE 149TH ST RENTON WA 980598824 2069627227 SEXi F MMDOYyry 11 - 26 - 2002 PASSENGER Z WITNESS[] UNIT# 2 POS 'I 3 AIRBAG;2 RESTR. 4 EJECT ? 1 HELMET NATURE OF INJURIES USE 2 CLASS 11 NAME (LAST,FIRST,MIDDLE INITIAL) ADDRESS&PHONE# D O B SEX' MMDDYYYY PASSENGER ❑WITNESS UNIT# SEAT AIRBAG RESTR. EJECT HELMET INJURY NATURE OF INJURIES POS. USE CLASS NAME (LAST FIR57 MIDDLE INITIAL) AppRESS&PHONE# SEX D.Q.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 03-27-23 06:10 PM INVESTIGATING OFFICER'S SIGNATURE UNIT OR DIST DET DATED PLACE SIGNED APPROVED BY E DAT Co.JOHNSON 0505 313012023 3:25:22 PM BADGE OR ID# 11498 ORI# WA0171300 TIME POLICE DISPATCHED 5:03 PM TIME POLICE ARRIVED]5:22 PM PART I PAGE IT]OF REPORT NO. ED46970 CASE# 23-3345 OF COLLISION 03/23/23 17:00 OF CbLLI510N NARRATIVE 23-3345 On 03/23/2023 at approximately 1703 hours, I was dispatched to a non-injury and non-blocking 3- vehicle collision at the intersection of NE Sunset Boulevard and the Edmonds Ave NE, within the City Limits of Renton, County of King, State of Washington. Upon arrival, I contacted the involved parties and confirmed no injuries had occurred requiring immediate medical response at the time of report. There, I collected the involved parties driving documents and their independent recollection of events leading up to the collision. The driver of Unit#1 said she was the sole occupant of her vehicle and was traveling westbound on NE Sunset Blvd just west of the intersection of Edmonds Ave NE in lane 2 of 2. The driver of Unit#1 stated she was traveling directly behind Unit#2 and saw as Unit#2 was stopped or slowing for traffic. The driver of Unit#1 stated that she attempted to stop her vehicle in time but was unable to and subsequently collided with the rear of Unit#2 causing moderate damage to the front of Unit#1. The driver of Unit#2 said she and her adult passenger were also traveling westbound on NE Sunset Blvd just west of the intersection of Edmonds Ave NE in lane 2 of 2. The driver of Unit#2 stated she was stopped for queued traffic at the upcoming intersection. While Unit#2 was stopped for traffic that had backed up, Unit#1 collided with the rear of Unit#2 causing moderate damage to the rear of Unit #2. The driver of Unit#2 stated that due to the initial impact, her vehicle was then pushed forward into the rear of Unit#3 causing additional damage to the front of Unit#2. The driver of Unit#3 said he was the sole occupant of his vehicle and was also traveling westbound on NE Sunset Blvd just west of the intersection of Edmonds Ave NE in lane 2 of 2. The driver of Unit #3 stated he was stopped for queued traffic at the upcoming intersection. While Unit#3 was stopped for traffic that had backed up, Unit#2 collided with the rear of Unit#3 causing minor damage to the rear of Unit#3. Based on the above statements, I determined that the Driver of Unit#1 (Straight) was the predominant factor for the collision due to inattention causing a collision. Straight should have been paying closer attention to the movement of traffic in front of her. Additionally, Straight was unable to provide proof of motor vehicle insurance. I cited Straight in-person for inattention causing a collision as well as operating a motor vehicle without insurance. Both Unit#1 and Unit#3 were able to be driven away without further incident. Unit#2 had extensive damage and was looking into options for a private impound. An exchange of information was provided to all 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 3/27/2023 5:53 PM Renton, King County, WA. PAGE 3 OF 5 SUPPLEMENTAL REPORT NO. ED46970 r`) POLICE TRAFFIC 1 1 8 27 COLLISION REPORT CASE# 23-3345 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:2068591621 0 7 29 LAST NAME VALDOVINOS MARROQUIN FIRST NAME : IVAN MIDDLE INITIAL STREET 30 NEW AnnRFrtP 304 29TH ST SE APT 102 CITY AUBURN ST WA ZIP 980027510 6 ❑ 1 1 2 31 CDL IGNITION REQUIRED IGNITION PRESENT MEDICAL TAN5PORTED INTERLOCK YEs NO✓ zERLOCK YES�NOf YES N ✓ DRIVER'S LICENSE STATE I WA SEX M MMDDYYv', 03 - 25 - 1990 7 HELMET :INJURY' NATURE OF INJURIES ON DUTY STATUS AIRBAG 2 RESTR. 4 EJECT 1 USE 2 CLASS 7 C/O NECK PAIN 8 ❑ 1 32 LICENSE,BWW1038 TAr Wq VIN# 4S3BH896827647991 PLATE# 9 TRAILER TRAILER PLATE# STATE PLATE# STATE 10 ❑ TRLR TRLR VIN It VIN.#. 11 3 5 VEH.YEAR MAKE MODEL STYLE VEHICLE TOME E T SABLIN TOWED BY anvi vEH1C E FROM TO 2002 SUBA LEGACY 4W DAMAGE YES NO ✓ YES NO ✓ REGISTERED OWNER INFO STEPHANIE VALDOVINOS 304 29TH ST SE APT 102 AUBURN WA 98002 D:2068591621 J 9 33 12 � SHADE IN DAMAGED AREA 34 FROM TO LIABILITY INSURANCE INSURANCE CO VERN FONK 200531-4892 GQO IN EFFECT &POLICY# 1VEHICLE 34 13LEGALLY YESZ NO❑ CITATION# CHARGE STANDING } 8 7 6 14 ❑ UNIT Tr Vd IRE O CYDCLE OWNER YES AGE NOHRESHOLD MET PHONE El 35 PEDESTRIAN 15 LAST NAME FIRST NAME IDDL 36 ❑ STREET 16Fl TEETEs.�' CITY ST ZIP CDL IGNITION REQUIRED IGNITION PRESENT MEDICALTANSPORTED INTERLOCK YES No INTERLOCK YEs NO YES NO E 17 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 3 4 4 AREA F 43 z LIABILITY INSURANCE INSURANCE CO ' VINE EFFECT &POLICY# i 970P - 4 E:l 44 24 VEHICLE YES❑ NO❑ CITATION# CHARGE iq 60TiOM LECALLv 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 03-27-23 06:10 PM 25 INVESTIGATING OFFICER'S SIGNATURE OFFICER'S PHONE UNIT OR DIST DET DATED: PLACE SIGNED APPROVED BY DATE 26F7 ORID# 11498 O#IL WA0171300 JOHNSON 3/30/2023 PAGE F41 OFF 3000-345-013(R 11118) REPORT NO. ED46970 CASE# ' 23-3345 DATE AND TIME 03/23/23 17:00 OF COLLISION Urnit#3 `Diagram not to Scale. :Lind#2 Und#1 . _ ���h r uuuuuuiluuu GG � i 4 Q G 6D z m PAGE 5 OF 5