HomeMy WebLinkAbout23-4201 ITFF' "POLCERA II I !�� I III I III I IIII III II I . 1 27c
COLLISION REP FIT 1591971
CASE 23-4201 z
INTERSTATE ❑ CITY STREET FIRE ❑
RESULTED
1 STOLEN
STATE ROUTE ❑ OTHER ❑ VFHICI F ❑ LOCAL AGENCI 4900 3
HIT 8 RUN CODING
COUNTY RD PRIVATE WAY INVOLVED
2 TOTAL#OF OBJECT 2$
1 0
RESERVATION
TRIBAL UNITS 02 STRUCK
z
3❑ DATE OF M M D D Y Y Y Y TIME(2400) COUNTY# MILES N E IN CITY# ❑
cawsloN 04 - 1-- 2023 0943 17 ❑.= S 8 IN e 1070 3
4❑ ON (PRIMARY TRAFFIC WAY) INTERSECTION ❑ NON INTERSECTION ❑✓
BLOCK
EASTVALLEYRD ST e✓
MILEPOST 3800
4a❑
DISTANCE OF(REFERENCE OR CROSS STREET)
5❑ 550 00 FEET MILES e S B W e SW41ST ST
0 4 29
MOTUNIT U1 VEHICR Z PEDAL-CLE CYCLE ElYESA,G/E NHORESHOLD MET PHONE 0 4 30
6� LAST NAME PATTON FIRSTNAME MONTRAY MIDDLE Q 1 1 2 31
INITIAL
STREET ❑, 12902 SE 312TH ST APT A107 CITY AUBURN ST WA ZIP 980923293 z=
NEW ADDRESS
7❑ CDL IGNITION REQUIRED IGNITION PRESENT MEDICAL TRANSPORTED 3
iNTERLOCKYEs NO INTERLOCKYEs NO YES R NO
8❑ LRIIVER #
ON DUTY❑ STATUS' AIRBAG 9 RESTR 9 EJECT 1 H USE 5 5 CLASS R LEG OF INJURIES 2❑
3
LICENSE 9G8986 STATE WA VrN 1HDlFBM12CB680833
10 9❑ Pr ATE 1e
7
TRAILER STATE TRAILER
C STATE
11 3 5 PLATE# PLATE# FROM To
TRLR 5 7. TRLR 33
12 3 5 VIN If VIN#
FROM TO
❑ VEH.YEAR MAKE MODEL STYLE VEHICLE TOWED TO BLIN T GOVT.VEHICLE 5 7 34
13 2 2012 HD FlHR MT DAMAGE YES No P' L}rTYHARLEY vEs❑ No✓
REGISTERED OWNER INFO MONTRAYPATTON 12902 SE312TH STAPTA107 AUBURN WA 980923293 VEHICLE NO. 1 ❑
&POLICY SHADE IN DAMAGED AREA 35
14 LIABILITY T INSURANCE INSURANCE CO SAME.
IN EFFECV# �1'OP
VEHICLe CHARGE ❑ 36
LECALLv res❑NO❑ CITATION# BOTTOM
15❑ STAND"
UNIT a2 VE IMOTCR PEDAL-CL D
E CYCLE ❑ PEDESTRIAN ❑ OWNER
❑ YES✓ OLD MET NO PHONE
16 a
LAST NAME AGUILAR FIRST NAME RODOLFO MIDDLE p
INITIAL
17❑ STREET ❑' 14-1612787AVE CITY' SURREY ST' BC ZIP V4N6R3 37
NEW ADDRESS ❑
18� CDL IGNITION REQUIRED IGNITION PR-E-1SENT MEDICAL TRANSPORTED 38
INTERLOCKYES�NOR INTERLOCK YEs It I NOF YES t t- l NO❑ 11
19 DRIVER'S STATE BC SEX M D.Q.B. 03 _ 07 1971 0 39
LICENSE# MMDDYY
WELMET INJURY1 NATURE OF INJURIES 40
20❑ ON DUTY STATUS AIRBAG 2 RESTR 4 EJECT 1 USE CLASS ❑
21❑ LICENSE RD972T TATE BC V IN# 5UXKR0057JOX99510
❑ 41
PLATE#
42
22❑ PLATE# STATE PLATE# STATE
23❑ UIN#. 43
TRLR RLR
'IN#.
VEH YEAR 2018 MAKE BMW MODEL X5 STYLE VEHICLETOWED TO BLIN TOWEDBY GOV HI �44
L4❑ DAMAGE YES NO✓ YES NO✓
REGISTERED OWNER INFO RODOLFO AGUILAR I4-1612787 AVE SURREY BC V4N6R3 VEHICLE NO.2
SHADE IN DAMAGED AREA
2 3 4
LIABILITY
INSURANCE INSU POLICY#E CO ICBC 83YMWIN 1 9TOP 5
vE""LE ❑ N`L J
,J� CITATION# CHARGE
LEG
25 i o BOTTOM
ALLY YES s a
OFFICER'S NAME(PRINT) OFFICER PHONE BADGE OR ID# AGENCY
J
26
M.lEVERTON 2517 WA0171300
PAGE 01 OF
PART A
3000-345-159 OR 11/181
STATE OF
POLICETRAFFICN CORRECTION REPORT NO. ED52600
COLLISION REPORT III III III III III 111
1591972 CASE# 23-4201
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
POS. 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.
M.LEVERTON 04-14-23 11:15 AM
INVESTIGATING OFFICER'S SIGNATURE UNIT OR DIST DET DATED PLACE SIGNED
APPROVED BY DATE
CO.JOHNSON 0505 1 411912023 8:25:23 AM
BADGE OR ID# Y517 ORI# WA0171300 TIME POLICE DISPATCHED! 9:44 AM TIME POLICE ARRIVED i 9:47 AM
PART I PAGE IT]OF 4�
REPORT NO. ED52600 CASE# 23-4201 OF COLLISION
04/14/23 09:43
OF CbLLI510N
NARRATIVE
both left/cut me
RTF
Within the city limits of Renton/King/WA I responded to a car v motorcycle near the 3800 block of
East Valley Rd.
When I arrived I located the motorcycle rider up against the sidewalk on the NW corner of a multi
business driveway. Parked/stopped in that same driveway was a BMW SUV with damage on the
driver side.
I contacted the driver of the BMW/Unit 2 who told me he was in town from British Columbia, slightly
lost and looking to get turned around because he missed the turn to SB SR167 at SW 41st St. He
told me he was making a left turn when he was hit by a motorcycle. He did not complain of injury and
damages did not require a tow truck.
Unit 2 made conflicting statements in regards to; He initially told me he did not see the motorcycle.
He also told me the motorcycle was going very fast. I asked why would he turn if he observed this
motorcycle going so fast. He told me he didnt see him. So how did he know the motorcycle was
going too fast. Unit 2 told me while make a left turn from the center lane his responsibility is only to
traffic on coming and at the driveway.
I contacted unit 1 who was clearly injured and in tremendous pain. Between gasps of breath he told
me the car cut him off. He did require medical treatment on scene and transported-code to VMC-ER.
Jet City Harley provided the tow for his motorcycle back to their store.
A rough measurement of roadway marks and the damage to unit 2 was not consistent with a
motorcycle traveling too fast at impact. The roadway marks look like both vehicles were traveling well
below the post 35 mph zone. Two unknown/unidentified males said out loud that both the SUV and
motorcycle appeared to be turning left at the same time. They did not provide any additional
information and left the area.
After looking at the location and damage to unit 2, roadway marks, impact and departure of the
motorcycle and POR/location of unit 1 rider it appears unit 2 may have made the left turn either late at
the opening of the driveway.
I certify (declare) under penalty of perjury under the laws of the State of Washington that the
foregoing is true and correct.
M.Leverton/2517 City of Renton/King/Wa 4/14/2023
PAGE 3 OF 4
REPORT NO. ED52600 CASE# 23-4201 DATE AND TIME 04/14/23 09:43
OF COLLISION
nts
t
3800 block East Valley Hwy
PAGE 4 OF 4