HomeMy WebLinkAbout23-11010 ITFF' "POLCERA II I !�� I III I III I IIII III II I . 0 27c
COLLISION REP FIT 1591971
CASE 23-11010 z
INTERSTATE ❑ CITY STREET FIRE ❑RESULTED
1 STOLEN
STATE ROUTE ❑ OTHER ❑ VFHICI F ❑ LOCAL AOENC 4900 3
HIT&RUN CODING
COUNTY RD PRIVATE WAY INVOLVED
2 2 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 09 - 1-- 2023 1703 17 ❑-= S 8 IN e 1070 3
4❑ ON (PRIMARY TRAFFIC WAY) INTERSECTION ❑✓ NON INTERSECTION ❑
SW SUNSET BLVD BLOCK NO. e✓ 300 ❑
4a❑ MILEPOST
DISTANCE OF(REFERENCE OR CROSS STREET)
5❑ e S ❑❑ FEET OFHARDIEAVE SW
0 4 29
MOTOR PEDAL- DAMAGE THRESHOLD MET PHONE
UNIT 01 VEHICLE ❑ CYCLE El
✓NO D:2066971855 0 11
30
6� LAST NAME SAELEE FIRSTNAME JIEW MIDDLE S 1 1 2 31
INITIAL
STREET ❑✓ 8536 S 124TH ST CITY SEATTLE ST WA ZIP 98178 z
NEW ADDRESS
7❑ CDL IGNITION REQUIRED IGNITION PRESENT MEDICAL TRANSPORTED 3
iNTERLOCKYEs NO 1/ INTERLOCKYEs NO�/ YES R No�/
8❑ LRIIVER #
ON DUTY❑ STATUS AIRBAG 6 RESTR 4 EJECT 1 HELMETU E 2 CLASS 1 NATURE OF INJURIES z❑
3
10❑ P1 aT�S� C21163M sTArI WAvIN# 1 N66AOEK6CN323425
TRAILER STATE TRAILER STATE
11 2 5 PLATE# PLATE# FROM TO
TRLR. A'RLR. 1 3 33
12 2 5 VIN#' VIN#
>; FROM TO
VEH.YEAR MAKE MODEL STYLE VEHICLE TOWED TO BLIN TOWED By GOVT.VEHICLE 5 1 34
13 2 2012 NISS TITAN I'K DAMAGE YES NO YES[:] No✓
REGISTERED OWNER INFO OWNEDBYDRIVER VEHICLE NO. 1
SHADE IN DAMAGED AREA ❑ 35
14 ❑ INSURANCE CO eq�T3 4
LIABILITY INSURANCE
IN EFFECT &POLICY# 9TOP 5
VewcLE CHARGE 10 BOTTOM 36
LEGALLY YES No CITATION# 3A0637850,3A0637850 FAIL YIELD LEFT TURN MOTOR
15❑ NDING 8 7 6
MOTOR PEDAL- PEDESTRIAN PROPERTY DAM THR OLD MET PHONE
16 a UN�T 02 VEHICLE ❑ CYCLE ❑ ❑ : OWNER ❑ YES�/ NO D:2067072009 N:2067072009
LAST NAME THOMAS FIRST NAME DEANNA MIDDLE L
INITIAL
17 STREET❑ NEW ADOREss❑' 2870 S HANFORD ST#804 CITY SEATTLE ST WA ZIP 98144 4❑ 37
18❑ CDL IGNITION REQUIRED IGNITION PtR-E-S1ENT MEDICAL-T�RANSPORTED � 38
INTERLOCKYES�NO� INTERLOCK YEs I I NOF YEs I'✓ NO❑
19 DRIVER'S STATE WA SEX F D.C.B. 07 O6 _ 1991 39
LICENSE# MMDDYY
20❑ ON DUTY STATUS AIRBAG 6 RESTR 4 EJECT 1 H U EET 2 NJAU EY 6 UPPER BODY PAIN.TRANSP TO VMC BY RRFA ❑F—NATURE OF INJURIES 40
LICENSE I ❑21❑ PLA E# CBF2905 TArE 41
WA vIN# 1GIZDSST9LF032438 1
42
22❑ PLATE# STATE PLATE# STATE
23❑ UIN#. 43
TRLR RLR
'IN#.
TOWED BV Gov HI 44
VEH YEAR 2020 MAKE CHEV MODEL MALIBU STYLE 4D DAMAGE TO WED NOO✓ BLIN YES
NO 1/
24❑ REGISTERED OWNER INFO OWNED SY DRIVER VEHICLE N0.2
SHADEDAMAGEDAREA
3 4
INAEFFIECTTY NSURANCE❑ &POINSULICY#E CO STOP 5
LE
L..LLY YES❑ N J CE] CITATION# CHARGE io BOTTOM
LEGA
25 BADJ 6
OFFICER'S NAME(PRINT) OFFICER PHONE GE OR ID# AGENCY
26
MATTHEW NUGENT 11498 WA0171300
PAGE 01 OF
PART A
3000-345-159 OR 11/181
STATE OF
POLICETRAFFICN CORRECTION REPORT NO. EE05508
COLLISION REPORT III III III III III 111
1591972 CASE# 23-11010
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.
MATTHEW NUGENT 09-28-23 05:23 PM
INVESTIGATING OFFICER'S SIGNATURE UNIT OR DIST DET DATED PLACE SIGNED
APPROVED BY E
DAT
C.JACOBS 1953 101312023 2:27:05 PM
BADGE OR ID# 11498 ORI# WA0171300 TIME POLICE DISPATCHED 5:05 PM TIME POLICE ARRIVED',5:09 PM
PART I PAGE IT]OF 4]
REPORT NO. EE05508 CASE# 23-11010 OF COLLISION
09/25/23 17:03
OF CbLLI510N
NARRATIVE
23-11010
On 09/25/2023 at approximately 1705 hours, I was dispatched to an injury and blocking vehicle
collision at the intersection of Hardie Ave SW and SW Sunset Blvd, within the City Limits of Renton,
County of King, State of Washington. Dispatch advised that the collision involved two vehicles that
were in the intersection.
Officer R. Gorajewski arrived on scene prior to me and requested the Renton Regional Fire Authority
(RRFA) respond for a complaint of injury. Upon arrival, I confirmed there was airbag deployment and
a complaint of injury from the driver of Unit#2. RRFA responded and evaluated all involved parties.
RRFA later transported the driver of Unit#2 to Valley Medical Center (VMC) for further evaluation
regarding complaints of upper body pain.
The driver of Unit#1 said he was the sole occupant of his vehicle, and that prior to the collision he
was traveling southbound on Hardie Ave SW approaching the intersection of SW Sunset Blvd. The
driver of Unit#1 stated he was intending to make an eastbound (left) turn from the southbound lanes
of Hardie Ave SW with the intent to proceed east onto SW Sunset Blvd. The driver of Unit#1 said he
saw the traffic signal was green, and stated he saw Unit#2 approaching the same intersection but
from the opposite direction. The driver of Unit#1 believed he had enough time and distance to
complete his turn and proceeded out into the intersection to make the left turn. While making the turn,
both Unit#1 and Unit#2 collided in the intersection causing moderate damage to the front passenger
side of Unit#1.
The driver of Unit#2 stated that she was the sole occupant of her vehicle, and that prior to the
collision she was traveling northbound on Hardie Ave SW approaching the intersection of SW Sunset
Blvd in lane 2 of 3. The Driver of Unit#2 stated that she was approaching the intersection with the
intent to continue northbound. The driver of Unit#2 stated that once she reached the intersection,
which she alleged was a solid green light, when Unit#1 turned out into the intersection and in front of
Unit#2's direction of travel. Unit#2 was unable to avoid the collision and collided with the front
passenger quarter panel of Unit#1 causing significant damage to the front of Unit#2.
Based on the above statements, I determined that the driver of Unit#1 (Saelee) did not grant the right
of way to Unit#2 traveling in the roadway which had the right of way and was already underway. The
driver of Unit#1 was turning left and traversing across traffic and must not do so until it is clear of
hazard/traffic. The driver of Unit#1 (Saelee) violated RCW 46.61.185.1 by being the driver of a
vehicle intending to turn to the left within an intersection and shall yield the right-of-way to any vehicle
approaching from the opposite direction which is within the intersection or so close thereto as to
constitute an immediate hazard.
I cited Saelee in-person for not granting the right of way during a left turn causing a collision. I also
cited Saelee in-person for Operating a Motor Vehicle without Insurance as Saelee was unable to
produce proof of motor vehicle insurance at the time of request.
Unit#1 was able to be driven away without further incident. Unit#2 had to be impounded due to
extensive damage. An exchange of information and case number were 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 9/28/2023 5:03 PM Renton, King County, WA.
PAGE 3 OF 4
REPORT NO. EE05508 CASE# ' 23-11010 DATE AND TIME 09/25/23 17:03
OF COLLISION
sra
h�y uncut
s�sa"Se���vD
PAGE 4 OF 4