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HomeMy WebLinkAbout24-3426 ITFF' "POLCERA II I !�� I III I III I IIII III II I . 0 27c COLLISION REP FIT 1591971 CASE 24-3426 z INTERSTATE ❑ CITY STREET FIRE ❑RESULTED 1 STOLEN STATE ROUTE ❑ OTHER ❑ VFHICI F ❑ LOCAL AOENC 4200 3 HIT&RUN CODING COUNTY RD PRIVATE WAY INVOLVED 2 1 TOTAL#OF OBJECT 1 1 7 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-- 2024 1441 17 ❑.= S 8 IN e 1070 3 4❑ oN (PRIMARY TRAFFIC WAY) INTERSECTION ❑ NON INTERSECTION ❑✓ LOGAN AVE N BLOCK NO. e✓ 780 4a❑ MILEPOST DISTANCE OF(REFERENCE OR CROSS STREET) 5❑ 175 00 FEET MILES ❑ S B W❑ N 8TH ST 0 2 29 MOTOR PEDAL- DAMAGE THRESHOLD MET PHONE UNIT 01 VEHICLE ❑ CYCLE El ✓NO D:3602701930 2 01 30 6� LAST NAME SCOTT FIRSTNAME TREVOR MIDDLE N 1 1 2 31 INITIAL STREET ❑, 4319 S 41 ST ST APT 17 CITY TACOMA ST I WA 2jp, 984092111 z 'NEW ADDRESS 7❑ CDL IGNITION REQUIRED IGNITION : PRESENT MEDICAL TRANSPORTED 3 iNTERLOCKYEs NO INTERLOCKYEs NO YES NO 8 LRIIVER # ON DUTY❑ STATUS AIRBAG 2 RESTR 4 EJECT 1 H USEET IINLJAURY 1 NATURE OF INJURIES 2❑ ❑ 10 S� 0 BSG9540 sTATI WA vIN#' JN8A208W75W405834 3 � PI ATE TRAILER STATE TRAILER STATE 11 3 0 PLATE# PLATE# ROM TO TRLR. TRLR 5 1 33 12 3 0 VIN#' VIN# >; FROM TO ❑ VEH.YEAR MAKE MODEL STYLE VEHICLE TOWED TO BLIN T GOVT.VEHICLE 5 1 34 13 2 ZOOS NISS MURAN DAMAGE vE5 ONO f �AWkkRS vEs❑ No REGISTERED OWNER INFO TREVORSCOTT4319 S 41ST ST APT 17 TACOMA WA 984092111 D:3602701930 VEHICLE NO. 1 ❑ SHADE IN DAMAGED AREA 35 4 14 2 LIABILITY INSURANCE❑ INSURANCE CO IN EFFECT &POLICY# 9TOP vewcLE CHARGE 10BOTTOM 5 36 LEGALLY YEs NO CITATION# 4AO078063,4AO078063, FL RENEW EXPIRED REG>2 MTHS, 15❑ STANDING 8 7 6 MOTOR PEDAL-: :PEDESI`RIAN PROPERTY DAM THR OLD MET PHONE UNIT U2 VEHICLE ❑ CYCLE ❑ ❑ OWNER ❑ YES 1/ No D:2532591936 16 a LAST NAME SOLIS FIRST NAME DIONISIO MIDDLE M INITIAL 17❑ STREET ❑', 12214 236TH AVE CT E 98321 CITY BUCKLEY ST WA ZIP 983210000 37 NEW ADDRESS ❑ 18� CDL IGNITION REQUIRED IGNITION PRESENT MEDICALTRANSPORTED 38 INTERLOCKYES�NOR INTERLOCK YEs❑NOF YEs❑NO❑ 19 LICENSE# STATE WA SEX M M .C... 04 20 _ 2004 El 39 WELMET INJURY1 NATURE OF INJURIES 40 20❑ ON DUTY STATUS AIRBAG 2 RESTR 4 EJECT 1 USE CLASS ❑ 21❑ LICENSE A VG3782 TATe WA VIN# 19XF62F76FE278485 ❑ 41 PLATE# 42 22❑ PLATE# STATE PLATE# STATE 23❑ 43 TRLR RLR UIN#. 'IN#. VEH YEAR 2015 MAKE HOND MODEL CIVIC STYLE VEHICLE TOWED TO BLIN TOWEDBv GOV HI 44 24❑ DAMAGE YES NO BANKERS YES NO REGISTERED OWNER INFO MARGARET EKE 12214236TH AVENUE CT E BUCKLEY WA 98321 VEHICLE NO.2 SHADE IN DAMAGED AREA 2 3 4 INAEFFITY ECTNSURANCE INSU&POLICY#E CO SAME. IUR 5 VE""LE ❑ ,J� CITATION# CHARGE LEGALYYES N`LJ 25 OFFICER'S NAME(PRINT) OFFICER PHONE BADGE OR ID# AGENCY J 26 M.LEVERTON 2517 WA0171300 PART A PAGE 01 OF C7 3000-345-159 OR 11/181 STATE OF POLICETRAFFICN CORRECTION REPORT NO. EE65043 COLLISION REPORT III III III III III 111 1591972 CASE# 24-3426 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 04-03-24 07:09 AM INVESTIGATING OFFICER'S SIGNATURE UNIT OR DIST DET DATED PLACE SIGNED APPROVED BY E DAT C.JACOBS 1953 4/3/2024 5:40:16 PM BADGE OR ID# 2517 OR]#' WA0171300 TIME POLICE DISPATCHED! 2:41 PM TIME POLICE ARRIVED',2:48 PM PART I PAGE IT]OF 5� REPORT NO. EE65043 CASE# 24-3426 OF COLLISION 03/29/24 14:41 OF CbLLI510N NARRATIVE wht suv left Ian gry unit 2 left merge blk unit 3 stopped CC On 3/29/2024 at about 1441 hours I responded to a 3 car blocking crash near the 780 block of Logan Ave N within the city limits of Renton/King Wa. I arrived to find two cars in lane one northbound damaged and one car facing northbound in the southbound lane 1 heavily damaged. I contacted the driver of unit 3 who told me she was stopped for traffic when unit 1 hit unit 2, which pushed unit 2 into the side of her car. She did not complain of injury and damages did not require a tow truck, I contacted the driver of unit 2 who told me he was attempting to merge into the left turn lane, admittedly at tad early, but was trying to get to work. His intention was to make a left turn at N 8th St. He did not complain of injury and damages required a tow truck. I contacted the driver of unit 1 ID'd by picture WADL as Trevor Neil Scott 11-01-1991. Scott told me he did not have insurance for his car and he believed his WADL was suspended. He told me he was passing heavy/stopped traffic by using the 2WCLTL when unit 2 began to merge into the lane he was using to pass traffic. Scott contacted unit 2 which pushed unit 2 partially sideways into the side of unit 3. Unit 1 was quite a bit forward of units 2 and 3. Scott did not complain of injury and damages required a tow truck. Scotts vehicle displayed tabs 11-2022. A WACIC/DOL check via Dispatch revealed Scott was suspended 3rd and had a history of speeding, no insurance, expired tabs and improper lane use. A WACIC/DOL check of his vehicle revealed the tabs did expired 11-22-2022. A video captured by TopGolf revealed Scott entered the 2WCLTL way back and traveling at what appeared on camera as too fast. It showed unit 2 merge towards the 2WCLTL and it looked at if Scott could have avoided unit 2. Scott collided with unit 2 and veered into the head-on lane. I cited Trevor N Scott 11-01-91 via complaint ref RCW 46.61.290 improper lane use/passing traffic, ref RCW 46.16A.030 Expired tabs more than 2 months, ref RCW 46.30.020 Fail to maintain liability/provide proof of insurance and also cited him via the Renton Prosecutors office ref RCW 46.20.342 Driving While License Suspended 3Rd Degree. I advised Scott he would be receiving notice in the mail for traffic violations as well as a mandatory appearance based on the Prosecutors Office. He promised to appear in court as required. 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 4/3/2024 PAGE 3 OF 5 SUPPLEMENTAL REPORT No. EE65043 r`) POLICE TRAFFIC 1 1 8 27 COLLISION REPORT CASE# 24-3426 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 ✓ 0 7 29 LAST NAME DANIELS FIRST NAME HANNAH MIDDLE R INITIAL STREET 30 NEW AnDRFSP 232 BURNETT AVE S APT B106 CITY RENTON ST WA ZIP 980572165 6 CDL IGNITION REQUIRED IGNITION PRESENT MEDICAL TAN5PORTED 1 1 2 31 INTERLOCK YEs No NTERLOCK YES�NO� YEs N DRIVER'S LICENSE STATE I WA SEX F MMDDYYv', 01 - 31 - 1997 7 ON DUTY� STATUS AIRBAG' 2 RESTR. Q EJECT I HELMET I INJURY 1 NATURE OF INJURIES USE CLASS 8 ❑ 1 32 LICENSE BLZ1402 TAr WA VIN# KNMAT2MT6JP583176 PLATE# 9 9] TRAILER TRAILER PLATE# STATE PLATE# STATE 10 ❑ TRLR TRLR VIN.#. VIN.#. 11 O O VEH.YEAR MAKE MODEL STYLE VEHICLE TOWS E T SABLIN TOWED BY anvi vEH1G E FROM TO 2018 NISS ROGUE DAMAGE YES NO ✓ YES NO ✓ 33 REGISTERED OWNER INFOHANNAH DANIELS 232 BURNETT AVE S APT B106 RENTONWA98057 D:6307238619 J 9 SHADE IN DAMAGED AREA 12 7 3 4 FROM TO INSURANCE CO LIABILITY I EFFECT SAME. 1GQ 34 IN EFFECT &POLICY#13LEGA LE ❑ CITATION# CHARGE LEGALLY YES NO STANDING �} � 7 6 14 ❑ UNIT Tr Vd IRE O CYDCLE OWNERRTY YES AGE NOHRESHOLD MET PHONE ❑ 35 PEDESTRIAN 15 LAST NAME FIRST NAME INDDLE ITIAL 36 7 AL ❑ STRE 16 NEW ETETnnR"Fl CITY ST ZIP CDL IGNITION REdUiRED IGNITtGN PRESENT MEDICALTANSPORTED NTERLOCK YES No INTERLOCK YEs NO YEs NO El 17 37 LICENSE# STATE SEX MMDDDYBYY - 18 ❑ ON DUTY� STATUS AIRBAG RESTR. ; EJECT HELMET INJURY NATURE of INJURIES 38 USE (CLASS 19 ❑ 39 LICENSE VIN# PLATE# rnr 20 ❑ TRAILER' STATE TRAILER STATE ❑ 40 PLATE#< PLATE# 21 ❑ TRLR TRLR 41 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 LEwcLE YES❑ NO❑ CITATION# CHARGE iq 60TiOM LeGALLv 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. X LEVERTON 04-03-24 07:09 AM 25 INVESTIGATING OFFICER'S SIGNATURE OFFICER'S PHONE UNIT OR DIST DET DATED: PLACE SIGNED BADGE O#I' APPROVED /326 ORID# 2517 WA0171300 ACOBS 43/2 PAGE F41 OF F 3000-345-013(R 11118) REPORT NO. EE65043 CASE# ' 24-3426 DATE AND TIME 03/29/24 14:41 OF COLLISION ty � 1 tit �t S PAGE 5 OF 5