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
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PAGE 5 OF 5