HomeMy WebLinkAbout24-3488 ITFF' "POLCERA II I !�� I III I III I IIII III II I . 0 27c
COLLISION REP FIT 1591971
SASE 24-3488 2
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 1 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 03 - 1-- 2024 1523 17 ❑-= S 8 IN e 1070 3
4❑ ON (PRIMARY TRAFFIC WAY) INTERSECTION ❑✓ NON INTERSECTION ❑
HARDIE AVE SW BLOCK NO. e✓ 500 ❑
4a❑ MILEPOST
DISTANCE OF(REFERENCE OR CROSS STREET)
5❑ ❑ FEET e S ❑ VV e SW 5TH PL
0 4 29
MOTOR PEDAL- DAMAGE THRESHOLD MET PHONE
UNIT 01 VEHICLE ❑ CYCLE El
NO D:2066613561 0 11
30
6� LAST NAME KANE FIRSTNAME MOR MIDDLE 1 2 31
INITIAL
STREET ❑ 24620 RUSSELL RD APT Y101 CITY KENT ST WA Zjp, 98032 z
NEW ADDRESS
7❑ CDL IGNITION REQUIRED IGNITION PRESENT MEDICAL TRANSPORTED 3
iNTERLOCKYEs NO 1/ INTERLOCKYEs NO�/ YES R No�/
8❑ LRIIVERS STATE WA SEX'M MM DAY' 03 1— 01 — 2001 2 32
CENSE 9 ON DUTY❑ STATUS AIRBAG 6 RESTR 9 EJECT 1 HELMET
2 CLASS 1 NATURE OF INJURIES z❑
3
10 9❑ Pi aTES� CLE0578 sTArI WAvIN# 3FA6POG75GR216158
11[-j-� TRAILER STATE TRAILER STATE
11 2 5 PLATE# PLATE# FROM ro
TRLR. TRLR $ 7 33
12 2 5 VIN#j VIN#
:: FROM TO
VEH.YEAR MAKE MODEL STYLE VEHICLE TOWED TO BLIN TOWED BY GOVT.VEHICLE 1 $ 34
13 2 2016 FORD FUSION SD DAMAGE YES NO YES[:] No
✓
REGISTERED OWNER INFO OWNEDBYDRIVER VEHICLE NO. 1
SHADE IN DAMAGED AREA 35
14 ❑ INSURANCE CO <53 4LIABILITY INSURANCEIN EFFECT &POLICV# TOPVE— CHARGE OTTOM 5 36
EGALL'Y YES NO CITATION# 4AO044466 OP MOT VEH W/OUT INSURANCE $
15❑ STANDING 6
MOTOR PEDAL- PEDESTRIAN PROPERTY DAM THR OLD MET PHONE
16 a UNIT 02 VEHICLE ❑ CYCLE ❑ ❑ OWNER ❑ YES 1/ NO D:2069627953
LAST NAME GUTHRIE FIRST NAME DAVID MIDDLE M
INITIAL
17 STREET I❑ 10438 60TH AVE S CITY SEATTLE ST WA ZIP 98178 37
NEW ADOREss❑'
18❑ CDL IGNITION REQUIRED IGNITION PR—E-1SENT MEDICAL—T�RANSPORTED � 38
INTERLOCKYES�NO� INTERLOCK YEs It I NOF YES
t l NOF,/
19 D IVEW #
❑ ON DUTY STATUS AIRBAG, 1 RESTR 13 EJECT 2 HELMET 5 INJURY 6 NATURE OF INJURIES ❑ 40
USE CLASS PAIN TO BOTH KNEES
❑21❑ PLATE# 3K0053 TArE 41
WA VIN1 JKBVNRA10CA009255 1
42
22❑ PILER LATE# STATE PLATE# STATE
23❑ VIN#. 43
TRLR RLR
'IN#.
VEH YEAR 2012 MAKE KAWK MODEL VN1700-A STYLE MT VEHICLETOWED TO BLIN TOWEDBY GOV HI 44
24❑ DAMAGE YES NO YES NO
REGISTERED OWNER INFO DAVID GUTHRIE 1043860THAVE S SEATTLE WA 98178 D:2069627953 VEHICLE NO.2
SHADEDAMAGEDAREA
3 4
LIABILITY INSURANCE❑ INSURANCE CO
IN EFFECT &POLICY# 9TOP 5
"F""LE Yes Nc❑ cIrATION# 4AO044467 CHARGE OP MOT VEH W/OUT INSURANCE o BOTTOM
LE...Lr1 ----j
25 a
OFFICER'S NAME(PRINT) OFFICER PHONE BADGE OR ID# AGENCY
26
RAYMOND GORAJEWSKI 12399 WA0171300
PAGE 01 OF
PART A
3000-345-159 OR 11/181
STATE OF
POLICETRAFFICN CORRECTION REPORT NO. EE68018
COLLISION REPORT III III III III III 111
1591972 CASE# 24-3488
ADDITIONAL PERSONS INVOLVED PASSENGERS AND/OR WITNESSES ONLY)
NAME MIDDLE INITIAL) MARSH ENOCH J
(LAST FIRST,
ADDRESS&PHONE#
10438 60TH AVE S SEATTLE WA 98178 SEX M MMDovyry 02 - 25 - 2015
SEAT HELMET INJURY NATURE OF INJURIES
PASSENGER WITNESS❑'UNIT# 2 POS, 12 AIRBAG' RESTR. 13 EJECT 2 USE 5 CLASS 16 ABRASIONS TO LEFTKNEE
NAME
(LAST,FIRST,MIDDLE INITIAL) GILBERT KANDICE P
ADDRESS&PHONE# D O B
13445 MLK JR WAY S APT P403 SEATTLE WA 98178 2065381169 SEX F MMopvvvv O6 _ 25 _ 1986
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.MMDD -❑
YYYY.
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.
RAYMOND GORAJEWSK/ 03-31-24 05:04 PM
INVESTIGATING QFFICER'S SIGNATURE UNIT OR DIST DET DATED PLACE SIGNED
APPROVED BY DATE
G.BARFIELD 6476 1 411412024 2:47:35 PM
BADGE OR ID# 12399 OR]# WA0171300 TIME POLICE DISPATCHED 3:23 PM TIME POLICE ARRIVED',3:27 PM
PART I PAGE 2�OF❑
TIME
REPORT NO. EE68018 CASE# 24-3488 OF COLLISIONO3/31/24 15:23
NARRATIVE
ASSIGNMENT/ARRIVAL
On 03/31/2024 at approximately 1525 hours, I was dispatched to a two vehicle collision at the
intersection of Hardie Avenue SW and SW 5th Place in the city of Renton, King County, Washington.
I arrived at approximately 1527 hours.
UNIT 1: FORD FUSION
Upon arrival I observed a white Ford Fusion (WA/ CLE0578, Unit 1) stopped in the southbound lane
of Hardie Avenue SW at the intersection of SW 5th Place. Unit 1 had moderate front end damage and
was facing northwest. Unit 1 was not moved from its point of rest prior to my arrival.
UNIT 2: KAWASAKI VN 1700
1 observed a black Kawasaki VN1700 motorcycle (WA/ 3K0053, Unit 2) laying on its side in the
southbound lane of Hardie Avenue SW at the intersection of SW 5th Place just south of Unit 1. Unit 2
had moderate front end damage and was facing southeast. There was debris from Unit 2 in the
southbound lane of Hardie Avenue SW south of Unit 2. Unit 2 was not moved from its point of rest
prior to my arrival.
DRIVER 1: KANE, MOR
I contacted Mor Kane (DOB: 03/01/2001) sitting on the curb near Unit 1. 1 identified him by his valid
Washington Driver License. I established Kane as the driver of Unit 1 by his admission. Kane was not
injured from the collision.
DRIVER 2: GUTHRIE, DAVID M.
I contacted David M. Guthrie (DOB: 06/13/1997) sitting on the curb near Unit 2. 1 identified him by his
valid Washington Driver License. I established Guthrie as the driver of Unit 2 by his admission.
Guthrie complained of pain to his knees from the collision but refused medical treatment.
Guthrie wore a DOT approved motorcycle helmet at the time of the collision.
PASSENGER 1: MARSH, ENOCH J.
I contacted Enoch J. Marsh (DOB: 02/25/2015) sitting on the roadway surface near Unit 2. 1 identified
him through Guthrie's statement. I established Marsh as the rear passenger of the motorcycle by
Guthrie's statement.
Marsh had abrasions to his left leg near the knee and shin from the collision. Marsh was transported
via ambulance to Valley Medical Center as a precaution.
Marsh wore a DOT approved motorcycle helmet at the time of the collision.
WITNESS 1: GILBERT, KANDICE P.
I contacted Kandice P. Gilbert (DOB: 06/25/1986) tending to Marsh near the scene of the collision. I
identified her by her valid Washington Driver License.
STATEMENT: DRIVER 1
Officer J. Jokela spoke with Kane about the collision. The following is a summary of what Officer
Jokela told me about his conversation with Kane:
Kane spoke little English and Officer Jokela couldn't determine what language he spoke to use an
interpreter.
Kane drover Unit 1 north on Hardie Avenue SW toward SW 5th Place. Kane stopped Unit 1 in the left-
turn lane to turn left (west) onto SW 5th Place. Kane accelerated Unit 1 into the intersection as Unit 2
was driving south on Hardie Avenue SW toward the intersection with SW 5th Place.
Unit 2's front end collided with Unit 1's front end.
This concluded my conversation with Officer Jokela.
PAGE 3 OF 5
TIME
REPORT NO. EE68018 CASE# 24-3488 OF COLLISIONO3/31/24 15:23
NARRATIVE
STATEMENT: DRIVER 2
1 spoke with Guthrie about the collision. The following is a summary of our conversation:
Guthrie drove Unit 2 south on Hardie Avenue SW toward the intersection with SW 5th Place at about
25 miles per hood. Marsh was on the rear seat of the motorcycle.
Guthrie saw Unit 1 stopped in the left-turn lane for northbound Hardie Avenue SW to turn left (west)
onto SW 5th Place. Unit 1 was stopped and did not have the turn indicator activated.
As Guthrie and Marsh approached the intersection on Unit 2, Unit 1 suddenly accelerated into the
intersection to make a left turn. Guthrie had no time to react and Unit 2's front end collided with Unit
1's front end.
This concluded my conversation with Guthrie.
STATEMENT: WITNESS
I spoke with Gilbert about the collision. Gilbert was stopped one-car back from the intersection in the
eastbound lane of SW 5th Place. Gilbert saw the collision occur, but didn't see the movement of
either vehicle prior to the collision.
Gilbert had nothing of substance to add to the investigation.
PHOTOGRAPHS
I took photographs of the scene with my department issued cell phone and uploaded the photographs
to Axon's Evidence.com.
CITATIONS
Neither Kane or Guthrie had proof of insurance for the vehicles. I issued Guthrie (Citation
#4A0044467) and Kane (Citation #4A0044466) citations for operating a motor vehicle without proof of
insurance.
DISPOSITION
Both vehicles were towed away at the owners' request. I gave both drivers an Exchange of
Information form.
This concluded my involvement in this case.
I declare under penalty of perjury under the laws of the State of Washington that the foregoing is true
and correct.
Electronically signed by Officer R. Gorajewski, #12399, on 03/31/2024 at 1658 hours in Renton,
Washington.
PAGE 4 OF 5
REPORT NO. EE68018 CASE# 24-3488 DATE AND TIME 03/31/2415:23
OF COLLISION
Ar,
Not, to Scale
PAGE 5 OF 5