The URL can be used to link to this page

Home My WebLink About23-4679 ITFF' "POLCERA II I !�� I III I III I IIII III II I . 1 27c COLLISION REP FIT 1591971 CASE 23-4679 z INTERSTATE ❑ CITY STREET FIRE ❑RESULTED 1 STOLEN STATE ROUTE ❑ OTHER ❑ VFHIC;I F ❑ LOCAL AOENC 4Y00 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# ❑ cawsloN 04 - 1-- 2023 1030 17 ❑.= S 8 IN e 1070 3 4❑ ON (PRIMARY TRAFFIC WAY) INTERSECTION ❑ NON INTERSECTION ❑✓ RAINIER AVE S BLOCK NO. e✓ 400 4a❑ MILEPOST DISTANCE OF(REFERENCE OR CROSS STREET) 5❑ 100 00 FEET MILES e S B W e S 4TH PL 0 1 29 MOTOR PEDAL- DAMAGE THRESHOLD MET PHONE UNIT 01 VEHICLE ❑ CYCLE El ,/NO D:2069925943 0 6 30 6� LAST NAME PERRY FIRSTNAME KRISTIN MIDDLE K 1 1 2 31 INITIAL STREET ❑, 5702 143RD ST SW CITY EDMONDS ST WA ZIP 980260000 z NEW ADDRESS 7❑ CDL IGNITION REQUIRED IGNITION PRESENT MEDICAL TRANSPORTED 3 1/iNTERLOCKYEs NO INTERLOCKYEs NO YES R No�/ 8❑ LRIIVER # ON DUTY❑ STATUS AIRBAG 2 RESTR 4 EJECT 1 HELMET INJURY 7 NATURE OF INJURIES 2❑ USE CLASS COMPLAINT PAIN RT SHOULDER,LOWER BACK 3 10[1LI QTNFS# BES1384 STATE WA VIN#' KM8JU3AC9DU684284 - TRAILER STATE PL TRAILER STATE 11 3 5 PLATE# PLATE# FROM TO TRLR. TRLR. 5 1 33 12 3 5 VIN#' VIN# >; FROM TO VEH.YEAR MAKE MODEL STYLE VEHICLE TOWED TO BLIN TOWED BY GOVT.VEHICLE 5 1 34 13 2 2013 HYUN TUCSO 4H DAMAGE YES NO YES[:] No✓ REGISTERED OWNER INFO KRISTINPERRY5702143RD STSW EDMONDS WA 98026 VEHICLE NO. 1 ❑ SHADE IN DAMAGED AREA 35 14 LIABILI INSURANCE INSURANCE CO HARTFORD 55PHL536768 3 4 IN EFFECT &POLICY# 9TOP VEHICLE 5 36 LEGALLv res❑NO❑ CITATION# CHARGE 1 o BOTTOM 15❑ STANDING 8 7 6 MOTOR PEDAL- PEDESTRIAN PROPERTY DAM THR OLD MET PHONE UNIT VEHICLE ❑ CYCLE ❑ ❑ 16 a OWNER ❑ YES 1/ NO D:2068527724 LAST NAME RYE FIRST NAME ANDREA MIDDLE M INITIAL 17❑ STREET ❑', 1029 N 27TH PL CITY RENTON ST WA ZIP 980561475 37 NEW ADDRESS ❑ 18� CDL IGNITION REQUIRED IGNITION PtR-E-S1ENT MEDICAL TRANSPORTED 38 INTERLOCK YEs❑No� INTERLOCK YEs I I NOF YEs t l NOF,/ 19 DRIVER'S STATE WA ]SEX IF D.C... 10 � 1943_ 13 _ El 39 LICENSE# MMDDYY WELMET INJURY1 NATURE OF INJURIES 40 20❑ ON DUTY STATUS AIRBAG 2 RESTR 4 EJECT 1 USE CLASS ❑ 21❑ LICENSE I CFY1284 TATe WA VIN1t 2T2BBMCAOPC002552 ❑ 41 PLATE# 42 22❑ PILER LATE# STATE pLATE# STATE 23❑ UIN#. 43 TRLR RLR 'IN#. VEH YEAR 2023 MAKE LEXS MODEL RX STYLE qH VEHICLETOWED TO BLIN TOWEDBY GOV HI 44 24❑ DAMAGE YES NO,/ YES NO REGISTERED OWNER INFO ANDREA RYE 1029 N 27TH PL RENTON WA 98056 VEHICLE NO.2 SHADE IN DAMAGEbAREA 2 3 Cd LIABILITY INSURANCE INSU&POLICY#E CO PEMCO CA 0743166IN 1 9TOP VEHICLE ❑ ,.I—I CITATION# CHARGE 25 i o BOTTOM LEGALLY YES N $ 7.111CjEo-S NAME(PRINT) OFFICER PHONE BADGE OR ID# AGENCY 26 HNSON 0505 WA0171300 PART A PAGE 01 OF 3000-345-159 OR 11/181 STATE OF POLICETRAFFICN CORRECTION REPORT NO. ED55404 COLLISION REPORT III III III III III 111 1591972 CASE# 23-4679 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 PM 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. CO.JOHNSON 04-26-23 02:59 PM INVESTIGATING OFFICER'S SIGNATURE UNIT OR DIST DET DATED PLACE SIGNED APPROVED BY DATE CO.JOHNSON 0505 1 412812023 2:52:26 PM BADGE OR ID# 0505 OR]# WA0171300 TIME POLICE DISPATCHED 10:46 AM TIME POLICE ARRIVED',10:50 AM PART I PAGE IT]OF 4� REPORT NO. ED55404 CASE# 23-4679 OF COLLISION 04/26/23 10:30 OF CbLLI510N NARRATIVE U2 NB 400 blk RAS In #3, U1 behind U2; light @ S 4th PI red to green and U2 slows for vehicles ahead stopped for previous red; front U1 collides with rear U2 On 04-26-23 at about 1046 hours, I was dispatched to a 2-car blocking collision in the vicinity of Rainier Ave S and S 4th PI in the City of Renton, County of King, Washington. There were no injuries reported and the vehicles were blocking north bound. I arrived in the area at about 1050 hours. I observed two (2) dark colored vehicles blocking lane #1 (of 3) of Rainier Ave S, just north of S 4th PI. I contacted the drivers of the vehicles and determined there were no injuries requiring immediate medical attention. 1 instructed the drivers to move their vehicles off the roadway and into the parking lot of 440 Rainier Ave N for further contact. The driver of Unit 01 was identified by WA DL and admitted to driving the listed vehicle. The driver said she was wearing a seatbelt at the time of the collision. The driver did not appear to have any observable injuries but complained of pain in her right shoulder and lower back. The driver of Unit 01 initially declined medical attention from RRFD but later requested they respond. The driver was treated and released at the scene by RRFD. Unit 01 was north bound in lane #3 (of 4) of Rainier Ave S, approaching the intersection with S 4th PI. The driver of Unit 01 observed a green traffic signal for north bound traffic but said Unit 02 had come to a stop for no reason. The driver said she was unable to stop in time to avoid colliding with the rear of Unit 02. The driver of Unit 02 was identified by WA DL and admitted to driving the listed vehicle. The driver said she was wearing a seatbelt at the time of the collision. The driver did not appear to have any observable injuries. Unit 02 was north bound in lane #3 (of 4) of Rainier Ave S approaching the intersection of S 4th Pl. The driver of Unit 02 said the traffic signal had just turned from red to green and there were vehicles in front of her that were just starting to move slowly. Unit 02 began to slow down for the slow moving vehicles to the front when the rear of her vehicle was hit by Unit 01. I observed moderate damage to the rear hatch of Unit 02 and front bumper/passenger fender of Unit 01. The damage to both vehicles was consistent with the information provided by both drivers. Unit 02 departed the location under its own power. Unit 01 was in a parking stall and the driver arraigned for a private tow. The proximate cause of the collision was Unit 01 failing to stop in time to avoid colliding with Unit 02. Were it not for the actions of the driver of Unit 01, the collision would not have occurred. No citations or infractions issued. Report for information purposes only. PAGE 3 OF 4 REPORT NO. ED55404 CASE# ' 23-4679 DATE AND TIME 04/26/23 10:30 OF COLLISION w �a of lmpic i5®556.�,�$$8,946x4�0tllim5ti}pe$4k$§?§c$65�14 ➢$e$.as¢�k.�3fi.$s�9i�€�9��§$€�tat�RV t?�bEai��$�.�9A 3�s aaE�� $_ 4ifrt Q7 H.—A,,,S.: PAGE 4 OF 4