HomeMy WebLinkAbout25-00003 STATE OF I !�� I III I III I IIII III II I . 0 27c REPORT NO EF51981
COLLISION REP FIT
1591971
❑ ❑ FIRE ❑ CRSE# 2$-00003 2 6 0
INTERSTATE CITY STREET RESULTED
1 STOLEN
STATE ROUTE ❑ OTHER ❑ VFHIr.I F ❑ LOCAL AGENCI 4Y00 3❑
HIT&RUN CODING
COUNTY RD PRIVATE WAY INVOLVED
2❑ TOTAL#OF OBJECT 28
6 0
RESERVATION
TRIBAL UNITS 02 STRUCK
2
3❑ DATE OF M M D D Y Y Y Y TIME(2400) COUNTY# MILES N E IN CITY#
cawsloN 01 - 01 - 202$ 0429 17 �. S 8 W H OF e 1070 3
4❑ ON (PRIMARY TRAFFIC WAY) INTERSECTION ❑✓ NON INTERSECTION ❑
HARRINGTON AVE NE BLOCK NO. e✓ 700 ❑
4a❑ MILEPOST
DISTANCE OF(REFERENCE OR CROSS STREET)
5❑ �,❑ FEET e S ❑ We NE7THST
0 1 29
MOTOR PEDAL- DAMAGE THRESHOLD MET PHONE
UNIT 01 VEHICLE ❑ CYCLE El
,/NO D:2062097029 0 11
30
6� LAST NAME CONTRERAS FIRSTNAME GENDRIX MIDDLE B 1 1 2 31
INITIAL
STREET ❑ 10622 SE 252ND ST UNIT G107 CITY KENT ST WA 2jp, 980306816 z
NEW ADDRESS
7❑ CDL IGNITION REQUIRED IGNITION PRESENT MEDICAL TRANSPORTED 3
iNTERLOCKYEs NO 1/ INTERLOCKYEs NO Z/ YES R No�/
8❑ LRIIVER #
ON DUTY❑ STATUS AIRBAG 6 RESTR 4 EJECT 1 H USE 2 1 CLASS NATURE OF INJURIES 2❑
3
10 2❑ P1 ATE 14 C84539K STATE WA v N# 3TMCZ5AN8HM092154
11[-j- TRAILER STATE TRAILER STATE
11 2 5 PLATE# PLATE# IR.. ro
TRLR. A'RLR. 1 5 33
12 2 5 VIN#j VIN#
:: FROM TO
VEH.YEAR MAKE MODEL STYLE VEHICLE TOWED TO BLIN TOWED BY GOVT.VEHICLE 3 ] 34
13 2 2017 TOYT TACOM PK DAMAGE YES NO YES[:] NO✓
REGISTERED OWNER INFO VICTORAGUILAR ROJAS 29114213THAVE SE KENT WA 98042 VEHICLE NO. 1 ❑
SHADE IN DAMAGED AREA 35
14 LIABILITY INSURANCE INSURANCE CO ALL STATE S20584782 <�3
4
LI EFFECT I SUR N#VEHICLE CHARGE 36
LEGALLY YES❑NO❑ CITATION# TTOM
15❑ NDING 6
MOTOR PEDAL- PEDESTRIAN PROPERTY DAM THR OLD MET PHONE
UNIT VEHICLE ❑ CYCLE ❑ ❑ OWNER [:]EA.
YES 1/ NO D:2069491250
16 a
LAST NAME BEETON FIRST NAME ASHLEY MIDDLE I L
INITIAL
17 STREET❑ NEW ADOREss❑' 610 SHELTON AVE NE CITY RENTON ST WA ZIP 980563998 37
18❑ CDL IGNITION REQUIRED IGNITION PR—E-1SENT MEDICAL—T�RANSPORTED ❑ 38
INTERLOCKYES�NO� INTERLOCK YEs It I NOF YES t l NOF,/
19 DRIVER'S STATE WA SEX F D.C... 04 07 1989 39
LICENSE# MMDDYY
HELMET {NJURY 1 NATURE OF INJURIES 40
20❑ ON DUTY STATUS AIRBAG 6 RESTR 4 EJECT '1 USE 2 CLASS ❑
21❑ LICENSE I CNH2592 TATe I WA VIN# JTMC63FVORD206632
❑ 41
PLATE#
42
22❑ PLATE# STATE PLATE# STATE
TRLR
23❑ VIN#. IN#. 43
RLR
'
TOWED BY GOV HI 44
VEH YEAR 2024 MAKE 7'Oy7- MODEL RAV4 STYLE 5D DAMAGE TOWED✓ NOO BLIN BANKERS YES No�/
24❑ REGISTERED OWNER INFO OWNED SY DRIVER VEHICLE N0.2
SHADEDAMAGEbAREA
s Cd
LIABILITY
INSURANCE INSU PORGY#ECO STATE FARM 0889730 A05-47FIN 1 9TOP 5
'E""LE ❑ Nu,J CITATION# CHARGE
LEGAL
25 io BOTTOM
LY YES s � a
OFFICER'S NAME(PRINT) OFFICER PHONE BADGE OR ID# JAGENCY
26
C.STEED 8770 WA0171300
PAGE 01 OF
PART A
3000-345-159 OR 11/181
STATE OF
POLICETRAFFICN CORRECTION REPORT NO. EF51981
COLLISION REPORT III III III III III 111
1591972 CASE# 25-00003
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'
On 01/01/25 at about 0440 hrs I arrived at Harrington Ave NE and NE 7th St for a blocking collision,
in the City of Renton, County of King, and State of Washington. Unit#2 advised she was WB on NE
7th St and entered the intersection at Harrington Ave NE when she was hit by Unit#1 in the rear
passenger side of her vehicle. Unit#1 was SB on Harrington Ave NE and collided with Unit#2 with
the front of Unit#1 vehicle. Even after the collision Unit#1 was carrying enough speed that he went
through the stop sign on the SW corner of the intersection and into a pole causing significant front-
end damage to Unit#1. Both Driver#1 and Driver#2 said they were not injured from the collision.
Both Drivers also said the collision occurred because the other driver did not stop at the 4 way stop
sign controlling the intersection. It was obvious from the amount of damage done to Unit#1 that he
was exceeding a reasonable safe speed and he was not coming from a complete stop when the
accident occurred. The driver of Unit#1 said he had been drinking and had two beers about three
hours before the accident. I did not observe signs of impairment on Driver#1.
This incident was captured on my body worn video camera. This report is a summary of events that
occurred and is not an exact sequencing of events. Statements have been paraphrased and
summarized. The video was uploaded to evidence.com.
I certify (declare) under penalty of perjury under the laws of the State of Washington that the
foregoing is true and correct.
Electronically Signed by Officer Steed on 01/01/25 0532 hrs, Renton Washington
Cassidy Steed/8770
I CERTIFY(DECLARE)UNDER PENALTY OF PERJURY UNDER THE LAWS OF THE STATE OF WASHINGTON THAT THE FOREGOING IS TRUE AND CORRECT.
C.STEED 01-01-25 05:46 AM
INVESTIGATING OFFICER'S SIGNATURE UNIT OR DIST DET DATED PLACE SIGNED
APPROVED BY DATE
D.SKELTON 9139 1/1/2025 6:30:23 AM
BADGE OR ID# 8770 OR]# ! WA0171300 TIME POLICE DISPATCHED 4:36 AM TIME POLICE ARRIVED 4:40 AM
PART I PAGE IT]OF 3�
REPORT NO. EF51981 CASE# ' 25-00003 DATE AND TIME 01/01/25 04:29
OF COLLISION
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