HomeMy WebLinkAbout25-208 iiTFiNII IIIII III IIIII II IIII IIIII I . 27c REPORT NO EF54771oc� RA
COLLISION REPORT 1591971
❑ 0 RESULTED I
CASE# 25-208 2
INTERSTATE CITY STREET FIRESTOLENSTATE ROUTE OTHER VEHICLE LOCAI-AGENCY 4100 3
HIT&RUN CODING
COUNTY RD PRIVATE WAY INVOLVED
2 TOTAL#OF OBJECT 1 8 28
TRIBAL UNITS 02 STRUCK
RESERVATION : 1 1
2
3� M M D D Y Y Y Y TIME(2400) COUNTY# MILES CITY#
eaCL s on' 01 - 07 - 2025 0734 17 =.= S 8 W e OF IN e 1070 s
4❑ ON (PRIMARY TRAFFIC WAY) INTERSECTION ❑✓ NON INTERSECTION ❑
INSOUTHPORT DR
BLOCK NO. e .�
4a❑ MILE POST
❑ DISTANCE OF(REFERENCE OR CROSS STREET)
5 F--1 MILES 1.1 FEET e S 8 W e GARDEN AVE IN
0 1 29
MOTOR ✓ PEDAL- DAM AG THRESHOLD MET PHONE
UNIT 01 VEHICLE ❑ CYCLE ❑ YEs Vl No D:2064462405 0 1 30
5 LAST NAME ABDIRAHMAN FIRST NAME HIBO MIDDLE M 1 2 31
INITIAL
STREET ] 824 JEFFERSON AVE NE CITY; RENTON I ST WA ZIP; 980563720 2
NEW ADDRESS
7 CDL IGNITION REQUIRED IGNITION ENT MEDICAL TRANSPORTED 3
INTERLOCK YES No[:] INTERLOCK Yet
Na YES NOD
8 DRIVER # STATE WA SEXI F MMDDYY' 01 - 01 - 1988 t 1 2 32
9 ON DUTY STATUS' AIRBAG 6 RESTR 4 EJECT 1 HELMET INJURY 7 LEGS H INJURIES 2
USE CLASS LEGS SHOULDER
10 PI ENSttEI BYS1306 STATE WA VIN#, 5YFBURHE7HP721094 3
TRAI STATE TRAILER LE STATE
11 3 5 ,LATE# PLATE# FROM TO
TRLR TRLR 3 1 7 33
12 3 0 VIN#' vIN#
FROM TO
13 2 VERYEAR2017 MAKE TOYT MODEL COROL STYLE VEHICLE TOYED NO�iS46LIN T�VyED.6LRS GES❑END 5 1 34
DAMAGE IIII._IIII HHttVVii((tt
REGISTERED OWNER INFO HIBO ABDIRAHMAN 824 JEFFERSON AVE NE RENTON WA 980563720 D:2064462405 VEHICLE NO. 1
SHADE IN DAMAGED AREA 11
35
14❑ ❑ NSURANCE CO 3 4
LIABILITY INSURANCE
IN EFFECT &POLICY# 9TOP
V""' CHARGE 10 BOTTOM 5 36
15
srnNowc YES❑NO❑ CITATION# 5AO151243,5AO151243 FA►L TO OBEY TRAFFIC CONTROL e
MOTOR PEDAL- PEDESTRIAN PROPERTY DAM THR OLD MET PHONE
UNIT VEHICLE CYCLE nWNFR D:4252402235
16�
LAST NAME LOWE FIRST NAME BRITTANY MIDDLE L
INITIAL
17 F1 STREET ❑ 37
'❑ 4903 PRESTON FALL CITY RD SE CITY' FALL CITY ST, WA ZIP 9802457
NEW ADDRESS 12
1$❑ CDL IGNITION REQUIRED IGNITION PRESENT MEDICAL TRANSPORTED 38
INTERLOCK YES NO INTERLOCK YES NO YES No
19� DRIVER'S STATE WA SEX F D.0•a. 12 08 1989 39
LICENSE# MMDLiYY —
11
20❑ ON DUTY STATUS AIRBAG 6 RESTR 4 EJECT 1 HELMET INJURY', 7 NATURE OF INJURIES ❑ 40
USE CLASS WRIST KNEE
21[ LICENSE I PATE# CFZ3871 rare WA vIN# 1 J4PN2GK1AW154423 41
22❑ PLATE# STATE PLAAILER
TE# STATE 42
23 TRLR RLR 43
UIN#. 'IN#
TOWED BY GOV HI 44
VEH.YEAR 201Q MAKE JEEP MODEL LIBERTY STYLE DAMIAGE TOWED✓ No BLIN BANKERS
24
REGISTERED OWNER INFO BRITTANY LOWE 4903 PRESTON FALL CITY RD SE FALL CITY WA 980245712 VEHICLE N0.2
SHADFjy DAMAGED AREA
3 4
LIABILITY INSURANCE INSURANCE CO PROGRESSIVE 983321101
IN EFFECT &POLICY# 9TOP
VEHICLE ❑ ,J—I CITATION11 CHARGE t080TTOM
L'—LY YES N J
25 e
OFFICER'S NAME(PRINT) OFFICER PHONE BADGE OR ID# AGENCY
J
26
M.LEVERTON 2517 WA0171300
PAGE 01 OF
PART A 3000-345-189(R 11/18)
STATE OF
POLICETRAFFICN CORRECTION REPORT NO. EF54771
COLLISION REPORT III III III III III 111
1591972 CASE# 25-208
E NA ADDITIONAL PERSONS INVOLVED(PASSENGERS AND/OR WITNESSES ONLY)
M
(LAST FIRST,MIDDLE INITIAL) MAUE MADELIN P
ADDRESS&PHONE# 4
6164438977 SEXi U MMDppYBYYy 08 — 27 — 1996
PASSENGER WITNESS UNIT# SEAT AIRBAG RESTR. EJECT HELMET INJURY NATURE OF INJURIES
1:1z' POS. USE CLASS 1 ----�
:NAME
(LAST EIFS7 MIDDLE INITIAL)
ADDRESS&PHONE#
SEX MMDDYYYY D.D.B. —
PASSENGER❑WITNESS UNIT# : SEAT AIRBAG RESTR. EJECT HELMET INJURY: NATURE CFINJURIES
POS. USE CLASS ----�
:NAME
(LOST,FIRST,MIDDLE INITIAL)
ADDRESS&PHONE#
SEX I MMDDYY D.D.B.
YY
PASSENGER WITNESS UNIT# SEAT AIRBAG RESTR. EJECT HELMET NJURY NATURE OF INJURIES
POS. I 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 01-07-25 10:10 AM
INVESTIGATING OFFICER'S SIGNATURE UNIT OR DIST.DET DATED PLACE SIGNED
APPROVED BY DATE
C.JACOBS 1953 1/8/2025 2:22:28 PM
BADGE OR ID# ; 2517 ORI# WA0171300 TIME POLICE DISPATCHED 7:34 AM TIME POLICE ARRIVED i 7:42 AM
PAST B 3 Do-3mx—attar(t 1Mff) PAGE 2�OF 4
REPORT NO. EF54771 CASE# 25-208 O OF COLLI 510N TIME 01/07/25 07:34
COLLISION
NARRATIVE
blu unit 2 nb wht/unit 1 wb lane 1
CC
Within the city limits of Renton/King/WA 1 responded to a 2 vehicle unknown if injury blocking crash at
the intersection of N Southport Dr at Garden Ave N.
I located a blue SUV blocking westbound lane 2 and a white sedan blocking lane 1 westbound.
I contacted the driver of unit 2/blue SUV who told me they were northbound on a solid green light
when unit 1 ran the red light and crashed into the front/side of them. Unit 2 driver complained of
injury and was treated on scene by Renton Fire then later transported to VMC-ED for further checks.
Unit 2 vehicle was towed for damages.
contacted the driver of unit 1 ID'd by her picture WADL. She did not provide information about the
crash other than she was hit and hurt her legs. She told me she did not have insurance. She was
able to provide my a phone number and her WADL. She was treated by Renton Fire and later
transported to VMC-ED for further checks.
I contacted a witness that said she actually watched the crash. However, she described unit 2
northbound on a green light but said unit 1 might have been making a right onto N Southport from Lk
Wa BI N. This was not consistent with POI and debris in the roadway. It was consistent with unit 2
saying they were on their green light.
I cited unit 1 via complaint Ref RCW 46.61.055 FTCWTCD-Red Light 2 vehicle injury crash and ref
RCW 46.30.020 No Insurance.
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 1/7/2025
PAGE 3 OF 4
REPORT NO. E F54771 CASE# 25-208 DATE AND TIME 01/07/25 07:34
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