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Home My WebLink About24-5868 a ITFFi "POLCERA II IfI) 1 IlfII ('II (Illf If( fI I . 5 27c COLLISION REP FIT 1591971 SASE 24-5868 2 INTERSTATE ❑ CITY STREET FIRE ❑RESULTED 1 STOLEN STATE ROUTE ❑ OTHER ❑ VFHIC;I F ❑ LOCAL AGENCI 4900 3 HIT 8 RUN CODING COUNTY RD PRIVATE WAY INVOLVED 2 TOTAL#OF OBJECT 1 1 8 28 TRIBAL UNITS 04 STRUCK RESERVATION z 3❑ DATE OF M M D D Y Y Y Y TIME(2400) COUNTY# MILES N E IN CITY# COLLISION.. 06 - 1-- 2024 1429 17 ❑-= S 8 IN e 1070 3 4❑ ON (PRIMARY TRAFFIC WAY) INTERSECTION ❑✓ NON INTERSECTION ❑ BLOCK SUNSET BLVD NE ST e✓ MILEPOST 3000 ❑ 4a❑ DISTANCE OF(REFERENCE OR CROSS STREET) 5❑ ❑ FEET e S ❑ W e NE 12TH ST 0 1 29 MOTOR PEDAL- DAMAGE THRESHOLD MET PHONE UNIT 01 VEHICLE ❑ CYCLE El ,/No D:4255294681 0 81 30 6� LAST NAME MARTUS FIRSTNAME JOSEPH MIDDLE A 1 1 2 31 INITIAL STREET ❑ 4709 NE 18TH ST CITY RENTON ST WA ZIP 980594215 z NEW ADDRESS 7❑ CDL IGNITION REQUIRED IGNITION PRESENT MEDICAL TRANSPORTED 3 1/ I INTERLOCK YES[:]NO NTERLOCKYEs NO YES R No�/ 8❑ LRIIVER # ON DUTY❑ STATUS AIRBAG 2 RESTR 4 EJECT 1 HELMETU E 2 CLASS 1 NATURE OF INJURIES z❑ 3 10❑ P1 aT�S� D35317E sTArI WAVIN# 1D7HU182X6S613152 F_ TRAILER STATE TRAILER STATE 11 3 5 PLATE# PLATE# FROM To TRLR. TRLR 7 3 33 12 3 5 VIN#' VIN# FROM TO ❑ VEH.YEAR 2006 DODO RAM PK MAKE MODEL STYLE VEHICLE TOWED fn TO VBLINJ TOWED BY I GOVT.VEHICLE J 9 34 DAMAGE YES NO 13 4 YES[:] No REGISTERED OWNER INFO JOSEPH MARTUS 4709 NE 18TH ST RENTON WA 98059 VEHICLE NO. 1 ❑ SHADE IN DAMAGEDAREA 35 14 ❑ INSURANCE CO <53 4LIABILITY INSURANCEIN EFFECT &POLICV# Q vewcLE CHARGE 5 36 LEGALLY YES❑NO CITATION# 4A0361177,4A0361177 OP MOT VEH W/OUT INSURANCE, 15❑ STANDING 7 MOTOR PEDAL- ❑ 'PEDESTRIAN PROPERTY DAM THR OLD MET PHONE UNIT 02 VEHICLE ❑ CYCLE ❑ OWNER ❑ YES 1/ NO D:4256819332 16 a LAST NAME CHIRILLO FIRST NAME AMY MIDDLE I L INITIAL 17 STREET❑ NEW ADOREss❑' 15711 117TH AVE SE CITY RENTON ST WA ZIP 980584670 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 F] DRIVER # ❑ ON DUTY STATUS AIRBAG,2 RESTR 4 EJECT 1 HELMET 2 INJURY 7 NATURE of INJURIEs ❑ 40 USE CLASS BACK/WHIPLASH LICENSE 1 ❑21❑ PLA E# LH05629 TArE 41 WA VIN# JHLRD78864C048527 1 42 22❑ PLATE# STATE PLATE# STATE 23❑ UIN#. 43 TRLR RLR 'IN#. VEH YEAR 2004 MAKE HOND MODEL CRV STYLE UT I VEHICLE TOWED TO BLIN TOWEDBY GOV HI �44 24❑ DAMAGE YES�/ NO BANKERS YES NO REGISTERED OWNER INFO AMY CHIRILLO 11111111THAVESE RENTON WA 98058 VEHICLE NO.2 SHADEDAMAGEbAREA s Cd LIABILITY INSURANCE 8 POINSURGY#E CO ALLSTATE 920988351IN STOP VEwCLE CITATION# CHARGE 25 to BOTTOM LEGALLY YES Nu ❑ OFFICER'S NAME(PRINT) OFFICER PHONE BADGE OR ID# JAGENCY 26 C.JACOBS 1953 WA0171300 PART A PAGE 01 OF C7 3000-345-159 OR 11/181 STATE OF POLICETRAFFICN CORRECTION REPORT NO. EF03361 COLLISION REPORT III III III III III 111 1591972 CASE# 24-5868 ADDITIONAL PERSONS INVOLVED PASSENGERS AND/OR WITNESSES ONLY) NAME MIDDLE INITIAL) NGUYEN NANCYM (LAST FIRST, ADDRESS&PHONE# D O.B. ' 8823 139TH AVE SE NEWCASTLE WA 980593490 SEXi F MMDOYyry 04 - 10 - 1973 SEAT HELMET INJURY NATURE OF INJURIES PASSENGER I�IWITNESS� UNIT# 4 P7S 3 AIRBAG',2 RESTR. 4 EJECT 1 USE 2 CLASS 7 �PiasH NAME L�1 (LAST,FIRST,MIDDLE INITIAL) ADDRESS&PHONE# D O B SEX MMDDYVYY PASSENGER ❑WITNESS 0 UNIT# SEAT I AIRBAG RESTR. EJECT HELMET NJURY NATURE OF INJURIES POS. USE CLASS NAME (LAST FIR57 MIDDLE INITIAL) AppRESS&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. C.JACOBS 08-08-24 08:04 AM INVESTIGATING OFFICER'S SIGNATURE UNIT OR DIST DET DATED PLACE SIGNED APPROVED BY DATE C.JACOBS 1953 1 8/8/2024 8:05:42 AM BADGE OR ID# 1953 ORI# WA0171300 TIME POLICE DISPATCHED 2:29 Pry TIME POLICE ARRIVED',2:33 PM PART I PAGE IT]OF 5� REPORT NO. EF03361 CASE# 24-5868 OF COLLISION 06/03/24 14:29 OF CbLLI510N NARRATIVE On 6-3-24 at about 1433 Officers arrived at the intersection of Sunset Blvd NE and NE 12th St for a 4 vehicle collision. All drivers were contacted and identified themselves via WADL. I spoke to driver 1, Joseph Martus. Martus told me; While driving eastbound on Sunset Blvd NE, he looked down and didn't realize traffic stopped in front of him until he collided with the rear of unit 2. He was not injured. He does not have insurance. I spoke to driver 2, Amy Chirillo. Amy told me; She was stopped in traffic when unit 1 struck her vehicle from the rear. This collision pushed her into the rear of unit 3. She complained of whiplash and was going to seek medical attention on her own. She requested a tow (Bankers Towing) I spoke to Driver 3, Martin Klyakov. Martin told me; He was stopped in traffic when he was struck from the rear by unit 2. He didn't think he was injured. He did not have insurance. I spoke to driver 4, Tien Duc Pham. Pham told me; He was stopped at the light when unit 3 struck his vehicle from the rear. He and his passenger were suffering from the effects from whiplash. They would self-transport to medical attention. I cited driver 1, Martus for inattention and No insurance via complaint. I cited driver 3, Martin Klyakov for no insurance via attention. This incident occurred in the city of Renton, County of King. I declare under penalty of perjury under Washington state law that the foregoing is true and correct. C. Jacobs/1953 PAGE 3 OF 5 SUPPLEMENTAL REPORT No. EF03361 r`) POLICE TRAFFIC 1 1 8 27 COLLISION REPORT CASE# 24-5868 1 COMMERCIAL MOTOR CARRIER INTERSTATE INTRASTATE G UNIT'# USDOT ICC# VEHICLE TYPE CARGO BODY ;TYPE 2 ❑ 1 1 8 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 DAMAGE THRESHOLD MET PHONE 5 ❑ UNIT# 3 VEHICLE ISJ CYCLE I_) PEDESTRIAN OWNER YES NO D:4252299549 OF 8 29 LAST NAME FIRST NAME MIDDLE KLYAVKOV MARTIN INITIAL, '' I STREET NFW AnDRFsP 650 DUVALL AVE NE APT P1232 CITY RENTON ST WA ZIP 980595739 6 CDL IGNITION REQUIRED IGNITION PRESENT MEDICAL TAN5PORTED 1 1 2 31 INTERLOCK YEs NO zERLOCK YEs[:]NO[:] YEs N DRIVER'S LICENSE STATE I WA SEX M MMDDYYv 01 - 12 - 2004 7 ❑ ON DUTY� STATUS AIRBAG' 2 RESTR. Q EJECT 1 HELMET 2 INJURY 1 NATURE OF INJURIES USE CLASS 8 ❑ 1 1 2 32 LICENSE BFS1419 TAr Wq VIN# JM1BJ225X21580896 PLATE# 9 TRAILER TRAILER PLATE# STATE PLATE# STATE 10 TRLR TRLR VIN.#. VIN.#. 11 3 5 VEH.YEAR MAKE MODEL STYLE VEHICLE TOME E T SABLIN TOWED BY anvi vEH1O F FROM TO 2002 MAZD PROTEG 4D DAMAGE YES NO YES NO REGISTERED OWNER INFOMARTIN KLYAVKOV 1100 HARRINGTON AVE NE APT 20 RENTONWA98056 J 9 33 12 3 5 SHADE IN DAMAGED AREA j FROM TO LIABILITY INSURANCE❑ INSURANCE CO IN EFFECT &POLICY# R TOIx 9 9 vewcLe 10 BOTTOM 34 CITATION# CHARGE 13 IEGnuv YES NO gg�@ STANDING � l:9 7 DAMAGE THRESHOLD MET PHONE ❑ 35 14 UNIT# 4 MOTOR O PEDAL- ❑ PEDESTRIAN ❑ PROPERTY ❑ YES NO VEHICLE CYCLE OWNER �/ D:2O69791998 PHAM TIEN MIDDLE' p ❑ 36 15 LAST NAME FIRST NAME INITIAL 2 STREET 16 ❑ ❑ 8823 139TH AVE SE CITY NEWCASTLE ST WA ZIP 980593490 ln+NFAnntxFss CDL IGNITION REOUIREE7 IGNITION PRESENT MEDICALTANSPGRTED 17 ❑ INTERLOCK YEs Nb INTERLOCK YEs NC7 YES No�/ ❑ DRIVER'S D.O.B 4 37 STATE WA SEX M 18 ❑ LICENSE# MMDDYYY 02 - 13 - 1966 ON DUTY❑ STATUS' AIRBAG 2 RESTR, Q EJECT 1 HELMET 2 INJURY 7 NATURE OF INJURIES 38 USE CLASS WHIPLASH 19 ❑ ❑ PLATE# CHX8734 TAr WA vIN# WBY73AW01 PFP34252 3 39 20 ❑ TRAILER' STATE TRAILER ST 40 PLATE#< PLATE# ATE 21 ❑ ❑ 41 TRLR TRLR ViN# YIN#i 42 22 VEH.YEAR2O23 MAKE BMW MODEL I4 STYLE VEHICLE TOWED DUET SABLIN TOWED BY GOVT.VEHICLE 1 DAMAGE YES NO YES NOZI 23 ❑ REGISTERED OWNER INFO.200O REAL ESTATE 705 S 222ND ST DES MOINES WA 98198 SHADE IN DAMAGED AREA 43 4 71 LIABILITY INSURANCE INSURANCE CO SAFECO H2457768 9'1'OP ❑ VEHICLE EFFECT &POLICY# i _'.''_ 44 24 LE YES[Z NO[:]I CITATION# CHARGE iq 60TiOM LEGALLY E:l 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. C.JACOBS 08-08-24 08:04 AM 25 INVESTIGATING OFFICER'S SIGNATURE OFFICER'S PHONE UNIT OR DIST DET DATED: PLACE SIGNED APPROVED BY DATE zs OR ID# 1953 O#I',WA0171300 JACOBS 81812024 PAGE F OF❑ 3000-345-013(R 11118) REPORT NO. EF03361 CASE# ' 24-5868 DATE AND TIME 06/03/24 14:29 OF COLLISION 'I 2th St PAGE 5 OF 5