HomeMy WebLinkAbout25-1047 ITFF' "POLCERA II I !�� I III I III I IIII III II I . 6 27c
COLLISION REP FIT 1591971
CASE 25-1047 z
INTERSTATE ❑ CITY STREET FIRE ❑RESULTED
1 STOLEN
STATE ROUTE ❑ OTHER ❑ VFHICI F ❑ LOCAL AOENC 4Y00 3
HIT&RUN CODING
COUNTY RD PRIVATE WAY INVOLVED
2 TOTAL#OF OBJECT 2$
TRIBAL UNITS 02 STRUCK STREET LIGHT POLE
RESERVATION
z
3❑ DATE OF M M D D Y Y Y Y TIME(2400) COUNTY# MILES N E IN CITY# ❑
CtLLISION' 02 - 02 - 2025 1100 17 ❑.= S 8 IN e 1070 3
4❑ ON (PRIMARY TRAFFIC WAY) INTERSECTION ❑ NON INTERSECTION ❑✓
BLOCK
NE SUNSET BLVD M4000
4a❑ MILEPOST
DISTANCE OF(REFERENCE OR CROSS STREET)
5❑ ❑ FEET e S ❑ W e OF,
1 29
MOTOR ✓ PEDAL- DAMAGETHRESHOLD MET PHONE
UNITS VEHICLE ❑ CYCLE ❑ vEs �/No D:4255434520 30
6 LAST NAME HUCH FIRSTNAME YULIIA MIDDLE 1 2 31
INITIAL
STREET ❑ 2307 NE 4TH ST#H2O8 CITY RENTON ST WA 2jp, 98056 z
'NEWADDRESS
7❑ CDL IGNITION REQUIRED IGNITION PRESENT MEDICAL TRANSPORTED 3
iNTERLOCKYEs NO INTERLOCKYEs NO YEs NO
8❑ LRIIVER #
ON DUTY❑ STATUS AIRBAG 2 RESTR 4 EJECT 1 H USEET ICNLJAURY 1 NATURE OF INJURIES z❑
3
LICENSE CNJ0926 sTArI WAurN# 4T10E38PX4U867899
10❑ PI ATF 14
TRAILER STATE TRAILER STATE
11 3 5 PLATE# PLATE# FRom ro
TRLR. TRLR 7 3 33
12❑ VIN#' UIN#.
Rom 34
13❑ VEH.YEAR2004 MAKE TOYT MODEL CAMRY STYLE CP VEHICLETOWED0NOOffBLIN WAWkkRSTOWING VEHICLE
DAMAGE IILLJJII
REGISTEREDOWNERINFO OWNEDBYDRIVER VEHICLE NO. 1
SHADE IN DAMAGED AREA ❑ 35
14❑ LIABILITY INSURANCE U INSURANCE CO GENERAL INS CO WA8059206 3
IN EFFECT &POLICV# 9TOP
ve FE CHARGE 10BOTTOM 36
LEGALLv res❑NO❑ CITATION#
15❑ STANDING
UNIT 02 MOTOOR ❑ CYCLE ❑ PEDESTRIAN ❑ PROPE OWNFRRTY ✓❑ DYES✓ NO OLDMET PHONE
16 VEHIL❑
LAST NAME RENTON FIRST NAME CITY OF MIDDLE
INITIAL
17❑ STREET ❑', 1055 S GRADY WAY CITY' RENTON ST WA ZIP 98056 37
NEW ADDRESS ❑
18� CDL IGNITION REQUIRED IGNITION PtR—E—S1ENT MEDICAL TRANSPORTED 38
INTERLOCKYES�NOR INTERLOCK YEs I I NOF vES t l NO❑
19 LLIICENS # STATE SEX U MMDDYY —�_ 39
HELMET INJURY NATURE OF INJURIES 40
20❑ ON DUTY STATUS' AIRBAG RESTR EJECT USE CLASS ❑
❑21❑ LICENSE TArE VIN# 41
PLATE#
42
22❑ PLATE# STATE PLATE# STATE
23❑ 43
TRLR RLR
UIN#. 'IN#.
VEH YEAR MAKE MODEL STYLE VEHICLE TOWED TO BLIN
TOWED BY Gov HI 44
L4❑ DAMAGE YES NO YES NO
REGISTERED OWNER INFO VEHICLE NO.2
SHADE IN DAMAGED AREA
2 3 4
LIABILITY
INSURANCE❑ INSURANCE
#E CO
IN EFFECT &PO I 9TOP 5
VE""LE ❑ ,J� CITATION# CHARGE i o BOTTOM
LEGALLY YES N J
25 s e
=KI
(PRINT) OFFICER PHONE BADGE OR ID# AGENCY
26 12598 WA0171300
PAGE 01 OF
PART A
3000-345-159 OR 11/181
STATE OF
POLICETRAFFICN CORRECTION REPORT No. EF61709
COLLISION REPORT III III III III III 111
1591972 CASE# 25-1047
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 Sunday, February 2, 2025 at 1100 hours, I assisted with a single vehicle collision in the area of
the 4000 block of NE Sunset Blvd.
The following occurred within the City of Renton, King County; Unit 1 - WA/ CNJ0926 was being
driven by Yuliia Huch and was traveling east in the #2 lane of NE Sunset Blvd in the 4000 block.
I spoke with Yuliia who stated she was driving straight and due to the snow on the roadway she
started to slide. Yuliia stated she turned the steering wheel and then overcorrected and ended up
rotating while exiting the roadway into City of Renton Street Light pole #0433D causing significant
damage to her vehicle.
Yuliia was evaluated by Renton Fire and paramedic personnel and was not injured or make any
complaints of pain and did not need to be transported to the hospital.
Based on Yuliia's statement she was not familiar with driving in inclement weather which resulted in
her loosing control of the vehicle, exiting the roadway and colliding with the light pole.
The vehicle sustained significant damage and was towed by Banker's Towing.
I CERTIFY(DECLARE)UNDER PENALTY OF PERJURY UNDER THE LAWS OF THE STATE OF WASHINGTON THAT THE FOREGOING IS TRUE AND CORRECT.
J.WISN/EWSKI 02-02-25 12:14 PM
INVESTIGATING OFFICER'S SIGNATURE UNIT OR DIST DET DATED PLACE SIGNED
APPROVED BY E
DAT
S.WOODWARD 11528 2/2/2025 1:50:01 PM
BADGE OR ID# 12598 OR]# WA0171300 TIME POLICE DISPATCHED; 11:00 AM TIME POLICE ARRIVED',11:00 AM
PART B PAGE IT]OF 3�
REPORT NO. EF61709 CASE# 25-1047 DATE AND TIME 02/02/2511:00
OF COLLISION
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