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HomeMy WebLinkAbout25-2224 POLICETRAFF'c" III !�� I IIIllI111IN II II I REPORT NO. EF75130 170 27 COLLISION REP FIT 1591971 CASE 25-2224 z INTERSTATE ❑ CITY STREET FIRE ❑RESULTED 1 STOLEN STATE ROUTE ❑ OTHER ❑ VFHIl.I F ❑ LOCAL AOENC 4Y00 3 HIT&RUN CODING COUNTY RD PRIVATE WAY INVOLVED 2❑ TRIBAL 03 TOTAL#OF OBJECT 1 1 8 28 UNITS RESERVATION I STRUCK z 3 DATE OF M M D D Y Y Y Y TIME(2400) COUNTY# MILES N E IN CITY# ❑ GowsloN 03 - 1-- 2025 0819 17 ❑.❑ S IN 1070 3 4❑ ON (PRIMARY TRAFFIC WAY) INTERSECTION ❑ NON INTERSECTION ❑✓ NE 30THST BLOCK NO. e✓ 1616 4a❑ MILEPOST DISTANCE OF(REFERENCE OR CROSS STREET) 5❑ ❑ FEET e S ❑ W e 0 3 29 MOTOR ✓ PEDAL- DAMAGE THRESHOLD MET PHONE UNIT 01 VEHICLE ❑ CYCLE ❑ YES NO D:2063497703 0 1 30 6 LAST NAME LU FIRSTNAME TRUNG MIDDLE Q 1 1 2 31 INITIAL STREET ❑ 3503 PARK AVE N CITY RENTON ST WA Zjp, 980561912 z NEW ADDRESS 7❑ CDL IGNITION REQUIRED IGNITION PRESENT MEDICAL TRANSPORTED 3 iNTERLOCKYEs NO INTERLOCKYEs NO YES R NO 8❑ LRIIVER # ON DUTY❑ STATUS AIRBAG 2 RESTR 4 EJECT 1 H USEET ICNLJAURY 1 NATURE OF INJURIES 2❑ 3 10 9❑ P1 ATNFS14 CDE0434 STATE WA VIN# 5YFDPMAE7NP311808 TRAILER STATE TRAILER STATE 11 0 0 PLATE# PLATE# ROM ro TRLR. TRLR 1 7 33 12 2 5 VIN#' VIN# FROM TO ❑ VEH.YEAR MAKE MODEL STYLE VEHICLE TOWED TO BLIN TOWED BY GOVT.VEHICLE 3 7 34 13 9 2022 TOYT COROL DAMAGE YES NO YES❑ NO✓ REGISTEREDOWNERINFO TRUNGLU3503PARKAVEN RENTON WA 980561912 D:2063497703 VEHICLE NO. 1 ❑ SHADE IN DAMAGED AREA 35 14 rI LIABILITY INSURANCE U INSURANCE CO ST FARM 4654429-E27.47A <1�3 4 IN EFFECT &POLICV# TOPvE FFE CHARGE 36 LEGALLY res No clTAnoN# FAIL YIELD PRIVATE RD MOTOR orrom 15❑ STANDING 7 6 MOTOR PEDAL- PEDESTRIAN PROPERTY DAM THR OLD MET PHONE UNIT 02 VEHICLE ❑ CYCLE ❑ ❑ OWNER ❑ YES 1/ No D:2065514207 16 a LAST NAME MOORMAN-ZIERMAN FIRST NAME KIERSTEN MIDDLE IT INITIAL 17❑ STREET ❑', 11215 42ND STREET CT E CITY EDGEWOOD ST WA ZIP 983722383 37 NEW ADDRESS ❑ 18� CDL IGNITION REQUIRED IGNITION PR-E-1SENT MEDICAL TRANSPORTED 38 INTERLOCKYES�NOR INTERLOCK YEs It I NOF YES t t- l NO❑ 19 DRIVER'S STATE I WA SEX F D.C.B. 07 07 1990 39 LICENSE# MMDDYY WELMET INJURY1 NATURE OF INJURIES 40 20❑ ON DUTY STATUS AIRBAG 2 RESTR 4 EJECT 1 USE CLASS ❑ 21❑ LICENSE I CFC5249 TATE WA VIN# 4S3GKAA61J3603427 ❑ 41 PLATE# 42 22❑ PLATE# STATE PLATE# STATE 23❑ UIN#. 43 TRLR RLR 'IN#. VEH YEAR 2018 MAKE SUBA MODEL ►MPREZA STYLE VEHICLETOWED TO BLIN TOWEDBY GOV HI 44 24❑ DAMAGE YES NO YES NO REGISTERED OWNER INFO KIERSTEN MOORMAN-ZIERMAN 1121542ND STREET CT E EDGEWOOD WA 983722383 D:2065514207 VEHICLE NO.2 SHADEd DAtYGE$AREA LIABILITY INSURANCE &PORGY#E CO ST FARM 545 3133 C1047IN I 4� L3� �d5 VE""LE ❑ ,J� CITATION# CHARGE GQ LEGALLY YES N`L J 25 s � a OFFICER'S NAME(PRINT) OFFICER PHONE BADGE OR ID# AGENCY J 26 M.LEVERTON 2517 WA0171300 PART A PAGE 01 OF C7 3000-345-159 OR 11/181 STATE OF POLICETRAFFICN CORRECTION REPORT NO. EF75130 COLLISION REPORT III III III III III 111 1591972 CASE# 25-2224 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 FIRST 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. M.LEVERTON 03-14-25 07:24 AM INVESTIGATING OFFICER'S SIGNATURE UNIT OR DIST DET DATED PLACE SIGNED APPROVED BY E DAT M.LEVERTON 2517 311912025 7:59:36 AM BADGE OR ID# 2517 ORI#' ; WA0171300 TIME POLICE DISPATCHED 8:99 AM TIME POLICE ARRIVED]8:43 AM PART B PAGE IT]OF 5� REPORT NO. EF75130 CASE# 25-2224 FC LNaoy L isI©�ON O 03/12/25 08:19 F cu NARRATIVE gry/2 lane 2 wb blue /1 rt from arco bounces off side of 2 and read ends 3/blu CC Within the city limits of Renton/King.WA I responded to a 3 car crash at 1616 NE 30th St. When I arrived unit 2 told me that unit 3 had left her information and left the scene as she had a prior and more important engagement and did not have time to wait for police. I contacted the driver of unit 2 who told me she was in lane 2 westbound on 30th when unit 1 made a right turn out of the Arco parking lot. Rather than turning into his immediate lane unit 1 made his turn into lane 2 striking unit 2, contacting her car from headlight to taillight. She did not complain of injury and damages did not require a tow truck. I contacted the driver of unit 1 who told me while making his right turn from the driveway of Arco he did not see unit 2 and did not want to get caught in traffic for the right turn only onto NB 1-405. He contacted the entire side of unit 2 and bounced off the side unit 2 and as he regained control of his car he rear-ended unit 3 stopped for traffic in lane 1. He did not complain of injury and damages did not require a tow truck. I was unable to contact unit 3 she did not provide a phone number to either unit 1 or 2 and was gone before my arrival. I cited unit 1 Ref RCW 46.61.205 FTYROW when pulling into traffic from a private drive 3 car crash via complaint. 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 3/14/2025 PAGE 3 OF 5 SUPPLEMENTAL REPORT NO. EF75130 r`) POLICE TRAFFIC 1 1 8 27 COLLISION REPORT CASE# 25-2224 1 COMMERCIAL MOTOR CARRIER INTERSTATE INTRASTATE G UNIT'# USDOT ICC# VEHICLE TYPE CARGO BODY ;TYPE 2 ❑ 1 28 CARRIER NAME 3 CARRIER L ADDRESS ` —1 I CITY ST ZIP' 4 ❑ NAME # PLACARD: :❑ GINAME IF NO NUMBER SOURCE AXLES + 4a ❑ ADDITIONAL UNITS MOTOR PEDAL- PROPERTY DAMAGETHRESHOLD MET PHONE UNIT# 3 ✓ PEDESTRIAN YES NO 5 VEHICLE CYCLE OWNER ✓ 0 7 29 LAST NAME MUNTEAN FIRST NAME ANAMARIA MIDDLE' , A INITIAL STREET 30 NEW AnDRFrtP 2200 NE 16TH ST CITY RENTON ST WA ZIP 98056 6 CDL IGNITIttN REQUIRED IGNITION PRESENT MEDICAL TANSPORTED 1 1 2 31 INTERLOCK YEs No NTERLOCK YES[:]NO[:] YES N DRIVER'S LICENSE STATE I WA SEX U MMDDYYv 02 — O6 — 1989 7 ON DUTY� STATUS AIRBAG' g RESTR. g EJECT 1 HELMET I INJURY 1 0 NATURE OF INJURIES USE CLASS 8 ❑ 1 32 LICENSE LEM124F TAr WA VIN# JFIGPAC9E280242 PLATE# 9 [9] TRAILER TRAILER PLATE# STATE PLATE# STATE 10 ❑ TRLR TRLR VIN.#. VIN.#. 11 2 5 VEH.YEAR2014 MAKE SUBA MODELIMPREXA STYLE VEHICLE TOVVE E T SABLIN TOWED BY anvi vEH1G P FROM TO DAMAGE YES 'E ✓ YES NO ✓ REGISTERED OWNER INFOANAMARIA MUNTEAN 2200 NE 16TH ST RENTON WA 98056 g g 33 SHADE IN DAMAGED AREA 12 7 j 4 FROM TO INSURANCE CO LIABILITY INSURANCE SAME. 1 m 34 IN EFFECT &POLICY# 13 LEGALLY LE ❑ CITATION# CHARGE GQ LEcnuv YES NO (� STANDING } 8 7 V 14 ❑ UNIT Tr Vd I RE O CYDCLE � OWNER YES AGE NOHRESHOLD MET PHONE El 35 PEDESTRIAN 15 LAST NAME FIRST NAME MIDDLE INITIAL TIAL ❑ STREET 16 STREETAnnR"[—] CITY ST Z!P CDL IGNITION REdUiRED IGNITION PRESENT MEDICALTANSPORTED NTERLUCK YES NO NTERLOCK YES NO 'YES NO El 17 37 LICENSE# STATE SEX MMDDDYBYY 18 ❑ ON DUTY� STATUS AIRBAG RESTR. ; EJECT HELMET INJURY NATURE of INJURIES 38 USE (CLASS 19 ❑ 39 LICENSE VIN# PLATE# rnr 20 ❑ TRAILER' STATE TRAILER STATE ❑ 40 PLATE#< PLATE# 21 ❑ TRLR TRLR 41 VIN# YIN#i 42 22 VEH.YEAR MAKE I MODEL STYLE I VEHICLE TO DUET SABLIN TOWED BY GOVT.VEHICLE DAMAGE YES NO YES NO 23 REGISTERED OWNER INFO_ SHADE IN DAMAGED 3 a 4 AREA F 43 z LIABILITY INSURANCE INSURANCE CO ' VINE EFFECT &POLICY# i 970P - 4 E:l 44 24 LEwcLE YES❑ NO❑ CITATION# CHARGE iq 60TiOM LeGALLv STANDING S 7 6 1 CERTIFY(DECLARE)UNDER PENALTY OF PERJURY UNDER THE LAWS OF THE STATE OF WASHINGTON THAT THE FOREGOING IS TRUE AND CORRECT. X LEVERTON 03-14-25 07:24 AM 25 INVESTIGATING OFFICER'S SIGNATURE OFFICER'S PHONE UNIT OR DIST DET DATED: PLACE SIGNED /1ORD O#I' APPROVED I 2517 WA0171300 LVRTON FOF26 1 3000-345-013(R 11118) REPORT NO. EF75130 CASE# 25-2224 DATE AND TIME 03/12/25 08:19 OF COLLISION a 0 d' c b� G )4 c { Z 3 d� y�tca 6 t f tie t 4 y Y C tttil 1�lV.',1 i PI� it C1 r �e�pU iI ¢z i 2 �yti 1 t t PAGE 5 OF 5