HomeMy WebLinkAbout24-13012 POLICETRAFF'c" IIIllI111IN II II I REPORT NO. EF54765 5 3 27
COLLISION REP FIT 1591971
CASE 24-13012 z
INTERSTATE ❑ CITY STREET FIRE ❑RESULTED
1 STOLEN
STATE ROUTE ❑ OTHER ❑ VFHICI F ❑ LOCAL AOENC 4200 3
HIT&RUN CODING
COUNTY RD PRIVATE WAY INVOLVED
2 2 TOTAL#OF OBJECT 1 1 8 28
TRIBAL UNITS OZ STRUCK
RESERVATION
z
3❑ DATE of M M D D Y Y Y Y TIME(2400) COUNTY# MILES N E IN CITY# ❑
COLLISION.. 12 - 1-- 2024 1351 17 ❑.= S 8 IN e 1070 3
4❑ ON (PRIMARY TRAFFIC WAY) INTERSECTION ❑✓ NON INTERSECTION ❑
UNION AVE NE BLOCK NO. e✓ ❑
4a❑ MILEPOST
DISTANCE OF(REFERENCE OR CROSS STREET)
5❑ ❑ FEET e S ❑ VV e NE 4TH ST
0 1 29
MOTOR PEDAL- DAM THRESHOLD MET PHONE
UNIT 01 VEHICLE ❑ CYCLE El YES NO �/ D:2062007360 0 7 30
6� LAST NAME CURRY FIRSTNAME SAHRENITY MIDDLE A 1 2 31
INITIAL
STREET ❑ 4418 S ASOTIN ST CITY TACOMA ST WA 2jp, 984182437 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 9 EJECT 1 HELMETU E ICNLJAUSSY 1 NATURE OF INJURIES z❑
3
10❑ Pi aT�S� A7914561 sTArI WAvIN# 1C3CCBCG1DN600550
TRAILER STATE TRAILER STATE
11 3 0 PLATE# PLATE# ROM ro
FT -R TPILF1 1 5 33
12 0 0 VIN#' VIN#
FROM TO
❑ VEH.YEAR MAKE MODEL STYLE VEHICLE
2013 TOWED TO BLIN TOWED BY GOVT.VEHICLE J 9 34
13 2 CHRY 200 DAMAGE YES NO YES[:] No
✓
REGISTERED OWNER INFOSAHRENITY CIJRRY4418 SASOTIN ST TACOMA WA 984182437 VEHICLE NO. 1 ❑
SHADE IN DAMAGED AREA 35
14 LIABILI INSURANCE❑ INSURANCE CO 3 4
IN EFFECT &POLICY# 9TOP
vErIICLE CHARGE 5 36
EGHALLY YES❑NO CITATION# 4A0765749 INATTENTIVE DRIVING o aorrom
15❑ STANDING 8 7 6
MOTOR PEDAL- PEDESTRIAN PROPERTY DAM THR OLD MET PHONE
UNIT 02 VEHICLE ❑ CYCLE ❑ ❑ OWNER
❑ YES 1/ No D:4257570134
16 a
LAST NAME MOISEYEVA FIRST NAME OLGA MIDDLE N
INITIAL
17❑ STREET ❑', 4320 SE 4TH PL CITY RENTON ST WA ZIP 980595129 37
NEW ADDRESS ❑
18� CDL IGNITION REQUIRED IGNITION PRESENT MEDICALTRANSPORTED ❑ 38
INTERLOCKYES�NOR INTERLOCK YEs❑NOF YEs❑NOF
19[—] DRIVER'S STATE WA ]SEX IF D.Q.B. 03 _ 11 1977 0 39
LICENSE# MMDDYY
WELMET INJURY1 NATURE OF INJURIES 40
20❑ ON DUTY STATUS AIRBAG 2 RESTR 4 EJECT 1 USE CLASS ❑
21❑ LICENSE BVB1897 TAre I WA VIN# 2T2BK16A1FC325605
❑ 41
PLATE#
42
22❑ PLATE# STATE PLATE# STATE
23❑ UIN#. 43
TRLR RLR
'IN#.
VEH YEAR 2015 MAKE LEXS MODEL RX STYLE VEHICLE TOWED TO BLIN TOWEDBY GOV HI 44
L4❑ DAMAGE YES NO YES NO
REGISTERED OWNER INFO ANDREY LITOVKIN 4320 SE 4TH PL RENTON WA 98059 VEHICLE NO.2
SHADE IN DAMAGEbAREA
2 3 Cd
INAEFFITY ECTNSURANCE INSU&POLICY#E CO SAME. IU
9TOP
VE""LE CITATION# CHARGE o BOTTOMLEGALYYES NEI25❑ J
OFFICER'S NAME(PRINT) OFFICER PHONE BADGE OR ID# AGENCY
26
M.LEVERTON 2517 WA0171300
PART A PAGE 01 OF C7
3000-345-159 OR 11/181
STATE OF
POLICETRAFFICN CORRECTION REPORT NO. EF54765
COLLISION REPORT III III III III III 111
1591972 CASE# 24-13012
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'
wht/2 stopped In 1 maroon/1 rear
Within the city limits of Renton/King/WA I responded to a 2 vehicle crash near the intersection of
Union Ave NE at NE 4th St.
I contacted the driver of unit 2 who told me he was stopped in lane 1 on his red light when he was hit
from behind. He told me it wasnt a hard hit but wanted a police report for insurance. He did not
complain of injury and damages did not require a tow truck.
I contacted the driver of unit 1 who told me she felt like her brakes did not function properly when she
contacted the back of unit 2. With her permission of checked the brake pedal which felt like it was
functioning properly. She did not provide any addition details to the crash. She did not complain of
injury and damages did not require a tow truck.
I did cite unit 1 ref RMC 10-12-25 Driver Inattention 2 vehicle 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 12/24/2024
I CERTIFY(DECLARE)UNDER PENALTY OF PERJURY UNDER THE LAWS OF THE STATE OF WASHINGTON THAT THE FOREGOING IS TRUE AND CORRECT.
M.LEVERTON 12-24-24 10:21 AM
INVESTIGATING OFFICER'S SIGNATURE UNIT OR DIST DET DATED PLACE SIGNED
APPROVED BY DATE
C.JACOBS 1953 1/8/2025 2:26:50 PM
BADGE OR ID# 2517 OR]#' WA0171300 TIME POLICE DISPATCHED; 1:51 PM TIME POLICE ARRIVED 2:25 PM
PART I PAGE IT]OF 3�
REPORT NO. EF54765 CASE# ' 24-13012 DATE AND TIME 12/20/24 13:51
OF COLLISION
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