HomeMy WebLinkAbout25-268 STATE OF I !�� I III I III I IIII III II I . 5 27c REPORT NO EF54798
COLLISION REP FIT
1591971
❑ ❑ RESULTED ❑ CASE# zs-zs8 2
INTERSTATE CITY STREET FIRE
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
2
3❑ DATE OF M M D D Y Y Y Y TIME(2400) COUNTY# MILES CITY#
COLLISION' 01 - 08 - 2025 1734 17 . N E IN� S 8 W H OF e 1070 3
4❑ ON (PRIMARY TRAFFIC WAY) INTERSECTION ❑✓ NON INTERSECTION ❑
MAPLE VALLEY HWY
BLOCK NO. e✓ --- ----� ❑
4a❑ MILEPOST
DISTANCE OF(REFERENCE OR CROSS STREET)
5❑ ❑ FEET e S ❑ W e NB/405
0 1 29
MOTOR PEDAL- DAMAGE THRESHOLD MET PHONE
UNIT 01 VEHICLE ❑ CYCLE El
✓NO D:2062348096 0 81
30
6� LAST NAME TRAN FIRSTNAME TAN MIDDLE M 1 1 2 31
INITIAL
STREET ❑ 5003 NE 1ST ST CITY RENTON ST WA ZIP 980594954 2
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 HELMET
2 CLASS 1 NATURE OF INJURIES 2❑
3
LICENSE CDX1789 sTArI WAvIN# 2T2HK31U17C039529
10 PI ATE#
TRAILER STATE TRAILER STATE
11 0 0 PLATE# PLATE# FROM ro
TRLR. TRLR 1 5 33
vIN#
12 0 0 ' YIN#
FROM TO
❑ VEH.YEAR 2007 MAKE LEXS MODEL RX STYLE VEHICLE TOWED TO BLIN TOWED BY GOVT.VEHICLE 9 9 34
13 1 DAMAGE YES YES[:] NO
REGISTERED OWNER INFO TAN TRAN 5003 NE 1ST ST RENTON WA 98059 VEHICLE NO. 1 ❑
SHADE IN DAMAGED AREA 35
14� LIABILITV INSURANCE� INSURANCE CO GEICO 4165.54.28.14 4
IN EFFECT &POLICY# TOPVEHICLE CHARGE 36
LEGALLvYes❑NO CITATION# <1�3
OTTOM
15❑ STANDING 7 6
MOTOR PEDAL- PEDESTRIAN PROPERTY DAM THR OLD MET PHONE
16 a UNIT 02 VEHICLE ❑ CYCLE ❑ ❑ OWNER ❑ YES 1/ NO D:4253518366
LAST NAME TRISTAN VALDEZ FIRST NAME MONSERRAT MIDDLE I D
INITIAL
17❑ STREET ❑', 5006 NE 7TH ST CITY' RENTON ST WA ZIP 980594680 37
NEW ADDRESS ❑
18� CDL IGNITION REQUIRED IGNITION PtR—E—S1ENT MEDICAL TRANSPORTED ❑ 38
INTERLOCKYES�NOR INTERLOCK YEs I I NOF YEs t l NO❑
19 LICENSE# STATE WA SEX F MMDDW 08 _ 29 _ 1988 0 39
HELMET {NJURY 7 NATURE OF INJURIES 40
20❑ ON DUTY STATUS AIRBAG 2 RESTR 4 EJECT 1 USE 2 CLASS NECK PAIN
21❑ LICENSE I CFS3402 TAre WA vIN# JHMGD38688SO47739
❑ 41
PLATE#
42
22❑ PLATE# STATE PLATE# STATE
23❑ UIN#. 43
TRLR RLR
'IN#.
VEH YEAR 2008 MAKE HOND MODEL FIT STYLE VEHICLETOWED TO BLIN TOWEDBY GOV HI 44
L4❑ DAMAGE YES NO YES NO
REGISTERED OWNER INFO MARIA VALDES GUERRERO 920 E ORANGE AVE BURLINGTON WA 98233 VEHICLE NO.2
SHADE IN DAMAGEbAREA
2 3 Cd
LIABILITY INSURANCE I PORGY#ECO TRAVELERS INSURANCE 6135309802031 1 9TOP 5
IN EFFECT
VE""LE CITATION# CHARGE
LEGALL
25 i o BOTTOM
Y YES Nu
❑ s
7CATALAN
NAME(PRINT) OFFICER PHONE BADGE OR ID# AGENCY26 12007 WA0171300
PAGE 01 OF
PART A
3000-345-159 OR 11/181
STATE OF
POLICETRAFFICN CORRECTION REPORT NO. EF54798
COLLISION REPORT III III III III III 111
1591972 CASE# 25-268
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
PM 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'
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.CATALAN 01-08-25 06:16 PM
INVESTIGATING OFFICER'S SIGNATURE UNIT OR DIST DET DATED PLACE SIGNED
APPROVED BY DATE
C.JACOBS 1953 111012025 11:13:20 AM
BADGE OR ID# 1Y007 ORI# WA0171300 TIME POLICE DISPATCHED 5:38 PM TIME POLICE ARRIVED',5:40 PM
PART I PAGE IT]OF 4�
REPORT NO. EF54798 CASE# 25-268 OF COLLISION
01/08/25 17:34
OF CbLLI510N
NARRATIVE
On January 8, 2025, at approximately 1734 hours, I was dispatched to a two-vehicle collision with
reports of injury just north of the intersection at Maple Valley Hwy and NB 1405, within the City Limits
of Renton, County of King, State of Washington.
Upon arrival, I contacted the involved parties and determined that the driver of Unit 2 was
complaining of neck pain. The Renton Regional Fire Authority (RRFA) later arrived on scene and
treated the involved driver. RRFA released all involved parties at the scene. While on scene, I
collected the involved parties driving documents and their independent recollection of events leading
up to the collision.
The driver of Unit 1, identified by his WADL as Tan M. Tran, said he was the sole occupant of his
vehicle and was traveling northbound on 1405. Tan took the offramp to Maple Valley Hwy. Tan stated
he was traveling directly behind Unit 2 and saw as Unit 2 had come to a stop for queued traffic at the
upcoming intersection. The driver of Unit 1 stated that he simply did not see the other vehicle and
subsequently collided with the rear of Unit 2 causing moderate damage to the front of Unit 1.
The driver of Unit 2, identified by her WADL as Monserrat Trista-Valdez, said she was the sole
occupant of her vehicle and was also entering Maple Valley Hwy from the 1405 offramp. While Unit 2
was stopped at the stop sign, Unit 1 collided with the rear of Unit 2 causing moderate damage to the
rear of Unit 2.
The driver of Unit 1 (Tan) was not paying attention to traffic in front of him. Tan violated Renton
Municipal Code (RMC) 10-12-25 -Inattentive Driving which is defined as any person to drive a motor
vehicle on any public highway, street, alley, or road in an inattentive manner in the City of Renton.
"Inattentive manner" in this section means a lack of: 1) attentiveness required to safely operate the
vehicle under the prevailing conditions, including, but not limited to, the nature and condition of the
roadway, the weather conditions, the presence of pedestrians, the presence of other traffic, or by the
driver focusing or directing the driver's attention to something other than driving the motor vehicle; or
2) attentiveness that would permit the driver of a motor vehicle to observe anything resting on, or
traveling on, or entering the roadway in time to take appropriate action as circumstances require.
(Ord. 4462, 7-25-94, eff. retroactive to 7-1-94; Ord. 5635, 11-14-11).
Based on the above statements, 1 determined that the Driver of Unit 1 Tan is the proximate cause for
the collision due to inattention causing a collision. Tan should have been paying closer attention to
the movement of traffic in front of him.
Both involved vehicles were able to be driven away without further incident. An exchange of
information was provided to all involved parties.
PAGE 3 OF 4
REPORT NO. EF54798 CASE# ' 25-268 DATE AND TIME 01/08/25 17:34
OF COLLISION
r i
ar
4`
!�t
a
a`
as
�a
fl a gy
pas •� �f�illli� 6"�u
sa a yY a
r
�a
a � a
PAGE 4 OF 4