HomeMy WebLinkAbout25-992 a POLICETRAFFic" II I f I) 11I1ll(111(111l If( f 11 REPORT NO. EF63654 170
27
COLLISION REP FIT 1591971
❑ ❑ FIRE ❑ CASE# 2$-992 2 6 6
INTERSTATE CITY STREET RESULTED
1 STOLEN
STATE ROUTE ❑ OTHER ❑ VFHICI F ❑ LOCAL AOENC 4Y00 3
HIT&RUN CODING
COUNTY RD PRIVATE WAY INVOLVED
2 3 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 N E IN CITY# ❑
cowsloN 01 - 1-- 2025 2354 17 ❑.❑ S 8 IN e 1070 3
4❑ oN (PRIMARY TRAFFIC WAY) INTERSECTION ❑ NON INTERSECTION ❑✓
SE PETROVITSKY RD
BLOCK NO. e✓ --- ----�
4a❑ MILEPOST
DISTANCE OF(REFERENCE OR CROSS STREET)
5❑ 20 00 FEET MILES e S ❑ W e 120THAVESE
0 3 29
MOTOR PEDAL- DAMAGE THRESHOLD MET PHONE
UNIT 01 VEHICLE ❑ CYCLE El
NO D:2063714230 0 11
30
6� LAST NAME TEBEJE FIRSTNAME MOTBAYNOR MIDDLE A 1 1 2 31
INITIAL
STREET ❑, 2119 147TH PL SW CITY LYNNWOOD ST WA ZIP 98087 2
NEW ADDRESS
7❑ CDL IGNITION REQUIRED IGNITION PRESENT MEDICAL TRANSPORTED 3
iNTERLOCKYEs NO 1/ INTERLOCKYEs NO�/ YES R No�/
8❑ LRIIVERS STATE WA SEX'M MM DAY' 06 1- 04 - 1958 2 32
CENSE 9 ON DUTY❑ STATUS AIRBAG 2 RESTR 4 EJECT 1 HELMET
2 CLASS 1 NATURE OF INJURIES 2❑
3
10 9❑ P1 aT�S� CDU6318 sTArI WAvIN# 4T3RWRFV5NU077012
TRAILER STATE TRAILER STATE
11 3 5 PLATE# PLATE# FROM TO
TRLR. RLR 1 7 33
12 3 5 VIN#' VIN#
>; FROM TO
VEH.YEAR 2022 MAKE MODEL STYLE VEHICLE TOWED TO BLIN TgpVgyEpp BY GOVT.VEHICLE 3 7 34
13 4 TOYT RAV4 4D DAMAGE YES NO YES[:] No
✓
REGISTERED OWNER INFO OWNEDBYDRIVER VEHICLE NO. 1
❑
SHADE IN DAMAGED AREA 35
4 INSURANCE CO 3 4
14 IN EF IT INSURANCE STATE FARM 568.9454-D18.47
IN EFFECT &POLICY# 9TOP
VEHlcl.e CHARGE 10BOTTOM 5 36
LEGALLY YES❑NO❑ CITATION# 5
15❑ STANDING 6
MOTOR PEDAL- PEDESTRIAN PROPERTY DAM THR OLD MET PHONE
UNIT 02 VEHICLE ❑ CYCLE ❑ ❑ OWNER [:]EA.
YES 1/ No D:2533910503
16 a
LAST NAME SINGER FIRST NAME MEI MIDDLE J
INITIAL
17❑ NEW STREETR 2663 TH
7 ORNDYKE AVE W APT 302 CITY SEATTLE ST WA ZIP 98199 4❑ 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 LDIIVER # STATE WA SEX F M.CB. 11 29 _ 2003 39
20❑ ON DUTY STATUS AIRBAG 2 RESTR 4 EJECT 1 H U EET 2 NJAURSY 1 NATURE OF INJURIES 40
❑ 41
21❑ ILICENSE PLATE# AOR4770 TATE WA vIN JF2GPBKC5EH280134 1
42
22❑ PILER LATE# STATE pLATE# STATE
23❑ VIN#. 43
TRLR RLR
'IN#.
rowed ev Gov!TN-
REGISTERED 44
VEH YEAR 2014 MAKE S(JB�Q MODEL�/ STYLE 4D —FEHICLE
TOWED✓ NOO BLIN GENEMEYER YES
24❑ OWNER INFO OWNED SY DRIVER VEHICLE N0.2
SHADEDAMAGEDAREA
3 4
LIABILITY INSURANCE INSU&PORGY#ECO UNITED SERVICES AUTOMOBILE ASSN 00178-03-04U STOP 5
IN EFFECT
VEwGLE ❑ ,J� CITATION# CHARGE io BOTTOM
LEGALLY YES FINE]
25 s 7 a
=OLLEMBERG
(PRINT) OFFICER PHONE BADGE OR ID# JAGENCY
26 13031 WA0171300
PART A PAGE 01 OF C7
3000-345-159 OR 11/181
STATE OF
POLICETRAFFICN CORRECTION REPORT NO. EF63654
COLLISION REPORT III III III III III 111
1591972 CASE# 25-992
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'
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.
MATTHEW MOLLENBERG 01-31-25 02:52 AM
INVESTIGATING OFFICER'S SIGNATURE UNIT OR DIST DET DATED PLACE SIGNED
APPROVED BY DATE
P.SUMMERS 8887 2/8/2025 4:33:56 AM
BADGE OR ID# ! 13031 ORI#' WA0171300 TIME POLICE DISPATCHED 11:58 PM TIME POLICE ARRIVED',12:02 AM
PART I PAGE IT]OF 5�
REPORT NO. EF63654 CASE# 25_992 O OFF CbLL COLLOTINIEI510N 01/30/25 23:54
NARRATIVE
25-992
Unless otherwise noted, the following occurred in the City of Renton, County of King, WA.
On 01-30-2025 at approximately 2358 hours I was dispatched a blocking accident located at SE
Petrovitsky Rd and 120th Ave SE. Dispatch advised of a moving two vehicle collision located at the
intersection on SE Petrovitsky Rd near 120th Ave SE. Officer Ediger advised that both vehicles were
moved off the roadway into the parking lot of the Grammercy apartments in front of Building C.
Upon my arrival, 1 found:
There was a two-vehicle collision, both vehicles were located at the above stated location. I identified
Unit#1 was parked and occupied by one male. I identified Unit#2 parked in front of Unit#1 occupied
by one female. I observed that no airbags of either Unit had been deployed. Neither operator
expressed signs of injury. I collected information from both drivers and completed an exchange of
information for both parties.
The operator of Unit#1 made the following statements:
The operator of Unit#1 was identified by Washington State Driver's License as Motbaynor A. Tebeje
(DOB 06-04-1958). He stated that he was traveling southbound on 120th Ave SE where he stopped
and then continued onto westbound SE Petrovitsky Rd. He stated that the operator of Unit#2 was
traveling westbound on SE Petrovitsky Rd in lane #2 when he entered the roadway. He stated that he
was attempting to continue in lane #1 but contacted Unit#2 with his driver side front quarter panel
after entering the roadway. He stated that he had a AAA tow truck enroute to remove his vehicle from
the Grammercy apartments parking lot.
The operator of Unit#2 made the following statements:
The operator of Unit#2 was identified by Washington State Driver's License as Mei J. Singer (DOB
11-29-2003). She stated she was traveling westbound in lane #2 of SE Petrovitsky Rd when she was
struck by Unit#1 on her passenger side front quarter panel and front bumper. She stated that Unit#1
overturned outside of their lane of travel and contacted her in her lane. She stated that she would like
a tow called for her, Gene Meyers arrived on scene and towed her vehicle.
Investigation of the collision scene found:
The operator of Unit#2 was traveling westbound on SE Petrovitsky Rd approaching the intersection
of 120th Ave SE. The operator of Unit#1 was coming from southbound 120th Ave SE and continuing
onto SE Petrovitsky Rd to continue westbound. Unit#2 was traveling in lane #2 of the roadway, Unit
#1 was attempting to travel in lane #1 of the roadway but overturned into lane #2. Unit#1 contacted
his driver side front quarter panel into Unit#2 passenger side front quarter panel and front bumper.
Officer conclusion:
After discussion with both drivers and investigating the collision scene, Unit#1 improperly entered
Unit#2's lane of travel when turning into the roadway. Unit#2 was traveling within their lane of travel
at the time and location of the collision. It is plausible that due to Unit#1 entering Unit#2's lane of
travel improperly, Unit#1 contacted Unit#2 in their lane of travel. Unit#1 was not attempting to enter
lane #2 but did so when attempting to enter lane #1. Both parties received an information exchange
and vehicles were cleared from the scene. Please see images uploaded into Evidence.com under
PAGE 3 OF 5
REPORT NO. EF63654 CASE# 25_992 OF COL COLLISION
01/30/25 23:54
OF CbLLI510N
NARRATIVE
Renton Case #25-992.
1 declare under penalty of perjury under the laws of the State of Washington that the foregoing is true
and correct. Electronically signed by M. Mollenberg #13031 on 01-31-2025 at 0135 hours in Renton,
WA.
PAGE 4 OF 5
REPORT NO. EF63654 CASE# 25-992 DATE AND TIME 01/30/25 23:54
OF COLLISION
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