HomeMy WebLinkAbout25-1426 IT si " II IIIII III IIIII II IIII IIIII I . 27c REPORT NO EF68539OLCERA
COLLISION REPORT 1591971
CASE# 25-1426 2
INTERSTATE CITY STREET FIRE I
RESULTED STOLENSTATE ROUTE OTHER VEHICLE LOCALANG 4100 3
HIT&RUN CODING
COUNTY RD PRIVATE WAY INVOLVED
2 TOTAL#OF OBJECT 1 s 28
TRIBAL UNITS 02 STRUCK
RESERVATION : 1 1
2
3� M M D D Y Y Y Y TIME(2400) COUNTY# MILES CITY#
eaCL s on' 02 - 13 - 2025 1538 17 =.= S 8 W e OF IN e 1070 s
4❑ ON (PRIMARY TRAFFIC WAY) INTERSECTION ❑✓ NON INTERSECTION ❑
BLOCK NO. e .�
4a
NE 3RD ST MILE POST
❑
❑ DISTANCE OF(REFERENCE OR CROSS STREET)
5 1.� FEET e S 8 W e BRONSONWAYNE
0 1 29
MOTOR PEDAL- DAM AG THRESHOLD MET PHONE
UNIT 01 VEHICLE ❑ CYCLE ❑ YEs Vl No D:2062763090 0 7 30
5 LAST NAME HARDCASTLE FIRST NAME PHILIP MIDDLE D 1 1 2 31
INITIAL
STREET ❑ 16919 SE 149TH ST CITY; RENTON ST WA ZIP; 980598824 2
NEW ADDRESS
7� +CDL IGNITION REQUIRED IGNITION PRESENT MEDICAL TRANSPORTED: 3
INTERLOCKYES NO INTERLOCK YES No YEs NO
8 DRIVER # STATE WA SEXI M MMDDYY' O6 - 27 - 1968 1 2 32
9 ON DUTY STATUS' AIRBAG 2 RESTR 4 EJECT 1 N USE ET CLASSY 1 [NATURE of INJURIES 2
10 PI ENSttEI BLP0920 STATE WA VIN# 4T1B11HK4JU658718 3
TRAILER
11 3 5 STATE TRAILER STATE PLATE# PLATE# ROM To
TRLR TRLR 7 1 3 33
12 O O VIN#' vIN#
FROM TO
13 2 VERYEAR2018 MAKE TOYT MODEL CAMRY STYLE VEHICLE TOAMAGE YED NO�iS46LIN T�VyED.6LRS GOES❑EHICLE N 9 9 O 34
D IIII._IIII HHttVVii((tt
REGISTERED OWNER INFO pHIL/P HARDCASTLE 16919 SE 149TH ST RENTON WA 98059 VEHICLE NO. 1
SHADE IN DAMAGED AREA 35
14 LIABILITY INSURANCE� INSURANCE CO SAME. 4
IN EFFECT &POLICY# 4TOP
V""' CHARGE 5 36
LE,,ALLY YES❑NO❑ CITATION# 70 80TTOM
15❑ STM ING 7 e
11
UN# MOTOR PEDAL- ❑ PEDESTRIAN PROPERTY DAM THR OLD MET PHONE
1 VEHiC1.E CYCLE nWNFR YES / NO
16�
LAST NAME CALMET LEON FIRST NAME ALFREDO IMIDDLE' A
NITIAL
17 F1 STREET ❑❑ 17677134TH LN SE CITY RENTON ST, yyq ZIP 980586817 37
NEW ADDRESS
18❑ CDL IGNITION REQUIRED IGNITION PRESENT MEDICAL TRANSPORTED' ❑ 38
INTERLOCKYES NO INTERLOCK YES N5 YES NO
19 DRIVER'S ' STATE WA SEXI M D.O.B. 10 39
LICENSE# MMDDYY I I -
HELMET INJURY: NATURE OF INJURIES 40
20❑ ON DUTY� STATUS AIRBAG 2 RESTR 4 EJECT '1 7 ❑
USE CLASS NECK REFUSED FIRE
21[ LICENSE BST3068 rarE WA vIN# 5J8TC2H65LL013307 41
22❑ [TILER TAILER
PLATE# STATE PLATE# STATE 42
23 TRLR RLR 43
UIN#. 'IN#
VEH.YEAR 2020 MAKE gCUR MODEL RDX STYLE VEHICLE TOWED TO BLIN
TOWED BY GOV HI 44
24 DAMAGE YES NO VES NO
REGISTERED OWNER INFO ALFREDO CALMET LEON 17677134TH LN SE RENTON WA 98058 D:2066129657 VEHICLE NO.2
SHADE IN DAMAGFAREA
2 3
LIABILITY INSURANCE INSURANCE CO SAFECO H2161257
IN EFFECT &POLICY# I STOP
VEHICLE ,.I—I CITATION11 CHARGE to BOTTOM
LEGALLY YES[Z N
25
OFFICER'S NAME(PRINT) OFFICER PHONE BADGE OR ID# AGENCY
J
26
M.LEVERTON 2517 WA0171300
PAGE 01 OF
PART A 3000-345-189(R 11/18)
STATE OF
POLICETRAFFICN CORRECTION REPORT NO. EF68539
COLLISION REPORT III III III III III 111
1591972 CASE# 25-1426
ADDITIONAL PERSONS INVOLVED(PASSENGERS AND/OR WITNESSES ONLY)
'.NAME
(LAST,FIRST,MIDDLE INITIAL)
ADDRESS&PHONE
SEXi D.O.B. —
MMDDYYYY
PASSENGERQ WITNESS� UNIT SEAT AIRBAG RESTR. EJECT ; HELMET INJURY NATURE OF INJURIES
POS. ' USE GLASS 1 ----�
:NAME
(LAST FIRST MIDDLE INITIAL)
ADDRESS&PHONE#
SEX D.O.B. —
MMDDYYYY
PASSENGER❑WITNESS UNIT# : SEAT AIRBAG RESTR. EJECT HELMET INJURY: NATURECFINJURIES
POS. USE 0,SS ----�
:NAME
(LOST,FIRST,MIDDLE INITIAL)
ADDRESS&PHONE#
SEX MMDDYY D.O.B.
YY
PASSENGER WITNESS UNIT# SEAT AIRBAG RESTR. EJECT HELMET NJURY NATURE OF INJURIES
POS. I 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 02-14-25 07:58 AM
INVESTIGATING OFFICER'S SIGNATURE UNIT OR DIST.DET DATED PLAGE SIGNED
APPROVED BY DATE
C.JACOBS 1953 1 212412025 12:17:32 PM
BADGE OR ID# ; 2517 ORI# WA0171300 TIME POLICE DISPATCHED 1 3:39 PM TIME POLICE ARRIVED i 3:45 PM
PAST B 3 Do-3mx—attar(t 1Mff) PAGE 2�OF 4
REPORT NO. EF68539 CASE# 25-1426 OF DATE AND r�N + 02/13/25 15:38
O�COLLISION
NARRATIVE
wht suv/2 In2 stop for sb blu/1 rear
RTF
Within the city limits of Renton/King/Wa I responded to a 2 vehicle crash at about NE 3rd St at
Bronson Way NE.
I contacted the driver of unit 2 who told me he was eastbound lane 2/ NE 3rd St approaching the
intersection of Bronson Way NE when a school bus presented its stop paddle and red flashing lights
in lane 1 near where he was at. He said he was stopped and hit from behind by unit 1. He did not
complain of injury and damages did not require a tow truck.
I contacted the driver of unit 1 who told me even though he was stopping up hill he vehicle slid and he
bumped the back of unit 2. He did not complain of injury and damages did require a tow truck.
The roads in the area were slippery and being monitored by the city throughout the day. Weather
conditions made the road surface more slick in some areas than others. This section of roadway was
no exception to being slick.
Information/Insurance only.
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 2/14/2025
**** AUTO-POPULATED SECTION ****
THE FOLLOWING ARE DESCRIPTIONS ENTERED FOR ITEMS SELECTED AS "OTHER":
Motor Vehicle Unit 1
Traffic Control: SCHOOL BUS
Motor Vehicle Unit 2
Traffic Control: SCHOOL BUS
**** END OF AUTO-POPULATED SECTION ****
PAGE 3 OF 4
REPORT NO. EF68539 CASE# 25-1426 DATE AND TIME 02/13/2515:38
OF COLLISION
1.
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3,
PAGE 4 OF 4