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Home My WebLink About25-3429 IT si " II IIIII III IIIII II IIII IIIII I . 27c REPORT NO EF84798OLCERA COLLISION REPORT 1591971 CASE# 25-3429 2 INTERSTATE CITY STREET FIRE I RESULTEDSTOLENSTATE ROUTE OTHER VEHICLE LOL`CODICENC'Y 4100 3 HIT&RUN CODING COUNTY RD PRIVATE WAY INVOLVED 2 TOTAL#OF OBJECT 1 s 28 TRIBAL UNITS 03 STRUCK RESERVATION : 1 1 2 3I M M D D Y Y Y Y TIME(2400) COUNTY# MILES CITY# eaCL s on' 04 - 16 - 2025 1056 17 =.= S 8 W e OF IN e 1070 s 4❑ ON (PRIMARY TRAFFIC WAY) INTERSECTION ❑✓ NON INTERSECTION ❑ BLOCK NO. e .� 4a NE 4TH ST MILE POST ❑ ❑ DISTANCE OF(REFERENCE OR CROSS STREET) 5 1.1 FEET e S 8 W e MONROE AVE NE 0 1 29 MOTOR PEDAL- DAM AG THRESHOLD MET PHONE UNIT 01 VEHICLE ❑ CYCLE ❑ YEs Vl No D:5109881796 0 7 30 6 LAST NAME HAILE FIRST NAME KISANT MIDDLE U 1 2 31 INITIAL STREET ❑ 12254 58TH PL S, CITY; SEATTLE ST WA ZIP 981780000 2 NEW ADDRESS 7 +CDL IGNITION REQUIRED IGNITION PRESENT MEDICAL TRANS PORTED 3= INTERLOCKYES No INTERLOCKVes No YEs NO 8❑ DRIVER # STATE WA SEXI F MMDDYY' 01 — O6 — 1996 1 2 32 9 ON DUTY STATUS' AIRBAG 3 RESTR 4 EJECT 1 N UET SE LA SY 1 [NATURE of INJURIES 2 LICENSE, CNZ3477 STATE WA VIN# JTDKB20U677651801 3 10 Fl I as ATP tt TRAILER 11 3 5 STATE TRAILER STATE PLATE# PLATE# ROM To TRLR TRLR. 3 1 7 33 12 0 0 VIN#' VIN# FROM TO 13 4 VERYEAR2007 MAKE ToYT MODEL PRIUS STYLE VEHICLE TOYED NO�iS46LIN T�VyED.6LRS CLE 9 9 34 DAMAGE IIII._IIII HAttVVii((tt REGISTERED OWNER INFO OWNED BY DRIVER VEHICLE R 1 SHADE IN DAMAGED AREA 35 4 INSURANCE CO <5Q, 4 14 LIABILITY INSURANCE PERMANENT GENERAL ASSURANCE CORP.53-WA8174956 IN EFFECT &POLICY#Lrg LNG ❑ ❑ 5AO436308 CHARGE FOLLOW VEHICLE TOO CLOSELY 36 Ves NO CITATION# 15 MOTCYR P11 EDAL- PEDESTRIAN PROPERTY DAM THR OLD MET PHONE UNIT 02 VEHICLE CYCLE nWNFR D:2062910466 16� LAST NAME ZHELIZNIAK FIRST NAME YELIZAVIETA MIDDLE I N INITIAL STREET ❑ 37 17 ❑ 1021 200TH STREET CT E CITY' SPANAWAY ST, WA ZIP 983878165 NEW ADDRESS 18❑ CDL IGNITION REQUIRED IGNITION I PRESENT MEDICAL TRANSPORTED: ❑ 38 INTERLOCKYEs No INTERLOCK YES I NORI vEs No 19 DRIVER'S STATE WA sEX F D.O.a. 06 25 2005 39 LICENSE# MMODYY — 20❑ ON DUTY STATUS AIRBAG 2 RESTR 4 EJECT 1 7 HELMET INJURY NATURE OF INJURIES ❑ 40 USE CLASS PRECAUTIONARY 21 LICENSEPLATE# CFJ5029 rare WA VIN# WAUBFAFLXCN017942 41 22❑ [TILER TAILER PLATE# STATE PLATE# STATE 42 23 TRLR r RLR 43 UIN#. 'IN# TOWED BY GOV HI 44 VEH.YEAR 2012 MAKE �Q(JD/ MODEL A4 STYLE VEHICLE TOWED✓ No BLIN BANKERS ves No�/ 24 REGISTERED OWNER INFO OWNED BY DRIVER VEHICLE NQ.2 SHADE IN DAMAGED AREA 2 3 4 LIABILITY INSURANCE INSURANCE CO IN EFFECT &POLICY# t 9TOP 1-1— ,J—I CITATION# CHARGE tO BOTTOM LEGnLLY YES NCO 25 a a OFFICER'S NAME(PRINT) OFFICER PHONE BADGE OR ID# AGENCY 26 ROGER RANAN 13156 WA0171300 PAGE 01 OF PART A 3000-345-189(R 11/18) STATE OF POLICETRAFFICN CORRECTION REPORT NO. EF84798 COLLISION REPORT III III III III III 111 1591972 CASE# 25-3429 E NA ADDITIONAL PERSONS INVOLVED(PASSENGERS AND/OR WITNESSES ONLY) M (LAST,FIRST,MIDDLE INITIAL) HADIZADEH HASTI N ADDRESS&PHONE N, 23121 SE 52ND ST ISSAQUAH WA 980296846 SEXi F MMDDD BYYY 08 — 21 — 2000 PASSENGER WITNESS UNIT# SEAT AIRBAG RESTR. EJECT HELMET INJURY NATURE OF INJURIES 3 POS. 3 2 4 1 USE CLASS i 1 ----� :NAME (LAST FIRST MIDDLE INITIAL) ADDRESS R PHONE* SEX — MMDDYYYY PASSENGER❑WITNESS UNIT# : SEAT AIRBAG RESTR. EJECT HELMET NJURY NATURE OF INJURIES POS. USE CJURY TSS --� :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. ROGER RANAN 04-16-25 01:52 PM INVESTIGATING OFFICER'S SIGNATURE UNIT OR DIST.DET DATED PLAGE SIGNED APPROVED BY DATE P.KORDEL 9676 412212025 6:04:09 PM BADGE OR ID# j 13156 ORI# WA0171300 TIME POLICE DISPATCHED 10:56 AM TIME POLICE ARRIVED i 11:01 AM PAST B a aDo-3mx-attar(t 1Mff) PAGE 2�OF F5 REPORT NO. EF84798 CASE# 25-3429 OF DATE AND r�N + 04/16/25 10:56 O�COLLISION NARRATIVE CC 25-3429 On 4/16/2025 at 1056 hours I was dispatched to a motor vehicle collision at NE 4TH St and Monroe Ave NE just west of Monroe Ave NE in the City of Renton, King County, Washington. Pre-Collision Driver 3 stated that he was traveling westbound on Monroe Ave NE on NE 4th St, just west of the intersection of Monroe Ave NE in the number 2 lane. Driver 3 stated that he had come to a complete stop as the vehicle in front of him was stopped preparing to turn left. He observed Unit 2 come to a complete stop just behind him. Driver 2 stated that she was traveling westbound on Monroe Ave NE on NE 4th St, just west of the intersection of Monroe Ave E in the number 2 lane. Driver 2 stated that Driver 3 came to a complete stop in front of her, so she proceeded to stop her vehicle as well. Driver 1 stated that she was traveling westbound on Monroe Ave NE on NE 4th St, just west of the intersection of Monroe Ave NE in the number 2 lane. Driver 1 stated that Driver 2 came to a complete stop in front of her, so she slammed on her brakes. Collision Driver 3 stated that as he was stopped, the front bumper of Unit 2 collided into the rear bumper of Unit 3. Driver 2 stated that the front bumper of Unit 1 collided with the rear bumper of Unit 2. This caused Unit 2 to roll forward, which resulted in the front bumper of Unit 2 to collide with the rear bumper of Unit 3. Driver 1 stated that Driver 2 made an abrupt stop in front of her. She states that she was unable to stop Unit 1 in time before her front bumper collided into the rear bumper of Unit 2. Causing significant damage to front end of Unit 1 and the rear bumper of Unit 2. Injuries Driver 2 mentioned that she was pregnant, and fire arrived on scene to evaluate. She was transported to Valley Medical Center for further medical evaluation. Driver 1 and Driver 3 had no complaints of injury. Vehicle Disposition Unit 1 & 2 were towed by Banker's Towing. Unit 3 was fully operational and driven from the scene. Proximate Cause I determined that Driver 1 is at proximate cause for this collision because she was following too closely behind Unit 2 and caused a collision per RCW 46.61.145. If Driver 1 would have maintained a proper following distance, the collision would not have happened. I certify (declare) under penalty of perjury under the laws of the State of Washington that the foregoing is true and correct. Electronically signed by Officer R. Ranan #13156 at 12:40 on 4/16/2025 in the City of Renton, King County, Washington. PAGE 3 OF 5 SUPPLEMENTAL REPORT No. EF84798 POLICE TRAFFIC 1 1 8 27 COLLISION REPORT CASE# 25-3429 013197 1 COMMERCIAL MOTOR CARRIER INTERSTATE INTRASTATE UNIT# USDOT ICC# VEHICLE TYPE CARGO BODY: TYPE 2 ❑ 1 28 CARRIER NAME 3 CARRIER L ADDRESS CITY ST ZIP 4 ❑ NAME # PLACARa GWVR NAME IF NO NUMBER SOURCE AXLES + 4a ❑ ADDITIONAL UNITS MOTOR PEDAL- PROPERTY DAMAGE THRESHOLD MET PHONE 5 ❑ UNIT 3 VEHICLE ( CYCLE ❑ PEDESTRIAN OWNER ❑'. YES NO D:2065578369 0 9 29 LAST NAME DAVIS FIRST NAME KRISTOFER MIDDLE; D INITIAL STREET 30 NFW AnnRE 2123 E MARION ST CITY SEATTLE I ST Wq I ZIP 98122 6 PRESENT MEDICALTANSPORTED 1 1 2 31 CDL IGNITION REOUIRE6 +IGNiT10N :: INTERLOCK YES. No .:INTERLOCK YEs NO vEs N.. DRIVER'S D.O-B 2 LICENSE STATE WA SEX M MMDDYv 04 16 - 1999 ON DUTY STATUS AIRBAG 2 RESTR. ¢ EJECT 9 HELMET INJURY 1 NAruREOFINJURIES USE CLASS 8 ❑ 1 32 LICENSE BZS3306 TAT WA VIN 7FART6H55ME023853 PLATE# 9 TRAILER TRAILER L PLATE# STATE PLATE# STATE 0 10 ❑ TRLR TRLR VIN.# VIN#. 11 0 0 VEIL YEAR2021 MAKE HOND MODELCR-V STYLE VEHICLE TOWE E T ABLIN TOWED BY GOVT.VFHICI F FROM TO DAMAGE YES NO ✓ YES NO REGISTERED OWNER INFOSIMA ARIAN 23121 SE 52ND ST ISSAQUAH WA 98029 9 9 33 12 � SHADE IN DAMAGED AREA 4 FROM TO INSURANCE CO LIABILITY INSURANCE SAFECO H2355166 IN EFFECT � &POLICY# � �7t1P-" m 34 13 YESZ NO[jj CITATION# CHARGE 1080TTOM ecauv sTnNoiNc MOTOR PEDAL_ ' 1:1PROPER' : DAMAGE THRESHOLD MET 35 14 ❑ UNIT# VEHICLE CYCLE PEDESTRIAN OWNER YEEF-1 NO PHONE 36 15 LAST NAME FIRST NAME : INITIAL 16 ❑ STREET CITY ST ZIP NEW ADDRESS" CDL IGNITION REQUIRED IGNITION PRESENT ME DICALTANSPORTED INTERLOCK YEs NO INTERLOCK YEs NO IYES NO 17 37 RIVERSLLIICENSE# STATE SEX Moog 18 ❑ _ ❑ HELMET INJURY NATURE OF INJURIES 38 ON DUTY STATUS AIRBAG RESTR. EJECT USE CLASS 19 ❑ ❑ 39 LICENSE TAT vIN# PLATE# 20 TRAILER' TRAILER 40 PLATE#, STATE PLATE# STATE ❑ 21 ❑ TRLR TRLR 41 VIN# VIN#:: 42 22 VEH.YEAR MAKE I MODEL I STYLE VEHICLE WE DUE T SABLIN TOWED BY GOVT.VEHICLE DAMAGE YES NO YES NO 23 REGISTERED OWNER INFO. SHADE IN DAMAGED AREA 43 2 3 4 LIABILITY INSURANCE INSURANCE CO IN EFFECT I &POLICY# t.K-99 3. 44 vewc�e ❑ ❑ CITATION# CHARGE 24 I..TF_ YES NOSTIWDING3 3 G 1 CERTIFY(DECLARE)UNDER PENALTY OF PERJURY UNDER THE LAWS OF THE STATE OF WASHINGTON THAT THE FOREGOING IS TRUE AND CORRECT. ROGER RANAN 04-16-25 01:52 PM 25 INVESTIGATING OFFICER'S SIGNATURE OFFICER'S PHONE UNIT OR DIST DET DATED: PLACE SIGNED 26 OR Ib# 13156 O#RI WA0171300 APPROVED BY 4122212025 PAGE OF � 3000-345-013(R 11t18) REPORT NO. EF84798 CASE# 25-3429 DATE AND TIME 04/16/2510:56 OF COLLISION NROE } L 4q� t 31�. 't is v t 1 i u t=, 1Y } it �t ter s r 2 i PAGE 5 OF 5