HomeMy WebLinkAbout25-1989 IT si " II IIIII III IIIII II IIII IIIII I . 27c REPORT NO EF71438OLCERA
COLLISION REPORT 1591971
INTERSTATE CITY STREET FIRE I
CASE# 25-1989 2
RESULTEDSTOLENSTATE ROUTE OTHER VEHICLE LDCAI-A`NG 4100 3
HIT&RUN CODING
COUNTY RD PRIVATE WAY INVOLVED
2 TOTAL#OF OBJECT 1 8 28
TRIBAL UNITS OS STRUCK
RESERVATION : 1 1
2
3I M M D D Y Y Y Y TIME(2400) COUNTY# MILES CITY#
eaCL s on' 03 - 03 - 2025 1825 17 =.= S 8 W e OF IN e 1070 s
4❑ ON (PRIMARY TRAFFIC WAY) INTERSECTION ❑✓ NON INTERSECTION ❑
RAINIER AVE S BLOCK NO. e 300 .�
4a❑ MILE POST
❑ DISTANCE OF(REFERENCE OR CROSS STREET)
5 MILES 1.1 FEET e S 8 W e S 3RD PL
0 1 29
MOTOR PEDAL- DAMAG THRESHOLD MET PHONE
UNIT 01 VEHICLE ❑ CYCLE ❑ YES No �/ D:2532876500 0 1 30
5 LAST NAME RODE FIRST NAME JAMES MIDDLE G 1 1 2 31
INITIAL
STREET '❑ 22011THAVEUNIT363 CITY; SEATTLE ST WA ZIP; 98122 2�
NEW ADDRESS
7 CDL IGNITION REQUIRED IGNITION PRESENT MEDICAL TRANSPORTED 3
INTERLOCK YES NO✓ INTERLOCKYEs NO✓ YES NOW
8❑ DRIVERCENS # STATE WA SEXI M MMDDYY' 11 — 13 — 1965 1 2 32
9 ON DUTY STATUS' AIRBAG 2 RESTR 4 EJECT 1 HELMET 2 INJURY 7 NATURE OF INJURIES 2
USE ,CLASS KNEE PAIN/FIRE EVAUDECLINED FURTHER
10 PI ENSttEI D79748E STATE WA VIN#, 1C6RR7NT3FS773607 3
TRAILER STATE TRAILER STATE
11 3 5 PLATE# PLATE# ROM To
TRLR zRLR. 5 1 33
12 3 5 VIN# vIN#
FROM TO
VERYEAR 2015 MAKE RAM MODEL 1500 STYLE PK VEHICLE TOWED[n TO ZBUN TOWEDBY GOVT VEHICLE g 1 34
13 DAMAGE YES II_II NO YESII_] NO✓
REGISTERED OWNER INFO OWNEDBYDRIVER VEHICLE NO. 1
SHADE IN DAMAGED AREA 35
3 14 LIABILITY INSURANCE� INSURANCE CO PROGRESSIVE 988251562 4
IN EFFECT &POLICY# 4TOP _
srgNOLNG ❑NO❑ CITATION# 5A0254753 CHARGE INATTENTIVE DRIVING a ooTroEm z 36
Yes
15
MOTOR ✓ PEDAL- PEDESTRIAN1:1 PROPERTY DAM THR OLD MET PHONE
UNIT 02 VEHICLE CYCLE nWNFR YES�/ NO D:2064148647
16�
LAST NAME MC EWEN FIRST NAME JOY MIDDLE' C
INITIAL
17 F1 STREET ❑
❑ 8531 S 115TH PL CITY SEATTLE ST, WA ZIP 98178 q 37
NEW ADDRESS
1$❑ CDL IGNITION REQUIRED IGNITION PRESENT MEDICALTRANSPORTED 38
INTERI.00KYES NO✓ INTERLOCK YES NO✓ YES NO;✓
19 DRIVER'S ' STATE WA SEX,F I D.O.B. 1 12 30 1968 � 39
LICENSE# MMDDYY —
20❑ ON DUTY STATUS AIRBAG 2 RESTR 4 EJECT 1 H U ET 2 INJURY
1 NATURE OF INJURIES 40
21 LICENSE I PATE# BDV2633 rare WA vIN# JF2GPABC6H9224910 41
22❑ STATE PLAAILER TE# STATE 42
PLATE#
23 TRLR RLR 43
UIN#. 'IN#
VEH.YEAR 2017 MAKE $(J6,G MODEL CRO$$T STYLE /-I6 VEHICLE TOWED TO BLIN
TOWED BY GOV HI 44
24� DAMAGE YES NO✓ VES NO✓
REGISTERED OWNER INFO OWNEDBYDRIVER VEHICLE NO.2
SHADEDAMAGWREA
3 �A
LIABILITY INSURANCE INSURANCE CO ALLSTATE 9 76 95 74 62
IN EFFECT &POLICY#
vaE JL—II
CITATION# CHARGE
25 EwEEY YES❑ N tO 9BOTOTTPO M
OFFICER'S NAME(PRINT) OFFICER PHONE BADGE OR ID# AGENCY
26
JEREMY ENGEL 13006 WA0171300
PART A PAGE 01 OF
3000-345-189(R 11/18)
STATE OF
POLICETRAFFICN CORRECTION REPORT NO. EF71438
COLLISION REPORT III III III III III 111
1591972 CASE# 25-1989
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 CLASS ----�
: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.
JEREMY ENGEL 03-04-25 01:15 AM
INVESTIGATING OFFICER'S SIGNATURE UNIT OR DIST.DET DATED PLAGE SIGNED
APPROVED BY DATE
QUINT TIBEAU 07691 1 3/6/2025 4:19:53 AM
BADGE OR ID# j 13006 ORI# WA0171300 TIME POLICE DISPATCHED 6:27 Pry] TIME POLICE ARRIVED i 6:30 PM
PAST B 3 Do-3mx—attar(t 1Mff) PAGE 2�OF F6
REPORT NO. EF71438 CASE# 25-1989 O OF COLLI r�510NN + 03/03/25 18:25
COLL1
NARRATIVE
25-1989
This incident was captured on my body worn video camera. This report is a summary of events that
occurred and is not an exact sequencing of events. Statements have been paraphrased and
summarized.
On 03/03/2025 at approximately 1827 hours, I was dispatched to an injury 5-vehicle collision at the
intersection of Rainier Ave S and S 3rd PI, City of Renton, County of King, Washington. All vehicles
were traveling in lane 3 of 3 going northbound on Rainier Ave S. Dispatch advised one of the involved
reported injuries and started Renton Regional Fire Authority to evaluate the injuries.
All involved parties were later evaluated by Renton Fire at the scene and released. There, I collected
each involved party's driving information and their independent recollection of their involvement
leading up to the collision.
The driver of Unit#1 said he was traveling northbound in the 300 block of Rainier Ave S in lane 3 of 3
proceeding through the intersection of S 3rd Pl. The driver of Unit #1 stated he was traveling directly
behind Unit#2. The driver of Unit#1 stated when he realized Unit#2's brake lights were on he did not
have enough time to stop and collided with the rear end of Unit#2. This caused Unit#2 to collide with
the rear end of Unit#3. Unit#2 colliding with Unit#3 caused Unit#3 to be pushed forward until it
collided with the rear end of Unit#4. Unit#4 was pushed forward causing it to collide with the rear
end of Unit#5.
The driver of Unit#2 said she was the sole occupant of her vehicle and was also traveling northbound
in the 300 block of Rainier Ave S in lane 3 of 3. The driver of Unit #2 stated traffic was moving slow,
but she was proceeding forward and not on the brakes when Unit#1 collided with the rear end of her
vehicle. There was moderate damage to Unit#2
The driver of Unit#3 said he was the sole occupant of his vehicle and was also traveling northbound
in the 300 block of Rainier Ave S in lane 3 of 3. The driver of Unit #3 stated he was slowing for traffic
when Unit#2 collided with the rear end of his vehicle causing him to collide with the rear end of Unit
#4 causing moderate damage.
The driver of Unit#4 said he was the sole occupant of his vehicle and was also traveling northbound
in the 300 block of Rainier Ave S in lane 3 of 3. He was slowing for traffic when Unit#3 collided with
the rear end of his vehicle causing his vehicle to be pushed forward into a collision with the rear end
of Unit#5. Unit#4 had moderate damage.
The driver of Unit#5 said she was traveling northbound in the 300 block of Rainier Ave S in lane 3 of
3 and was also slowing for traffic when Unit#4 collided with the rear end of her vehicle. Unit#5 had
minimal damage to the rear end from Unit#4 colliding with it.
Based on the above statements, I determined that the Driver of Unit#1 (Rode) is the proximate cause
for the collision due to Inattentive Driving.
I cited Rode by mail for Inattentive Driving (5A0254753).
All Units were able to be driven away without further incident. An exchange of information was
provided to all involved parties.
I certify (or declare) under penalty of perjury under the laws of the State of Washington that the
foregoing is true and correct.
Electronically signed by Officer J. Engel #13006 3/4/2025 12:37 AM Renton, King County, WA.
PAGE 3 OF 6
SUPPLEMENTAL REPORT No. EF71438
POLICE TRAFFIC
1 1 8 27
COLLISION REPORT CASE# 25-1989
t113197
1 COMMERCIAL MOTOR CARRIER INTERSTATE INTRASTATE
UNIT# USDOT ICC# VEHICLE TYPE CARGO BODY
TYPE
2 ❑ 1 1 8 28
CARRIER
NAME
3 CARRIER L
ADDRESS
CITY ST ZIP
4 ❑ NAME # PLACARa
GWVR NAME IF NO NUMBER
SOURCE AXLES +
4a ❑ ADDITIONAL UNITS
'J MOTOR PEDAL- PROPERTY DAMAGE THRESHOLD MET PHONE
5 ❑ UNIT 3 VEHICLE CYCLE ❑ PEDESTRIAN :.. OWNER YES NO
D:2063179133
0 1 29
LAST NAME HONG FIRST NAME DUC MIDDLE'. M
INITIAL
0 1 STREET 30
NFW AnnRFs . 6947 COAL CREEK PKWY SE#709 CITY NEWCASTLE ST WA ZIP 98059
6 ❑ 1 1 2 31
ODE IGNITION REQUIRED :IGNITION :: PRESENT MECiICALTAN�PORTED'.
INTERLOCK YES NO�/ INTERLOCK YES NO
L
DRIVER'S STATE wq SEX M D.O.B 06
LICENSE' MMDDVY - 10 - 1974
7 ❑
ON DUTY STATUS AIRBAG 2 RESTR. 4 EJECT 9 HELMET 2 INJURY 1 NAruRE of INJURIEs
USE ;CLASS
8 ❑ 1 1 2 32
LICENSE C74486Z TAT WA VIN 3FTTW8E30NRA62356
PLATE#
9 � TRAILER TRAILER L
PLATE# STATE PLATE# STATE
0
10 ❑ TRLR TRLR
VIN.# VIN#.
11 3 5 VEIL YEAR2022 MAKE FORD MODELMA VER/C STYLE PK VEHICLE TOWE E T ABLIN TOWED BY GovT vEHICI E FROM To
DAMAGE YES NO ✓ YES NO
REGISTERED OWNER INFOOWNED BYDRIVER 5 1 33
12 3 5 SHADE IN DAMAGED AREA
' FROM TO
INSURANCE CO
LIABILITY INSURANCE PROGRESS/VE 947214593 5 1
IN EFFECT &POLICY# g T2p 34
13 vewcEe YES NOEll CITATION# CHARGE
1Ct C30TrOM
ecauv
s-rnNolNc (a L
DAMAGE THRESHOLD MET PHONE 35
14 UNIT# 4 MOTOR PEDAL- ❑ PEDESTRIAN ❑ PROPERTY YES NO
uEHrCLE CYCLE OWNER ,/ D:2069929908
36
15 BARAJAS GUSTAVO MIDDLE'
LAST NAME FIRST NAME INITIAL
2 STREET
16 ❑ ❑': 608 SW LANGSTON PL#13 CITY; RENTON ST.. WA ZIP 98057
NEW AnnRFss
CDL IGNITION RFOUIRED IGNITION PRESENT MEDICAL TAN5PORTED.
17 INTERLOCK YES _ INTERLOCK YEs Nt7 tI :YES NO tI
DRIVER'S D.O.B 4 37
18
DllELICEN l STATE WA SEX U MMDDyYY' 04 - 27 - 1990
�' 2 1 HELMET 2 INJURY 1 NATURE OF INJURIES 38
ON DUTY❑ STATUS AIRBAG RESTR. 4 EJECT USE CLASS.;
19 ❑ LICENSEI ❑
PLATE# CDV1101 TAT WA u1N# JM3KFBBL6H0131351 3 39
20 ❑ TRAILER I I TRAILER 40
PLATE# STATE PLATE# STATE
21 ❑ ❑ 41
TRLR TRLR
VIN# VIN#Y
42
22 VEH.YEA R2017 MAKE MAID MODEL CX-5 STYLE SV VEHICLE TOWED DUE T SABLIN TOWED BY GOVT.VEHICLE E
DAMAGE YES NO YES NO
23 REGISTERED OWNER INFO.OWNED BYDRIVER SHADE IN DAMAC ED AREA 43
3
NLIABILITY
EFFIECTNSURANCE INSURANCE CO PROGRESSIVE 983022851 _`�LOI'._._ 44
❑ &POLICY# ``"' ` o
vewcEe ❑ ❑ CITATION# CHARGE 7080TiC?M
24 I..EGALLY YES NO ��pp
STIWDING l:k
1 CERTIFY(DECLARE)UNDER PENALTY OF PERJURY UNDER THE LAWS OF THE STATE OF WASHINGTON THAT THE FOREGOING IS TRUE AND CORRECT.
JEREMY ENGEL 03-04-25 01:15 AM
25 INVESTIGATING OFFICER'S SIGNATURE OFFICER'S PHONE UNIT OR DIST DET DATED: PLACE SIGNED
26 BADGE 1 OR DD# 13006 O#RI WA0171300 APTIBEAU 31612025
PAGE[4 OF
�
3000-345-013(R 11/18)
SUPPLEMENTAL REPORT No. EF71438
POLICE TRAFFIC
1 1 8 27
COLLISION REPORT CASE# 25-1989
t113197
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 # PLACARD
GWVR NAME IF NO NUMBER
SOURCE AXLES +
4a ❑ ADDITIONAL UNITS
�{ MOTOR PEDAL- PROPERTY DAMAGE THRESHOLD MET PHONE
5 ❑ UNIT# 5 VEHICLE CYCLE C) PEDESTRIAN :.. OWNER YES NO
D:2539518978
0 1 29
LAST NAME VASQUEZ ROMERO FIRST NAME f ANA I J
I NNITIAITIAL E
STREET 30
NEW ADDRFs 1202 29TH ST SE APT 13 CITY AUBURN I ST WA ZiP gg002
6 ❑ 1 1 2 31
CDL IGNITION REQUIRED I{iNi71ON PRESENT MECiICAL TANS`PC7RTEC7'.
INTERLOCK YES No�/ INTERLOCK YES NOZ
L
DRIVER'S STATE WA SEX F MIDDY 06
LICENSE MMDDYY - 10 - 2000
7
ON DUTY STATUS AIRBAG 2 RESTR. ¢ EJECT 1 HELMET 2 INJURY 1 NAruRE OF INJURIES
USE ;CLASS
8 ❑ : 1 32
LICENSE CDJ6534 rAT WA VIN 2HGFG12667H581895
PLATE#
9 TRAILER TRAILER L
PLATE# STATE PLATE# STATE
0
10 ❑ TRLR TRLR
VIN.# VIN#.
11 3 5 VEIL YEAR2007 I MAKE HOND MODEL CIVIC STYLE CP VEHICLE TOWE E T ABLIN TOWED BY GOVT.VFHIOI F FROM TO
DAMAGE YES NO ✓ YES NO
REGISTERED OWNER INFOOWNED BYDRIVER 5 1 33
12 � SHADE IN DAMAGED AREA
� FROM TO
INSURANCE CO
LIABILITY INSURANCE STATE FARM 5704617E1447
IN EFFECT &POLICY# 1 J Tt1P--'.. m 34
13 ❑ ve A' YES NO CITATION# CHARGE 10 80TTOM
ecauY
sTnNoiNc 3 7
MOTOR PEDAL_ ' 1:1PF20PERTY DAMAGE THRESHOLD MET PHONE 35
14 ❑ UNIT# VEHICLE CYCLE PEDESTRIAN OWNER El YES NO
36
15 LAST NAME FIRST NAME IN L
16 ❑ STREET �' CITY ST' ZIP
NEW ADDRESS
CDL IGNITION REQUIRED IGNITION PRESENT MEDICAL TANSPORTED.
INTERLOCK YES[]NO INTERLOCK YES N6 YES NO ❑
17 4 37
LLIRIVER'SICENSE# STATE SEX MM OD.B - L�
18 ❑ ❑
HELMET 'INJURY NATURE OPINJURIES 38
ON DUTY STATUS AIRBAG RESTR. EJECT USE CLASS,
19 ❑ LICENSE TAT V1N# 39
PLATE#
20 TRAILER' TRAILER 40
PLATE#. STATE PLATE# - STATE ❑
21 ❑ ❑ 41
TRLR TRLR
VIN#: UIN#:
42
22 VEH.YEAR MAKE I MODEL I STYLE VEHICLE TOWED DUE T SABLIN TOWED BY GOVT.VEHICLE
DAMAGE YES NO YES NO 1-1
23 REGISTERED OWNER INFO. SHADE IN DAMAC ED AREA 43
2 3 4
LIABILITY INSURANCE[-] INSURANCE CO
IN EFFECT I &POLICY#
..
t.
E 44
24 YES❑ NO CITATION# CHARGE K-99
SWG 3
3 G
1 CERTIFY(DECLARE)UNDER PENALTY OF PERJURY UNDER THE LAWS OF THE STATE OF WASHINGTON THAT THE FOREGOING IS TRUE AND CORRECT.
JEREMY ENGEL 03-04-25 01:15 AM
25 INVESTIGATING OFFICER'S SIGNATURE OFFICER'S PHONE UNIT OR DIST DET DATED: PLACE SIGNED
26 OR ID# 13006 O#RI WA0171300 APTIBEAU 3%6E/2025 PAGE[5 OF
3000-345-013(R 11/18)
REPORT NO. EF71438 CASE# 25-1989 DATE AND TIME 03/03/2518:25
OF COLLISION> '
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PAGE 6 OF 6