HomeMy WebLinkAbout25-1780 iiTFiNII IIIII III IIIII II IIII IIIII I . 27c REPORT NO EF71825oc� RA
COLLISION REPORT 1591971
INTERSTATE CITY STREET FIRE ❑
CASE# 25-1780 2
RESULTED
1 STOLEN
STATE ROUTE ❑ OTHER ❑ VEHICLE ❑ LOCAI-AGENCY 42000 3
HIT&RUN CODING
COUNTY RD PRIVATE WAY INVOLVED
Cad 1
2❑ TRIBAL UN TS#OF 02 —fITRUCK 1 8 28
RESERVATION 2
3� M M D D Y Y Y Y TIME(2400) COUNTY# MILES CITY#
DATE OF N E IN eDL�Is[oN' 02 - 25 - 2025 1420 17 =.= S 8 W E OF M 1070 a
4❑ ON (PRIMARY TRAFFIC WAY) INTERSECTION ❑✓ NON INTERSECTION ❑
BLOCK NO.
SE PETROV/TSKY RD
4a❑ MILE POST
❑ DISTANCE OF(REFERENCE OR CROSS STREET)
5 1. FEET e S 8 W e 108TH AVE SE
0 3 29
MOTOR ✓ PEDAL- DAM AG THRESHOLD MET PHONE
UNIT 01 VEHICLE ❑ CYCLE ❑ YEs Vl No D:2532170688 0 1 30
5 LAST NAME PARK FIRST NAME REBECCA MIDDLE A 1 1 2 31
INITIAL
STREET ] 607 S 31ST ST CITY; RENTON I ST WA ZIP; 980555032 2
NEW ADDRESS
7 CDL IGNITION REQUIRED IGNITION PRESENT MEDICAL TRANSPORTED 3
INTERLOCK YES NO INTERON KVEs Nd YES Nb
8 DRIVER # STATE WA SEXI F MMDOYY' 03 - 24 - 1994 1 2 32
-NJUR
9 ON DUTY STATUS' AIRBAG 2 RESTR 4 EJECT 1 HELMET
2 CLASSY 1 [NATURE of INJURIES 2
10 LI ENSE' AYT8197 STATE WA VIN# 4T1BF1FK5GU539251 3
TRAILER STATE TRAILER STATE ROM To 11 3 5 PLATE# PLATE#
TRLR TRLR 5 3 33
12 3 5 VIN# vIN#
FROM TO
VEH.YEAR 2016 MAKE 7.0y- MODEL CAMRY STYLE VEHICLE TOWED TO BLIN TOWED By GOVT VEHICLE 7 3 34
13� DAMAGE YES II_II NO `/ YESII_] NO
REGISTERED OWNER INFO UOON PARK 607S 31STST RENTON WA 98055 VEHICLE NO. 1
SHADE IN DAMAGED AREA 35
2 LIABILITY INSURANCE INSURANCE CO 2 3 4
14 Z STATR FARM 390 3658-Bt6-47A 11
IN EFFECT &POLICY# Q�Q
VEHICLE CHARGEtS 36
LEGALLYyes❑NO❑ CITATION#15 sTANowc
MOTOR PEDAL- PEDESTRIAN PROPERTY DAM THR OLD MET PHONE
UNIT VEHICLE CYCLE nWNFR YES�/ NO D:2068833764
16�
LAST NAME BUROW FIRST NAME MOHAMUD MIDDLE' A
INITIAL
17 STREET ❑ 37
3405 S 176TH ST APT 117 CITY SEATAC ST, WA ZIP 981884027
NEW ADDRESS ❑
18❑ IGNITION REQUIRED �GNITIC7N PRESENT MEDICAL TRANSPORTED. 38
CDL INTERLOCKYES No INTERLOCK YES No YES NO
19 DRIVERS STATE WA SEXI M D.Q.B. 09 20 1979 � 39
LICENSE# MMDDYY —
HELMET INJURY: NATURE OF INJURIES 4Q
20❑ ON DUTY❑ STATUS AIRBAG 2 RESTR 4 EJECT 1 USE 2 CLASS 1 ❑
21 LICENSLATE E CPD0411 TATE WA VIN# 19XFC2F73HE068345 41
22❑ [TILER TAILER PLATE# STATE PLATE# STATE 0 El 42
23 TRLR RLR 43
UIN#. 'IN#
VEH.YEAR 2017 MAKE HOND MODEL CIVIC STYLE VEHICLE TOWED TO BLIN
TOWED BY GOV HI 44
24 DAMAGE YES NO VES NO
REGISTERED OWNER INFO MOHAMUD BUROW 3405 S 176TH STAPT 117 SEATAC WA 98188 VEHICLE NO.2
SHADE DA GWREA
LIABILITY INSURANCE INSURANCE CO GEICO 6180-06.58.79 AAA
IN EFFECT &POLICY# 9TOP
LVEHICLE
'EILY YES❑ NJ—I, CITATION# CHARGE 7060TTOM
LEGALL
25 s e
OFFICER'S NAME(PRINT) OFFICER PHONE BADGE OR ID# AGENCY
J
26
C.CATALAN 12007 WA0171300
PAGE 01 OF
PART A 3000-348-189(R 11/18)
STATE OF
POLICETRAFFICN CORRECTION REPORT NO. EF71825
COLLISION REPORT III III III III III 111
1591972 CASE# 25-1780
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 CLASS 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.
C.CATALAN 02-27-25 01:51 PM
INVESTIGATING OFFICER'S SIGNATURE UNIT OR DIST.DET DATED PLAGE SIGNED
APPROVED BY DATE
M.LEVERTON 2517 3/7/2025 2:16:37 PM
BADGE OR ID# 12007 ORI# WA0171300 TIME POLICE DISPATCHED 1 2:23 Pry] TIME POLICE ARRIVED i 2:44 PM
PAST B 3 Do-3mx—attar(t 1Mff) PAGE 2�OF 4
REPORT NO. EF71825 CASE# 25-1780 OF DATE AND r�N + 02/25/25 14:20
O�COLLISION
NARRATIVE
On February 25, 2025, at approximately 1420 hours, I was dispatched to a blocking vehicle collision
at the intersection of SE Petrovitsky Rd and 108th Ave SE, within the City Limits of Renton, County of
King, State of Washington.
Upon my arrival, I confirmed there were no complaints of injury requiring immediate medical response
at the time of report. While on scene, 1 collected each involved party's driving documents and their
independent involvement leading up to the collision.
The driver of Unit 1, identified as Rebecca A. Park, stated she was the sole occupant of her vehicle
and was attempting to exit a private property parking lot, located at 10715 SE Carr Rd, and on the
south side of the roadway. Rebecca stated that she was intending to make a right turn out of the
parking lot to proceed eastbound onto SE Carr Rd following the turn. Rebecca then intended to
merge left to enter the left turn lane at the intersection of 108th Ave SE.
Rebecca stated that the 2 eastbound lanes of SE Carr Rd had created an opening in traffic to allow
enough space for Unit 1 to turn. Rebecca believed all eastbound traffic (including the left turn lane) on
SE Carr Rd were clear and therefore proceeded out into the roadway. As Rebecca reached the left
turn lane, Unit 1 was met by another vehicle - Unit 2. Rebecca claimed he did not see Unit 2 traveling
in the left turn lane due to backed up traffic. Rebecca was unable to avoid the collision after having
pulled out into the roadway. Unit 1 struck the passenger side of Unit 2, causing significant damage to
right passenger side of Unit 2.
The driver of Unit 2, identified as Mohamud Burow, said he was the sole occupant of his vehicle and
was traveling eastbound in about the 10700 block of SE Carr Rd and in the left turn lane. The driver
of Unit 2 stated he was intending to continue east to the intersection of 108th Ave SE with the intent
to make a left turn. Upon reaching the location of where Unit 1 was turning out from, Unit 1 pulled out
and struck the passenger side of his vehicle. He was unable to avoid the collision.
Both vehicles collided in the roadway and Unit 1 suffered significant damage to the front driver's side
fender side.
Based on the above statements, 1 believe that the driver of Unit 1 (Rebecca) is the proximate cause
for the cause of collision as Rebecca is required to comply with RCW 46.61.205(1) which states that
every driver of a vehicle about to enter or cross a highway from a private road or driveway shall yield
the right-of-way to all vehicles lawfully approaching on said highway. Unit 2 was already underway in
the roadway and had right of way.
An exchange of information was provided to all involved parties.
No citation. Information only.
I certify (declare) under penalty of perjury under the laws of the State of Washington that the
foregoing is true and correct.
C. Catalan 03/07/2025 Renton
PAGE 3 OF 4
REPORT NO. EF71825 CASE# 25-1780 DATE AND TIME 02/25/2514:20
OF COLLISION
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PAGE 4 OF 4