HomeMy WebLinkAbout25-2243 iiTFiNII IIIII III IIIII II IIII IIIII I . 27c REPORT NO EF75721oc� RA
COLLISION REPORT 1591971
CASE# 25-2243 2
INTERSTATE CITY STREET FIRE I
RESULTED STOLENSTATE ROUTE OTHER VEHICLE LOCAI-A`NG 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' 03 - 12 - 2025 1230 17 =.= S 8 W e OF IN e 1070 s
4❑ ON (PRIMARY TRAFFIC WAY) INTERSECTION ❑✓ NON INTERSECTION ❑
BLOCK NO.
RAINIER AVE S
4a❑ MILE POST
❑ DISTANCE OF(REFERENCE OR CROSS STREET)
5 MILES 1.1 FEET e S 8 W e S 4TH PL
0 1 29
MOTOR ✓ PEDAL- DAM AG THRESHOLD MET PHONE
UNIT 01 VEHICLE ❑ CYCLE ❑ YEs Vl No D:2066987498 0 1 30
6 LAST NAME MARTIN FIRST NAME VICTOR MIDDLE T 1 1 2 31
INITIAL
STREET ] 3236 S KENYON ST
'.NEW ADDRESS CITY I $EATTLE ST: WA ZIP: 981184010 2
7 CDL IGNITION REQUIRED IGNITION PRESENT MEDICAL TRANSPORTED 3
INTERLOCKYES Na INTERLOCKVEs NO YES NO
8❑ DCIENSE# STATE WA SEXI M MMDDYY' 10 - 27 - 1998 1 2 32
-NJUR
9 ON DUTY❑ STATUS' AIRBAG 2 RESTR 4 EJECT 1 HELMET
2 CLASSY ? [NATURE of INJURIES 2
10 PI ENSttEI BFS4219 STATE WA VIN# 2T1BURHE2HC869282 3
5 TRAILER STATE TRAILER STATE
11 3 5 PLATE# PLATE# ROM To
TRLR TRLR 5 1 3 33
12 3 5 VIN# vIN#
FROM TO
13 2 VERYEAR2017 MAKE TOYT MODEL COROL STYLE VEHICLE TOYED NO�iS46LIN Tl� {J RSTOWING Ges❑EN ICLE
o� 7 3 34
DAMAGE IIII._IIII
REGISTERED OWNER INFO ROEL BORJA 4240SBRtGHTON ST SEATTLEWA 98118 VEHICLE NO. 1
SHADE IN DAMAGED AREA 35
2 LIABILITY INSURANCE INSURANCE CO 14 ALL STATE INSURANCE 817265478
IN EFFECT &POLICY#V""' CHARGE 36
LEGALLY YES❑NO❑ CITATION# <14,
15 STANDING
MOTOR PEDAL- PEDESTRIAN PROPERTY DAM THR OLD MET PHONE
UNIT 02 VEHICLE ❑ CYCLE ❑ ❑ nWNRR YEs�/ No D:2063310231
16�
LAST NAME PABLA FIRST NAME AMRIK MIDDLE S
INITIAL
17 F1 STREET ❑❑ 37?6903 46TH LN S CITY SEATAC ST, WA ZIP 98?883283
NEW ADDRESS
18❑ CDL IGNITION REQUIRED IGNITION PRESENT MEDICAL TRANSPORTED' ❑ 38
INTERLOCKYES NO INTERLOCK YES NO YES No'
19 DRIVER' STATE WA SEX M D.O.B. 03 05 1988 39
LICENSE# MMDDYY —
HELMET INJURY: NATURE OF INJURIES 40
20❑ ON DUTY❑ STATUS AIRBAG 2 RESTR 4 EJECT 1 2 7 ❑
USE CLASS POSSIBLE RIB INJURY/PAIN
21 LICENSE 4PAMt rare WA vIN# 5TDYK3DC1ES450649 41
22❑ [TILER TAILER
PLATE# STATE PLATE# STATE 42
23 TRLR r RLR 43
UIN#. 'IN#
TOWED BY GOV HI 44
VEH.YEAR 2014 MAKE TOYT MODEL SIENNA STYLE VEHICLE
TOWED✓ No BLIN BANKERS TOWING
24
REGISTERED OWNER INFO HARNEK PABLA 1690346TH LN S SEATAC WA 98188 VEHICLE NO.2
SHADFY DAGED AREA
4
LIABILITY INSURANCE[Z INSURANCE CO PROGRESSIVE INSURANCE 975864236
IN EFFECT &POLICY# 9TOP
LY—ve ❑ ,J—I CITATION# CHARGE tO BOTTOM
LEGALL YES N`[
25= a E
OFFICER'S NAME(PRINT) OFFICER PHONE BADGE OR ID# AGENCY
J
26
C.CATALAN 12007 WA0171300
PAGE 01 OF
PART A 3000-345-189(R 11/18)
STATE OF
POLICETRAFFICN CORRECTION REPORT NO. EF75721
COLLISION REPORT III III III III III 111
1591972 CASE# 25-2243
E NA ADDITIONAL PERSONS INVOLVED(PASSENGERS AND/OR WITNESSES ONLY)
M
(LAST,FIRST,MIDDLE INITIAL) ARNOLD CHRISTINE M
ADDRESS&PHONE#
6804 S 123RD ST APT 90 SEATTLE WA 981784174 SEXi F MMDDD B. 02 — 24 — 1970
SEAT HELMET INJURY NATURE OF INJURIES
PASSENGER Z WITNESS ,UNIT# 1 3 POS. 1 3 1 AIRBAG'2 1 RESTR. 4 EJECT 1 USE 2 CLASS ;6 1 LOWBACKINJURY —_—�
:NAME
Lnsr EIRST,MIDDLE INITIAL) TILTEN KELLY
ADDRESS R PHONE#
RENTON RENTON WA 98055 2533281616 SEX' F D.O.B. -=-
MMDDYYYY
PASSENGER WITNESS UNIT# SEAT AIRBAG RESTR. EJECT HELMET NJURY: NATURE OF INJURIES
❑ �✓ ; POS. USE ICIASS ' �_-- ----�
NAME
(LAST,FIRST,MIDDLE INITIAL)
ADDRESS&PHONE#
SEX/ M)TO
—
MMDDYYYY
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 03-13-25 04:55 PM
INVESTIGATING OFFICER'S SIGNATURE UNIT OR DIST.DET DATED PLACE SIGNED
APPROVED BY DATE
M.LEVERTON 2517 312112025 9:36:55 AM
BADGE OR ID# 12007 ORI# WA0171300 TIME POLICE DISPATCHED 12:31 PM TIME POLICE ARRIVED i 12:34 PM
PAST B 3 Do-3mx—attar gt 1Mffp PAGE 2�OF F6
REPORT NO. EF75721 CASE# 25-2243 OF DATE AND r�N + 03/12/25 12:30
O�COLLISION
NARRATIVE
On March 12, 2025, at approximately 1230 hours, I was dispatched to an injury and blocking 3
vehicle collision at the intersection of S 4th PI and Rainier Ave S, within the City Limits of Renton,
County of King, State of Washington.
While en route, Officer P. Lantagne had arrived on scene and requested Renton Regional Fire
Authority (RRFA) respond as a precaution due to airbag deployment.
Upon my arrival, I confirmed that the passenger of Unit 3 was complaining of back pain and the driver
of Unit 2 was complaining of rib pain. RRFA had already responded and evaluated the involved
parties prior to my arrival. All parties were treated at the scene and the passenger of Unit 3 was
transported to VMC. While on scene, I was able to collect each involved party's information and
independent summary of the events leading up to the collision.
The driver of Unit 1, Victor Martin, said he was traveling northbound on Rainier Ave S and had
approached the controlled intersecting roadway of S 4th PI. Victor stated that he was intending to
continue straight through the intersection to proceed northbound on Rainier Ave S. Victor said he
approached the intersection and noticed that the traffic light was green so continued through. As he
proceeded through the intersection, Unit 2 then suddenly appeared. Both Unit 1 and Unit 2 collided in
the roadway causing significant damage to the front bumper, passenger fender, and wheel of Unit 1.
The driver of Unit 2, identified as Amrik Pabla, said he was the sole occupant of his vehicle and was
stopped facing eastbound on S 4th PI at the intersection of Rainer Ave S. Amrik stated he was
intending to continue straight through the controlled intersection for his direction of travel. Amrik
stated that upon reaching the intersecting driveway, he noticed that the traffic signals were not
operating properly. The traffic lights were completely off and noticed that traffic was treating
intersection as a 4-way stop. After waiting for vehicles to proceed through, he believed it was his turn
so through the intersection. As he reached the northbound lanes, Unit 1 failed to yield to his vehicle at
the intersection. He was unable to avoid the collision and subsequently collided into Unit 1 causing
significant damage to the front of Unit 2.
The driver of Unit 3, identified as Jerome Jackson, said he was accompanied by his front passenger
and was stopped at the intersection of S 4th PI and Rainier Ave S. Jerome was facing westbound at
the intersection and noticed that the traffic signals were inoperable. The traffic lights were off, so
people were treating the intersection as a 4-way stop. After waiting for his turn, he observed Unit 2
moving forward. Jerome stated it was his turn, so he moved forward as well. As Unit 2 entered the
northbound lanes, Unit 1 failed to yield and struck Unit 1 head-on. The impact made Unit 2 veer left
into Unit 3. Jerome's front passenger, identified as Christine Arnold, stated she sustain an injury to
her low back and needed to be medically evaluated. Christine was transported to VMC.
An independent witness confirmed that intersection lights were not operating properly at the time of
the collision. The witness did not see the initial collision but saw when Unit 2 rolled into Unit 3.
While collecting the drivers independent stories, I also noticed that the traffic lights were not operating
properly.
Based on the above statements, I determined that the Driver of Unit 1 (Victor) is the proximate cause
for the cause of collision as he did not grant the right of way to traffic. Victor violated RCW 46.61.183.
Except when directed to proceed by a flagger, police officer, or firefighter, the driver of a vehicle
approaching an intersection controlled by a traffic control signal that is temporarily without power on
all approaches or is not displaying any green, red, or yellow indication to the approach the vehicle is
on, shall consider the intersection to be an all-way stop. After stopping, the driver shall yield the right-
of-way.
I gave Victor verbal warning for Failing to Stop/Yield at an intersection causing a collision.
Unit 1 and Unit 2 had to be privately towed due to extensive damage. Unit 3 was drivable, and an
exchange of information was provided to all involved parties.
Information only. No citation given.
I certify (or declare) under penalty of perjury under the laws of the State of Washington that the
PAGE 3 OF 6
REPORT NO. EF75721 CASE# 25-2243 O OF COLLI r�510NN + 03/12/25 12:30
COLL1
NARRATIVE
foregoing is true and correct.
Electronically signed by Officer C. Catalan Renton, King County, WA.
PAGE 4 OF 6
SUPPLEMENTAL REPORT No. EF75721
POLICE TRAFFIC
1 1 8 27
µ ^'� COLLISION REPORT CASE# 25-2243
013197
1 COMMERCIAL MOTOR CARRIER INTERSTATE INTRASTATE
UNIT# USDOT ICC# VEHICLE TYPE CARGO BODY: 3
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# 3 VEHICLE CYCLE ❑ PEDESTRIAN OWNER YES NO
D:2068517359
H
29
INITIAL LAST NAME JACKSON FIRST NAME JEROME NITIAL MIDDLE'. N
STREET 30
NEW ADDRFj 5706 17TH AVE NW C(TY SEATTLE ST WA ZIP 981075240
6 PRESENT MEDICALTANSPORTED: 1 1 2 31
IGNITION REQUIRED IGNITION
INTERLOCK YES NO .:INTERLOCK YES Na YES N
DRIVER'S D,fl,6
LICENSE WA SEX M MMDDYY 09 - 10 - 1961
7
HELMET 'INJURY NATURE OF INJURIES
ON DUTY STATUS AIRBAG 2 RESTR. 4 EJECT 1 USE 2 CLASS 7 LOW BACK PAIN
8 ❑ I 1 32
LICENSE AOH5853 TAT WA VIN lGlZT51846F111715
PLATE#
9 Fil STATE TRAILER TRAILER L
PLATE# PLATE# STATE
10 TRLR TRLR
_VIN#. VIN.#.
11 3 5 VEIL YEAR2006 I MAKE CHEV MODELMALIBU STYLE VEHICLE TOWE E T ABLIN TOWED BY GOVT.VFHICI F FROM TO
DAMAGE YES NO YES NO
REGISTERED OWNER INFO.CHRISTINEARNOLD 6804 S 123RD STAPT 90 SEATTLEWA 98178 SHADE IN DAMAGED AREA 3 7 33
12 3 4
FROM TO
LIABILITY INSURANCE INSURANCE CO PEMC0INSURANCE CA 079977f
❑ IN EFFECT � &POLICY# 5Tt7P 4 m 34
13 2 v..... YES[:]
ES NO CITATION# CHARGE 1E2801 TOM
v ❑ ❑
sTnNoiNc
MOTOR PEDAL_ ' 1:1PROPERTY : DAMAGE THRESHOLD MET PHONE 35
14 ❑ UNIT# VEHICLE CYCLE PEDESTRIAN OWNER YES NO
36
15 LAST NAME FIRST NAME NIT AL
16 ❑ STREET �' CITY ST' ZIP
NEW ADDRFSa
CDL IGNITION REQUIRED IGNITION PRESENT MEDICALTANSPORTED.
INTERLOCK YES NO INTERLOCK YES N6 .YES NO.
17 37
DRIVER'S
STATE SEX M DDY
L
18 ❑ ❑
HELMET 'INJURY NATURE OF INJURIES 38
ON DUTY STATUS AIRBAG RESTR. EJECT USE CLASS,:
19 ❑ ❑ 39
LICENSE TAT utN#
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 TOWED DUE T SABLIN TOWED BY GOVT.VEHICLE
DAMAGE YES NO YES NO
23 REGISTERED OWNER INFO. SHADE IN DAMAC ED AREA 43
2 3 4
LIABILITY INSURANCE INSURANCE CO
IN EFFECT I &POLICY# 1
..
K-99 y 44
24 YES❑ NO CITATION# CHARGE
STF_ G 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.
C.CATALAN 03-13-25 04:55 PM
25 INVESTIGATING OFFICER'S SIGNATURE OFFICER'S PHONE UNIT OR DIST DET DATED: PLACE SIGNED
26 OR ID# 12007 O#RI WA0171300 APPROVED BY
3122112025
PAGE�OF�
3000-345-013(R 11t18)
REPORT NO. EF75721 CASE# 25-2243 DATE AND TIME 03/12/2512:30
OF COLLISION
l
t e?
� t
t
y
t �
s
s
t1a
y�gVp\s� i �s
u
s. 1
fi
y
s
u
M t�t
i t
4 �
1
V
t
PAGE 6 OF 6