HomeMy WebLinkAbout25-2559 IT si " II IIIII III IIIII II IIII IIIII I . 27c REPORT NO EF76025OLCERA
COLLISION REPORT 1591971
CASE# 25-2559 2
INTERSTATE CITY STREET FIRE I
RESULTED STOLENSTATE ROUTE OTHER VEHICLE LOCAI-A`NG 4200 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' 03 - 21 - 2025 0702 17 =.[� S 8 W e OF IN e 1070 3
4❑ ON (PRIMARY TRAFFIC WAY) INTERSECTION ❑✓ NON INTERSECTION ❑
SUNSET BLVD NE BLOCK NO.
❑
MILE POST e
4a
❑ DISTANCE OF(REFERENCE OR CROSS STREET)
5 1.� FEET e S 8 W e BRONSONWAYNE
0 4 29
MOTOR PEDAL- DAMAG THRESHOLD MET PHONE
UNIT 01 VEHICLE ❑ CYCLE ❑ YES No �/ D:4258664743 0 1 30
6 LAST NAME BOHORQUEZ PALACIO FIRST NAME ANDRES MIDDLE M 1 1 2 31
INITIAL
STREET ] 300 VUEMONT PL NE APT D304 CITY; RENTON ST WA ZIP; 98056 2
NEW ADDRESS
7 +CDL IGNITION REQUIRED IGNITION ENT MEDICAL TRANSPORTED 3
INTERLOCKYEs �/No INTERLOCKYePRES NO�/ YES F NDF,/
8 DCIENSE# STATE WA SEXI M MMDDYY' O6 — 07 — 1996 1 2 32
9 ON DUTY STATUS' AIRBAG 2 RESTR 4 EJECT 1 N USEET INJUR
CLASSY 14 NATURE of INJURIES 2
LICENSE, CPB0399 STATE WA VIN# 3G1BE6SM2KS626652 3
10 Fq I PI ATP tt
TRAILER
11 2 5 STATE TRAILER STATE PLATE# PLATE# ROM To
TRLR zRLR 3 1 5 33
12 0 0 VIN#' VIN#
FROM TO
VEH.YEAR 2019 MAKE CHEV MODEL CRUZE STYLE C4 VEHICLE TOWED fj TO ZBLIN TOWEDBY GOVT VEHICLE g 1 34
13 DAMAGE YES II_II NO YESII_] NO
REGISTERED OWNER INFO ANDRES SOHOROUEZ PALACIO 300 VUEMONT PL NE APT D304RENTONWA98056 D:4258664743 VEHICLE NO. 1
SHADE IN DAMAGED AREA 35
LIABILITY INSURANCE❑ INSURANCE CO 2 3 4
14 GE/CO 6182-85-28-03
IN EFFECT &POLICY# 4TOP
VEn"❑ CITATION# t 7
5 36
Le , NO[j CHARGE
15 STMDING e
MOTOR PEDAL- PEDESTRIAN PROPERTY DAM THR OLD MET PHONE
UNIT 02 VEHICLE CYCLE nWNFR D:4257854642
16�
LAST NAME CONUS FIRST NAME JENNIFER MIDDLE L
INITIAL
17
STREET ❑ 37
NEW ADORE SS❑ 2109 NE 8TH ST CITY RENTON ST, WA ZIP 980563615 4
18❑ CDL IGNITION REQUIRED IGNITION : PRESENT MEDICAL TRANSPORTED'. 38
INTERLOCKYEs NO INTERLOCK YES No YES NO
19 DRIVER'S '
MMDDYYj I —
20❑ ON DUTY❑ STATUS AIRBAG 2 RESTR 4 EJECT 1 R U ET INJURY 1 NATURE OF INJURIES 40
21 LICENSLATE E CGS2751 rare WA VIN JM3KFBXY1PO213930 41
22❑ PLATE# STATE PLATE# STATE 42
23 TRLR r RLR 43
UIN#. 'IN#
VEH.YEAR 2023 MAKE MAID MODEL CJ(-5 STYLE Cp VEHICLE TOWED TO BLIN
TOWED BY GOV HI 44
24 DAMAGE YES NO VES NO
REGISTERED OWNER INFO JENNIFER CONUS 2109 NE 8TH ST RENTON WA 980563615 D:4257854642 VEHICLE NO.2
SHADE DAMAGED AREA
3 4
LIABILITY INSURANCE INSURANCE CO FOREMOST INSURANCE CO G01509873400
IN EFFECT &POLICY# 9TOP
ve w1— ❑ ,J—I CITATION11 CHARGE t080TTOM
L','—�Y YES N
25 a e
OFFICER'S NAME(PRINT) OFFICER PHONE BADGE OR ID# AGENCY
26
STEVEN FAJARILLO 12847 WA0171300
PAGE 01 OF
PART A 3000-345-189(R 11/18)
STATE OF
POLICETRAFFICN CORRECTION REPORT NO. EF76025
COLLISION REPORT III III III III III 111
1591972 CASE# 25-2559
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.
STEVEN FAJARILLO 03-21-25 08:13 AM
INVESTIGATING OFFICER'S SIGNATURE UNIT OR DIST.DET DATED PLAGE SIGNED
APPROVED BY DATE
D.SKELTON 9139 312312025 4:00:48 AM
BADGE OR ID# 12847 ORI# WA0171300 TIME POLICE DISPATCHED 7:06 AM TIME POLICE ARRIVED i 7:13 AM
PAST B 3 Do-3mx—attar(t 1Mff) PAGE 2�OF 4
REPORT NO. EF76025 CASE# 25-2559 O OF COLLISION TIME 03/21/25 07:02
NARRATIVE
25-2559
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 03-21-2025 1 was working as a police officer in the city of Renton. At approximately 0708 hours I
was dispatched to the report of a vehicle collision at the intersection of Bronson Way NE/Sunset Blvd
NE, City of Renton, County of King, WA. This incident was captured on my department issued Axon
body camera.
According to the notes in the call, a blocking collision occurred. No injuries. Unit 1 was identified as a
blue 2019 Chevrolet Cruze (WA/CPB0399) and Unit 2 was identified as a red 2023 Mazda CX-5
(WA/CGS2751).
I arrived on scene and contacted both parties. Neither driver was hurt and were the only occupants of
their respective vehicles. Both of their vehicles were still drivable.
The driver of Unit 2 advised she was driving north on Sunset Blvd NE and Unit 1 drove into the
intersection from Bronson Way NE. The driver of Unit 1 said he was trying to make a left turn onto
Sunset Blvd NE from a stop at Bronson Way NE. The front driver side quarter panel of Unit 1 collided
with the front passenger side quarter panel of Unit 2.
1 photographed the damage and uploaded the pictures to Evidence.com. I provided a case number
and exchange of information to both parties.
Based on the facts regarding this case, the driver of Unit 1 failed to yield to the right of way, and this
was the proximate cause of the collision.
There is no further information available at this time.
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 S. Fajarillo #12847 on 03/21/2025 @ 0812 hours in Renton WA.
PAGE 3 OF 4
REPORT NO. E F76025 CASE# 25-2559 DATE AND TIME 03/21/25 07:02
OF COLLISION> '
0
o
PAGE 4 OF 4