HomeMy WebLinkAbout25-3078 ITFF' "POLCERA II I !�� I III I III I IIII III II I . 4 27c
COLLISION REP FIT 1591971
CASE 25-3078 z
INTERSTATE ❑ CITY STREET FIRE ❑
RESULTED
1 STOLEN
STATE ROUTE ❑ OTHER ❑ VFHICI F ❑ LOCAL AGENCI 4Y00 3
HIT&RUN CODING
COUNTY RD PRIVATE WAY INVOLVED
2❑ TOTAL#OF OBJECT ❑2$
TRIBAL UNITS 01 STRUCK' TREE OR STUMP
RESERVATION
z
3❑ DATE OF M M D D Y Y Y Y TIME(2400) COUNTY# MILES N E IN CITY#
GawsloN 04 - 06 - 2025 0250 17 =-= S 8 IN e 1070 3
4❑ ON (PRIMARY TRAFFIC WAY) INTERSECTION ❑✓ NON INTERSECTION ❑
BLOCK
BREMERTONAVENE ST e✓
MILEPOST 600 ❑
4a❑
DISTANCE OF(REFERENCE OR CROSS STREET)
5❑ �,❑ FEET e S ❑ We NE7THST
0 1 29
MOTOR PEDAL- DAMAGE THRESHOLD MET PHONE
UNIT 01 VEHICLE ❑ CYCLE El
,/NO D:7028589888 30
6� LAST NAME Q1 FIRSTNAME XINLI MIDDLE
INITIAL 1 2 31
STREET ❑, 831 126TH PL NE#8105 CITY BELLEVUE ST WA 2jp, 98005 z
'NEW ADDRESS
7❑ CDL IGNITION REQUIRED IGNITION PRESENT MEDICAL TRANSPORTED 3
iNTERLOCKYEs NO 1/ INTERLOCKYEs NO Z/ YES R No�/
$❑ LICENS
DRIVER # STATE WA SEX'F MID
.O B 02 - 01 - 1992 32
9 ON DUTY❑ STATUS AIRBAG 6 RESTR 4 EJECT 1 H USEET ICNLJAURY 1 NATURE OF INJURIES 2❑
3
10❑ PI aT�S1t CGV1492 sTArI WAvIN#' 1 HGCY2F83PA045874
TRAILER STATE TRAILER STATE
11 0 0 PLATE# PLATE# FROM TO
TRLR. TRLR. 5 1 33
12❑ vIN#' VIN#
FROM
34
13� VEH.YEARN MAKE HOND MODEL ACCOR STYLE SD VEHICLE TOWED0NOOffBLIN TQVWkkRS y�S❑ENO
DAMAGE IILLJJII tSA1Vi�6
REGISTERED OWNER INFO TIECHENGWAN.1007116TH AVE NE#211 BELLEVUE WA 98007 D:4123309288 VEHICLE NO. 1
SHADE IN DAMAGED AREA 35
3 4
14 LIABILITY INSURANCE INSURANCECO METROMILE INSURANCE COMPANY LCP465-8228.984
IN EFFECT &POLICY# 9TOP
VEHICLE CHARGE 5 36
LEGALLv res❑NO❑ CITATION# 1 o BOTTOM
15❑ STANDING 7 6
UNIT U2 VEHICCMOTOLE ❑ CYCLE ❑ PEDESTRIAN ❑ OWN ARTY ❑ DYES NO OLD MET PHONE
16❑
LAST NAME FIRST NAME MIDDLE
INITIAL
STREET
CITY' ST ZIP 4❑ 37
17❑ NEW ADDRESS❑'
18❑ CDL IGNITION REQUIRED IGNITION PtR-E-S1ENT MEDICAL-T�RANSPORTED ❑ 38
INTERLOCKYES�NOR INTERLOCK YEs I I NOF YES
t l NO❑
19 LLIICENS # STATE SEX MMDDYY -❑_ 39
HELMET INJURY NATURE OF INJURIES 40
20❑ ON DUTY STATUS' AIRBAG RESTR EJECT USE CLASS ❑
❑21❑ TArE 41
IN#LICENSE V 1
PLATE#
42
22❑ PLATE# STATE PLATE# STATE
23❑ 43
TRLR RLR
UIN#. 'IN#.
VEH YEAR MAKE MODEL STYLE VEHICLE TOWED TO BLIN
TOWED BY Gov HI 44
24❑ DAMAGE YES NO YES NO
REGISTERED OWNER INFO VEHICLE NO.2
SHADE IN DAMAGED AREA
2 3 4
LIABILITY
INSURANCE❑ INSURANCE
#E CO
IN EFFECT &PO I 9TOP 5
VE"LE ❑ N`L J
,J� CITATION# CHARGE
25 i o BOTTOM
LEGALLY YES s 7 6
OFFICER'S NAME(PRINT) OFFICER PHONE BADGE OR ID# JAGENCY
26
RYAN KARLO RIVERA 1
12649 WA0171300
PART A PAGE 01 OF
3000-345-159 OR 11/181
STATE OF
POLICETRAFFICN CORRECTION REPORT NO. EF81242
COLLISION REPORT III III III III III 111
1591972 CASE# 25-3078
ADDITIONAL PERSONS INVOLVED PASSENGERS AND/OR WITNESSES ONLY)
NAME MIDDLE INITIAL) WANG TIECHENG
(LAST FIRST,
ADDRESS&PHONE# D O.B.
1007156TH AVE NE#211 BELLEVUE WA 98007 4123309288 SEX M MMDOYyry 10 - 22 - 1995
PASSENGER I�I WITNESS�',UNIT# 1 POS 3 AIRBAG 6 RESTR. 4 EJECT ? 1 HEL EET INJURY 1 NAruRE of INJURIEs
NAME L�1
(LAST,FIRST,MIDDLE INITIAL)
ADDRESS&PHONE# Id D O E4
E MMDDYYYV
PASSENGER ❑WITNESS UNIT# SEAT AIRBAG RESTR. EJECT HELMET NJURY NATURE OF INJURIES
POS. USE CLASS
NAME
(LAST FIR57 MIDDLE INITIAL)
AppRESS R PHONE#
SEX D.O.B.
MMDDYYYY.
PASSENGER WITNESS UNIT# SEAT AIRBAG RESTR. EJECT HELMET NJURY NATURE OF INJURIES
❑ ❑ POS. 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.
RYAN KARLO R/VERA 04-06-25 04:12 AM
INVESTIGATING OFFICER'S SIGNATURE UNIT OR DIST DET DATED PLACE SIGNED
APPROVED BY DATE
CASEY PROCTER 12123 411012025 3:05:42 AM
BADGE OR ID# 12649 OR]# WA0171300 TIME POLICE DISPATCHED 2:50 AM TIME POLICE ARRIVED]2:53 AM
PART I PAGE IT]OF 5�
REPORT NO. EF81242 CASE# 25-3078 OF COLLISION
04/06/25 02:50
OF CbLLI510N
NARRATIVE
On 04/06/2025, 1 was working uniformed patrol in a marked police car as 3R23. At approximately
0250 hours, officers were dispatched to an unknown injury accident at 671 Bremerton Ave NE, which
is located within the city limits of Renton, County of King, Washington. Dispatch advised that a
witness who heard the accident occur had reported that an unknown vehicle had crashed into a tree.
As I was driving to the call, dispatch updated officers that they had also just received an iPhone crash
notification from around the same area. Dispatch noted that they could hear a male and female voice
in the background talking, but not in English.
When I arrived at the dispatch location, I was able to locate the collision just east of Bremerton Ave
NE/NE 7th St. I saw that there was a single vehicle that was facing northbound on Bremerton Ave NE
that had collided with a tree on the eastern sidewalk.
I was able to identify the sole involved vehicle in this collision as listed above (Unit 1). 1 was also able
to identify the driver and front passenger as also listed above.
I was able to speak to the driver of Unit 1. My conversation with her is summarized as follows:
Unit 1 stated she was headed northbound on Bremerton Ave NE, approaching NE 7th St. She stated
that she was temporarily distracted by her phone because she had attempted to fix her navigation
system. This resulted in her eyes temporarily off the roadway which subsequently led to the front end
of Unit 1 striking a tree just east of Bremerton Ave NE/NE 7th St.
I also spoke to Unit 1's front passenger. He also reported a similar story as the driver described
above.
It should be noted that Bremerton Ave NE from around NE 4th St to where the collision occurred, the
road is bendy as it passes through a semi-residential neighborhood. The roadway they were on was
also dark with limited ambient lighting.
I took a look around Unit 1. 1 noticed that the entire front end of the vehicle was damaged. Parts of the
front bumper were broken and hanging off. I also saw that parts of the front end of the vehicle were
broken and in the middle of the roadway and the nearby east sidewalk. I also saw that all the front
airbags inside the vehicle had been deployed.
I also took a look at the nearby tree. The tree appeared to be relatively undamaged with some of the
tree bark falling out.
Unit 1's driver stated that she was uninjured as a result of the collision. She also stated that she was
wearing her seatbelt.
Unit 1's front passenger also stated that he was uninjured as a result of the collision. He also stated
that he was wearing his seatbelt.
Bankers Tow eventually arrived and took possession of Unit 1.
Other officers at the location attempted to contact the reporting original party over the phone to no
avail. Other officers also took photos of the collision and uploaded them to Evidence.com to be added
to the case file.
Unit 1's driver and passenger stated they had called a rideshare driver and were left at the scene of
PAGE 3 OF 5
REPORT NO. EF81242 CASE# 25-3078 OF COLLISION
04/06/25 02:50
OF CbLLI510N
NARRATIVE
the collision.
This report is for informational purposes to document this incident.
This concludes my report.
I certify (declare) under penalty of perjury under the laws of the State of Washington that the
foregoing is true and correct.
Signature: Ryan Rivera (#12649) Date and Place: 04/06/2025 @ Renton, WA
PAGE 4 OF 5
REPORT NO. EF81242 CASE# 25-3078 DATE AND TIME 04/06/25 02:50
OF COLLISION
a'
0 Cc
i
i Eck
k�� t
f �
C�
ilk
r
fi i
f
t4�+F q. rr 9
a 9 �
j
v ?�
I
k
f
tt
PAGE 5 OF 5