HomeMy WebLinkAbout25-2976 ITFF' "POLCERA II I !�� I III I III I IIII III II I . 0 27c
COLLISION REP FIT 1591971
CASE 25-2976 z
INTERSTATE ❑ CITY STREET FIRE ❑RESULTED
1 STOLEN
STATE ROUTE ❑ OTHER ❑ VFHIr.I F ❑ LOCAL AOENC 4200 3
HIT&RUN CODING
COUNTY RD PRIVATE WAY INVOLVED
2 1 TOTAL#OF OBJECT 1 1 8 28
TRIBAL UNITS OZ STRUCK
RESERVATION
z
3❑ DATE OF M M D D Y Y Y Y TIME(2400) COUNTY# MILES N E IN CITY# ❑
cawsloN 04 - 1-- 2025 1539 17 ❑.= S 8 IN e 1070 3
4❑ ON (PRIMARY TRAFFIC WAY) INTERSECTION ❑ NON INTERSECTION ❑✓
BLOCK
SUNSET BLVD NE M901
4a❑ MILEPOST
DISTANCE OF(REFERENCE OR CROSS STREET)
5❑ ❑ FEET e S ❑ W e 0 1 29
MOTOR PEDAL- DAMAGE THRESHOLD MET PHONE
UNIT 01 VEHICLE ❑ CYCLE El
NO D:4254298177 0 6 30
6� LAST NAME HAILEMARIAM FIRSTNAME SAYMON MIDDLE N 1 1 2 31
INITIAL
STREET ❑, 1814 CHELAN PL NE CITY RENTON ST WA 2jp, 980593950 z
NEW ADDRESS
7❑ CDL IGNITION REQUIRED IGNITION PRESENT MEDICAL TRANSPORTED 3
iNTERLOCKYEs NO INTERLOCKYEs NO YES R NO
8❑ LRIIVER #
ON DUTY❑ STATUS AIRBAG 2 RESTR 4 EJECT 1 HELMET
2 CLASS 1 NATURE OF INJURIES z❑
3
10 9❑ P1 aT�S� CNJ1215 sTArI WAvIN# 3FAHPOHA1CR378527
TRAILER STATE TRAILER STATE
11 3 5 PLATE# PLATE# FROM TO
TRLR. A'RLR. 1 5 33
12 3 5 VIN#j VIN#
FROM TO
VEH.YEAR MAKE MODEL STYLE VEHICLE TOWED TO BLIN TOWED BY GOVT.VEHICLE $ 34
13 2 2012 FORD FUSION DAMAGE YES NO YES[:] NO✓
REGISTERED OWNER INFO SAYMON HAILEMARIAM 1814 CHELAN PL NE RENTON WA 98059 VEHICLE NO. 1 ❑
SHADE IN DAMAGED AREA 35
14 LIABILITY INSURANCE z INSURANCE CO NATIONAL GENERAL 154485502 4
LI EFFECT I POLICY# TOPVEHICLE CHARGE 36
LEGALLv res❑NO❑ CITATION# <1�3
OTTOM
15❑ STANDING 7 6
MOTOR PEDAL- PEDESTRIAN PROPERTY DAM THR OLD MET PHONE
UNIT a2 VEHICLE ❑ CYCLE ❑ ❑ OWNER ❑ YES 1/ NO D:6503021785
16 a
LAST NAME JOHNSON FIRST NAME PAUL MIDDLE I G
INITIAL
17❑ STREET ❑', 2226 ELLIOTT AVE APT 401 CITY SEATTLE ST WA ZIP 981211663 37
NEW ADDRESS ❑
18� CDL IGNITION REQUIRED IGNITION PtR—E—S1ENT MEDICAL TRANSPORTED 38
INTERLOCKYES�NOR INTERLOCK YEs I I NOF YEs t l NO❑
19 DRIVER #
{NJURY 1 NATURE OF INJURIES 40
20❑ ON DUTY STATUS AIRBAG 2 RESTR 4 EJECT 1 USE 2 CLASS ❑
21❑ LICENSE 9JAK093 TAre CA VIN# 7MMVABBMORN165934
❑ 41
PLATE#
42
22❑ PLATE# STATE PLATE# STATE
TRLR
23❑ UIN#. IN#.
43
RLR
'
VEH YEAR 2024 MAKE MAZp MODEL CX-5 SE STYLE UT VEHICLE TOWED TO BLIN TOWED BY GOV HI 44
L4❑ DAMAGE YES NO YES NO
REGISTERED OWNER INFO EAN HOLDING 14002 E 21ST#STE 1500 TULSAOK74134 VEHICLE NO.2
SHADE IN DAMAGEbAREA
2 3 Cd
LIABILITY
INSURANCE I PORGY#E CO ENTERPRISE LLC.SELF INSUREDIN 1G'E""LE
TOP❑ ,J� CITATION# CHARGE OTTOM
LEGALLY YES N`L J
25
7CA
NAME(PRINT) OFFICER PHONE BADGE OR ID# AGENCY
J
26LAN 12007 WA0171300
PART A PAGE 01 OF
3000-345-159 OR 11/181
STATE OF
POLICETRAFFICN CORRECTION REPORT NO. EF81590
COLLISION REPORT III III III III III 111
1591972 CASE# 25-2976
ADDITIONAL PERSONS INVOLVED PASSENGERS AND/OR WITNESSES ONLY)
NAME
(LAST FIRST,MIDDLE INITIAL)
ADDRESS&PHONE#
SEX D.O.B. - -
MMDDYYYY.
PASSENGER❑WITNESS UNIT# SEAT AIRBAG RESTR. EJECT ' HELMET INJURY NATURE OF INJURIES
PM USE CLASS
NAME
'(LAST,FIRST MIDDLE INITIAL)
ADDRESS&PHONE# D D B
SEX MMDDYYYY
PASSENGER ❑WITNESS UNIT# SEAT AIRBAG RESTR. EJECT HELMET INJURY NATURE OF INJURIES
POS. USE CLASS
NAME
(LAST FIRST 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.
C.CATALAN 04-07-25 05:45 PM
INVESTIGATING OFFICER'S SIGNATURE UNIT OR DIST DET DATED PLACE SIGNED
APPROVED BY DATE
M.LEVERTON 2517 411112025 7:18:55 AM
BADGE OR ID# 12007 OR]#` WA0171300 TIME POLICE DISPATCHED 3:43 PM TIME POLICE ARRIVED 3:59 PM
PART I PAGE IT]OF 4�
REPORT NO. EF81590 CASE# 25-2976 OF COLLISION
04/02/25 15:39
OF CbLLI510N
NARRATIVE
On 04/02/2025 at approximately 1539 hours, I was dispatched to a two-vehicle collision with reports
of injury just north of the intersection at 901 Sunset Blvd NE, within the City Limits of Renton, County
of King, State of Washington.
While on scene, I collected the involved parties driving documents and their independent recollection
of events leading up to the collision.
The driver of Unit 1, identified as Saymon N. Hailemariam, said he was the sole occupant of his
vehicle and was traveling southbound in about the 950 block of Sunset Blvd NE just north of NE 9th
St. The driver of Unit 1 stated he was traveling directly behind Unit 2 and saw as Unit 2 had come to a
stop for another vehicle make a left turn onto Ne 9th St. Saymon stated that he simply was unable to
stop in time and subsequently collided with the rear of Unit 2 causing moderate damage to the front of
Unit 1.
The driver of Unit 2, Paul Johnson, said he was the sole occupant of his vehicle and was also
traveling southbound in about the 950 block of Sunset Blvd NE just north of NE 9th St. While Unit 2
was stopped for another vehicle to make a left turn, Unit 1 collided with the rear of Unit 2 causing
minor damage to the rear of Unit 2.
The driver of Unit 1 (Saymon) was not paying attention to traffic in front of him. Saymon violated
Renton Municipal Code (RMC) 10-12-25-Inattentive Driving which is defined as any person to drive a
motor vehicle on any public highway, street, alley, or road in an inattentive manner in the City of
Renton. "Inattentive manner" in this section means a lack of: 1) attentiveness required to safely
operate the vehicle under the prevailing conditions, including, but not limited to, the nature and
condition of the roadway, the weather conditions, the presence of pedestrians, the presence of other
traffic, or by the driver focusing or directing the driver's attention to something other than driving the
motor vehicle; or 2) attentiveness that would permit the driver of a motor vehicle to observe anything
resting on, or traveling on, or entering the roadway in time to take appropriate action as
circumstances require. (Ord. 4462, 7-25-94, eff. retroactive to 7-1-94; Ord. 5635, 11-14-11).
Based on the above statements, I determined that the Driver of Unit 1 (Saymon) is the proximate
cause for the collision due to inattention causing a collision. He should have been paying closer
attention to the movement of traffic in front of him.
Both involved vehicles were able to be driven away without further incident. An exchange of
information was provided to all involved parties.
No citations were given. This is an information report 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 04/07/2025 Renton
PAGE 3 OF 4
REPORT NO. EF81590 CASE# ' 25-2976 DATE AND TIME 04/02/25 15:39
OF COLLISION
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