HomeMy WebLinkAbout25-3038 j ITFC II IIIII III IIIII II IIII IIIII I . 27I
OOLCERAF EF81097
COLLISION REPRT 1591971
CASE# 25-3038 2
INTERSTATE CITY STREET FIRE ❑
RESULTED
1 STOLEN
STATE ROUTE ❑ OTHER ❑ VEHICLE ❑ LOCAL AGENCY 4200 3
COUNTY RD NVOLVED CODING
PRIVATE WAY
2❑ TRIBAL TOTAL 1
UNITS#OF 02 SO BJECT TRUCK 1 8 28
RESERVATION 2
3� M M D D Y Y Y Y TIME(2400) COUNTY# MILES CITY#
DATE OF'. N E
coulsloN' 04 - 04 - 2025 1412 17 =.= S 8 W E IN OF M 1070 a
4❑ ON (PRIMARY TRAFFIC WAY) INTERSECTION �✓ NON INTERSECTION ❑
RAINIER AVE S BLOCK NO. e 100 .�
4a❑ MILE POST
❑ DISTANCE OF(REFERENCE OR CROSS STREET)
5 . FEET S 8 W e SW VICTOR/A ST
OF 4 29
MOTtlR PEDAL- DAM AG THRESHOLD MET PHONE
UNIT 01 VEHICLE ❑ CYCLE ❑ YEs Vl No D:2534066328 0 1 30
5 LAST NAME PESHTAZ FIRST NAME NASIR MIDDLE A 1 1 2 31
INITIAL
STREET ❑ 13104 99TH CT E APT E204 CITY PUYALLUP ST WA ZIP 98373 2
NEW ADDRESS
7 CDL IGNITION REQUIRED IGNITION PRESENT MEDICAL TRANSPORTED 3
INTERLOCKYEs No INTERLOCKYEs NO YES NO
8❑ LICIENS# STATE WA SEX M MMOCSYY' 03 1 2 32
9 ON DUTY STATUS AIRBAG 2 RESTR 9 EJECT 1 N USEET 2 1 INJURY
CLASS 1 NAruRE of INJURIES 2
LICENSE, CNZ4058 STATE WA VN# JTDKN3DU2C1488715 3
10[9� PI ATF#
11[—j— TRAILER STATE TRAILER ,STATE
11 3 5 PLATE# PLATE# FROM TO
TRLR TRLR 5 7 33
12 3 5 VIN# vN#
( FROM TO
VEH.YEAR MAKE MODEL STYLE VEHICLE TOWED TO BLIN TOWED By GOVT VEHICLE
13 4 2012 TOYT PRIUS HB DAMAGE YES NO ✓ YEs❑ No 1 5 34
REGISTERED OWNER INFO NASIR PESHTAZ 1310499TH CT E APT E204 PUYALLUP WA 98373 D:2534066328 VEHICLE NO. 1 ❑
SHADE IN DAMAGED AREA 35
3
14 LIABILITY INSURANCE INSURANCE CO NATIONAL GENERAL 2025693176 4
IN EFFECT &POLICY# 4TOP _
srgALL YEs❑NO CITATION#❑ 5A0058252 CHARGE FAIL YIELD LEFT TURN MOTOR B o ooTrob 36
15
III MOTCYR PEDAL- PEDESTRIAN PROPERTY DAM THR OLD MET PHONE
UNIT Q2 VEHICLE CYCLE nWNFR YES)/ NO D:4252467592
16�
LAST NAME NORRIS FIRST NAME MATTHEW MIDDLE K
17 F1 INITIAL I
STREET ❑
'❑ PO BOX 252 CITY I WILKESON ST, WA ZIP 98396 4 37
NEW ADDRESS
18❑ CDL IGNITION REQUIRED IGNITION PRESENT MEDICAL TRANSPORTED 38
INTERLOCKYE , No INTERLOCK YES NO vEs Noi
19 DRIVER'S STATE WA SEX M I D.O.B. 07 21 2000 39
LICENSE# MMDDYY —
20❑ ON DUTY STATUS AIRBAG 2 RESTR 4 EJECT 1 H UET 2 CLAY 1 NATURE OF INJURIES 40
21 LICEN# D87422F rarE WA vIN# 1GCDT13X63K142000 41
22❑ PLATE# STATE PAAILER
TE# STATE ❑ 42
23 TRLR kRLR 43
UIN#. 'IN#.
VEH.YEAR 2003 MAKE CHEV MODEL STRUCK STYLE pl( VEHICLE TOWED TO BLIN
TOWED BY GOV HI 44
24 DAMAGE YES NO�/ YES NO
REGISTERED OWNER INFO TTHEW NORRIS PO BOX 252 WILKESON WA 98396 D:4252467592 VEHICLE NO.2
SHADE IN DAMAGED AREA
2 3 4
LIABILITY INSURANCE INSURANCE CO PROGRESSIVE 990042132
IN EFFECT &POLICY# 9TOP
vewaE ❑ ,.I—I CITATION11 CHARGE tO BOTTOM
A Y YES N`[
25 s a
OFFICER'S NAME(PRINT) OFFICER PHONE BADGE OR ID# AGENCY
26
C.ARNOLD 12509 WA0171300
PAGE 01 OF
PART A 3000-345-159(R 11/18)
POLIICFETRAFFICN CORRECTION REPORT NO. EF81097
COLLISION REPORT III III III III III 111
1591972 CASE# 25-3038
ADDITIONAL PERSONS INVOLVED(PASSENGERS AND/OR WITNESSES ONLY)
'NAME
(LAST,FIRST MIDDLE INTTIAL)
ADDRESS&PHONE#
SEX' D.O.B. — [----------�
MMDDYYYY
PASSENGER F-1 WITNESS Ej UNIT# SEAT AIRBAG RESTR. EJECT HELMET INJURY NATURE OF INJURIES--�
POS. USE CLASS
'NAME
(LAST FIRS,MIDDLE INITIAL)
ADDRESS&PHONE#
SEX' D.O.B. — L----------�
MMDDYYYY
PASSENGER DWITNESSD UNIT# SEAT AIRBAG RESTR. EJECT HELMET NJURY NATURE OF INJURIES
POS. : USE CLASS ----�
'.NAME
(LAST,FIRST,MIDDLE INITIAL)
ADDRESS&PHONE#
SEX D.O.B. — L----------�
MMDDYYYY
PASSENGER WITNESS UNIT# SEAT AIRBAG RESTR. EJECT HELMET INJURY NATURE OF INJURIES
❑ Q POS. USE CLASS �____ ----j
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.ARNOLD 04-04-25 03:17 PM
INVESTIGATING OFFICER'S SIGNATURE UNIT OR DIST.DET DATED PLACE SIGNED
APPROVED BY DATE
M.LEVERTON 2517 4/9/2025 7:38:04 AM
BADGE OR ID# 12509 ORI# ( WA0171300 TIME POLICE DISPATCHED'; 2:14 Pry TIME POLICE ARRIVED 2:Y0 Pm
PART B 3oDo-345-,ao(Rtlras) PAGE 27 OF 47
REPORT NO.` EF81097 CASE# 25-3038 O COLLI COLLISION TIME
OF 04/04/25 14:12
COLLI
NARRATIVE
CC
On 4/4/2025 at 1414 hours, I was dispatched to a motor vehicle collision at the intersection of Rainier
Ave S and SW Victoria St.
Pre-Collision
Unit 2's driver stated that he was traveling South on Rainier Ave S approaching SW Victoria St in the
number 1 lane.
Unit 1's driver stated that he was facing North on Rainier Ave S at SW Victoria St and preparing to
perform a lefthand turn to proceed West on SW Victoria St.
Collision
Driver 2 stated that as he approached SW Victoria St, he observed Unit 1 initiate a lefthand turn in
front of him. At this time Driver 2's view was obstructed by congested traffic in the #2 lane. Driver 2
stated that he attempted to stop but was unable to stop in time to avoid a collision. Driver 2 stated
that the front bumper of Unit 2 struck the front passenger side bumper of Unit 1.
Driver 1 stated that while he was waiting, traffic stopped to let him turn left from Rainier Ave S onto
SW Victoria St. Driver 1 said that he initiated a lefthand turn and as he crossed the #2 lane of SB
Rainier Ave S and entered the #1 lane, he saw Unit 2. The front bumper of Unit 2 collided with the
front passenger side bumper of Unit 1.
Both vehicles were leaking fluids at the scene of the collision.
Driver 2 provided me with dashcam video of the collision which corroborated both Driver's stories.
Injuries
Neither driver complained of injuries.
Vehicle dispositions
Both vehicles were towed from the scene, Unit 2 was towed by Bankers and Unit 1 was towed by a
private company.
Proximate Cause
I determined that Driver 1 is at proximate cause for the collision because he failed to yield to the right
of way of an oncoming vehicle, violating RCW 46.61.185. If Driver 1 had yielded to the right of way of
Unit 2, this collision would not have happened.
Final disposition
Driver 1 was cited for RCW 46.61.185 because the driver of a vehicle intending to turn to the left
within an intersection or into an alley, private road, or driveway shall yield the right-of-way to any
vehicle approaching from the opposite direction which is within the intersection or so close thereto as
to constitute an immediate hazard.
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 Officer C. Arnold #12509 on 4/4/2025 at 15:05 hours in the City of Renton.
PAGE 3 OF 4
REPORT NO. EF81097 CASE# 25-3038 DATE AND TIME i 04/04/25 14:12
OF COLLISION
NNW
'F'et i G,ik
� t k
t
S
,}
,f
r.
y
s
s
� t stt
z
;•r k \ l 4 `m
k k (
1,
t �
Y�� I Ilf
S 4
t
PAGE 4 OF 4