HomeMy WebLinkAbout25-2758 iiTFiNII IIIII III IIIII II IIII IIIII I . 27c REPORT NO EF81096oc� RA
COLLISION REPORT 1591971
CASE# 25-2758 2
INTERSTATE CITY STREET FIRE ❑
RESULTED
1 STOLEN
STATE ROUTE ❑ OTHER ❑ VEHICLE ❑ LOL`CO A`GENC'Y 4200 3
COUNTY RD INVOLVED
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' 03 - 27 - 2025 1335 17 =.= S 8 w E IN OF M 1070 a
4❑ ON (PRIMARY TRAFFIC WAY) INTERSECTION �✓ NON INTERSECTION ❑
BLOCK NO.
RENTON AVE EXT
4a❑ MILE POST
❑ DISTANCE OF(REFERENCE OR CROSS STREET)
5 . FEET S 8 w e TAYLOR AVE NW
2 0 29
MOTtlR PEDAL- DAM AG THRESHOLD MET PHONE
UNIT 01 VEHICLE ❑ CYCLE' ❑ YES ✓NO D:2062761669 Q 1 30
6 LAST NAME ABRAHA FIRST NAME GEBREMESKEL MIDDLE H 1 1 2 31
INITIAL
STREET ❑ 5153 S 117TH ST
NEW CITY, SEATTLE ST WA ZIP 981782852 2
7 CDL IGNITION REQUIRED IGNITION PRESENT MEDICAL TRANSPORTED 3
INTERLOCKYEs NO INTERLOCKYEs NO YEs NO
8❑ LICIENS# STATE WA SEX M MMor YY' 05 1 2 32
9[�] ON DUTY STATUS AIRBAG 2 RESTR 4 EJECT 1 N USEET INJURY
CLASS 1 NAruRE of INJURIES 2
LICENSE, CCY6804 STATE WA VN# 4T3B6RFV4NU076323 3
10 PI ATF#
TRAILER STATE TRAILER ,STATE
11 3 5 PLATE# PLATE# ROM TO
TRLR TRLR 7 1 33
1 3 5 VIN# vN#
FROM TO
2
VEH.YEAR MAKE MODEL STYLE VEHICLE TOWED TO BLIN �tpyEN�I GOVT VEHICLE
13 2 2022 TOYT RAV4 DAMAGE YES�NO� �"-"'"'�RS 7 3 34 YE NO
REGISTERED OWNER INFO FREWEYNI AGA 5153 S 117TH ST SEATTLE WA 98178 VEHICLE NO. 1 ❑
SHADE IN DAMAGED AREA 35
3 14 LIABILITY INSURANCE INSURANCE CO SAME. 4
IN EFFECT &POLICY# 4TOP _
YEs
""ALLNG �NO CITATION#❑ 5A0333552 CHARGE IMPROPER LANE USAGE B o ooTrob 36
15 STM
III MOTCYR PEDAL- PEDESTRIAN PROPERTY DAM THR OLD MET PHONE
UNIT O2 VEHICLE CYCLE nwNFR YES,/ NO D:2062297012
16�
LAST NAME WELLINGS FIRST NAME MEGAN MIDDLE M
INITIAL
STREET ❑ 37
17 '❑ 7911 S 115TH PL CITY SEATTLE ST, WA ZIP 981783835
NEW AbbRESS
18❑ CDL IGNITION REQUIRED IGNITION PRESENT MEDIGALTRANSPORTED' ❑ 38
INTERLOCKYEs Nb 1NTERLOCKYES NO vEs No'
19[ DRIVER'S STATE WA SEXI F E.O.B. 11 19 1975 39
LICENSE# MMDDYY —
HELMET INJURY' NATURE OF INJURIES 40
LATE
20❑ ON DUTY STATUS' AIRBAG 2 RESTR 4 EJECT 1 USE CLASS 1 ❑
21 LICEN� CGW9211 rarE WA vIN# JM3KKDHA4R1109129 41
22❑ PLATE# STATE PAAILER
TE# STATE ❑ 42
23 TRLR kRLR 43
UIN#. 'IN#.
TOWED BY GOV HI 44
VEH.YEAR 2Q24 MAKE MAID MODEL CX 9Q STYLE AMA NO
TOWED No BLIN BANKERS YES NO�/
24
REGISTERED OWNER INFO DAVID WELtING57911 S115TH PL SEATTLE WA 98178 VEHICLE N0.2
SHADE IN DAMAGED AREA
2 3 4
LIABILITY INSURANCE INSURANCE CO SAME.
IN EFFECT &POLICY# I 9TOP
HICL
LEIAIL YES❑ N CL J CITATION# CHARGE tO BOTTOM
VEE 6
--J
25 OFFICER'S NAME(PRINT) OFFICER PHONE BADGE OR ID# AGENCY
26
M.LEVERTON 2517 WA0171300
PAGE 01 OF
PART A 3000-345-159(R 11/18)
POLIICFETRAFFICN CORRECTION REPORT NO. EF81096
COLLISION REPORT III III III III III 111
1591972 CASE# 25-2758
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.
M.LEVERTON 03-27-25 03:00 PM
INVESTIGATING OFFICER'S SIGNATURE UNIT OR DIST.DET DATED PLACE SIGNED
APPROVED BY DATE
M.LEVERTON 2517 1 41912025 7:20:31 AM
BADGE OR ID# 2517 ORI# ( WA0171300 TIME POLICE DISPATCHED'; 1:35 PM TIME POLICE ARRIVED 1:39 PM
PART B 3oDo-345-,ao(Burls) PAGE 27 OF 47
REPORT NO.` EF81096 CASE# 25-2758 O COLLI COLLISION TIME
OF 03/27/25 13:35
COLLI
NARRATIVE
maroon/2 lane 1 slv lane 3 cut across
CC
Within the city limits of Renton/King/Wa I responded to a 2 vehicle blocking crash near the
intersection of Renton Ext and Taylor Ave NW.
I contacted the driver of unit 2 who told me she was in lane 1 west bound Renton Ext which forces a
right/north turn onto Taylor Ave NW. She told me that she watched unit 1 in lane 3 make a sudden
lane change cutting off a car in lane 2. However, unit 1 continued making his sudden lane change
into the side of unit 2. She told me she moved her vehicle out of the roadway, utilized a tow truck for
damages. She did not complain of injury.
I contacted the driver of unit 1 ID'd by his picture WADL. He told me he was in lane 2 and unit 2
crashed into the side of his car while he was westbound. Both the damage and lane position post
collision did not seem to be consistent with unit 1 recollection of the crash. Another senior Renton
Sgt agreed that unit 1 was cutting across lanes when the crash took place. He did not complain of
injury and damages required a tow truck.
I cited unit 1 ref RCW 46.61.140 Improper lane use/lane change via complaint.
I certify (declare) under penalty of perjury under the laws of the State of Washington that the
foregoing is true and correct.
M.Leverton/2517 City of Renton/King/Wa 3/27/2025
PAGE 3 OF 4
REPORT NO. EF81096 CASE# 25-2758 DATE AND TIME i 03/27/25 13:35
OF COLLISION
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