HomeMy WebLinkAbout25-3042 iiTFiNII IIIII III IIIII II IIII IIIII I . 27c REPORT NO EF81098oc� RA
COLLISION REPORT 1591971
CASE#I 25-3042 2
INTERSTATE CITY STREET FIRE ❑RESULTED
1 STOLEN
STATE ROUTE ❑ OTHER ❑ VEHICLE ❑ LOCAL A`QENC'Y. 4200 3
COUNTY RD INVOLVED CODING
PRIVATE WAY TOTAL 1
2❑ TRIBAL 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
GDLLISION' 04 - 04 - 2025 1655 17 =.= S 8 W E IN OF M 1070 a
4❑ ON (PRIMARY TRAFFIC WAY) INTERSECTION �✓ NON INTERSECTION ❑
LIND AVE SW BLOCK NO. e 4300 .�
4a❑ MILE POST
❑ DISTANCE OF(REFERENCE OR CROSS STREET)
5 �. FEET S 8 W e SW 43RD ST
0 1 29
MOTOR PEDAL- DAM AG THRESHOLD MET PHONE
UNIT 01 VEHICLE ❑ CYCLE' ❑ YES ✓NO D:7864099825 0 7 30
5 LAST NAME VILLAR MIRANDA FIRST NAME DIEGO MIDDLE J 1 1 2 31
INITIAL
STREET ❑ 24415 64TH AVE S SPC 41 CITY KENT ST WA ZIP 980324369 2
NEW ADDRESS
7 CDL IGNITION REQUIRED IGNITION PRESENT MEDICAL TRANSPORTED 3
INTERLOCK YES NO INTERLOCKYES NO YES F NOF
8� LICIENS# STATE WA SEX M MMOCSYY' O6 - 28 - 2001 1 2 32
9� ON DUTY STATUS AIRBAG 3 RESTR 9 EJECT 1 N USEET 2 1 INJURY
CLASS 1 NAruRE of INJURIES 2
LICENSE, CRT7937 STATE WA VN# 19XFB2F80FE252425 3
10 PI ATP rt
TRAILER STATE TRAILER ,STATE
11 3 5 PLATE# PLATE# FROM TO
TRLR TRLR 7 3 33
12 0 0 VIN# VIN#
( FROM TO
VEH.YEAR MAKE MODEL STYLE VEHICLE TOWED TO BLIN TOWED By GO VEHICLE 9 9 34
13 4 2015 HOND CIVIC DAMAGE YES NO YES❑ NO
REGISTERED OWNER INFO OWNEDBYDRIVER VEHICLE NO. 1 ❑
SHADE IN DAMAGED AREA 35
14❑ LIABILITY INSURANCE ElNSURANCE CO 3 4
IN EFFECT &POLICY# 4TOP _
srgNOLNG Yes ❑
NO 5AO407873 CHARGE FOLLOW VEHICLE TOO CLOSELY B o ooTrofi 36
CITATION#
15
MOTOR PEDAL- PROPERTY DAM THR OLD MET PHONE
VEHICLE
UNIT 02 CYCLE OWNER Q ❑ PEDESTRIAN ❑ D:2067309051
YES NO
16�
LAST NAME CHENAULT FIRST NAME ANDREW MIDDLE D
INITIAL
2 37
17 STREET ❑'❑ 5827184TH PL SE CITY COVINGTON ST, WA ZIP 980428484 4
NEW ADDRESS
18❑ CDL IGNITION REQUIRED IGNITION PRESENT MEDIGALTRANSPORTED' 38
INTERLOCKYES No INTERLOCK YES DNo YEs NU'
19 DRIVER'S STATE WA SEX M I D.O.B. 12 _ 01 2008 39
'..LICENSE# MMDDYY -
20❑ ON DUTY STATUS AIRBAG 2 RESTR 4 EJECT 1 H UET 2 SE CLA1 Y NATURE OF INJURIES 40
21 LICSS
EN� BVY3719 rarE WA vIN# 3LN6L5F98KR609324 41
PLATE 22❑ PLATE# STATE PATE# STATE ❑ 42
23 TRLR kRLR 43
UIN#. 'IN#.
VEH.YEAR 2019 MAKE L/NC MODEL M►(Z STYLE $D VEHICLE TOWED TO BLIN
TOWED BY GOV HI 44
24 DAMAGE YES NO YES NO
REGISTERED OWNER INFO SHARYN.HONEY 523 S 47TH ST RENTON WA 98055 D:2069534488 VEHICLE NO.2
SHADE IN DAMAGED AREA
2 3 4
LIABILITY INSURANCE INSURANCE CO ALLSTATE 964258692
IN EFFECT &POLICY# t 9TOP
vewaE ,.I—I CITATION# CHARGE tO BOTTOM
LEGnLLv YES N`[_
25 a 7 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. EF81098
COLLISION REPORT III III III III III 111
1591972 CASE# 25-3042
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 06:15 PM
INVESTIGATING OFFICER'S SIGNATURE UNIT OR DIST.DET DATED PLACE SIGNED
APPROVED BY DATE
M.LEVERTON 2517 4/9/2025 7:41:49 AM
BADGE OR ID# 12509 ORI# ( WA0171300 TIME POLICE DISPATCHED'; 4:58 PM TIME POLICE ARRIVED 5:07 PM
PART B 3 Do-3mx-,ao(Rtlras) PAGE 27 OF 47
REPORT NO.` EF81098 CASE# 25-3042 O COLLI COLLISION TIME
OF 04/04/25 16:55
COLLI
NARRATIVE
CC 25-3042
On 4/4/2025 at 1658 hours I was dispatched to a motor vehicle collision at the intersection of SW
43rd St and Lind Ave SW.
Pre-Collision
Driver 2 stated that he was driving in the #1 lane proceeding East on SW 43rd St approaching Lind
Ave SW.
Driver 1 stated that he was driving in the #1 lane proceeding East on SW 43rd St approaching Lind
Ave SW behind Unit 2.
Collision
Driver 2 stated that he came to a stop for traffic that was backed up on the other side of the
intersection. Driver 2 stated that the front bumper of Unit 1 struck the rear bumper of Unit 2.
Driver 1 stated that Unit 2 abruptly stopped at the intersection even though the light was green, and
that he did not have time to slow to avoid a collision. Driver 1 stated that the front bumper of Unit 1
collided with the rear bumper of Unit 2.
Injuries
Neither driver complained of injuries.
Vehicle Disposition
Both vehicles were able to be driven away from the scene.
Proximate Cause
I determined that Driver 1 was at proximate cause for this collision because if he had given an
appropriate following distance behind Unit 2, he would have had time to slow to a stop and this
collision would not have happened.
Final disposition
Driver 1 was cited with RCW 46.61.145 because the driver of a motor vehicle shall not follow another
vehicle more closely than is reasonable and prudent, having due regard for the speed of such
vehicles and the traffic upon and the condition of the highway.
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 at 18:03 on 4/4/2025 in the City of Renton, King
County, Washington.
PAGE 3 OF 4
REPORT NO. EF81098 CASE# 25-3042 DATE AND TIME i 04/04/25 16:55
OF COLLISION
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