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HomeMy WebLinkAbout25-3499 ITFF' "POLCERA II I !�� I III I III I IIII III II I . 0 27c COLLISION REP FIT 1591971 CASE 25-3499 z INTERSTATE ❑ CITY STREET FIRE ❑RESULTED 1 STOLEN STATE ROUTE ❑ OTHER ❑ VFHICI F ❑ LOCAL AOENC 4Y00 3 HIT 8 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 CITY# COLLISION'. 04 — 18 — 2025 1912 17 . N E IN� S 8 W H OF e 1070 3 4❑ oN (PRIMARY TRAFFIC WAY) INTERSECTION ❑✓ NON INTERSECTION ❑ SUNSET BLVD NE BLOCK NO. e ❑ 4a❑ MILEPOST DISTANCE OF(REFERENCE OR CROSS STREET) 5❑ �,❑ FEET e S ❑ W e /405 NB ON-RAMP 0 1 29 MOTOR PEDAL- DAMAGE THRESHOLD MET PHONE UNIT 01 VEHICLE ❑ CYCLE El NO F,/ I D:6176060905 0 11 30 6� LAST NAME RATHI FIRSTNAME TEJESH MIDDLE 1 2 31 INITIAL STREET ❑, 17325 NE 85TH PL#G114 CITY REDMOND ST WA ZIP 98052 z NEW ADDRESS 7❑ CDL IGNITION REQUIRED IGNITION PRESENT MEDICAL TRANSPORTED 3 1/ I iNTERLOCKYEs NO NTERLOCKYEs NO�/ YES R No�/ 8 LRIIVERCENS # STATE SEX'M MDMDo 07 - 11 - 1991 1 2 32 9 ON DUTY❑ STATUS AIRBAG 2 RESTR 4 EJECT 1 H U EET ICNIJAU RY 1 NATURE OF INJURIES z❑ 3 LICENSE CMU8693 sTArI WAVIN# 3FMTK3R44PMA92683 10 F91 PI ATE# 0 TRAILER STATE TRAILER STATE 11 0 0 PLATE# PLATE# FROM TO TRLR. TRLR 6 2 33 12 0 0 VIN#' VIN#' >; FROM TO VEH.YEAR MAKE MODEL STYLE VEHICLE TOWED TO BLIN TOWED By GOVT.VEHICLE 2 6 34 13 1 2023 FORD MUSTAN UT DAMAGE YES NO ves❑ No REGISTEREDOWNERINFO pURVA BUNDELA 17325 NE 85TH PL APT G114 REDMOND WA 98052 D:6176060905 VEHICLE NO. 1 SHADE IN DAMAGED AREA 35 14 ❑ NSURANCECO 3 4 LIABILITY INSURANCE IN EFFECT &POLICY# 9TOP VEwcLE CHARGE 10BOTTOM 5 36 LEGALLv res❑NO❑ CITATION# 5 15❑ STANDING 8 7 6 MOTOR PEDAL- PEDESTRIAN PROPERTY DAM THR OLD MET PHONE UNIT VEHICLE ❑ CYCLE ❑ ❑ : OWNER ❑ YES 1/ No D:7783164634 16 a LAST NAME VILLANUEVA FIRST NAME GENESIS MIDDLE I D INITIAL 17 F1 NEW STREETREs7' 3508 PORTER ST CITY VANCOUVER ST BC ZIP V5N2K4 4❑ 37 18� CDL IGNITION REQUIRED IGNITION PRESENT MEDICAL t—TRANSPORTED 38 INTERLOCK YEs❑No� INTERLOCK yEEsIII I I NOF YES t l NO� 19 LICENSE# STATE SEX U Mr D.C.B. 01 26 _ 1993 39 20❑ ON DUTY STATUS AIRBAG,2 RESTR 4 EJECT 1 WEB MEET LASSY 6 [NATURE OF INJURIES COMPLAINT OF SHIN PAIN ❑ 40 LICENSE I ❑21❑ PLA E# WD537K TArE 41 WA YIN# JMIDKFC7XL1462894 1 42 22❑ PLATE# STATE PLATE# STATE 23❑ UIN#. 43 TRLR RLR 'IN#. TOWED By Gov HI 44 VEH YEAR 2020 MAKE IlggZp MODEL CX-3 STYLE UT —FEHICLE TOWED✓ NOO BLIN BANKERS YES No�/ 24❑ REGISTERED OWNER INFO OWNED SY DRIVER VEHICLE N0.2 SHADEDAMAGEDAREA 3 4 LIABILITY INSURANCE INSU&PORGY#ECO INSURANCECORPERATIONOFBCAO.NHJ STOP 5 IN EFFECT VE"LE ❑ Nu,J CITATION# CHARGE 25 to BOTTOM LEGALLY YES ' a OFFICER'S NAME(PRINT) OFFICER PHONE BADGE OR ID# AGENCY J 26 RYAN KARLO RIVERA 1 12649 WA0171300 PART A PAGE 01 OF 3000-345-159 OR 11/181 STATE OF POLICETRAFFICN CORRECTION REPORT NO. EF85879 COLLISION REPORT III III III III III 111 1591972 CASE# 25-3499 ADDITIONAL PERSONS INVOLVED PASSENGERS AND/OR WITNESSES ONLY) NAME MIDDLE INITIAL) LALRATHL SAMPAE (I.P.ST FIRST, ADDRESS&PHONE# 17325 NE 85TH PL#G114 REDMOND WA 98052 6176060905 SEX i X MMDOYyry 03 - 20 - 1962 PASSENGER WITNESS UNIT# SEAT AIRBAG RESTR. EJECT ' HELMET INJURY NATURE OF INJURIES ❑✓ : 1 POS. 3 2 4 1 USE CLASS 1 NAME (LAST,FIRST,MIDDLE INITIAL) RAEHI SUMARY ADDRESS&PHONE# DOB 17325 NE 85TH PL#G114 REDMOND WA 98052 6176060905 SEX' MMDDYvvv 10 _ 15 _ 1969 SEAT HELMET INJURY NATURE OF INJURIES PASSENGER WITNESS UNIT# 1 POS 7 AIRBAG 2 RESTR. 4 EJECT 1 USE CLASS 1 NAME (LAST FIRST,MIDDLE INITIAL) BUNDELA PURVA AooREss PHONE# 17325 NE 85TH PL#G114 REDMOND WA 98052 6176060905 SEX F D.O.B. 05 23 _ 1991 MMDDYYYY _ PASSENGER WITNESS UNIT# ! 1 SEAT g AIRBAG 2 RESTR. 4 EJECT 1 HELMET NJURY 1 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 04-19-25 01:10 AM INVESTIGATING OFFICER'S SIGNATURE UNIT OR DIST DET DATED PLACE SIGNED APPROVED BY E CASEY PROCTER 12123 DAT 4/25/2025 9:29:33 PM BADGE OR ID# 12649 OR]# WA0171300 TIME POLICE DISPATCHED 7:17 Pry TIME POLICE ARRIVED]7:22 Pry PART I PAGE IT]OF 6� STATE OF POLICETRAFFICN CORRECTION REPORT NO. EF85879 COLLISION REPORT III III III III III 111 1591972 CASE# 25-3499 ADDITIONAL PERSONS INVOLVED PASSENGERS AND/OR WITNESSES ONLY) NAME MIDDLE INITIAL) RASH/ RAOYSH (I.P.ST FIRST, ADDRESS&PHONE# 17325 NE 85TH PL#G114 REDMOND WA 98052 SEX i X MMDOYyvv 11 - 22 - 2023 PASSENGER WITNESS UNIT# SEAT AIRBAG RESTR. EJECT ' HELMET INJURY NATURE OF INJURIES ❑✓ : 1 POS. 9 2 11 1 USE CLASS 11 NAME LAST,FIRs MIDDLE INITIAL) JACKSON-EDDINS DJONNE R ADDRESS&PHONE# D O B 1100 SUNSET BLVD NE RENTON WA 98056 4809387970 SEX' U MMDovvvv 10 _ 29 _ 1990 SEAT HELMET INJURY NATURE OF INJURIES PASSENGER WITNESS UNIT# 2 POS 3 AIRBAG 2 RESTR. 4 EJECT 1 USE CLASS 1 NAME (LAST FIR57 MIDDLE INITIAL) AppRESS&PHONE# SEX D.O.B. MMDDYYYY. _ PASSENGER WITNESS UNIT# SEAT AIRBAG RESTR. EJECT HELMET NJURY URE OF INJURIES NAT ❑ ❑ 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 RIVERA 04-19-25 01:10 AM INVESTIGATING OFFICER'S SIGNATURE UNIT OR DIST DET DATED PLACE SIGNED APPROVED BY DATE CASEY PROCTER 12123 4/25/2025 9:29:33 PM BADGE OR ID# 12649 OR]# WA0171300 TIME POLICE DISPATCHED 7:97 PM TIME POLICE ARRIVED]7:22 PM PART I PAGE 3�OF 6� REPORT NO. EF85879 CASE# 25-3499 OF COLLISION 04/18/25 19:12 OF CbLLI510N NARRATIVE On 04/18/2025, 1 was working uniformed patrol in a marked police car as 3R23. At approximately 1917 hours, I was dispatched to a blocking accident at Sunset Blvd NE at the 1-405N on-ramp which is located within the city limits of Renton, County of King, Washington. Dispatch advised that an involved party had called in to report a blocking collision at the location. I arrived at the call location and was able to locate the accident. I was able to identify the two involved units and their associated occupants as listed above. The collision was partially blocking the northbound 1-405N on-ramp from northbound Sunset Blvd NE. I went to speak to the driver of Unit 1. My conversation with him is summarized as follows: Unit 1 explained that he was traveling northeastbound on Sunset Blvd NE approaching the northbound 1-405N on-ramp. Unit 1 stated he had stopped before entering the intersection where the yield sign was located before entering the on-ramp. Unit 1 saw Unit 2 headed southwestbound on Sunset Blvd NE. Unit 1 believed he had enough time to cross through the intersection to proceed onto the 1 405 NB. Unit 1 ended up not making it through the intersection in time. This resulted in the front end of Unit 1 to collide with the front end of Unit 2. Unit 1 stated that he and all his occupants were wearing his seatbelt. Unit 1 and its occupants did not mention any injuries at the time of the collision. I took a look around Unit 1 and saw that the front passenger side of the vehicle was slightly dented. It did not appear that any airbags deployed inside of his vehicle. Unit 1's driver also stated that he had insurance for the vehicle, however, was not able to access the updated insurance card at the time of the collision. I was then able to speak to the driver of Unit 2 and the occupants of her vehicle. My conversation with her is summarized as follows: Unit 2 stated she was heading southwestbound on Sunset Blvd NE approaching the northbound I- 405N on-ramp to continue going straight. She stated that Unit 1 had entered the intersection as she was continuing straight down Sunset Blvd NE. This resulted in the front end of Unit 2 colliding with the front passenger side of Unit 1. Unit 2 stated that she and her other occupant was wearing her seatbelt. Unit 2 stated she had some pain in her shin but declined to see aid at the time of the collision. Unit 2's occupant stated that he was uninjured. I took a look around Unit 2 and saw that the entire front end of the vehicle was dented. I saw that the front bumper was pushed far enough for part of the bumper to push up against the two front wheels of Unit 2. It did not appear any airbags had deployed inside of her vehicle. The driver of Unit 2 left the location with a friend a short time later. The driver of Unit 1 left the location in his vehicle a short time later. Unit 2 was towed by Bankers tow from the location. Based on the circumstances described above, it appears that Unit 1 is the proximate cause of the collision. 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: 04/18/2025 @ Renton, WA PAGE 4 OF 6 REPORT NO. EF85879 CASE# 25-3499 OF COLLISION 04/18/25 19:12 OF CbLLI510N NARRATIVE PAGE 5 OF 6 REPORT NO. EF85879 CASE# ' 25-3499 DATE AND TIME 04/18/25 19:12 OF COLLISION ��3 411 I 4 k�tu � 4 1 Z 1 ttV4 S� t k�u daa y )L; 4{ 4 y4 } }� As t t 4� b' PAGE 6 OF 6