HomeMy WebLinkAbout25-3689 ITFF' "POLCERA II I !�� I III I III I IIII III II I . 5 27c
COLLISION REP FIT 1591971
CASE 25-3689 z
INTERSTATE ❑ CITY STREET FIRE ❑RESULTED
1 STATE ROUTE OTHER STOLEN
❑ ❑ HFH1C;l F ❑ LOCAL AOENC 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 1525 17 ❑. S 8 W Li OF e 1070 3
4 4❑ ON (PRIMARY TRAFFIC WAY) INTERSECTION ❑✓ NON INTERSECTION ❑
SUNSET BLVD N BLOCK NO. e✓ 300
4a 1❑ MILEPOST
DISTANCE OF(REFERENCE OR CROSS STREET)
5❑ ❑ FEET e S ❑ W e N 3RD ST
0 4 29
MOTOR PEDAL- DAMAGE THRESHOLD MET PHONE
UNIT 01 VEHICLE ❑ CYCLE El
✓NO D:2064369172 0 11
30
6❑ LAST NAME BUI FIRSTNAME THUY MIDDLE V 1 2 31
INITIAL
STREET ❑, 1720 SW 106TH ST CITY SEATTLE ST WA 2jp, 981461365 z=
NEW ADDRESS
7❑ CDL IGNITION REQUIRED IGNITION PRESENT MEDICAL TRANSPORTED 3
iNTERLOCKYEs NO INTERLOCKYEs NO YES R NO
8❑ LDRIVER # STATE WA SEX'F MID
.O B 03 1— 11 — 2005 2 32
9 ON DUTY❑ STATUS AIRBAG 3 RESTR 9 EJECT 1 H U SE
ICNLJAUSSY 1 NATURE OF INJURIES z❑
3
10� PI ATE BWW4041 sTATI WAvIN#' JTDKB20U940093821
TRAILER STATE TRAILER STATE
11 0 0 PLATE# PLATE# FROM TO
TRLR. TRLR 7 1 33
12 0 0 VIN#' VIN#
>; FROM TO
❑ VEH.YEAR MAKE MODEL STYLE VEHICLE TOWED TO BLIN T Y GOVT.VEHICLE 7 $ 34
13 A 2004 TOYT PRIUS DAMAGE vE6 0NO agW�MEYERS ves❑ No
REGISTEREDOWNER WFO HUNGLE144075THPLS BURIENWA98168 VEHICLE NO. 1 ❑
SHADE IN DAMAGED AREA 35
A LIABILITY INSURANCE INSURANCE CO
14 ❑ FARMERS UNKNOWN
IN EFFECT M:
POLICV# 9TOP
ve EFFECT
CHARGE 5 36
LEIF" Yes❑NO❑ CITATION# 5AO424486 10 BOTTOM
15❑ STANDING 8 7 6
MOTOR PEDAL PEDESTRIAN PROPERTY DAM THR OLD MET PHONE
16 a UNIT 02 VEHICLE ❑ CYCLE ❑ ❑ OWNER ❑ YES NO ,/ D:2064369172
LAST NAME MUKURU FIRST NAME ANDREW MIDDLE N
INITIAL
17❑ STREET ❑' 13606 96TH AVE E CITY' PUYALLUP ST' WA ZIP 98373 37
NEW ADDRESS ❑
18� CDL IGNITION REQUIRED IGNITION PRESENT MEDICALTRANSPORTED 38
INTERLOCK YEs❑NOR INTERLOCK YEs❑NOF YEs❑NOF
19[—] LDI IVER # STATE WA SEX M MMDDW 08 _ 08 _ 1979 0 39
WELMET INJURY1 NATURE OF INJURIES 40
20❑ ON DUTY STATUS AIRBAG 2 RESTR 9 EJECT 1 USE CLASS ❑
21❑ LICENSE BEL4297 TATe WA VIN# 3FAHPOHA5CR378563
❑ 41
PLATE#
42
22❑ PLATE# STATE PLATE# STATE
23❑ UIN#. 43
TRLR RLR
'IN#.
VEH YEAR 2012 MAKE FORD MODEL FUSION STYLE P4 VEHICLETOWED TO BLIN TOWEDBY GOV HI 44
L4❑ DAMAGE YES NO YES NO
REGISTERED OWNER INFO ANDREW MUKURU 1360696TH AVE E PUYALLUP WA 98373 D:2064369172 VEHICLE NO.2
SHADEDAMAGEDAREA
3 4
LIABILITY
INSURANCE &POINSURGY#E CO PROGERSIVE 993031409IN STOP 5
VEHICLE ❑ ,.I—I CITATION# CHARGE to BOTTOM
LEGALLY YES N`LJ
25 s a
OFFICER'S NAME(PRINT) OFFICER PHONE BADGE OR ID# AGENCY
J
26
SULIASI TAMAIVENA 12788 WA0171300
PAGE 01 OF
PART A
3000-345-159 OR 11/181
STATE OF
POLICETRAFFICN CORRECTION REPORT NO. EF85827
COLLISION REPORT III III III III III 111
1591972 CASE# 25-3689
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 FIR57 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.
SULIASI TAMAIVENA 04-25-25 05:36 PM
INVESTIGATING OFFICER'S SIGNATURE UNIT OR DIST DET DATED PLACE SIGNED
APPROVED BY DATE
P.SUMMERS 8887 4/25/2025 5:47:22 PM
BADGE OR ID# ! 1Y788 OR]# WA0171300 TIME POLICE DISPATCHED! 3:29 PM TIME POLICE ARRIVED',3:29 PM
PART I PAGE IT]OF 4�
REPORT NO. EF85827 CASE# 25-3689 OF COLLISION
04/25/25 15:25
OF CbLLI510N
NARRATIVE
25-3689
On 4/25/2025 at 1529 hours I on viewed a motor vehicle collision at SUNSET BLVD NE/NB 1405 in
the City of Renton, King County, Washington.
Collision
Driver 2 stated He was on Sunset BLVD NE driving south in lane one (being the only lane) when
Driver 1 turned in front of his vehicle causing the accident.
Driver 1 stated she was in a left turn lane on Sunset BLVD NE attempting to access NB 1405 ramp.
Driver 1 advised she got distracted and did not see the yield sign but only saw the freeway sign and
did not yield which caused the accident. Driver acknowledges she was at fault.
Injuries
Both parties claimed no injuries.
Vehicle Disposition
Driver's 1 vehicle was damaged on the right passenger door and back right passenger door. Also,
front driver tire was flat. Vehicle was unable to drive and was towed by Gene Meyers.
Driver's 2 vehicle had only damaged to the front bumper. Vehicle was still drivable.
Proximate Cause
Driver 1 was making a left turn onto NB 1405 and failed to yield when Driver 2 was heading south.
Driver 1, who failed to yield at the yield sign, turned in front of Driver 2, causing the accident.
Photos were taken on the scene and uploaded to evidence. The information exchange was
incomplete because Driver 1 left the scene when the vehicle was being towed. I provided a case
number and my business card to Driver 2.
This citation stems from a collision documented under case number 25-6385, which occurred in the
City of Renton, King County, Washington. The defendant was identified as BUI, THUY VI THI (DOB
03/11/2005) by WADL, and is referred to in this report as "Driver 1". The vehicle that the defendant
was operating is referred to as Unit 1 and is being cited for failing to yield at a yield sign and not
providing insurance. Citation 5AO424486 will be mailed to her.
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 S. Tamaivena #12788 1656 on 4/25/2025 in the City of Renton, King
County, Washington.
PAGE 3 OF 4
REPORT NO. EF85827 CASE# ' 25-3689 DATE AND TIME 04/25/25 15:25
OF COLLISION
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PAGE 4 OF 4