HomeMy WebLinkAbout25-3459 ("7—
STATE.w,-" .:.. TFFiNCERA �I I ��� III I I Iil I I�I1 II{ II I 0 27c .
,one COLLISION REP F 1591971
CASE# 25-3459 2
INTERSTATE CITY STREET FIRE ❑
RESULTED
STOLEN
1 1 STATE ROUTE OTHER VFHICI F LOCAL AGENCY 4200 3[�
HIT 8 RUN CODING
COUNTY RD PRIVATE WAY INVOLVED
2 TRIBAL UN 75 TOTAL#OF STRUCK OBJECT 11 8 2$
RESERVATION 2
3 M M D D Y Y Y Y TIME I2400) COUNTY# MILES CITY#
COAT sloN 04 - 17 - 2025 1401 17 a. e W 8 OF IN 8 1070 3
S
4❑ ON (PRIMARY TRAFFIC WAY) INTERSECTION ❑ NON INTERSECTION ❑✓
TALBOT RD S BLOCK NO. 8✓ 5200 .�
4a❑ MILEPOST
❑ DISTANCE OF(REFERENCE OR CROSS STREET)
5 �. FEET e S e W B
OF 4 29
MOTOR PEDAL- DAM E THRESHOLD MET PHONE
UNIT 01 VEHICLE CYCLE YEs NO �/ D:7192290713 0 1 30
6� LAST NAME NDUNG'U FIRST NAME CAROL MIDDLE N 1 1 2 31
INITIAL
STREET E:1' 17940 51 ST AVE S CITY SEATAC WA
NEW ADDRESS S7 ZIP 981884613 z
7❑ CDL IGNITION REQUIRED IGNITION PRESENT MEDICAL TRANSPORTED 3
INTERLOCK YEs No INTERLOCKVES No YES NO
DRIVE STATE WA SEX'F MM flYY 05 - 15 - 1990 1 2 32
8❑ L
9 ON DUTY STATUE AIRBAG 2 RESTR 4 EJECT 1 H ELSE CLASR 1 NATURE OF INJURIES 2=
ENSte CPZ1186 srArE WA WIN# 3VWE57BU5MM051235 3
10 9❑ PI
11RA
3 5 PLATE# STATE TRAIPLATE# STATE ROM ro
TRLR TRR. 7 1 33
12 3 5 vIN#' VIN#
FROM TO
13 4 VEH.YEAR2021 MAKE VOLK MODEL JETTA STYLE VEHICLDAMAGE TOWED Lt1 T02fBLIN TOWED BY GOVT.VEHIICL✓ 1 5 34
❑ REGISTERED OWNER INFO OWNED BY DRIVER II—ll VEHICLE cNO..II 1
SHADE 1N DAMAGED AREA ❑
EFFECT
35
14 LIABILITY INSURANCE URANCE CO NATIONAL GENERAL 2028006666 4
IN EFCT &PINSOLICY# 4TOP _
vt FE CHARGE i 5 ❑ 36
YES❑NO CITATION# 5AO407892 FAIL YIELD PRIVATE RD MOTOR o BOTroM
15❑ nomc 6
MOTOR PEDAL PEDESTRIAN PROPERTY DAM THR OLD MET PHONE
UNIT 02 VEHICLE CYCLE OWNER YES NO D:2069197179
16�
LAST NAME GILL FIRST NAME BALWINDER MIDDLE $
INITIAL
17❑ STREET El 10885 SE 214TH PL CITY KENT I ST WA ZIP 980311381 37
NEW ADDRESS ❑
18❑ CDL IGNITION REQUIRED IGNITION pRESEIJT MEDICAL TRANSPORTED ❑ 38
1NTERLOCKYEs No INTEPLOCKYES NO vEs No
19❑ DRIVER'#
❑ ON DUTY STATUS AIRBAG 2 RESTR 4 EJECT 1 H�SET INJURY 1 NATURE OF INJURIES ❑ 40
CLASS
21❑ LICENSE ALV8547 TATf WA vIN# JTNBE46K273046301
❑ 41
PLATE#
TRAILER TRAILER ❑22 PLATE# STATE PLATE STATE 42
23 43
TRLR RLR
VIN#. '[N#,
VEH.YEAR 2007 MAKE TOYT MODEL CAMRY STYLE DAMIAGE TOWED NOO✓ BLIN TOWED BY GO YES N HI 44
O
24 YES
REGISTERED OWNER INFO OWNED BYDRIVER VEHICLE NQ.2
SHAD DAGAREA
LIABILITY INSURANCE INSURANCECO ENCOMPASS ENDEMNITY COMPANY 282781542
IN EFFECT &POLICY# t STOP 5
venue YES❑ N J
.1-1 CITATION# CHARGE
tO BOTTOM
�ecns�v
25 s � e
OFFICER'S NAME(PRINT) OFFICER PHONE BADGE OR ID# AGENCY
26
C.ARNOLD 12509 WA0171300
PART A . PAGE 01 OF
9000-345-159(R 11(181
STATE OF
POLICETRAFFICN CORRECTION REPORT NO. EF83625
COLLISION REPORT III III III III III 111
1591972 CASE# 25-3459
ADDITIONAL PERSONS INVOLVED(PASSENGERS AND/OR WITNESSES ONLY)
'.NAME
(LAST,FIRST,MIDDLE INITIAL)
ADDRESS&PHONE
SEXi D.O.B. -
MMDDYYYY
PASSENGER❑WITNESS❑;UNIT# SEAT AIRBAG RESTR. EJECT HELMET INJURY NATURECFINJURIES
POS. ' USE CLASS 1 ----�
:NAME
(LAST FIRST MIDDLE INITIAL)
ADDRESS&PHONE#
SEX D.O.B. -
MMDDYYYY
PASSENGER❑WITNESS UNIT# : SEAT AIRBAG RESTR. EJECT HELMET INJURY: NATURECFINJURIES
POS. USE CLASS ----�
:NAME
(LOST,FIRST,MIDDLE INITIAL)
ADDRESS&PHONE#
SEX MMDDYY D.O.B.
YY
PASSENGER WITNESS UNIT# SEAT AIRBAG RESTR. EJECT HELMET NJU S' NATURE OF INJURIES
❑ ❑ POS. I 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.
C.ARNOLD 04-17-25 02:47 PM
INVESTIGATING OFFICER'S SIGNATURE UNIT OR DIST.DET DATED PLACE SIGNED
APPROVED BY DATE
G.BARFIELD 6476 1 411812025 8:52:16 AM
BADGE OR ID# 12509 ORI# WA0171300 TIME POLICE DISPATCHED 1 2:03 Pry/ TIME POLICE ARRIVED i 2:11 PM
PART B 3000-345.160(R1Vt8) PAGE F2 --]OF 47
REPORT NO. EF83625 CASE# 25-3459 OF COLLI ION 04/17/25 14:01
OF COLLISION
NARRATIVE
CC 25-3459
On 4/17/2025 at 1403 hours I was dispatched to a motor vehicle collision at around the 5200 block of
Talbot Rd S in the City of Renton, King County, Washington.
Pre-Collision
Driver 2 stated that he was proceeding South on Talbot Rd S in the 2-way center turn lane and
merging into the #1 lane to proceed Southbound on Talbot Rd S.
Driver 1 stated that she was stopped waiting for a break in traffic leaving the Springbrook Condos at
around the 5200 block of Talbot Rd S. Driver 1 stated that she was preparing to perform a lefthand
turn to proceed North on Talbot Rd S.
Collision
Driver 2 stated that after he merged into the #1 lane, Unit 1 pulled out of the private drive of the
Springbrook Condos and the front drivers side bumper of Unit 1 struck the front passenger side wheel
of Unit 2, then scarping along the entire passenger side of Unit 2, resulting in substantial damage to
the front passenger side tire, doors, and rear bumper being ripped from Unit 2.
Driver 1 stated that she saw that Unit 2 had his right turn signal which she thought meant that he was
turning into the Springbrook Condos. Driver 1 stated that she looked and saw that there was no traffic
coming from the South and began to perform her lefthand turn. Driver 1 stated that she did not expect
Unit 2 to not turn and when she entered traffic, the front drivers side bumper of Unit 1 struck the front
passenger side wheel, doors, and rear bumper of Unit 2 as it continued moving past.
Injuries
Neither driver complained of injuries.
Vehicle Disposition
Unit 1 was able to be driven from the scene. Unit 2 was able to be driven off of the roadway and
parked nearby.
Proximate Cause
I determined that Driver 1 is the proximate cause of this collision because she failed to yield to right-of
-way of traffic upon a public highway.
Driver 1 was cited per RCW 46.61.205.
1 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 14:43 on 4/17/2025 in the City of Renton, King
County, Washington.
PAGE 3 OF 4
REPORT NO. EF83625 CASE# 25-3459 DATE AND TIME 04/17/2514:01
OF COLLISION
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PAGE 4 OF 4