HomeMy WebLinkAbout25-3394 ITFF' "POLCERA II I !�� I III I III I IIII III II I . 2 27c
COLLISION REP FIT 1591971
CASE 25-3394 z
INTERSTATE ❑ CITY STREET FIRE ❑RESULTED
1 STOLEN
STATE ROUTE ❑ OTHER ❑ VFHICI F ❑ LOCAL AGENC 4100 3
HIT&RUN CODING
COUNTY RD PRIVATE WAY INVOLVED
2 TOTAL#TRIBAL OF OZ OBJECT 1 1 8 28
UNITS
RESERVATION I I
STRUCK
z
3❑ DATE OF M M D D Y Y Y Y TIME(2400) COUNTY# MILES N E IN CITY# ❑
cawsloN 04 - 1-- 2025 1005 17 ❑.= S 8 IN e 1070 3
4❑ ON (PRIMARY TRAFFIC WAY) INTERSECTION ❑✓ NON INTERSECTION ❑
BLOCK NO. e✓ --- ----� ❑
PARK AVE N MILEPOST
4a❑
DISTANCE OF(REFERENCE OR CROSS STREET)
5❑ ❑ FEET ❑ S ❑ W❑ N LANDING WAY
0 1 29
MOTOR PEDAL- DAM THRESHOLD MET PHONE
UNIT 01 VEHICLE ❑ CYCLE El YES NO �/ D:2065365769 30
6� LAST NAME TRAN FIRSTNAME UT MIDDLE T 1 1 2 31
INITIAL
STREET ❑ 19540 113TH PL SE CITY KENT ST WA Zjp, 98031 z
NEW ADDRESS
7❑ CDL IGNITION REQUIRED IGNITION PRESENT MEDICAL TRANSPORTED 3
iNTERLOCKYEs NO INTERLOCKYEs NO YES R NO
8❑ LRIIVERS STATE WA SEX'F MID
.O B 01 — 13 — 1951 32
CENSE 9 ON DUTY❑ STATUS AIRBAG 2 RESTR 9 EJECT 1 H U SE
ICNLJAUSSY 1 NATURE OF INJURIES z❑
❑10❑ Pi aT�S� AJH3500 sTArI WWAvIN# JTEHD20V850064837 3
TRAILER STATE TRAILER STATE
11 3 0 PLATE# PLATE# FR.. ro
TRLR. TRLR.. 1 5 33
12❑ VIN#' UIN#i
FROM r0
VEH.YEAR MAKE MODEL STYLE VEHICLE TOWED TO BLIN TOWED BY GOVT.VEHICLE 3 ] 34
13 3 2005 TOYT RAV4 UT DAMAGE YES NO YES[:] NO✓
REGISTERED OWNER INFO OWNEDBYDRIVER VEHICLE NO. 1 ❑
SHADE IN DAMAGED AREA 35
3 3 4
14 LIABILITY INSURANCE INSURANCE CO AMERICAN FAMILY CONNECT PROPERTY BX117t0734
IN EFFECT &POLICY# 9TOP
VEHCLE CHARGE 5 36
LEGALLY YES❑NO❑ CITATION# 5AO407887 FAIL TO YIELD TO PEDESTRIAN ON 1 o aorroM
15❑ STANDING 8 6
MOTOR PEDAL PROPERTY DAM THR OLD MET PHONE
UNIT 02 ❑ ❑ PEDESTRIAN ❑✓ ❑ D:8082242180
VEHICLE CYCLE OWNER YES�/ NO
16 a
LAST NAME CHUN FIRST NAME CATHERINE MIDDLE A
INITIAL
17❑ STREET ❑', 495 RENTON CENTER WAY SW APT 450 CITY' RENTON ST WA ZIP 98057 37
NEW ADDRESS ❑
18� CDL IGNITION REQUIRED IGNITION PRESENT MEDICAL TRANSPORTED ❑ 38
INTERLOCKYES�NOR INTERLOCK YEs❑NoF YES❑NO❑
19 F] LDI IVE # STATE SEX F M D.O.B. 12 _ 25 _ 1955 39
20 ON DUTY STATUS 3 AIRBAG RESTR EJECT , HELMET I INJURY 7 NATURE OF INJURIEs ❑ 40
USE CLASS POSSIBLE HEAD INJURY
❑21❑ LICENSE TArE VIN# 41
PLATE#
42
22❑ PLATE# STATE PLATE# STATE
23❑ 43
TRLR RLR
UIN#. 'IN#.
VEH YEAR MAKE MODEL STYLE VEHICLE TOWED TO BLIN
TOWED BY Gov HI 44
24 Q 1 DAMAGE YES NO YES NO
REGISTERED OWNER INFO VEHICLE NO.2
SHADE IN DAMAGED AREA
2 3 4
LIABILITY
INSURANCE❑ INSURANCE
#E CO
IN EFFECT &PO I 9TOP 5
V'""LE ❑ ,J� CITATION# CHARGE i o BOTTOM
LEGALLY YES N J
25 s e
OFFICER'S NAME(PRINT) OFFICER PHONE BADGE OR ID# AGENCY
26
C.ARNOLD 12509 WA0171300
PAGE 01 OF
PART A
3000-345-159 OR 11/181
STATE OF
POLICETRAFFICN CORRECTION REPORT NO. EF84740
COLLISION REPORT III III III III III 111
1591972 CASE# 25-3394
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
POS. 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.
C.ARNOLD 04-15-25 11:50 AM
NVESTIGATING OFFICER'S SIGNATURE UNIT OR DIST DET DATED PLACE SIGNED
APPROVED BY DATE
M.LEVERTON 2517 412212025 2:44:49 PM
BADGE OR ID# 12509 OR]#` WA0171300 TIME POLICE DISPATCHED; 10:08 AM TIME POLICE ARRIVED 10:09 AM
PART I PAGE IT]OF 4�
REPORT NO. EF84740 CASE# 25-3394 OF COLLISION
04/15/25 10:05
OF CbLLI510N
NARRATIVE
CC 25-3394
On 4/15/2025 at 1008 hours I was dispatched to a motor vehicle collision at the intersection of Park
Ave N and N Landing Way in the City of Renton, King County, Washington.
Pre-Collision
Unit 2 stated that she was proceeding West across Park Ave N within a designated crosswalk at N
landing Way.
Driver 1 stated that she was traveling South on Park Ave N in the #2 lane approaching N Landing
Way.
Collision
Unit 2 stated that as she entered the Southbound lanes of traffic within the marked crosswalk, Unit 1
failed to stop and she walked into the drivers side door causing her to fall to the ground. Unit 2 stated
that Unit 1 was still in motion when she was hit. Unit 2 stated that the lights for the crosswalk were
also illuminated at the time of the collision.
Driver 1 stated that she did not see Unit 2 and as she entered the area of the crosswalk, the right
drivers side door of Unit 1 struck Unit 2 as she was walking inside of the crosswalk.
Injuries
Unit 1 has suspected injuries, however she was alert at the time of the incident. Unit 2 was medically
transported to Valley Medical Center for evaluation. I went to Valley Medical Center to speak with
Unit 2 later and she stated that she had right knee pain but other pain had mostly subsided.
Vehicle Disposition
Unit 1 was operable and driven from the scene of the collision.
Proximate Cause
I determined that Driver 1 is at proximate cause for this collision because she failed to yield to the
right of way of a pedestrian in a marked crosswalk.
Driver 1 was cited per RCW 46.61.261.
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 11:39 on 4/15/2025 in the City of Renton, King
County, Washington.
PAGE 3 OF 4
REPORT NO. EF84740 CASE# ' 25-3394 DATE AND TIME 04/15/25 10:05
OF COLLISION
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PAGE 4 OF 4