HomeMy WebLinkAbout25-3510 ("7—
STATETFF' "CERA II I ��� III I I III I I IIII III II I 0 27c .
,one COLLISION REP F 1591971
CASE# 25-3510 2
INTERSTATE CITY STREET FIRE ❑
RESULTED
STOLEN
1 1 STATE ROUTE OTHER vFwCIF 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 - 19 - 2025 1250 17 a. S e W 8 IN
OF 8 1070 a
4❑ ON (PRIMARY TRAFFIC WAY) INTERSECTION ❑✓ NON INTERSECTION ❑ BLOCK NO.
UNION AVENE MILEPOST T
❑ MILEPOST
8 g00
4a .�
DISTANCE OF(REFERENCE OR CROSS STREET)
5❑ FEET e S e W 8 NE 8TH ST
OF 4 29
MOTOR PEDAL- DAM ETHRESHOLD MET PHONE
UNIT 01 VEHICLE CYCLE YES ,/No D:5109258867 0 1 30
6 LAST NAMED/NH FIRST NAME HUY MIDDLE'' 1 2 31
INITIAL
STREET E:1' 1413 8TH ST NE,APT K7 CITY AUBURN WA
NEW ADDRESS S7 ZIP 98002 z
7❑ COL IGNITION REQUIRED IGNITION PRESENT MEDICALTRANSPOftTED a
INTERLOCKYEs No INTERLOCK YES No YES NO
8❑ LDICENS STATE OVA SEX'M MM flYY 07 - 29 - 1990 1 2 32
9 F] ON DUTY STATUS AIRBAG 2 RESTR 4 EJECT 1 H U5 E7 2 CLASS 1 NATURE OF INJURIES 2
LICENSE
BNS4023 STATE
WA WIN# 5J8TB1H59BA004334
10 9❑ 3
11 3 5 PLATE# STATE PLATRAITE# STATE ROMRA
To
TRLR TRLR. 3 5 33
12 3 5 vIN#' VIN#
FROM TO
13 4 VEH.YEAR2011 MAKE ACUR MODEL RDX STYLE UT VEHICLETOWEEDFt11ENO2fBLIN 5 1 TOWED BY GOVT.VEHIICLNOF✓ 34
❑ REGISTERED OWNER INFO OWNEDBYDRIVER II—ll VEHICLE cNll O—.II 1
SHADE IN DAMAGED AREA ❑ 35
14 ABILITY INSURANCE INSURANCE CO GEIC04586.33.85-94 4
LIABILITY
EFFECT &POLICY# STOP
Vtw CHARGE 5 ❑ 36
ecAL Y YES❑NO❑ CITATION# 5A0297406 FAIL YIELD LEFT TURN MOTOR a BOTTOM
15❑ sT-- 6
I� MOTOR PEDAL PEDESTRIAN PROPERTY DAM THR OLD MET PHONE
UNIT VEHICLE CYCLE OWNER YES 1/ NO D:2537972313
16�
LAST NAME WHITMAN FIRST NAME JACOB MIDDLE
INITIAL
17 STREET El 2859 SE 16TH ST CITY NORTH BEND I ST', WA I ZIP 98045 4
NEW ADDRESS ❑ 37
18❑ CDL IGNITION REQUIRED IGNITION PRESEIJT MEDfCALTRANSPORTED 38
W7ERLOCKvEs No INTERLOCkCvEs no YES No,�
19 DRIVER'#
ON DUTY❑ STATUS AIRBAG',2 RESTR 4 EJECT 1 H U E7 2 INJU RY NATURE OF INJURIES 40
❑21❑ PLATE CHR4525 TATE,WA vIN# 5UX53DP04P9T10635 41
1
42
22 PLATE#TRAILER STATE PLATE TRAILER STATE
23 43
TRLR RLR
VIN#. '[N#,
44
VEH.YEAR 202$ MAKE BMW MODEL X$ STYLE UT DAMIAGE TO YES✓ NOO BLIN TOWED BY GO BANKERS YES N HI O
Ct
24
REGISTERED OWNER INFO OWNED BYDRIVER VEHICLE NO.2
SHAD DAGEd1AREA
LIABILITY INSURANCE INSURANCE CO PROGRESSIVE 931484150 add
IN EFFECT &POLICY#
Venue ❑ .1-1 CITATION# CHARGE
ec, tO BOTTOM
� A��Y YES N`'L J
25 B e
OFFICER'S NAME(PRINT) OFFICER PHONE BADGE OR ID# AGENCY
26
J.CARSTENSEN 11648 WA0171300
PART A . PAGE 01 OF
9000-345-159(R 11(181
STATE OF
POLICETRAFFICN CORRECTION REPORT NO. EF84045
COLLISION REPORT III III III III III 111
1591972 CASE# 25-3510
E NA ADDITIONAL PERSONS INVOLVED(PASSENGERS AND/OR WITNESSES ONLY)
M
(LAST,FIRST,MIDDLE INITIAL) WITTMAN CAYLENE
ADDRESS&PHONE#
2859 SE 16TH ST NORTH BEND WA 98045 SEXi F MMDDD BYYY 04 - 04 - 1992
PASSENGER WITNESS UNIT# SEAT AIRBAG RESTR. EJECT HELMET INJURY NATURE OF INJURIES
z ❑ 2 POS. 3 2 4 1 USE 2 CLASS ;1 ----�
:NAME
Lgsr FIRs7 MIDDLE INITIAL) WHITMAN CAMDEN
ADDRESS R PHONE#
2859 SE 16TH ST NORTH BEND WA 98045 SEX' M D 0'8• 11 _ 29 _ 2024
MMDDYYYY
SEAT HELMET NJURY NATURE OF INJURIES
PASSENGER a WITNESS❑!UNIT# 2 POS. ' 6 AIRBAG 2 RESTR. 11 EJECT 1 USE 2 CLASS 1 ----�
:NAME
(LOST,FIRST,MIDDLE INITIAL)
ADDRESS&PHONE#
SEX/ D.O.B. -
MMDDYYYY
PASSENGER WITNESS UNIT# SEAT AIRBAG RESTR. EJECT HELMET NJURY 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.
J.CARSTENSEN 04-19-25 02:07 PM
INVESTIGATING OFFICER'S SIGNATURE UNIT OR DIST.DET DATED PLACE SIGNED
APPROVED BY DATE
J.TRADER 4553 412012025 1:18:45 PM
BADGE OR ID# ; 11648 ORI# WA0171300 TIME POLICE DISPATCHED 12:57 PM TIME POLICE ARRIVED i 1:02 PM
PART B 3000-345.160(R1Vt8) PAGE 0 OF 47
TIM
REPORT NO. EF84045 CASE# 25-3510 OF COLLI ION 04/19/25 12:50
OF COLLISION
NARRATIVE
On 4/19/25 at about 1300 hours I was working uniformed patrol in my unmarked patrol vehicle when I
was dispatched to a collision at NE 8th ST/ Union Ave NE in the City of Renton, King County, WA.
contacted the driver of Unit 1, who was identified by his WA DOL photo, and he relayed the
following:
Unit 1 was traveling westbound on NE 8th ST at Union Ave NE. Unit 1 started to pull out to make the
left turn southbound on Union Ave NE. Unit 1 turned left and collided with Unit 2. This caused
damage to the front end of Unit 1.
I contacted Unit 2, who was identified by her WADL, and he relayed the following:
Unit 2 was traveling northbound on Union Ave NE towards NE 8th ST. As Unit 2 was passing NE 8th
ST, Unit 2 was struck by Unit 1. This caused damage to the right side of Unit 2.
Both parties exchanged info on-scene and I gave both parties a business card with the case number.
Infraction #5A0297406 was sent via Court Mail to Unit 1 for Failure To Yield Right of Way on Left
Turn..
I certify (declare) under penalty of perjury under the laws of the State of Washington that the
foregoing information provided by me is true and correct.
Electronically signed: J. Carstensen #11648
PAGE 3 OF 4
REPORT NO. EF84045 CASE# 25-3510 DATE AND TIME 04/19/2512:50
OF COLLISION
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PAGE 4 OF 4