HomeMy WebLinkAbout35-3446 ITFF' "POLCERA II I !�� I III I III I IIII III II I . 0 27c
COLLISION REP FIT 1591971
CASE 35-3446 z
INTERSTATE ❑ CITY STREET FIRE ❑RESULTED
1 STOLEN
STATE ROUTE ❑ OTHER ❑ VFHIC;I F ❑ LOCAL AOENC 4Y00 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#
cowsloN 04 - 1-- 2025 0747 17 ❑-= S 8 IN e 1070 3
4❑ ON (PRIMARY TRAFFIC WAY) INTERSECTION ❑✓ NON INTERSECTION ❑
BLOCK
SUNSET BLVD NE ST e✓
MILEPOST 270 ❑
4a❑
DISTANCE OF(REFERENCE OR CROSS STREET)
5❑ ❑ FEET e S ❑ VV a I405 NB
0 4 29
MOTOR PEDAL- DAMAGE THRESHOLD MET PHONE
UNIT 01 VEHICLE ❑ CYCLE El
No ,/ I D:2532663378 0 11
30
6 LAST NAME WATSON H FIRST NAME BRIAN MIDDLE K 1 1 2 31
INITIAL
STREET ❑ 263 HAMILTON CT CITY BUCKLEY ST WA 2jp, 983218976 z
NEW ADDRESS
7❑ CDL IGNITION REQUIRED IGNITION PRESENT MEDICAL TRANSPORTED 3
INTERLOCK YES[:]NO INTERLOCKYEs NO YES R NO
8❑ LRIIVER #
ON DUTY❑ STATUS AIRBAG 2 RESTR 4 EJECT 1 H U SE
ICNLJAUSSY 1 NATURE OF INJURIES z❑
3
10 9❑ Pi aT�S� B50388W sTArI WAurN# 1FTNS2ELOCD837404
TRAILER STATE TRAILER STATE
11 3 5 PLATE# PLATE# FROM To
TRLR. TRLR. 7 1 33
12 3 5 VIN#' VIN#'
FROM TO
❑ VEH.YEAR MAKE MODEL STYLE VEHICLE TOWED TO BLIN TOWED By GOVT.VEHICLE 1 $ 34
13 3 2012 FORD ECONO DAMAGE YES NO YES[:] NO✓
REGISTERED OWNER INFO RICK THE PLUMBER AND CO INC PO BOX 792 GRAHAM WA 98338 VEHICLE NO. 1 ❑
SHADE IN DAMAGED AREA 35
14 LIABILITY INSURANCE INSURANCE CO OREGON MUTUAL 5MO5AO5440921639 3
IN EFFECT &POLICY# 9TOP
vewcLe CHARGE 1 5 36
LEIALLv re5 No CITATION# 5AO407889 FAIL YIELD AT YIELD o aorrom
15❑ STANDING 8 7 6
1.' MOTOR PEDAL- PROPERTY DAM THR OLD MET PHONE
UNIT VEHICLE CYCLE ❑ PEDESTRIAN ❑ OWNER ❑ YES,/ NO D:2064379943
16 a
LAST NAME SMITH FIRSTNAME TIFFANY MIDDLE I A
INITIAL
17❑ STREET ❑', 5014 LAKE PL S UNIT A CITY RENTON ST WA ZIP 980557971 37
NEW ADDRESS ❑
18� CDL IGNITION REQUIRED IGNITION PtR—E—S1ENT MEDICAL TRANSPORTED ❑ 38
INTERLOCKYES�NOR INTERLOCK yEs I I NOF YEs t l NO❑
19 DRIVER'S STATE WA ]SEX IF D.Q.B. 09 _ 07 1982 0 39
LICENSE# MMDDYY
WELMET INJURY1 NATURE OF INJURIES 40
20❑ ON DUTY STATUS AIRBAG 2 RESTR 4 EJECT 1 USE CLASS ❑
21❑ LICENSE I CA68714 TAre WA vIN# 4T3B6RFVXMU045303
❑ 41
PLATE#
42
22❑ PLATE# STATE PLATE# STATE
23❑ UIN#. 43
TRLR RLR
'IN#.
GI
VEH YEAR 2021 MAKE 7'Oy7' MODEL RA V4 STYLE DAMAGE TOWED NOO✓ BLIN TOWED BY ov HyES NO,� 44
24❑ ES
REGISTERED OWNER INFO OWNED SY DRIVER VEHICLE N0.2
SHADEDAMAGED AREA
3 4
LIABILITY
INSURANCE I PORGY#ECO STATE FARM 4565844B2947CIN 1ULlliKOTlTlfll;0-
E'E""LE ❑ ,J� CITATION# CHARGELEGALLYYES N`L J25 OFFICER'S NAM (PRINT) OFFICER PHONE BADGE OR ID# AGENCY
J
26
C.ARNOLD 12509 WA0171300
PART A PAGE 01 OF C7
3000-345-159 OR 11/181
STATE OF
POLICETRAFFICN CORRECTION REPORT NO. EF83623
COLLISION REPORT III III III III III 111
1591972 CASE# 35-3446
ADDITIONAL PERSONS INVOLVED PASSENGERS AND/OR WITNESSES ONLY)
NAME MIDDLE INITIAL) MILLER CAMERON C
(LAST FIRST,
ADDRESS&PHONE# D O.B. '
1409 158TH AVE SW LAKEBAY WA GIG HARBOR WA 983490000 SEX M MMDOYyry 09 - 11 - 2005
PASSENGER I�I WITNESS UNIT# 1 SEA ! 3 AIRBAG 2 RESTR. 4 EJECT ? 1 HELMET INJURY NATURE OF INJURIES
L�!1 USE CLASS 1
NAME
(LAST,FIRST,MIDDLE INITIAL)
ADDRESS&PHONE# DOB
SEX MMDDYYYY
PASSENGER ❑WITNESS UNIT# SEAT I AIRBAG RESTR. EJECT HELMET NJURY NATURE OF INJURIES
POS. USE CLASS
NAME
(LAST FIR57 MIDDLE INITIAL)
AppRESS R PHONE#
SEX D.Q.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 04-17-25 08:48 AM
NVESTIGATING QFFICER'S SIGNATURE UNIT OR DIST DET DATED PLACE SIGNED
APPROVED BY DATE
G.BARFIELD 6476 1 411812025 8:53:40 AM
BADGE OR ID# 12509 OR]# WA0171300 TIME POLICE DISPATCHED 7:53 AM TIME POLICE ARRIVED]8:11 AM
PART I PAGE IT]OF 4]
REPORT NO. EF83623 CASE# 35-3446 OF COLLISION
04/17/25 07:47
OF CbLLI510N
NARRATIVE
CC 25-3446
On 4/17/2025 at 0753 hours I was dispatched to a motor vehicle collision at around the 200 block of
Sunset Blvd NE at the i405 NB on ramp in the City of Renton, King County, Washington.
Pre-Collision
Driver 2 stated that she was traveling South on Sunset Blvd NE approaching the 200 block in the #1
lane.
Driver 1 stated that he was facing North on Sunset Blvd NE preparing to turn left to proceed North
onto the NB i405 on ramp in the #2 lane, which is a left turn only with a yield sign posted.
Collision
Driver 2 stated that as she entered the 200 block, Unit 1 proceeded to perform a lefthand turn to
proceed North onto the i405 NB on ramp. Driver 1 stated that she did not have time to stop and the
front passenger side bumper of Unit 2 struck the rear passenger side quarter panel of Unit 1, as Unit
1 had not cleared the intersection prior to Unit 1 entering.
Driver 1 stated that he proceeded onto the i405 NB on ramp from Sunset Blvd NE and the front
passenger side bumper of Unit 2 struck the rear passenger side quarter panel of Unit 1.
Injuries
No injuries reported.
Vehicle Disposition
Both vehicles were driven from the scene of the collision.
Proximate Cause
I determined that Driver 1 is at proximate cause for this collision because he failed to yield to the right
of way of Unit 2 when presented with a yield sign. The driver of a vehicle approaching a yield sign
shall in obedience to such sign slow down to a speed reasonable for the existing conditions and if
required for safety to stop, shall stop at a clearly marked stop line, but if none, before entering a
marked crosswalk on the near side of the intersection or if none, then at the point nearest the
intersecting roadway where the driver has a view of approaching traffic on the intersecting roadway
before entering the roadway, and then after slowing or stopping, the driver shall yield the right-of-way
to any vehicle in the intersection or approaching on another roadway so closely as to constitute an
immediate hazard during the time such driver is moving across or within the intersection or junction of
roadways: PROVIDED, That if such a driver is involved in a collision with a vehicle in the intersection
or junction of roadways, after driving past a yield sign without stopping, such collision shall be
deemed prima facie evidence of the driver's failure to yield right-of-way.
Driver 1 was cited per RCW 46.61.190.
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 08:42 on 4/17/2025 in the City of Renton, King
County, Washington.
PAGE 3 OF 4
REPORT NO. EF83623 CASE# 35-3446 DATE AND TIME 04/17/25 07:47
OF COLLISION
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PAGE 4 OF 4