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Home My WebLink About25-3790 iiTFiNII IIIII III IIIII II IIII IIIII I . 27c REPORT NO EF88319oc� RA COLLISION REPORT 1591971 CASE# 25-3790 2 INTERSTATE CITY STREET FIRE I RESULTEDSTOLENSTATE ROUTE OTHER VEHICLE LQCAI-A`NG 4300 3 HIT&RUN CODING COUNTY RD PRIVATE WAY ❑ INVOLVED 2 TOTAL#OF OBJECT 1 8 28 TRIBAL UNITS 03 STRUCK RESERVATION : 1 1 2 3� M M D D Y Y Y Y TIME(2400) COUNTY# MILES CITY# eDCL s on' 04 - 29 - 2025 1750 17 =.= S 8 W e OF IN e 1070 s 4❑ ON (PRIMARY TRAFFIC WAY) INTERSECTION ❑✓ NON INTERSECTION BLO❑ MAPLE VALLEY HWY MILE POST e 131000 .� 4a❑ MILE POST ❑ DISTANCE OF(REFERENCE OR CROSS STREET) 5 C------ 1.1 FEET e S 8 W e 131STAVE SE 0 1 29 MOTOR PEDAL- DAMAG THRESHOLD MET PHONE UNIT 01 VEHICLE ❑ CYCLE ❑ YES No �/ D:4259700750 0 8 30 5 LAST NAME CORDERO FIRST NAME OSCAR MIDDLE E 1 1 2 31 INITIAL STREET ❑ 13959 SE 173RD PL APT 3 CITY; RENTON ST I WA ZIP; 98058 2 NEW ADDRESS 7� +CDL IGNITION REQUIRED IGNITION ENT MEDICAL TRANSPORTED 3 INTERLOCKYEs ✓NO INTERLOCKYePRES No✓ YES ND Z 8❑ DCIENSE# STATE WA SEXI NI MMDDYY' 02 - 08 - 2006 1 2 32 -NJUR 9 ON DUTY❑ STATUS' AIRBAG 2 RESTR 4 EJECT 1 HELMET 2 CLASSY 1 [NATURE of INJURIES 2 10 1� aiCENSE BTD2305 STATE WA VIN# 1GNEK13Z02✓233946 3� TRAILER STATE TRAILER STATE 11 0 0 PLATE# PLATE# ROM To TRLR rRLR 7 1 3 33 12 0 0 VIN#' vIN# FROM TO VEH.YEAR 2002 MAKE CHEV MODEL TAHOE STYLE SD VEHICLE TOWED TO BLIN TOWED By GES VEHICLE 9 9 34 13 DAMAGE YES ✓ YES NO✓ REGISTERED OWNER INFO OSCAR CDRDER013959 SE 173RD PL APT 3 RENTON WA 98058 D:4259700750 VEHICLE NO. 1 SHADE IN DAMAGED AREA 11 35 14❑ LIABILITY INSURANCE❑ NSURANCE CO IQ 4 IN EFFECT &POLICY# LEnic�e CHARGE S ❑ 36 ""' yES❑NO❑ CITATION# 1 15❑ STMowc MOTCSR ✓ PEDAL- PEDESTRIAN PROPERTY DAM THR OLD MET PHONE UNIT VEHICLE ❑ cvcLE ❑ ❑ nWNRR YEs✓ No D:5033888363 16� LAST NAME ALI FIRST NAME FARDOWSA MIDDLE' A INITIAL 17 F1 STREET ❑ 13018 SE 308TH ST CITY AUBURN ST, WA ZIP 98092 37 NEW ADDRESS I I I I I I ❑ 18❑ IGNITION REQUIRED IGNITION I PRESENT MEDICALTRANu�PORTED 38 CDL INTERLOCKYES NO✓ INTERLOCK YES No✓ YES No✓ 19 DRIVER'S MMDDYYJ I - 20❑ ON DUTY❑ STATUS AIRBAG 2 RESTR 2 EJECT 1 R USEET 2 CLASSY 1 NATURE OF INJURIES 40 21 LICENSE CGT2559 TATE WA VIN# JTDKN3DU8F1984610 41 22❑ PLATE# STATE PLATE# STATE 42 23 TRLR RLR 43 UIN#. 'IN# VEH.YEAR 2015 MAKE TOYT MODEL PR/US STYLE $D VEHICLE TOWED TO BLIN TOWED BY GOV HI 44 24 DAMAGE YES NO✓ NO✓ REGISTERED OWNER INFO OWNED BY DRIVER VEHICLE NQ.2 SHADFY DAMAGEAREA 3 LIABILITY INSURANCE INSURANCE CO GEIC04536-59.92.38 IN EFFECT &POLICY# 9TOP VEHICLE LE —Y YES ,J—I N`.L J CITATION# CHARGE t080TTOM 25 OFFICER'S NAME(PRINT) OFFICER PHONE BADGE OR ID# AGENCY J 26 JASON TURNER 12650 WA0171300 PAGE 01 OF PART A 3000-348-189(R 11/18) STATE OF POLICETRAFFICN CORRECTION REPORT NO. EF88319 COLLISION REPORT III III III III III 111 1591972 CASE# 25-3790 E NA ADDITIONAL PERSONS INVOLVED(PASSENGERS AND/OR WITNESSES ONLY) M (LAST,FIRST,MIDDLE INITIAL) EGAL HAFSA A ADDRESS&PHONE# 13018 SE 308TH ST AUBURN WA 98092 SEXi F MMDDD BYYY 11 - 09 - 2006 PASSENGER WITNESS UNIT# ' SEAT : AIRBAG RESTR. EJECT HELMET INJURY NATURE OF INJURIES �; 2 POS. 3 2 2 1 USE 2 1 CLASS 1 ----� :NAME Lnsr EIRST,MIDDLE INITIAL) CARVER MADISON S ADDRESS R PHONE# D�B 16842 164TH WAY SE RENTON WA 98058 2532322651 SEX'' F M D.O*&r 04 _ 22 _ 1992 SEAT HELMET INJURY NATURE OF INJURIES PASSENGER a WITNESS UNIT# 3 POS. ' 3 AIRBAG 2 RESTR. 4 EJECT 1 USE 2 CLASS 1 ----� :NAME (LOST,FIRST,MIDDLE INITIAL) ADDRESS&PHONE# SEX/ MMDDYY D.O.B. YY 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. JASON TURNER 04-29-25 08:11 PM INVESTIGATING OFFICER'S SIGNATURE UNIT OR DIST.DET DATED PLACE SIGNED APPROVED BY DATE CASEY PROCTER 12123 i 51412025 3:59:38 AM BADGE OR ID# 12650 ORI# WA0171300 TIME POLICE DISPATCHED 1 5:56 PM TIME POLICE ARRIVED i 6:05 PM PAST B 3 Do-lmx-attar(t 1Mff) PAGE 2�OF 57 REPORT NO. EF88319 CASE# 25-3790 OF DATE AND r�N + 04/29/25 17:50 O�COLLISION NARRATIVE Unit#1 reported that he was driving eastbound on Maple Valley Highway approaching a green light at the intersection 131st AVE SE. Unit# 1 reported that he had tunnel vision and did not realize that the vehicles in front of him were stopping due to heavy traffic. Unit#1 then rear ended Unit#2 which pushed Unit#2 into Unit# 3. Unit#2 also reported the same occurrence, she had been driving east bound on Maple Valley Highway approaching a green light at the intersection of 131 st AVE SE. She stopped her vehicle just prior to the intersection as traffic was beginning to heavily build up. Shortly after stopping she was rear ended by unit#1 which caused her to collide with Unit# 3. Unit#3 reported that he was stopped facing eastbound on Maple Valley Hwy at the intersection of 131 ST Ave SE waiting in traffic. He was then rear ended by unit#2 while stopped in traffic. All parties reported that they were not injured and all vehicles were capable of driving away from the scene. Unit#1 had minor damage to their front bumper. Unit #2 had significant damage to the rear end of their vehicle with a large dent and back windshield broken out as well as minor damage to their front bumper. Unit#3 had minor damage to their rear driver's side bumper. An exchange of information was provided to all parties involved. I find that the proximate cause of the collision was Unit#1's failure to be observant of the vehicles stopping in front of him. I declare under penalty of perjury under the laws of the State of Washington that the foregoing is true and correct. Electronically signed by J. Turner 12650 on 04/29/2025 at 1959 hours. PAGE 3 OF 5 SUPPLEMENTAL REPORT NO. EF8831 9 POLICE TRAFFIC 1 1 8 27 COLLISION REPORT CASE# 25-3790 013197 1 COMMERCIAL MOTOR CARRIER INTERSTATE INTRASTATE UNIT# USDOT ICC# VEHICLE TYPE CARGO BODY: 3 TYPE 2 ❑ 1 28 CARRIER NAME 3 CARRIER L ADDRESS CITY ST ZIP 4 ❑ NAME # PLACARD. NAME IF NO NUMBER SOURCE AXLES + 4a ❑ ADDITIONAL UNITS MOTOR PEDAL- PROPERTY DAMAGE THRESHOLD MET PHONE 5 ❑ UNIT 3 VEHICLE ( CYCLE ❑ PEDESTRIAN ❑ OWNER ❑'. YES NO D:2063000067 0 8 29 FIRST NAME MIDDLE'. LAST NAME NEVITT TYLER INITIAL J STREET 30 NEW AnDRFR,P 16842 164TH WAY SE CITY RENTON I ST WAG ZIP 1 98058 6 ❑ 1 1 2 31 CDL IGNITION REQUIRED 1{iNiTION :: PRESENT MECiICALTAN�PORTE6'. INTERLOCK YES NO�Z INTERLOCK YES 0 - DRIVER'S D.O.B 2 7 LICENSE STATE WA SEX M MMDDYW 07 - 15 - 1983 ON DUTY STATUS AIRBAG 2 RESTR. 4 EJECT 1 HELMET 2 INJURY 1 NATUREOFINJURIES USE CLASS 8 ❑ 1 32 LICENSE CNZ9045 TAT WA VIN 3N1CN8EV5PL856833 PLATE# 9 � TRAILER TRAILER 2 PLATE# STATE PLATE# STATE 0 10 TRLR TRLR VIN.# VIN#. 11 0 0 VEIL YEAR2023 MAKE NISS MODEL VERSA STYLE SD VEHICLE TOWE E T ABLIN TOWED BY GovT.vEHICI F FROM TO DAMAGE YES NO ✓ YES NO REGISTERED OWNER INFOOWNED BYDRIVER 9 9 33 12 � SHADE IN DAMAGED AREA 4 FROM TO INSURANCE CO LIABILITY INSURANCE PROGRESS/VE 989333420 IN EFFECT &POLICY# I "�7t1P M-- m 34 � 13 ❑ vewcEe YES NO[jj CITATION# CHARGE 1080TTO ecauv sTANoINc 3 7 MOTOR PEDAL_ ' 1:1PROPER' : DAMAGE THRESHOLD MET PHONE 35 14 ❑ UNIT# VEHICLE CYCLE PEDESTRIAN OWNER YES NO 36 15 LAST NAME FIRST NAME NIT AL 16 ❑ STREET CITY ST ZIP NEW ADDRESS" CDL IGNITION REQUIRED IGNITION PRESENT MEDICALTANSPORTED INTERLOCK YES[]NO INTERLOCK YES NO IYES NO 17 4 37 RIVERSLLIICENSE# STATE SEX Moog - 18 ❑ ❑ HELMET INJURY: NATURE OF INJURIES 38 ON DUTY STATUS AIRBAG RESTR. EJECT USE CLASS. 19 ❑ LICENSE I TAT VIN# 39 PLATE# 20 TRAILER+ TRAILER 40 PLATE#.: STATE PLATE# STATE ❑ 21 ❑ ❑ 41 TRLR TRLR VIN# VIN#Y 42 22 VEH.YEAR MAKE I MODEL I STYLE VEHICLE TOWED DUE T SABLIN TOWED BY GOVT.VEHICLE DAMAGE YES NO YES NO 23 REGISTERED OWNER INFO. SHADE IN DAMAC ED AREA 43 2 3 4 LIABILITY INSURANCE INSURANCE CO IN EFFECT I &POLICY# S..TIWDIN G t. E 44 24 YES❑ NO❑ CITATION# CHARGE K-99 3 3 G 1 CERTIFY(DECLARE)UNDER PENALTY OF PERJURY UNDER THE LAWS OF THE STATE OF WASHINGTON THAT THE FOREGOING IS TRUE AND CORRECT. JASON TURNER 04-29-25 08:11 PM 25 INVESTIGATING OFFICER'S SIGNATURE OFFICER'S PHONE UNIT OR DIST DET DATED: PLACE SIGNED 26 OR Ib� 12650 O#RI WA0171300 APPROVED 514412025 PAGE[4 OF � 3000-345-013(R 11t18) REPORT NO. E F88319 CASE# 25-3790 DATE AND TIME 04/29/25 17:50 OF COLLISION k L � k PAGE 5 OF 5