HomeMy WebLinkAbout25-3646 ITFF' "POLCERA II I !�� I III I III I IIII III II I . 0 27c
COLLISION REP FIT 1591971
CASE 25-3646 z
INTERSTATE ❑ CITY STREET FIRE ❑RESULTED
1 STOLEN
STATE ROUTE ❑ OTHER ❑ VFHIC;I F ❑ LOCAL AOENC 4900 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 0741 17 ❑-= S 8 IN e 1070 3
4❑ ON (PRIMARY TRAFFIC WAY) INTERSECTION ❑✓ NON INTERSECTION ❑
BL
SW SUNSET BLVD
OCK NO. e✓ --- ----� ❑
4a❑ MILEPOST
DISTANCE OF(REFERENCE OR CROSS STREET)
5❑ e S ❑❑ FEET VV a OAKESDALE AVE SW
0 1 29
MOTOR PEDAL- DAMAGE THRESHOLD MET PHONE
UNIT 01 VEHICLE ❑ CYCLE El
�/No D:2067550873 0 4 30
6� LAST NAME VORAVONGSA FIRSTNAME SANDY MIDDLE K 1 1 2 31
INITIAL
STREET ❑ 4611 S MORGAN ST CITy SEATTLE ST WA 2jp, 981183341 z
NEW ADDRESS
7❑ CDL IGNITION REQUIRED IGNITION PRESENT MEDICAL TRANSPORTED 3
INTERLOCK YES[:]NO INTERLOCKYEs NO YES R NO
8❑ DRIVERS
E#
ON DUTY❑ STATUS' AIRBAG 2 RESTR 4 EJECT 1 H U EETI I INJURY [NATURE OF INJURIES
CLASS 7 I NECK AND HEAD PAIN z❑
3
10 9❑ Pi ATNES# CKM7854 sTATe WA uN# 1C4RDJDG6EC495402
TRAILER STATE TRAILER STATE
11 3 5 PLATE# PLATE# FROM TO
TRLR. TRLR 7 3 33
12 3 5 VIN#' VIN#
>; FROM TO
❑ VEH.YEAR MAKE MODEL STYLE VEHICLE TOWED TO BLIN TR Y GOVT.VEHICLE 7 1 34
13 4 2014 DODG DURAN DAMAGE YES NO �MEYER YES❑ No✓
REGISTERED OWNER INFO VIENGXAYP14ONGPHOUMY572737THAVE SAPT421 SEATTLE WA 98118 VEHICLE NO. 1 ❑
SHADE IN DAMAGED AREA 35
4 INSURANCE CO 3 4
14 LIABILITY INSURANCE� FOREMOST INS.CO.G01445992901
IN EFFECT &POLICY# 9TOP
VEwcLE CHARGE to BOTTOM 5 36
E�ALLY YES No CITATION# 5A0407898,5A0407899, DWLS 3RD DEGREE,OP MOT VEH
15❑ STANDING 8 7 6
MOTOR PEDAL- PEDESTRIAN PROPERTY DAM THR OLD MET PHONE
UNIT 02 VEHICLE ❑ CYCLE ❑ ❑ OWNER ❑ YES 1/ NO D:2067392890
16 a
LAST NAME MAYAR FIRST NAME ABDUL MIDDLE W
INITIAL
17❑ STREET ❑', 13760 NE 123RD WAY UNIT 103 CITY' REDMOND ST WA ZIP 980521418 37
NEW ADDRESS ❑
18� CDL ., IGNITION REQUIRED IGNITION PtR-E-S1ENT MEDICAL TRANSPORTED ❑ 38
INTERLOCK YES❑NOR INTERLOCK YEs I I NOF YEs t l NO❑
19[ LICENSE# STATE WA SEX M M DDY
D.C.B.
06 _ 11 1997 39
WELMET INJURY 7 NATURE OF INJURIES 40
20❑ ON DUTY STATUS AIRBAG,2 RESTR 4 EJECT 1 USE CLASS BACK PAIN
21❑ LICENSE I CGV2627 TATe WA VIN# 2TIBURHE1HC798043
❑ 41
PLATE#
42
22❑ PLATE# STATE PLATE# STATE
TRLR
23❑ UIN#. IN#.
43
RLR
'
GI
VEH YEAR 2017 MAKE 7'Oy7' MODEL CORO!! STYLE DAMAGE TO TOWED II OV H 44
Yr
NO BLIN WED✓ O GENE MEYERS YES No
24❑ REGISTERED OWNER INFO OWNED SY DRIVER VEHICLE N0.2
SHADE IN DAMAGED AREA
2 3 4
LIABILITY
INSURANCE I PORGY#E CO PROGRESSIVE 975107210IN 1UQI
'E""LE ❑ ,J� CITATION# CHARGELEGALLYYES N`L J25
OFFICER'S NAME(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. EF89249
COLLISION REPORT III III III III III 111
1591972 CASE# 25-3646
ADDITIONAL PERSONS INVOLVED PASSENGERS AND/OR WITNESSES ONLY)
NAME MIDDLE INITIAL) HUGHES CEC/L
(LAST FIRST,
ADDRESS&PHONE# D O.B. '
$EATTLE SEX M MMDDYYYY 01 - 11 - 2008
PASSENGER I�I WITNESS� UNIT# 1 SEAT 7 AIRBAG'2 RESTR. 4 EJECT ? 1 HELMET INJURY NATURE OF INJURIES
L�!1 USE CLASS +1
NAME
(LAST,FIRST,MIDDLE INITIAL) CALLANDRET PRIEST
ADDRESS&PHONE# D O B
SEATTLE SEX F MI MDDYVvv 10 _ 19 _ 2018
SEAT HELMET INJURY NATURE OF INJURIES
PASSENGER WITNESS UNIT# 1 POS 9 AIRBAG 2 RESTR. 4 EJECT 1 USE CLASS 1
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 04-24-25 09:37 AM
NVESTIGATING QFFICER'S SIGNATURE UNIT OR DIST DET DATED PLACE SIGNED
APPROVED BY DATE
G.BARFIELD 6476 1 51712025 9:18:52 AM
BADGE OR ID# 12509 OR]# WA0171300 TIME POLICE DISPATCHED; 7:42 AM TIME POLICE ARRIVED',7:45 AM
PART I PAGE IT]OF 4]
REPORT NO. EF89249 CASE# 25-3646 OF COLLISION
04/24/25 07:41
OF CbLLI510N
NARRATIVE
CC 25-3646
On 4/24/2025 at 0742 hours I was dispatched to a motor vehicle collision at the intersection of SW
Sunset Blvd and Oakesdale Ave SW in the City of Renton, King County, Washington.
Pre-Collision
Driver 2 stated that he was stopped facing East in the #2 lane of Oakesdale Ave SW preparing to
make a lefthand turn to proceed North on Oakesdale Ave SW.
Driver 1 stated that she was traveling Eastbound on the #2 lane of SW Sunset Blvd approaching the
intersection of Oakesdale Ave SW.
Collision
Driver 2 stated that he had been stopped for a while waiting for traffic to clear so that he could
perform his lefthand turn. Driver 2 stated that while stopped, Unit 1 came from behind his vehicle in
the #2 lane and then changed into the oncoming lanes into the #2 lane of Westbound traffic on SW
Sunset Blvd. Driver 2 stated that the front passenger side wheel and bumper of Unit 1 struck the front
drivers side bumper of Unit 2.
Driver 1 stated that as she approached the intersection, Unit 2 was a substantial distance from the
area in which a lefthand turn would be performed, placing the collision further West of the
intersection. This however, was refuted by the fact that there were skid marks at the intersection
where the point of impact was located. Driver 1 went on to explain that Unit 2 stopped suddenly and
she swerved to avoid Unit 2 by maneuvering Unit 1 into the oncoming #2 lane of Westbound
Oakesdale Ave SW. Driver 1 stated that when reentering traffic, the front passenger side wheel and
bumper of Unit 1 collided with the front drivers side bumper of Unit 2.
Injuries
Driver 1 complained of head and neck pain and was transported via Tri-Med. Driver 2 complained of
back pain and refused medical transport. Driver 2 was picked up by a friend.
Vehicle Disposition
Both Unit 1 and 2 were rendered inoperable and towed from the scene by Gene Meyers.
Proximate Cause
I determined that Driver 1 is at proximate cause for this collision because a driver of a vehicle shall
not follow another vehicle more closely than is reasonable and prudent, having due regard for the
speed of such vehicles and the traffic upon and the condition of the highway. Had Driver 1 been
following at a reasonable distance as to give herself time to brake, this collision would not have
happened.
Driver 1 was cited per RCW 46.61.145.
Driver 1 was unable to provide me with valid insurance.
Driver 1 was cited per RCW 46.30.020.
Upon a check of DOL, Driver 1's driving status showed "DRIVER LICENSE NON-COMMERCIAL
CLASS: Suspended/Revoked 3rd Degree". The suspension showed that it began on 11/25/2020 and
ends on 07/17/2030. Driver 1 provided me with and ID card and a restricted drivers license, however
the restricted license was not present of her DOL return. I determined that Driver 1 did commit the
crime of Driving while license suspended or revoked in the 3rd Degree because it is unlawful for any
person to drive a motor vehicle in this state while that person is in a suspended or revoked status or
when his or her privilege to drive is suspended or revoked in this or any other state. I informed Driver
1 that her license was suspended. Driver 1 was cited per RCW 46.20.342.
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 08:46 on 4/24/2025 in the City of Renton, King
County, Washington.
PAGE 3 OF 4
REPORT NO. EF89249 CASE# 25-3646 DATE AND TIME 04/24/25 07:41
OF COLLISION
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PAGE 4 OF 4