HomeMy WebLinkAbout25-3159 iiTFiNII IIIII III IIIII II IIII IIIII I . 27c REPORT NO EF89251oc� RA
COLLISION REPORT 1591971
CASE# 25-3159 2
INTERSTATE CITY STREET FIRE I
RESULTED STOLENSTATE ROUTE OTHER VEHICLE LOCALANG 4200 3
HIT&RUN CODING
COUNTY RD PRIVATE WAY ❑ INVOLVED
2 TOTAL#OF OBJECT 1 s 28
TRIBAL UNITS 03 STRUCK
RESERVATION : 1 1
2
3� M M D D Y Y Y Y TIME(2400) COUNTY# MILES CITY#
eaCL s on' 04 - 08 - 2025 0842 17 =.= S 8 W e OF e 1070 3
4❑ ON (PRIMARY TRAFFIC WAY) INTERSECTION ❑✓ NON INTERSECTION ❑
BLOCK NO. e .�
4a
NE 4TH ST MILE POST
❑
❑ DISTANCE OF(REFERENCE OR CROSS STREET)
5 .F--1 FEET e S 8 W e BREMERTONAVENE
OF 4 29
MOTOR ✓ PEDAL- DAM AG THRESHOLD MET PHONE
UNIT 01 VEHICLE ❑ CYCLE ❑ YEs Vl No D:4256230112 0 1 30
6 LAST NAME HE FIRST NAME HE MIDDLE N 1 1 2 31
INITIAL
STREET ] 2023 211 TH PL SE
NEW ADDRESS CITY I SAMMAMISH ST WA ZIP: 980757503 2
7� +CDL IGN(TIUN REQUIRED IGNITION PRESENT MEDICAL TRANSPORTED'. 3
INTERLOCK YEs NO INTERLOCKVEs No YES Np
8❑ DRIVERI # STATE WA SEXI F MMDDYY' 08 — 08 — 1989 1 2 32
9 ON DUTY❑ STATUS' AIRBAG 2 RESTR 4 EJECT 1 N USEET 2 CLASSY 1 NATURE of INJURIES 2=
LICENSE, CKH7280 STATE WA VIN 7SAYGDEE2PF878117 3
10� PI ATE rt
TRAILER STATE TRAILER STATE
11 3 5 ,LATE# PLATE# FROM To
TRLR zRLR 3 1 5 33
12 3 5 VIN# vIN#
FROM TO
13 2 VEH.YEAR2023 MAKE TESL MODEL MODEL STYLE VEHICLE TOYED NO�iS46LIN Tl� {J RSTOWING YES❑VT EHICLE
NO� 7 3 34
DAMAGE IIII._IIII
REGISTERED OWNER INFO HE HE 2023211TH PL SE SAMMAMISH WA 98075 VEHICLE R 1
SHADE IN DAMAGED AREA 35
2 LIABILITY INSURANCE INSURANCE CO 4
14 ALL STATE 864 000 757
IN EFFECT &POLICY# 9TOP
V""' CHARGE 5 I < 36
LEGALLY YES❑NO❑ CITATION# t a BOTTOM
15❑ STM ING 7 e
EDAL-
MOTOR P PEDESTRIAN PROPERTY DAM THR HONE
OLD MET P
UNIT 02 VEHICLE ❑ CYCLE ❑ ❑ nWNRR vEs�/ No D:5184611324
16�
LAST NAME VARGAS SOSA FIRST NAME NICOLLE MIDDLE C
INITIAL
17 F1 STREET ❑❑ 15314 60TH AVE W CITY EDMONDS ST, yyq ZIP 980264110 37
NEW ADDRESS
18❑ CDL IGNITION REQUIRED fGNITION PRESENT MEDICAL TRANSPORTED: 38
INTERLOCKYEs NO INTERLOCK YES NO YES Np
19 DRIVER'S STATE WA SEX F D.OBe 02 25 2000 39
LICENSE# MMDDYY —
HELMET INJURY: NATURE OF INJURIES 40
20❑ ON DUTY❑ STATUS AIRBAG 3 RESTR 4 EJECT 1 2 7 ❑
USE CLASS BACK AND NECK INJURY
21 PATE# AQL4644 rare WA VIN# YV4CZ982971396279 41
22❑ PLAILER TE# STATE PLATE# STATE 42
23 TRLR r RLR 43
UIN#. 'IN#
TOWED BY GOV HI 44
VEH.YEAR 2007 MAKE VQLV MODEL XC90 STYLE VEHICLE
TOWED✓ No BLIN BANKERS TOWING
24
REGISTERED OWNER INFO ALEC CATTARM 1531460TH AVEW EDMONDS WA 98026 VEHICLE N0.2
SHADFjy DAMAGEaAREA
3
LIABILITY INSURANCE INSURANCE CO PRIMERA INSURANCE 990718202
IN EFFECT &POLICY# 9TOP
Ve—L ,J—I CITATION# CHARGE tO BOTTOM
LEGALLY YES❑ N`[
25 '
OFFICER'S NAME(PRINT) OFFICER PHONE BADGE OR ID# AGENCY
J
26
C.CATALAN 12007 WA0171300
PAGE 01 OF
PART A 3000-345-189(R 11/18)
STATE OF
POLICETRAFFICN CORRECTION REPORT NO. EF89251
COLLISION REPORT III III III III III 111
1591972 CASE# 25-3159
ADDITIONAL PERSONS INVOLVED(PASSENGERS AND/OR WITNESSES ONLY)
'.NAME
(LAST,FIRST,MIDDLE INITIAL)
ADDRESS&PHONE
SEXi D.O.B. —
MMDDYYYY
PASSENGERQ WITNESS� UNIT SEAT AIRBAG RESTR. EJECT ; HELMET INJURY NATURE OF INJURIES
POS. ' USE CLASS 1 ----�
:NAME
(LAST FIRST MIDDLE INITIAL)
ADDRESS&PHONE#
SEX D.O.B. —
MMDDYYYY
PASSENGER❑WITNESS UNIT# : SEAT AIRBAG RESTR. EJECT HELMET INJURY: NATURECFINJURIES
POS. USE CLASS ----�
: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.
C.CATALAN 04-08-25 12:32 PM
INVESTIGATING OFFICER'S SIGNATURE UNIT OR DIST.DET DATED PLACE SIGNED
APPROVED BY DATE
G.BARFIELD 6476 1 51712025 9:20:00 AM
BADGE OR ID# 12007 ORI# WA0171300 TIME POLICE DISPATCHED'; 8:44 AM TIME POLICE ARRIVED i 8:50 AM
PAST B 3 Do-3mx—attar(t 1Mff) PAGE 2�OF F6
REPORT NO. EF89251 CASE# 25-3159 OF DATE AND r�N + 04/08/25 08:42
O�COLLISION
NARRATIVE
*( HE HE is the legal name to the female driver of unit#1)
On 04/08/1014 at approximately 0842 hours, I was dispatched to a vehicle collision with reports of
injury at the intersection of NE 4th St and Bremerton Ave NE, within the City Limits of Renton, County
of King, State of Washington.
Upon my arrival, I observed heavy mechanism to the involved vehicles with airbag deployment as
well as one of the involved parties was complaining of pain. The Renton Regional Fire Authority
(RRFA) responded to the scene for evaluation. While on scene, I collected each of the involved
party's driving information and their independent recollection of the events leading up to the collision.
The driver of Unit 1, identified as He He, stated that she was the sole occupant of her vehicle and that
prior to the collision she was traveling westbound in about the 4600 block of NE 4th St approaching
the uncontrolled intersection of Bremerton Ave NE in the center turn lane. She had pulled into the
center-left-turn lane and slowed to yield to traffic. She stated she intended to turn southbound onto
Bremerton Ave NE. She stated that a vehicle in the number 2 eastbound lane stopped and created a
gap in traffic, so she proceeded to make her left turn but failed to see Unit 2 traveling in the number 1
westbound lane of NE 4th St which she needed to traverse across. She proceeded to make the left
turn across the westbound lanes of travel. While Unit 1 was turning, shee noticed Unit 2 approach the
same intersection at a high rate of speed. The driver of Unit 1 stated that both vehicles collided in the
intersection causing significant damage to the front bumper of Unit 1.
The driver of Unit 2, identified as Nicolle Vargas Sosa, said she was the sole occupant of her vehicle
and was traveling eastbound in about the 4400 block of NE 4th St approaching the uncontrolled
intersection of Bremerton Ave NE in lane 1 of 2. Nicolle stated she was intending to continue east.
Nicolle stated as she continued going straight ahead through the intersection, Nicolle saw Unit 1 turn
left and strike her vehicle. Nicolle stated she was unable to avoid the collision and both vehicles
collided causing significant damage to the front driver's side fender of Unit 2.
After both vehicles collided, Unit 2 deflected off Unit 1 and struck a sign belonging to 4501 NE 4th St.
The surrounding grass around the sign was disturbed.
The driver of Unit 2's said she had pain in her back but was treated and released at the scene.
Based on the above statements, I determined that the Driver of Unit 1 (He) is the proximate cause for
the collision due to not granting the right of way during a left turn causing a collision. The driver of
Unit 1 violated RCW 46.61.185(1) by being the driver of a vehicle intending to turn to the left within an
intersection and not yielding the right-of-way to any vehicle approaching from the opposite direction
which is within the intersection or so close thereto as to constitute an immediate hazard. The driver of
Unit 1 (Smith) did not grant the right of way to Unit 2 traveling in the roadway which had the right of
way and was already underway. Due to Unit 1 having to traverse across oncoming traffic, the driver of
Unit 1 must wait until the intersection is clear of hazard prior to proceeding.
Both involved vehicles had to be towed due to extensive damage cause. An exchange of information
was provided to all involved parties.
This is an informational report only and no citations were given.
I certify (declare) under penalty of perjury under the laws of the State of Washington that the
foregoing is true and correct.
C. Catalan 04/08/2025 Renton
PAGE 3 OF 6
REPORT NO. EF89251 CASE# 25-3159 O OF COLLI r�510NN + 04/08/25 08:42
COLL1
NARRATIVE
PAGE 4 OF 6
SUPPLEMENTAL REPORT No. EF89251POLICE TRAFFIC
1 27
... ^'� COLLISION REPORT CASE# 25-3159
t113197
1 COMMERCIAL MOTOR CARRIER INTERSTATE INTRASTATE
UNIT# USDOT ICC# VEHICLE TYPE CARGO BODY:
TYPE
2 ❑ 1 28
CARRIER
NAME
3 CARRIER L
ADDRESS
CITY ST ZIP
4 ❑ NAME # PLACARD
GWUR : NAME IF NO NUMBER
SOURCE AXLES +
4a ❑ ADDITIONAL UNITS
MOTOR PEDAL- PROPERTY DAMAGE THRESHOLD MET PHONE
UNIT# 3 PEDESTRIAN �', YES� NO D:4252282646
5 VEHICLE CYCLE OWNER
29
LAST NAME DENTISTRY FIRST NAME , FAMILY MIDDLE'
INITIAL
STREET 30
NFtM ADDRws 4501 NE 4TH ST CITY RENTON ST WAG ZiP gg058
6 CDL GNITION REQUIRED PRESENT MEDICAL TANSPORTED 1 31
I ;I{iNi71ON ::
INTERLOCK YES NO ..:INTERLOCK YES 0 No I YES N
L
DRIVER'S STATE I SEX U MMDD`W -C-1-
LICENSE!
7
ON DUTY STATUS AIRBAG RESTR. EJECT HELMET INJURY; NAruREOFINJURIES
USE CLASS
8 ❑ 1 32
LICENSE TAT UIN
PLATE#
9 TRAILER TRAILER L
PLATE# STATE PLATE# STATE
0
10 ❑ TRLR TRLR
VIN.#. VIN#.
11 VEIL YEAR MAKE MODEL STYLE VEHICLE TOWE E T ABLIN TOWED BY GOVr.VFHICI F FROM TO
DAMAGE YES NO YES NO
m 33
REGISTERED OWNER INFO.� SHADE IN DAMAGED AREA
12
LIABILITY INSURANCE❑ INSURANCE CO TOP 4 FROM TO
IN EFFECT &POLICY# I ""`-" S m 34
13 YES NO[jj CITATION# CHARGE
1080TTOM
ecauv
sTnNoiNc
MOTOR PEDAL- ' 1:1PROPERTY : DAMAGE THRESHOLD MET PHONE 35
14 ❑ UNIT# VEHICLE CYCLE PEDESTRIAN OWNER YES NO
36
15 LAST NAME FIRST NAME IN L
16 ❑ STREET CITY ST' ZIP
NEW ADDRESS"
CDL IGNI71t7N REQUIRED IGNITION PRESENT MEDICALTANSPORTED.
INTERLOCK YES NO INTERLOCK YE]
No YES NO ❑
17 37
LDRIVER'S - ICENSE# STATE SEX M�D°B _ C---�
18 ❑
HELMET INJURY NATURE OF INJURIES 38
ON DUTY STATUS AIRBAG RESTR. EJECT USE CLASS.
19 ❑ ❑ 39
LICENSE I TAT viN#
PLATE#
20 TRAILER' TRAILER 40
PLATE#. STATE PLATE# - STATE ❑
21 ❑ TRLR TRLR 41
VIN#�, VIN#Y
42
22 VEH.YEAR MAKE I MODEL I STYLE VEHICLE TOWED DUET ABLIN TOWED BY GOVT.VEHICLE
DAMAGE YES NO YES NO
23 REGISTERED OWNER INFO. SHADE IN DAMAGED AREA 43
2 3 4
LIABILITY INSURANCE INSURANCE CO
IN EFFECT I &POLICY# 7c;Q
S. 44
vewc�e ❑ ❑ CITATION# CHARGE
24 ecA Ly YES NO
sTnnoinc 6 7 G
1 CERTIFY(DECLARE)UNDER PENALTY OF PERJURY UNDER THE LAWS OF THE STATE OF WASHINGTON THAT THE FOREGOING IS TRUE AND CORRECT.
C.CATALAN 04-08-25 12:32 PM
25 INVESTIGATING OFFICER'S SIGNATURE OFFICER'S PHONE UNIT OR DIST DET DATED: PLACE SIGNED
BADGE ORI APPROVED
5
�0 �26 ORID# 12007 # WA0171300 BFIELD n/22 PAGE 3OF
-013(R 11/18)
REPORT NO. E F89251 CASE# 25-3159 DATE AND TIME 04/08/25 08:42
OF COLLISION
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