HomeMy WebLinkAbout25-3648 IT si " II IIIII III IIIII II IIII IIIII I . 27c REPORT NO EF89252OLCERA
COLLISION REPORT 1591971
CASE# 25-3648 2
INTERSTATE CITY STREET FIRE I
RESULTEDSTOLENSTATE ROUTE OTHER VEHICLE LOCALANG 4200 3
HIT&RUN CODING
COUNTY RD PRIVATE WAY ❑ INVOLVED
2 TOTAL#OF OBJECT 1 s 28
TRIBAL UNITS 02 STRUCK
RESERVATION : 1 1
2
3� M M D D Y Y Y Y TIME(2400) COUNTY# MILES CITY#
DATE OF N E IN eDL�Is[oN' 04 - 24 - 2025 0751 17 =.= S 8 W E OF M 1070 a
4❑ ON (PRIMARY TRAFFIC WAY) INTERSECTION ❑ NON INTERSECTION ❑✓
BLOMAPLE VALLEY HWY MILE POST
e 1700 .�
4a❑ MILE POST
❑ DISTANCE OF(REFERENCE OR CROSS STREET)
5 MILES 1.1 FEET B S B W e
0 4 29
MOTOR ✓ PEDAL- DAM AG THRESHOLD MET PHONE
UNIT 01 VEHICLE ❑ CYCLE ❑ YEs Vl No D:2069540292 0 8 30
6 LAST NAME WEST FIRST NAME KYAH MIDDLE M 1 1 2 31
INITIAL
STREET ❑ 15029 SE 177TH PL APT 9H CITY; RENTON ST WA ZIP 980589069 2
NEW ADDRESS
7 CDL IGN(TIUN REQUIRED IGNITION PRESENT MEDICAL TRANSPORTED. 3
INTERLOCK YEs No INTERLOCKYEs No YES No
8 DRIVER # STATE WA SEXI F MMDDYY' 11 — 26 — 2006 1 2 32
9 ON DUTY❑ STATUS' AIRBAG 2 RE
4 EJECT 1 N USE CLASSY',1 [NATURE of INJURIES 2
LICENSE, CMS7841 STATE WA V(N# 4T1BG22K8YU619959 3
10 Fl I PI ATP rt
TRAILER STATE TRAILER STATE ROM To 11 3 5 PLATE# PLATE#
TRLR zRLR 7 1 1 33
12 0 0 VIN#' VIN#
FROM TO
VEH.YEAR 2000 MAKE TOy. MODEL CAMRY STYLE VEHICLE TOWED TO BLIN TOWED By GES VEHICLE 9 9 34
13 DAMAGE YES YES) NO
REGISTERED OWNER INFO JACQUELINE KING-.ARDNER 15029 SE 177TH PL APT 9H RENTON WA 98058 VEHICLE NO. 1
SHADE IN DAMAGED AREA 35
3 4
14 LIABILITY INSURANCE� INSURANCE CO PROGRESSIVE 985430231
IN EFFECT &POLICY# 4TOP _
srg NOLNG Yes❑NO❑ CITATION# 5AO407900 CHARGE FOLLOW VEHICLE TOO CLOSELY s o ooTro6 36
15
MOTCYR PEDAL- PEDESTRIAN PROPERTY DAM THR OLD MET PHONE
UNIT 02 VEHICLE ❑ CYCLE ❑ ❑ nWNER YEs No �/ D:7343558912
16�
LAST NAME CH►NG FIRST NAME ALEX MIDDLE' H
INITIAL
STREET ❑ 37
17 ❑ 14654 SE 172ND ST CITY' RENTON ST, WA ZIP 980588702
NEW ADDRESS
18❑ CDL IGNITION REt1UIRED IGNITION PRESENT MEDICAL TRANSPORTED ❑ 38
INTERLOCKYES No INTERLOC(£YES FINOFYEs NO
19 DRIVER'S STATE WA SEXI M I D,O.B Fol 19 1987 39
LICENSE# MMDDYY I —
HELMET INJURY: NATURE OF INJURIES 40
20❑ ON DUTY❑ STATUS AIRBAG 2 RESTR 4 EJECT 1 USE CLASS 1 ❑
21 LICENSE
PLATE# 662YZC TATE WA VIN# 2TIBPRHE5ECO92471 41
22❑ PLATE# STATE PLATE# STATE 42
23 TRLR RLR 43
UIN#. 'IN#
VEH.YEAR 2014 MAKE TOYT MODEL COROLL STYLE VEHICLE TOWED TO BLIN
TOWED BY GOV HI 44
24 DAMAGE YES NO NO
REGISTERED OWNER INFO OWNED BY DRIVER VEHICLE
N0.2
SHADE IN DAMAGED AREA
2 3 4
LIABILITY INSURANCE[Z INSURANCE CO PEMCO CA1780202
IN EFFECT &POLICY# t STOP
LVEHICLE
'—LY YES� N.I,—I CITATION11 CHARGE to BOTTOM
LEGALL
25 s s
OFFICER'S NAME(PRINT) OFFICER PHONE BADGE OR ID# AGENCY
26
C.ARNOLD 12509 WA0171300
PAGE 01 OF
PART A 3000-345-189(R 11/18)
STATE OF
POLICETRAFFICN CORRECTION REPORT NO. EF89252
COLLISION REPORT III III III III III 111
1591972 CASE# 25-3648
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 GLASS 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.ARNOLD 04-24-25 09:37 AM
INVESTIGATING OFFICER'S SIGNATURE UNIT OR DIST.DET DATED PLAGE SIGNED
APPROVED BY DATE
G.BARFIELD 6476 5/7/2025 9:18:56 AM
BADGE OR ID# 12509 ORI# WA0171300 TIME POLICE DISPATCHED 8:36 AM TIME POLICE ARRIVED i 8:47 AM
PAST B 3 Do-3mx—attar(t 1Mff) PAGE 2�OF 4
REPORT NO. EF89252 CASE# 25-3648 OF DATE AND r�N + 04/24/25 07:51
O�COLLISION
NARRATIVE
CC 25-3648
On 4/24/2025 at 0836 hours I was dispatched to a motor vehicle collision at around the 1700 block of
Maple Valley Highway in the City of Renton, King County, Washington.
Pre-Collision
Driver 2 stated that he was facing East in the #3 lane of Maple Valley Highway at around the 1700
block, which is a left turn only lane to proceed North on i405 NB.
Driver 1 stated that she was behind Unit 2 in the #3 lane of Maple Valley Highway facing East
preparing to perform a lefthand turn.
Collision
Driver 2 stated that the light was yellow and he came to an abrupt stop because he knows that there
is red light cameras in the area and did not want another ticket. In doing so, Driver 2 stated that when
he came to a stop, the front bumper of Unit 1 collided with the rear bumper of Unit 2.
Driver 1 stated that Unit 2 stopped suddenly and that she did not have enough space or time to come
to a stop to avoid a collision. Driver 1 stated that the light was yellow at the time of the collision. Driver
1 stated that the front bumper of Unit 1 collided with the rear bumper of Unit 2.
Injuries
No injuries reported
Vehicle Disposition
Both vehicles were able to be driven away. I assisted Driver 1 in removing her front bumper to get the
vehicle home as it was hanging by 4 screws.
Proximate Cause
I determined that Driver 1 is the proximate cause for this collision because the driver of a motor
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. If Driver 1
had been using due regard for the speed of other traffic, this collision would not have happened.
Driver 1 was cited per RCW 46.61.145.
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 09:30 on 4/24/2025 in the City of Renton, King
County, Washington.
PAGE 3 OF 4
REPORT NO. E F89252 CASE# 25-3648 DATE AND TIME 04/24/25 07:51
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