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HomeMy WebLinkAbout25-4083 ITFF' "POLCERA II I !�� I III I III I IIII III II I . 1 27c COLLISION REP FIT 1591971 CASE 25-4083 z INTERSTATE ❑ CITY STREET FIRE ❑RESULTED 1 STOLEN STATE ROUTE ❑ OTHER ❑ VFHICI F ❑ LOCAL AOENC 4500 3 HIT&RUN CODING COUNTY RD PRIVATE WAY INVOLVED 2❑ TOTAL#TRIBAL OF 02 OBJECT 1 1 8 28 UNITS RESERVATION I STRUCK z 3 DATE OF M M D D Y Y Y Y TIME(2400) COUNTY# MILES N E IN CITY# cowsloN 05 - 08 - 2025 2123 17 =.= S IN 1070 3 4❑ oN (PRIMARY TRAFFIC WAY) INTERSECTION ❑✓ NON INTERSECTION ❑ NE 4TH STREET BLOCK NO. e✓ 3300 ❑ 4a❑ MILEPOST DISTANCE OF(REFERENCE OR CROSS STREET) 5❑ MILES�.❑ FEET e S B W e MONROE AVE NE OF,1 29 MOTOR PEDAL- DAMAGE THRESHOLD MET PHONE UNIT 01 VEHICLE ❑ CYCLE El NO F I D:2068160178 0 4 30 6 LAST NAME VU FIRSTNAME MICHELLE MIDDLE T 1 1 2 31 INITIAL STREET ❑, 488 FIELD PL NE CITY RENTON ST WA ZIP 98059 z NEW ADDRESS 7❑ CDL IGNITION REQUIRED IGNITION PRESENT MEDICAL TRANSPORTED 3 iNTERLOCKYEs NO 1/ INTERLOCKYEs NO�/ YES R No�/ 8❑ LDRIVER # STATE WA SEX'F MID .O B 11 — 12 — 1985 1 2 32 9❑ ON DUTY❑ STATUS' AIRBAG 3 RESTR 4 EJECT 1 H U EET 2 1 INJURY CLASS 6 [NATURE OF CHEST PAIN INJDRIES z❑ 3 10❑ P1 ATNFS14 ANJ5179 STATE WA VN# JTMBK34V565010920 TRAILER STATE TRAILED STATE 11 3 5 PLATE# PLATE# ROM To TRLR. TRLR 3 7 33 12 F 3 5 VIN#' VIN# >;. FROM TO ❑ VEH.YEAR MAKE MODEL STYLE VEHICLE TOWED TO BLIN T GOVT.VEHICLE 7 1 34 13 4 2006 TOYT RAV4 UT DAMAGE YES NO �LII� RS vEs❑ No✓ REGISTEREDOWNERINFO MICHELLE VU488 FIELD PL NE RENTONWA98059 D:2068160178 VEHICLE NO. 1 ❑ SHADE IN DAMAGED AREA 35 4 NSURANCE CO 4 14 LIABILITV INSURANCE� FARMERS 18878.52.37 IN EFFECT &POLICY# TOPVE—LE CHARGE <1�3 OTTOM 5 36 LEGALLY, Yes❑NO❑ CITATION# 4 15❑ STANDING 7 6 MOTOR PEDAL- PEDESTRIAN PROPERTY DAM THR OLD MET PHONE UNIT 02 VEHICLE ❑ CYCLE ❑ ❑ : PROPOWNFR ❑ YES 1/ No D:4254307500 16 a LAST NAME KAUPPILA FIRST NAME JUSTIN MIDDLE INITIAL 17❑ ST EETR 7 1055 S GRADY WAY CITY RENTON ST WA ZIP 98056 4❑ 37 18❑ CDL IGNITION REQUIRED IGNITION PRESENT MEDICAL t—T�RANSPORTED � 38 INERLOCKYES❑No� INTERLOCK YEs I I NOF YES t l NO� 19 LLIRIVERS # STATE SEX M MMDDYY —❑_ 39 20❑ ON DUTY STATUS AIRBAG 2 RESTR 1 EJECT 1 H U EET 2 NJAU EY 1 NATURE OF INJURIES ❑ 40 ❑ 41 21❑ ILICENSE PLATE# 66294D TATE GOV VIN# 1 42 22❑ PLATE# STATE PLATE# STATE 23❑ 43 TRLR RLR UIN#. 'IN#. VEH YEAR 2020 MAKE CHEV MODEL TAHOE STYLE UT VEHICLE TOWED TO BLIN TOWEDBY GOV HI 44 24❑ DAMAGE YES NO BANKERS YES NO REGISTERED OWNER INFO JUSTIN KAUPPILA 1055 S GRADY WAY RENTON WA 98056 D:4254307500 VEHICLE NO.2 SHADEd DAtYGED AREA 4� 4 LIABILITY INSURANCE INSU&PORGY#ECO CITY OF RENTON SELF INSURED 1 9TOP 5 IN EFFECT vEwCLE ❑ ,J� CITATION If CHARGE 1oBOTTOM LEGALLY YES N`L J 25 s � a 7jo R'S NAME(PRINT) OFFICER PHONE BADGE OR ID# 26 THAN SELBERT 12641 [V7�ENCY A0171300 PART A PAGE 01 OF 3000-345-159 OR 11/181 STATE OF POLICETRAFFICN CORRECTION REPORT NO. EF90812 COLLISION REPORT III III III III III 111 1591972 CASE# 25-4083 ADDITIONAL PERSONS INVOLVED PASSENGERS AND/OR WITNESSES ONLY) NAME MIDDLE INITIAL) NGOC ANGELA (LAST FIRST, ADDRESS&PHONE# D O.B. ' 488 FIELD PL NE RENTON WA 98059 SEXi F MMDOYyry 05 - 19 - 2019 PASSENGER WITNESS UNIT# SEAT AIRBAG' RESTR. EJECT ' HELMET NJURY NATURE OF INJURIES ❑✓ 1 POS. 9 2 10 1 USE 2 CLASS 1 NAME (LAST,FIRST,MIDDLE INITIAL) ADDRESS&PHONE# DOB SEX MMDDYVYY PASSENGER ❑WITNESS UNIT# SEAT AIRBAG RESTR. EJECT HELMET NJURY NATURE OF INJURIES POS. USE CLASS NAME (LAST FIR57 MIDDLE INITIAL) AppRESS R PHONE# SEX D.O.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. JONATHAN SELBERT 05-09-25 12:04 AM INVESTIGATING OFFICER'S SIGNATURE UNIT OR DIST DET DATED PLACE SIGNED APPROVED BY E CASEY PROCTER 12123 DAT 511212025 11:57:35 PM BADGE OR ID# 12641 ORI# WA0171300 TIME POLICE DISPATCHED 9:23 PM TIME POLICE ARRIVED',9:23 PM PART B PAGE IT]OF 5� REPORT NO. EF90812 CASE# 25-4083 F LNa O 05/08/25 21:23 F coy�isI©�ON u NARRATIVE This report documents a collision involving a police vehicle. I arrived on scene and observed two vehicles, Vehicle 1 and Vehicle 2, within the intersection of NE 4th Street and Monroe Avenue NE. I observed that Vehicle 1 was in the northernmost lane of the westbound lane of NE 4th Street. The front of this vehicle was at rest against Vehicle 2. 1 noted significant front-end damage to the front of the vehicle. I observed Vehicle 2 was northbound in the intersection of Monroe and NE 4th Street, as though stopped mid-execution of a lefthand turn. I observed significant damage to the front passenger-side of the vehicle and fluid leaking from the engine. Vehicle 2 was a Renton Police vehicle bearing number 270. Driver 1 stated that she was driving westbound on NE 4th Street approaching Monroe Avenue when she observed several police vehicles with their lights and sirens on driving at a high rate of speed northbound on Monroe. She pulled her vehicle over to the northmost lane and stopped just before the intersection. When these vehicles passed, she observed she had a green light and began to drive forwards into the intersection. As she entered into the intersection, she saw another police vehicle with its lights and sirens activated. This vehicle was also driving at a high rate of speed as it entered the intersection and began to turn left. Unable to stop her vehicle in time, the front end of her vehicle struck the passenger side of Vehicle 2. Driver 2, an on-duty police officer in a marked vehicle, was driving eastbound on NE 4th Street approaching Monroe Avenue with his lights and sirens activated. He was responding to a call for a shooting (CN 25-4084). As he approached the intersection, he observed that he had a green light and that all vehicles near the intersection were stopped as though to yield to his vehicle. He began to make a left turn onto northbound Monroe Avenue NE and his vehicle was struck on the passenger side by Vehicle 1. Fire arrived on scene to evaluate all parties. Driver 1 claimed to have chest pain. As I spoke to her, she regularly stopped to wince or strain, and verbally stated, "I'm sorry, my chest hurts." Fire Department personnel stated that she may be suffering from anxiety and possibly may have a minor injury from her seat belt. The passenger in Vehicle 1, a six-year-old girl, was upset and frightened but did not complain of any pain. Fire Department personnel did not detect any injuries. Driver 2 claimed that he was uninjured. Due to the possibility that injury may present itself later, I provided him with an L&I packet and advised him of its use. Driver 1's husband arrived to take her and her daughter to Valley Medical Center. I provided them with a case number and instructions on how to report the incident to their insurance company. Both vehicles were removed from the scene by Banker's Towing. I photographed both vehicles and the scene. I certify (declare) under penalty of perjury under the laws of the State of Washington that the foregoing is true and correct. PAGE 3 OF 5 REPORT NO. EF90812 CASE# 25-4083 F LNa O 05/08/25 21:23 F coy�isI©�ON u NARRATIVE Electronically signed by Officer J. Selbert (12641) in the City of Renton, King County, Washington State on 5/8/2025 at 2359. PAGE 4 OF 5 REPORT NO. EF90812 CASE# 25-4083 DATE AND TIME 05/08/25 21:23 OF COLLISION s 'C a � a n i Fitz 3� 4 t i 5y t y L �7 a4' t D t� 1� 3 i �1 PAGE 5 OF 5