HomeMy WebLinkAbout25-4047 �oLcRaiTFFiN 0 5 27c REPORT NO. EF90802
COLLISION REP F 1591971
CASE# 25-4047 2
INTERSTATE CITY STREET FIRE ❑
RESULTED
STOLEN
1 1 STATE ROUTE OTHER VFHICI F LOCAL AGENCY 4200 3[�
HIT 8 RUN CODING
COUNTY RD PRIVATE WAY INVOLVED
2 TRIBAL UN 75 TOTAL#OF STRUCK OBJECT 11 8 2$
RESERVATION 2
3 M M D D Y Y Y Y TIME I2400) COUNTY# MILES CITY#
COAT sloN 05 - 07 - 2025 1840 17 a. e W 8 OF IN 8 1070 3
S
4❑ ON (PRIMARY TRAFFIC WAY) INTERSECTION ❑✓ NON INTERSECTION ❑
DUVALL AVE NE BLOCK NO.
8 2300 .�
4a❑ MILEPOST
DISTANCE OF(REFERENCE OR CROSS STREET)
5❑ FEET e S e W 8 NE 24TH ST
OF 3 29
MOTOR PEDAL- DAM ,THRESHOLD MET PHONE
UNIT 01 VEHICLE CYCLE YES ,/No D:2067537798 0 1 30
6 LAST NAME : SHARIF FIRST NAME FOAD MIDDLE J 1 F
2 31
INITIAL
STREET I`�I' 4225 NE 9TH ClR CITY RENTON WA
NEW ADDRESS S7 ZIP 98059 z
7❑ CDL IGNITION REQUIRED IGNITION PRESENT MEDICAL TRANSPORTED 3
INTERLOCKYEs Noy/ INTERLOCKYEs NOW YES Na,/
8❑ LDICENS STATE WA SEX'M MM flYY 04 - 20 - 1999 1 2 32
9 ON DUTY STATUS AIRBAG 2 RESTR 1 EJECT 1 HELMET INJURY 6 NATURE OF INJURIES 2
USE CLASS COMPLAINT OF LEFT LEG PAIN
10 9 LICENPI st CKS8482 srnrE WA WIN# 4T4BF3EK6BR141106 3
11 0 0 PLATE# STATE TRAIPLATE# STATE ROM To
RA
TRLR TRLR. 7 5 33
12 0 0 v1N#' VIN#
FROM TO
13 4 VEH.YEAR2011 MAKE TOYT MODEL CAMRY STYLE $D VEHICLETOWEED2NOn fBLIN IDNED.4LR$ GOVT,VEHIICL✓ 1 5 34
❑ DAMAGE II_II tlAlVt(t NO.
REGISTERED OWNER INFO FOAD SHARIF 4225 NE 9TH C/R RENTON WA 98059 VEHICLE NO. 1
SHADE 1N DAMAGED AREA [�5 35
INSURANCE CO 2 3 4
14 LIABILITY INSURANCE � GEIC04119.18.36-57
IN EFFECT &POLICY# 4TOP
vEwcLE CHARGE
O ftOTTOM36
I EGALI V YES❑NO❑ GITATIGN#
15❑ s,-- I 6
UNIT MOTOR PEDAL-: PEDESTRIAN PROPERTY 0 DAM THR OLD MET PHONE
02 VEHICLE LJ CYCLE OWNER YES NO
16�
LAST NAME PHILLIPS FIRST NAME : PAUL MIDDLE A
INITIAL
17❑ STREET El 5616 NE 1ST PL CITY RENTON ST', WA ZIP 980594975 4
NEW ADDRESS ❑ 37
18❑ CDL IGNITION REQUIRED IGNITION pRESEIJT MEDfCALTRANSPORTED 38
W7ERLOCKYEs ND INTERLOCkCvEs no YES No,�
19 DRIVER'#
ON DUTY STATUS AIRBAG 2 RESTR 4 EJECT 1 H�SET INJ S 1 NATURE of INJURIES 40
❑21❑ LICENSE,NOCARBS rArE,WA vIN# W 41
POAA2Y12PSA14042 1
PLATE#
42
22 PLATE#TRAILER STATE PLATE TRAILER STATE
23 43
TRLR RLR
VIN#. '[N#,
44
VEH.YEAR 2023 MAKE pORS MODEL TAYCAN STYLE $D DAMIAGE ✓TOWED NOO BLIN TOWED BY GO BANKERS YES N HI O
Ct
24
REGISTERED OWNER INFO LE CAMPS 5616 NE tST PL RENTON WA 98059 D:2063107526 VEHICLE NO.2
SHAD DAMAGED AREA
LIABILITY INSURANCE[2] INSURANCECO STATE FARM 5236417-C12-47C 3 4
IN EFFECT &POLICY# 4TOP 5
VEHICLE ❑ .1-1 CITATION# CHARGE OUR
EecnLEv YES N J
25 e
OFFICER'S NAME(PRINT) OFFICER PHONE BADGE OR ID# JAGENCY
26
RYAN KARLO RIVERA 12649 WA0171300
PART A . PAGE 01 OF
9000-345-159(R 11(181
STATE OF
POLICETRAFFICN CORRECTION REPORT NO. EF90802
COLLISION REPORT III III III III III 111
1591972 CASE# 25-4047
ADDITIONAL PERSONS INVOLVED(PASSENGERS AND/OR WITNESSES ONLY)
'.NAME
(LAST,FIRST,MIDDLE INITIAL)
ADDRESS&PHONE
SEXi D.O.B. -
MMDDYYYY
PASSENGER❑WITNESS❑;UNIT# SEAT AIRBAG RESTR. EJECT HELMET INJURY NATURECFINJURIES
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 0,SS ----�
:NAME
(LOST,FIRST,MIDDLE INITIAL)
ADDRESS&PHONE#
SEX MMDDYY D.O.B.
YY
PASSENGER WITNESS UNIT# SEAT AIRBAG RESTR. EJECT HELMET NJU S' NATURE OF INJURIES
❑ ❑ POS. I USE GLASS
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.
RYAN KARLO RIVERA 05-07-25 09:01 PM
INVESTIGATING OFFICER'S SIGNATURE UNIT OR DIST.DET DATED PLAGE SIGNED
APPROVED BY DATE
CASEY PROCTER 12123 5/12/2025 11:08:53 PM
BADGE OR ID# 12649 ORI# WA0171300 TIME POLICE DISPATCHED 1 6:43 PM TIME POLICE ARRIVED i 6:46 PM
PART B 3000-345.160(R1Vt8) PAGE F2 --]OF 47
REPORT NO.1 EF90802 CASE# 25-4047 OF COLLI ION 05/07/25 18:40
OF COLLISION
NARRATIVE
On 05/07/2025, 1 was working uniformed patrol in a marked police car as 3R23. At approximately
1843 hours, officers were dispatched to a possible hit-and-run accident at the intersection of Duvall
Ave NE/NE 24th St, which is located within the city limits of Renton, County of King County,
Washington. A later investigation revealed that this was a blocking accident and not a hit-and-run
collision.
Dispatch advised that a subject had heard the collision happen nearby and believed that one of the
involved vehicles had left the location. The caller also advised that there was a dirty silver sedan with
the hood up still at the location, along with another black sedan.
When I arrived at the dispatch location, I found that there were two vehicles blocking lane 1,
respectively, of northbound and southbound Duvall Ave NE at NE 24th St. I was able to identify each
unit and their respective drivers as listed above.
I was able to speak to the driver of Unit 1. My conversation with him is summarized as follows:
Unit 1 stated that he was coming out from NE 24th St, preparing to turn right to head southbound on
Duvall Ave NE. Unit 1 has a stop sign before entering Duvall Ave NE from NE 24th St. Unit 1 stated
that he looked both ways before proceeding with his turn, when suddenly Unit 2 had approached from
lane 1 of southbound Duvall Ave NE and struck his vehicle. Unit 1 stated that he believed Unit 2 was
speeding.
I took a look around Unit 1. 1 saw that his front driver's side bumper was damaged. The bumper was
partially hanging off with significant dents. I also saw that no airbags had deployed inside his vehicle.
Unit 1 stated that he had minor leg pain as a result of the accident. He also stated that he was not
wearing his seatbelt at the time of the incident.
I was able to meet with other officers at the location who spoke to Unit 2. Other officers had relayed
the following:
Unit 2 stated he was headed southbound on Duvall Ave NE approaching NE 24th St. He stated that
Unit 1 had turned right into his lane, where the front end of Unit 2 subsequently struck the front
driver's side of Unit 1.
I was able to briefly take a look at Unit 2. 1 saw that the entire front of his vehicle was significantly
dented and damaged. Other officers also reported that his airbags had not deployed.
Other officers at the location had also reported that Unit 2 was uninjured but was shaken up because
of the accident. They also advised that Unit 2 was wearing his seatbelt during the time of the collision.
The fire department eventually arrived and evaluated the driver of Unit 1 at the scene.
Bankers tow took possession of the vehicles from the location as they were undriveable.
Both Unit 1 and Unit 2 left the location under their own power.
I provided both drivers with an exchange of information for their records.
Based on the totality of circumstances described above, I found that Unit 1 was the proximate cause
of the collision.
This concludes my report.
I certify (declare) under penalty of perjury under the laws of the State of Washington that the
foregoing is true and correct.
Signature: Ryan Rivera (#12649) Date and Place: 05/07/2025 @ Renton, WA
PAGE 3 OF 4
REPORT NO. EF90802 CASE# 25-4047 DATE AND TIME 05/07/2518:40
OF COLLISION
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