HomeMy WebLinkAbout25-4103 iiTFi " II IIIII III IIIII II IIII IIIII I . 27c REPORT NO EF93551oc� RA
COLLISION REPORT 1591971
CASE# 25-4103 2
INTERSTATE CITY STREET FIRE I
RESULTEDSTOLENSTATE ROUTE OTHER VEHICLE LOCALANG 4100 3
COUNTY RD NT&RUN CODING
PRIVATE WAY
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#
eDCL s on' 05 - 09 - 2025 1713 17 =.[� S 8 W e OF e 1070 3
4❑ ON (PRIMARY TRAFFIC WAY) INTERSECTION ❑ NON INTERSECTION ❑✓
RAINIER AVE S BLOCK NO. e 700 .�
4a❑ MILE POST
❑ DISTANCE OF(REFERENCE OR CROSS STREET)
5 50 00 FEET e✓ S 8 W e SW GRADY WAY
2 0 29
MOTOR ✓ PEDAL- DAM AG THRESHOLD MET PHONE
UNIT 01 VEHICLE ❑ CYCLE ❑ YEs Vl No D:4257574141 0 1 30
5❑ LAST NAME BELIKOV FIRST NAME KAMERON MIDDLE M 1 2 31
INITIAL
STREET ❑ 21800 SE WAX RD APT T102 CITY; MAPLE VALLEY ST WA ZIP 980385503 2
NEW ADDRESS
7❑ CDL IGNITION REQUIRED IGNITION PRESENT MEDICAL TRANSPORTED 3
INTERLOCKYES NO./ INTERLC)CKYEs NO✓ YEs NO,✓
NSS —
8❑ DRIVER # STATE WA SEXI M MMDDYY' 07 - 16 - 2008 1 2 32
9 ON DUTY STATUS' AIRBAG 2 RESTR 9 EJECT 1 N USEET CLASSY 1 NATURE of INJURIES 2=
LICENSE, CNP3587 STATE WA VIN 4S3BNBC6OF3024165 3
10� as ATF tI
TRAILER STATE TRAILER STATE
11 3 5 PLATE# PLATE# FROM To
TRLR zRLR. 1 5 33
12 3 5 VIN# vIN#
FROM TO
VEH.YEAR 2O1$ MAKE SUBA MODEL LEGACY STYLE 4D VEHICLE TOWED[n TO ZBLIN TOWED BY GOVT VEHICLE 1 $ 34
13� DAMAGE YES II_II NO YESII_I) NO✓
REGISTERED OWNER INFO LACIFULTS 25625 SE OLYMPIC LN BLACK DIAMOND WA 98010 VEHICLE NO. 1
SHADE IN DAMAGED AREA 35
14 LIABILITY INSURANCE NSURANCE CO GE/CO 6186724867
IN EFFECT &POLICY#VEHICLE 9TOP _
srgNOLNG ❑NO❑ CITATION# 5AO074167 CHARGE IMPROPER LANE USAGE B o eorrofi 36
Yes
15
UNIT 02 MOTOR PEDAL- ❑ PEDESTRIAN PROPERTY DAM THR OLD MET PHONE
VEHICLE CYCLE nWNRR
16�
LAST NAME EDMONDSON FIRST NAME SONIA MIDDLE M
INITIAL
17 STREET ❑ 321 SW 112TH ST#203 CITY SEATTLE ST, WA ZIP 37
981460000
NEW ADDRESS I I I I I I [I
1g❑ CDL IGNITION REQUIRED IGNITION PRESENT MEDICALTRANSPORTED 38
INTERLOCKYEs NO✓ INTERLOCK YES No✓ yEs NO✓
19 DRIVER'S
MMDRYY -
HELMET INJURY: NATURE OF INJURIES 40
20❑ ON DUTY STATUS AIRBAG 2 RESTR g EJECT 1 USE CLASS 1 ❑
21 LICENSE AHC6402 TATE WA VIN# 5J6RM4H50CLO36447 41
22❑ PLATE# STATE PLATE# STATE E 42
23 TRLR r RLR 43
UIN#. 'IN#
TOWED BY GOV HI 44
VEH.YEAR 2012 MAKE HOND MODEL CR-I/ STYLE UT DAMIAGE TOWED✓ No BLIN PRIVATE TOW ves No✓
24
REGISTERED OWNER INFO SOMA EDMONOSON 321SW 112TH ST APT 203 SEATTLEWA 98146 VEHICLE NQ.2
SHADE IN DAMAGED AREA
2 3 4
LIABILITY INSURANCE INSURANCECO STATE FARM 004525IC2947K
IN EFFECT &POLICY# tUR
"Hine ❑ ,JI CITATION# CHARGE LEGALLY YES N`.LJ
25 OFFICER'S NAME(PRINT) OFFICER PHONE BADGE OR ID# AGENCY
26
SHAWN CROW 12618 WA0171300
PAGE 01 OF
PART A 3000-348-189(R 11/18)
STATE OF
POLICETRAFFICN CORRECTION REPORT NO. EF93551
COLLISION REPORT III III III III III 111
1591972 CASE# 25-4103
E NA ADDITIONAL PERSONS INVOLVED(PASSENGERS AND/OR WITNESSES ONLY)
M
(LAST,FIRST,MIDDLE INITIAL) CRUZ GONZALEZ OSCAR
ADDRESS&PHONE# D O
26640 170TH AVE SE COVINGTON WA 98042 2068520718 SEXi M M D,O B.Y 04 - 28 - 2009
PASSENGER WITNESS UNIT SEAT AIRBAG RESTR. EJECT HELMET INJURY NATURE OF INJURIES
1 POS. : 3 2 9 1 USE CLASS 1 ----�
:NAME
(LAST EIRS7 MIDDLE INITIAL) { KUSTER CHLOE L
ADDRESS R PHONE# D p B
219 JOHNSON RD W/NLOCK WA 98596 3602195104 SEX'' F MMDavvvr 05 _ 24 _ 2007
SEAT HELMET INJURY NATURE OF INJURIES
PASSENGER a WITNESS UNIT# 1 POS. j 9 AIRBAG'2 RESTR. g EJECT 1 USE CLASS COMPLAINED OFAHEADACHE
NAME MIDDLE INITIAL) JIMENEZ DIANA
(LAST,FIRST,
AQQREss a PHONE# REFUSED RENTON WA 4255472395 SEX D.p.B.
F 12 _ 13 _ 2010
MMDDYYYY
PASSENGER WITNESS UNIT# 1 SEAT 7 AIRBAG 2 RESTR. 9 EJECT 1 HELMET INJURY 1 NATURECFINJURIES
a PAS. 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.
SHAWN CROW 05-13-25 10:01 AM
INVESTIGATING OFFICER'S SIGNATURE UNIT OR DIST.DET DATED PLACE SIGNED
APPROVED BY E
J.TRADER 4553 DAT 512112025 3:32:55 PM
BADGE OR ID# 12618 ORI#s WA0171300 TIME POLICE DISPATCHED 5:14 PM TIME POLICE ARRIVED i 5:20 PM
PART B 3€Do-345-attar(R1IYao). PAGE F2 --]OF 4
REPORT NO. EF93551 CASE# 25-4103 OF DATE AND r�N + 05/09/25 17:13
O�COLLISION
NARRATIVE
CC
On 05/09/2025 at about 1714 hours 1 was working uniform marked patrol as 1 R15 when I was
dispatched to a two motor vehicle collision with injuries near the intersection of Rainier Ave S/S
Grady Way within the city limits of Renton, King County, Washington. When I arrived I saw Unit 2
(2012 Honda CR-V with Washington state license plate AHC6402) pointed south while stopped on
Rainier Ave S in the marked right turn lane just north of SW Grady Way. Unit 1 (2015 Subaru Legacy
with Washington state license plate CNP3587) had already moved out of the roadway and parked in
a nearby parking lot. Driver 1 (Kameron M. Belikov, DOB: 07/16/2008) and Driver 2 (Sonia M.
Edmondson, DOB: 03/31/1972) were both on scene. Neither driver complained of injuries, but Chloe
L. Kuster (seated rear passenger inside Unit 1) complained of pain to her head. Chloe said her head
struck the center pillar (also known as the B pillar) inside Unit 1 when the collision occurred. Chloe
said she only had a headache, and the Renton Fire Department arrived on scene to evaluate the
drivers and passengers. No one involved was transported to the hospital. Driver 2 was not able to
drive Unit 2 and requested a tow. Unit 1 was able to be driven from the scene. 1 spoke to both
drivers who explained what occurred.
Driver 2 informed me she was headed southbound on Rainier Ave S and was in the marked right turn
lane as she approached SW Grady Way to turn right (west) onto SW Grady Way. Driver 2 said her
vehicle was about 50 feet from SW Grady Way when Unit 1 merged into the marked right turn lane at
what appeared to be a high rate of speed striking Unit 2. Driver 2 was not injured. Unit 2 had
damage to the front driver side fender of the vehicle, and the damage prevented the front driver side
door from completely opening. A tow truck came to assist with getting the vehicle off the roadway,
and Driver 2 requested it be towed (private tow) as she was unable to get into the vehicle due to the
damage to the front driver side door. I took photos of the vehicle using my department issued
cellphone and uploaded those photos to Axon.
Driver 1 had three passengers inside Unit 1 while driving southbound on Rainier Ave S. Drier 1
informed me that as he approached SW Grady Way, one of the passengers instructed him to turn
right to take her to the nail salon. Driver 1 said he was in the southbound lane directly next to the
marked right turn lane when he merged into the right turn lane. Driver 1 stated he merged into the
lane "fast" when the collision occurred. Driver 1 was not injured, and Chloe L. Kuster was the only
passenger who complained of pain after the collision. No one was transported to the hospital. Unit 1
had damage to the area of the rear passenger side door and fender, but it was able to be driven from
the scene. I took photos of the vehicle using my department issued cellphone and uploaded those
photos to Axon.
After listening to the statements from both drivers and looking at the damage to both vehicles it
appeared the actions of Driver 1 (Kameron M. Belikov, DOB: 07/16/2008) contributed to the
circumstances of the collision after he attempted to merge into the marked right turn lane before
ascertaining that it was safe to do so. Kameron M. Belikov was cited for improper lane change (RCW
46.61.140), and the infraction (5A0074167) was sent to the court to be mailed.
PAGE 3 OF 4
REPORT NO. E F93551 CASE# 25-4103 DATE AND TIME 05/09/25 17:13
OF COLLISION
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