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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 t t W F, r, t c t �A� T` r i t� 0b l t PAGE 4 OF 4