HomeMy WebLinkAbout25-4380 iiTFiNII IIIII III IIIII II IIII IIIII I . 27c REPORT NO EF93681oc� RA
COLLISION REPORT 1591971
CASE# 25-4380 2
INTERSTATE CITY STREET FIRE I
RESULTEDSTOLENSTATE ROUTE OTHER VEHICLE LOCAI-AGENCY 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#
eDCL s on' 05 - 18 - 2025 2147 17 =.= S 8 W e IN OF e 1070 s
4❑ ON (PRIMARY TRAFFIC WAY) INTERSECTION ❑✓ NON INTERSECTION ❑
SUNSET BLVD NE BLOCK NO.
❑
MILE POST e
4a
❑ DISTANCE OF(REFERENCE OR CROSS STREET)
5 1. FEET e S 8 W e NB I405 ON-RAMP
0 1 29
MOTOR ✓ PEDAL- DAM AG THRESHOLD MET PHONE
UNIT 01 VEHICLE ❑ CYCLE ❑ YEs Vl No D:2069639133 0 1 30
6 LAST NAME FRANKLIN FIRST NAME MADELINE MIDDLE A 1 1 2 31
INITIAL
STREET ] 5543 37TH AVE NE
NEW ADDRESS CITY I SEATTLE ST: WA ZIP: 981052201 2
7 CDL IGNITION REQUIRED IGNITION PRESENT MEDICAL TRANSPORTED' 3
INTERLOCKYES NO✓ INTERLOCKYEs No✓ YES ND�/
8 DRIVERI # STATE WA SEXI F MMDDYY' 12 — 08 — 2004 t 1 2 32
9 ON DUTY STATUS' AIRBAG 6 RESTR 4 EJECT ', ) HELMET INJURY 6 NATURE OF INJURIES 2
USE CLASS COMPL.OF CHEST PAIN
10 LI ENSE A8385118 STATE WA VIN#, JF2GTAMC5L8234030 3
TRAILER STATE TRAILER STATE
11 0 0 PLATE# PLATE# FROM To
TRLR TRLR 6 2 33
12 0 o VIN#'. VIN#:
FROM TO
13 3 VEH.YEAR2020 MAKE SUBA MODEL CROSST STYLE UT VEHICLETOWEDNO�iS46LIN T�VyED.6LR$ GOS❑ENO 2 6 34
DAMAGE IIII._IIII HHttVVii((tt
REGISTERED OWNER INFO OWNED BY DRIVER VEHICLE NO. 1
SHADE IN DAMAGED AREA 35
LIABILITY INSURANCE❑ INSURANCE CO 3 4
14 ✓ GEfC04450-50-02-12
IN EFFECT &POLICY# 9TOP 5
vEnic�E CHARGE t a 60TTOM 36
Lemur yes❑NO❑ CITATION# 5
15❑ sTnNowc 7 e
MOTCYR ✓ PEDAL- PEDESTRIAN1:1 PROPERTY DAM THR OLD MET PHONE
UNIT O2 VEHICLE CYCLE nWNFR YES�/ NO D:2069414120
16�
LAST NAME GAYTAN ESPARZA FIRST NAME OBED MIDDLE G
INITIAL
STREET I�I
17 i"1 11813 SE 171 ST LN APT Q-101 CITY RENTON ST, WA ZIP 98058 37
NEW ADDRESS :
18❑ CDL IGNITION REQUIRED IGNITION PRESENT MEDICALTRANSPORTED. 38
INTERLOCKYEs NO✓ (NTERLOCK YES NO✓ YES NO✓
19 DRIVER'S STATE WA SEX M D.O.B. 05 18 2002 39
LICENSE# MMDDYY —
20❑ ON DUTY STATUS AIRBAG 2 RESTR 4 EJECT 1 HELMET INJURY
? NATURE OF INJURIES 40
21 LICEN� AZD4875 rare OVA vIN# 5FNRL18933BO68998 41
PLATE22❑ STATE PLAAILER TE# STATE 42
PLATE#
23 TRLR RLR 43
UIN#. 'IN#
VEH.YEAR 2003 MAKE HOND MODEL ODYSSEY STYLE VEHICLE TOWED TO BLIN
TOWED BY GOV HI 44
24 DAMAGE YES NO✓ NO✓
REGISTERED OWNER INFO OWNED BY DRIVER VEHICLE
NO.2
SHADFY DAMAGED AREA
3 4
LIABILITY INSURANCE[Z INSURANCE CO PROGRESSIVE 982006138
IN EFFECT &POLICY# 9TOP
VEHICLE
❑ ,J—I CITATION# CHARGE t080TTOM
EEGnEEy YES N`.LJ
25= e
OFFICER'S NAME(PRINT) OFFICER PHONE BADGE OR ID# AGENCY
26
RYAN KARLO RIVERA 12649 WA0171300
PART A PAGE 01 OF
3000-345-189(R 11/181
STATE OF
POLICETRAFFICN CORRECTION REPORT NO. EF93681
COLLISION REPORT III III III III III 111
1591972 CASE# 25-4380
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 0,SS ----�
: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.
RYAN KARLO RIVERA 05-19-25 12:20 AM
INVESTIGATING OFFICER'S SIGNATURE UNIT OR DIST.DET DATED PLAGE SIGNED
APPROVED BY DATE
CASEY PROCTER 12123 512212025 4:26:51 AM
BADGE OR ID# 12649 ORI# WA0171300 TIME POLICE DISPATCHED 1 9:49 PM TIME POLICE ARRIVED i 9:51 PM
PAST B 3 Do-3mx—attar(t 1Mff) PAGE 2�OF F5
REPORT NO. EF93681 CASE# 25-4380 OF DATE AND r�N + 05/18/25 21:47
O�COLLISION
NARRATIVE
On 05/18/2025, 1 was working uniformed patrol in a marked police car as 3R23. At approximately
2149 hours, officers were dispatched to a blocking accident at Sunset Blvd NE at the Northbound
(NB) 1405 On-Ramp, which is located within the city limits of Renton, County of King, Washington.
Dispatch advised that a neighbor in the area reported hearing the sounds of a motor vehicle collision
on Sunset Blvd NE.
I arrived at the call location and was able to locate the accident. This call turned out to be a two-motor
vehicle accident that was blocking just south of the NB 1405 on-ramp.
The two involved units and their respective occupants are identified as listed above.
went to speak to the driver of Unit 1. My conversation with her is summarized as follows:
Unit 1 explained that she was traveling northeastbound on Sunset Blvd NE approaching the NB 1405
on-ramp. It should be noted that Unit 1 has a yield sign just before the intersection to enter the NB
1405 on-ramp.
Unit 1 stated she had looked both ways to ensure traffic was not approaching before crossing over
the intersection to continue straight onto the freeway. Unit 1 continued and entered the intersection to
head onto the on-ramp when she stated that she suddenly saw Unit 2 headed southwestbound on
Sunset Blvd NE while she was still in the middle of the roadway. This resulted in the front end of Unit
2 colliding with the front passenger side of Unit 1.
Unit 1 stated that she was wearing her seatbelt. Unit 1 initially stated she was uninjured and later told
other officers that she had some chest pains as a result of the collision.
I took a look around Unit 1 and saw that the entire front side of the vehicle was significantly dented. I
also saw that her airbags inside the vehicle had deployed.
Other officers at the location had spoken to the driver of Unit 2. They relayed the following information
to me:
Officers relayed that Unit 2 stated he was heading southwestbound on Sunset Blvd NE approaching
the NB 1405 on-ramp. She stated that Unit 1 had entered the intersection as he was continuing
straight down Sunset Blvd NE. This resulted in the front end of Unit 2 colliding with the front
passenger side of Unit 1.
Unit 2 stated that he was wearing her seatbelt. Unit 2 also said he was uninjured.
I took a look around Unit 2 and saw that the entire front end of the vehicle was significantly dented.
The driver of Unit 2 also stated his airbags did not deploy.
It should be noted that Unit 2's driver mentioned that he did have current insurance, but the insurance
card he provided did not list the current vehicle in this incident as a covered vehicle.
The fire department arrived a short time later and evaluated the driver of Unit 1 for her complaints of
injuries.
Bankers tow also arrived and took possession of the two vehicles from the location as they were
blocking and undriveable.
PAGE 3 OF 5
REPORT NO. EF93681 CASE# 25-4380 OF DATE AND r�N + 05/18/25 21:47
O�COLLISION
NARRATIVE
Both drivers of each respective vehicle had left the location with other family that had arrived.
Based on the totality of circumstances, I believe that Unit 1 is 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: 05/19/2025 @ Renton, WA
PAGE 4 OF 5
REPORT NO. EF93681 CASE# 25-4380 DATE AND TIME 05/18/25 21:47
OF COLLISION
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