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HomeMy WebLinkAbout25-4405 iiTFiNII IIIII III IIIII II IIII IIIII I . 27c REPORT NO EF95167oc� RA COLLISION REPORT 1591971 CASE# 25-4405 2 INTERSTATE CITY STREET FIRE I RESULTEDLVED STOLENSTATE ROUTE OTHER VEHICLE LOCAI-A`NG 4200 3 COUNTY RD NT&RUN ©DING 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 - 19 - 2025 1515 17 =.= S 8 W e IN OF e 1070 3 4❑ ON (PRIMARY TRAFFIC WAY) INTERSECTION ❑ NON INTERSECTION ❑✓ BLOEASTVALLEYRD MILE POST e 4224 .� 4a❑ MILE POST ❑ DISTANCE OF(REFERENCE OR CROSS STREET) 5 MILES 1.1 FEET B S B W e 0 1 29 MOTOR ✓ PEDAL- DAM AG THRESHOLD MET PHONE UNIT 01 VEHICLE ❑ CYCLE ❑ YEs Vl No D:2063724779 0 1 30 5 LAST NAME PJETURSDOTTIR FIRST NAME KATHRYN MIDDLE A 1 1 2 31 INITIAL STREET ❑ 11412 21 ST AVE SW NEW ADDRESS CITY I $EATTLE ST: WA ZIP: 981463509 2 7 +CDL IGN(TIUN REQUIRED IGNITION PRESENT MEDICAL TRANSPORTED. 3 INTERLOCKYES NO INTERLt)CKYES NK7 YES No 8❑ DRIVERS# STATE WA SEXI F MMDDYY' 09 — 07 — 1950 1 2 32 9 ON DUTY STATUS' AIRBAG 2 RESTR 4 EJECT 1 HELMET 2 CLASSY 1 [NATURE of INJURIES 2 LICENSE, 814ZXG STATE WA VIN# JHMCD5655RC091892 3 10 Fq I PI ATP rt TRAILER 11 0 0 STATE TRAILER STATE PLATE# PLATE# ROM To TRLR rRLR. 7 3 33 12 3 5 VIN# vIN# FROM TO 13 2 VER YEAR 1994 MAKE HOND MODEL ACCOR STYLE $D VEHICLE TOWED NO�iS46LIN Tv4 EBYMEYERS GESr`-I VEHICLE Np 5 1 34 DAMAGE IIII._IIII I_I REGISTERED OWNER INFO OWNED BY DRIVER VEHICLE NO. 1 SHADE IN DAMAGED AREA 35 2 LIABILITY INSURANCE INSURANCE CO 4 14 STATE FARM 555 5586 Cl 147 IN EFFECT &POLICY# 9TOP ICLE CHARGE 5 36 LvEnemur yes❑NO❑ CITATION# t a 80TFOM 15❑ STMDING s 7 6 MOTOR PEDAL- PEDESTRIAN PROPERTY DAM THR OLD MET PHONE UNIT 02 VEHICLE CYCLE nWNFR D:2532083232 16� LAST NAME DEMOSS-HERNANDEZ FIRST NAME ANTONIO MIDDLE R INITIAL 17 STREET ❑ 15202 95TH AVENUE CT E CITY SOUTH HILL ST, WA ZIP 37 983756700 NEW ADDRESS I I I I 1 ❑ 18❑ CDL IGNITION REQUIRED (GNITION PRESENT MEDICAL TRANSPORTED'. 38 INTERLOCK YEs Nd INTERLOCK YES NO yes No 19[� DRIVER'S MMDDYY — 20❑ ON DUTY STATUS AIRBAG 6 RESTR 4 EJECT 1 7 HELMET 2 INJURY NATURE OF INJURIES ❑ 40 USE CLASS HEAD INJURY 21[ LICENSE CBE8417 rare WA VIN# 3FA6POHDXER204024 41 22❑ PLATE# STATE PLATE# STATE 42 23 TRLR RLR 43 UIN#. 'IN# VEH.YEAR 2014 MAKE FORD MODEL FUSION$ STYLE SD VEHICLE TOWED TO BLIN TOWED BY GOV HI 44 24 DAMAGE YES �/ No GENE MEYERS E REGISTERED OWNER INFO OWNED BY DRIVER VEHICLE N0.2 SHADFY DAMAGED AREA 3 4 LIABILITY INSURANCE INSURANCECO AMERICAN FAMILY INSURANCE 41080.95921 IN EFFECT &POLICY# 9TOP VEHICLE ❑ ,J—I CITATION# CHARGE t080TTOM L'—LY YES N 25 e OFFICER'S NAME(PRINT) OFFICER PHONE BADGE OR ID# AGENCY J 26 C.CATALAN 12007 WA0171300 PAGE 01 OF PART A 3000-345-189(R 11/18) STATE OF POLICETRAFFICN CORRECTION REPORT NO. EF95167 COLLISION REPORT III III III III III 111 1591972 CASE# 25-4405 E NA ADDITIONAL PERSONS INVOLVED(PASSENGERS AND/OR WITNESSES ONLY) M (LAST,FIRST,MIDDLE INITIAL) GEIER AMBER R ADDRESS&PHONE# RENTON RENTON WA 98055 2537775959 SEXi F MMDDD BYYY 09 — 18 — 1997 PASSENGER WITNESS UNIT SEAT AIRBAG RESTR. EJECT HELMET INJURY NATURE OF INJURIES z �' 2 POS. 3 6 4 1 USE 1 2 CLASS 1 ----� :NAME (LAST FIRST MIDDLE INITIAL) ADDRESS R PHONE# SEX D.O.B. — MMDDYYYY PASSENGER❑WITNESS UNIT# : SEAT AIRBAG RESTR. EJECT HELMET INJURY: NATURECFINJURIES POS. USE CLASS ----� :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 PC& 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. C.CATALAN 05-20-25 02:35 PM INVESTIGATING OFFICER'S SIGNATURE UNIT OR DIST.DET DATED PLACE SIGNED APPROVED BY DATE C.JACOBS 1953 1 512712025 9:55:48 AM BADGE OR ID# 12007 ORI# WA0171300 TIME POLICE DISPATCHED 3:19 PM TIME POLICE ARRIVED i 3:23 PM PAST B 3 Do-3mx—attar(t 1Mff) PAGE 2�OF 4 REPORT NO. EF95167 CASE# 25-4405 OF DATE AND r�N + 05/19/25 15:15 O�COLLISION NARRATIVE On May 19, 2025, at 1515 hours dispatch requested that I respond to a collision at the 4224 East Valley Rd, in the city of Renton, county of King, and State of Washington. Upon my arrival, I confirmed that the driver of Unit 2 was complaining of neck pain. RRFA had already responded and evaluated the involved parties prior to my arrival. All parties were treated at the scene and released by RRFA. While on scene, I was able to collect each involved party's information and independent summary of the events leading up to the collision. The driver of Unit 1, identified as Kathryn Pjetursdottir, said she was exiting the parking lot of 270 SW 43rd S. She intended to cross the north and southbound lanes of East Valley Rd to enter the private property of The Spot Bar and Grill. As she proceeded east across East Valley Rd, she was struck by Unit 2 on her passenger side fender and front door. Kathryn said she never saw Unit 2. When both vehicles collided, both came to a rest on the eastside of East Valley Rd. The driver of Unit 2, identified as Antonio Demoss-Hernandes, said he was traveling northbound in about the 4200 block of East Valley Rd and in lane 2 of 2. Antonio stated he was intending to continue north on East Valley Rd. Upon reaching the location of where Unit 1 was turning out from, Unit 1 pull out into the roadway, but he was unable to avoid the collision. Both vehicles collided in the roadway and Unit 2 suffered significant damage to the front of his vehicle. Based on the above statements, I believe that the driver of Unit 1 (Kathryn) is the proximate cause for the cause of collision as she is required to comply with RCW 46.61.205(1) which states that every driver of a vehicle about to enter or cross a highway from a private road or driveway shall yield the right-of-way to all vehicles lawfully approaching on said highway. Unit 2 was already underway in the roadway and had right of way. Both Unit 1 and Unit 2 had to be towed due to extensive damage. An exchange of information was provided to all involved parties. No citations were given. Informational report only. I certify (declare) under penalty of perjury under the laws of the State of Washington that the foregoing is true and correct. C. Catalan 05/20/2025 Renton PAGE 3 OF 4 REPORT NO. EF95167 CASE# 25-4405 DATE AND TIME 05/19/2515:15 OF COLLISION> ' , ti s � u ti 1 fi �4 3 N' k y � i uy PAGE 4 OF 4