HomeMy WebLinkAbout25-3838 IT si " II IIIII III IIIII II IIII IIIII I . 27c REPORT NO EF95826OLCERA
COLLISION REPORT 1591971
CASE# 25-3838 2
INTERSTATE ❑ CITY STREET FIRE I
RESULTEDSTOLENSTATE ROUTE OTHER VEHICLE LQCAI-A`NG 4200 3
HIT&RUN CODING
COUNTY RD PRIVATE WAY ❑ INVOLVED
2 1 TOTAL#OF OBJECT 1 1 8 28
TRIBAL UNITS 02 STRUCK STOP SIGN
i RESERVATION 1 1
2❑3� M M D D Y Y Y Y TIME(2400) COUNTY# MILES CITY#
DATE OF N E
eDL�ISION' 05 - 01 - 2025 0711 17 =.= S 8 W❑ IN OF M 1070 a
4❑ ON (PRIMARY TRAFFIC WAY) INTERSECTION ❑ NON INTERSECTION ❑✓
NE 4TH ST BLOCK NO. e 4710 .�
4a❑ MILE POST
❑ DISTANCE OF(REFERENCE OR CROSS STREET)
5 100 00 FEET e✓ S 8 E e DUVALL AVE NE
OF 4 29
MOTOR ✓ PEDAL- DAM AG THRESHOLD MET PHONE
UNIT 01 VEHICLE ❑ CYCLE ❑ YEs Vl No D:2067340524 0 1 30
6 LAST NAME LEMUS RUIZ FIRST NAME CIRO MIDDLE t 1 2 31
INITIAL
STREET ❑ 23908 BOTHELL EVERETT HWY#B301 CITY; BOTHELL ST WA ZIP; 98021 2
NEW ADDRESS
7 CDL IGNITION REQUIRED IGNITION PRESENT MEDICAL TRANSPORTED. 3
INTERLOCKYEs ✓NO INTERLOCKYES NO✓ YES NoF,/
DCIEVERS NSE# STATE WA SEXI M MMDDYY' 07 — 09 — 1973 1 2 32
8❑
9 ON DUTY❑ STATUS' AIRBAG 2 RESTR 9 CT 1 EJE HELM
USEET 2 CLASSY 1 NATURE OF INJURIES 2❑
10 LI ENSE' ACR4386 STATE WA VIN# 3GNEK18ROXG133945 3
TRAILER TRAILER
11 3 5 STATE STATE ROM To
PLATE# PLATE#
TRLR TRLR 7 1 33
12 3 5 VIN# vIN#
FROM TO
VEH.YEAR 1999 MAKE CHEV MODEL TAHOE STYLE UT VEHICLE TOWED[n TO ZBUN TOWEDBV GOVT VEHICLE 3 7 34
13� DAMAGE YES II_II NO YESII_I) NO✓
REGISTERED OWNER INFO EZAUTO BUY INC 14135 AURORA AVE N SEATTLE WA 98133 VEHICLE NO. 1
SHADE IN DAMAGED AREA 35
14 LIABILITY INSURANCE❑ NSURANCE CO NATIONAL GENERAL 2006846877 3 4
IN EFFECT &POLICY# 9TOP _
srnNowc ❑ ❑ CHARGE OP MOT VEH W/OUT INSURANCE t a oorrob z 36
Yes NO CITATION#
15❑
PROPERTY
MOTOR ✓ PEDAL- PEDESTRIAN Y DAM THR OLD MET HOE
PN
UNIT 02 VEHICLE ❑ CYCLE ❑ ❑ nWNER vEs✓ No D:4254354630
16�
LAST NAME DAO FIRST NAME RUDY MIDDLE
E'
t INNITIA L
STREET ❑
17 ❑ 19818 134TH PL SE CITY RENTON ST, WA ZIP 98058 q 37
NEW ADORE SS
18❑ CDL IGNITION REQUIRED IGNITION PRESENT MEDICALTRANSPORTED. 38
INTERLOCKYES NO✓ INTERLOCK YES NO✓ YES NO✓
19 DRIVER'S STATE WA SEXI M D.o,e. 11 22 2004 39
LICENSE# MMD6YY —
20❑ ON DUTY❑ STATUS AIRBAG 2 RESTR 9 EJECT 1 R U ET 2 INJAURY 1 NATURE OF INJURIES 40
21 LICENSE CEC4600 TATe WA VIN# 4T1BE46K88U734072 41
22❑ PLATE# STATE PLAAILER
TE# STATE 42
23 TRLR RLR 43
UIN#. 'IN#
VEH.YEAR 200$ MAKE TOYT MODEL CAMRY STYLE SD VEHICLE TOWED TO BLIN
TOWED BY GOV HI 44
24❑ DAMAGE YES NO✓ VES NO✓
REGISTERED OWNER INFO MYCHI TRAN 19818134THPL SE RENTONWA 98058 D:4254422844 VEHICLE NO.2
SHADFY DAMAGED AREA
3 4
LIABILITY INSURANCE❑ INSURANCE CO pEMCO CA 2089743
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
J
26
MIRIAM LONG 12790 WA0171300
❑
PART A PAGE 01 OF
3000-345-189(R 11/181
STATE OF
POLICETRAFFICN CORRECTION REPORT NO. EF95826
COLLISION REPORT III III III III III 111
1591972 CASE# 25-3838
E NA ADDITIONAL PERSONS INVOLVED(PASSENGERS AND/OR WITNESSES ONLY)
M
(LAST,FIRST,MIDDLE INITIAL) GOMEZ ZULMA
ADDRESS&PHONE#
BOTHELL 2063002973 SEXi F MMDooYBYYY 02 — 05 — 1962
PASSENGER WITNESS UNIT SEAT AIRBAG RESTR. EJECT HELMET INJURY NATURE OF INJURIES
1 POS. 3 2 9 1 USE 2 GLASS 11 NATU
:NAME
(LAST FIRST MIDDLE INITIAL)
ADDRESS&PHONE#
SEX D.O.B. -
MMDDYYYY
PASSENGER❑WITNESS UNIT# : SEAT AIRBAG RESTR. EJEGT HELMET INJURY: NATURECFINJURIES
POS. USE GLASS ----�
: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 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.
MIRIAM LONG 05-01-25 09:19 AM
INVESTIGATING OFFICER'S SIGNATURE UNIT OR DIST.DET DATED PLAGE SIGNED
APPROVED BY DATE
S.WOODWARD 11528 512912025 5:32:12 AM
BADGE OR ID# 12790 ORI# WA0171300 TIME POLICE DISPATCHED; 7:12 Aryl TIME POLICE ARRIVED i 7:18 AM
PAST B 3 Do-3mx—attar(t 1Mff) PAGE 2�OF 4
REPORT NO. EF95826 CASE# 25-3838 GATE OF COLLI r�510NN + 05/01/25 07:11
L1
NARRATIVE
Unless otherwise noted, the following occurred in the City of Renton, County of King, WA.
On 5/1/2025 at about 0713 hours 1 responded to a collision at Duvall Ave NE/NE 4th St.
I arrived at the location and observed both vehicles pulled off NE 4th St where they were blocking the
entrance to the parking lot at 4710 NE 4th St. Unit#1 had significant front-end damage and was
partially off the road where it appeared to have collided with a stop sign and Unit #2 had significant
front end damage and was partially stuck under Unit#1.
I contacted the involved parties, who were walking around and had no obvious injuries. There, I
collected the involved parties driving documents and the independent recollection of events leading
up to the collision.
The driver of Unit#1 (Ciro) said he had one passenger, Zulma Gomez, and that prior to the collision
he was driving east on NE 4th St and was in the left turn lane to enter the parking lot at 4710 NE 4th
St. He said lane two allowed space for him to take a left turn into the parking lot, so he proceeded to
take a left turn when he was struck by Unit#2, who was driving west in lane one.
The driver of Unit#2 (Rudy) said he was the sole occupant of the vehicle and prior to the collision he
was driving west on NE 4th St in lane one approaching Duvall Ave NE. As Unit#2 was nearing the
parking lot entrance at 4710 NE 4th St, Unit#1 pulled in front of him to enter the parking lot and he
was unable to avoid colliding with him.
Based on the above statements, 1 determined that the Driver of Unit #1 (Ciro) was the proximate
cause for the collision due to not granting the right of way during a left turn causing a collision. 1 gave
the driver of Unit#1 a verbal warning for violating RCW 46.61.185(1) by being the driver of a vehicle
intending to turn to the left and not yielding the right-of-way to any vehicle approaching from the
opposite direction which is within the intersection or so close thereto as to constitute an immediate
hazard. The driver of Unit#1 (Ciro) did not grant the right of way to Unit#2 traveling in the roadway
which had the right of way and was already underway. Due to Unit#1 having to traverse across
oncoming traffic, the driver of Unit#1 must wait until the intersection is clear of hazard prior to
proceeding.
I cited the driver of Unit#1 (Ciro) via mail for violating RCW 46.30.020-Liability Insurance as no
person may operate a motor vehicle subject to registration under chapter 46.16A RCW in this state
unless the person is insured under a motor vehicle liability policy with liability limits of at least the
amounts provided in RCW 46.29.090, is self-insured as provided in RCW 46.29.630, is covered by a
certificate of deposit in conformance with RCW 46.29.550, or is covered by a liability bond of at least
the amounts provided in RCW 46.29.090. Proof of financial responsibility for motor vehicle operation
must be provided on the request of a law enforcement officer in the format specified under RCW
46.30.030.
Photos of the scene were taken and uploaded to Axon.
Both involved vehicles had to be towed due to extensive damage. An exchange of information was
provided to all involved parties.
My involvement in this case was captured on my department-issued Axon body camera. This report is
a summary of events that occurred and is not an exact sequencing of events. Statements have been
paraphrased and summarized.
I certify (declare) under penalty of perjury under the laws of the state of Washington that the foregoing
is true and correct.
Electronically signed by M Long#12790 on 5/11/2025 @ 1200 hours in Renton WA.
PAGE 3 OF 4
REPORT NO. E F95826 CASE# 25-3838 DATE AND TIME 05/01/25 07:11
OF COLLISION
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PAGE 4 OF 4