HomeMy WebLinkAbout25-4659 )STATE
TFcN 5 6 27i t
Oc� RA EF96904
COLLISION REPRT 1591971
CASE# 25-4659 2
INTERSTATE CITY STREET FIRE ❑
RESULTED
1 STOLEN
STATE ROUTE ❑ OTHER ❑ VEHICLE ❑ LOCCO A`GENC'Y. 4200 3
COUNTY RD NVOLVED CODING
2 PRIVATE WAY
❑ TRIBAL TOTAL 1
UNITS#OF 02 SO BJECT TRUCK 1 8 28
RESERVATION 2
3� M M D D Y Y Y Y TIME(2400) COUNTY# MILES CITY#
DATE OF'. N E
coulsloN' 05 - 28 - 2025 1229 17 =.= S 8 W e IN OF M 1070 a
4❑ ON (PRIMARY TRAFFIC WAY) INTERSECTION �✓ NON INTERSECTION ❑
BLOCK NO.
HARD/E AVE SW
4a❑ MILE POST
DISTANCE OF(REFERENCE OR CROSS STREET)
5❑ . FEET e S 8 W e RAINIER AVE S
0 1 29
PEDAL- DAMAG THRESHOLD MET E
UNIT 01 VEHICLEMOTtlR PHON
❑ CYCLE ❑ YES NO ✓ Q $ 30
6 LAST NAME DE LEON CHACAJ FIRST NAME ISRAEL MIDDLE 1 1 2 31
INITIAL
STREET ❑ 11837 77TH AVE S
NEW ADDRESS CITY SEATTLE ST WA ZIP 981783809 2
7 CDL IGNITION REQUIRED IGNITION PRESENT MEDICAL TRANSPORTED. 3
INTERLOCKYEs ND INTERLOCKYEs NO YES No
8❑ DCIENSE# STATE WA SEX M MMOCSYY' 08 - 25 - 1998 DO t 1 2 32
9 ON DUTY STATUS AIRBAG 2 RESTR 4 EJECT 1 HELMET USE INJURYCLASS 1 NAruRE of INJURIES 2
LICENSE, CNP7497 STATE WA VN# JMlBLlTGXD1837370 3
10 PI ATF#
11[—j— TRAILER STATE TRAILER ,STATE
11 2 5 PLATE# PLATE# FROM TO
TRLR rRLR 1 5 33
12 0 0 VIN# VIN#
( FROM TO
VEH.YEAR 2013 MAKE MAZD MODEL 3 STYLE VEHICLE TOWED TO NO
TOWED By GOVT VEHICLE 9 9 34
13 3 DAMAGE YES�NO� YES❑ NO
REGISTERED OWNER INFO ISRAEL DE LEON CHACAJ 1183777TH AVE S SEATTLE WA 981783809 VEHICLE NO. 1 ❑
SHADE IN DAMAGED AREA 35
3 4
14 3 LIABILITY INSURANCE❑ NSURANCE CO
IN EFFECT &POLICY# 11 4TOP
v `LE CHARGE 10 BOTTOM 36
LEc LY YES[:]NO[:] CITATION# 1
15❑ sTnNowc B 7 e
UNIT 02 MOTOR PEDAL ❑ PEDESTRIAN PROPERTY DAM THR OLD MET PHONE
1 VEHICLE CYCLE. nWNFR YES NO
16F1
LAST NAME KONONENKO FIRST NAME VLADISLAV MIDDLE' q
INITIAL
❑
17 F1 STREET' 10825 SE 200TH ST APT H302 CITY KENT ST 37
, WA ZIP 980315550
NEW ADDRESS❑
18 CDL IGNITION REQUIRED IGNITION PRESENT MEDICAL TRANSPORTED' 38
INTERLOCKYEs NO INTERLOCK YES NO vEs ND
19[ DRIVER'S STATE WA SEX M D.O.B. 03 13 1999 ❑ 39
LICENSE# MMDDYY -
HELMET INJURY NATURE OF INJURIES 40
20❑ ON DUTY�✓ STATUS' AIRBAG 2 RESTR 4 EJECT 1 USE CLASS 1 ❑
21 LICENSLATE E B5115C TATE WA VIN# 3C6TRVBG5FE510166 41
22❑ [TILER AILER
PLATE# STATE PATE# STATE ❑ 42
23 TRLR kRLR 43
UIN#. 'IN#.
VEH.YEAR 2015 MAKE RAM MODEL pROMST STYLE C,G` VEHICLE TOWED TO BLIN
TOWED BY GOV HI 44
24 DAMAGE YES NO YES NO
REGISTERED OWNER INFO RENTONFIREAUTHORITY1055SGRADYWAYRENTONWA98057 VEHICLE NO.2
SHADE IN DAMAGED AREA
2 3 4
LIABILITY INSURANCE INSURANCE CO ENDURIS 2025-625-P-001
IN EFFECT &POLICY# I 9TOP
vew ae YES Z No,.I—I CITATION11 CHARGE i060TTOM
Le 1—
25 a
OFFICER'S NAME(PRINT) OFFICER PHONE BADGE OR ID# AGENCY
26
C.ARNOLD 12509 WA0171300
PAGE 01 OF
PART A 3000-345-159(R 11/18)
POLIICFETRAFFICN CORRECTION REPORT NO. EF96904
COLLISION REPORT III III III III III 111
1591972 CASE# 25-4659
ADDITIONAL PERSONS INVOLVED(PASSENGERS AND/OR WITNESSES ONLY)
'NAME
(LAST,FIRST MIDDLE INTTIAL)
ADDRESS&PHONE#
SEX' D.O.B. — [----------�
MMDDYYYY
PASSENGER F-1 WITNESS Ej UNIT# SEAT AIRBAG RESTR. EJECT HELMET INJURY NATURE OF INJURIES--�
POS. USE CLASS
'NAME
(LAST FIRS,MIDDLE INITIAL)
ADDRESS&PHONE#
SEX' D.O.B. — L----------�
MMDDYYYY
PASSENGER DWITNESSD UNIT# SEAT AIRBAG RESTR. EJECT HELMET NJURY NATURE OF INJURIES
POS. : USE CLASS ----�
'.NAME
(LAST,FIRST,MIDDLE INITIAL)
ADDRESS&PHONE#
SEX D.O.B. — L----------�
MMDDYYYY
PASSENGER WITNESS UNIT# SEAT AIRBAG RESTR. EJECT HELMET INJURY NATURE OF INJURIES
❑ Q POS. USE CLASS �____ ----j
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.ARNOLD 05-28-25 01:15 PM
INVESTIGATING OFFICER'S SIGNATURE UNIT OR DIST.DET DATED PLACE SIGNED
APPROVED BY DATE
C.JACOBS 1953 6/2/2025 7:58:22 AM
BADGE OR ID# 12509 ORI# ( WA0171300 TIME POLICE DISPATCHED'; 12:32 PM TIME POLICE ARRIVED 12:39 PM
PART B 3 Do-3mx-,ao(Rtlras) PAGE 27 OF 47
REPORT NO. EF96904 CASE# 25-4659 OF COLLI ION 05/28/25 12:29
OI;COLLISICiN
NARRATIVE
CC 25-4659
On 5/28/2025 at 1232 hours I was dispatched to a motor vehicle collision at the intersection of Hardie
Ave SW and Rainier Ave S in the City of Renton, King County, Washington.
Pre-Collision
Driver 2 stated that he was stopped for traffic at the marked stop sign in the #1 lane on Hardie Ave
SW at the intersection of Hardie Ave SW and Rainier Ave S.
Driver 1 stated that he was behind Unit 2 in the #1 lane of Hardie Ave SW approaching the
intersection of Rainier Ave S.
Collision
Driver 2 stated that while stopped of traffic, the front passenger side bumper of Unit 1 collided with
the rear drivers side bumper of Unit 2.
Driver 1 stated that he was looking left to see oncoming traffic on Rainier Ave S and did not realize
that Unit 2 was still stopped. Driver 1 stated that he kept moving forward and the front passenger side
bumper of Unit 1 collided with the rear drivers side bumper of Unit 2.
Injuries
No injuries reported.
Vehicle Disposition
Both vehicles were operational.
Proximate Cause
I determined that Driver 1 is the proximate cause of this collision because Driver 1 operated a motor
vehicle on any public highway, street, alley, or road in an inattentive manner in the City of Renton.
"Inattentive manner" in this section means a lack of: 1) attentiveness required to safely operate the
vehicle under the prevailing conditions, including, but not limited to, the nature and condition of the
roadway, the weather conditions, the presence of pedestrians, the presence of other traffic, or by the
driver focusing or directing the driver's attention to something other than driving the motor vehicle.
Driver 1 advised me that he does not have insurance as well.
Per a check of DOL, Driver 1's driving status showed "DRIVER LICENSE NON-COMMERCIAL
CLASS: Suspended/Revoked 3rd Degree". I determined there to be probable cause to arrest Driver 1
for driving while license invalidated.
Driver 1 was cited per RMC 10-12-25, RCW 46.30.020, and RCW 46.20.342.
1 certify (declare) under penalty of perjury under the laws of the State of Washington that the
foregoing is true and correct.
Electronically signed by Officer C. Arnold #12509 at 13:02 on 5/28/2025 in the City of Renton, King
County, Washington.
PAGE 3 OF 4
REPORT NO. EF96904 CASE# 25-4659 DATE AND TIME i 05/28/25 12:29
OF COLLISION
RDIE AVE SW
s
It� A
s
a
y�
F�
r
ti
4�dit 1 Y4 a�i~�ti
s�
w
Uri.
Y
4 s.,
~� f
i d Ve
I
PAGE 4 OF 4