HomeMy WebLinkAbout25-5190 )STATE
TFcN 0 5 27i 1
Oc� RA EG01894
COLLISION REPRT 1591971
CASE# 25-5190 2
INTERSTATE CITY STREET FIRE ❑
RESULTED
1 STOLEN
STATE ROUTE ❑ OTHER ❑ VEHICLE ❑ LOCAL AGENC'Y 4100 3
COUNTY RD NVOLVED CODING
PRIVATE WAY
2❑ 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' 06 - 14 - 2025 1101 17 =.= S 8 W e IN OF M 1070 a
4❑ ON (PRIMARY TRAFFIC WAY) INTERSECTION Z NON INTERSECTION ❑
NE 4TH ST BLOCK NO.
4a❑
MILE POST e
❑ DISTANCE OF(REFERENCE OR CROSS STREET)
5 FEET e S 8 W e UNIONAVENE
0 4 29
MOTOR PEDAL- DAMAG THRESHOLD MET PHON
UNIT 01 E
VEHICLE ❑ CYCLE ❑ YES No �/ D:4253658484 0 1 30
5 LAST NAME ARIAS FIRST NAME NICOLAS MIDDLE 1 1 2 31
INITIAL
STREET ❑ 22931 SE 269TH CITY MAPLE VALLEY ST WA ZIP 98038 2
NEW ADDRESS
7 CDL IGN ✓ITION REQUIRED IGNITION PRESENT MEDICAL TRANSPORTED' 3
INTERLOCKYEs No INTERLOCK YEs NO✓ YEs No✓
8� LCEENSE# STATE WA SEx M MMOCSYY' 05 1 2 32
9 ON DUTY STATUS AIRBAG 2 RESTR 4 EJECT 1 HELMET USE 2 1 INJURY
CLASS 1 NAruRE of INJURIES 2
LICENSE, C45425S STATE WA VN# 2NKHHJ6X6LM384734 3
10 PI ATF#
TRAILER STATE TRAILER ..STATE
11 0 0 PLATE# PLATE# ROM TO
TRLR TRLR 3 5 33
1 0 ' VIN#
'... : FROM TO
2 0 VIN#
VEH.YEAR MAKE MODEL STYLE VEHICLE TOWED TO BLIN TOWEDBY GOVT VEHICLE
13 4 2020 KW CONST UT DAMAGE YES DNO ✓ YEs❑ No✓ 7 3 34
REGISTERED OWNER INFO ROAD CONSTRUCTION NORTHWE 5851 NE 4TH ST RENTON WA 98059 VEHICLE NO. 1 ❑
SHADE IN DAMAGED AREA 35
3
14 LIABILITY INSURANCE NSURANCECO TRAVELERS INOEMNITY810ON3 75 7 6424 2 6G 4
IN EFFECT &POLICY#VEHICLE 4TOP _
STANo'NG ❑ ❑ CHARGE FAIL YIELD LEFT TURN MOTOR s o ooTrob 36
Yes NO CITATION#
15
MOTOR PEDAL- PROPERTY DAM THR OLD MET PHONE
UNIT 02 Q ❑ PEDESTRIAN ❑ D:2064235425
VEHICLE CYCLE OWNER YES✓ NO
16�
LAST NAME JOHNSON FIRST NAME MONICA MIDDLE' L
INITIAL
STREET ❑
17 ' 1❑ 1171 BEACON AVE S CITY SEATTLE ST, WA ZIP 98178 4 37
NEW ADDRESS
18❑ CDL IGNITION REQUIRED IGNITION PRESENT MEDIGALTRANSPORTED: 38
INTERLOCKYES No✓ (NTERLOCKYrs NO✓ YEs No'✓
19[ DRIVER'S STATE GA SEXI F D.O.B. 04 25 1969 39
LICENSE# MMDDYY —
20❑ ON DUTY❑ STATUS AIRBAG 9 RESTR 9 EJECT 1 HELMET U S 2 CLASSY 1 NATURE OF INJURIES 40
21 LICENSE I PLATE# CPW1219 TATE WA VIN# 1B3CB3HA4BD114103 41
22❑ [TILER TRAILER
PLATE# STATE PATE# STATE ❑ 42
23 TRLR kRLR 43
UIN#. 'IN#.
TOWED BY GOV HI 44
VEH.YEAR 2011 MAKE RODE MODEL CALIBER STYLE VN DAMIAGE TOWED No BLIN BANKERRS YES No✓
24
REGISTERED OWNER INFO OWNED BY DRIVER VEHICLE NO.2
SHADEDAMAGEDAREA
3 4
LIABILITY INSURANCE❑ INSURANCE CO
IN EFFECT &POLICY# 4TOP
VEHICLE YESO NC❑ CITATION# 5A0593076 CHARGE OP MOT VEH IN/OUT INSURANCE �o eorTom
LEGALLY
25 a
OFFICER'S NAME(PRINT) OFFICER PHONE BADGE OR ID# AGENCY
26
LACY SMITH 12613 WA0171300
PART A PAGE 01 OF
3000-345-159(R 11/181
POLIICFETRAFFICN CORRECTION REPORT NO. EGO1894
COLLISION REPORT III III III III III 111
1591972 CASE# 25-5190
ADDITIONAL PERSONS INVOLVED(PASSENGERS AND/OR WITNESSES ONLY)
NAME MIDDLE INITIAL} KEENA RAHZIR CHARLES I
(LAST,FIRST,
ADDRESS&PHONE# DOB
11171 BEACON AVE S $EATTLE WA 98178 SEX' M MMDDYYYY 03 - 27 - 2022
SEAT HELMET INJURY NATURE OF INJURIES
PASSENGER WITNESS UNIT# 2 POS. 10 AIRBAG±9 RESTR. 9 EJECT 1 USE 2 CLASS 7 CHILD COMPLAINED OF HEAD PAIN
'NAME
(LAST FIRS,MIDDLE INITIAL)
ADDRESS&PHONE#
SEX' D.O.B. - L----------�
MMDDYYYY
PASSENGER F]WITNESSD 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 r— ----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.
LACY SMITH 06-14-25 04:15 PM
INVESTIGATING OFFICER'S SIGNATURE UNIT OR DIST.DET DATED PLACE SIGNED
APPROVED BY DATE
J.TRADER 4553 6/18/2025 10:37:51 AM
BADGE OR ID# 12613 ORI# ( WA0171300 TIME POLICE DISPATCHED'; 11:06 AM TIME POLICE ARRIVED 11:12 AM
PART B 3 Do-3mx-,ao(R11Y1s) PAGE 27 OF 47
REPORT NO.` EGO1894 CASE# 25-5190 O COLLI COLLISION TIME
OF 06/14/25 11:01
COLLI
NARRATIVE
On 06/14/2025, 1 was assigned to District 22 as the, 1 R22. At approximately 1106 hours I was
dispatched to a two vehicle collision at NE 4TH ST/UNION AVE NE. This incident occurred in the City
of Renton, County of King, State of Washington.
Unit 1- WA/C45425S
Unit 2- WA/CPW1219
1 arrived on scene and contacted the driver and sole occupant of Unit 1. 1 positively identified him as,
Nicolas Arias DOB 05-17-2002, via his Washington State Driver's license. Arias stated he was
traveling Westbound on NE 4th ST. While at the intersection of NE 4TH ST/UNION AVE NE, Arias
admitted he had a yellow arrow and attempted to make a left-hand turn onto UNION AVE NE when
he collided into Unit 2. Arias stated he was wearing his seat belt and did not have any injuries.
Unit 1 had a small amount of damage behind the front passenger side wheel.
I contacted the driver of Unit 2 and positively identified her as, Monica Johnson DOB 04-25-1969, via
her Georgia State issued identification card. Johnson admitted she did not have insurance at this
time. Johnson stated she was traveling Eastbound on NE 4Th ST and had a green light at the
intersection of NE 4TH ST/UNION AVE NE when unit 1 made a left-hand turn and collided into her.
Johnson had her 5 year old grandson, Rahzir Charles Keena, in the back seat who complained of
head pain. Renton Fire was called and medically cleared Keen on scene.
Johnson did not complain of any injuries at this time. Johnson's vehicle was privately towed from the
scene by Bankers Towing.
Unit 2 had significant damage to the front of the vehicle.
Based on the statements made by the involved parties and the evidence on scene it appears that unit
2 was traveling Eastbound through the intersection of NE 4TH ST/UNION AVE NE with a green light
when unit 1 made a left-hand turn from NE 4 TH ST to UNION AVE NE without granting unit 2 the
right of way and collided into unit 2.
1 gave Johnson a verbal warning for driving without a license and informed her that she would be
cited for R.C.W 46.30.020 Operating a motor vehicle without insurance. The information in the report
is Johnson's current mailing address.
I informed Arias that he would be cited for R.C.W 46.61.185.1 Fail yield left turn to motor vehicle. The
information in the report is Arias's current mailing address.
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 Officer L. Smith 12613 on 06/14/2025 in Renton.
**** AUTO-POPULATED SECTION ****
THE FOLLOWING ARE DESCRIPTIONS ENTERED FOR ITEMS SELECTED AS "OTHER":
Motor Vehicle Unit 2
Seat Position (Passenger RAHZIR CHARLES KEENA): BACK BOOSTER SEAT
**** END OF AUTO-POPULATED SECTION ****
PAGE 3 OF 4
REPORT NO.'; EGO1894 CASE# 25-5190 DATE AND TIME i 06/14/25 11:01
OF COLLISION
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PAGE 4 OF 4