HomeMy WebLinkAbout25-5302 POLICE TRAM 27iTFFiNc
"i ,one COLLISION REP F 1591971
CASE# 25-5302 2
INTERSTATE CITY STREET FIRE ❑
RESULTED
STOLEN
1 1 STATE ROUTE OTHER VFHICIF LOCAL AGENCY 41UU 3[�
HIT 8 RUN CODING
COUNTY RD PRIVATE WAY INVOLVED
2 TRIBAL UN 75#OF02 STRUCK TOTAL OBJECT 11 8 2$
RESERVATION 2
3 M M D D Y Y Y Y TIME I2400) COUNTY# MILES CITY#
coAT sloN 06 - 17 - 2025 2043 17 a. e W 8 OF IN 8 1070 3
S
4❑ ON (PRIMARY TRAFFIC WAY) INTERSECTION ❑ NONINTERSECTION ❑✓
ROUSER WAY N BLOCK NO. 8✓ 120 .�
4a❑ MILEPOST
❑ DISTANCE OF(REFERENCE OR CROSS STREET)
5 �. FEET e S e W B
2 0 29
MOTOR PEDAL- DAM ETHRESHOLD MET PHONE
����0� VEHICLE CYCLE YES ,/No D:2533911120 0 1 30
6❑ LAST NAME PASKALEV FIRST NAME KRISTIAN MIDDLE D 1 2 31
INITIAL
STREET E:1' 1160 MONROE AVE NE#1 B CITY RENTON WA
NEW ADDRESS S7 ZIP 98056 z
7❑ CDL IGNITION REQUIRED IGNITION PRESENT MEDICAL TRANSPORTED 3
INTERLOCK YES
No INTERLOCKYEs No YES Na
8❑ LDICENS STATE WA SEX'M MM flYY 08 - 27 - 2005 1 2 32
9 F] ON DUTY STATUS' AIRBAG 6 RESTR 9 EJECT 1 H U5 E7 CLASRS 1 NATURE OF INJURIES 2
LICnNSE CLS5397 srnrF WA WIN#' 1VWBA7A30JC010029 3
10 9❑
R TRAILER
11 0 0 PLATE# STATE PLATE# STATE FROM -
rRLR TRLR 5 1 33
12 0 0 VIN#' VIN#
FROM TO
VEH.YEAR 2018 MAKE VOLK MODEL PASSAT STYLE SD IVEHDAMIAGE TOWEEDFtj NO2fBLIN TOWED BY GOVT..VEHICLE 5 1 34
13❑ REGISTERED OWNER INFO BRIANA HAMMONDS 3762C RAILROAD AVE LAKEWOOD WA 98443 IL—llll VEHICLE�NIIQ—.111
SHADE 1N DAMAGED AREA ❑ 35
14❑ LIABILITY INSURANCE N POLICY#SURANCE CO PROGRESSIVE 987833561 �W5
IN EFFECT VtwCLt CHARGE 36
EGALlYES❑NO❑ CITATION#
15❑ sTAnomc
MOTOR PEDAL- PEDESTRIAN PROPERTY DAM THR OLD MET PHONE
UNIT VEHICLE CYCLE OWNER YES NO D:2063358769
16�
LAST NAME HENLEY FIRST NAME MARQUITA MIDDLE'
INITIAL
17❑ STREET El 23804 102ND AVE SE CITY KENT ST', WA ZIP 98031 37
NEW ADDRESS ❑
18❑ CDL IGNITION REQUIRED IGNITION PRESENT MEDICAL TRANSPORTED ❑ 38
1NTERLOCKvrs No INTERLOCK YES N vEs NOR I
19❑ DRIVER'#
❑ ON DUTY STATUS AIRBAG 2 RESTR 9 EJECT 1 H�SET INJURY 1 NATURE OF INJURIES ❑ 40
21❑ LICENSE I KITABUG rAre WA vIN# 3VW517AT7HM801065
❑ 41
PLATE#
TRAILER TRAILER ❑22 PLATE# STATE PLATE STATE 42
23 43
TRLR RLR
VIN#. 'IN#,
44
VEH.YEAR 2017 MAKE VOLK MODEL BEETLE STYLE 2D DAMIAGE ✓TOWED NOO BLIN TOWED BY GO BANKERS YES N HI O
Ct
24
REGISTERED OWNER INFO OWNED BYDRIVER VEHICLE NO.2
SHAD DAMAGED AREA
LIABILITY INSURANCE INSURANCE CO ALLSTATE 817 229 627 3 4
IN EFFECT &POLICY# t 4TOP 5
venue YES❑ N J
.1-1 CITATION# CHARGE tO BOTTOM
�ecns�v
25 s � s
OFFICER'S NAME(PRINT) OFFICER PHONE BADGE OR ID# AGENCY
26
N.ODALOVIC 11628 WA0171300
PART A . PAGE 01 OF
9000-345-159(R 11(181
STATE OF
POLICETRAFFICN CORRECTION REPORT NO. EG02848
COLLISION REPORT III III III III III 111
1591972 CASE# 25-5302
E NA ADDITIONAL PERSONS INVOLVED(PASSENGERS AND/OR WITNESSES ONLY)
M
(LAST,FIRST,MIDDLE INITIAL) KEBE MOHAMED L
ADDRESS&PHONE
2066028978 SEXi M MMDD B.Y 07 - 10 - 2005
PASSENGER WITNESS UNIT SEAT AIRBAG RESTR. EJECT HELMET INJURY NATURE OF INJURIES
z ❑' 1 POS. 19 6 9 1 USE CLASS 1 -- —�
:NAME
(LAST FIRST MIDDLE INITIAL) { GIRMA NOAH B
ADDRESS&PHONE#
2063849377 SEX' M M ooBy 11 _ 20 _ 2004
SEAT HELMET NJURY NATURE OF INJURIES
PASSENGER a WITNESS❑!UNIT# 1 SEA 3 AIRBAG 6 RESTR. 9 EJECT 1 USE NJURCLAS 1 �----�
NAME MIDDLE INITIAL) HENLEY KEVIN
(LOST,FIRST,
ADDRESS&PHONE#
SEX' M MMDDDYYYYv 02 _ 24 _ 2009
PASSENGER Z WITNESS UNIT 2 SEAT 3 AIRBAG 2 RESTR. 9 EJECT 1 HELMET INJURY 7 NATURE OF INJURIES
E : POS. USE :GLASS : COMPLAINT OF KNEE PAIN
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.
N.ODALOVIC 06-18-25 12:13 AM
INVESTIGATING OFFICER'S SIGNATURE UNIT OR DIST.DET DATED PLACE SIGNED
APPROVED BY DATE
P.SUMMERS 8887 612112025 11:17:27 PM
BADGE OR ID# ; 11628 ORI#' i WA0171300 TIME POLICE DISPATCHED 1 8:46 Pry/ TIME POLICE ARRIVED i 8:48 PM
PART B 3000-345.160(Brute) PAGE 0 OF 47
REPORT NO. EG02848 CASE# 25-5302 OF COLLI ION 06/17/25 20:43
OF COLLISION
NARRATIVE
25-5302
Unless otherwise noted, the following occurred in the City of Renton, County of King, WA.
On 06-17-2025 at approximately 2047 hours I was dispatched to a two-vehicle collision on Houser
Way N, just east of Liberty Park (1101 Bronson Way N). I arrived at approximately 2054 hours. Ofc
Kearse arrived prior and was speaking with involved parties.
Unit 1 was traveling northbound on Houser Way N in lane two when he stated he thought the two left
lanes were supposed to merge together and he was trying to turn left into the park. Unit 2 was
traveling northbound on Houser Way N in lane one and was struck by unit 1 on the passenger side.
The damage on both vehicles is consistent with this account. Unit 1 was drivable, but with airbag
deployment. The vehicle was able to be moved off the roadway for a private tow at a later time. Unit 2
was not drivable due to fender damage interfering with her right front tire. Unit 2 had no airbag
deployment. Unit 2 was towed by Bankers Towing. The passenger in unit 2, Kevin, reported knee
pain and was evaluated by the Renton Fire Authority on scene. Mohamed in unit 1 reported some
pain but declined to be evaluated. I provided both parties with the case number. Photographs of the
scene were uploaded to evidence.com.
During this incident it is likely my body-worn and/or in-car camera was recording audio and video.
This report is merely a summary of the incident and is not intended to be an exact transcription of the
entire investigation or what may have been captured with the recording system.
I declare under penalty of perjury under the laws of the State of Washington that the foregoing is true
and correct. Electronically signed by N. Odalovic#11628 on 06-18-2025 at 0030 hours in Renton,
WA.
PAGE 3 OF 4
REPORT NO. EG02848 CASE# 25-5302 DATE AND TIME 06/17/2520:43
OF COLLISION
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PAGE 4 OF 4