HomeMy WebLinkAbout25-5173 IT si " II IIIII III IIIII II IIII IIIII I . 27c REPORT NO EG05320OLCERA
COLLISION REPORT 1591971
CASE# 25-5173 2
INTERSTATE CITY STREET FIRE I
RESULTEDSTOLENSTATE ROUTE OTHER VEHICLE LOCAI-AGENCY 4100 3
HIT&RUN CODING
COUNTY RD PRIVATE WAY INVOLVED
2❑ TRIBAL i UNITS TRUCK
#OF 02 SO"" STREET LIGHT POLE 1 28
i RESERVATION : 2
3� M M D D Y Y Y Y TIME(2400) COUNTY# MILES CITY#
DATE OF N E E IN
eDL�ISION' 06 - 13 - 2025 1342 17 =.�� S W OF 1070 3
4❑ ON (PRIMARY TRAFFIC WAY) INTERSECTION ❑ NON INTERSECTION ❑✓
LOGAN AVE N BLOCK NO. e 600 .�
4a❑ MILE POST
❑ DISTANCE OF(REFERENCE OR CROSS STREET)
5 200 00 FEET e✓ S 8 E e N 6TH ST
2 0 29
F
MOTOR ✓ PEDAL- DAM AG THRESHOLD MET PHONE
UNIT 01 VEHICLE ❑ CYCLE ❑ YEs Vl No D:4255050326 30
5 LAST NAME CHOW FIRST NAME FA YE MIDDLE Y 1 1 2 31
INITIAL
STREET ❑ 1307 N 43RD ST,APT 404 CITY; SEATTLE ST WA ZIP; 98103 2
NEW ADDRESS
7 CDL IGNITION REQUIRED IGNITION PRESENT MEDICAL TRANSPORTED: 3
INTERLOCKYEs Na%/ INTERLOCK ye .-�/ YES No�/
DRIVER # STATE WA SEXI F MMDDYY' 08 — 02 — 2000 t 32
8❑
9 ON DUTY STATUS' AIRBAG 3 RESTR 4 EJECT 1 HELMET 2 INJURY 7 NATUREO INJURIES 2
USE ,CLASS ABRASION TO HEAD AND RIGHT ARM
3
10� ai��5�', BQZ6846 sTATE WA yIN#, 3N1A87AP7KY323170
TRAILER STATE TRAILER STATE
11 2 5 PLATE# PLATE# ROM To
TRLR TRLR 5 1 33
12 VIN#' VIN#
: FROM TO
13 2 VEH.YEAR2019 MAKE N/$S MODEL SENTRA STYLE P4 DAMICLETOWED NO�iS46LIN T� Fl9{J RS TOWING GCS❑FNo✓ m 34
DAMAGE IIII._IIII
REGISTERED OWNER INFO JESSIE CHOW8118130THPL SE SNOHOMISH WA 98296 VEHICLE NO. 1
SHADE IN DAMAGED AREA 35
14❑ LIABILITY INSURANCE[%/] INSU&POLIRANCECY# CO AMERICAN FAMILY BX14145387 3 4
IN EFFECT 9TOP _
Lrg LNG ❑ ❑ 5A0563850 CHARGE DRIVING WITH WHEELS OFF oorrob 36
Yes NO CITATION#
15
MOTOR PEDAL-:. PROPERTY DAM THR OLD MET PHONE
UNIT 02 PEDESTRIAN ✓ D:4254307500
VEHICLE CYCLE PROPSOWNE YES✓ NO
16❑
LAST NAME RENTON FIRST NAME CITY OF MIDDLE
INITIAL
17 F1 STREET ❑
❑ 1055 S GRADY WAY CITY RENTON ST, WA ZIP 98057 q 37
NEW ADDRESS
1$❑ CDL IGNITION REQUIRED IGNITION PRESENT MEDICAL TRANSPORTED; ❑ 38
INTERLOCKYES X YESFJNz YES NO
19[ DRIVE # STATE SEXjU MD,OB. 01 01 200 0 39
INJURY NATURE OF INJURIES 40
20❑ ON DUTY STATUS AIRBAG RESTR EJECT USE CLASSLICENSE
❑
21 PLATE# TATE VIN# 41
22❑ PLATE# STATE PLAAILER
TE# STATE 42
23 TRLR RLR 43
UIN#. 'IN#
VEH.YEAR MAKE MODEL STYLE VEHICLE TOWED TO BLIN
TOWED BY GOV HI 44
24 DAMAGE YES NO YES NO
REGISTERED OWNER INFO VEHICLE NO.2
SHADE IN DAMAGED AREA
2 3 4
LIABILITY INSURANCE❑ INSURANCE CO
IN EFFECT &POLICY# 9TOP
vewae ❑ ,.[—I CITATION# CHARGE to BOTTOM
LEGALLY YES N`
25 a s
OFFICER'S NAME(PRINT) OFFICER PHONE BADGE OR ID# AGENCY
WA0171300
26
D.NELSON 12421
PAGE 01 OF
PART A 3000-348-189(R 11/18)
STATE OF
POLICETRAFFICN CORRECTION REPORT NO. EGO5320
COLLISION REPORT III III III III III 111
1591972 CASE# 25-5173
E NA ADDITIONAL PERSONS INVOLVED(PASSENGERS AND/OR WITNESSES ONLY)
M
(LAST,FIRST,MIDDLE INITIAL) HANSEN JAMES E
ADDRESS&PHONE# D O
35642 12TH AVE SW FEDERAL INAY INA 98023 2067302865 SEXi M MMDDYVYv 06 IT
22 — 1968
PASSENGER WITNESS UNIT# SEAT AIRBAG RESTR. EJECT HELMET INJURY NATURE OF INJURIES
�' POS. USE CLASS ----�
: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 0,SS ----�
: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 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.
D.NELSON 06-13-25 04:53 PM
INVESTIGATING OFFICER'S SIGNATURE UNIT OR DIST.DET DATED PLAGE SIGNED
APPROVED BY DATE
C.JACOBS 1953 613012025 1:44:50 PM
BADGE OR ID# 12421 ORI# WA0171300 TIME POLICE DISPATCHED 1:42 Pry] TIME POLICE ARRIVED i 1:50 PM
PAST B 3 Do-3mx—attar(t 1Mff) PAGE 2�OF 4
REPORT NO. EG05320 CASE# 25-5173 DATE OF COLLI r�510NN + 06/13/25 13:42
L1
NARRATIVE
25-5173 ACCINJ
On 6/13/2025 1 was working as a uniformed patrol officer and driving a marked patrol vehicle for the
City of Renton. I was dispatched to a report of a single-vehicle collision in the 600 block of Logan Ave
N Renton/King/WA. A witness was calling to report that a vehicle had left the roadway and struck a
light pole knocking it over. They reported the driver was outside of the vehicle and was advising she
was not injured.
I arrived on scene and located the gray 2019 Nissan Sentra WA/BQZ6846 with extensive front-end
damage. The Nissan was still resting on the pole which was knocked over to the ground on the east
side of the roadway just before the entrance to the Boeing E6 parking lot. The driver was standing
nearby and was identified by her WADL as Faye Y Chow DOB: 8/2/2000. Faye had a small abrasion
to her forehead and right forearm. She was evaluated and cleared at the scene by RRFA. The front
airbag had gone off inside her vehicle.
Faye said that she believes that she fell asleep while driving and her vehicle left the roadway striking
the pole. She said she remembered everything up until right before hitting the pole.
RRFA personnel moved the pole from the scene and taped the exposed wiring. I covered the wiring
with a cone. Renton City Shops was advised of the downed light pole. This light pole is property of
the City of Renton.
Bankers Towing removed the Nissan from the scene.
Witness James E Hansen DOB: 6/27/1968 advised he was walking southbound on Logan Ave S. He
said that he watched as the Nissan jumped the curb and struck the light pole before coming to a stop.
Based on Faye's admission of falling asleep while driving and her vehicle leaving the roadway I cited
Faye for RCW 46.61.670 Wheels Off Roadway under Sector citation #5A0563850.
This citation should be mailed to Faye at her DOL address.
Nothing further.
I certify under penalty of perjury under the laws of the State of Washington that the foregoing is true
and correct.
D. Nelson #191 6/13/2025 Renton WA
PAGE 3 OF 4
REPORT NO. EG05320 CASE# 25-5173 DATE AND TIME 06/13/2513:42
OF COLLISION
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