HomeMy WebLinkAbout25-5291 IT si " II IIIII III IIIII II IIII IIIII I . 27c REPORT NO EG05322OLCERA
COLLISION REPORT 1591971
INTERSTATE CITY STREET FIRE I
CASE# 25-5291 2
RESULTEDSTOLENSTATE ROUTE OTHER VEHICLE LOL`CODICENC'Y 4200 3
HIT&RUN CODING
COUNTY RD PRIVATE WAY INVOLVED
2 TOTAL#OF OBJECT 1 s 28
TRIBAL UNITS 02 STRUCK
RESERVATION : 1 1
2
3� M M D D Y Y Y Y TIME(2400) COUNTY# MILES CITY#
DATE OF N E IN eDLLISION' 06 - 17 - 2025 1359 17 =.= S 8 W E OF M 1070 a
4❑ ON (PRIMARY TRAFFIC WAY) INTERSECTION ❑✓ NON INTERSECTION ❑
BLOCK NO.
BRONSON WAY
4a❑ MILE POST
❑ DISTANCE OF(REFERENCE OR CROSS STREET)
5 1. FEET e S 8 W e SUNSET BLVD N
0 3 29
MOTOR PEDAL- DAMAG THRESHOLD MET PHONE
UNIT 01 VEHICLE ❑ CYCLE ❑ YES No �/ D:2063358292 0 4 30
5 LAST NAME CARRELL FIRST NAME TANYA MIDDLE S 1 2 31
INITIAL
STREET ❑ 308 W WILLIS ST CITY', KENT ST WA ZIP 98032 2
NEW ADDRESS
7 CDL IGN(TIUN REQUIRED IGNITION PRESENT MEDICAL TRANSPORTED 3
INTERLOCKYEs No INTERLOCICvEs Na YES No
8❑ DRIVER # STATE WA SEXI F MMDDYY' 05 — 09 — 1962 1 2 32
-NJUR
9 ON DUTY STATUS' AIRBAG 2 RESTR 4 EJECT 1 HELMET
2 CLASSY 1 [NATURE of INJURIES 2
LICENSE, C9464C STATE WA VIN#; 1HA6GUBG3LN000682 3
10 Fl I PI ATF#
TRAILER STATE TRAILER STATE
11 2 5 PLATE# PLATE# FROM To
TRLR rRLR 3 1 33
12 2 5 VIN#' VIN#
FROM TO
VEH.YEAR 2020 MAKE JCCO MODEL AC STYLE BU VEHICLE TOWED[n TO ZBLIN TOWEDBY GOVT VEHICLE 7 1 34
13� DAMAGE YES II_II NO YESII_I) NO
REGISTERED OWNER INFO RENTON SCHOOL DISTRICT300 SW 7TH ST RENTON WA 98057 VEHICLE NO. 1
SHADE IN DAMAGED AREA 35
14 LIABILITY INSURANCE[ NSURANCE CO SELF INSURED SELF INSURED 3 4
IN EFFECT &POLICY# 4TOP _
srgNOLNG ❑ ❑ 5A0600227 CHARGE PROHAMPROPER TURN o ooTrofi 36
Yes NO CITATION#
15
MOTCYR PEDAL- PEDESTRIAN1:1 PROPERTY DAM THR OLD MET PHONE
UNIT O2 VEHICLE CYCLE nWNFR YES�/ NO D:3602197135
16�
LAST NAME SCHAEFER FIRST NAME KRISTA MIDDLE /
INITIAL
17 STREET ❑
❑ 9797E 32ND ST CITY YUMA ST AZ ZIP 85365 37
NEW ADDRESS
18❑ IGNITION REQUIRED )GNITION CK PRESENT MEDfCALTRANSPORTED' ❑ 38
CDL INTERLOCKYES ND INTERLO YES NO
FcDL YES No
19 DRIVER'S STATE AZ SEX IF MDDY 01 01 1948 � 39
LICENSE# MMbDYY —
HELMET INJURY: NATURE OF INJURIES 40
20❑ ON DUTY❑ STATUS AIRBAG 2 RESTR 4 EJECT 1 USE 2 CLASS 1 ❑
21 LICENLATE SE NMA198 TATEAZ VIN# 1N4BL4BV6PN357931 41
22❑ PLATE# STATE[TILER I PLATE# STATE 42
23 TRLR RLR 43
UIN#. 'IN#
VEH.YEAR 2023 MAKE JyJ$$ MODEL ALTIMA STYLE $D VEHICLE TOWED TO BLIN
TOWED BY GOV HI 44
24 DAMAGE YES NO�/ NO�/
REGISTERED OWNER INFO OWNED BY DRIVER VEHICLE
N0.2
SHADE IN DAMAGEAREA
2 3
LIABILITY INSURANCE INSURANCECO LIBERTY MUTUAL AOV2619876270 4 4
IN EFFECT &.POLICY# 9TOP
VEHICLE ❑ ,.I—I CITATION# CHARGE to BOTTOM
LEGALLY YES N`L]
25 a s
OFFICER'S NAME(PRINT) OFFICER PHONE BADGE OR ID# AGENCY
26
C.CATALAN 12007 WA0171300
PART A PAGE 01 OF
3000-348-189(R 11/181
STATE OF
POLICETRAFFICN CORRECTION REPORT NO. EGO5322
COLLISION REPORT III III III III III 111
1591972 CASE# 25-5291
E NA ADDITIONAL PERSONS INVOLVED(PASSENGERS AND/OR WITNESSES ONLY)
M
(LAST,FIRST,MIDDLE INITIAL) BENNETT MARSHAUN E
ADDRESS&PHONE#
RENTON WA 98055 SEXi X MMDDDYBYYY - -
PASSENGER WITNESS UNIT# SEAT AIRBAG RESTR. EJECT HELMET INJURY NATURE OF INJURIES
z � 1 POS. 11 2 4 1 USE 1 2 CLASS 1 ----�
:NAME
(LAST EIRS7 MIDDLE INITIAL) { HOSTON ROYAL S
ADDRESS&PHONE#
RENTON WA SEX' M D OYe _ _
MMDDYYYY
SEAT HELMET INJURY NATURE OF INJURIES
PASSENGER a WITNESS UNIT# 1 POB. 9 AIRBAG 2 RESTR. 4 EJECT 1 USE 2 CLASS 1 ----�
NAME MIDDLE INITIAL) ARRINGTON JASIYAH
(LAST,FIRST,
ADDRESS&PHONE# RENTON WA
SEX: D.OB• -C====�-C=====_____�
MMDDYYYY
PASSENGER WITNESS UNIT# 1 SEAT 7 AIRBAG 2 RESTR. 4 EJECT 1 HELMET 2 INJURY 1 NATURE OF INJURIES
a POS. 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.
C.CATALAN 06-18-25 11:33 AM
INVESTIGATING OFFICER'S SIGNATURE UNIT OR DIST.DET DATED PLAGE SIGNED
APPROVED BY DATE
C.JACOBS 1953 1 613012025 2:20:41 PM
BADGE OR ID# 12007 ORI# WA0171300 TIME POLICE DISPATCHED 1 2:01 Pry/ TIME POLICE ARRIVED i 2:03 PM
PART B 3 Do-3mx-attar(t 1Mff) PAGE 2�OF F5
REPORT NO. EG05322 CASE# 25-5291 DATE OF COLLI r�510NN + 06/17/25 13:59
L1
NARRATIVE
On June 18, 2025, at approximately 1533 hours, I was dispatched to a collision at the intersection of
Bronson Way N and Sunset Blvd N, within the City Limits of Renton, County of King, State of
Washington.
Upon arrival, I confirmed the collision was non-injury and was able to have both involved vehicles
move off the roadway. There, I was able to collect each involved party's information and independent
summary of the events leading up to the collision.
The driver of Unit 1, identified as Tanya Carrell, said she was traveling westbound on Maple Valley
Hwy and had entered the right turn lane to go northbound on Sunset Blvd N. While waiting at the
traffic signal, she observed a vehicle in front of her make a right turn. She looked south to see if any
traffic was traveling north, but saw the roadway clear. Tanya proceeded to make a right turn not
realizing that Unit 2 was already in front of her. Unit 1 struck the rear bumper of Unit 2. Tanya said
she never saw Unit 2 making their turn.
I then spoke with the driver of Unit 2, identified as Kirsta Schaefer, who said she was the sole
occupant of her vehicle and was traveling eastbound on Bronson Way N approaching the intersection
of Sunset Blvd N. Krista was intending to continue north on Sunset Blvd N in the number 1 left turn
lane. Krista had a green traffic signal, so she proceeded to make her left turn. Upon reaching the
area where Unit 1 was located at, Unit 1 drove into her rear bumper causing moderate damage to the
right rear bumper. Krista was unable to avoid the collision.
Based on the above statements, I determined that the rider of Unit 1 (Tanya) is the proximate cause
for the collision as Smith violated RCW 46.61.290 which covers right turns and stated that "both the
approach for a right turn and a right turn shall be made as close as practicable to the right-hand curb
or edge of the roadway." I issued a Tanya a citation for the improper turn.
Both vehicles were able to be driven away without further incident. An exchange of information was
provided to all involved parties.
I certify (declare) under penalty of perjury under the laws of the State of Washington that the
foregoing is true and correct.
C. Catalan 06/18/2025 Renton
PAGE 3 OF 5
SUPPLEMENTAL REPORT No. EG05322POLICE TRAFFIC
1 27
... ^'� COLLISION REPORT CASE# 25-5291
013197
1 COMMERCIAL MOTOR CARRIER INTERSTATE INTRASTATE
UNIT# 1 USDOT ICC# VEHICLE TYPE ? CAR7GO BODY 1
YPE
CARRIER
2 ❑ 1 28 NAME. RENTON SCHOOL DISTRICT
3 CARRIER L
ADDRESS 300 SW 7TH ST
CITY RENTON I ST WA ZIP 1 98055
4 ❑ NAME I I # PLACARD
NAME IF NO NUMBER
SOURCE 11 1 AXLES '02 GWUR 29000 +
4a ❑ ADDITIONAL UNITS
UNIT MOTOR PEDAL- PROPERTY DAMAGE THRESHOLD MET PHONE
5 ❑ lJ VEHICLE CI ( CYCLE C) PEDESTRIAN C OWNER '.El YES NO
; 29
LAST NAME FIRST NAME MIDDLE
INITIAL
STREET 30
NFwAnnRFs CITY ST ZIP
6 1 PRESENT MEDICAL TANSPORTED 1 31
CDL IGNITION REQUIRED J{iNi7iON ::
INTERLOCK YES NO :NTERLOCK YES 0 NO YEs N
DRIVER'S I
LICENSE STATE SEX M�DDYBYY -C-1
ON DUTY STATUS AIRBAG RESTR. EJECT HELMET INJURY; NAruREOFINJURIES
USE CLASS
8 ❑ 1 32
LICENSE TAT UIN.
PLATE#
9 TRAILER TRAILER L
PLATE# STATE PLATE# STATE
0
10 TRLR TRLR
VIN.# VIN#.
11 VEH.YEAR MAKE MODEL STYLE VEHICLE TOWE E T ABLIN TOWED BY GOVT.VFHIOI F FROM TO
DAMAGE YES NO YES NO
m 33
REGISTERED OWNER INFO.� SHADE IN DAMAGED AREA
12
LIABILITY INSURANCE❑ INSURANCE CO 4 FROM TO
IN EFFECT &POLICY# �GQl
34
13 vewc�e YES NO[jj CITATION# CHARGE
ecauv
sTnNoiNc
MOTOR PEDAL_ ' 1:1PROPERTY : DAMAGE THRESHOLD MET PHONE 35
14 ❑ UNIT# VEHICLE CYCLE PEDESTRIAN OWNER YES NO
36
15 LAST NAME FIRST NAME NIT AL
16 ❑ STREET CITY ST ZIP
NFW ADDRESS"
CDL IGNITION REZu;y IGNITION PRESENT MEDICALTANSPORTED
INTERLOCK YEs NO INTERLOCK YEs NO 'YES No ❑
17 37
LICENSE#RIVERS — STATE SEX MD.ON.B l
18 ❑
HELMET NJURY NATURE OF INJURIES 38
ON DUTY STATUS AIRBAG RESTR. EJECT USE CLASS.
19 ❑ ❑ 39
LICENSE TAT vIN#
PLATE#
20 TRAILER TRAILER 40
PLATE#,' STATE PLATE# STATE ❑
21 ❑ TRLR TRLR 41
VIN# VIN#Y
42
22 VEH.YEAR MAKE I MODEL I STYLE VEHICLE TOWED DUET ABLIN TOWED BY GOVT.VEHICLE
DAMAGE YES NO YES NO
23 REGISTERED OWNER INFO. SHADE IN DAMAC ED AREA 43
2 3 4
LIABILITY INSURANCE INSURANCE CO
IN EFFECT I &POLICY#
..
)
E 44
24 YES❑ NO CITATION# CHARGE OM
STF_ G 8 3 G
1 CERTIFY(DECLARE)UNDER PENALTY OF PERJURY UNDER THE LAWS OF THE STATE OF WASHINGTON THAT THE FOREGOING IS TRUE AND CORRECT.
C.CATALAN 06-18-25 11:33 AM
25 INVESTIGATING OFFICER'S SIGNATURE OFFICER'S PHONE UNIT OR DIST DET DATED: PLACE SIGNED
26 BADGE 1 OR DD# 12007 O#RI WA0171300 APJACOBS 6133012025
PAGE OF
�
3000-345-013(R 11t18)
REPORT NO. EG05322 CASE# 25-5291 DATE AND TIME 06/17/2513:59
OF COLLISION
st
l V
y
YID
i
Vr
,'>b
¢t>,
151
YF�iSl, \ fi�„h4,J 4
u
PAGE 5 OF 5