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HomeMy WebLinkAbout25-5493 IT si " II IIIII III IIIII II IIII IIIII I . 27c REPORT NO EG06264OLCERA COLLISION REPORT 1591971 CASE# 25-5493 2 INTERSTATE CITY STREET FIRE ❑RESULTED 1 STOLEN STATE ROUTE ❑ OTHER ❑ VEHICLE ❑ LOCAL A`GENC'Y. 4100 3 COUNTY RD INVOLVED CODING PRIVATE WAY TOTAL 1 2❑ TRIBAL 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 - 24 - 2025 1408 17 =.= S 8 W e IN OF M 1070 a 4❑ ON (PRIMARY TRAFFIC WAY) INTERSECTION �✓ NON INTERSECTION ❑ BLOCK NO. 108TH AVE SE 4a❑ MILE POST ❑ DISTANCE OF(REFERENCE OR CROSS STREET) 5 �. FEET S 8 W e SE 180TH ST 0 1 29 MOTtlR PEDAL- DAMAG THRESHOLD MET PHON UNIT 01 E VEHICLE ❑ CYCLE' ❑ YES NO �/ D:2066028814 0 8 30 6 LAST NAME BARRAGAN FIRST NAME BERTHA MIDDLE 1 1 2 31 INITIAL STREET ❑ 26310 186TH AVE SE NEW ADDRESS CITY COVINGTON ST WA ZIP 980428424 2 7 CDL IGNITION REQUIRED IGNITION PRESENT MEDICAL TRANSPORTED 3 INTERLOCKYEs NO INTERLOCKYE, NO YEB N.Ll 8 LICIENS# STATE WA SEX F MDmo,YY' 03 - 27 - 1965 1 2 32 9 ON DUTY STATUS AIRBAG 2 RESTR 4 EJECT 1 N USEET INJURY CLASS 1 NAruRE of INJURIES 2 3 10 P1 AT5 'ti�, BQX5461 STATE WA vN# 2T16URHE9FC427239 TRAILER STATE TRAILER STATE 11 3 5 PLATE# PLATE# FROM To TRLR TRLR 5 1 33 12 0 o VIN# VIN# FROM TO VEH.YEAR MAKE MODEL STYLE VEHICLE TOWED TO BLIN TOWED BY GOVT VEHICLE 9 9 34 13 3 2015 TOYT COROL DAMAGE YES NO YES❑ NO REGISTERED OWNER INFO OWNEDBYDRIVER VEHICLE NO. 1 ❑ SHADE IN DAMAGED AREA 35 14 LIABILITY INSURANCE NSURANCE CO pEMCO CA 0826182 3 4 IN EFFECT &POLICY# 4TOP VEHICLE srgNOLNG ❑ NO 5A0512700 CHARGE FOLLOW VEHICLE TOO CLOSELY B o ooTrofi 36 YES CITATION# 15 III MOTOR PEDAL- PEDESTRIAN PROPERTY DAM THR OLD MET PHONE UNIT VEHICLE CYCLE nWNFR YES NO �/ D:2062358977 16� LAST NAME STIPAN FIRST NAME TANNER MIDDLEI INITIAL 2 37 17 STREET ❑'❑ 6906 138TH AVE SE CITY KENT ST, WA ZIP 980428048 NEW AbORESS 18❑ CDL IGNITION REQUIREfl IGNITION PRESENT MEDIGALTRANSPORTED 38 INTERLOCKYEs ND INTERLOCK YES NO YEs NU' 19[ DRIVER'S STATE WA SEX M I D.O.B. I 11 28 2003 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 CRL0064 TATE WA vIN# JT8BD69S420172845 41 22❑ [TILER TRAILER PLATE# STATE PATE# STATE ❑ 42 23 TRLR kRLR 43 UIN#. 'IN#. VEH.YEAR 2QQ2 MAKE LEXS MODEL GS STYLE VEHICLE TOWED TO BLIN TOWED BY GOV HI 44 24 DAMAGE YES NO YES NO REGISTERED OWNER INFO OWNEDBYDRIVER VEHICLE NO.2 SHADE IN DAMAGED AREA 2 3 4 LIABILITY INSURANCE INSURANCE CO PROGRESSIVE 930 629 652 IN EFFECT &POLICY# t 9TOP veeiae ,J—I CITATION# CHARGE tO BOTTOM LecnLLY YES N`[_ 25 s 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. EG06264 COLLISION REPORT III III III III III 111 1591972 CASE# 25-5493 ADDITIONAL PERSONS INVOLVED(PASSENGERS AND/OR WITNESSES ONLY) NAME LAW FAYE C (LAST,FIRST MIDDLE INITIAL} ADDRESS&PHONE# 8026 372ND PL SE SNOQUALMIE WA 980659308 4253950541 SEX' F MMooYYYv 11 - 14 - 2006 SEAT HELMET I INJURY NATURE OF INJURIES PASSENGER F,-/1 WITNESS ,UNIT# 2 POS. 3 AIRBAG j 2 RESTR. 4 EJECT 1 USE CLASS ;7 COMPLAINT OF NECK PAIN '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.M -T L----------� MDDYYYY PASSENGER WITNESS UNIT# PO SEAT AIRBAG RESTR. EJECT HELMET INJURYSS rNATURE OF INJURIES ❑ QPOS. USE GLA — ----� 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 06-24-25 02:53 PM INVESTIGATING OFFICER'S SIGNATURE UNIT OR DIST.DET DATED PLACE SIGNED APPROVED BY DATE C.JACOBS 1953 7/3/2025 9:05:38 AM BADGE OR ID# 12509 ORI# ( WA0171300 TIME POLICE DISPATCHED'; 2:09 PM TIME POLICE ARRIVED 2:12 PM PART B 3 Do-3mx-,ao(Rtrras) PAGE 27 OF 47 REPORT NO.` EG06264 CASE# 25-5493 O COLLI COLLISION TIME OF 06/24/25 14:08 COLLI NARRATIVE CC 25-5493 On 6/24/2025 at 1409 hours I was dispatched to a motor vehicle collision at the intersection of 108th Ave SE and SE 180th St in the City of Renton, King County, Washington. Pre-Collision Driver 2 stated that they were stopped at a red light facing South on 108th Ave SE at the intersection of SE 180th St in the #2 lane. Driver 1 stated that she was traveling North on 108th Ave SE in the #2 lane approaching SE 180th St. Collision Driver 2 stated that while stopped for the red light, the front bumper of Unit 1 collided with the rear bumper of Unit 2. Driver 1 stated that she had received a phone call that her father had a stroke while she was driving. Driver 1 stated that when she heard this information, she released her foot from the brake causing Unit 1 to roll forward and the front bumper of Unit 1 collided with the rear bumper of Unit 2. Injuries The only injuries reported were from the front seat passenger of Unit 2. This passenger had previous injuries from a collision 3 weeks prior and the impact of this new collision caused stiffness in her neck and may have exacerbated the pre-existing injuries. The passenger was not transported medically and was already on her way to a doctors appointment. No other injuries reported. Vehicle Disposition Both vehicles were operable and driven from the scene. Proximate Cause I determined that Driver 1 is the proximate cause of this collision because the driver of a motor vehicle shall not follow another vehicle more closely than is reasonable and prudent, having due regard for the speed of such vehicles and the traffic upon and the condition of the highway and because it is a traffic infraction to drive dangerously distracted which Driver 1 did because a person who engages in any activity not related to the actual operation of a motor vehicle in a manner that interferes with the safe operation of such motor vehicle on any highway. This was done because Driver 1 admitted to being on the phone while driving and the contents of the statements made over the phone affected her driving in such a way as to cause a collision. Driver 1 was cited per RCW 46.61.145. 1 opted not to cite Driver 1 for RCW 46.61.673 to reduce financial burden 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 C. Arnold #12509 at 14:44 on 6/24/2025 in the City of Renton, King County, Washington. PAGE 3 OF 4 REPORT NO. EG06264 CASE# 25-5493 DATE AND TIME i 06/24/25 14:08 OF COLLISION s �. yy Vti i c 3 4 Y�l p 4i; 1r 00 Al t } y i p r �r t A t t �y t PAGE 4 OF 4