HomeMy WebLinkAbout25-5445 IT si " II IIIII III IIIII II IIII IIIII I . 27c REPORT NO EG09288OLCERA
COLLISION REPORT 1591971
CASE# 25-5445 2
INTERSTATE CITY STREET FIRE ❑
RESULTED
1 STOLEN
STATE ROUTE ❑ OTHER ❑ VEHICLE ❑ LOCAL AGENC'Y 4200 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
coLLISION' 06 - 23 - 2025 0809 17 =.= S 8 W E IN OF M 1070 a
4❑ ON (PRIMARY TRAFFIC WAY) INTERSECTION ❑ NON INTERSECTION
NE 7TH ST BLOCK NO. e 2100 .�
4a❑ MILE POST
❑ DISTANCE OF(REFERENCE OR CROSS STREET)
5 C------�.� FEET e S B W
0 1 29
MOTtlR PEDAL- DAM AG THRESHOLD MET PHONE
UNIT 01 VEHICLE ❑ CYCLE ❑ YEs Vl No D:2063167112 1 4 30
5 LAST NAME AUSTIN FIRST NAME HARMONY MIDDLE C 1 2 31
INITIAL
STREET ❑ 717 MONROE AVE NE CITY RENTON ST WA ZIP 980563862 2
NEW ADDRESS
7 CDL IGNITION REQUIRED IGNITION PRESENT MEDICAL TRANSPORTED' 3
INTERLOCKYEs NO INTERLOCKYEs No YES D NO
8 LCEENSE# STATE WA SEX F Mpmo S Y' 07 - 10 - 1979 32
9 ON DUTY STATUS AIRBAG 2 RESTR 4 EJECT 1 N USEET CLASS 1 NAruRE of NJURIEs 2=
LICENSE, CSK7612 STATE WA VIN# 5UXFE83508L163547 3
10 PI ATF#
TRAILER STATE TRAILER ..STATE
11 3 5 PLATE# PLATE# ROM TO
TRLR TRLR 3 7 33
12 0 0 VIN# VIN#
( FROM TO
VEH.YEAR MAKE MODEL STYLE VEHICLE TOWED TO BLIN 7/.p� �E�p/pgY GOVT VEHICLE m 34
13 2008 BMW X5 DAMAGE YES ✓ NO� fi&ATE TOW YES NO S
REGISTERED OWNER INFO HARMONY AUSTIN 717 MONROE AVE NE RENTON WA 98056 VEHICLE NO. 1
a ❑
SHADE IN DAMAGED AREA 35
14❑ LIABILITY INSURANCE INSURANCE CO DAIRYLAND 11409379114 3 4
IN EFFECT &POLICY# 4TOP _
srg NOLNG Yes❑NO❑ CITATION# 5A0512689 CHARGE INATTENTIVE DRIVING B o ooTrob 36
15
UN# MOTOR PEDAL ❑ PEDESTRIAN PROPERTY DAM THR OLD MET PHONE
1 T 02 VEHICLE CYCLE. OWNER YES NO
16❑
LAST NAME UNKNOWN FIRST NAME MIDDLE'
INITIAL
17❑ STREET ❑ CITY RENTON ST ZIP ❑ 37
NEW ADDRESS
—
IGNITION❑ CDL IGNITION REQUIRE6 IGNITION PRESENT MEDICAL TRANSPORTED 38
INTERLOCKYES NO INTERLOCK YES NO YEs NO
19 LICEENSE# STATE SEX U MMDDYY —� ❑ 39
HELMET INJURY' NATURE OF INJURIES 40
20❑ ON DUTY STATUS' AIRBAG g RESTR g EJECT 1 USE 9 CLASS 0 ❑
21 LICENSLATE E CMR8133 TATE WA VIN# 2HNYD28347H513947 41
22❑ PLTL ATE# STATE TILER PATE# STATE ❑ 42
23 TRLR kRLR 43
UIN#. 'IN#.
TOWED BY GE, HI 44
VEH.YEAR 2QQ7 MAKE �QCUR MODEL MDX STYLE DAMIAGE TOWED No BLIN PRIVATE TOW YES NO�/
24
REGISTERED OWNER INFO HUNG NGUYEN 2206 NE 7TH ST RENTON WA 98056 D:2063349923 VEHICLE NQ.2
SHADE IN DAMAGED AREA
2 3 4
LIABILITY INSURANCE INSURANCECO AMERICAN FAMILY INSURANCE 41044-54478.85
IN EFFECT &POLICY# I VEHICLEYESe ❑ N JHARGE,.I—I CITATION# C UR
LEGALLY25
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. EG09288
COLLISION REPORT III III III III III 111
1591972 CASE# 25-5445
ADDITIONAL PERSONS INVOLVED(PASSENGERS AND/OR WITNESSES ONLY)
'NAME
(LAST,FIRST MIDDLE INTTIAL)
ADDRESS&PHONE#
SEX' D.O.B. — [----------�
MMDDYYYY
PASSENGER F-1 WITNESS Ej UNIT# SEAT AIRBAG RESTR. EJECT HELMET INJURY NATURE OF INJURIES--�
POS. USE CLASS
'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. — L----------�
MMDDYYYY
PASSENGER WITNESS UNIT# SEAT AIRBAG RESTR. EJECT HELMET INJURY NATURE OF INJURIES
❑ Q POS. USE CLASS �____ ----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.
C.ARNOLD 06-23-25 09:17 AM
INVESTIGATING OFFICER'S SIGNATURE UNIT OR DIST.DET DATED PLACE SIGNED
APPROVED BY DATE
M.LEVERTON 2517 7/9/2025 3:29:35 PM
BADGE OR ID# 12509 ORI# ( WA0171300 TIME POLICE DISPATCHED'; 8:12 AM TIME POLICE ARRIVED 8:26 AM
PART B 3 Do-3mx-,ao(Rtlras) PAGE 27 OF 47
REPORT NO.` EG09288 CASE# 25-5445 O COLLI COLLISION TIME
OF 06/23/25 08:09
COLLI
NARRATIVE
CC 25-5445
On 6/23/2025 at 0812 hours I was dispatched to a motor vehicle collision at the 2100 block of NE 7th
St in the City of Renton, King County, Washington.
Pre-Collision
Owner 2 stated that his vehicle was legally parked facing West on the North side of NE 7th St at 2206
NE 7th St.
Driver 1 stated that she was traveling West on NE 7th St approaching the 2200 block after dropping
her child off at school.
Collision
Owner 2 stated that he heard a collision and went to investigate, seeing that there was damage to the
front drivers side bumper and wheel of Unit 2.
Driver 1 stated that as she was traveling West on NE 7th St at around the 2200 block, her dog jumper
into her lap from the front passenger seat causing her to veer to the right. Driver 1 stated that when
this happened, the front passenger side tire of Unit 1 collided with the front drivers side tire of Unit 2.
The front bumper of Unit 2 was also damaged from this collision.
Injuries
No injuries reported.
Vehicle Disposition
Both vehicles were privately towed from the scene.
Proximate Cause
I determined that Driver 1 is the proximate cause of this collision because it shall be a traffic
infraction, subject to RCW 7.80.120(1)(a), for any person to drive a motor vehicle on any public
highway, street, alley, or road in an inattentive manner in the City of Renton. "Inattentive manner" in
this section means a lack of: 1) attentiveness required to safely operate the vehicle under the
prevailing conditions, including, but not limited to, the nature and condition of the roadway, the
weather conditions, the presence of pedestrians, the presence of other traffic, or by the driver
focusing or directing the driver's attention to something other than driving the motor vehicle; or 2)
attentiveness that would permit the driver of a motor vehicle to observe anything resting on, or
traveling on, or entering the roadway in time to take appropriate action as circumstances require.
Driver 1 was cited per RMC 10-12-25.
1 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 09:06 on 6/23/2025 in the City of Renton, King
County, Washington.
PAGE 3 OF 4
REPORT NO. EG09288 CASE# 25-5445 DATE AND TIME i 06/23/25 08:09
OF COLLISION
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