HomeMy WebLinkAbout25-5866 )STATE
TFcN 6 0 27i t
Oc� RA EG09428
COLLISION REPRT 1591971
CASE# 25-5866 2
INTERSTATE CITY STREET FIRE ❑
RESULTED
1 STOLEN
STATE ROUTE ❑ OTHER ❑ VEHICLE ❑ LOL`CO A`GENC'Y 4100 3
COUNTY RD INVOLVED
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
coulsloN' 07 - 06 - 2025 1431 17 =.= S 8 W E IN OF M 1070 a
4❑ ON (PRIMARY TRAFFIC WAY) INTERSECTION �✓ NON INTERSECTION ❑
SW SUNSET BLVD BLOCK NO. e 300 .�
4a❑ MILE POST
❑ DISTANCE OF(REFERENCE OR CROSS STREET)
5 �. FEET H S 8 W e STEVENS AVE SW
0 1 29
MOTtlR PEDAL- DAMAG THRESHOLD MET PHON
UNIT 01 E
VEHICLE ❑ CYCLE' ❑ YES NO �/ D:2062509912 Q 1 30
6❑ LAST NAME YEAGER FIRST NAME BRAD MIDDLE L 1 2 31
INITIAL
STREET ❑ 7207 S 132ND ST
NEW CITY, SEATTLE ST WA ZIP 981785030 2
7 CDL IGNITION REQUIRED IGNITION PRESENT MEDICAL TRANSPORTED. 3
INTERLOCKYEs ND INTERLOCKYEs NO YEs NO
8 DCIENSE# STATE WA SEX M MMOCSYY' O6
❑ - 23 - 1954 1 2 32
9 ON DUTY STATUS AIRBAG 2 RESTR 9 EJECT 1 N USEET INJURY
CLASS 1 NAruRE of INJURIES 2
10 LI ENSE'ti�, BMS1822 STATE WA VN# YV4902NM9F1230571 3
TRAILER STATE TRAILER ,STATE
11 0 0 PLATE# PLATE# FROM TO
TRLR TRLri 7 3 33
12 0 0 VIN# VIN#
FROM TO
VEH.YEAR 2015 MAKE VOLV MODEL XC70 STYLE VEHICLE TOWED fn TO ZBUN TOWED BY GOVT VEHICLE 7 3 34
13 DAMAGE YES I_II NO YESI1:1 NO
REGISTERED OWNER INFO OWNEDBYDRIVER VEHICLE NO. 1 ❑
SHADE IN DAMAGED AREA 35
14❑ LIABILITY INSURANCE NSURANCE CO ALLSTATE YV4902NM9F1230571 3 4
IN EFFECT &POLICY# 4TOP
Lr ALLNG ❑ 5A0610512 CHARGE VEH ENTER INTERSEC STEADY RED o eorrofi 36
VEHICLE YES NO CITATION#
15
MOTOR PEDAL PHONE
UNIT PEDESTRIAN D:20 VEHICLE CYCLE69302242 nWNFR
16�
LAST NAME RIVERS FIRST NAME RICHARD MIDDLE
INITIAL
17 F1 STREET ❑❑ 6450 S 127TH PL CITY SEATTLE ST, yyq ZIP 981783633 37
NEW ADORE
18� CDL IGNITION REQUIRED IGNITION PRESENT MEDICALTRANSPDRTED'. 38
INTERLOCKYES No [NTERLOCK YES Na YES NOI
19[ DRIVER'S STATE WA SEXI M I D,O,B. 05 23 1959 39
LICENSE# MMDDYY -
20❑ ON DUTY STATUS AIRBAG'2 RESTR 9 EJECT 1 ' 7 HELMET INJURY NATURE OF INJURIES ❑ 40
USE CLASS BLOODYNOSE
21 1 LICENSLATE E 635ZPU TATE WA VIN# UTEGP21A340030432 41
22❑ PLATE# STATE PATE# STATE ❑ 42
23 TRLR kRLR 43
UIN#. 'IN#.
VEH.YEAR 2QQ4 MAKE TOYT MODEL HIGHLAN STYLE VEHICLE TOWED TO BLIN
TOWED BY GOV HI 44
24 DAMAGE YES NO YES NO
REGISTERED OWNER INFO RICHARD RIVERS 6450 S 127TH PL SEATTLE WA 981783633 D:2069302242 VEHICLE NO.2
SHADE IN DAMAGED AREA
2 3 4
LIABILITY INSURANCE INSURANCECO STATE OF WASHINTON LIABILITY INSURANCE 55PHG994776
IN EFFECT &POLICY# t 9TOP
veeiae ❑ ,J—I CITATION# CHARGE tO BOTTOM
LecALLr YES N`.LJ
25 s '
OFFICER'S NAME(PRINT) OFFICER PHONE BADGE OR ID# AGENCY
26
SULIASI TAMAIVENA 12788 WA0171300
PAGE 01 OF
PART A 3000-345-159(R 11/18)
POLIICFETRAFFICN CORRECTION REPORT NO. EG09428
COLLISION REPORT III III III III III 111
1591972 CASE# 25-5866
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.
SULIASI TAMAIVENA 07-06-25 04:09 PM
INVESTIGATING OFFICER'S SIGNATURE UNIT OR DIST.DET DATED PLACE SIGNED
APPROVED BY DATE
S.WOODWARD 11528 7/14/2025 4:42:25 AM
BADGE OR ID# 12788 ORI# ( WA0171300 TIME POLICE DISPATCHED'; 2:31 PM TIME POLICE ARRIVED 2:38 PM
PART B 3 Do-345-,ao(Rtrras) PAGE 27 OF 47
REPORT NO.` EG09428 CASE# 25-5866 O COLLI COLLISION TIME
OF 07/06/25 14:31
COLLI
NARRATIVE
On 07/06/2025, at approximately 1431 hours, I was dispatched to an injury accident at SW SUNSET
BLVD/STEVENS AVE SW in the City of Renton, while I was employed as a uniformed Patrol Officer
for the City of Renton, County of King, State of Washington. Dispatch advised that one of the drivers
has a bloody nose.
I spoke with Unit#1, whom I identified by his WADL photo as YEAGER, BRAD LAWRENCE (DOB
06/23/1954). He advised that he was on SW Sunset BLVD in lane #1 (nearest to the curb) traveling
eastbound. Brad stated that while coming down the hill, he noticed a pedestrian walking across
Stevens Ave SW. He got distracted by the pedestrian that he did not see the traffic light turn red until
he hit Unit#2's vehicle. Brad mentioned Unit#2 was crossing from Southbound to Northbound on
Stevens Ave SW. He admitted to running a red light and hitting Unit#2's vehicle.
Brad did not claim any injuries and only had damage to his front bumper. His vehicle was still
drivable. He was informed that he would be receiving a citation for failing to stop at a red light. He
understood. Brad's citation number 5A0610512.
I spoke with Unit#2, whom I identified by his WADL photo as RIVERS, RICHARD JOE (DOB
05/23/1959). Joe stated he was on Stevens Ave SW, in lane #2 (Lane #1 being nearest to the curb),
on the South side of the intersection. He was attempting to cross to the East side of the intersection
when he was hit by Unit#1's vehicle. Joe said he had a green light.
Joe did get a bloody nose from the accident. His vehicle was damaged on the rear left side of the
bumper and fender. However, his vehicle was still drivable.
Both parties received a copy of each other's information and a business card.
Both were checked and cleared medically by the Fire Department.
Photos were taken and submitted as evidence.
This concludes my report.
My Axon camera was on for this call.
I certify (declare) under penalty of perjury under the laws of the State of Washington that the
foregoing is true and correct. This report was electronically signed by Officer S. Tamaivena #12788,
July 6th, 2025, at 1600, Renton, WA.
**** AUTO-POPULATED SECTION ****
THE FOLLOWING ARE DESCRIPTIONS ENTERED FOR ITEMS SELECTED AS "OTHER":
Motor Vehicle Unit 1
Traffic Control: RED LIGHT
Motor Vehicle Unit 2
Traffic Control: GREEN LIGHT
**** END OF AUTO-POPULATED SECTION ****
PAGE 3 OF 4
REPORT NO. EG09428 CASE# 25-5866 DATE AND TIME i 07/06/25 14:31
OF COLLISION
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