HomeMy WebLinkAbout25-6811 iiTGiNII IIIII III IIIII II IIII IIIII I . 27c REPORT NO EG16206oc� RA
COLLISION REPORT 1591971
CASE�# 25-6811 2
INTERSTATE CITY STREET FIRE ❑RESULTED
1 STOLEN
STATE ROUTE ❑ OTHER ❑ VEHICLE ❑ LOCAL A`NG 4200 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
GDLLISION' 08 - 05 - 2025 1653 17 =.= S 8 W E IN OF M 1070 a
4❑ ON (PRIMARY TRAFFIC WAY) INTERSECTION �✓ NON INTERSECTION ❑
S.5TH ST BLOCK NO. e 0000 .�
4a❑ MILE POST
DISTANCE OF(REFERENCE OR CROSS STREET)
5❑ �. FEET e S 8 N e MAIN AVE S 1 9 29
MOTtlR PEDAL- DAMAG THRESHOLD MET PHON
UNIT 01 E
VEHICLE ❑ CYCLE ❑ YES No �/ D:4254307541 0 8 30
5 LAST NAME RIVERA FIRST NAME RYAN MIDDLE K 1 1 2 31
INITIAL
STREET ❑✓ 1055 S.GRADY WAY CITY RENTON ST WA ZIP 98057 2
NEW ADDRESS
7 CDL IGNITION REQUIRED IGNITION PRESENT MEDICAL TRANSPORTED 3
INTERLOCK YES ✓NO INTERLOCK YES NO✓ YES No✓
8❑ DCIENSE# STATE WA SEX M MMOrYY' 04 — 16 — 2000 1 2 32
9 ON DUTY- STATUS AIRBAG 2 RESTR 4 EJECT 1 HELM
USEET 2 1 INJURYCLASS 1 NAruRE of INJURIES 2
10 2� 1 aiCENSE ti� 67612D STATE WA VN# 1GNLCDEC9KR356029 3�
11[-j— TRAILER STATE TRAILER ,STATE
11 2 5 PLATE# PLATE# ROM TO
rRLR rRLR 7 3 33
12 0 0 VIN# VIN#
( FROM TO
VEH.YEAR MAKE MODEL STYLE VEHICLE TOWED TO BLIN TOWED By GOVT VEHICLE 9 9 34
13 3 2019 CHEV TAHOE UT DAMAGE YES�NO ✓� YES❑ NO
REGISTERED OWNER INFO CITY OF RENTON 3555 NE 2ND ST RENTON WA 98056 VEHICLE NO. 1
SHADE IN DAMAGED AREA 35
2 3 4
LIABILITY INSURANCE❑ INSURANCE CO
14 ✓ CITY OF RENTON SELF INSURED SELF INSURED
IN EFFECT &POLICY# 4TOP
VEHICLE CHARGE 5 36
srnrrowc YES❑NO❑ CITATION# NONE NIA
15 B 7 o eoTrofi
III MOTOR ✓ PEDAL- PEDESTRIAN PROPERTY DAM THR OLD MET PHONE
UNIT VEHICLE CYCLE: nWNFR YES�/ NO D:2064680863
16�
LAST NAME MACAWILE FIRST NAME CHARLITO MIDDLE I F
INITIAL
37
❑
17 STREET' 4109 NE 11TH STREET APT CITY RENTON ST, Wq ZIP 980590000 4
NEW ADDRESS❑
18❑ CDL IGNITION REQUIRED IGNITION PRESENT MEDICAL TRANSPORTED. 38
INTERLOCKYEs No✓ jNTERLOCKYEs NO✓ vEs No;✓
19 DRIVER'S STATE WA SEXI M D 0 B 03 20 1972 39
LICENSE# MMDDW —
20❑ ON DUTY STATUS AIRBAG 2 RESTR 4 EJECT 1 H UET 2 SE CLAY 1 NATURE OF INJURIES 40
SS
21 LICEN� APS8396 rarE WA vIN# JF1SF65621H701283 41
PLATE 22❑ [TILER AILER
PLATE# STATE PATE# STATE ❑ 42
23 TRLR kRLR 43
UIN#. 'IN#.
VEH.YEAR 2001 MAKE $(JBq MODEL FORESTS STYLE $D 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 STATE FARM 583 3615-F09.47
IN EFFECT &POLICY# t 9TOP
vewae YES NC❑ CITATION# NONE CHARGE NIA 10 BOTTOM
ecnLLr
25 s 7 a
OFFICER'S NAME(PRINT) OFFICER PHONE BADGE OR ID# AGENCY
26
J.CHRISTIANSEN 10437 WA0171300
PAGE 01 OF
PART A 3000-345-159(R 11/18)
POLIICFETRAFFICN CORRECTION REPORT NO. EG16206
COLLISION REPORT III III III III III 111
1591972 CASE# 25-6811
ADDITIONAL PERSONS INVOLVED(PASSENGERS AND/OR WITNESSES ONLY)
NAME MIDDLE IN MANUEL MELANIZ
(LAST,FIRST ITIAL}
ADDRESS&PHONE#
4109 NE 11TH ST RENTON WA 980594407 2062096184 SEX' F MMooYYYv 04 - 02 - 1968
PASSENGER WITNESS UNIT# SEAT AIRBAG RESTR. EJECT HELMET INJURY NATURE OF INJURIES
E ' 2 POS. 3 2 4 1 USE 2 iCLASS '1
'NAME
(LAST FIRS,MIDDLE INITIAL)
ADDRESS&PHONE#
' D.O.B.
SEX MMDD -F L----------�
YYYY
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----------�
MDDVVYY
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.
J.CHRISTIANSEN 08-05-25 06:37 PM
INVESTIGATING OFFICER'S SIGNATURE UNIT OR DIST.DET DATED PLACE SIGNED
APPROVED BY DATE
J.CHRISTIANSEN 10437 8/5/2025 6:39:15 PM
BADGE OR ID# 10437 ORI# ( WA0171300 TIME POLICE DISPATCHED'; 4:53 PM TIME POLICE ARRIVED 4:54 PM
PART B 3 Do-3mx-,ao(Rtlras) PAGE 27 OF 47
REPORT NO.` EG16206 CASE# 25-6811 O COLLI COLLISION TIME
OF 08/05/25 16:53
COLLI
NARRATIVE
RENTON PD CASE#: 25-6811
On 08.05.2025, at approximately 1653 hours, I was contacted by Officer Rivera, requesting I respond
to S. 5th ST and Main Ave S., regarding an Officer-Involved collision without injuries.
This location is located within the City of Renton, WA, the County of King.
At the time of this incident, 1 was assigned to uniformed marked patrol in the City of Renton, WA, the
County of King. 1 was operating a fully marked Renton Police Chevy Silverado #314, equipped with
"POLICE" markings, interior lights, and audible siren. I was wearing my department-issued uniform,
including a fully equipped duty belt, exterior ballistic vest with "POLICE" stenciled on the front and
back and Renton Police badge affixed to the left breast. I was also wearing my department-issued
jumpsuit with "POLICE" patches on both shoulders and across the rear shoulders. It would be
immediately obvious to any reasonable person I was a police sergeant. I was assigned as the
graveyard patrol sergeant for the north end of the city, 6r20.
I arrived on scene at approximately 1654 hours, and met with Officer Ryan Rivera, who advised he
was operating his clearly marked and visible Renton Police Patrol Vehicle #315. Officer Rivera
traveling eastbound on S. 5th ST and as he approached the stop sign (intersection) of Main Ave S.,
he was directly behind a white in color Subaru Forrester bearing WA/APS8396 (Unit 02).
Officer Rivera advised Unit 02 started to pull forward at the stop sign and he believed the driver, later
identified, was going to continue his right turn, southbound, onto Main Ave S. Officer Rivera told me
he was looking to the left to clear traffic on Main Ave S., prior to executing a turn, when he realized
the driver of Unit 02 stopped abruptly in the roadway. Unit 01's push bars struck the rear driver's side
bumper of Unit 02, causing transfer of black material.
Unit 01 was identified as a black/white in color Renton Police Vehicle #315, a Chevy Tahoe bearing
WA Exempt Plate/ 67612D.
Unit 02 was operated by MACAWILE, CHARLITO FORNELOSA (DOB: 03.20.1972). MACAWILE
stated he was stopped at the stop sign on S. 5th ST at Main Ave S., and was attempting to make a
right turn, southbound, onto Main Ave S. MACAWILE advised he observed a vehicle `driving fast'
towards his location so he stopped and was struck from behind by Officer Rivera's police vehicle.
MACAWILE's wife was in the vehicle, front passenger seat, at the time of this incident-no injuries
were reported.
I took photographs of the involved patrol vehicle as well as Unit 02 and uploaded them to this AXON.
Further, I completed the damage to City property form via Origami under Incident Report Number:
Incident: 1-2025-230. All photos have been uploaded into Axon Evidence.
No injuries reported. Both vehicles were removed from the scene without incident, no obvious
damage to Officer Rivera's patrol vehicle.
I certify (or declare) under penalty of perjury under the laws of the State of Washington that the
foregoing is true and correct.
Electronically signed by Sergeant J. Christiansen #10437, on August 5, 2025, at approximately 1823
hours, in Renton, WA.
**** AUTO-POPULATED SECTION ****
THE FOLLOWING ARE DESCRIPTIONS ENTERED FOR ITEMS SELECTED AS "OTHER":
Location Character: CITY STREET
Motor Vehicle Unit 1
Action Code: MOVING SLOWLY FORWARD
**** END OF AUTO-POPULATED SECTION ****
PAGE 3 OF 4
REPORT NO. EG 16206 CASE# 25-6811 DATE AND TIME i 08/05/25 16:53
OF COLLISION
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