HomeMy WebLinkAbout25-7261 IT si " II IIIII III IIIII II IIII IIIII I . 27c REPORT NO EG23398OLCERA
COLLISION REPORT 1591971
INTERSTATE CITY STREET FIRE I
CASE# 25-7261 2
RESULTEDSTOLENSTATE ROUTE OTHER VEHICLE LOCAI-A`NG 4200 3
HIT&RUN CODING
COUNTY RD PRIVATE WAY INVOLVED
2 TOTAL#OF OBJECT 1 s 28
TRIBAL UNITS 03 STRUCK
RESERVATION : 1 1
2
3� M M D D Y Y Y Y TIME(2400) COUNTY# MILES CITY#
eDCL s on' 08 - 20 - 2025 0852 17 =.= S 8 W e OF IN e 1070 s
4❑ ON (PRIMARY TRAFFIC WAY) INTERSECTION ❑✓ NON INTERSECTION ❑
BLOCK NO. e .�
4a
MAINAVES MILE POST
❑
❑ DISTANCE OF(REFERENCE OR CROSS STREET)
5 MILES 1.1 FEET e S 8 W e S 2ND ST
0 1 29
MOTOR PEDAL- DAMAG THRESHOLD MET PHONE
UNIT 01 VEHICLE ❑ CYCLE ❑ YES No �/ D:8328014671 0 6 30
5 LAST NAME RAMOSALFARO FIRST NAME CESAR MIDDLE A 1 1 2 31
INITIAL
STREET ] 10 S 333RD LN APT B CITY; FEDERAL WAY ST WA ZIP 98003 2
NEW ADDRESS
7 CDL IGNITION REQUIRED IGNITION PRESENT MEDICAL TRANSPORTED 3
INTERLOCKYES NO INTERLOCKYES No YES NO
DRIVER # STATE SEX I M MD.03. 11 - 14 - 2005 t 1 2 32
$❑
9 ON DUTY STATUS' AIRBAG 2 RESTR 4 EJECT 1 N USE ET CLASSY 1 NAruRE of INJURIES 2
10 PI ENSrtEI D26621B STATE WA yIN 5TBRV54178S474750 3
TRAILER STATE TRAILER STATE
11 2 5 PLATE# PLATE# 11ROM To
TRLR rRLR 5 1 33
12 2 5 VIN#' VIN#
FROM TO
VEH.YEAR 2008 MAKE TOYT MODEL TUNDR STYLE VEHICLE TOWED[n TO ZBLIN TOWEDBY GOVT VEHICLE g 1 34
13� DAMAGE YES II_II NO YESII_I) NO
REGISTERED OWNER INFO JONATHAN PANIAGUA AREVALO 1635 SW 311TH STAPT D FEDERAL WAY WA 98023 VEHICLE NO. 1
SHADE IN DAMAGED AREA 35
4 INSURANCE CO 2 3 4
14 LIABILITY INSURANCE SAFECO H2492104
IN EFFECT &POLICY# 4TOP 5
vEnicLE CHARGE 7 0 80TTOM 36
STANDING yes❑NO❑ CITATION# SA0625717,5A0625717, FOLLOW VEHICLE TOO CLOSELY, s 7 e
15
MOTOR PEDAL- PEDESTRIAN1:1 PROPERTY DAM THR OLD MET PHONE
UNIT 02 VEHICLE CYCLE nWNFR YES�/ NO D:2063979605
16�
LAST NAME BELTRAN-RODRIGUEZ FIRST NAME NICHOLAS MIDDLE M
INITIAL
17
STREET ❑ 37
NEW ADORE SS❑ 20021 35TH AVE S CITY SEATAC ST, WA ZIP 981985724
18❑ CDL IGNITION REQUIRED IGNITION PRESENT MEDICAL TRANSPORTED' ❑ 38
INTERLOCKYES No INTERLOCK YES NO YES No
19 DRIVER'S STATE WA SEX M MDDY 03 03 2002 39
LICENSE# MDC3YY -
HELMET INJURY: NATURE OF INJURIES 40
20❑ ON DUTY STATUS AIRBAG 2 RESTR 4 EJECT 1 USE CLASS 1 ❑
21 LICENSLATE E CCN8841 TATE WA VIN# 19UUA66265AO24171 41
22❑ PLATE# STATE PLATE# STATE 42
23 TRLR RLR 43
UIN#. 'IN#
VEH.YEAR 2005 MAKE �Q(�'IJR MODEL TL STYLE $D VEHICLE TOWED TO BLIN
TOWED GOV HI 44
24� DAMAGE YES NO� BY
VES NO
REGISTERED OWNER INFO WILLIAM RODRIGUEZ 2002135TH AVE S SEATAC WA 98198 VEHICLE NO.2
SHADE IN DAMAGED AREA
2 3 4
LIABILITY INSURANCE INSURANCE CO
IN EFFECT &POLICY#
Yma CHARGE
EEnEY YES❑ N`LJ CITATION 11 <EODa
25 a s
OFFICER'S NAME(PRINT) OFFICER PHONE BADGE OR ID# AGENCY
J
26
C.ARNOLD 12509 WA0171300
PART A PAGE 01 OF
3000-345-189(R 11/181
STATE OF
POLICETRAFFICN CORRECTION REPORT NO. EG23398
COLLISION REPORT III III III III III 111
1591972 CASE# 25-7261
ADDITIONAL PERSONS INVOLVED(PASSENGERS AND/OR WITNESSES ONLY)
'.NAME
(LAST,FIRST,MIDDLE INITIAL)
ADDRESS&PHONE
SEXi D.O.B. —
MMDDYYYY
PASSENGERQ WITNESS� UNIT SEAT AIRBAG RESTR. EJECT ; HELMET INJURY NATURE OF INJURIES
POS. ' USE CLASS 1 ----�
:NAME
(LAST FIRST MIDDLE INITIAL)
ADDRESS&PHONE#
SEX D.O.B. —
MMDDYYYY
PASSENGER❑WITNESS UNIT# : SEAT AIRBAG RESTR. EJECT HELMET INJURY: NATURECFINJURIES
POS. USE CLASS ----�
:NAME
(LOST,FIRST,MIDDLE INITIAL)
ADDRESS&PHONE#
SEX MMDDYY D.O.B.
YY
PASSENGER WITNESS UNIT# SEAT AIRBAG RESTR. EJECT HELMET NJURY NATURE OF INJURIES
PC& I 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.ARNOLD 08-20-25 09:50 AM
INVESTIGATING OFFICER'S SIGNATURE UNIT OR DIST.DET DATED PLACE SIGNED
APPROVED BY DATE
C.JACOBS 1953 812812025 2:13:50 PM
BADGE OR ID# 12509 ORI# WA0171300 TIME POLICE DISPATCHED 1 8:54 AM TIME POLICE ARRIVED i 9:05 AM
PAST B 3 Do-3mx—attar(t 1Mff) PAGE 2�OF F5
REPORT NO. EG23398 CASE# 25-7261 DATE OF COLLI r�510NN + 08/20/25 08:52
L1
NARRATIVE
CC 25-7261
On 8/20/2025 at 0854 hours I was dispatched to a motor vehicle collision at the intersection of Main
Ave S and S 2nd St in the City of Renton, King County, Washington.
Pre-Collision
Driver 3 stated that she was stopped for traffic facing North on Main Ave S at S 2nd St in the #1 lane.
Driver 2 stated that he was slowing for stopped traffic facing North on Main Ave S approaching S 2nd
St behind Unit 3 in the #1 lane.
Driver 1 stated that he was traveling North on Main Ave S approaching S 2nd St in the #1 lane behind
Unit 2.
Collision
Driver 3 stated that while she was stopped for traffic on Main Ave S just South of S 2nd St facing
north, the front bumper of Unit 2 collided with the rear bumper of Unit 3.
Driver 2 stated that as he was slowing for stopped traffic moving North on Main Ave S approaching S
2nd St, the front bumper of Unit 1 collided with the rear bumper of Unit 2, forcing Unit 2's front bumper
to collide with the rear bumper of Unit 3.
Driver 1 stated that he was looking down at directions and when he looked up, he was unable to stop
in time. Driver 1 stated that he was traveling North on Main Ave S approaching S 2nd St. Driver 1
stated that the front bumper of Unit 1 collided with the rear bumper of Unit 2, forcing Unit 2 forward
and the front bumper of Unit 2 to collide with the rear bumper of Unit 3.
Driver 1 provided me with a photo of his passport and upon a check of DOS I found no return
regarding and identification or driving status. Driver 1 informed me that he did not have a valid drivers
license.
Injuries
None reported
Vehicle Disposition
All vehicles were operational.
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. Driver 1
also violated RCW 46.61.673 by driving while dangerously distracted. Driver 1 stated that he was
looking down at direction while driving upon a public roadway, taking his eyes off of the roadway for
so long that he was unable to react to surrounding traffic flow.
Driver 1 was cited per RCW 46.61.145, RCW 46.61.673, and RCW 46.20.015.
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 09:38 on 8/20/2025 in the City of Renton, King
County, Washington.
PAGE 3 OF 5
SUPPLEMENTAL REPORT No. EG23398
POLICE TRAFFIC
1 1 8 27
COLLISION REPORT CASE# 25-7261
t113197
1 COMMERCIAL MOTOR CARRIER INTERSTATE INTRASTATE
UNIT# USDOT ICC# VEHICLE TYPE CARGO BODY
TYPE
2 ❑ 1 28
CARRIER
NAME
3 CARRIER L
ADDRESS
CITY ST ZIP
4 ❑ NAME # PLACARD
GWVR : NAME IF NO NUMBER
SOURCE AXLES +
4a ❑ ADDITIONAL UNITS
MOTOR PEDAL- PROPERTY DAMAGE THRESHOLD MET PHONE
UNIT# 3 �✓ PEDESTRIAN1:1 �', YES� NO D:2064094988
5 VEHICLE CYCLE OWNER
0 8 29
I NNITIAITIAL E
LAST NAME VAN NORMAN FIRST NAME LORI I ; J
STREET 30
NEW ADDRF 11418 SE 83RD ST cirY NEWCASTLE ST WA zip
980569123
6 PRESENT MEDICALTANSPORTED 1 1 2 31
CDL IGNITION REQUIRED IGNITION
INTERLOCK YEs NO :INTERLOCK YES NO YEs N
DRIVER'S D-O
7
LICENSE STATE wA SEX F mMOD,B 04 - 12 - 1973
ON DUTY STATUS AIRBAG 2 RESTR. 4 EJECT 9 HELMET INJURY 1 NAruREofINJURIEs
USE CLASS
8 ❑ 1 32
LICENSE'CLH1781 TAT WA u1N 7SAYGDEE3RF009772
PLATE#
9 TRAILER TRAILER L
PLATE# STATE PLATE# STATE
10 TRLR TRLR
_VIN.#. VIN.#.
11 0 0 VEIL YEAR2024 MAKE TESL MODELMODEL Y STYLE VEHICLE TOWE E T ABLIN TOWED BY GovT vEHICI E FROM To
DAMAGE YES NO ✓ YES NO
REGISTERED OWNER INFOSEAN VAN NORMAN 11418 SE 83RD ST NEWCASTLE WA 98056 SHADE IN DAMAGED AREA 9 9 33
12 z 3 4
FROM TO
LIABILITY INSURANCE INSURANCE CO AMERlCAN FAMILY CONNECTtNSURANCE A/04154527 �
IN EFFECT &POLICY# _J7t1P_ m 34
13 YESZ NO CITATION# CHARGE
1080TTOM
ecauv
s-rnNoiNc
MOTOR PEDAL_ ' 1:1PROPERTYDAMAGE 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
NEW ADDRESS"
CDL IGNITION REQUIRED IGNITION PRESENT MEDICAL TANSPORTED
INTERLOCK YES ]No INTERLOCK YEs N6 .YEs No ❑
17 37
RIVERSLLIICENSE# STATE SEX MD.00.B
18 ❑
HELMET '.INJURY NATURE OF INJURIES 38
ON DUTY STATUS AIRBAG RESTR. EJECT USE CLASS.
19 ❑ ❑ 39
LICENSE TAT utN#
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 I VEHICLE TOWED DUE T SABLIN TOWED BY GOVT.VEHICLE
DAMAGE YES NO YES NO
23 REGISTERED OWNER INFO. SHADE IN DAMACED AREA 43
2 3 4
LIABILITY INSURANCE INSURANCE CO
IN EFFECT I &POLICY# 1
..
K-99 y 44
24 YES❑ NO CITATION# CHARGE
STF_ G 3
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.ARNOLD 08-20-25 09:50 AM
25 INVESTIGATING OFFICER'S SIGNATURE OFFICER'S PHONE UNIT OR DIST DET DATED: PLACE SIGNED
26 BADGE 1 ORID# 12509 O#RI WA0171300 APJACOBS 8%28/2025 PAGE OF
�
3000-345-013(R 11/18)
REPORT NO. EG23398 CASE# 25-7261 DATE AND TIME 08/20/2508:52
OF COLLISION
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