HomeMy WebLinkAbout25-7752 IT si " II IIIII III IIIII II IIII IIIII I . 27c REPORT NO EG27037OLCERA
COLLISION REPORT 1591971
CASE# 25-7752 2
INTERSTATE CITY STREET FIRE I
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 o v' 09 - 05 - 2025 2034 17 =.= S 8 W e OF IN e 1070 3
4❑ ON (PRIMARY TRAFFIC WAY) INTERSECTION ❑ NON INTERSECTION ❑✓
S 7TH ST BLOCK NO. e 300 .�
4a❑ MILE POST
DISTANCE OF(REFERENCE OR CROSS STREET)
5❑ 100 00 FEET e✓ S 8 W e SHATTUCK AVE S
OF11
29
MOTOR ✓ PEDAL- DAM AG THRESHOLD MET PHONE
UNIT 01 VEHICLE ❑ CYCLE ❑ YEs Vl No D:5642130095 0 1 30
5 LAST NAME BACON FIRST NAME WILLIAM MIDDLE R 1 1 2 31
INITIAL
STREET Q 1730 196TH ST SE CITY; BOTHELL ST WA ZIP; 98012 2
NEW ADDRESS
7� +CDL IGN(TIUN REQUIRED IGNITION PRESENT MEDICAL TRANSPORTED: 3
INTERLOCKYEs NO%/ INTERLOCKYEs NO�/ YES NOW
8❑ DRIVERICENS # STATE WA SEXI M MMDDYY' O6 - O6 - 1981 1 2 32
-NJUR
9 ON DUTY STATUS' AIRBAG 3 RE
STR 4 EJECT 1 HELMET
2 CLASSY 1 [NATURE of INJURIES 2
10 LI ENSE A864728 STATE WA VIN# 5NMS3DAJ3PH508889 3
TRAILER STATE TRAILER STATE
11 0 0 PLATE# PLATE# ROM To
TRLR TRLR 3 1 7 33
12 0 o VIN#' VIN#
FROM TO
VEH.YEAR ZO23 MAKE HYUN MODEL SANTA STYLE UT VEHICLE TOWED[n TO ZBLIN TOWEDBY GOVT VEHICLE 3 7 34
13� DAMAGE YES II_II NO YESII_I) NO
REGISTERED OWNER INFO WILLIAM BACON 1730196TH ST SE BOTHELL WA 98012 D:5642130095 VEHICLE NO. 1
SHADE IN DAMAGED AREA 35
2 LIABILITY INSURANCE INSURANCE CO 4
14 STATE FARM 43445136E0747D
IN EFFECT &POLICY# 9TOP
V""' CHARGE 5 I < 36
LE,,ALLY YES❑NO❑ CITATION# t a 60TTOM
15❑ STM ING 7 e
MOTCYR PEDAL- PEDESTRIAN1:1 PROPERTY DAM THR OLD MET PHONE
UNIT 02 VEHICLE CYCLE nWNFR YES�/ NO D:2096421818
16�
LAST NAME SEGATE FIRST NAME ERIN MIDDLE M
INITIAL
STREET I�I ❑
17 NEW ADDRESS 4540 42ND AVE SW APT 234 CITY SEATTLE ST, WA ZIP 98116 q 37
:
1$❑ CDL IGNITION REQUIRED fGNfTION PRESENT MEDICAL TRANSPORTED 38
INTERLOCKYES NO INTERLOCKYEs NO YES NO
19 DRIVER'S STATE WA SEX F D.O.B. 01 08 1990 39
LICENSE# MMDI}YY -
20❑ ON DUTY STATUS AIRBAG 1 RESTR 4 EJECT 1 R USEET 2 CLASSY 1 NATURE OF INJURIES 40
21 LICEN E CCY7209 rare WA vIN# JF2SKAPCOKH563449 41
22❑ PLATE# STATE[TILER I PLATE# STATE 42
23 TRLR RLR 43
UIN#. 'IN#
VEH.YEAR 2019 MAKE $(JB,G MODEL FORESTS STYLE UT VEHICLE TOWED TO BLIN
TOWED BY GOV HI 44
24 DAMAGE YES NO NO
REGISTERED OWNER INFO OWNED BY DRIVER VEHICLE
NQ.2
SHADE IN DAMAGEAREA
2 3
LIABILITY INSURANCE INSURANCE CO GIECO4626790424
IN EFFECT &POLICY# t STOP
Yewae L'—LY YES❑ N,.I—J I CITATION# CHARGE to BOTTOM
`.L
25 s s
OFFICER'S NAME(PRINT) OFFICER PHONE BADGE OR ID# AGENCY
J
26
KEITH PETTY 12809 WA0171300
PAGE 01 OF
PART A 3000-345-189(R 11/18)
STATE OF
POLICETRAFFICN CORRECTION REPORT NO. EG27037
COLLISION REPORT III III III III III 111
1591972 CASE# 25-7752
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
POS. 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.
KEITH PETTY 09-05-25 10:36 PM
INVESTIGATING OFFICER'S SIGNATURE UNIT OR DIST.DET DATED PLAGE SIGNED
APPROVED BY DATE
J.THIELMAN 11462 911012025 5:55:08 PM
BADGE OR ID# 12809 ORI# WA0171300 TIME POLICE DISPATCHED 1 8:36 PM TIME POLICE ARRIVED i 8:36 PM
PAST B a Do-3mx—attar(t 1Mff) PAGE 2�OF F6
REPORT NO. EG27037 CASE# 25-7752 OATS AND TIME +OF COLLISION 09/05/25 20:34
NARRATIVE
25-7752
On 09/05/2025 at approximately 2036 hours, I was patroling the 300 block of S 7th St in the City of
Renton, County of King, State of Washington when I came across a blocking vehicle.
Upon contact I viewed the blocking vehicle had been in a collision. I checked for injuries and fond that
no one involved was injured.
Unit 3 was a gray 2012 Ford Focus (CTF3383/WA) VIN 1 FAHP3J22CL379270 driven by the
registered owner Beverly Joan Thomas (DOB 03/11/2005.
Unit 2 was a black 2019 Subaru Forester (CCY7209/WA)VIN/JF2SKAPCOKH563449, driven by the
registerd owner Erin Marie Segale (DOB 01/08/1990).
Unit 1 was a white 2023 Hyundai Senta Fe (temp plate A8647281/WA)VIN/5NMS3DAJ3PH508889,
driven by William R Bacon (DOB 06/06/1981). All parties were identified by their WADL photos.
Unit 3 stated she was driving west in the 300 block of S 7th St when she viewed something in the
road. Unit 3 slowed down to avoid the object, when she was struck in the rear bumper by unit 2. Unit
3 had minor damage to the rear bumper. Unit 3 was not towed.
Unit 2 stated she was driving west in the 300 block of S 7th St behind unit 3. When unit 3 came to an
abrupt stop she was able to stop prior to hitting unit 3. As unit 2 stopped unit 1 collided into the back
of unit 2 causing over $1000 in damage. The impact lunged unit 2 into the back of unit 3. Unit 2 had a
personal tow take the vehicle.
Unit 1 stated he was driving west in the 300 block of S 7th St behind unit 2. He did not see unit 2
stopped in the road in time and collided into the back of unit 2 casing over $1000 in damage to the
front of his vehicle. Unit 1 had a personal tow take the vehicle.
Bacon was not paying attention to traffic in front of him. Bacon violated Renton Municipal Code
(RMC) 10-12-25-Inattentive Driving which is defined as 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.
(Ord. 4462, 7-25-94, eff. retroactive to 7-1-94; Ord. 5635, 11-14-11).
Based on the above statements, I determined that the Driver of Unit#1 (Bacon) is the proximate
cause for the collision due to inattention causing a collision. Bacon should have been paying closer
attention to the movement of traffic in front of him.
I cited the driver of Unit#3(Thomas) for violating RCW 46.30.020 -Liability Insurance as no person
may operate a motor vehicle subject to registration under chapter 46.16A RCW in this state unless
the person is insured under a motor vehicle liability policy with liability limits of at least the amounts
provided in RCW 46.29.090, is self-insured as provided in RCW 46.29.630, is covered by a certificate
of deposit in conformance with RCW 46.29.550, or is covered by a liability bond of at least the
PAGE 3 OF 6
REPORT NO. EG27037 CASE# 25-7752 DATE AND TIME +OF COLLISION 09/05/25 20:34
NARRATIVE
amounts provided in RCW 46.29.090. Proof of financial responsibility for motor vehicle operation
must be provided on the request of a law enforcement officer in the format specified under RCW
46.30.030.
This incident was captured on my body worn camera. This report is a summary of the events that
occurred and is not an exact sequencing of events. Statements have been paraphrased and
summarized.
"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: K.Petty, Date: 09/05/25at 2215 hours, Place: Renton, King County, WA
PAGE 4 OF 6
SUPPLEMENTAL REPORT No. EG27037
POLICE TRAFFIC
1 1 8 27
COLLISION REPORT CASE# 25-7752
013197
1 COMMERCIAL MOTOR CARRIER INTERSTATE INTRASTATE
UNIT# USDOT ICC# VEHICLE TYPE CARGO BODY: 3
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
'J MOTOR PEDAL- PROPERTY DAMAGETHRESHOLD MET PHONE
5 ❑ UNIT# 3 VEHICLE CYCLE ❑ PEDESTRIAN :.. OWNER YES NO
D:2066024378
H
29
LAST NAME THOMAS FIRST NAME I BEVERLY MIDDLE' J
INITIAL
STREET 30
NFw AnnREs. 602 MORRIS AVE S CITY RENTON I ST Wq I ZIP 98057
6 ❑ CDL GNITION REQUIRED PRESENT MEDICALTANSPORTED. 1 1 2 31
I ;I{iNi71ON
INTERLOCK YES NO :INTERLOCK YES No YES N
L
DRIVER'S STATE I WA SEX F D.O.s 03
7
LICENSE MMDDw - 11 - 2005
ON DUTY STATUS AIRBAG 1 RESTR. 4 EJECT 1 HELMET 2 INJURY 1 NATUREOFINJURIES
USE CLASS
8 ❑ 1 32
LICENSE.:CTF3383 TAT.WA u1N 1FAHP3J22CL379270
PLATE#
9 TRAILER TRAILER L
PLATE# STATE PLATE# STATE
10 TRLR TRLR
_VIN.#. VIN.#.
11 0 0 VEH.YEAR2012 MAKE FORD MODELFOCUS STYLE 4D VEHICLE TOWE E T ABLIN TOWED BY GOVT.VFHICI F FROM TO
DAMAGE YES NO ✓ YES NO
INFOOWNED BYDRIVER 3 7 33
REGISTERED OWNER SHADE IN DAMAGED AREA
12
LIABILITY INSURANCE❑ INSURANCE CO TOP 4 FROM TO
IN EFFECT &POLICY# cl,
" 34
13 vewc�e YES NO[jj CITATION# CHARGE 0TFOM
ecauv
sTnNoiNc
MOTOR PEDAL- ' 1:1PROPERTY : DAMAGE 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 MEDICALTANSPORTED.
INTERLOCK YES NO INTERLOCK YES No YES NO. ❑
17 4 37
LIRIVER'SICENSE# STATE SEX M DDY
L _ C----�
18 ❑
HELMET '.INJURY NATURE OF INJURIES 38
ON DUTY STATUS AIRBAG RESTR. EJECT USE CLASS.
19 ❑ LICENSE TAT VIN# 39
PLATE#
20 TRAILER TRAILER 40
PLATE# STATE PLATE# STATE ❑
21 ❑ ❑ 41
TRLR TRLR
VIN#�, VIN#:
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 5 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.
KEITH PETTY 09-05-25 10:36 PM
25 INVESTIGATING OFFICER'S SIGNATURE OFFICER'S PHONE UNIT OR DIST DET DATED: PLACE SIGNED
BADGE APPROVED BY
%
�ORIWA0171300 TELVAN DATE
0 PAGE F26 ORID# 12809 # OF
3000-345-013(R 11/18)
REPORT NO. EG27037 CASE# 25-7752 DATE AND TIME 09/05/25 20:34
OF COLLISION
t
' y
t r5
i
a
a �
ti
4 ?
\ ?t 4 1t
�tk �
t '
?
� 1
r
s� a
r t
t
t
PAGE 6 OF 6