HomeMy WebLinkAbout25-8427 IT si " II IIIII III IIIII II IIII IIIII I . 27c REPORT NO EG33058OLCERA
COLLISION REPORT 1591971
CASE# 25-8427 2
INTERSTATE CITY STREET FIRE I
RESULTED STOLENSTATE ROUTE OTHER VEHICLE LOCAI-A`NG 4100 3
HIT&RUN CODING
COUNTY RD PRIVATE WAY INVOLVED
2 TOTAL#OF OBJECT 1 s 28
TRIBAL UNITS 02 STRUCK
RESERVATION : 1 1
2
3� M M D D Y Y Y Y TIME(2400) COUNTY# MILES CITY#
DATE OF N E IN COLLISION' 09 - 29 - 2025 0831 17 =.= S 8 W E OF M 1070 a
4❑ ON (PRIMARY TRAFFIC WAY) INTERSECTION ❑✓ NON INTERSECTION ❑
D
BLOCK NO.
UVALL AVE NE
4a❑ MILE POST
❑ DISTANCE OF(REFERENCE OR CROSS STREET)
5 MILES 1.1 FEET e S 8 W e NE 17TH ST
0 4 29
MOTOR ✓ PEDAL- DAM AG THRESHOLD MET PHONE
UNIT 01 VEHICLE ❑ CYCLE ❑ YEs Vl No D:2063137857 0 1 30
LAST NAME PHONGLUANGTHAM FIRST NAME BENJAMIN MIDDLE C
8 INITIAL 1 2 31
STREET ] 4209 NE 17TH ST CITY; RENTON ST WA Zlp; 980593944 2
NEW ADDRESS
7 CDL IGN(TIUN REQUIRED IGNITION PRESENT MEDICAL TRANSPORTED' 3
INTERLOCK YES ND INTERLOCKVEs No YEs NO
8 DRIVER # STATE WA SEXI M MMDDYY' 01 - 18 - 1976 1 2 32
9 ON DUTY STATUS' AIRBAG 4 RESTR 4 EJECT 1 HELMET INJURY 7 NAruRE of INJURIES 2
USE CLASS LEFT SHOULDER PAIN
10 al ENSttEI AXE1820 STATE WA VIN#, 2HKRM4H71FH701260 3
TRAILER STATE TRAILER STATE ROM To 11 3 5 PLATE# PLATE#
TRLR TRLR. 7 1 33
12 3 5 VIN# vIN#
FROM TO
13 4 VEH.YEAR2015 MAKE HOND MODEL CR-V STYLE VEHICLE TOYED NO�iS46LIN Tv4 EBYMERYERS GOSI-`VT-I EH-
O 1 5 34
DAMAGE IIII._IIII I�I
REGISTERED OWNER INFO OWNED BY DRIVER VEHICLE NO. 1
SHADE IN DAMAGED AREA 35
3 4
14❑ LIABILITY INSURANCE NSURANCE CO ALLSTATE 987 135 311
IN EFFECT &POLICY#VEHICLE 4TOP _
YES
srgNOLNG ❑ ❑ SA0625767 CHARGE FAIL STOP ATSTOP s I000Tro6 36
NO CITATION#
15
MOTOR PEDAL- PEDESTRIAN PROPERTY DAM THR OLD MET PHONE
UNIT VEHICLE CYCLE nWNFR YES�/ NO D:6056590045
16�
LAST NAME OEHLER FIRST NAME JAKOB MIDDLE M
INITIAL
17F1 STREET [I37
❑ 5131 NE21STST CITY' RENTON ST, WA ZIP 980594141
NEW ADDRESS
1$❑ IGNITION REQUIRED IGNITION PRESENT MEDICAL TRANSPORTED ❑ 38
CDL INTERLOCKYES No INTERLOCK YES No YEs Na
19 DRIVER'S STATE WA SEX M D.O.B. 01 18 2002 39
LICENSE# MMDDYY -
HELMET INJURY: NATURE OF INJURIES 4Q
20❑ ON DUTY STATUS AIRBAG 2 RESTR 4 EJECT 1 USE CLASS 1 ❑
21 LICENSE AXR7069 raTE WA vIN# JTDKN3DU3FO471772 41
I El
22❑ PLATE# STATE[TILER I PLATE# STATE 42
23 TRLR RLR 43
UIN#. 'IN#
VEH.YEAR 2015 MAKE TOYT MODEL PR/US STYLE VEHICLE TOWED TO BLIN
TOWED BY GOV HI 44
24 DAMAGE YES NO VES NO
REGISTERED OWNER INFO VALERY RICHARDSON 5131 NE 21ST ST RENTON WA 98059 D:7153477025 VEHICLE NO.2
SHADE IN DAMAGED AREA
2 3 4
LIABILITY INSURANCE INSURANCE CO USAA 00735 23 87C
IN EFFECT &POLICY# t9,Q
L,EIL ❑ ,J—I CITATION CHARGE LEGALLY YES N25
OFFICER'S NAME(PRINT) OFFICER PHONE BADGE OR ID# AGENCY
26
C.ARNOLD 12509 WA0171300
PAGE 01 OF
PART A 3000-348-189(R 11/18)
STATE OF
POLICETRAFFICN CORRECTION REPORT NO. EG33058
COLLISION REPORT III III III III III 111
1591972 CASE# 25-8427
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.
C.ARNOLD 09-29-25 09:36 AM
INVESTIGATING OFFICER'S SIGNATURE UNIT OR DIST.DET DATED PLAGE SIGNED
APPROVED BY DATE
RAYMOND GORAJEWSKI 12399 913012025 2:05:03 PM
BADGE OR ID# 12509 ORI# WA0171300 TIME POLICE DISPATCHED 8:34 AM TIME POLICE ARRIVED i 9:04 AM
PAST B 3 Do-3mx—attar(t 1Mff) PAGE 2�OF 4
REPORT NO. EG33058 CASE# 25-8427 DATE OF COLLI r�510NN + 09/29/25 08:31
L1
NARRATIVE
CC 25-8427
On 9/29/2025 at 0834 hours I was dispatched to a motor vehicle collision at the intersection of NE
17th St and Duvall Ave NE in the City of Renton, King County, Washington.
Pre-Collision
Driver 2 stated that he was traveling South on Duvall Ave NE approaching NE 17th St in the #2 lane.
Driver 1 stated that he was facing East at a posted stop sign in the #1 lane of NE 17th St preparing to
perform a lefthand turn to proceed North on Duvall Ave NE.
Collision
Driver 2 stated that as he approached NE 17th St on Duvall Ave NE in the #2 lane, Unit 1 emerged
from the West side of Duvall Ave NE and entered the #2 lane. Driver 2 stated that he did not have
time to react and the front drivers side bumper of Unit 2 collided with the middle of the drivers side
doors of Unit 1.
Driver 1 stated that traffic in the #1 lane was stopped and a driver in the #1 lane waved him through to
proceed with a lefthand turn. Driver 1 stated that he did not see Unit 2 in the #2 lane of Southbound
Duvall Ave NE. Driver 1 stated that as he cross over the #2 lane, he did not have time to react and
the front drivers side bumper of Unit 2 collided with the middle drivers side doors of Unit 1.
Injuries
Driver 1 complained of minor shoulder pain which he suspects is from the airbag deployment. Driver
1 refused immediate medical attention and I advised him to seek medical attention alter if he felt it
was necessary.
Vehicle Disposition
Unit 1 was unsafe to drive and Driver 1 requested that I call a tow truck for Unit 1.
Proximate Cause
I determined that Driver 1 is the proximate cause of this collision because Except when directed to
proceed by a duly authorized flagger, or a police officer, or a firefighter vested by law with authority to
direct, control, or regulate traffic, every driver of a vehicle approaching a stop sign shall stop except
as provided in (b) of this subsection at a clearly marked stop line, but if none, before entering a
marked crosswalk on the near side of the intersection or, if none, then at the point nearest the
intersecting roadway where the driver has a view of approaching traffic on the intersecting roadway
before entering the roadway, and after having stopped shall yield the right-of-way to any vehicle in
the intersection or approaching on another roadway so closely as to constitute an immediate hazard
during the time when such driver is moving across or within the intersection or junction of roadways.
Driver 1 was cited per RCW 46.61.190.
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 09:28 on 9/29/2025 in the City of Renton, King
County, Washington.
PAGE 3 OF 4
REPORT NO. EG33058 CASE# 25-8427 DATE AND TIME 09/29/2508:31
OF COLLISION> '
55
ol
W
t
t
t
r
�t
{
xr
i
S
JS �
{
i!
d
i
PAGE 4 OF 4