HomeMy WebLinkAbout25-8442 IT si " II IIIII III IIIII II IIII IIIII I . 27c REPORT NO EG33061OLCERA
COLLISION REPORT 1591971
CASE# 25-8442 2
INTERSTATE CITY STREET FIRE I
RESULTED STOLENSTATE ROUTE OTHER VEHICLE LOCAI-AGENCY 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
3I M M D D Y Y Y Y TIME(2400) COUNTY# MILES CITY#
eaCL s o v' 09 - 29 - 2025 1336 17 =.= S 8 W e OF IN e 1070 s
4❑ ON (PRIMARY TRAFFIC WAY) INTERSECTION ❑ NON INTERSECTION ❑✓
NE 4TH ST BLOCK NO. e 3409 .�
4a❑ MILE POST
❑ DISTANCE OF(REFERENCE OR CROSS STREET)
5 MILES 1.1 FEET B S B W e
0 1 29
MOTOR PEDAL- DAM AG THRESHOLD MET PHONE
UNIT 01 VEHICLE ❑ CYCLE ❑ YEs Vl No D:4255039198 0 7 30
5 LAST NAME GEMBALA FIRST NAME AMY MIDDLE L 1 1 2 31
INITIAL
STREET ❑ 4530 NE 7TH PL CITY; RENTON ST WA ZIP; 980594761 2
NEW ADDRESS
7� +COL IGN(TIUN REQUIRE[? IGNITION PRESENT MEDICAL TRANSPORTE6. 3
INTERLOCKYEs NO INTERLOCKYEs NO YES NO
8❑ DRIVERCENS # STATE WA SEXI F MMDDYY' 04 - 11 - 1973 1 2 32
9 ON DUTY STATUS' AIRBAG 2 RE
4 EJECT 1 N USE CLASSY 1 [NATURE of INJURIES 2
3
10� ai��5�', BQX0194 STATE WA y1N# KM8SROHF8EU081923
TRAILER STATE TRAILER STATE
11 3 5 PLATE# PLATE# IE.M To
TRLR TRLR. 3 1 7 33
12 0 0 VIN#' VIN#
FROM TO
VEH.YEAR 2014 MAKE HYUN MODEL SANTA STYLE VEHICLE TOWED TO BLIN TOWED By GES VEHICLE 9 9 34
13 DAMAGE YES YES) NO
REGISTERED OWNER INFO OWNEDBYDRIVER VEHICLE NO. 1
SHADE IN DAMAGED AREA 35
4 NSURANCE CO 2 3 4
14 LIABILITY INSURANCE STATE FARM 2978435-B13-470
11
IN EFFECT &POLICY# CDQ5VEHICLE CHARGE36
15nNoiNc yes❑NO❑ CITATION# 5A0625768,5AO625768 FOLLOW VEHICLE TOO CLOSELY, e
MOTOR PEDAL- PEDESTRIAN PROPERTY DAM THR OLD MET PHONE
UNIT VEHICLE CYCLE nWNFR YES�/ NO D:4255242463
16�
LAST NAME SETOGUCHI FIRST NAME KENTO MIDDLE
INITIAL
17 F1 STREET ❑❑ 37 265 WHITMAN PL NE CITY RENTON ST, WA ZIP 980595257
NEW ADDRESS
18� IGNITION REQUIREfl fGNfTION PRESENT MEDICAL TRANSPORTED'. 38
CDL INTERLOCKYES No INTERLOCK YES No No
19 DRIVERS STATE WA SEX M D.O.a. 03 31 2007 � 39
LICENSE# MMDDYY —
HELMET INJURY: NATURE OF INJURIES 4Q
20❑ ON DUTY STATUS AIRBAG 2 RESTR 4 EJECT 1 USE CLASS 1 ❑
21 LICEN E LATEICTD1208 rare WA vIN# 5YJ3E1EA6MF073452 41
22❑ PLATE# STATE PLATE# STATE 42
23 TRLR RLR 43
UIN#. 'IN#
VEH.YEAR 2021 MAKE TESL MODEL MODEL 3 STYLE VEHICLE TOWED TO BLIN
TOWED BY GOV HI 44
24 DAMAGE YES NO VES NO
REGISTERED OWNER INFO SATOSHI SETOGUCHI 265 WHITMAN PL NE RENTON WA 98059 VEHICLE NO.2
SHADE IN DAMAGED AREA
2 3 4
LIABILITY INSURANCE[Z INSURANCE CO STATE FARM 166 3557-C21.47G
IN EFFECT &POLICY#HICL L'EIL YES� NJI CITATION# CHARGE <E�Da
VEE
25 a s
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. EG33061
COLLISION REPORT III III III III III 111
1591972 CASE# 25-8442
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 0,SS ----�
: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 02:28 PM
INVESTIGATING OFFICER'S SIGNATURE UNIT OR DIST.DET DATED PLAGE SIGNED
APPROVED BY DATE
RAYMOND GORAJEWSKI 12399 913012025 2:00:38 PM
BADGE OR ID# 12509 ORI# WA0171300 TIME POLICE DISPATCHED 1 1:37 Pry] TIME POLICE ARRIVED i 1:39 PM
PAST B a Do-3mx—attar(t 1Mff) PAGE 2�OF F5
REPORT NO. EG33061 CASE# 25-8442 DATE OF COLLI r�510NN + 09/29/25 13:36
L1
NARRATIVE
CC 25-8442
On 9/29/2025 at 1337 hours I was dispatched to a motor vehicle collision at the intersection of NE 4th
St and Monroe Ave NE in the City of Renton, King County, Washington.
Pre-Collision
Driver 3 stated that he was facing West in the #2 lane of NE 4th St at around the 3400 block and
coming to a stop for traffic ahead of him.
Driver 2 stated that he was position behind Unit 3 in the #2 lane of Westbound NE 4th St at around
the 3400 block facing West. Driver 2 stated that he was coming to a stop for traffic that was stopped
ahead of him.
Driver 1 stated that she was traveling West on NE 4th St approaching the 3400 block in the #2 lane of
travel.
Collision
Driver 3 stated that he was at a full and complete stop and felt the front bumper of Unit 2 collide with
the rear bumper of Unit 3.
Driver 2 stated that as he came to a full and complete stop for traffic ahead of him, the front bumper
of Unit 1 collided with the rear bumper of Unit 2, forcing Unit 2's front bumper into the rear bumper of
Unit 3.
Driver 1 stated that she was attempting to stop but was unable to do so in time. Driver 1 stated that
she applied the brakes, let off, and attempted to apply them again but it was too late. Driver 1 stated
that the front bumper of Unit 1 collided with the rear bumper of Unit 2, forcing Unit 2 to roll forward
and the front bumper of Unit 2 to collide with the rear bumper of Unit 3.
Injuries
None reported.
Vehicle Disposition
Unit 2 was rendered inoperable and was towed from the scene.
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 was unable to stop in time during a time of rain and slick road conditions. No person shall drive a
vehicle on a highway at a speed greater than is reasonable and prudent under the conditions and
having regard to the actual and potential hazards then existing. In every event speed shall be so
controlled as may be necessary to avoid colliding with any person, vehicle or other conveyance on or
entering the highway in compliance with legal requirements and the duty of all persons to use due
care.
Driver 1 was cited per RCW 46.61.145 and RCW 46.61.400.
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 14:05 on 9/29/2025 in the City of Renton, King
County, Washington.
PAGE 3 OF 5
SUPPLEMENTAL REPORT No. EG33061
POLICE TRAFFIC
1 1 8 27
COLLISION REPORT CASE# 25-8442
t113197
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 i ZIP
4 ❑ NAME # PLACARD.
GWVR NAME IF NO NUMBER
SOURCE AXLES +
4a ❑ ADDITIONAL UNITS
{ MOTOR PEDAL- PROPERTY DAMAGE THRESHOLD MET PHONE
5 ❑ UNIT�T 3 VEHICLE CYCLE C) PEDESTRIAN :.. OWNER YES NO
D:2062902368
H
29
LAST NAME SAELEE FIRST NAME SAN MIDDLE. L
INITIAL
STREET 30
NEW ADD STRFs 5001 NE 6TH ST CITY RENTON WA ZIP 980594694
6 PRESENT MEDICALTANSPORTED: 1 1 2 31
CDL IGNITION RE,t}UIRED 1{iNi7i0N :: ..
INTERLOCK YES: No INTERLOCK YEsLl- xEs N
DRIVER'S STATE WA SEX M D`O'B 05 - 03 - 1982 2
LICENSE MMDDYY
7
ON DUTY STATUS AIRBAG 2 RESTR. ¢ EJECT 9 HELMET INJURY 1 NAruREofINJURIEs
USE CLASS
8 ❑ 1 32
LICENSE.:CHN1186 TAT WA uiN 7FARS6H92PE037784
PLATE#
9 TRAILER TRAILER L
PLATE# STATE PLATE# STATE
0
10 ❑ TRLR TRLR
VIN.# VIN#.
11 0 0 VEIL YEAR2023 MAKE HOND MODELCR-V STYLE VEHICLE TOWE E T ABLIN TOWED BY GovT vEHICI E FROM To
DAMAGE YES NO ✓ YES NO
REGISTERED OWNER INFOGWNED BYDRIVER 9 9 33
12 � SHADE IN DAMAGED AREA
4 FROM TO
INSURANCE CO
LIABILITY INSURANCE PROGRESS/VE 908 019 852
IN EFFECT � &POLICY# � �7t1P-" m 34
13 YES NOZ CITATION# CHARGE
1080TTOM
ecauv
s-rnNoiNc
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 MEDICAL TANSPGRTED
INTERLOCK YES No INTERLOCK YEs No AYES No
17 37
LLIRIVER'SICENSE# STATE SEX MD.00.B -
18 ❑ ❑
HELMET 'INJURY NATURE OF INJURIES 38
ON DUTY STATUS AIRBAG RESTR. EJECT USE CLASS.:
19 ❑ ❑ 39
LICENSE TAT AN#
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 VEHICLE TOWED DUET ABLIN TOWED BY GOVT.VEHICLE
DAMAGE YES NO YES NO
23 REGISTERED OWNER INFO. SHADE IN DAMAC ED AREA 43
2 3 4
LIABILITY INSURANCE INSURANCE CO
IN EFFECT I &POLICY#
..
)
E 44
24 YES❑ NO CITATION# CHARGE OM
STF_ G 8 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 09-29-25 02:28 PM
25 INVESTIGATING OFFICER'S SIGNATURE OFFICER'S PHONE UNIT OR DIST DET DATED: PLACE SIGNED
26 OR Ib� 12509 O#RI WA0171300 APPROVED
9133012025
PAGE OF�
3000-345-013(R 11t18)
REPORT NO. EG33061 CASE# 25-8442 DATE AND TIME 09/29/2513:36
OF COLLISION
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PAGE 5 OF 5