HomeMy WebLinkAbout25-7817 ITFF' "POLCERA II I !�� I III I III I IIII III II I . 5 27c
COLLISION REP FIT 1591971
CASE 25-7817 z
INTERSTATE ❑ CITY STREET FIRE ❑
RESULTED
1 STOLEN
STATE ROUTE ❑ OTHER ❑ VFHICI F ❑ LOCAL AGENCI 4Y00 3
HIT&RUN CODING
COUNTY RD PRIVATE WAY INVOLVED
2 TOTAL#OF OBJECT 2$
TRIBAL UNITS 02 STRUCK' TREE OR STUMP
RESERVATION
z
3❑ DATE OF M M D D Y Y Y Y TIME(2400) COUNTY# MILES CITY# ❑
CowsloN 09 - 08 - 2025 0648 17 ❑.❑ N E IN S 8 W H OF e 1070 3
4❑ ON (PRIMARY TRAFFIC WAY) INTERSECTION ❑ NON INTERSECTION ❑✓
SE 157TH ST BLOCK NO. e✓ 11820
4a❑ MILEPOST
DISTANCE OF(REFERENCE OR CROSS STREET)
5❑ ❑ FEET e S ❑ W e 2 3 29
MOTOR PEDAL- DAMAGE THRESHOLD MET PHONE
UNIT 01 VEHICLE ❑ CYCLE El
,/No D:4256522564 30
6� LAST NAME ARIOLA FIRSTNAME MICHELLE MIDDLE 1 2 31
INITIAL
STREET ❑, 15763 119TH PL SE CITY RENTON ST WA ZIP' 980584646 z=
NEW ADDRESS
7❑ CDL IGNITION REQUIRED IGNITION PRESENT MEDICAL TRANSPORTED 3
INTERLOCK YES[:]NO INTERLOCKYEs NO YES R NO
8❑ LDRIVER # STATE WA SEX'F MID
.O B 07 - 20 - 1995 32
9 ON DUTY❑ STATUS AIRBAG 2 RESTR 4 EJECT 1 H USEET ICNLJAURY 1 NATURE OF INJURIES z❑
3
10❑ P1 ATE 14 BPP3320 STATE WA V N# 4T1BF28B1YU044114
TRAILER STATE TRAILED STATE
11 2 5 PLATE# PLATE# FR.. To
TRLR. TRLR $ 7 33
12❑ VIN#' UIN#
VT.VHICfLE
Rom 34
13� VEH.YEAR2000 MAKE TOYT MODEL AVALON STYLE VAMCLETOYES NOOpLSABLIN TQyYEA9YTE 'EES❑ENO
DAMAGE IILLJJII YYCIVA
REGISTERED OWNER INFO OWNEDBYDRIVER VEHICLE NO. 1
SHADE IN DAMAGED AREA ❑ 35
2 3 4
14 LIABILITY INSURANCE❑ INSURANCE CO
IN EFFECT &POLICY# 9TOP
VE—LE CHARGE 10BOTTOM 5 36
LEGALLY, YES No CITATION# 5A0625738,5A0625738, OP MOT VEH W/OUT INSURANCE,
15❑ STANDIN 6
MOTOR PEDAL PROPERTY DAM THR PHONE
UNIT 02 VEHICLE ❑ CYCLE ❑ PEDESTRIAN OWNER YES 1/ NO OLD MET D:2066040785
16❑
LAST NAME WALLIN FIRST NAME JAMES MIDDLE IG
INITIAL
17❑ STREET ❑', 11820 SE 157TH ST CITY RENTON ST WA ZIP 98056 37
NEW ADDRESS ❑
18� CDL IGNITION REQUIRED IGNITION PtR-E-S1ENT MEDICAL TRANSPORTED 38
INTERLOCKYES�NOF INTERLOCK YEs I I NOF YEs t l No❑
19 LICENSE# STATE SEX M M D.O.B.
08 _ 20 _ 196 4 El
39
WELMET INJURY NATURE OF INJURIES 4O
20❑ ON DUTY STATUS' AIRBAG RESTR EJECT USE CLASS ❑
❑21❑ LICENSE TATE VIN# 41
PLATE#
42
22❑ PLATE# STATE PLATE# STATE
23❑ 43
TRLR RLR
VIN#. IN#.
VEH YEAR MAKE MODEL STYLE VEHICLE TOWED TO BLIN
TOWED BY GOV HI 44
L4❑ DAMAGE YES NO YES NO
REGISTERED OWNER INFO VEHICLE NO.2
SHADE IN DAMAGED AREA
2 3 4
LIABILITY
INSURANCE❑ INSURANCE
#E CO
IN EFFECT &PO I 9TOP 5
VE"'LE ❑ ,J� CITATION# CHARGE i o BOTTOM
LEGALLY YES N J
25 s e
OFFICER'S NAME(PRINT) OFFICER PHONE BADGE OR ID# AGENCY
26
C.ARNOLD 12509 WA0171300
PART A PAGE 01 OF
3000-345-159 OR 11/181
STATE OF
POLICETRAFFICN CORRECTION REPORT NO. EG36326
COLLISION REPORT III III III III III 111
1591972 CASE# 25-7817
ADDITIONAL PERSONS INVOLVED PASSENGERS AND/OR WITNESSES ONLY)
NAME
(LAST FIRST,MIDDLE INITIAL)_
ADDRESS&PHONE#
SEX D.O.B. - -
MMDDYYYY.
PASSENGER❑WITNESS UNIT# SEAT AIRBAG RESTR. EJECT ' HELMET INJURY NATURE OF INJURIES
POS. USE CLASS
NAME
'(LAST,FIRST MIDDLE INITIAL)
ADDRESS&PHONE# D D B
SEX MMDDYYYY
PASSENGER ❑WITNESS UNIT# SEAT AIRBAG RESTR. EJECT HELMET INJURY NATURE OF INJURIES
POS. USE CLASS
NAME
(LAST FIR57 MIDDLE INITIAL)
AppRESS R PHONE#
SEX D.O.B.
MMDDYYYY. -
PASSENGER WITNESS UNIT# SEAT AIRBAG RESTR. EJECT HELMET NJURY NATURE OF INJURIES
❑ ❑ POS. 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 09-08-25 07:49 AM
NVESTIGATING OFFICER'S SIGNATURE UNIT OR DIST DET DATED PLACE SIGNED
APPROVED BY DATE
C.JACOSS 1953 1011012025 1:37:31 PM
BADGE OR ID# 12509 ORI# WA0171300 TIME POLICE DISPATCHED; 6:52 AM TIME POLICE ARRIVED',7:00 AM
PART I PAGE IT]OF 4�
REPORT NO. EG36326 CASE# 25-7817 OF COLLISION
09/08/25 06:48
OF CbLLI510N
NARRATIVE
CC 25-7817
On 9/8/2025 at 0651 hours I was dispatched to a motor vehicle collision at 11820 SE 157th St in the
City of Renton, King County, Washington.
Pre-Collision
Driver 1 stated that she was proceeding West on SE 157th St approaching the 11800 block in the #1
lane.
Property Owner 1 was not at the location at the time of incident and the incident was only heard, not
seen.
Collision
Driver 1 stated that as she was negotiating a curve at the 11800 block, there was a fly or some sort of
bug in her vehicle that scared her. When this happened, Driver 1 stated that she meant to hit her
brake but instead hit the gas to her vehicle causing it to accelerate. Driver 1 stated that she did not
expect the sudden acceleration and this caused her to lose control of her vehicle. Driver 1 stated that
while proceeding East, she exited the roadway and into the yard of 11820 SE 157th St. When Driver
1 entered the yard, she crossed over the driveway and collided with a bush and tree on the West side
of the property, disabling Unit 1.
Upon a check of DOL, Driver 1's driving status showed as "Suspended/Revoked 3rd Degree". With a
suspension date of 06/08/2025 for failure to pay fine/costs with an indefinite end date.
Driver 1 also stated that she did not have insurance.
Injuries
None reported.
Vehicle Disposition
Unit 1 was rendered inoperable and was towed from the scene. Driver 1 called AAA for a private tow.
Proximate Cause
I determined that Driver 1 is the proximate cause of this collision because it shall be unlawful to
operate or drive any vehicle or combination of vehicles over or along any pavement or gravel or
crushed rock surface on a public highway with one wheel or all of the wheels off the roadway thereof,
except as permitted by RCW 46.61.428 or for the purpose of stopping off such roadway, or having
stopped thereat, for proceeding back onto the pavement, gravel or crushed rock surface thereof.
Driver 1 was cited per RCW 46.61.670, RCW 46.20.030, and RCW 46.20.342.
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 07:41 on 9/8/2025 in the City of Renton, King
County, Washington.
PAGE 3 OF 4
REPORT NO. EG36326 CASE# 25-7817 DATE AND TIME 09/08/25 06:48
OF COLLISION
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PAGE 4 OF 4