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Home My WebLink About25-8081 IT si " II IIIII III IIIII II IIII IIIII I . 27c REPORT NO EG38437OLCERA COLLISION REPORT 1591971 ❑ FIRE I �l�$E$ 25-8081 2 5 5 INTERSTATE CITY STREET RESULTEDSTOLENSTATE ROUTE OTHER VEHICLE LOCALAGENCY 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' 09 - 17 - 2025 0554 17 =.= S 8 W e OF IN e 1070 s 4❑ ON (PRIMARY TRAFFIC WAY) INTERSECTION ❑ NON INTERSECTION ❑✓ SE 174TH ST BLOCK NO. e 10650 .� 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:2066516623 1 4 30 5❑ LAST NAME REAL FIRST NAME MA ELOJSA MIDDLE t 1 2 31 INITIAL STREET ❑ 10400 SE 174TH ST APT C302 CITY; RENTON ST I WA ZIP; 98055 2 NEW ADDRESS 7 CDL IGNITION REQUIRED IGNITION PRESENT MEDICAL TRANSPORTED 3 INTERLOCK YEs Na�/ INTERLOCKvEs No�/ YEs ND�/ 8 DRIVER # STATE WA SEXI F MMDDYY' 03 - 21 - 2002 32 -NJUR 9 ON DUTY STATUS' AIRBAG 2 RESTR 3 EJECT 1 HELMET 2 CLASSY 1 [NATURE of INJURIES 2 10 PI ENSttEI D61049E STATE WA VIN# 3TMLB5JN6RM001789 3 TRAILER STATE TRAILER STATE ROM TO 11 2 5 PLATE# PLATE# TRLR TRLR. 7 1 3 33 12 0 O VIN#' VIN# FROM TO VEH.YEAR 2024 MAKE TOYT MODEL TACOM STYLE pX VEHICLE TOWED fj TO ZBLIN TOWED BY GOVT VEHICLE m 34 13 DAMAGE YES II_II NO YESII_I) NO REGISTERED OWNER INFO OWNEDBYDRIVER VEHICLE NO. 1 SHADE IN DAMAGED AREA 35 14❑ LIABILITY INSURANCE� INSURANCE CO PROGRESS/VE 979143387 4 IN EFFECT &POLICY# 9TOP v""' CHARGE t 5 36 LEGALLY yes❑NO❑ CITATION# t a 80TFOM 15❑ STANDING s 7 6 UN# MOTOR PEDAL- ❑ PEDESTRIAN PROPERTY DAM THR OLD MET PHONE 1 VEHICLE CYCLE nWNFR 16❑ LAST NAME UNKNOWN FIRST NAME MIDDLE' INITIAL 17❑ STREET ❑ CITY, RENTON ST ZIP 4❑ 37 NEW ADDRESS 18❑ IGNITION REQUIRED IGNITION PRESENT MEDICAL TRANSPORTED'. 38 CDL INTERLOCKYES ND INTERLOCK YES NO vEs NO: 19 LICENS# STATE SEX U MMDDYY —� � 39 HELMET INJURY: NATURE OF INJURIES 40 20❑ ON DUTY� STATUS AIRBAG g RESTR g EJECT 1 USE 9 CLASS 0 ❑ 21 LICENSECFX4959 raTE WA vIN# 1N4DL01D3YC188877 41 22❑ PLATE# STATE[TILER I PLATE# STATE 42 23 TRLR RLR 43 UIN#. 'IN# VEH.YEAR 2000 MAKE JyJ55 MODEL ALTJMA STYLE qp VEHICLE TOWED TO BLIN TOWED BY GOV HI 44 24� DAMAGE YES NO� VES NO REGISTERED OWNER INFO CARLOSZALDANA300 VUEMONT PL NE APT D203 RENTON WA 98056 VEHICLE NO.2 SHADE DAMAGFAREA 3 LIABILITY INSURANCE INSURANCE CO N/A IN EFFECT &POLICY# I 9TOP LVEHICLE '—LY YES❑ N,J—I CITATION11 CHARGE t080TTOM LEGALL 25 OFFICER'S NAME(PRINT) OFFICER PHONE BADGE OR ID# AGENCY 26 ZOE BJRKBECK 13055 WA0171300 PAGE 01 OF PART A 3000-345-189(R 11/18) STATE OF POLICETRAFFICN CORRECTION REPORT NO. EG38437 COLLISION REPORT III III III III III 111 1591972 CASE# 25-8081 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. ZOE B/RKBECK 09-17-25 09:27 AM INVESTIGATING OFFICER'S SIGNATURE UNIT OR DIST.DET DATED PLACE SIGNED APPROVED BY DATE J.CHRISTIANSEN 10437 1011612025 9:31:27 PM BADGE OR ID# j 13055 ORI# WA0171300 TIME POLICE DISPATCHED 5:55 AM TIME POLICE ARRIVED i 5:58 AM PAST B 3 Do-3mx—attar(t 1Mff) PAGE 2�OF F5 REPORT NO. EG38437 CASE# 25-8081 OATS OF COLLI r�510NN + 09/17/25 05:54 L1 NARRATIVE 25-8081 This incident was captured on my body worn video camera. This report is a summary of events that occurred and is not an exact sequencing of events. Statements have been paraphrased and summarized. On 09-17-2025, 1 was working as a police officer in the city of Renton. At approximately 0600 hours I was dispatched to a non-injury, blocking vehicle collision, located at 10650 SE 174th ST, City of Renton, County of King, WA. This incident was captured on my department issued Axon body camera. According to the notes in the call, Driver 1 (who was the driver of Unit 1) was reporting a two vehicle collision. No injuries were reported. I arrived on scene and spoke with Driver 1, who stated the following: Unit 1 was travelling eastbound on SE 174th ST. Driver 1 was attempting to plug her phone into the vehicle, and was not paying attention to the roadway. Unit 1 collided with Unit 2, which was parked stationary on the south side of the roadway. The force of Unit 1 crashing into Unit 2 caused Unit 2 to roll into Unit 3, which was parked directly in front of Unit 2 on the south side of the roadway. On arrival, I observed body damage to the front passenger side of Unit 1. The front passenger wheel was resting at an unnatural angle. When Driver 1 attempted to park the vehicle, she stated that the vehicle wasn't accelerating or turning properly. There were no additional occupants inside Unit 1. Unit 2 had body damage on the drivers side of the vehicle, running from the back quarter panel to the driver's side front mirror. Unit 2's front passenger side wheel was scraped and resting at an unnatural angle on the curb. There was minor damage to the front bumper of Unit 2 where it was pushed into the rear of Unit 3. The bumper of Unit 2 was sitting next to the vehicle. However, based on the trajectory of Unit 1 combined with dust on the rear of Unit 2, it is unknown if the bumper damage is new. Driver 1 stated she did not move the bumper of Unit 2, which was sitting on the sidewalk. There was minor damage to the rear bumper of Unit 3. Unit 3's license plate was bent, and there were small pieces of the metal bumper laying on the roadway. I was unable to contact the owners of Unit 2 or Unit 3. Business cards with the case number were left on each vehicles front windshield. I verified Driver 1's identity via her WA DOL license. Both Driver 1's insurance and Unit 1's registration was accurate and up to date. I took photos of all three vehicles and uploaded them to Axon Evidence. Driver 1 was able to drive Unit 1 out of the roadway into a nearby parking lot. The vehicle appeared to be undriveable due to damage to the axle. Driver 1 stated she would handle getting a tow if required. Based on the statements made to me by Driver 1, 1 determined the proximate cause of the collision was Driver 1 attempting to plug in her phone and taking her eyes off the roadway, causing her to collide with Unit 2, pushing Unit 2 into Unit 3. 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 Z. Birkbeck#13055 on 09/17/2025 @ 0924 hours in Renton WA. PAGE 3 OF 5 SUPPLEMENTAL REPORT No. EG38437 POLICE TRAFFIC 1 1 8 27 COLLISION REPORT CASE# 25-8081 013197 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 # PLACARa GWVR NAME IF NO NUMBER SOURCE AXLES + 4a ❑ ADDITIONAL UNITS 'J MOTOR PEDAL- PROPERTY DAMAGE THRESHOLD MET PHONE 5 ❑ UNIT 3 VEHICLE CYCLE CI PEDESTRIAN :.. OWNER YES NO ✓ 1 4 29 LAST NAME UNKNOWN FIRST NAME MIDDLE'. INITIAL STREET 30 ❑ NFwAnnRFs CITY RENTON ST ZiP 6 PRESENT MEDICAL TANSPORTED 1 31 CDL IGNITION REQUIRED 1{iNiTiON :: INTERLOCK YES NO WTERLOCK YES 0 NO YES N-. DRIVER'S I STATE I SEX U MMDDB -C� I LICENSE 7 ON DUTY STATUS AIRBAG 9 RESTR. g EJECT 9 HELMET 9 INJURY 0 NATUREOFINJURIES USE CLASS 8 ❑ I 1 32 LICENSE D25567H TAT WA VIN 1GDHG31U251910831 PLATE# 9 TRAILER TRAILER L PLATE# STATE PLATE# STATE 0 10 TRLR TRLR VIN.# VIN#. 11 0 0 VEH.YEAR200$ MAKE GMC MODELSA VANA STYLE UT VEHICLE TOWE E T ABLIN TOWED BY GOVT.VFHICI F FROM TO DAMAGE YES NO ✓ YES NO RICHARD REISS 10919 63RD AVE E APT 19-304 PUYALLUP WA 98373 m 33 REGISTERED OWNER INFO. SHADE IN DAMAGED AREA 12 LIABILITY INSURANCE❑ INSURANCE CO FROM TO 7t)P IN EFFECT &POLICY# 1 "__`___. m 34 13 vewc�e YES NO[jj CITATION# CHARGE 1080TTOM ecauv sTnNoiNc 3 7 MOTOR PEDAL_ ' 1:1PROPERTYDAMAGE THRESHOLD MET PHONE 35 14 ❑ UNIT# VEHICLE CYCLE PEDESTRIAN OWNER YES NO 36 15 LAST NAME FIRST NAME INITIAL 16 ❑ STREET �' CITY ST ZIP NEW ADDRBsa CDL IGNITION REQUIRED IGNITION PRESENT MEDICALTANSF'ORTED. INTERLOCK YEs NO INTERLOCK YEs NO 'YES NO 17 5 37 LDICENSE# STATE SEX M�DD'B _= C 18 ❑ HELMET INJURY NATURE OF INJURIES 38 ON DUTY STATUS AIRBAG RESTR. EJECT USE CLASS. 19 ❑ ❑ 39 LICENSE I TAT vIN# PLATE# 20 TRAILER TRAILER 40 PLATE#. STATE PLATE# STATE ❑ 21 ❑ ❑ 41 VIN# 42 TRLR TRLR UIN#Y 22 VEH.YEAR MAKE I MODEL I STYLE VEHICLE TOWED DUE T SABLIN 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# 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. ZOE BIRKBECK 09-17-25 09:27 AM 25 INVESTIGATING OFFICER'S SIGNATURE OFFICER'S PHONE UNIT OR DIST DET DATED: PLACE SIGNED 26 OR IM# 13055 O#RI WA0171300 APPROVED 10%16/202 PAGE OF 3000-345-013(R 11/18) REPORT NO. EG38437 CASE# 25-8081 DATE AND TIME 09/17/2505:54 OF COLLISION Aa 4 ` z` l � y ' a is r } 1 t 3� v a t PAGE 5 OF 5