HomeMy WebLinkAbout25-8863 ITFF' "POLCERA II I !�� I III I III I IIII III II I . 0 27c
COLLISION REP FIT 1591971
CASE 25-8863 z
INTERSTATE ❑ CITY STREET FIRE ❑RESULTED
1 STOLEN
STATE ROUTE ❑ OTHER ❑ VFHIl.I F ❑ LOCAL AOENC 4Y00 3
HIT&RUN CODING
COUNTY RD PRIVATE WAY INVOLVED
2 TOTAL#TRIBAL OF OZ OBJECT 1 1 8 28
UNITS
RESERVATION I I
STRUCK
z
3❑ DATE OF M M D D Y Y Y Y TIME(2400) COUNTY# MILES N E IN CITY#
CowsloN 10 - 1-- 2025 1354 17 ❑-= S 8 IN e 1070 3
4❑ ON (PRIMARY TRAFFIC WAY) INTERSECTION ❑✓ NON INTERSECTION ❑
GARDEN AVE N BLOCK NO. e✓ ❑
4a❑ MILEPOST
DISTANCE OF(REFERENCE OR CROSS STREET)
5❑ �.❑ FEET e S ❑ W e N SOUTHPORT DR
2 0 29
MOTOR PEDAL- DAMAGE THRESHOLD MET PHONE
UNIT 01 VEHICLE ❑ CYCLE El
No ,/ I D:2532507072 0 11
30
6� LAST NAME OY00 FIRSTNAME ZACHARIAH MIDDLE O 1 2 31
INITIAL
STREET ❑ 11126 SE 256TH ST APT D203 CITY KENT ST WA 2jp, 980309158 z=
NEW ADDRESS
7❑ CDL IGNITION REQUIRED IGNITION PRESENT MEDICAL TRANSPORTED 3
INTERLOCK YES[:]NO INTERLOCKYEs NO YES R NO
8❑ LRIIVER #
ON DUTY❑ STATUS AIRBAG 1 RESTR 4 EJECT 1 H U SE
ICNLJAUSSY 1 NATURE OF INJURIES z❑
3
10 9❑ P1 aT�S� C54060V sTArI WAurN# 1 FVACWDT3GHHA4551
TRAILER STATE TRAILER STATE
11 3 5 PLATE# PLATE# FROM TO
TRLR. TRLR 7 3 33
12 3 5 VIN#' VIN#
>; FROM TO
VEH.YEAR 2016 MAKE FRHT MODEL M2 STYLE VEHICLE TOWED TO BLIN TOWED BY GOVT.VEHICLE 7 3 34
13 4 DAMAGE YES NO YES[:] ✓
REGISTERED OWNER INFO OYOOOYOO INC 16965129THAVE SE RENTON WA 98058 VEHICLE NO. 1
❑ ❑
SHADE IN DAMAGED AREA 35
4 INSURANCE CO 3 4
14 IN EFFECT
INSURANCE NATIONAL UNION FIRE INSURANCE CO.CA4594493
IN EFFECT &POLICY# 9TOP
vewcLE CHARGE 5 36
EGHALLY YES❑NO❑ CITATION# 5A0625788 IMPROPER LANE USAGE o eorrom
15❑ STANDING 7 6
MOTOR PEDAL- PROPERTY DAM THR OLD MET PHONE
UNIT 02 ❑✓ ❑ PEDESTRIAN ❑ ❑ D:6012780346
VEHICLE CYCLE OWNER YES,/ NO
16 a
LAST NAME ZAMAR FIRST NAME TIMOTHY MIDDLE I D
INITIAL
17❑ STREET ❑', 7311 COAL CREEK PKWY SE APT J CITY NEWCASTLE ST WA ZIP 980593174 37
NEW ADDRESS ❑
18� CDL IGNITION REQUIRED IGNITION PR—E-1SENT MEDICAL TRANSPORTED ❑ 38
INTERLOCK YES❑NOR INTERLOCK YEs It I NOF YES
t t- l NO❑
19 LDIIVER # STATE WA SEX M MMDDW 10 _ 22 _ 1971 0 39
WELMET INJURY1 NATURE OF INJURIES 40
20❑ ON DUTY STATUS AIRBAG 2 RESTR 4 EJECT 1 USE CLASS ❑
21❑ LICENSE I BKU3921 TAre WA vIN# 5N16AOND1DN602556
❑ 41
PLATE#
42
22❑ PLATE# STATE PLATE# STATE
TRLR
23❑ UIN#. N#.
43
RLR
'I
TOWED BY Gov HI 44
VEH YEAR 2013 MAKE j1II$S MODEL ARMADA STYLE DAMAGE TOWED✓ TOO BLIN BANKERS YES No,/
24❑ REGISTERED OWNER INFO OWNED SY DRIVER VEHICLE N0.2
SHADE DAGELLAREA
LIABILITY
INSURANCE INSU&POLICY#E CO GEICO 6103589534IN IGQI
vE""LE ❑ ,J� CITATION# CHARGE
LEGALLY YES N`L J
25
OFFICER'S NAME(PRINT) OFFICER PHONE BADGE OR ID# AGENCY
J
26
C.ARNOLD 12509 WA0171300
PART A PAGE 01 OF C7
3000-345-159 OR 11/181
STATE OF
POLICETRAFFICN CORRECTION REPORT NO. EG38135
COLLISION REPORT III III III III III 111
1591972 CASE# 25-8863
ADDITIONAL PERSONS INVOLVED PASSENGERS AND/OR WITNESSES ONLY)
NAME
(LAST FIRST,MIDDLE INITIAL)_
ADDRESS&PHONE#
SEX D.O.B. - -
MMDDYYYY.
PASSENGER❑WITNESS UNIT# SEAT AIRBAG RESTR. EJECT ' HELMET INJURY NATURE OF INJURIES
PM USE CLASS
NAME
'(LAST,FIRST MIDDLE INITIAL)
ADDRESS&PHONE# D D B
SEX MMDDYYYY
PASSENGER ❑WITNESS UNIT# SEAT AIRBAG RESTR. EJECT HELMET INJURY NATURE OF INJURIES
POS. USE CLASS
NAME
(LAST FIR57 MIDDLE INITIAL)
AppRESS R PHONE#
SEX D.O.B.
MMDDYYYY. -
PASSENGER WITNESS UNIT# SEAT AIRBAG RESTR. EJECT HELMET NJURY NATURE OF INJURIES
❑ ❑ POS. USE CLASS ----�
NARRATIVE'
Please see subsequent narrative pages
I CERTIFY(DECLARE)UNDER PENALTY OF PERJURY UNDER THE LAWS OF THE STATE OF WASHINGTON THAT THE FOREGOING IS TRUE AND CORRECT.
C.ARNOLD 10-13-25 02:52 PM
NVESTIGATING OFFICER'S SIGNATURE UNIT OR DIST DET DATED PLACE SIGNED
APPROVED BY DATE
RAYMOND GORAJEWSKI 12399 1011612025 7:33:06 AM
BADGE OR ID# 12509 OR]4$ WA0171300 TIME POLICE DISPATCHED; 1:56 PM TIME POLICE ARRIVED',2:02 pry
PART I PAGE IT]OF 5�
REPORT NO. EG38135 CASE# 25-8863 OF COLLISION
10/13/25 13:54
OF CbLLI510N
NARRATIVE
CC 25-8863
On 10/13/2025 at 1356 hours I was dispatched to a motor vehicle collision at the intersection of
Garden Ave N and N Southport Dr in the City of Renton, King County, Washington.
Pre-Collision
Driver 2 stated that he was facing South on Lake Washington Blvd at N Southport Dr in the #3 lane
preparing to perform a lefthand turn to proceed East on N Southport Dr.
Driver 1 stated that he had just turned right from Garden Ave N onto N Southport Dr, and was
stopped for traffic in the #1 lane of N Southport Dr just past the intersection.
Collision
Driver 2 stated that he received a green light and began to perform his lefthand turn. Driver 2 stated
that he completed his turn and was in lane #2 of N Southport Dr proceeding East. Driver 2 stated that
as he continued straight ahead, Unit 1 merged from the #1 lane to the #2 lane and the front drivers
side bumper of Unit 1 collided with the passenger side of Unit 2.
Driver 1 stated that he did not see Unit 2 and proceeded to merge from the #1 lane to the #2 lane of
Eastbound N Southport Dr. Driver 1 stated that as he did this, the front drivers side bumper of Unit 1
collided with the passenger side of Unit 2.
Unit 2 had a working dashcam that I was able to review. Upon review, it clearly shows that Unit 2
proceeded through the green arrow and into the appropriate lane. It then shows Unit 1 merge from
the #1 lane to the #2 lane and collide with Unit 2. Based on the video I reviewed, there was no way for
Unit 2 to react in time to avoid a collision.
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 whenever any roadway has
been divided into two or more clearly marked lanes for traffic the following rules in addition to all
others consistent herewith shall apply:
(1) A vehicle shall be driven as nearly as practicable entirely within a single lane and shall not be
moved from such lane until the driver has first ascertained that such movement can be made with
safety.
Driver 1 was cited per RCW 46.61.140
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 14:34 on 10/13/2025 in the City of Renton, King
County, Washington.
PAGE 3 OF 5
SUPPLEMENTAL REPORT NO. EG381355
r`) POLICE TRAFFIC 1 27
COLLISION REPORT CASE# 25-8863
1 COMMERCIAL MOTOR CARRIER INTERSTATE INTRASTATE ✓ G
UNIT# 1 USDOT 1719074 ICC# VEHICLE TYPE 2 CARGO BODY 2
TYPE
2 ❑ 1 28
CARRIER NAME OYOO OYOO INC
.......
3 CARRIER
ADDRESS 3102 W VALLEY HWY N
CITY AUBURN ST WA ZIP'', 98001
4 ❑ NAME # PLACARD: :❑
NAME IF NO NUMBER
SOURCE 1 AXLES 02 GwvR 25999 +
4a ❑ ADDITIONAL UNITS
MOTOR PEDAL- PROPERTY DAMAGE THRESHOLD MET PHONE
5 ❑ UNIT# VEHICLE I_J CYCLE _) PEDESTRIAN � OWNER � YES NO
i MIDDLE'... 29
LAST NAME FIRST NAME INITIAL
STREET 30
NEW AnnRFSP CITY ST ZIP
6 2
CDL IGNITION REQUIRED IGNITION PRESENT MEDICAL TANSPORTED 1 31
INTERLOCK YES No zERLOCK YES E]NO� vES N
LLIICIENSE STATE I SEX M��DYRYY' 2
7 F-1
ON DUTYl STATUS AIRBAG' RESTR. EJECT HELMET INJURY NATURE OF INJURIES
USE CLASS
8 ❑ ' 1 32
LICENSE+ rar VIN.#
PLATE#
9 TRAILER TRAILER
PLATE# STATE PLATE# STATE
10 ❑ TRLR TRLR
VIN.#. VIN.#.
11 VEH.YEAR MAKE MODEL STYLE VEHICLE TOWS T SABLIN TOWED BY anvi vEHIC P FROM TO
DAMAGE Y EES NO YES NO
REGISTERED OWNER INFO. m 33
12 SHADE IN DAMAGED AREA
FROM TO
((ABILITY INSURANCE❑ INSURANCE CO
IN EFFECT &POLICY# tGQ
EHILLE 34
13 ❑ LEGALLY YES[:] NO❑ CITATION# CHARGE
STANDING } 8 7 6
14 ❑ UNIT Tr Vd 1RE O CYDCLE OWNERRTY YES AGE NOHRESHOLD MET PHONE ❑ 35
PEDESTRIAN
15 LAST NAME FIRST NAME MIDDLE': INITIAL36
STREETIAL
❑
16 NEW AnntxFs.� CITY'. ST SIP
CDL IGNITION REQUIRED IGNITION PRESENT MEDICALTANSPORTED
INTERLOCK YES No INTERLOCK YEs NO YEs NO El
17 37
LICENSE# STATE SEX MMDDDYBYY
18 ❑ ON DUTY� STATUS AIRBAG RESTR. ; EJECT HELMET INJURY NATURE of INJURIES 38
USE (CLASS
19 ❑ vIN 39
LICENSE #
PLATE# rnr
20 ❑ TRAILER TRAILER ❑ 40
PLATE# STATE PLATE# STATE
21 ❑ TRLR TRLR 41
VIN# YIN#i
42
22 VEH.YEAR MAKE I MODEL STYLE I VEHICLE TO DUET SABLIN TOWED BY GOVT.VEHICLE
DAMAGE YES NO YES NO
23 REGISTERED OWNER INFO SHADE IN DAMAGED 3 4 4 AREA F 43
z
LIABILITY INSURANCE INSURANCE CO '
VINE
EFFECT &POLICY# i 970P - 4 E:l
44
24 LEwGLE YES❑ NO❑ CITATION# CHARGE iq 60TiOM
C=DLv
STANDING 8 7 6
1 CERTIFY(DECLARE)UNDER PENALTY OF PERJURY UNDER THE LAWS OF THE STATE OF WASHINGTON THAT THE FOREGOING IS TRUE AND CORRECT.
C.ARNOLD 10-13-25 02:52 PM
25 INVESTIGATING OFFICER'S SIGNATURE OFFICER'S PHONE UNIT OR DIST DET DATED: PLACE SIGNED
APPROVED BY DATE
26 BA ID# 12509 O#I WA0171300 GORAJEWSKI 10/16/202 PAGE[4 OF
3000-345-013(R 11118)
REPORT NO. EG38135 CASE# ' 25-8863 DATE AND TIME 10/13/25 13:54
OF COLLISION
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PAGE 5 OF 5