HomeMy WebLinkAbout25-9132 iiTFiNII IIIII III IIIII II IIII IIIII I . 27c REPORT NO EG44817oc� RA
COLLISION REPORT 1591971
CASE# 25-9132 2
INTERSTATE CITY STREET FIRE ❑
RESULTED
1 STOLEN
STATE ROUTE ❑ OTHER ❑ VEHICLE ❑ LOCAL ANG 4100 3
COUNTY RD INVOLVED
CODING
PRIVATE WAY
2❑ TRIBAL TOTAL UNITS#OF 28
02 TRUCK 6 0
RESERVATION 2
3� M M D D Y Y Y Y TIME(2400) COUNTY# MILES CITY#
DATE OF'. N E
GDUISION' 10 - 22 - 2025 0745 17 =.= S 8 W E IN OF M 1070 a
4❑ ON (PRIMARY TRAFFIC WAY) INTERSECTION �✓ NON INTERSECTION ❑
NE SUNSET BLVD BLOCK POST
e
4a MILE POST 4500 .�
❑
❑ DISTANCE OF(REFERENCE OR CROSS STREET)
5 . FEET S 8 W e ANACORTES AVE NE
OF 4 29
MOTOR PEDAL- DAMAG THRESHOLD MET PHONE
UNIT 01 VEHICLE ❑ CYCLE ❑ vEs Vl No D:4259884964 0 1 30
6 LAST NAME MILLER FIRST NAME JOHN MIDDLE J 1 1 2 31
INITIAL
STREET ❑ 3911 NE 24TH CT CITY RENTON ST WA ZIP 980563245 2
NEW ADDRESS
7 CDL IGNITION REQUIRED IGNITION PRESENT MEDICAL TRANSPORTED 3
INTERLOCKYES NO Z/ INTERLOCKYEs NO�/ YES F No,/
8 DCIENS STATE WA SEX M MMorYY' 07 - 20 - 1978 1 2 32
9 ON DUTY STATUS AIRBAG 4 RESTR 4 CT, 1 HELMET 2 CLASS INJURY 6 —NATURE of INJURIES
EJE 2
USE ; COMPLAINT OF PAIN TO LEFT SIDE FROM AIRB
10 1 LICENSE! BYS6976 STATE WA VN# 4S4WMARD8M3446181 3
PI TRAILER STATE TRAILER ,STATE
11 3 5 PLATE# PLATE# ROM To
TRLR TRLR 5 7 33
1 3
( FROM TO
2 5 VIN# vI.
VER YEAR MAKE MODEL STYLE VEHICLE TOWED TO BLIN T v 7 3 34 GOVT VEHICLE
13 4 2021 SUBA ASCENT DAMAGE ves ✓ No� �MEYER TOWING ves❑ No�
REGISTERED OWNER INFO JOHN MILLER 3911 NE 24TH CT RENTON WA 98056 VEHICLE NO. 1 ❑
SHADE IN DAMAGED AREA 35
4 LIABILITY INSURANCE INSURANCE CO 2 3 4
14 SAFECO H2587702
IN EFFECT &POLICY# 4TOP
vEnicLE CHARGE 5 36
LECALLr YES❑NO❑ CITATION# 7 0 80TTOM
15❑ STMDNc s
MOTOR PEDAL- PROPERTY DAM THR OLD MET PHONE
UNIT 02 Q ❑ PEDESTRIAN ❑ D:4256918031
VEHICLE CYCLE (7WNPR YES NO
16�
LAST NAME ✓OHNSON FIRST NAME JENNIFER MIDDLE S
INITIAL
STREET ❑ 37
17 '❑ 4605 NE 6TH CT CITY RENTON ST, WA ZIP 980594754
NEW ADDRESS
1$❑ CDL IGNITION REQUIRED IGNITION PRESENT MEDIGALTRANSPORTED, 38
INTERLOCKYES No INTERLOCK YES No ves NO
19 DRIVER' #
INJURY' NATURE of INJURIES 40
20❑ ON DUTY STATUS' AIRBAG 3 RESTR 4 EJECT '1 2 6 ❑
USE CLASS CHEST AND WRIST PAIN
21 LICENSE BGG6781 TATE WA VIN# 2T3DK4DV2CW090969 � 41
22❑ PLATE# STATE PAAILER
TE# STATE ❑ 42
23 TRLR r RLR 43
UIN#. 'IN#.
VEH.YEAR 2012 JAKE TOYT MODEL RAV4 STYLE VEHICLE TOWED TO BLIN TOWED BY GOV HI 44
24 DAMAGE YE
s No GENE MEYER TOWING YES No
REGISTERED OWNER INFO JENNIFER JOHNSON 4605 NE 6TH CT RENTON WA 98059 VEHICLE NO.2
SHADF.d DAMAGED AREA
3 4
LIABILITY
EFFECTNSURANCE� &.POLINSURIAY# CO PROGRESSIVE 47853968IN 9TOP
VEH10LE
EcnttY YESO NCO CITATION# 5AO882621 CHARGE VEH ENTER INTERSEC STEADY RED io sorTOM
25 a
OFFICER'S NAME(PRINT) OFFICER PHONE BADGE OR ID# AGENCY
26
D.NELSON 12421 WA0171300
PAGE 01 OF
PART A 3000-345-159(R 11/18)
POLIICFETRAFFICN CORRECTION REPORT NO. EG44817
COLLISION REPORT III III III III III 111
1591972 CASE# 25-9132
ADDITIONAL PERSONS INVOLVED(PASSENGERS AND/OR WITNESSES ONLY)
'NAME
(LAST,FIRST MIDDLE INTTIAL)
ADDRESS&PHONE#
SEX' D.O.B. — [----------�
MMDDYYYY
PASSENGER F-1 WITNESS Ej UNIT# SEAT AIRBAG RESTR. EJECT HELMET INJURY NATURE OF INJURIES--�
POS. USE CLASS
'NAME
(LAST FIRS,MIDDLE INITIAL)
ADDRESS&PHONE#
SEX' D.O.B. — L----------�
MMDDYYYY
PASSENGER DWITNESSD UNIT# SEAT AIRBAG RESTR. EJECT HELMET NJURY NATURE OF INJURIES
POS. : USE CLASS ----�
'.NAME
(LAST,FIRST,MIDDLE INITIAL)
ADDRESS&PHONE#
SEX D.O.B. — L----------�
MMDDYYYY
PASSENGER WITNESS UNIT# SEAT AIRBAG RESTR. EJECT HELMET INJURY NATURE OF INJURIES
❑ Q POS. USE CLASS �____ ----j
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.
D.NELSON 10-24-25 02:11 PM
INVESTIGATING OFFICER'S SIGNATURE UNIT OR DIST.DET DATED PLACE SIGNED
APPROVED BY DATE
11/4/2025 10:48:55 AM
C.JACOBS 1953
BADGE OR ID# 12421 ORI# ( WA0171300 TIME POLICE DISPATCHED'; 7:46 AM TIME POLICE ARRIVED 7:46 AM
PART B 3 Do-3mx-,ao(Rtlras) PAGE 27 OF 47
REPORT No.` EG44817 CASE# 25-9132 O COLLI COLLISION TIME
OF 10/22/25 07:45
COLLI
NARRATIVE
25-9132 ACCINP
On 10/22/2025 1 was working as a uniformed patrol officer and driving marked patrol vehicle for the
City of Renton. At 0746 hours I was dispatched to a report of a two-vehicle, blocking collision with
injury in the intersection of NE Sunset Blvd and Anacortes Ave NE Renton/King/WA.
Officer Onishi arrived on scene before me and advised RRFA needed to respond for a complaint of
head pain. He also requested two tows to remove the vehicles from the scene.
I arrived on scene and spoke with John J Miller DOB: 7/20/1978, who was driving a 2021 Subaru
Ascent WA/BYS6976 (Unit 1). John said that he had entered the intersection going north on
Anacortes Ave to turn west onto NE Sunset. He said that his light was green turning yellow when he
entered the intersection and was struck by Unit 2. There was damage the rear driver side passenger
door and quarter panel. The side airbag had deployed inside the Subaru. John had a complaint of
pain to his left side from the airbag and was evaluated and cleared by RRFA on scene.
The driver of the 2012 Toyota Rav4 WA/BGG6781 (Unit 2), was identified by her WADL as Jennifer S
Johnson DOB: 2/23/1961. Jennifer said that she was driving east on NE Sunset Blvd in the #2 lane.
She said that her light was either green or yellow when she entered the intersection and struck Unit 1.
There was heavy damage to the front end of the Toyota and the front airbag had deployed. Jennifer
had a complaint of pain to her chest and wrists, she was evaluated and cleared by RRFA on scene.
Gene Meyers Towing removed both vehicles from the scene.
I was sent surveillance video from the business on the northeast corner of the intersection at 4444 NE
Sunset Blvd. The camera faced south onto the intersection; the traffic signals are not visible, but the
collision is captured.
The surveillance shows that westbound traffic stopped and traffic driving north on Anacortes to turn
west on NE Sunset travelling through the intersection. Several vehicles entered the intersection and
turned west. You can then see Unit 1 enter the intersection to turn west. Unit 2 approaches from the
west, enters the intersection, and collides with Unit 2.
Based on the vehicles entering the intersection from Anacortes and the vehicles stopping at the light
on westbound Sunset, it appears likely that Unit 1 had a green or yellow light when he entered the
intersection and Unit 2 had a red.
I completed Sector citation #5A0882621 for RCW 46.61.055.3A for Vehicle Entering Intersection on
Steady Red. This citation should be mailed to Jennifer.
I uploaded the footage to Axon Evidence.
Nothing further.
I certify under penalty of perjury under the laws of the State of Washington that the foregoing is true
and correct.
D. Nelson #191 10/22/2025 Renton WA
PAGE 3 OF 4
REPORT NO. EG44817 CASE# 25-9132 DATE AND TIME i 10/22/25 07:45
OF COLLISION
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