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HomeMy WebLinkAbout25-9760 ITFF' "POLCERA II I !�� I III I III I IIII III II I . 1 27c COLLISION REP FIT 1591971 SASE 25-9760 2 INTERSTATE ❑ CITY STREET FIRE ❑ RESULTED 1 STOLEN STATE ROUTE ❑ OTHER ❑ VFHICI F ❑ LOCAL AOENC 4900 3 HIT&RUN CODING COUNTY RD PRIVATE WAY INVOLVED 2 2 TOTAL#OF OBJECT 1 3 4 28 TRIBAL UNITS 02 RESERVATION STRUCK z 3 DATE OF M M D D Y Y Y Y TIME(2400) COUNTY# MILES N E IN CITY# cawsloN 11 - 10 - 2025 0751 17 �. S H W H OF 1070 3 4❑ ON (PRIMARY TRAFFIC WAY) INTERSECTION ❑✓ NON INTERSECTION ❑ e✓ --- ----� ❑ N 3RD ST MILEPOST 4a❑ DISTANCE OF(REFERENCE OR CROSS STREET) BLOCK NO. 5❑ ❑ FEET e S ❑ W e BURNETT AVE N 0 1 29 MOTOR PEDAL- DAMAGE THRESHOLD MET PHONE UNIT 01 VEHICLE ❑ CYCLE El NO F,/ D:2063213210 30 6 LAST NAME F/SO FIRSTNAME BRIANNA MIDDLE M 1 1 2 31 INITIAL STREET ❑ 435 WILLIAMS AVE N#207 CITY RENTON ST WA 2jp, 98057 z NEW ADDRESS 7❑ CDL IGNITION REQUIRED IGNITION : PRESENT MEDICAL TRANSPORTED 3 iNTERLOCKYEs NO INTERLOCKYEs NO YES R NO 8❑ LDRIVER # STATE WA SEX'F MID .O B 07 - 16 - 1993 32 9❑ ON DUTY❑ STATUS AIRBAG 2 RESTR 4 EJECT 1 H U SE ICNLJAUSSY 1 NATURE OF INJURIES z❑ 3 10 9❑ Pi aT�S� CTF5436 sTArI WAvIN# JTENU5JR4N6055670 TRAILER STATE TRAILER STATE 11 2 5 PLATE# PLATE# Rom ro TRLR. TRLR 5 2❑ 1 33 1 VIN#' VIN# FROM TO ❑ VEH.YEAR MAKE TOYT MODEL STYLE VEHICLE TOWED TO BLIN TOWED BY GOVT.VEHICLE 3 7 34 13 2 2022 4RUNNE DAMAGE YES NO YES[:] No REGISTEREDOWNERINFO OWNEDBYDRIVER VEHICLE NO. 1 SHADE IN DAMAGED AREA ❑ 35 14❑ LIABILI INSURANCE U INSURANCE CO STATE FARM 341.4535-A28.47D 3 4 IN EFFECT &POLICY# 9TOP ve FE CHARGE 1 5 36 LEGAL Lv Yes❑NO❑ CITATION# 10 BOTTOM 15❑ STANDING 8 7 6 MOTOR PEDAL PEDESTRIAN PROPERTY DAM THR OLD MET PHONE UNIT 02 VEHICLE ❑ CYCLE ❑ ❑ PROPOWNFR ❑ YES NO ,/ D:2067519304 15 a LAST NAME UNABIA FIRST NAME JOSE MIDDLE C INITIAL 17❑ STREET ❑', 2509 NE 4TH ST APT 336 CITY RENTON ST WA ZIP 98056 37 NEW ADDRESS ❑ 18E CDL IGNITION REQUIRED IGNITION PtR-E-S1ENT MEDICALt-T�RANSPORTED ❑ 38 INTERLOCKYES - NOR INTERLOCK YEs I I NoF YES t l NO❑ 19 DRIVE # STATE SEX M MMDDW 02 _ 08 _ 1999 39 ON DUTY STATUS 0 AIRBAG RESTR EJECT 2 HELMET 6 INJURY 7 NATURE of INJURIES ❑ 40 USE CLASS LOWER BACK PAIN ❑21❑ LICENSE TArE VIN# 41 PLATE# 42 22❑ PLATE# STATE pLATE#TILER 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 V'""LE ❑ Nu CITATION# CHARGE LEG 25 i o BOTTOM ALLY YESs e OFFICER'S NAME(PRINT) OFFICER PHONE BADGE OR ID# AGENCY WA0171300 26 4 5 C.ARNOLD 12509 PAGE 01 OF PART A 3000-345-159 OR 11/181 STATE OF POLICETRAFFICN CORRECTION REPORT NO. EG47617 COLLISION REPORT III III III III III 111 1591972 CASE# 25-9760 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 11-10-25 10:12 AM NVESTIGATING OFFICER'S SIGNATURE UNIT OR DIST DET DATED PLACE SIGNED APPROVED BY DATE C.JACOBS 1953 1111212025 10:47:15 AM BADGE OR ID# 12509 ORI# WA0171300 TIME POLICE DISPATCHED; 7:82 AM TIME POLICE ARRIVED',7:54 AM PART B PAGE IT]OF 4� REPORT NO. EG47617 CASE# 25-9760 F LNa O 11/10/25 07:51 F coy�isI©�ON u NARRATIVE CC 25-9760 On 11/10/2025 at 0751 hours I was dispatched to a motor vehicle collision at N 3rd St and Burnett Ave N in the City of Renton, King County, Washington. Pre-Collision Driver 1 stated that she was facing North on Burnett Ave N at N 3rd St stopped for a stop sign, preparing to go straight ahead to proceed North on Burnett Ave N. Pedacyclist 1 stated that he was traveling West on N 3rd St approaching Burnett Ave N. Pedacyclist 1 stated that he was on the North side of the roadway and not within a lane of travel. This was later determined to be false and I located video footage of him in the middle of the roadway weaving and riding against the direction of traffic. N 3rd St is a one way West-East running roadway. Collision Driver 1 stated that she was looking left for traffic and saw that she was clear. Driver 1 stated that she began to cross over N 3rd St to proceed North on Burnett Ave N and upon doing so, Pedacyclist 1 emerged from her right side and collided with the front passenger side of Unit 1, forcing Pedacyclist 1 to be ejected and cross over the hood of Unit 1. Pedacyclist 1 stated that he was unable to stop in time to avoid a collision and he collided with the front passenger side of Unit 1. Per the video footage, Pedacyclist 1 appeared to be in the #1 lane of N 3rd St when the collision occurred. I went back to the location where Unit 1 would have been stopped and saw that there was virtually no way for Driver 1 to have seen Pedacyclist 1 due to large bushes that block the view to the right. Injuries Pedacyclist 1 complained of lower back pain. Vehicle Disposition Both of the vehicles were operational, and Pedacyclist 1 was able to ride away from the scene. Proximate Cause I determined that Pedacyclist 1 is the proximate cause of this collision because he was traveling the wrong way on a one way street in the #1 lane of Eastbound travel proceeding West against traffic. There is no reasonable way that Driver 1 would have been able to react or see Pedacyclist 1 in time to avoid a collision. I 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 08:57 on 11/10/2025 in the City of Renton, King County, Washington. PAGE 3 OF 4 REPORT NO. EG47617 CASE# 25-9760 DATE AND TIME 11/10/2507:51 OF COLLISION v „ry n- ��e u F 3 t T , { , } 4 t t r s 1 t , ps I r, i1 y, PAGE 4 OF 4