HomeMy WebLinkAbout25-80151 )STATE
TFcN 0 5 27i t
Oc� RA EG52536
COLLISION REPRT 1591971
CASE# 25-80151 2
INTERSTATE CITY STREET FIRE ❑
RESULTED
1 STOLEN
STATE ROUTE ❑ OTHER ❑ VEHICLE ❑ LOCAL AGENC'Y 4100 3
COUNTY RD ❑ NVOLVED CODING
PRIVATE WAY
2❑ TRIBAL TOTAL 1
UNITS#OF 02 SO BJECT TRUCK 1 8 28
RESERVATION 2
3� M M D D Y Y Y Y TIME(2400) COUNTY# MILES CITY#
DATE OF'. N E
CoulsloN' 11 - 25 - 2025 1811 17 =.= S 8 W E IN OF M 1070 a
4❑ ON (PRIMARY TRAFFIC WAY) INTERSECTION �✓ NON INTERSECTION ❑
SUNSET BLVD NE BLOCK POST
e 500 .=
4a❑ MILE POST
❑ DISTANCE OF(REFERENCE OR CROSS STREET)
5 �. FEET H S 8 W e NB 1405 ON-RAMP
0 4 29
MOTtlR ✓ PEDAL- DAM AG THRESHOLD MET PHONE
UNIT 01 VEHICLE ❑ CYCLE ❑ YEs Vl No D:4255155126 0 1 30
6 LAST NAME JAMES FIRST NAME EMILIE MIDDLE Q 1 2 31
INITIAL
STREET ❑ 3220 81ST PL SE UNIT 120 CITY MERCER ISLAND ST WA ZIP 980403073 2
NEW ADDRESS
7❑ CDL IGNITION REQUIRED IGNITION PRESENT MEDICAL TRANSPORTED 3
INTERLOCKYEs NO✓ INTERLOCKYES NO✓ YES NO✓
g❑ DRIVER � STATE WA SEX'FLICENS MMor YY' 03 - 09 - 2009 1 2 32
9 ON DUTY STATUS AIRBAG 6 RESTR 4 EJECT 1 HELMET INJURY 6 NATURE of INJURIES 2
USE CLASS C/O ANKLE PAIN
LICENSE CMH3645 STATE WA VN# 5XXGT4L3XJG216361 3
10 Fq I PI ATF#'
11[—j— TRAILER STATE TRAILER ,STATE ROM TO
11 3 0 PLATE# PLATE#
TRLR TRLR 6 1 33
12 3 0 VIN# VIN#
FROM TO
VER YEAR MAKE MODEL STYLE VEHICLE TOWED TO BLIN 7 Y GOVT VEHICLE 2 6 34
13 3 201$ KlA OPTIMA SD DAMAGE YES O No � �MEYER Yes❑ No✓
REGISTERED OWNER INFO KATHERINE NOYES 3700132ND AVE SEAPT 150 BELLEVUEWA98006 VEHICLE NO. 1
SHADE IN DAMAGED AREA 35
3 4
3 LIABILITY INSURANCE INSURANCE CO
14 PATRIOT GENERAL INSURANCE 11410458895
IN EFFECT &POLICY# 4TOP
LewcLe CHARGE36
E,,AL we YES❑NO❑ CITATION# 5A0923391 FAIL YIELD AT YIELD
15 o ooTrob 5
MOTCYR ✓ PEDAL- PEDESTRIAN PROPERTY DAM THR OLD MET PHONE
UNIT 02 VEHICLE ❑ CYCLE' E] ❑ nWNFR YE:
No D:2063490254
16�
LAST NAME NORLING FIRST NAME DIANE MIDDLE' L
INITIAL
STREET ❑ 37
17 '❑ 7016 89TH PL NE CITY MARYSV/LLE ST, WA ZIP 982707805 4
NEW AbbRESS
18❑ CDL IGNITION REQUIRED IGNITION PRESENT MEDIGALTRANSP6RTEDI 38
INTERLOCKYES NO✓ INTERLOCK YES NO✓ YES NO;✓
19 DRIVER'S STATE WA SEX F I D.O,B. I 01 08 1957 39
LICENSE# MMDDYY —
20❑ ON DUTY STATUS AIRBAG'6 RESTR 4 EJECT 1 H U ET INJ RY; 1 NATURE OF INJURIES � 40
21 PATE# BJM4587 rare W/a vIN# JF2SJAEC9JH521933 41
22❑ PLATE# STATE AILER PATE# STATE ❑ 42
23 TRLR kRLR 43
UIN#. 'IN#.
VEH.YEAR 2018 MAKE SUBA MODEL FORESTE STYLE UT VEHICLE TOWED TO BLIN TOWED BY GOV HI 44
24 DAMAGE YE
s�/ NO GENE MEYER YES No✓
REGISTERED OWNER INFO DIANE NORLING 701689TH PL NE MARYSVILLE WA 98270 D:2063490254 VEHICLE NO.2
SHADEDAMAGEDAREA
3 4
LIABILITY INSURANCE INSURANCE CO FARMERS 199835712
IN EFFECT &POLICY# 4TOP
HICL
LEIAIL YES❑ NCO CITATION# CHARGE t08OTTOM
VE
25 e
OFFICER'S NAME(PRINT) OFFICER PHONE BADGE OR ID# AGENCY
26
RYAN KARLO RIVERA 12649 WA0171300
PAGE 01 OF
PART A 3000-345-159(R 11/18)
POLIICFETRAFFICN CORRECTION REPORT NO. EG52536
COLLISION REPORT III III III III III 111
1591972 CASE# 25-80151
ADDITIONAL PERSONS INVOLVED(PASSENGERS AND/OR WITNESSES ONLY)
NAME MIDDLE INITIAL} KHAMIS NASHIBAH K
(LAST,FIRST
ADDRESS&PHONE#
9747 SE 40TH ST MERCER ISLAND WA 98040 SEX' F MMooYYYv O6 — 21 — 2008
PASSENGER WITNESS UNIT# SEAT AIRBAG RESTR. EJECT HELMET LASS NATURE OF INJURIES
�' 1 POS. 3 I6 4 1 USE CLASS 1
'NAME
(LAST FIRS,MIDDLE INITIAL)
ADDRESS&PHONE#
S ' D.O
EX .B.MMDD —F L----------�
YYYY
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.M -T L----------�
MDDYYYY
PASSENGER WITNESS UNIT# SEAT AIRBAG RESTR. EJECT HELMET INJURY NATURE OF INJURIES
❑ Q 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.
RYAN KARLO RIVERA 11-25-25 08:51 PM
INVESTIGATING OFFICER'S SIGNATURE UNIT OR DIST.DET DATED PLACE SIGNED
APPROVED BY DATE
QUINT TIBEAU 7691 11/26/2025 4:41:54 AM
BADGE OR ID# 12649 ORI# ( WA0171300 TIME POLICE DISPATCHED'; 7:18 PM TIME POLICE ARRIVED 7:?7 PM
PART B 3 Do-3mx-,ao(Rtlras) PAGE 27 OF 57
REPORT NO. EG52536 CASE# 25-80151 OF COLLISIONS 11/25/25 19:11
OI;COLLISICiN
NARRATIVE
On 11/25/2025, 1 was working uniformed patrol in a marked police car as 3R23. At approximately
1916 hours, I was dispatched to a blocking accident at Sunset Blvd NE at the NB 1-405 on-ramp,
which is located within the city limits of Renton, County of King, Washington. Dispatch advised that a
caller reported a 2-vehicle accident at the intersection, which was blocking.
I arrived at the call location and found the accident. I was able to identify the 2 involved vehicles and
their respective occupants as listed above. I also saw that both Unit 1 and Unit 2 were in the
intersection on the southwest lanes of travel on Sunset Blvd NE.
I went to speak to the driver of Unit 2. The driver was the sole occupant of the vehicle. My
conversation with the Unit 2 driver is summarized as follows:
Unit 2 stated she was heading southwestbound on Sunset Blvd NE, approaching the northbound I-
405N on-ramp. She stated that Unit 1 had entered the intersection as she was continuing straight
down Sunset Blvd NE. This resulted in the front end of Unit 2 colliding with the front side of Unit 1.
The driver of Unit 2 stated that she was wearing her seatbelt. She also stated that she was not
injured.
I took a look around Unit 2 and saw that the entire front end of the vehicle was significantly dented.
The front bumper area appeared to be pushing into the two front tires. I also saw that Unit 2's airbags
had deployed inside her vehicle.
I was then able to speak to the driver of Unit 1. She was accompanied by another passenger seated
in the front passenger seat of her vehicle, as listed above. My conversation with the driver of Unit 1 is
summarized as follows:
Unit 1 explained that she was traveling northeastbound on Sunset Blvd NE, approaching the
northbound 1-405N on-ramp. Unit 1 stated she did not see the yield sign. Unit 1 continued to cross
onto the on-ramp. Unit 2 was headed southwestbound on Sunset Blvd NE at the same time as Unit 1
was attempting to cross the southwestbound lanes of Sunset Blvd NE to continue on the on-ramp.
This resulted in the front end of Unit 1 colliding with the front side of Unit 2.
Unit 1 and her front passenger stated that both were wearing their seatbelt. The driver of Unit 1
reported ankle pain. The front passenger of Unit 1 reported no injuries.
I took a look around Unit 1 and saw that the entire front end of the vehicle was significantly dented
with similar damage to that of Unit 2. 1 also saw the airbags inside Unit 1 had deployed.
The fire department arrived a short time later and evaluated all parties.
Based on the fact that Unit 1 did not grant right of way to Unit 2 before entering the intersection to
continue onto the northbound 1-405N on-ramp and the fact that Unit 1 was required to yield to
opposing traffic as indicated by the yield sign at the location, I found that there is reasonable cause to
cite the driver of Unit 1 for RCW 46.61.190 -Failure to yield at yield sign/intersection.
SECTOR citation 5AO923391 was completed and sent to the prosecuting attorney's office to mail to
the driver of Unit 1. 1 also completed a SECTOR collision for this incident.
The driver of Unit 1 was eventually transported to Valley Medical Center (VMC) for further treatment,
PAGE 3 OF 5
REPORT NO. EG52536 CASE# 25-80151 OF COLLISIONS 11/25/25 19:11
OI;COLLISICiN
NARRATIVE
with her front passenger accompanying her.
The driver of Unit 2 left the location with a family member.
Unit 1 and Unit 2 were towed by Gene Meyers from the location. Since Unit 1's driver needed to be
transported, a tow/impound form was completed for the vehicle. Unit 2 was able to stay on scene and
sign for the tow/impound for her vehicle.
Based on the circumstances described above, it appears that Unit 1 is the proximate cause of the
collision.
This concludes my report.
I certify (declare) under penalty of perjury under the laws of the State of Washington that the
foregoing is true and correct.
Signature: Ryan Rivera (#12649) Date and Place: 11/26/2025 @ Renton, WA
PAGE 4 OF 5
REPORT NO. EG52536 CASE# 25-80151 DATE AND TIME i 11/25/25 19:11
OF COLLISION
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