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HomeMy WebLinkAbout25-81063 IT si " II IIIII III IIIII II IIII IIIII I . 27c REPORT NO EG65611OLCERA COLLISION REPORT 1591971 CASE# 25-81063 2 INTERSTATE CITY STREET FIRE I RESULTEDSTOLENSTATE ROUTE OTHER VEHICLE LOCAI-AGENCY 4100 3 HIT&RUN CODING COUNTY RD PRIVATE WAY INVOLVED 2 TOTAL#OF OBJECT 1 s 28 TRIBAL UNITS 02 STRUCK RESERVATION : 1 1 2 3I M M D D Y Y Y Y TIME(2400) COUNTY# MILES CITY# eaCL s on' 12 - 27 - 2025 1339 17 =.= S 8 W e OF IN e 1070 s 4❑ ON (PRIMARY TRAFFIC WAY) INTERSECTION ❑✓ NON INTERSECTION ❑ NE 4TH ST BLOCK NO. 4a❑ MILE POST e ❑ DISTANCE OF(REFERENCE OR CROSS STREET) 5 MILES�.� FEET e S 8 W e UNIONAVENE 0 1 29 MOTOR PEDAL- DAM AG THRESHOLD MET PHONE UNIT 01 VEHICLE ❑ CYCLE ❑ YEs Vl No D:4254964792 0 8 30 5❑ LAST NAME WIENEKE FIRST NAME PAUL MIDDLE M 1 2 31 INITIAL STREET ❑ 13102 233RD AVE SE CITY; ISSAQUAH ST WA ZIP; 98027 2 NEW ADDRESS 7 CDL IGNITION REQUIRED IGNITION PRESENT MEDICAL TRANSPORTED 3 INTERLOCKYES NOW] INTERLt)CKYES NO vEs ND 8 DCIENSE# STATE WA SEXI M MMDDYY' 11 - 05 - 1964 1 2 32 9 ON DUTY STATUS' AIRBAG 2 RESTR 4 EJECT 1 N USE ET CLASSY 1 [NATURE of INJURES 2 10 PI ENSttEI ATH9875 STATE WA VIN# 3N1CC11E29L425047 3 5 TRAILER STATE TRAILER STATE 11 3 5 PLATE# PLATE# IE.M To TRLR TRLR 3 1 7 33 12 3 5 VIN# vIN# FROM TO VERYEAR 2009 MAKE NISS MODEL VERSA STYLE HB VEHICLE TOWED TO BLIN TOWEDBY GOVT VEHICLE 3 9 34 13 DAMAGE YES NO YES❑ NO REGISTERED OWNER INFO PAUL WIENEKE 131CII.3RD AVE SE ISSAQUAH WA 98027 D:4254964792 VEHICLE NO. 1 SHADE IN DAMAGED AREA 35 4 LIABILITY INSURANCE INSURANCE CO 2 3 4 14 ALL STATE 976377913 IN EFFECT &POLICY# 4TOP VEHICLE CHARGE 5 36 Lemur YES[:]NO[:] CITATION# i o 80TTOM 15❑ sTnNowc s 7 e MOTOR PEDAL- PEDESTRIAN PROPERTY DAM THR OLD MET PHONE UNIT 02 VEHICLE CYCLE PROPSnWNr YES�/ NO D:4254732242 16� LAST NAME GOTZ FIRST NAME JEANETTE MIDDLE R INITIAL 17 F1 STREET ❑ 4318 NE 17TH ST CITY RENTON ST, WA ZIP 98059 37 NEW ADDRESS I I I I I I [I 1$❑ IGNITION RE€]UIRED IGNITION PRESENT MEDICAL TRANSPORTED 38 CDL INTERLOCKYEs NO INTERLOCK YES No�/ YES NO 19 DRIVERS MMDDYY I — HELMET INJURY: NATURE OF INJURIES 4Q 20❑ ON DUTY STATUS AIRBAG 2 RESTR 4 EJECT 1 7 ❑ USE CLASS NECK PAIN,RIGHT SHOULDER PAIN 21 1 LICENSE602TZX TATE I WA VIN# 1C3AL56U01N676976 41 PLATE#22❑ [TILER TAILER PLATE# STATE PLATE# STATE 42 23 TRLR RLR 43 UIN#. 'IN# VEH.YEAR 2001 MAKE CHRY MODEL SEBRING STYLE 4p VEHICLE TOWED TO BLIN TOWED BY GOV HI 44 24� DAMAGE YES NO� VES NO REGISTERED OWNER INFO JEANETTE GOTZ 4318 NE 17TH ST RENTON WA 98059 D:4254732242 VEHICLE NO.2 SHADE IN DAMAGED AREA 2 3 4 LIABILITY INSURANCE[Z INSURANCE CO STATE FARM 1817848FZ047B IN EFFECT &POLICY# I STOP vewcLe ,.I—I CITATION# CHARGE to BOTTOM EEGnEEY YES N 25 s ' s OFFICER'S NAME(PRINT) 26 OFFICER PHONE BADGE OR ID# JAGENCY SHAWN CROW 12618 WA0171300 PART A PAGE 01 OF 3000-345-189(R 11/181 STATE OF POLICETRAFFICN CORRECTION REPORT NO. EG65611 COLLISION REPORT III III III III III 111 1591972 CASE# 25-81063 E NA ADDITIONAL PERSONS INVOLVED(PASSENGERS AND/OR WITNESSES ONLY) M (LAST,FIRST,MIDDLE INITIAL) LAY MICHAEL R ADDRESS&PHONE# 4617 SE 4TH PL RENTON WA 98059 2064550261 SEXi M MMDDD BYYY 12 — 30 — 1967 PASSENGER WITNESS UNIT# + SEAT AIRBAG' RESTR. EJECT HELMET INJURY NATURE OF INJURIES 1:1Q POS. USE CLASS ----� :NAME (LAST FIFS7 MIDDLE INITIAL) ADDRESS R PHONE# SEX MMDDYYYY D.O.B. — PASSENGER❑WITNESS UNIT# : SEAT AIRBAG RESTR. EJECT HELMET INJURY: NATURE CFINJURIES 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 POS. 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. SHAWN CROW 12-28-25 01:16 PM INVESTIGATING OFFICER'S SIGNATURE UNIT OR DIST.DET DATED PLACE SIGNED APPROVED BY DATE P.KORDEL 9676 11412026 11:36:43 AM BADGE OR ID# 12618 ORI# WA0171300 TIME POLICE DISPATCHED 1:42 Pry/ TIME POLICE ARRIVED i 1:48 Pry/ PAST B 3 Do-3mx—attar(t 1Mff) PAGE 2�OF 4 REPORT NO. EG65611 CASE# 25-81063 OATS OF COLLI r�510NN + 12/27/25 13:39 L1 NARRATIVE On 12/27/2025 at about 1339 hours a two-motor vehicle collision occurred near the intersection of NE 4th St/Union Ave NE. When I arrived on scene both vehicles were found pulled into a nearby parking lot. 1 spoke to both drivers, and they explained what happened. Driver 1: Paul M. Wieneke; Unit 1: black colored Nissan Versa with Washington state license plate ATH9875 Driver 2: Jeanette R. Gotz; Unit 2: 2001 Chrysler Sebring with Washington state license plate 602TZX. Unit 2 was headed westbound on NE 4th St (traveling in the lane closest to the curb) and stopped for a solid red colored traffic light at the intersection of NE 4th St/Union Ave NE. Unit 1 was stopped behind Unit 2 at the time. When the traffic light for westbound traffic turned green in color, Unit 2 moved forward and prepared to turn right (north) onto Union Ave NE. Driver 2 noticed pedestrians crossing Union Ave from west to east on the marked crosswalk. Driver 2 stopped to wait for the pedestrians to cross the road before making her turn. While Unit 2 was stopped for the pedestrians, Unit 1 drove straight ahead and collided into the rear of Unit 2. Both drivers pulled their vehicles into a nearby parking lot and waited for police. Unit 1 had damage to the front end of the car, but it appeared drivable. Driver 1 did not complain of any injuries. Unit 2 had damage to the rear end of the vehicle, but it appeared drivable. Driver 2 complained of neck pain and pain to her right shoulder; however, she declined medical aid. One of the pedestrians (Michael R. Lay) crossing the road at the time of the collision provided his name and phone number to Driver 2 as a witness to the collision. I spoke to Michael over the phone, and he confirmed that he did see the collision as he crossed Union Ave NE (from the west side of the street to the east side of the street). Michael saw Unit 2 stop as he crossed the road. Michael turned to wave at Driver 2 and saw Unit 1 collide into the rear end of Unit 2. While I was speaking to both drivers, I heard Driver 1 comment that the collision was his fault. Driver 1 said he was looking at the GPS map on his phone and was distracted when the collision occurred. Driver 1 admitted he was distracted and looking at the GPS on his cellphone which appeared to contribute to the circumstances of the collision. I gave both drivers a Renton PD business card with the case number. I certify (declare) under penalty of perjury under the laws of the State of Washington that the foregoing is true and correct. Signature: Shawn Crow Date and Place: 12/27/2025 at Renton, WA PAGE 3 OF 4 REPORT NO. EG65611 CASE# 25-81063 DATE AND TIME 12/27/25 13:39 OF COLLISION CL CL z » e ll ?t 1\ 1 11 `K r d. a tw, e > h�t+ l 4 d C t YfV �� la �t �y 4 a iY l " PAGE 4 OF 4