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HomeMy WebLinkAbout26-423 IT si " II IIIII III IIIII II IIII IIIII I . 27c REPORT NO EG74247OLCERA COLLISION REPORT 1591971 ❑ 0✓ FIRERES ED I CASE#I 26-423 2 INTERSTATE CITY STREET FIRESTOLENSTATE ROUTE OTHER VEHICLE LOL`CODICENC'Y 4200 3 HIT&RUN CODING COUNTY RD PRIVATE WAY INVOLVED 2 TOTAL#OF OBJECT 1 s 28 TRIBAL UNITS 02 STRUCK RESERVATION : 1 1 2 3� M M D D Y Y Y Y TIME(2400) COUNTY# MILES CITY# DATE OF N E eDL�ISION' 01 - 14 - 2026 1549 17 =.= S 8 W E IN M 1070 a 4❑ ON (PRIMARY TRAFFIC WAY) INTERSECTION ❑ NON INTERSECTION ❑✓ SE PETROVITSKY RD BLOCK NO. e 10900 .� 4a❑ MILE POST ❑ DISTANCE OF(REFERENCE OR CROSS STREET) 5 100 00 FEET e✓ S 8 E e 108TH AVE SE 2 0 29 MOTOR ✓ PEDAL- DAM AG THRESHOLD MET PHONE UNIT 01 VEHICLE ❑ CYCLE ❑ YEs Vl No D:2536569498 0 1 30 5 LAST NAME CHRISTEN FIRST NAME CHASE MIDDLE A 1 1 2 31 INITIAL STREET ❑ 157 HUCKLEBERRY BRANCH CT CITY; DAYTONA BEACH ST I FL Zlp; 321243630 2 NEW ADDRESS 7❑ CDL IGNITION REQUIRED IGNITION PRESENT MEDICAL TRANSPORTED 3 INTERLOCKYEs NO INTERLOCKYE,, NO YES F NOF 8 DCIENSE# STATE FL SEXI M MMDDYY' 12 — 04 — 2008 1 2 32 9 ON DUTY STATUS' AIRBAG 2 RESTR 4 EJECT 1 N USEE7 2 CLASSY 1 NATURE of INJURIES 2 10 LI ENSE', BZE4893 STATE WA VIN# 3FA6PORU6LR157375 3 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 2020 MAKE FORD MODEL FUSION STYLE VEHICLE TOWED fn TO ZBUN TOWEBBY GOVT VEHICLE 7 3 34 13� DAMAGE YES II_II NO YESII_I) NO REGISTERED OWNER INFO MICHAEL RAND 12817 SE 201ST ST KENT WA 98031 VEHICLE NO. 1 SHADE IN DAMAGED AREA 35 14 LIABILITY INSURANCE[ NSURANCE CO PROGRESSIVE 937235066 3 4 IN EFFECT &POLICY# 4TOP _ srgNOLNG ❑ ❑ 6AO022601 CHARGE IMPROPER LANE USAGE o ooTrofi 36 Yes NO CITATION# 15 MOTCYR PEDAL- PEDESTRIAN PROPERTY DAM THR OLD MET PHONE UNIT O2 VEHICLE CYCLE nWNFR YES�/ NO D:2065145467 16� LAST NAME HOLLAND FIRST NAME REGINALD MIDDLE N INITIAL 17 STREET ❑ 37 NEW ADORE SS❑ 31701 PETE VON REICHBAUER WAY 229 CITY FEDERAL WAY ST, WA ZIP 980035411 18❑ IGNITION REQUIRED IGNITION PRESENT MEDICAL TRANSPORTED: ❑ 38 CDL INTERLOCKYES Nb INTERLOCK YES NO YES NO' 19 DRIVER'S ' STATE WA SEX M D.O.B. 1 09 17 1964 � 39 LICENSE# MMDDYY — 20❑ ON DUTY STATUS AIRBAG 2 RESTR 4 EJECT 1 HELMET 2 INJURY 7 NATURE OF INJURIES ❑ 40 USE CLASS BACK PAIN 21 LICENSE I PLATE# CG V7894 raTE WA vIN# JN8AZ18W19W145345 41 22❑ PLATE# STATE PLATE# STATE 42 23 TRLR RLR 43 UIN#. 'IN# VEH.YEAR 2009 MAKE IVI$$ MODEL MURANO STYLE UT VEHICLE TOWED TO BLIN TOWED BY GOV HI 44 24 DAMAGE YES NO�/ NO�/ REGISTERED OWNER INFO OWNED BY DRIVER VEHICLE N0.2 SHADE IN DAMAGAREA 2 3 LIABILITY INSURANCE INSURANCE CO GEICO 6187 59 08 46 IN EFFECT &POLICY# 9TOP vewCLe LEGALLY YES❑ N,.I—J I CITATION# CHARGE to BOTTOM `.L 25 s s OFFICER'S NAME(PRINT) OFFICER PHONE BADGE OR ID# AGENCY J 26 C.CATALAN 12007 WA0171300 PAGE 01 OF PART A 3000-348-189(R 11/18) STATE OF POLICETRAFFICN CORRECTION REPORT NO. EG74247 COLLISION REPORT III III III III III 111 1591972 CASE# 26-423 ADDITIONAL PERSONS INVOLVED(PASSENGERS AND/OR WITNESSES ONLY) '.NAME (LAST,FIRST,MIDDLE INITIAL) ADDRESS&PHONE SEXi D.O.B. — MMDDYYYY PASSENGERQ WITNESS� UNIT SEAT AIRBAG RESTR. EJECT ; HELMET INJURY NATURE OF INJURIES POS. ' USE GLASS 1 ----� :NAME (LAST FIRST MIDDLE INITIAL) ADDRESS&PHONE# SEX D.O.B. — MMDDYYYY PASSENGER❑WITNESS UNIT# : SEAT AIRBAG RESTR. EJECT HELMET INJURY: NATURECFINJURIES 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. C.CATALAN 01-15-26 10:00 AM INVESTIGATING OFFICER'S SIGNATURE UNIT OR DIST.DET DATED PLAGE SIGNED APPROVED BY DATE C.JACOBS 1953 2/2/2026 3:02:47 PM BADGE OR ID# 12007 ORI# WA0171300 TIME POLICE DISPATCHED 1 3:50 PM TIME POLICE ARRIVED i 4:16 PM PAST B 3 Do-3mx—attar(t 1Mff) PAGE 2�OF 4 REPORT NO. EG74247 CASE# 26-423 O OF COLLI 510N TIME 01/14/26 15:49 COLLISION NARRATIVE On January 15, 2026, at approximately 1549 hours, I was dispatched to a vehicle collision near the 10900 block of SE Petrovitsky Rd, within the City Limits of Renton, County of King, State of Washington. Upon my arrival, I confirmed there were no complaints of injury requiring immediate medical response at the time of report. There, I was able to collect each involved party's information and independent summary of the events leading up to the collision. The driver of Unit#1, identified as Chase Christen, said he was exiting the Crave parking lot and traveling eastbound in about the 10900 block of SE Petrovitsky Rd and approaching the intersection of 109th Ave SE in lane 1 of 2. Chase stated that he needed to get into the left lane (lane 2 of 2). Chase stated that he believed the lane was clear, so he merged left. Chase stated that while making the lane change, Unit#1 and Unit#2 collided in lane 2 of 2 causing moderate damage to the driver's side bumper, fender, and quarter panel of Unit#1. Chase said he never saw Unit#2. The driver of Unit#2, identified as Reginald Holland, said he was the sole occupant of his vehicle and was also traveling eastbound in about the 10900 block of SE Petrovitsky Rd approaching the intersection of 109th Ave SE in lane 2 of 2. Reginald stated he was intending to continue straight when Unit#1 reversed from the parking lot of Crave and into lane 2 of 2 which Unit#2 was occupying. Reginald was unable to avoid the collision and Unit#1 subsequently collided with Unit#2. Unit#2 suffered significant damage to the rear right wheel due to the collision. Based on the information above and damages seen on the vehicles, I am more inclined to believe that Chase made an improper lane change. Reginald said Chase was backing out of the parking lot and then striking Unit #2 in the roadway. The damages are more consistent with Chase changing lanes. Based on the above statements, I determined that the Chase is the proximate cause for the cause of collision as he violated RCW 46.61.140(1) which states that 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. Chase made a lane change into Unit#2's lane of travel which had the right of way and was underway. I cited Chase via mail for Improper Lane Usage causing a collision. Both Unit#1 and Unit#2 required a tow due to extensive damage. Both parties made private arrangements for a tow truck. An exchange of information was provided to all involved parties. I certify (or 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. Catalan 01/15/2026Renton, King County, WA. PAGE 3 OF 4 REPORT NO. EG74247 CASE# 26-423 DATE AND TIME 01/14/2615:49 OF COLLISION \V S�'va Z> f ti `tF f ti } s � 4 7 ��1 a 1 1 a k qg y � 4 a flJ 1 � t 5�4 k i I � k� c k PAGE 4 OF 4