HomeMy WebLinkAbout25-80667 ITFF' "POLCERA II I !�� I III I III I IIII III II I . 5 27c
COLLISION REP FIT 1591971
SASE 25-80667 2
INTERSTATE ❑ CITY STREET FIRE ❑
RESULTED
1 STOLEN
STATE ROUTE ❑ OTHER ❑ VFHIC;I F ❑ LOCAL AOENC 4900 3
HIT&RUN CODING
COUNTY RD PRIVATE WAY INVOLVED
2 1 TOTAL#OF OBJECT 1 1 8 28
TRIBAL UNITS OZ STRUCK
RESERVATION
z
3❑ DATE OF M M D D Y Y Y Y TIME(2400) COUNTY# MILES N E IN CITY#
cowsloN 12 - 1-- 2025 1713 17 ❑-= S 8 IN e 1070 3
4❑ ON (PRIMARY TRAFFIC WAY) INTERSECTION ❑✓ NON INTERSECTION ❑
RAYMOND AVE SW
BLOCK NO. e✓ --- ----� ❑
4a❑ MILEPOST
DISTANCE OF(REFERENCE OR CROSS STREET)
5❑ ❑ FEET e S ❑ W e SW 19TH ST
0 1 29
MOTOR PEDAL- DAMAGE THRESHOLD MET PHONE
UNIT 01 VEHICLE ❑ CYCLE El
No ,/ I D:9454466562 0 81
30
LAST NAME INESTROZA SERRADA FIRST NAME JOHENDRYS MIDDLE D
6 INITIAL 1 2 31
STREET ❑1 6 DOVER ST CITY NORWALK ST CT ZIP 068503204 z
NEW ADDRESS
7❑ CDL IGNITION REQUIRED IGNITION PRESENT MEDICAL TRANSPORTED 3
iNTERLOCKYEs NO,/ INTERLOCKYEs NO�/ YES No�/
8❑ LRIIVER #
ON DUTY❑ STATUS AIRBAG 2 RESTR 4 EJECT 1 HELMET USE 2 INJ gY 1 NATURE OF INJURIES 2❑
3
10 2❑ PI ATE 14 WHD2981 STATE TX V N#' 1G1PE5S62F7201984
TRAILER STATE TRAILER STATE
11 2 5 PLATE# PLATE# FROM TO
TRLR. TRLR 1 5 33
12 2 5 VIN#' VIN#
>VI FROM TO
VEH.YEAR MAKE MODEL STYLE VEHICLE TOWED TO BLIN TOWED BY GOVT.VEHICLE
13 4 2015 CHEV CZT SO DAMAGE YES�NO YES❑ NO✓ J 9 34
REGISTERED OWNER INFO OWNEDBYDRIVER VEHICLE NO. 1
❑
SHADE IN DAMAGED AREA ❑ 35
14 LIABILI INSURANCE INSURANCE CO STATE FARM 6322009F2043 3 4
IN EFFECT &POLICY# 9TOP
vEHA"LE CHARGE 5 36
LEcLLv re3❑NO❑ CITATION# 10 BOTTOM
15❑ STANDING 8 6
MOTOR PEDAL- PEDESTRIAN PROPERTY DAM THR OLD MET PHONE
UNIT 02 VEHICLE ❑ CYCLE ❑ ❑ OWNER ❑ YES NO ,/ D:2065397510
16 a
LAST NAME MORALES FIRST NAME PASCUAL MIDDLE I A
INITIAL
17 STREET I❑ s❑' 8854 DELRIDGE WAY SW UNIT 304 CITY SEATTLE ST WA ZIP 981062581 4❑ 37
NEW ADOREs
18❑ CDL IGNITION REQUIRED IGNITION PR—E-1SENT MEDICAL—T�RANSPORTED � 38
INTERLOCKYES�NO INTERLOCK YEs It I NOF YES
t l NOF,/
19[—] STATEWASEXM .CB. _ 39
LICENSE# M .
20❑ ON DUTY STATUS AIRBAG,2 RESTR 4 EJECT 1 WEB SET 2 NJAU SY 7 COMPLAINTS OF NECK AND BACK PAIN ❑F—NATURE OF INJURIES 40
❑21❑ PLATE# CT61638 TATE 41
WA VIN# JTDKN3DUOA0132735 1
42
22❑ PLATE# STATE PLATE# STATE
23❑ VIN#. 43
TRLR RLR
'IN#.
VEH YEAR 2010 MAKE TOYT MODEL PRIUS STYLE 4D VEHICLETOWED TO BLIN TOWEDBY GOV HI 44
L4❑ DAMAGE YES NO,� YES NO
REGISTERED OWNER INFO PASCUAL MORALES 1403012TH AVE NE APT 213D SEATTLE WA 98125 VEHICLE NO.2
SHADE IN DAMAGED AREA
2 3 4
LIABILITY
INSURANCE INSU&PORGY#E CO PROGRESSIVE 865407406IN I GD
VEHICLELLY ❑ I it CITATION# CHARGE
LEGA YES NC
25 s � a
OFFICER'S NAME(PRINT) OFFICER PHONE BADGE OR ID# JAGENCY
26
ROBIN SMITH 12986 WA0171300
PART A PAGE 01 OF C7
3000-345-159 OR 11/181
STATE OF
POLICETRAFFICN CORRECTION REPORT NO. EG59577
COLLISION REPORT III III III III III 111
1591972 CASE# 25-80667
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
POS. 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.
ROBIN SMITH 12-14-25 02:16 AM
INVESTIGATING OFFICER'S SIGNATURE UNIT OR DIST DET DATED PLACE SIGNED
APPROVED BY DATE
QUINT TIBEAU 7691 1 12/16/2025 10:31:31 PM
BADGE OR ID# 9Y988 OR]# WA0171300 TIME POLICE DISPATCHED 5:13 PM TIME POLICE ARRIVED I 5:20 PM
FART I PAGE IT]OF 5�
REPORT NO. EG59577 CASE# 25-80667 OF COLLISION
12/13/25 17:13
OF CbLLI510N
NARRATIVE
25-80667
Unless otherwise stated, the following occurred in the City of Renton, County of King, State of
Washington.
On 12-13-2025 at approximately 1713 hours I was dispatched to an injury, non-blocking, two vehicle
collision at Amazon located at 1905 Raymond AVE SW.
Upon arrival, I contacted the involved parties and determined that the collision occurred at the
intersection of Raymond AVE SW at SW 19th ST. The driver of Unit#2 had complaints of back and
neck pain. The driver of Unit#1 had no complaints of pain. The Renton Regional Fire Authority
(RRFA) was on scene evaluating the driver of Unit#2. While on scene, I collected the involved parties
driving documents and their independent recollection of events leading up to the collision.
The driver of Unit#1 said he was traveling southbound on Raymond AVE SW approaching the stop
sign at SW 19th ST. He said he was traveling under 20 MPH and was aware there was an upcoming
stop sign. Unit#2 stopped abruptly in front of him at the stop sign and the driver of Unit#1 was
unable to stop in time. Unit#1 rear ended Unit#2. Unit#1 sustained a scratch on the front of the
vehicle in the center that is approximately 0.5 inches long.
The driver of Unit#2 said he was stopped at the stop sign facing southbound on Raymond AVE SW
at SW 19th ST. While he was stopped, Unit#1 rear ended him. The driver of Unit#2 said he felt neck
and back pain. The RRFA medically cleared him on scene. The driver of Unit#2 said he wanted to be
taken to the hospital and after discussing that with members of the RRFA, the driver of Unit#2
decided he would call a friend to come pick him up and transport him to the hospital. Approximately
seven minutes after the RRFA cleared the scene, the driver of Unit#2 said he wanted an ambulance
to take him to the hospital. The driver#2 had been walking around and did not appear to be incapable
of taking himself to the hospital. I requested RRFA and a private ambulance respond. RRFA arrived
on scene and after they talked with the driver of Unit#2 again, they advised me that he had changed
his mind once he knew how much money it would cost.
I asked the driver of Unit#2 to show me the damage on his vehicle. He pointed to his entire rear
bumper. There was damage to the driver side rear bumper that appeared to be old because it was
rusted. There was also damage to the passenger side of his rear bumper that appeared to be old.
asked the driver to clarify if that was old damage and he said he didn't know. He pointed to a couple
small scratches in the middle of his rear bumper that were not rusted and would be consist with
where the damage would be based on being rear ended by Unit#1. 1 do not believe the damage to
the rear driver side corner and rear passenger side corner were caused in this collision because Unit
#1 would have had to have been severely angled to hit those areas. If the damage was fresh, there
also would be rust. I took photos of all three areas of damage the driver pointed out and uploaded
them to Axon.
I find Unit#1 to be the proximate cause of the collision for inattentive driving. Renton Municipal Code
10-12-25 states, "It shall be a traffic infraction, subject to RCW 7.80.120(1)(a), for any person to drive
a motor vehicle on any public highway, street, alley, or road in an inattentive manner in the City of
Renton. "Inattentive manner" in this section means a lack of: 1) attentiveness required to safely
operate the vehicle under the prevailing conditions, including, but not limited to, the nature and
condition of the roadway, the weather conditions, the presence of pedestrians, the presence of other
traffic, or by the driver focusing or directing the driver's attention to something other than driving the
motor vehicle; or 2) attentiveness that would permit the driver of a motor vehicle to observe anything
resting on, or traveling on, or entering the roadway in time to take appropriate action as
circumstances require." The driver of Unit#1 violated this when he was unable to stop in time when
Unit#2 was stopped at the stop sign. I did not cite the driver of Unit#1.
An exchange of information was provided to all involved parties.
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 Robin Smith #12986 on 12/14/2025 @ 0215 hours in Renton, WA.
PAGE 3 OF 5
REPORT NO. EG59577 CASE# 25-80667 OF COLLISION
12/13/25 17:13
OF CbLLI510N
NARRATIVE
PAGE 4 OF 5
REPORT NO. EG59577 CASE# ' 25-80667 DATE AND TIME 12/13/25 17:13
OF COLLISION
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