HomeMy WebLinkAbout25-247 a POLICETRAFFic" II I f I) 1 Ilf I I ('I I (Illf If( f I I REPORT NO. EF54794 6 0 27
COLLISION REP FIT 1591971
❑ ❑ RESULTED ❑ CASE# 25-247 z
INTERSTATE CITY STREET FIRE
1 STOLEN
STATE ROUTE ❑ OTHER ❑ VFHICI F ❑ LOCAL AGENC 4200 3
HIT&RUN CODING
COUNTY RD PRIVATE WAY INVOLVED
2 2 TOTAL#OF OBJECT 1 1 8 28
TRIBAL UNITS OZ STRUCK
RESERVATION
2
3❑ DATE OF M M D D Y Y Y Y TIME(2400) COUNTY# MILES CITY# ❑
cawsloN 01 - 08 - 2025 0956 17 ❑.❑ N E IN S 8 W H OF e 1070 3
4❑ ON (PRIMARY TRAFFIC WAY) INTERSECTION ❑ NON INTERSECTION ❑✓
MAPLE VALLEY HWY BLOCK NO. e✓ 1800
4a❑ MILEPOST
DISTANCE OF(REFERENCE OR CROSS STREET)
5❑ 400 00 FMILES EET e S ❑ E e CEDAR RIVER PARK DR
0 1 29
UNIT 01 VEHtOCLE PEDAL-
❑ YESA,GEE NHORESHOLD MET PHONE 0 4 30
6� LAST NAME WAMAI FIRSTNAME GEORGE MIDDLE M 1 2 31
INITIAL
STREET ❑, 15301 OAK DR CITY RENTON ST WA ZIP 980588109 2
NEW ADDRESS
7❑ CDL IGNITION REQUIRED IGNITION PRESENT MEDICAL TRANSPORTED 3
iNTERLOCKYEs NO INTERLOCKYEs NO YES R NO
8❑ LRIIVER #
ON DUTY❑ STATUS AIRBAG 2 RESTR 4 EJECT 1 H USEET ICNLJAURY 1 NATURE OF INJURIES 2❑
3
10❑ P1 aT�S� AKN1579 sTAr� WAurN# 3N1CB51D84L890927
TRAILER STATE TRAILER STATE
11 4 0 PLATE# PLATE# FROM TO
TRLR. TRLR 3 7 33
12 2 5 VIN#' VIN#
FROM TO
VEH.YEAR 2004 MAKE MODEL STYLE VEHICLE TOWED TO BLIN TOWED BY GOVT.VEHICLE 1 3 34
13 4 NISS SENTRA DAMAGE YES NO YES[:] NO✓
REGISTERED OWNER INFO OEORGE WAMAI 11301 OAK DR RENTON WA 980588109 VEHICLE NO. 1
❑ ❑
SHADE IN DAMAGED AREA 35
14 LIABILITY INSURANCE INSURANCE CO NATIONWIDE 7246.1057469 4
IN EFFECT &POLICY# 9TOP
VEHICLE CHARGE 5 36
LEGALLY YES❑NO CITATION# 5AO151244 FAIL TO OBEY TRAFFIC CONTROL o BOTTom
15❑ STANDING 8 7 6
MOTOR PEDAL PROPERTY DAM THR OLD MET PHONE
UNIT O2 ❑ PEDESTRIAN ❑ ❑ YES�/ NO D:4255314906
VEHICLE CYCLE OWNER 16 a
LAST NAME TORP FIRST NAME DONOVAN MIDDLE I C
INITIAL
17❑ STREET ❑', 170 N 3RD ST CITY BUCKLEY ST WA ZIP 983218023 37
NEW ADDRESS ❑
18� CDL IGNITION REQUIRED IGNITION PtR—E—S1ENT MEDICAL TRANSPORTED 38
INTERLOCKYES�NOR INTERLOCK YEs I I NOF YEs t l NO❑
19 DRIVER'S STATE WA SEX M D.O.B. 07 02 _ 1970 El 39
LICENSE# MMDDYY
HELMET INJURY1 NATURE OF INJURIES 40
20❑ ON DUTY STATUS AIRBAG 1 RESTR 4 EJECT 1 USE CLASS ❑
21❑ LICENSE B89301X TAre WA VIN# 4UZAEEDV8DCFE8237
❑ 41
PLATE#
42
22❑ PLATE# STATE PLATE# STATE
23❑ UIN#. 43
TRLR RLR
'IN#.
VEH YEAR 2013 MAKE FRHT MODEL CHASSIS STYLE VEHICLE TOWED TO BLIN TOWEDBY GOV HI 44
24 DAMAGE YES NO ABC TOWING YES NO
REGISTERED OWNER INFO UNITED PARCEL SERVICE fNC 7011 KEYSTONE INDUSTRIAL PARK DUNMORE PA 18512 VEHICLE NO.2
SHADE IN DAMAGED AREA
2 3 4
LIABILITY INSURANCE I PORGY#ECO LIBERTY MUTAS2-C21-0902036-214 IUQ,
IN EFFECTVE""LE ❑ ,J� CITATION# CHARGELEGALYYES N`L J25
OFFICER'S NAME(PRINT) OFFICER PHONE BADGE OR ID# AGENCY
J
26
M.LEVERTON 2517 WA0171300
PART A PAGE 01 OF
3000-345-159 OR 11/181
STATE OF
POLICETRAFFICN CORRECTION REPORT NO. EF54794
COLLISION REPORT III III III III III 111
1591972 CASE# 25-247
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.
M.LEVERTON 01-08-25 11:57 AM
INVESTIGATING OFFICER'S SIGNATURE UNIT OR DIST DET DATED PLACE SIGNED
APPROVED BY DATE
C.JACOBS 1953 111012025 10:54:20 AM
BADGE OR ID# 2517 OR]#' WA0171300 TIME POLICE DISPATCHED! 9:56 AM TIME POLICE ARRIVED',10:02 AM
PART I PAGE IT]OF 4�
REPORT NO. EF54794 CASE# 25-247 OF COLLISION
01/08/25 09:56
OF CbLLI510N
NARRATIVE
sil/1 lane 2 westbound runs red brown/2 on green comfirmed by video
CC
Within the city limits of Renton/King/Wa I responded to a 2 vehicle crash at the 1800 block of Maple
Valley Hwy.
Both vehicle moved into the parking lot of Mizu's.
I contacted the driver of unit 2 who told me he was on his solid green light, and even though it was
green he view was limited from a large semi truck in lane 1. As he crept out into the intersection unit
1 running the red light crashed into the driver side of his vehicle. He did not complain of injury and
damages required a tow truck.
I contacted the driver of unit 1 ID'd by his picture WADL. He told me he was driving through the
intersection when he was hit by unit 2. He did not complain of injury and damages did require a tow
truck. (Bankers)
Unit 2 was a UPS truck driver. A UPS manager arrived on scene and was able to telephonically
acquire the dash cam video from unit 2. 1 was able to watch the video which clearly showed all traffic
stopped westbound and unit 2 light was solid green. 1 showed unit 2 proceed slowly into the
intersection and unit 1 crash into the side of his truck.
I cited unit 1 ref RCW 46.61.055 FTCWTCD-Red Light 2 vehicle crash via complaint.
I certify (declare) under penalty of perjury under the laws of the State of Washington that the
foregoing is true and correct.
M.Leverton/2517 City of Renton/King/Wa 1/8/2025
PAGE 3 OF 4
REPORT NO. EF54794 CASE# ' 25-247 DATE AND TIME 01/08/25 09:56
OF COLLISION
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