HomeMy WebLinkAbout25-1683 iiTFiNII IIIII III IIIII II IIII IIIII I . 27c REPORT NO EF67933oc� RA
COLLISION REPORT 1591971
CASE# 25-1683 2
INTERSTATE CITY STREET❑ FIRE ❑
RESULTED
1 STOLEN
STATE ROUTE ❑ OTHER ❑ VEHICLE ❑ LOCAL AGENC'Y 4200 3
CODING
COUNTY RD PRIVATE WAY ❑✓ INVOLVED 2❑ TRIBAL UNITS#OF 02 TRUCK BUILDING 28
RESERVATION 2
3� M M D D Y Y Y Y TIME(2400) COUNTY# MILES CITY#
DATE OF'. N E
coulsfoN' 02 - 22 - 2025 0440 17 =.= S 8 W e IN 1070 a
4❑ ON (PRIMARY TRAFFIC WAY) INTERSECTION ❑ NON INTERSECTION
LOGAN AVE N BLOCK NO. e 737 .�
4a❑ MILE POST
DISTANCE OF(REFERENCE OR CROSS STREET)
5 1❑ 1001.1 00 FEET e✓ S MILES N 8✓ W e N 8TH ST
OF11
29
MOTtlR ✓ PEDAL- DAM AG THRESHOLD MET PHONE
UNIT 01 VEHICLE ❑ CYCLE ❑ YEs Vl No D:4257289546 30
6 LAST NAME NGUYEN FIRST NAME DAVID MIDDLE H 1 1 2 31
INITIAL
STREET ❑ 4 ROSEMARY LN S CITY ELMA ST WA ZIP 98541 2
NEW ADDRESS
7 CDL IGNITION REQUIRED IGNITION PRESENT MEDICAL TRANSPORTED 3
INTERLOCKYEs NO%/ INTERLOCKYEs NO✓ YES F NoF,/
LICIENSE# STATE SEX M MMDDYY'
8❑ t 32
9 ON DUTY STATUS AIRBAG 9 RESTR 9 EJECT 1 N USEET 9 CLASS 0 NAruRE of NJURIEs 2
10❑ LI ENSE BLS3967 STATE WA VN# JHMES96683SO06765 3
TRAILER STATE TRAILER ,STATE
11 0 0 PLATE# PLATE# FROM TO
rRLR TRLR 1 5 33
12 VIN# VIN
( FROM TO
VEH.YEAR MAKE MODEL STYLE VEHICLE TOWED TO BLIN TOWED By GOVT VEHICLE
13 9 2003 HOND CIVIC 4D DAMAGE YES�No ✓� Yes No✓ m 34
REGISTERED OWNER INFO MAI ANH NGUEYN 4 ROSEMARY LN S ELMA WA 98541 VEHICLE NO. 1 ❑
SHADE IN DAMAGED AREA 35
14❑ LIABILITY INSURANCE❑ NSURANCE CO 3 4
IN EFFECT &POLICY# 4TOP
vEnicLE CHARGE 5 36
Lemur yes❑NO❑ CITATION# 7 o BOTTOM
15❑ sTnNowc B 7 e
MOTOR PEDAL-:. PROPERTY DAM THR OLD MET PHONE
UNIT 02 ❑ ❑ PEDESTRIAN ✓ D:2064579873
VEHICLE CYCLE' OWNER YES�/ NO
16❑
LAST NAME BOE►NG FIRST NAME MIDDLE'
INITIAL
❑
17 F1 STREET' 737 LOGAN AVE IN CITY RENTON ST, WA ZIP 98057 37
NEW AbbRESS❑
18❑ CDL IGNITION REQUIRED IGNITION PRESENT MEDICAL TRANSPORTED'. 38
INTERLOCKYEs No JNTERLO XYEs 11--hl Es ND
19 LICIENSE# STATE SEX U MMDDYY —� 39
HELMET INJURY' NATURE OF INJURIES 40
20❑ ON DUTY STATUS' AIRBAG RESTR EJECT USE CLASS ❑
21 PLATE#LICENSE — rarE vIN# 41
22❑ [TILER TRAILER
PLATE# STATE PATE# STATE ❑ 42
23 TRLR kRLR 43
UIN#. 'IN#.
GOV H 44
VEH.YEAR MAKE MODEL STYLE VEHICLE TOWED TO BLIN
TOWED BY I
24 DAMAGE YES NO YES NO
REGISTERED OWNER INFO VEHICLE NO.2
SHADE IN DAMAGED AREA
2 3 4
LIABILITY INSURANCE❑ INSURANCE CO
IN EFFECT &POLICY# 9TOP
vewae YES❑ N`,.[—I CITATION# CHARGE tO BOTTOM
L-1—
25 a a
OFFICER'S NAME(PRINT) OFFICER PHONE BADGE OR ID# AGENCY
26
C.STEED 8770 WA0171300
PART A PAGE 01 OF
3000-345-159(R 11/181
POLIICFETRAFFICN CORRECTION REPORT NO. EF67933
COLLISION REPORT III III III III III 111
1591972 CASE# 25-1683
ADDITIONAL PERSONS INVOLVED(PASSENGERS AND/OR WITNESSES ONLY)
NAME CASH MIKE
(LAST,FIRST MIDDLE INITIAL}
ADDRESS&PHONE#
737 LOGAN AVE N RENTON WA 98057 2064579873 SEX'. M D•O'�'
MMDDYYYY
PASSENGER WITNESS UNIT# SEAT AIRBAG RESTR. EJECT HELMET INJURY NATURE OF INJURIES
�', POS. USE CLASS
'NAME
LAsr F RST,MIDDLE INITIAL) YOUNG JOSHUA L
ADDRESS&PHONE#
737 LOGAN AVE N RENTON WA 98057 2533916943 SEX M D.O.B. _F_[---------�
MMDDYYYY
PASSENGER WITNESS UNIT# SEAT AIRBAG RESTR. EJECT HELMET INJURY NATURE OF NjURGS
❑ z POS. USE CLASS ----�
'.NAME
(LAST,FIRST,MIDDLE INITIAL)
ADDRESS&PHONE#
SEX' D.O.B. L----------�
MMDDYYYY
PASSENGER WITNESS UNIT# SEAT AIRBAG RESTR. EJECT HELMET INJURY NATURE OF wJURIEs
❑ 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.
C.STEED 02-22-25 08:28 AM
INVESTIGATING OFFICER'S SIGNATURE UNIT OR DIST.DET DATED PLACE SIGNED
APPROVED BY DATE
D.SKELTON 9139 1 2/22/2025 10:01:38 AM
BADGE OR ID# 8770 ORI# ( WA0171300 TIME POLICE DISPATCHED'; 6:32 AM TIME POLICE ARRIVED 6:39 AM
PART B 3 Do-3mx-,ao(Burls) PAGE 27 OF 47
EAN
REPORT NO.` EF67933 CASE# 25-1683 O OF COLLI COLLISION TIME 02/22/25 04:40
COLLI
NARRATIVE
On 02/22/25 at about 0639 hrs I was dispatched to a collision that had occurred earlier at 737 Logan
Ave N, in the City of Renton, County of King, and State of Washington. Mike Cash with Boeing
Security advised earlier in the morning a Boeing employee had driven a car in to two support post for
the covered walkway in the Boeing parking lot. Mike estimated the damage to be $30,000 to repair.
Mike said the driver had already left after providing some information to another Boeing Security
employee Joshua Young.
I contacted Joshua who said at about 0455 hrs he found a white Honda, bearing WA plate BLS3967,
parked near the damaged support poles. Joshua showed pictures of the vehicle with front end
damage consistent to the two support poles that had been broken off at the base. Mike pointed out
part of the roof to the covered walkway was sagging now. Joshua said the vehicle was unoccupied
and a male later identified by his employee ID as David Nguyen returned to the vehicle. Joshua said
David had gone back to his supervisor to report the incident. David told Joshua he was the driver of
the vehicle, and the collision occurred around 0440 hrs. The number provided for David from Joshua
was disconnected. I was unable to determine if David had insurance, if he had been injured, or what
occurred to cause the collision with the support poles. I also was unable to obtained David's date of
birth or driver's license number.
This incident was captured on my body worn video camera. This report is a summary of events that
occurred and is not an exact sequencing of events. Statements have been paraphrased and
summarized. The video was uploaded to evidence.com.
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 Officer Steed on 02/22/25 0827 hrs, Renton Washington
Cassidy Steed/8770
PAGE 3 OF 4
REPORT NO. EF67933 CASE# 25-1683 DATE AND TIME i 02/22/25 04:40
OF COLLISION
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