HomeMy WebLinkAbout25-1200 IT �i " II IIIII III IIIII II IIII IIIII I . T 27c REPORT NO EF66455OLCERA
COLLISION REPORT 1591971
INTERSTATE ❑ CITY STREET FIRE I
CASE# 25-1200 2
RESULTEDSTOLENSTATE ROUTE OTHER VEHICLE LDCAI-AGENCY 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#
eDCL s on' 02 - 06 - 2025 1245 17 =.[� S 8 W❑ OF e 1070 3
4❑ ON (PRIMARY TRAFFIC WAY) INTERSECTION ❑✓ NON INTERSECTION ❑
BLOCK NO.
N SOUTHPORT DR
4a❑ MILE POST
❑ DISTANCE OF(REFERENCE OR CROSS STREET)
5 MILES 1.1 FEET e S 8 W e SB 1-405
0 1 29
MOTOR PEDAL- DAM AG THRESHOLD MET PHONE
UNIT 01 VEHICLE ❑ CYCLE ❑ YEs Vl No D:5098283560 0 8 30
5 LAST NAME KOCH FIRST NAME DRAKE-PA YTA MIDDLE N 1 1 2 31
INITIAL
STREET ] 1040712TH AVENUE CT S CITY; TACOMA ST I WA ZIP; 984442709 2
NEW ADDRESS
7 CDL IGNITION REQUIRED IGNITION PRESENT MEDICAL TRANSPORTED. 3
INTERLOCKYES NO INTERLOCKVEs No YES NO
8 DRIVER # STATE WA SEXI M MMDDYY' 09 - ?4 - 2000 1 2 32
9 ON DUTY STATUS' AIRBAG 2 RESTR 4 EJECT 1 N USE ET CLASSY ? [NATURE of INJURIES 2❑
10 1� aiCENSE' A8131961 STATE WA VIN# 1HGCY2F60PA049637 3�
11❑ TRAILER STATE TRAILER STATE
3 5 PLATE# PLATE# ROM To
TRLR TRLR 3 7 33
12 Q 0 VIN#' VIN#
FROM TO
13 2 VEH.YEAR2023 MAKE HOND MODEL ACCOR STYLE VEHICLE TOYED NO�iS46LIN T�VyED.6LR$ GES❑END 9 9 34
DAMAGE IIII._IIII HHttVVii((tt
REGISTERED OWNER INFO DRAKE-PAYTA KOCH 1040712TH AVENUE CT TACOMA WA 984442709 D:5098283560 VEHICLE NO. 1
SHADE IN DAMAGED AREA 11
35
14❑ LIABILITY INSURANCE❑ NSURANCE CO 3 4
IN EFFECT &POLICY# 9TOP _
srnNowc ❑ ❑ CHARGE INATTENTIVE DRIVING,OP MOT VEH t a oorrob z 36
Yes NO CITATION#
15❑ 11
MOTOR PEDAL- PEDESTRIAN1:1 PROPERTY DAM THR OLD MET PHONE
UNIT 02 VEHICLE CYCLE nWNFR YES�/ NO D:2066696205
16�
LAST NAME ALANI FIRST NAME AHMED MIDDLE' H
INITIAL
17 STREET ❑ 14734 NE 39TH ST APT 1005 CITY BELLEVUE ST, WA ZIP 37
980073449
NEW ADDRESS I I I I I 1
❑
18❑ CDL IGNITION REQUIRED IGNITION PRESENT MEDICAL TRANSPORTED ❑ 38
INTERLOCKYEs No INTERLOCK YES NO YES NO
19 DRIVER'S STATE WA SEX M I D.O.e. 06 24 1992 39
LICENSE# MMDDYY
:
20❑ ON DUTY STATUS AIRBAG 2 RESTR 4 EJECT 1 HELMET INJURY NATURE OF INJURIES 40 USE CLASS ? ❑
21 LICENSE CFT8575 TATE WA VIN# 3FA6POT91GR231036 41
22❑ PLATE# STATE PLATE# STATE 42
23 TRLR RLR 43
UIN#. 'IN#
VEH.YEAR 2016 MAKE FORD MODEL FUSION STYLE VEHICLE TOWED TO BLIN
TOWED BY GOV HI 44
24❑ DAMAGE YES NO VES NO
REGISTERED OWNER INFO AHMED ALANI 14734 NE 39TH STAPT 1005 BELLEVUE WA 980073449 D:2066696205 VEHICLE NO.2
SHADE IN DAMAGEAREA
2 3
LIABILITY INSURANCE INSURANCE CO GEIC04562189540
IN EFFECT &POLICY# t STOP
HICL
L'—L YES N CL] CITATION# CHARGE to BOTTOM
VEE
25
OFFICER'S NAME(PRINT) OFFICER PHONE BADGE OR ID# AGENCY
J
26
M.LEVERTON 2517 WA0171300
❑
PAGE 01 OF
PART A 3000-348-189(R 11/18)
STATE OF
POLICETRAFFICN CORRECTION REPORT NO. EF66455
COLLISION REPORT III III III III III 111
1591972 CASE# 25-1200
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.
M.LEVERTON 02-07-25 08:42 AM
INVESTIGATING OFFICER'S SIGNATURE UNIT OR DIST.DET DATED PLAGE SIGNED
APPROVED BY DATE
C.JACOBS 1953 2/17/2025 10:52:53 AM
BADGE OR ID# ; 2517 ORI# WA0171300 TIME POLICE DISPATCHED 12:45 PM TIME POLICE ARRIVED i 12:48 p�q
PAST B 3 Do-3mx—attar(t 1Mff) PAGE 2�OF 4
REPORT NO. EF66455 CASE# 25-1200 OF DATE AND r�N + 02/06/25 12:45
O�COLLISION
NARRATIVE
GRAY/1 REAR LANE 2 STOP MAROON/2
CC
On 2/6/2025 at about 1245 hours within the city limits of Renton/King/Wa I responded to a 2 vehicle
crash that occurred at the intersection of N Southport Dr at the SB on ramp to 1-405. 1 contacted the
drivers at the 1000 block of Garden Ave N.
I contacted the driver of unit 2 who told me he was slowing for a yellow light westbound lane 2 when
he was hit from behind by unit 1. He did not complain of injury and damages did not require a tow
truck.
contacted the driver of unit 1 ID'd by matching picture WADL as Koch, Drake P 09142000. Unit 1
told me he didnt notice unit 2 was slowing for the yellow light and crashed into the back of him. He
was unable to provide valid proof of insurance for his newly purchased vehicle still wearing a
temporary license plate/temp tag. A WACIC/DOL check via MDC revealed Koch was Driving While
Suspended 3rd Degree and it was listed as indefinite. He told me he had been suspended before for
a collision with no insurance but believed he was valid. I told him he has been suspended in the past
for crashing with no insurance and now today he caused a crash with no insurance and DWLS 3rd.
That he is still driving with no license and no insurance and crashing cars. I impounded his car via
Bankers.
I told Koch I would be citing him via the prosecutors office reference the DWLS 3rd and mailing him
some other civil infractions. He provided me an updated address.
I cited Koch ref RCW 46.20.342 Driving While License Suspended 3rd Degree via Renton
Prosecutors Office, Ref RCW 46.30.020 No valid proof of insurance, ref RMC 10-12-25 Driver
inattention and ref RCW 46.61.145 Following too closely two 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 2/7/2024
PAGE 3 OF 4
REPORT NO. EF66455 CASE# 25-1200 DATE AND TIME 02/06/25 12:45
OF COLLISION
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PAGE 4 OF 4