HomeMy WebLinkAbout25-952 iiTFiNII IIIII III IIIII II IIII IIIII I . 27c REPORT NO EF67172oc� RA
COLLISION REPORT 1591971
❑ 0✓ RESULTED I
CASE 25-952 2
INTERSTATE CITY STREET FIRESTOLENSTATE ROUTE OTHER VEHICLE LOCAI-A`NG 4200 3
HIT&RUN CODING
COUNTY RD PRIVATE WAY INVOLVED
2 TOTAL#OF OBJECT 1 8 28
TRIBAL UNITS 03 STRUCK
RESERVATION : 1 1
2
3� M M D D Y Y Y Y TIME(2400) COUNTY# MILES CITY#
DATE OF N E IN eDLLISION' 01 - 29 - 2025 1413 17 =.= S 8 W E OF M 1070 a
4❑ ON (PRIMARY TRAFFIC WAY) INTERSECTION ❑✓ NON INTERSECTION ❑
BLOCK NO.
MORRIS AVE S
4a❑ MILE POST
❑ DISTANCE OF(REFERENCE OR CROSS STREET)
5 MILES 1.1 FEET e S 8 W e S 6TH ST
0 1 29
MOTOR ✓ PEDAL- DAM AG THRESHOLD MET PHONE
UNIT 01 VEHICLE ❑ CYCLE ❑ YES ✓NO 0 1 30
5 LAST NAME CUENCA RODRIGUEZ FIRST NAME LUIS MIDDLE A 1 1 2 31
INITIAL
STREET ] 25455 BOROUGH PARK DR APT 336 CITY; SPRING ST TX ZIP; 773800000 2
NEW ADDRESS
7 COE IGNITION REQUIRED IGNITION PRESENT MEDIQAL TRANSPOR?ED: 3
INTERLOCKYES NO INTERLOCKYEs NO YES N(
8 DRIVER' # STATE TX SEXI M MD.03. 05 — 18 — 1991 1 1 2 32
❑
9 ON DUTY STATUS' AIRBAG 6 RESTR 4 EJECT 1 H U ET LA Y 1 NATURE of INJURIES 2
LICENSE, CMA1331 STATE WA VIN# 2HGFA1F95AH502570 3
10 Fq I PI ATP tt
TRAILER STATE TRAILER STATE
11 2 5 PLATE# PLATE# ROM To
TRLR TRLR 5 1 33
12 2 5 VIN#' vIN#
FROM TO
13 2 VEH.YEAR2010 MAKE HOND MODEL CIVIC STYLE VEHICLE TOYED NO�iS46LIN Tv4 EBYMEYERS GOS❑VT EHICLE Np 7 3 34
DAMAGE IIII._IIII
REGISTERED OWNER INFO FRANNER CALDERA MONTES 100SW 5TH C7#Kt06 RENTON WA 98057 VEHICLE NO. 1
SHADE IN DAMAGED AREA 11
35
14❑ LIABILITY INSURANCE❑ NSURANCE CO 3 4
IN EFFECT &POLICY# 4TOP
VEn" CHARGE 5 36
15
Lrn Lyc YES❑NO❑ CITATION# FA►L STOP AT STOP I o ooTrofi
UN# MOTOR PEDAL- ❑ PEDESTRIAN PROPERTY DAM THR OLD MET PHONE
1 VEHiC1.E CYCLE nWNFR YES / NO
16�
LAST NAME GONZALEZ AVILES FIRST NAME NATHALY MIDDLE A
INITIAL
17
STREET ❑ 37
NEW ADORE SS❑ 2215 TALBOT RD S CITY RENTON ST, WA ZIP 980554224
1$❑ IGNITION REQUIREfl IGNITION PRESENT MEDICALTRANSPORTED 38
CDL INTERLOCKYES No INTERLOCK YES No Fc ND
19 DRIVER'S STATE WA SEX F D.o.s. 01 25 2008 39
LICENSE# MMDDYY —
HELMET INJURY: NATURE OF INJURIES 4Q
20❑ ON DUTY STATUS AIRBAG 6 RESTR 4 EJECT 1 USE CLASS 1 ❑
21 LICENSLATE E CHP5785 rArE WA vIN# JHLRD18741CO40457 41
22❑ PLATE# STATE[TILER I PLATE# STATE 42
23 TRLR r RLR 43
UIN#. 'IN#
VEH.YEAR 2QQ1 MAKE HOND MODEL (�`RV STYLE VEHICLE TOWED TO BLIN TOWED BY GOV HI 44
24 DAMAGE YES �/ No GENE MEYER
REGISTERED OWNER INFO MIGUEL GONZALES SALDANA 2561727TH PL S#H102 KENT INA 98032 VEHICLE NO.2
SHADFY DAMAGED AREA
LIABILITY INSURANCE❑ INSURANCE CO 3 4
IN EFFECT &POLICY# 9TOP
VEH1— YES NIL] CITATION# CHARGE NO VALID OPER LICENSE WITH VALID is sorTom
E—Lv
25 e
OFFICER'S NAME(PRINT) OFFICER PHONE BADGE OR ID# AGENCY
26
M.LEVERTON 2517 WA0171300
PART A PAGE 01 OF
3000-345-189(R 11/181
STATE OF
POLICETRAFFICN CORRECTION REPORT NO. EF67172
COLLISION REPORT III III III III III 111
1591972 CASE# 25-952
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 01-29-25 04:16 PM
INVESTIGATING OFFICER'S SIGNATURE UNIT OR DIST.DET DATED PLAGE SIGNED
APPROVED BY DATE
C.JACOBS 1953 1 211912025 2:00:40 PM
BADGE OR ID# ; Y517 ORI#s WA0171300 TIME POLICE DISPATCHED 1 2:14 ply] TIME POLICE ARRIVED i 2:16 pry
PAST B 3 Do-3mx—attar(t 1Mff) PAGE 2�OF F5
REPORT NO. EF67172 CASE# 25-952 O OF COLLI 510N TIME 01/29/25 14:13
COLLISION
NARRATIVE
SLV/1 NB RAN STOP GOLD/2 EB BLU/3 PARKED
CC
Within the city limits of Renton/King/Wa I responded to a 3 vehicle crash at the intersection of Morris
Ave S at S 6th St.
This is a 25mph residential neighborhood area. Morris Ave S runs north-south and is controlled with
a stop sign at the intersection. S 6th St is an east-west roadway and is not controlled with a TCD.
I contacted the driver of unit 2 ID'd by her picture WA-ID who told me she was eastbound on S 6th St
when she was hit by unit 1 who ran the stop sign. She did not complain of injury and damages
required a tow truck. A WACIC/DOL check via Dispatch revealed unit 2 was clear and ID only no
valid drivers license.
I cited unit 2 driver ref RCW 46.20.015 NVOL 2nd with ID and ref RCW 46.30.020 No proof of valid
insurance via complaint.
I contacted the driver of unit 1 ID'd by picture TEXAS DL. He told me that he stopped and then
proceeded but unit 2 was going way too fast and crashed into him. He could not explain why he
pulled out in front of a speeding vehicle in a residential area. He was unable to provide valid proof of
insurance. He did not complain of injury and damages required a tow truck.
cited unit 1 ref RCW 46.61.190 Fail to stop-Stop Sign 3 car crash and ref RCW 46.30.020 no proof
of valid insurance via complaint.
I was able to obtain the registration for unit 3. The unknown male said unit 3 only had liability but did
not provide proof. His vehicle was lawfully parked on the roadway. The deflection of unit 1 hitting
unit 2 in the front right caused unit 2 to hit stopped unit 3.
1 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 1/29/2025
PAGE 3 OF 5
SUPPLEMENTAL REPORT No. EF671 72
POLICE TRAFFIC
1 1 8 27
µ ^'� COLLISION REPORT CASE# 25-952
t113197
1 COMMERCIAL MOTOR CARRIER INTERSTATE INTRASTATE
UNIT# USDOT ICC# VEHICLE TYPE CARGO BODY 3
TYPE
2 ❑ 1 28
CARRIER
NAME
3 CARRIER L
ADDRESS
CITY ST ZIP
4 ❑ NAME # PLACARD
GWVR NAME IF NO NUMBER
SOURCE AXLES ' +
4a ❑ ADDITIONAL UNITS
MOTOR PEDAL- PROPERTY DAMAGE THRESHOLD MET PHONE
VEHICLE CYCLE OWNERER
UNIT# 3 PEDESTRIAN ❑', ES� NO
5
1 4 29
LAST NAME UNKNOWN FIRST NAME MIDDLE'.
INITIAL
STREET 30
NEW AnDRFR CITY RENTON ST ZiP
6 1 PRESENT MEDICAL TANSPORTED 1 31
ODE IGNITION REQUIRED .IGNITION
INTERLOCK YES NO ':INTERLOCK YES
No YES N
DRIVER'S I STATE I SEX U MMD-OBDYYY '[— e
LICENSE
7
ON DUTY STATUS AIRBAG 9 RESTR. 9 EJECT 1 HELMET 9 INJURY 0 NATURE OF INJURIES
USE CLASS
8 ❑ I 1 32
LICENSE CKS8114 TAT WA VIN JF2SHABCOBH781722
PLATE#
9 TRAILER TRAILER L
PLATE# STATE PLATE# STATE
0
10 ❑ TRLR TRLR
VIN.#. VIN#.
11 0 0 VEH.YEAR2011 MAKE SUBA MODELFORESTE STYLE VEHICLE TOWE E T ABLIN TOWED BY GovT.vEHICI F FROM TO
DAMAGE YES NO ✓ YES NO
GEORGE ARROWSMITH PO BOX 484 RENTON WA 98057 D:2064322832 m 33
REGISTERED OWNER INFO. SHADE IN DAMAGED AREA
12
4 FROM TO
LIABILITY INSURANCE❑ INSURANCE CO TOP
IN EFFECT &POLICY# "__`__`.S m 34
13 vewc�e YES❑ NO❑ CITATION# CHARGE
1080TTOM
ecauv .
sTnNoiNc
MOTOR PEDAL_ ' 1:1PROPERTY
DAMAGE THRESHOLD MET PHONE 35
14 ❑ UNIT# VEHICLE CYCLE PEDESTRIAN OWNER YES NO
36
15 LAST NAME FIRST NAME ME NID L
16 ❑ STREET CITY ST ZIP
NFW ADDRESS"
CDL IGNITION REQUIRED IGNITION PRESENT MEDICALTANSF'ORTED.
INTERLOCK YES NO INTERLOCK YES NO YES[_ NO'
17 5 37
LDICENSE# STATE SEX M�D°B _ C
18 ❑ NATURE OF INJURIES ❑
HELMET INJURY 38
ON DUTY STATUS AIRBAG RESTR. EJECT USE CLASS.
19 ❑ ❑ 39
LICENSE I TAT vIN#
PLATE#
20 TRAILER TRAILER 40
PLATE#, STATE PLATE# STATE ❑
21 ❑ [441
TRLR TRLR
VIN#�, VIN#::
42
22 VEH.YEAR MAKE I MODEL I STYLE VEHICLE TOWED DUE T SABLIN TOWED BY GOVT.VEHICLE
DAMAGE YES NO YES NO
23 REGISTERED OWNER INFO. SHADE IN DAMAC ED AREA 43
2 3 4
LIABILITY INSURANCE INSURANCE CO
IN EFFECT I &POLICY# 1K-99
y. 44
vewc�e ❑ ❑ CITATION# CHARGE 24 ITA" YES NOSTIWDING3 3 G
1 CERTIFY(DECLARE)UNDER PENALTY OF PERJURY UNDER THE LAWS OF THE STATE OF WASHINGTON THAT THE FOREGOING IS TRUE AND CORRECT.
M.LEVERTON 01-29-25 04:16 PM
25 INVESTIGATING OFFICER'S SIGNATURE OFFICER'S PHONE UNIT OR DIST DET DATED: PLACE SIGNED
APPROVED
/1
BADGE OF�26 2517 ORIWA0171300 ACOBS 219 PAGE ORID# #
3000-345-013(R 11/18)
REPORT NO. E F67172 CASE# 25-952 DATE AND TIME 01/29/25 14:13
OF COLLISION
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