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HomeMy WebLinkAbout25-1614 IT si " II IIIII III IIIII II IIII IIIII I . 27c REPORT NO EF70838OLCERA COLLISION REPORT 1591971 CASE# 25-1614 2 INTERSTATE CITY STREET FIRE ❑ RESULTED 1 STOLEN STATE ROUTE ❑ OTHER ❑ VEHICLE ❑ LOCAI-AGENCY 4100 3 COUNTY RD NT&RUN CODING PRIVATE WAY 2 TOTAL#OF OBJECT 28 TRIBAL i UNITS 03 STRUCK METAL SIGN POST RESERVATION 2 3� M M D D Y Y Y Y TIME(2400) COUNTY# MILES CITY# eaCL s on' 02 - 20 - 2025 0349 17 =.= S 8 W e OF IN e 1070 s 4❑ ON (PRIMARY TRAFFIC WAY) INTERSECTION ❑✓ NON INTERSECTION ❑ SW 16TH ST BLOCK NO. e 1300 .� 4a❑ MILE POST DISTANCE OF(REFERENCE OR CROSS STREET) 5❑ 1.1 FEET e S 8 W e LONGACRES DR SW 0 1 29 MOTOR ✓ PEDAL- DAM AG THRESHOLD MET PHONE UNIT 01 VEHICLE ❑ CYCLE ❑ YES ✓NO 30 5 LAST NAME SINGH FIRST NAME AMARPREET MIDDLE t 1 2 31 INITIAL STREET ] 12339 SE 221ST ST CITY; RENTON ST WA ZIP; 98031 2 NEW ADDRESS 7 CDL IGNITION REQUIRED IGNITION PRESENT MEDICAL TRANSPORTED 3 INTERLOCK YES NO✓ INTERLOCKYEs NO✓ YES NO✓ DRIVER # STATE WA SEX M MM0,13. 10 - 02 - 1999 t 32 8❑ 9 ON DUTY STATUS' AIRBAG 3 RESTR 4 EJECT 1 H U ET LA Y 1 NATURE of INJURIES 2 10 LI ENSE' AAN9023 STATE WA VIN# 5J6RE3H35AL024183 3 TRAILER STATE TRAILER STATE 11 2 5 PLATE# PLATE# ROM T. 7 TRLR TRLR 3 7 33 12 VIN#' VIN# FROM TO HICLE 13 2 VEH.YEAR2010 MAKE HOND MODEL CR-VSE STYLE UT VEHICLE TOYED NO�iS46LIN T� {� RS TOWING Ges❑VT ENo✓ m 34 DAMAGE IIII._IIII REGISTERED OWNER INFO LAKHBUR BASS/12339221ST ST RENTON WA 98031 VEHICLE NO. 1 SHADE IN DAMAGED AREA 35 14❑ LIABILITY INSURANCE[%/] INSURANCE CO STATE FARM 404 1398-D17-47B 4 IN EFFECT &POLICY# 9TOP VEn" CHARGE 5 I <l 36 LEc Ly YES❑NO❑ CITATION# 80TFOM 15❑ STANDING 7 6 . 1:1PROPERTY ✓ R PHONE PEDAL-: PEDESTRIAN OUNIT 02VMEOHTIOCRLE CYCLE OWNER 16❑ LAST NAME RENTON FIRST NAME CITY OF MIDDLE INITIAL 17 F1 STREET ❑ ❑ 1055 S GRADY WAY CITY RENTON ST, WA ZIP 98057 q 37 NEW ADDRESS 18❑ CDL IGNITION REQUIRED IGNITION PRESENT MEDICAL TRANSPORTED; ❑ 38 INTEt�LOCKYES NO INTERLOCI£YES Nz� YEs NO 19 DRIVER'S # STATE SEX U MMDDYY -� E== 39 HELMET INJURY NATURE OF INJURIES 4Q 20❑ ON DUTY STATUS AIRBAG RESTR EJECT USE CLASSLICENSE ❑ 21 PLATE# T-1- VIN# 41 22❑ [TILER TAILER PLATE# STATE PLATE# STATE 42 23 TRLR RLR 43 UIN#. 'IN# VEH.YEAR MAKE MODEL STYLE VEHICLE TOWED TO BLIN TOWED BY GOV HI 44 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 1-1— ❑ ,.I—I CITATION# CHARGE to BOTTOM LEGALLY YES NCO 25 a s OFFICER'S NAME(PRINT) OFFICER PHONE BADGE OR ID# AGENCY 26 ST FAJARILLO 12847 WA0171300 PART A PAGE 01 OF 3000-345-189(R 11/181 STATE OF POLICETRAFFICN CORRECTION REPORT NO. EF70838 COLLISION REPORT III III III III III 111 1591972 CASE# 25-1614 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 CLASS 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. STEVEN FAJARILLO 02-25-25 03:58 PM INVESTIGATING OFFICER'S SIGNATURE UNIT OR DIST.DET DATED PLAGE SIGNED APPROVED BY DATE J.CHRISTIANSEN 10437 31312025 8:02:06 PM BADGE OR ID# 12847 ORI# WA0171300 TIME POLICE DISPATCHED 1 3:54 AM TIME POLICE ARRIVED i 3:59 AM PAST B 3 Do-3mx—attar(t 1Mff) PAGE 2�OF F5 REPORT NO. EF70838 CASE# 25-1614 OF DATE AND r�N + 02/20/25 03:49 O�COLLISION NARRATIVE 25-1614 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. On 02-25-2024 1 was working as a police officer in the city of Renton. At approximately 0354 hours 1 was dispatched to the report of a collision at the intersection of SW 16th St/Longacres Dr SW, City of Renton, County of King, WA. This incident was captured on my department issued Axon body camera and my patrol vehicle's dashcam. Dispatch advised a one vehicle collision occurred with unknown injuries. The vehicle (Unit 1) was identified as a silver 2010 Honda CR-V (WA/AAN9023). The driver was later identified by Department of Licensing (DOL) photograph as Amarpreet Singh (DOB: 10-02-1999). 1 arrived on scene and contacted Amarpreet. The following is an account of events according to Amarpreet. He was driving west on SW 16th St and admitted to driving approximately 50 mph. He did not see the stop sign at the intersection of Longacres Dr SW. He drove over the STOP sign and then into a jersey barrier. There was a concrete retaining wall behind the jersey barrier he damaged. Amarpreet did not have any injuries and advised he did not drive to work this route regularly, and this contributed to the collision. The vehicle was privately towed by Banker's towing. 1 later transported Amarpreet to his residence. A City of Renton Origami report was completed (#1-2025-041) for the damaged STOP sign. Security contracted by Unico was on scene and he was notified of the damaged retaining wall. 1 provided Amarpreet and security guard with the case number. I completed a criminal SECTOR citation #5A0292720 for Exceeding reasonable safe speeds. There is no further information available at this time. 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 S. Fajarillo #12847 on 02/25/2024 @ 1452 hours in Renton WA. PAGE 3 OF 5 SUPPLEMENTAL REPORT No. EF70838POLICE TRAFFIC 1 27 ... ^'� COLLISION REPORT CASE# 25-1614 013197 1 COMMERCIAL MOTOR CARRIER INTERSTATE INTRASTATE UNIT# USDOT ICC# VEHICLE TYPE CARGO BODY 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 UNIT# 3 PEDESTRIAN �', YES NO 5 VEHICLE CYCLE OWNER F,/ LAST NAME UN/CO PROPERTIES FIRST NAME MIDDLE 29INITIALi STREET 30 NEW ADDRF 2101 LONGACRES DR SW CITY RENTON ST WA ZIP gg057 6 CDL GNITION REQUIRED PRESENT MEDICALTANSPORTED. 1 31 I ONCE] 1{iNi7iON :: INTERLOCK YES ':INTERLOCK YES 0- YES N L DRIVER'S STATE I SEX U MD.00.6 -�- LICENSE; 7 ON DUTY STATUS AIRBAG RESTR. EJECT HELMET INJURY; NAruREOFINJURIES USE CLASS 8 ❑ 1 32 LICENSE rAT VIN. PLATE# L 9 TRAILER TRAILER PLATE# STATE PLATE# STATE 0 10 TRLR TRLR VIN.#. VIN#. 11 VEIL YEAR MAKE MODEL STYLE VEHICLE TOWE E T ABLIN TOWED BY GoVT.VEHICI E FROM To REGISTERED OWNER INFO. DAMAGE YES NO YES NO m 33 12 � SHADE IN DAMAGED AREA LIABILITY INSURANCE❑ INSURANCE CO 4 FROM TO 7t)P IN EFFECT &POLICY# 34 13 YES NO CITATION# CHARGE 1080TTOM ecauv s-rnNoiNc MOTOR PEDAL_ ' 1:1PROPERTYDAMAGE THRESHOLD MET PHONE 35 14 ❑ UNIT# VEHICLE CYCLE PEDESTRIAN OWNER YES NO 36 15 LAST NAME FIRST NAME NID L 16 ❑ STREET CITY ST' ZIP NEW ADDRESS" CDL IGNITION RE6UIRED IGNITION PRESENT MEDICAL TANSPORTED INTERLOCK YES No INTERLOCK YEs NO YE s No ❑ 17 37 LLIRIVERS ICENSE# STATE SEX MD.00.B _ 18 ❑ ❑ HELMET INJURY NATURE OF INJURIES 38 ON DUTY STATUS AIRBAG RESTR. EJECT USE CLASS 19 ❑ ❑ 39 LICENSE TAT AN# PLATE# 20 TRAILER TRAILER 40 PLATE# STATE PLATE# STATE ❑ 21 ❑ TRLR TRLR 41 VIN#�, VIN#Y 42 22 VEH.YEAR MAKE I MODEL I STYLE I VEHICLE TOWED DUE T SABLIN TOWED BY GOVT.VEHICLE DAMAGE YES NO YES NO 23 REGISTERED OWNER INFO. SHADE IN DAMAGED AREA 43 2 3 4 LIABILITY INSURANCE INSURANCE CO IN EFFECT I &POLICY# .. t. E 44 24 YES❑ NO CITATION# CHARGE K-99 E SWG 3 3 G 1 CERTIFY(DECLARE)UNDER PENALTY OF PERJURY UNDER THE LAWS OF THE STATE OF WASHINGTON THAT THE FOREGOING IS TRUE AND CORRECT. STEVEN FAJARILLO 02-25-25 03:58 PM 25 INVESTIGATING OFFICER'S SIGNATURE OFFICER'S PHONE UNIT OR DIST DET DATED: PLACE SIGNED 26 BADGE 1 OR DD# 12847 O#RI WA0171300 APPROVED 313312025 PAGE[4 OF � 3000-345-013(R 11t18) REPORT NO. EF70838 CASE# 25-1614 DATE AND TIME 02/20/2503:49 OF COLLISION t,L T 4c c 9 � t G z, { h eli I 1 � �s1 0� u, t sin PAGE 5 OF 5