HomeMy WebLinkAbout25-154 a ITi "POLCERAFFOII IfI) 1 IlfII ('II (Illf If( fI I . 1 27c REPORT NO EF54548
COLLISION REP FIT
1591971
❑ ❑ RESULTED ❑ CASE 25-154 2
INTERSTATE CITY STREET FIRE
1 STOLEN
STATE ROUTE ❑ OTHER ❑ VFHICI F ❑ LOCAL AGENCI 4Y00 3
HIT&RUN CODING
COUNTY RD PRIVATE WAY INVOLVED
2 TOTAL#OF OBJECT 1 28
TRIBAL UNITS 02 STRUCK' FENCE
RESERVATION
2
3❑ DATE OF M M D D Y Y Y Y TIME(2400) COUNTY# MILES N E IN CITY# ❑
GawsloN 01 - 1-- 2025 1929 17 ❑.= S 8 IN e 1070 3
4❑ ON (PRIMARY TRAFFIC WAY) INTERSECTION ❑ NON INTERSECTION ❑✓
BLOCK NO.
303 SW lANGSTON RD
e✓ --- ----�
4a❑ MILEPOST
DISTANCE OF(REFERENCE OR CROSS STREET)
5❑ ❑ FEET e S ❑ W e 0 1 29
MOTOR PEDAL- DAMAGE THRESHOLD MET PHONE
UNIT 01 VEHICLE ❑ CYCLE El
NO F,/ I D:2067590676 30
6 LAST NAME ALEGRIA MOLINA FIRST NAME OSCAR MIDDLE D 1 1 2 31
INITIAL
STREET ❑, 6801 S 133RD ST APT C-224 CITY SEATTLE ST WA ZIP 98178 2
NEW ADDRESS
7❑ CDL IGNITION REQUIRED IGNITION PRESENT MEDICAL TRANSPORTED 3
iNTERLOCKYEs NO 1/ INTERLOCKYEs NO�/ YES R No�/
8❑ LRIIVER #
ON DUTY❑ STATUS AIRBAG 2 RESTR 4 EJECT 1 H USE 2 1 CLASS NATURE OF INJURIES 2❑
3
10❑ P1 aT�S� ER31301 sTATI 1! vIN# 1HGEM22543l010954
TRAILER STATE TRAILER STATE
11 3 5 PLATE# PLATE# FRom To
TRLR. TRLR 7 3 33
12❑ VIN#' VIN#.
Rom 34
13 4 VEH.YEAR2003 MAKE HOND MODEL CIVIC STYLE SD VAMAGETOYES NOOpLSABLIN TSIYYEp9vMYER VEHICLE
❑ DAMAGE IILLJJII (�ciV6
REGISTERED OWNER INFO OSCAR ALEGRIA MOLINA 6801 S 133RD STAPT C-224 SEATTLE WA 98178 D:2067590676 VEHICLE NO. 1 ❑
SHADE IN DAMAGED AREA 35
14❑ LIABILITY INSURANCE INSURANCE CO NATIONAL GENERAL 2024261087 4
IN EFFECT &POLICY# TOP'E"CLE CHARGE36
LEGALLY YES❑NO❑ CITATION# <1�3
OTTOM
15❑ STANDING 7 6
MOTOR PEDAL- PEDESTRIAN PROPERTY DAM THR OLD MET PHONE
UNIT a2 VEHICLE ❑ CYCLE ❑ ❑ OWNER ❑ YES 1/ NO D:2055792836
16❑
LAST NAME PATTON FIRST NAME NISHAY MIDDLE IL
INITIAL
17 STREET I❑ S❑' 303 SW LANGSTON RD CITY' RENTON ST WA ZIP 98057 4❑ 37
NEW ADDREs
18❑ CDL IGNITION REQUIRED IGNITION PR—E-1SENT MEDICAL—T�RANSPORTED ❑ 38
INTERLOCKYES�NOR INTERLOCK yEEst
III I I NOF YES
t l NO❑
19 DRIVE #
INJURY NATURE OF INJURIES 40
20❑ ON DUTY STATUS' AIRBAG RESTR EJECT USE CLASS ❑
❑21❑ TATE LICENSE vIN# 41
1
PLATE#
42
22❑ PR TRAILER LATE# STATE PLATE# STATE
23❑ 43
TRLR RLR
UIN It 'IN#.
VEH YEAR MAKE MODEL STYLE VEHICLE TOWED TO BLIN
TOWED BY Gov HI 44
L4❑ DAMAGE YES NO YES NO
REGISTERED OWNER INFO VEHICLE NO.2
SHADE IN DAMAGED AREA
2 3 4
LIABILITY
INSURANCE❑ INSURANCE
#E CO
IN EFFECT &PO I 9TOP 5
VEHICLE ❑ ,.I—I CITATION# CHARGE i o BOTTOM
LEGALLY YES N
25 s e
OFFICER'S NAME(PRINT) OFFICER PHONE BADGE OR ID# AGENCY
26
KEVIN PETERSON 12808 WA0171300
PAGE 01 OF
PART A
3000-345-159 OR 11/181
STATE OF
POLICETRAFFICN CORRECTION REPORT NO. EF54548
COLLISION REPORT III III III III III 111
1591972 CASE# 25-154
ADDITIONAL PERSONS INVOLVED PASSENGERS AND/OR WITNESSES ONLY)
NAME MIDDLE INITIAL) CARRION DAYANA
(LAST FIRST,
ADDRESS&PHONE# D O.B.
6801 S 133RD ST APT C-224 SEATTLE WA 98178 SEX F MMDDYyry 11 - 08 - 2002
PASSENGER WITNESS UNIT# SEAT AIRBAG RESTR. EJECT ' HELMET INJURY NATURE OF INJURIES
❑✓ �' 1 POS. 3 2 4 1 USE 2 CLASS 11
NAME
'(LAST,FIRST MIDDLE INITIAL)
ADDRESS&PHONE# DOB
SEX' MMDDYYYY
PASSENGER ❑WITNESS UNIT# SEAT AIRBAG RESTR. EJECT HELMET NJURY NATURE OF INJURIES
POS. USE CLASS
NAME
(LAST FIR57 MIDDLE INITIAL)
AppRESS&PHONE#
SEX D.O.B.
MMDDYYYY. -
PASSENGER WITNESS UNIT# SEAT AIRBAG RESTR. EJECT HELMET NJURY NATURE OF INJURIES
❑ ❑ POS. USE CLASS ----�
NARRATIVE'
I was dispatched to a vehicle into a house on 01/05/25 at 1932 hours at 303 SW Langston Rd, in city
Renton, King County WA.
Unit 1 ER31301 Driver: Oscar D. Alegria Molina (DOB 10/10/1986)
Homeowner Renter: Nishay L. Patton (DOB 01/30/1986)
Unit 1 was traveling West on SW Langston Rd when he saw an animal in the road and swerved to
miss it and lost control. The vehicle went onto the curb and through the fence hitting the bushes and a
block wall which stopped the vehicle. The vehicle never damaged the house.
Pictures were loaded to evidence.
Both driver and passenger claimed no injuries.
Both parties got the case number as a reference.
I certify (declare) under penalty of perjury under the laws of the State of Washington that the
foregoing is true and correct.
Electronically signed: Officer Kevin L. Peterson Date and Place: 01/05/2025, 2324 hours at Renton,
WA
I CERTIFY(DECLARE)UNDER PENALTY OF PERJURY UNDER THE LAWS OF THE STATE OF WASHINGTON THAT THE FOREGOING IS TRUE AND CORRECT.
KEVIN PETERSON 01-06-25 12:03 AM
INVESTIGATING OFFICER'S SIGNATURE UNIT OR DIST DET DATED PLACE SIGNED
APPROVED BY DATE
P.SUMMERS 888 1 11912025 1:50:52 PM
BADGE OR ID# ! 12808 OR]# WA0171300 TIME POLICE DISPATCHED 7:32 PM TIME POLICE ARRIVED',7:35 PM
PART I PAGE IT]OF 3�
REPORT NO. EF54548 CASE# ' 25-154 DATE AND TIME 01/05/25 19:29
OF COLLISION
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