HomeMy WebLinkAbout25-220 STATE OF I !�� I III I III I IIII III II I . 0 27c REPORT NO EF54796
COLLISION REP FIT
1591971
❑ ❑ RESULTED ❑ CASE# zs-zzo 2
INTERSTATE CITY STREET FIRE
1 STOLEN
STATE ROUTE ❑ OTHER ❑ VFHICI F ❑ LOCAL AOENC 4200 3
HIT 8 RUN CODING
COUNTY RD PRIVATE WAY INVOLVED
2 2 TOTAL#OF OBJECT 1 1 8 28
TRIBAL UNITS 02 STRUCK
RESERVATION
2
3❑ DATE OF M M D D Y Y Y Y TIME(2400) COUNTY# MILES N E IN CITY#
cowsloN 01 - 1-- 2025 1356 17 ❑-= S 8 IN e 1070 3
4❑ ON (PRIMARY TRAFFIC WAY) INTERSECTION ❑✓ NON INTERSECTION ❑
BLOCK NO. e✓ --- ----� ❑
SE 17TH ST MILEPOST
4a❑
DISTANCE OF(REFERENCE OR CROSS STREET)
5❑ �,❑ FEET e S ❑ VV e 120TH TER SE
0 4 29
MOTOR PEDAL- DAMAGE THRESHOLD MET PHONE
UNIT 01 VEHICLE ❑ CYCLE El
,/No D:2064878234 0 11
30
6� LAST NAME SANCHEZ FIRSTNAME VICTOR MIDDLE M 1 1 2 31
INITIAL
STREET ❑ 17020 108TH AVE SE CITY RENTON ST WA ZIP 980555409 2
NEW ADDRESS
7❑ CDL IGNITION REQUIRED IGNITION PRESENT MEDICAL TRANSPORTED 3
INTERLOCK YES[:]NO INTERLOCKYEs NO YES R NO
8❑ LRIIVER #
ON DUTY❑ STATUS AIRBAG 2 RESTR 4 EJECT 1 HELMET
2 CLASS 1 NATURE OF INJURIES 2❑
3
10 9❑ Pi aT�S� CBt2485 sTArI WAurN# KMHCM36C19W37292
TRAILER STATE TRAILER STATE
11 2 5 PLATE# PLATE# FROM TO
TRLR. TRLR $ 7 33
12 2 5 VIN#' VIN#
>; FROM TO
VEH.YEAR MAKE MODEL STYLE VEHICLE TOWED TO BLIN TOWED BY GOVT.VEHICLE 3 ] 34
13 2 2009 HYUN ACCENT DAMAGE YES NO YES[:] NO✓
REGISTERED OWNER INFO VICTORSANCHEZ 17020108TH AVE SE RENTON WA 98055 VEHICLE NO. 1 ❑
SHADE IN DAMAGED AREA 35
14 LIABILITY INSURANCE❑ INSURANCE CO eq�T3 4
IN EFFECT &POLICY# 9TOP
VEwcLE CHARGE 5 36
LEGALLv YEs❑NO❑ CITATION# 10 BOTTOM
15❑ NDING 8 7 6
MOTOR PEDAL- PEDESTRIAN PROPERTY DAM THR OLD MET PHONE
UNIT VEHICLE ❑ CYCLE ❑ ❑ OWNER [:][LA
YES 1/ NO PHONE
9168970529
16 a
LAST NAME ALVARADO FIRST NAME JOSETINA MIDDLE C
INITIAL
17❑ STREET ❑', 17511 121ST LN SEAPT BB103 CITY' RENTON ST WA ZIP 980586242 37
NEW ADDRESS ❑
18� CDL IGNITION REQUIRED IGNITION PtR—E—S1ENT MEDICAL TRANSPORTED ❑ 38
INTERLOCKYES�NOR INTERLOCK YEs I I NOF YEs t l NO❑
19 DRIVER #
{NJURY 1 NATURE OF INJURIES 40
20❑ ON DUTY STATUS AIRBAG 2 RESTR 4 EJECT 1 USE 2 CLASS ❑
21❑ LICENSE CFW1393 TAre 41
WA vIN# 2C3CDXHG5EH123747
❑
PLATE#
42
22❑ PLATE# STATE PLATE# STATE
TRLR
23❑ UIN#. IN#.
43
RLR
'
VEH YEAR 2014 MAKE DODG MODEL CHARGE STYLE VEHICLETOWED TO BLIN TOWEDBY GOV HI 44
L4❑ DAMAGE YES NO YES NO
REGISTERED OWNER INFO NICOLAS DIAZ MORENO 17511121ST LN SE APT BB103 RENTONWA98058 VEHICLE NO.2
SHADE IN DAMAGED AREA
2 3 4
LIABILITY INSURANCE I PORGY#E CO NATIONAL GENERAL INSURANCE 29742 1U
9TOP 5
ES
IN EFFECT
vETILE ❑ N J
,J� CITATION# CHARGE BOTTOM
LEGALLY Y
25 ' 6
7CA
NAME(PRINT) OFFICER PHONE BADGE OR ID# AGENCY
J
26LAN 12007 WA0171300
PART A PAGE 01 OF
3000-345-159 OR 11/181
STATE OF
POLICETRAFFICN CORRECTION REPORT NO. EF54796
COLLISION REPORT III III III III III 111
1591972 CASE# 25-220
ADDITIONAL PERSONS INVOLVED PASSENGERS AND/OR WITNESSES ONLY)
NAME
(LAST FIRST,MIDDLE INITIAL)_
ADDRESS&PHONE#
SEX D.O.B. - -
MMDDYYYY.
PASSENGER❑WITNESS UNIT# SEAT AIRBAG RESTR. EJECT ' HELMET INJURY NATURE OF INJURIES
PM USE CLASS
NAME
'(LAST,FIRST MIDDLE INITIAL)
ADDRESS&PHONE# D D B
SEX MMDDYYYY
PASSENGER ❑WITNESS UNIT# SEAT AIRBAG RESTR. EJECT HELMET INJURY NATURE OF INJURIES
POS. USE CLASS
NAME
(LAST FIR57 MIDDLE INITIAL)
AppRESS R PHONE#
SEX D.O.B.
MMDDYYYY. -
PASSENGER WITNESS UNIT# SEAT AIRBAG RESTR. EJECT HELMET NJURY NATURE OF INJURIES
❑ ❑ 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.CATALAN 01-07-25 03:52 PM
INVESTIGATING OFFICER'S SIGNATURE UNIT OR DIST DET DATED PLACE SIGNED
APPROVED BY DATE
C.JACOBS 1953 111012025 10:39:21 AM
BADGE OR ID# 1Y007 ORI# WA0171300 TIME POLICE DISPATCHED 2:28 Pry TIME POLICE ARRIVED',2:41 PM
PART I PAGE IT]OF 4�
REPORT NO. EF54796 CASE# 25-220 OF COLLISION
01/07/25 13:56
OF CbLLI510N
NARRATIVE
On January 7, 2025, at approximately 1356 hours, I was dispatched to a vehicle collision at the
intersection of SE 175th ST and 120th TER SE, within the City Limits of Renton, County of King,
State of Washington.
Upon my arrival, I confirmed there were no complaints of injury requiring immediate medical response
at the time of report. While on scene, I collected each involved party's driving documents and their
independent involvement leading up to the collision.
The driver of Unit 1 stated he was the sole occupant of his vehicle and was attempting to exit a
private property parking lot, located at 11925 SE 175th St, and on the south side of the roadway. The
driver of Unit 1 stated that he was intending to make a left turn out of the parking lot to proceed
eastbound onto SE 17th St following the turn. The driver of Unit 1 believed all west and eastbound
traffic on SE 175th St was clear and therefore proceeded out into the roadway. As Unit 1 reached the
center of the roadway, Unit 1 was met by another vehicle - Unit 2. The driver of Unit 1 claimed he did
not see Unit 2 traveling in the westbound lane due to two parked vehicles sitting on the southside of
the road. The driver of Unit 1 stated that he was unable to avoid the collision after having pulled out
into the roadway and that Unit 2 struck the front of Unit 1, specifically on the passenger's side fender,
causing significant damage.
The driver of Unit 2 said she was the sole occupant of her vehicle and was traveling westbound in
about the 11900 block of SE 175th St and in the westbound lane. The driver of Unit 2 stated she
intended to continue west on SE 175th St. Upon reaching the location of where Unit 1 was turning out
from, Unit 2 observed Unit 1 pull out into the roadway but was unable to avoid the collision.
Both vehicles collided in the roadway and Unit 2 suffered significant damage to the front driver's side
fender of the vehicle.
Based on the above statements, I believe that the driver of Unit 1 is the proximate cause for the
cause of collision as the driver is required to comply with RCW 46.61.205(1) which states that every
driver of a vehicle about to enter or cross a highway from a private road or driveway shall yield the
right-of-way to all vehicles lawfully approaching on said highway. Unit 2 was already underway in the
roadway and had right of way.
Both Unit 1 and Unit 2 were able to be driven away by their drivers. An exchange of information was
provided to all involved parties.
PAGE 3 OF 4
REPORT NO. EF54796 CASE# 25-220 DATE AND TIME 01/07/2513:56
OF COLLISION
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