HomeMy WebLinkAbout25-2026 POLICETRAFF'c" III !�� I IIIllI111IN II II I REPORT NO. EF71817 170
27
COLLISION REP FIT 1591971
CASE 25-2026 z
INTERSTATE ❑ CITY STREET FIRE ❑RESULTED
1 STOLEN
STATE ROUTE ❑ OTHER ❑ VFHIr.I F ❑ LOCAL AOENC 4Y00 3
HIT&RUN CODING
COUNTY RD PRIVATE WAY INVOLVED
2 3 TOTAL#OF OBJECT 1 1 8 28
TRIBAL UNITS OZ STRUCK
RESERVATION
z
3❑ DATE OF M M D D Y Y Y Y TIME(2400) COUNTY# MILES N E IN CITY# ❑
cawsloN 03 - 1-- 2025 1307 17 ❑.= S 8 IN e 1070 3
4❑ ON (PRIMARY TRAFFIC WAY) INTERSECTION ❑ NON INTERSECTION ❑✓
TALBOT RD S BLOCK NO. e✓ 700
4a❑ MILEPOST
DISTANCE OF(REFERENCE OR CROSS STREET)
5❑ 1 ❑ FEET e S B W e S GRADYWAY
2 0 29
MOTOR PEDAL- DAMAGE THRESHOLD MET PHONE
UNIT 01 VEHICLE ❑ CYCLE El
✓NO D:9167800604 0 11
30
6� LAST NAME BARBOZA FIRSTNAME YORGELIZ MIDDLE C 1 2 31
INITIAL
STREET ❑ 13445 MARTIN LUTHER KING JR WAY S UNIT R410 CITY SEATTLE ST I WA 2jp, 98178 z
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 9 EJECT 1 H U SE
ICNLJAUSSY 1 NATURE OF INJURIES z❑
3
10 9❑ PI ATFBit CLX9816 sTArI WA urN#' 1FADP3F27EL286254
TRAILER STATE TRAILER STATE
11 0 0 PLATE# PLATE# FROM TO
TRLR. YRLR. 3 5 33
12 0 0 VIN#' VIN#
FROM TO
❑ VEH.YEAR 2014 MAKE MODEL STYLE VEHICLE TOWED TO BLIN TOWED BY GOVT.VEHICLE 3 5 34
13 4 FORD FOCUS SD DAMAGE YES NO YES[:] No✓
REGISTERED OWNER INFO YORGELIZ BAR.OZA 13445 MARTIN LUTHER KING JR WAYS UNIT R410 SEATTLE WA 98178 D:9167800604 VEHICLE NO. 1 ❑
SHADE IN DAMAGED AREA 35
14 LIABILITY INSURANCE❑ INSURANCE CO NONE 3 4
LI EFFECT I POLICY# 9TOP
VEHICLE CHARGE 5 36
LEGALLY res❑NO❑ CITATION# 1 o BOTTOM
15❑ STANDING 6
MOTOR PEDAL- PEDESTRIAN PROPERTY DAM THR OLD MET PHONE
UNIT VEHICLE ❑ CYCLE ❑ ❑ : OWNER ❑ YES NO ,/ D:2063989350
16 a
LAST NAME ERSKINE FIRST NAME JOHN MIDDLE F
INITIAL
17 STREET I 5❑' 5319 NE SUNSET BLVD CITY RENTON ST WA ZIP 98059 4❑ 37
NEW ADORE5
18� CDL IGNITION REQUIRED IGNITION PtR-E-S1ENT MEDICAL TRANSPORTED 38
INTERLOCK YEs❑No� INTERLOCK YEs I I NOF YEs t l NOF,/
19[—] LDI IVEW # STATE WA SEX M M D.O.B. 01 28 _ 1962 39
20❑ ON DUTY STATUS AIRBAG 2 RESTR 9 EJECT 1 H U EET NJAURSY 1 NATURE OF INJURIES 40
LICENSE I ❑21❑ PLA E# CBL9508 TArE 41
WA VIN# JF1GF4858VH805781 1
42
22❑ PLATE# STATE PLATE# STATE
23❑ UIN#. 43
TRLR RLR
'IN#.
VEH YEAR 1997 MAKE SUBA MODEL ►MPREZA STYLE SO VEHICLETOWED TO BLIN TOWEDBY GOV HI �44
L4❑ DAMAGE YES NO YES NO
REGISTERED OWNER INFO JOHN ERSKINE 5319 NE SUNSET BLVD RENTON WA 98059 D:2063989350 VEHICLE NO.2
SHADEDAMAGEDAREA
3 4
LIABILITY
INSURANCE I PORGY#E CO DAIRYLAND 475915987IN IGQI
VE""LE ❑ ,J� CITATION# CHARGE
LEGALLY YES N`L J
25
OFFICER'S NAME(PRINT) OFFICER PHONE BADGE OR ID# JAGENCY
26
J RAYGOZA 12503 WA0171300
PART A PAGE 01 OF C7
3000-345-159 OR 11/181
STATE OF
POLICETRAFFICN CORRECTION REPORT NO. EF71817
COLLISION REPORT III III III III III 111
1591972 CASE# 25-2026
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.
J RAYGOZA 03-04-25 02:47 PM
INVESTIGATING OFFICER'S SIGNATURE UNIT OR DIST DET DATED PLACE SIGNED
APPROVED BY DATE
D.SKELTON 9139 31712025 1:39:57 PM
BADGE OR ID# 12503 OR]# ': WA0171300 TIME POLICE DISPATCHED 4:09 Pry TIME POLICE ARRIVED',1:10 PM
PART I PAGE IT]OF 4�
REPORT NO. EF71817 CASE# 25-2026 OF COLLISION
03/04/25 13:07
OF CbLLI510N
NARRATIVE
Case Number 25-2026
On 03/04/2025 at approximately 1310 hours, I was dispatched to 700 Talbot Rd S within the City of
Renton, King County, Washington to a non-injury accident. Dispatch relayed over the radio that a
passerby reported two vehicles colliding and blocking a southbound lane on Talbot Rd S. The
reporting party described the vehicles as a green older sedan and a silver sedan.
On arrival I located both vehicles at the 700 block of Talbot Rd S facing south. Unit 1 was identified
as a gray 2014 silver Ford Focus WA/LIC CLX9816 VIN# 1 FADP3F27EL286254 and unit 2 was
identified as a 1997 green Subaru Impreza WA/LIC CBL9508 VIN# JF1GF4858VH805781. Unit 1
was parked on the sidewalk and had major damage to the front left side of the vehicle. Unit 2 was
parked on the road closest lane to the curb and had minor damage to the front right side of his
vehicle. I approached both drivers and asked them if they had any injuries and they both said no.
I contacted the driver of unit 1 who was identified by her WADOL as Yorgeliz C Barboza DOB
(03/16/2001). Yorgeliz provided me with her WADL and her registration but informed me that she
didn't have any proof of insurance on her. Yorgeliz said she did have insurance but that her card was
left at home. Yorgeliz stated that she was traveling eastbound on S Grady Way and approached the
intersection at Talbot Rd S and S Grady Way. Yorgeliz was driving behind unit 2 and they both made
a right turn to go south on Talbot Rd S and continued going southbound until unit 2 attempted to
merge to the right lane and collided with her vehicle. Both vehicles then stopped at the location and
waited for police to arrive. Yorgeliz was not injured by the accident.
I contacted the driver of unit 2 who was identified by his WADOL as John Frederick Erskine DOB
(01/28/1962) and he provided me with his WADL, registration and proof of insurance. John was not
injured and stated that he was in front of unit 1 and driving eastbound on S Grady Way, making a
right turn at the intersection of S Grady Way and Talbot Rd S. John merged onto the left lane due to
the right lane leading to the parking lot of Triton Towers. As John continued driving south on Talbot
Rd S he noticed that unit 1 was trying to merge onto his lane and collided with his vehicle. John then
parked his vehicle and waited for police to arrive.
Based on the damages on both vehicles and the residue left on the street I identified unit 1 as the at
fault driver for improperly changing lanes. I gave both driver my business card with the case number
and unit 2 left the location. Unit 1 moved her vehicle to the parking lot of Triton Tower 2 and awaited a
friend to come and pick her and her vehicle up. Unit 1 was informed that she was the at fault driver
but was not cited. I told Yorgeliz that she needed to email me a picture of her insurance by the end of
the day or else she would receive a citation in the mail for not having insurance and she said OK.
Once both vehicles were off the road I cleared the scene.
This concludes my involvement with this case.
I certify (declare) under the penalty of perjury under the laws of the State of Washington that the
foregoing is true and correct.
Electronically signed J.Raygoza/12503
03/04/2025 1450 Hours Renton, WA.
PAGE 3 OF 4
REPORT NO. EF71817 CASE# ' 25-2026 DATE AND TIME 03/04/25 13:07
OF COLLISION
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