HomeMy WebLinkAbout25-3495 IT si " II IIIII III IIIII II IIII IIIII I . 27c REPORT NO EF84744OLCERA
COLLISION REPORT 1591971
CASE# 25-3495 2
INTERSTATE CITY STREET FIRE I
RESULTEDSTOLENSTATE ROUTE OTHER VEHICLE LOCALANG 4200 3
HIT&RUN CODING
COUNTY RD PRIVATE WAY INVOLVED
2 TOTAL#OF OBJECT 1 s 28
TRIBAL UNITS 02 STRUCK
RESERVATION : 1 1
2
3� M M D D Y Y Y Y TIME(2400) COUNTY# MILES CITY#
eaCL s on' 04 - 18 - 2025 1441 17 =.= S 8 W e IN OF e 1070 s
4❑ ON (PRIMARY TRAFFIC WAY) INTERSECTION ❑✓ NON INTERSECTION ❑
LAKE AVE S BLOCK NO. e 100 .�
4a❑ MILE POST
❑ DISTANCE OF(REFERENCE OR CROSS STREET)
5 MILES 1.1 FEET e S 8 W e S TOBIN ST
0 4 29
MOTOR PEDAL- DAMAG THRESHOLD MET PHONE
UNIT 01 VEHICLE ❑ CYCLE ❑ YES No �/ D:2066098570 0 1 30
6 LAST NAME HASSAN FIRST NAME ABDURAHMAN MIDDLE A 1 1 2 31
INITIAL
STREET ❑ 22416 88TH AVE S APT P308 CITY; KENT ST WA ZIP; 980311849 2
NEW ADDRESS
7❑ +CDL IGNITION REQUIRED I ESGNITION PRESENT MEDICAL TRANSPORTED' 3
INTERLOCKYES NO INTERLOCKY Na YES NO
8 DCIENSE# STATE WA SEXI M MMDDYY' 01 — 01 — 1959 1 2 32
9 ON DUTY STATUS' AIRBAG 2 RESTR 4 EJECT 1 N USEET INJUR
CLASSY 14 NATURE of INJURIES 2
LICENSE, CGW2534 STATE WA VIN#; 1C4PJMCB9GW293047 3
10 Fq I PI ATP tt
TRAILER STATE TRAILER STATE
11 2 5 PLATE# PLATE# ROM To
TRLR TRLR. 7 1 33
12 2 5 VIN#' VIN#
FROM TO
VEH.YEAR 2016 MAKE JEEP MODEL CHERO STYLE VEHICLE TOWED[n TO ZBLIN TOWED BY GOVT VEHICLE g 1 34
13� DAMAGE YES II_II NO YESII_I) NO
REGISTERED OWNER INFO OWNEDBYDRIVER VEHICLE NO. 1
SHADE IN DAMAGED AREA 35
3 14 LIABILITY INSURANCE[%/] INSURANCE CO PROGRESSIVE 989383026 4
IN EFFECT &POLICY# 4TOP _
srg NOLNG Yes❑NO❑ CITATION# 5AO407895 CHARGE FAIL YIELD PRIVATE RD MOTOR $ I a ooTro�m z 36
15
MOTCYR PEDAL- PEDESTRIAN1:1 PROPERTY DAM THR OLD MET PHONE
UNIT 02 VEHICLE CYCLE nWNFR YES�/ NO D:8327601262
16�
LAST NAME CASTILLO FIRST NAME JAYLIN MIDDLE' R
INITIAL
17 F1 ❑
STREET ❑
330 VUEMONT PL NE APT 208 '.. RENTON ST, WA ZIP 980 56 37
NEW ADDRESS CITY
18❑ CDL IGNITION REQUIRED IGNITION : PRESENT MEDICALTRANSP6RTE6' 38
INTERLOCKYEs No INTERLOCK YES O YES No
19 DRIVER'S ►
MMDDYY —
:
20❑ ON DUTY STATUS AIRBAG 2 RESTR 4 EJECT 1 HELMET INJURY NATURE OF INJURIES 40 USE CLASS 1 ❑
21 LICENSE VRG1024 FATE Tx VIN# 5YFBURHE2EP178121 41
22❑ PLAILER TE# STATE PLATE# STATE 42
23 TRLR RLR 43
UIN#. 'IN#
VEH.YEAR 2014 MAKE TOYT MODEL COROLL STYLE VEHICLE TOWED TO BLIN
TOWED BY GOV HI 44
24 DAMAGE YES NO VES NO
REGISTERED OWNER INFO MARIA LEON CASTILLO 2718 QUIVER LN HOUSTON TX 77067 VEHICLE NO.2
SHADE IN DAMAGED AREA
2 3 4
LIABILITY INSURANCE❑ INSURANCE CO
IN EFFECT &POLICY# I STOP
VEH1— YESO NCO CITATION# 5A0407894,5AO407894 CHARGE NO VALID OPER LICENSE WITH VALID io sorTOM
Lecnlly
25 a e
OFFICER'S NAME(PRINT) OFFICER PHONE BADGE OR ID# AGENCY
26
C.ARNOLD 12509 WA0171300
PART A PAGE 01 OF
3000-345-189(R 11/181
STATE OF
POLICETRAFFICN CORRECTION REPORT NO. EF84744
COLLISION REPORT III III III III III 111
1591972 CASE# 25-3495
E NA ADDITIONAL PERSONS INVOLVED(PASSENGERS AND/OR WITNESSES ONLY)
M
(LAST,FIRST,MIDDLE INITIAL) MORALES JOSUE
ADDRESS&PHONE# T
HOUSTON SEXi M M pDDYBVYY - -
PASSENGER WITNESS UNIT# SEAT AIRBAG RESTR. EJECT HELMET INJURY NATURE OF INJURIES
2 POS. 9 2 4 1 USE GLASS 1 ----�
:NAME
(LAST EIRS7 MIDDLE INITIAL) { CHAVES HANNAH
ADDRESS&PHONE#
HOUSTON SEX' F M MDDYYYY D 0Y8•
SEAT HELMET INJURY NATURE OF INJURIES
PASSENGER a WITNESS1:11 UNIT# : 2 POS. 7 AIRBAG 2 RESTR. 4 EJECT 1 USE GLASS 1 ----�
:NAME
(LOST,FIRST,MIDDLE INITIAL)
ADDRESS&PHONE#
SEX I D.O.B. -
MMDDYYYY
PASSENGER WITNESS UNIT# SEAT AIRBAG RESTR. EJECT HELMET NJURY NATURE OF INJURIES
POS. I USE GLASS
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.ARNOLD 04-18-25 03:54 PM
INVESTIGATING OFFICER'S SIGNATURE UNIT OR DIST.DET DATED PLAGE SIGNED
APPROVED BY DATE
M.LEVERTON 2517 4/22/2025 2:27:01 PM
BADGE OR ID# 12509 ORI# WA0171300 TIME POLICE DISPATCHED 1 2:45 PM TIME POLICE ARRIVED i 2:50 PM
PAST B 3 Do-3mx-attar(t 1Mff) PAGE 2�OF 4
REPORT NO. EF84744 CASE# 25-3495 OF DATE AND r�N + 04/18/25 14:41
O�COLLISION
NARRATIVE
CC 25-3495
On 4/18/2025 at 1445 hours I was dispatched to a motor vehicle collision at around the 100 block of
Lake Ave S in the City of Renton, King County, Washington.
Pre-Collision
Driver 2 stated that she was traveling North on Lake Ave S approaching the 100 block in the #1 lane
preparing to proceed straight towards the intersection of S Tobin St and Lake Ave S.
Driver 1 stated that he was in a private parking lot located at 95 S Tobin St. Driver 1 stated that he
was preparing to perform a lefthand turn to proceed North on Lake Ave S from the parking lot.
Collision
Driver 2 stated that as she entered the 100 block, Unit 1 exited the parking lot and the front bumper of
Unit 1 collided with the front and rear drivers side doors of Unit 2, causing significant damage. Driver
2 stated that she does not have a drivers license and does not have insurance. Upon a check of DOL,
I verified that Driver 2 does not have a valid drivers license.
Driver 1 stated that Unit 2 was moving faster than he thought and as he pulled out of the private
parking lot onto Lake Ave S to proceed North, the front bumper of Unit 1 collided with the drivers side
front and rear doors of Unit 2.
Injuries
No injuries reported.
Vehicle Disposition
Both vehicles were operational.
Proximate Cause
I determined that Driver 1 is at proximate cause for this collision because the 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.
Driver 1 was cited per RCW 46.61.205.
Driver 2 was cited per RCW 46.20.015 because she drove any motor vehicle upon a highway in this
state without a valid driver's license issued to Washington residents under this chapter in his or her
possession. Driver 2 was also cited per RCW 46.30.020 because No person may operate a motor
vehicle subject to registration under chapter 46.16A RCW in this state unless the person is insured
under a motor vehicle liability policy with liability limits of at least the amounts provided in RCW
46.29.090.
1 certify (declare) under penalty of perjury under the laws of the State of Washington that the
foregoing is true and correct.
Electronically signed by Officer C. Arnold #12509 at 15:43 on 4/18/2025 in the City of Renton, King
County, Washington.
PAGE 3 OF 4
REPORT NO; EF84744 CASE# 213495 DATE AND TIME 04/18/2514:41
OF COLLISION
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