HomeMy WebLinkAbout25-2731 iiTFiNII IIIII III IIIII II IIII IIIII I . 27c REPORT NO EF81095oc� RA
COLLISION REPORT 1591971
CASE#I 25-2731 2
INTERSTATE CITY STREET FIRE ❑RESULTED
1 STOLEN
STATE ROUTE ❑ OTHER ❑ VEHICLE ❑ LOCAL A`GENC'Y 4200 3
COUNTY RD INVOLVED CODING
PRIVATE WAY
2❑ TRIBAL UNITS#OF 02 SO7RUCK 5 1 28
RESERVATION 2
3� M M D D Y Y Y Y TIME(2400) COUNTY# MILES CITY#
DATE OF'. N E
coulsloN' 03 - 26 - 2025 1741 17 =.= S 8 W E IN OF M 1070 a
4❑ ON (PRIMARY TRAFFIC WAY) INTERSECTION ❑ NON INTERSECTION
SUNSET BLVD N BLOCK NO. e 200 .�
4a❑ MILE POST
❑ DISTANCE OF(REFERENCE OR CROSS STREET)
5 C------�.� FEET e S B W
0 1 29
MOTOR PEDAL- DAM AG THRESHOLD MET PHONE
UNIT 01 VEHICLE ❑ CYCLE ❑ YEs Vl No D:2148157622 0 1 30
6 LAST NAME PREFUME FIRST NAME RHONDA MIDDLE M 1 2 31
INITIAL
STREET ❑ 10519 NAPA VALLEY DR CITY( FRISCO ST TX ZIP 750350000 2
NEW ADDRESS
7 CDL IGNITION REQUIRED IGNITION PRESENT MEDICAL TRANSPORTED 3
INTERLOCKYEs DNODINTERLOCKYE! No YES D NO
8 DRIVER # STATE TX SEX F MMDDYY' 04 1 2— O6 — 1974 32
9 ON DUTY STATUS AIRBAG 2 RESTR 4 EJECT 1 H USEET 2 I INJURY
CLASS 1 NAruRE of INJURIES 2
10 LICENSE
ti� RJS3997 STATE TX vN# 19XFB2F93EE066918 3
TRAILER STATE TRAILER ,STATE
11 3 5 PLATE# PLATE# FROM TO
TRLR TRLR 1 5 33
12 3 5 VIN# VN#
( FROM TO
VEH.YEAR MAKE MODEL STYLE VEHICLE TOWED TO BLIN TOWED BY VT,VEHICLE
13 2 2014 HOND CIVIC SD DAMAGE vesNo ✓ ves� No 1 5 34
REGISTERED OWNER INFO OWNEDBYDRIVER VEHICLE NO. 1 ❑
SHADE IN DAMAGED AREA 35
LIABILITY INSURANCE❑ INSURANCE CO
14 OLD AMERICAN INSURANCE 972-423-1000
IN EFFECT &POLICY# 9TOP
vEnicLE CHARGE t S
Lemur yes❑NO❑ CITATION# 36
❑ 7 o BOTTOM
15 sTnNowc s 7 e
MOTOR PEDAL- PROPERTY DAM THR OLD MET PHONE
Q ❑ PEDESTRIAN ❑ D:2069138692
UNIT 02
VEHICLE CYCLE (7WNFR YES NO
16�
LAST NAME VIALPANDO FIRST NAME EVA MIDDLE I L
INITIAL
STREET ❑ 37
17 ❑ 627 SW 156TH ST CITY BUR/EN ST, WA ZIP 981662473
NEW ADDRESS
1g❑ CDL IGNITION REQUIRED IGNITION PRESENT MEDICALTRANSPORTED 38
INTERLOCKYEs NO INTERLOCK YES NO YEs Noi
19 DRIVER'S
MMDDYY -
HELMET INJURY NATURE OF INJURIES 40
20❑ ON DUTY� STATUS' AIRBAG 2 RESTR 4 EJECT 1 USE 2 CLASS 1 ❑
21 ILICENSE PLATE# BYL8174 rare WA vIN# 1 C4PJLCBXMD203955 41
22❑ PLATE# STATE PATE# STATE ❑ 42
23 TRLR kRLR 43
UIN#. 'IN#.
VEH.YEAR 2021 MAKE JEEP MODEL CHEROK STYLE VEHICLE TOWED TO BLIN
TOWED BY GOV HI 44
24 DAMAGE YES NO YES NO
REGISTERED OWNER INFO EVA VIALPANDO 1.10 LANDSBURG RD SE RAVENSDALE WA 98051 VEHICLE NO.2
SHADE IN DAMAGED AREA
2 3 4
LIABILITY INSURANCE INSURANCE CO PROGRESSIVE 948 9023 43
IN EFFECT &POLICY# tU�o
vemae ❑ CL J CITATION# CHARGE
VEHICLE YES N
25 OFFICER'S NAME(PRINT) OFFICER PHONE BADGE OR ID# JAGENCY
26
C.CATALAN 12007 WA0171300
PAGE 01 OF
PART A 3000-345-159(R 11/18)
POLIICFETRAFFICN CORRECTION REPORT NO. EF81095
COLLISION REPORT III III III III III 111
1591972 CASE# 25-2731
ADDITIONAL PERSONS INVOLVED(PASSENGERS AND/OR WITNESSES ONLY)
'NAME
(LAST,FIRST MIDDLE INTTIAL)
ADDRESS&PHONE#
SEX' D.O.B. — [----------�
MMDDYYYY
PASSENGER F-1 WITNESS Ej UNIT# SEAT AIRBAG RESTR. EJECT HELMET INJURY NATURE OF INJURIES--�
POS. USE CLASS
'NAME
(LAST FIRS,MIDDLE INITIAL)
ADDRESS&PHONE#
SEX' D.O.B. — L----------�
MMDDYYYY
PASSENGER DWITNESSD UNIT# SEAT AIRBAG RESTR. EJECT HELMET NJURY NATURE OF INJURIES
POS. : USE CLASS ----�
'.NAME
(LAST,FIRST,MIDDLE INITIAL)
ADDRESS&PHONE#
SEX D.O.B. — L----------�
MMDDYYYY
PASSENGER WITNESS UNIT# SEAT AIRBAG RESTR. EJECT HELMET INJURY NATURE OF INJURIES
❑ Q POS. USE CLASS �____ ----j
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 04-03-25 12:37 PM
INVESTIGATING OFFICER'S SIGNATURE UNIT OR DIST.DET DATED PLACE SIGNED
APPROVED BY E
DAT
M.LEVERTON 2517 41912025 7:23:47 AM
BADGE OR ID# 12007 ORI# ( WA0171300 TIME POLICE DISPATCHED'; 6:09 PM TIME POLICE ARRIVED 6:26 PM
PART B 3oDo-345-,ao(Rtrras) PAGE 27 OF 47
REPORT NO.` EF81095 CASE# 25-2731 O COLLI COLLISION TIME
OF 03/26/25 17:41
COLLI
NARRATIVE
On 03/26/2025 at approximately 1741 hours, I was dispatched to an unknown-if-injury vehicle
collision at the intersection of N 3rd St and Sunset Blvd N, 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. There, I was able to collect each involved party's information and independent
summary of the events leading up to the collision.
The driver of Unit#1, identified as Rhonda Prefume, said she was traveling northbound in about the
200 block of Sunset Blvd N and approaching the intersection of Maple Valley Hwy in lane 2 of 3.
Rhonda stated she was driving southbound when Unit#2 moved into her lane and struck her
passenger doors. Unit#1 and Unit#2 collided in the roadway.
The driver of Unit#2, identified as Eva Vailpando, said she was the sole occupant of her vehicle and
was also traveling southbound in about the 200 block of Sunset Blvd N approaching the intersection
of Maple Valley Hwy in lane 1 of 3. Eva stated she was intending to continue straight when Unit#1
moved lanes from lane 2 of 3 and into lane 1 of 3 which Unit#2 was occupying. The driver of Unit#2
was unable to avoid the collision and subsequently both vehicles collided in the roadway. Unit#2
suffered moderate damage to the passenger doors.
Both drivers provided a similar story, and I was not able to identify who committed the traffic violation.
Both Unit#1 and Unit#2 were drivable. An exchange of information was provided to all involved
parties.
No citations were given. This is an information report only.
I certify (or 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.Catalan 04/03/2025 Renton, King County, WA.
PAGE 3 OF 4
REPORT NO. EF81095 CASE# 25-2731 DATE AND TIME i 03/26/25 17:41
OF COLLISION
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