HomeMy WebLinkAbout25-2109 IT si " II IIIII III IIIII II IIII IIIII I . 27c REPORT NO EF72932OLCERA
COLLISION REPORT 1591971
INTERSTATE ❑ CITY STREET FIRE I
CASE# 25-2109 2
RESULTEDSTOLENSTATE ROUTE OTHER VEHICLE LOCALANG 4100 3
HIT&RUN CODING
COUNTY RD PRIVATE WAY INVOLVED
2 TOTAL#OF OBJECT 1 8 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' 03 - 07 - 2025 1039 17 =.[� S 8 W❑ OF IN e 1070 3
4❑ ON (PRIMARY TRAFFIC WAY) INTERSECTION ❑✓ NON INTERSECTION ❑
BLOCK NO.
N SOUTHPORT DR
4a❑ MILE POST
❑ DISTANCE OF(REFERENCE OR CROSS STREET)
5 1.1 FEET e S 8 W e OFF RAMP SB I-405
0 1 29
MOTOR ✓ PEDAL- DAM AG THRESHOLD MET PHONE
UNIT 01 VEHICLE ❑ CYCLE ❑ YES ✓NO 0 1 30
6 LAST NAME LOPEZ-PEREZ FIRST NAME EVELIA MIDDLE N 1 1 2 31
INITIAL
STREET ] 3011 NE 16TH ST CITY; RENTON ST WA ZIP; 980562331 2
NEW ADDRESS
7� +CDL IGN(TIUN REQUIRED IGNITION PRESENT MEDICAL TRANSPORTED. 3
INTERLOCKYEs NO INTERLOCKVEs NO YES NO
8 DRIVER # STATE WA SEX F MMDDY0,13. 10 - ?6 - 1975 t 1 2 32
9 ON DUTY STATUS' AIRBAG 2 RESTR 4 EJECT 1 HELMET INJURY 7 NATURE of INJURIES 2❑
USE CLASS UNK
10 1� LI ENS 1 BAE0145 STATE WA VIN# JHMCP26468C053731 3
11 3 5 TRAILER STATE TRAILER STATE
PLATE# PLATE# ROM To
TRLR TRLR 3 7 33
12 3 5 VIN# vIN#
FROM TO
LE
13 2 VEH.YEAR2008 MAKE HOND MODEL ACCOR STYLE VEHICLE TOYED NOjyS46LIN diW9YMEYER YESr`-IVT ENp 1 5 34
DAMAGE IIII._IIII I_I
REGISTERED OWNER INFO EVELIA LOPEZ-PEREZ 3011 NE f6TH ST RENTON WA 98056 VEHICLE NO. 1
SHADE IN DAMAGED AREA 35
14 LIABILITY INSURANCE� INSURANCE CO SAME. 4
IN EFFECT &POLICY# 9TOP _
Lrn Lyc ❑ ❑ 5A0333529 CHARGE FA►L TO OBEY TRAFFIC CONTROL $ t a oorroEm z 36
Yes NO CITATION#
15❑
MOTOR PEDAL- PEDESTRIAN PROPERTY DAM THR OLD MET PHONE
UNIT O2 VEHICLE CYCLE nWNFR YES�/ NO D:3605089597
16�
LAST NAME WOOLVERTON FIRST NAME RICHARD MIDDLE D
INITIAL
17 F1 STREET ❑❑ 18209 PRESLEY LN SW CITY' ROCHESTER ST, yyq ZIP 985799400 37
NEW ADDRESS
18❑ CDL IGNITION REt1UiRED IGNITION PRESENT MEDICAL TRANSPORTED. 38
INTERLOCKYES NO INTERLOCK YES NO vEs ND
19 DRIVER'S STATE WA ,SEx M I D.as. 02 20 1990 39
LICENSE# mmro Y
:
20❑ ON DUTY STATUS AIRBAG 2 RESTR 4 EJECT 1 HELMET INJURY NATURE OF INJURIES 40 USE CLASS ? ❑
21 LICENSE D536916 TATe WA VIN# 1FT7X2B68NEG41897 41
22❑ PLATE# STATE PLATE# STATE 42
23 TRLR RLR 43
UIN#. 'IN#
VEH.YEAR 2022 MAKE FORD MODEL F250 STYLE VEHICLE TOWED TO BLIN
TOWED BY GOV HI 44
24❑ DAMAGE YES NO VES NO
REGISTERED OWNER INFO A FLATIRON-LANE 1400 TALBOT RD S STE 500 RENTON WA 98055 VEHICLE NO.2
SHADE IN DAMAGED AREA
2 3 4
LIABILITY INSURANCE INSURANCE CO SAME.
IN EFFECT &POLICY# tUV
Q
e—L ❑ , CITATION# CHARGE
LEGn��Y YES N`[
25
OFFICER'S NAME(PRINT) OFFICER PHONE BADGE OR ID# AGENCY
J
26
M.LEVERTON 2517 WA0171300
❑
PAGE 01 OF
PART A 3000-345-189(R 11/18)
STATE OF
POLICETRAFFICN CORRECTION REPORT NO. EF72932
COLLISION REPORT III III III III III 111
1591972 CASE# 25-2109
ADDITIONAL PERSONS INVOLVED(PASSENGERS AND/OR WITNESSES ONLY)
'.NAME
(LAST,FIRST,MIDDLE INITIAL)
ADDRESS&PHONE#
SEXi D.O.B. —
MMDDYYYY
PASSENGERQ WITNESS� UNIT SEAT AIRBAG RESTR. EJECT ; HELMET INJURY NATURE OF INJURIES
POS. ' USE GLASS 1 ----�
:NAME
(LAST FIRST MIDDLE INITIAL)
ADDRESS&PHONE#
SEX D.O.B. —
MMDDYYYY
PASSENGER❑WITNESS UNIT# : SEAT AIRBAG RESTR. EJECT HELMET INJURY: NATURECFINJURIES
POS. USE CIASS ----�
:NAME
(LOST,FIRST,MIDDLE INITIAL)
ADDRESS&PHONE#
SEX MMDDYY D.O.B.
YY
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.
M.LEVERTON 03-07-25 06:05 PM
INVESTIGATING OFFICER'S SIGNATURE UNIT OR DIST.DET DATED PLAGE SIGNED
APPROVED BY DATE
M.LEVERTON 2517 1 311112025 3:36:23 PM
BADGE OR ID# ; 2517 ORI# WA0171300 TIME POLICE DISPATCHED 10:41 AM TIME POLICE ARRIVED i 10:46 AM
PAST B 3 Do-3mx—attar(t 1Mff) PAGE 2�OF 4
REPORT NO. EF72932 CASE# 25-2109 OF DATE AND r�N + 03/07/25 10:39
O�COLLISION
NARRATIVE
gold wb ran red lane 1 wht on green
CC
Within the city limits of Renton/King/Wa I responded to a 2 vehicle blocking crash at N Southport Dr
at the off ramp from southbound 1-405.
1 contacted the driver of unit 2 who told me he was on his green light crossing from the 405 off-ramp
to the southbound on-ramp. He is a construction worker and the job detail was on the mid point of the
on-ramp. He said westbound traffic had stopped when unit 1 ran the red light and crossed his path
with no time to avoid contact. He did not complain of injury and damages did not require a tow truck.
contacted the driver of unit 1 ID'd by her picture WADL. She admitted to running the red light as she
was in lane 2 westbound N Southport Dr. She was checked and released on scene by Renton Fire.
Damages required a tow truck to move her blocking vehicle.
I cited unit 1/Lopez ref RCW 46.61.055 FTCWTCD-red light 2 vehicle crash via complaint.
I certify (declare) under penalty of perjury under the laws of the State of Washington that the
foregoing is true and correct.
M.Leverton/2517 City of Renton/King/Wa 3/7/2025
PAGE 3 OF 4
REPORT NO. EF72932 CASE# 25-2109 DATE AND TIME 03/07/2510:39
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