HomeMy WebLinkAbout25-2246 iiTFiNII IIIII III IIIII II IIII IIIII I . 27c REPORT NO EF75131oc� RA
COLLISION REPORT 1591971
INTERSTATE ❑ CITY STREET FIRE I
CASE# 25-2246 2
RESULTEDSTOLENSTATE ROUTE OTHER VEHICLE LOCAI-A`NG 4200 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 - 12 - 2025 1257 17 =.[� S 8 W❑ OF IN e 1070 3
4❑ ON (PRIMARY TRAFFIC WAY) INTERSECTION ❑✓ NON INTERSECTION ❑
BLOCK NO. e .�
4a
N 3RD ST MILE POST
❑
❑ DISTANCE OF(REFERENCE OR CROSS STREET)
5 1. FEET e S 8 W e FACTORYAVE N
0 1 29
MOTOR ✓ PEDAL- DAM AG THRESHOLD MET PHONE
UNIT 01 VEHICLE ❑ CYCLE ❑ YEs Vl No D:4257535889 0 1 30
5 LAST NAME GONZALEZ FIRST NAME DAVID MIDDLE S 1 2 31
INITIAL
STREET ❑ 626 SW 352ND ST CITY; FEDERAL WAY ST WA ZIP 980238112 2
NEW ADDRESS
7 CDL IGN(TIUN REQUIRED IGNITION PRESENT MEDICAL TRANSPORTED'. 3
INTERLOCKYEs ND INTERLOCKYES Nb YES F NO
8❑ DCIENSE# STATE WA SEXI M MMDDYY' 01 - 29 - 1969 1 2 32
9 ON DUTY STATUS' AIRBAG 2 RESTR 4 EJECT 1 N USEET CLASSY 1 NATURE of INJURIES 2❑
LICENSE, CMN7108 STATE WA V # 5NMP3DGLORHO19271 3
10� PI ATF#
TRAI STATE TRAILER LE STATE
11 2 5 PLATE# PLATE# FROM To
TRLR rRLR 7 3 33
12 2 5 VIN#' VIN#
FROM TO
13 1 VEH.YEAR2024 MAKE HYUN MODEL SANTA STYLE VEHICLE TOYED NO�iS46LIN T�VyED.6LRS GES❑END 5 1 34
DAMAGE IIII._IIII HHttVVii((tt
REGISTERED OWNER INFO DAVlD GONZALEZ 626SW 352ND ST FEDERAL WAY WA 980238112 D:4257535889 VEHICLE NO. 1
SHADE IN DAMAGED AREA 35
3 14 LIABILITY INSURANCE❑ INSURANCE CO PROGRESSIVE 982701483 4
IN EFFECT &POLICY# 9TOP _
YEs
sE"ALLY ❑NO❑ CITATION# CHARGE FAIL TO OBEY TRAFFIC CONTROL s t a oorrob z 36
15❑
MOTOR PEDAL- PEDESTRIAN PROPERTY DAM THR OLD MET PHONE
UNIT 02 VEHICLE CYCLE nWNFR D:2063499099
16�
LAST NAME LEE FIRST NAME JAMIE MIDDLE H
INITIAL
17
STREET ❑ 37
NEW ADORE SS❑ 1505 W CASINO RD APT 7 CITY' EVERETT ST, WA ZIP 982041500
18❑ IGNITION REQUIRED IGNITION PRESENT MEDICAL TRANSPORTED. ❑ 38
CDL INTERLOCKYEs NO INTERLOCK YEs No YES NO
19❑ DRIVER'S
MMDQYY —
HELMET INJURY NATURE OF INJURIES 40
20❑ ON DUTY� STATUS AIRBAG 2 RESTR 4 EJECT 1 USE CLASS 1 ❑
21 ILICENSE PATE# AWF0279 rarE WA vIN# 2HKRM4H57FH670790 41
22❑ PLATE# STATE PLATE# STATE 42
23 TRLR RLR 43
UIN#. 'IN#
VEH.YEAR 2015 MAKE HOND MODEL CR-V STYLE VEHICLE TOWED TO BLIN
TOWED BY GOV HI 44
24❑ DAMAGE YES NO VES NO
REGISTERED OWNER INFO JAMIE LEE 1505 W CASINO RD APT 7 EVERETT WA 982041500 D:2063499099 VEHICLE NO.2
SHADFY DAMAGED AREA
3 4
LIABILITY INSURANCE INSURANCE CO ALLSTATE 920 736 543
IN EFFECT &POLICY# 9TOP
VEHICLE ❑ ,J—I CITATION11 CHARGE t080TTOM
L,—LY YES N J
25 e
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. EF75131
COLLISION REPORT III III III III III 111
1591972 CASE# 25-2246
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 03-14-25 07:24 AM
INVESTIGATING OFFICER'S SIGNATURE UNIT OR DIST.DET DATED PLAGE SIGNED
APPROVED BY DATE
M.LEVERTON 2517 3/19/2025 8:01:29 AM
BADGE OR ID# ; 2517 ORI# WA0171300 TIME POLICE DISPATCHED 12:57 PM TIME POLICE ARRIVED i 1:04 pry
PAST B a Do-3mx—attar(t 1Mff) PAGE 2�OF 4
REPORT NO. EF75131 CASE# 25-2246 OF DATE AND r�N + 03/12/25 12:57
O�COLLISION
NARRATIVE
grn eb ran red gray nb on green
CC
Within the city limits of Renton/King/Wa I responded to a 2 vehicle blocking crash at the intersection
of N 3rd St at Factory Ave N.
When I arrived both vehicles had moved to the northeast corner of the intersection and out of the
intersection.
I contacted the driver of unit 2 who told me that she was northbound on Factory Ave N on her solid
green light when unit 1 ran the red directly in front of the path of her vehicle with no time to avoid
contact. Unit 2 did not complain of injury and damages did not require a tow truck. Unit 2 said she
had dash cam that would clearly show the collision and her green light.
I contacted the driver of unit 1 ID'd by his picture WADL. He told me unit 2 might be correct that he
ran the red. He said he couldn't say for certain that he his light was either green or red. He told me
he was eastbound lane 2 when the crash occurred. He did not complain of injury and although he
was able to move his vehicle out of the roadway damages did require a tow truck.
I cited unit 1 ref RCW 46.61.055 FTCWTCD-Red light 2 car 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 3/14/2025
PAGE 3 OF 4
REPORT NO. EF75131 CASE# 25-2246 DATE AND TIME 03/12/2512:57
OF COLLISION
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PAGE 4 OF 4