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Home My WebLink About25-2722 POLICETRAFF'c" III !�� I IIIllI111IN II II I REPORT NO. EF77874 170 27 COLLISION REP FIT 1591971 CASE 25-2722 z INTERSTATE ❑ CITY STREET FIRE ❑RESULTED 1 STOLEN STATE ROUTE ❑ OTHER ❑ VFHICI F ❑ LOCAL AOENC 4200 3 HIT&RUN CODING COUNTY RD PRIVATE WAY INVOLVED 2 2 TOTAL#OF OBJECT 1 1 8 28 TRIBAL UNITS 02 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 1331 17 ❑.= S 8 IN e 1070 3 4❑ ON (PRIMARY TRAFFIC WAY) INTERSECTION ❑ NON INTERSECTION ❑✓ SUNSET BLVD N BLOCK NO. e✓ 400 4a❑ MILEPOST DISTANCE OF(REFERENCE OR CROSS STREET) 5❑ ❑ FEET ❑ S ❑ W❑ 2 0 29 MOTOR PEDAL- DAMAGE THRESHOLD MET PHONE UNIT 01 VEHICLE ❑ CYCLE El NO D:2065910187 0 11 30 6� LAST NAME MCALLISTER FIRSTNAME COFFY MIDDLE T 1 2 31 INITIAL STREET ❑ 235 FERNDALE AVE NE CITY RENTON ST WA ZIP 980565810 z NEW ADDRESS 7❑ CDL IGNITION REQUIRED IGNITION PRESENT MEDICAL TRANSPORTED 3 iNTERLOCKYEs NO INTERLOCKYEs NO YES R NO 8❑ LRIIVER # ON DUTY❑ STATUS AIRBAG 2 RESTR 4 EJECT 1 H U SE ICNLJAUSSY 1 NATURE OF INJURIES z❑ ❑10 9❑ P1 aT�S� CFE6496 sTArI WWAvIN# 1G1155S35EU106172 3 TRAILER STATE TRAILER STATE 11 3 0 PLATE# PLATE# ROM ro FT -R TPILF1 1 5 33 12 3 0 VIN#' VIN# FROM TO VEH.YEAR MAKE MODEL STYLE VEHICLE TOWED TO BLIN TOWED BY GOVT.VEHICLE 1 $ 34 13 2 2014 CHEV IMPALA DAMAGE YES NO YES[:] No ✓ REGISTERED OWNER INFO CAMRENJONES 235 FERNDALEAVENE RENTON WA 98056 VEHICLE NO. 1 ❑ SHADE IN DAMAGED AREA 35 14 ❑ INSURANCE CO 3 LIABILITY INSURANCE IN EFFECT &POLICV# � 9TOP VE— CHARGE 10 BOTTOM 36 LEGALLY YEs❑NO CITATION# 5A0333550,5A0333550, FL RENEW EXPIRED REG>2 MTHS, 15❑ STANDING 8 7 1,1 MOTOR PEDAL-: PROPERTY DAM THR OLD MET PHONE UNIT 02 ❑ ❑ PEDESTRIAN ❑ ❑ VEHICLE CYCLE OWNER YES�/ NO 16 a LAST NAME SINGH FIRST NAME SANDEEP MIDDLE N INITIAL 17❑ STREET ❑', 1424 148TH AVE SE APT L 1 CITY BELLEVUE ST WA ZIP 980075750 37 NEW ADDRESS ❑ 18� CDL ., IGNITION REQUIRED IGNITION PRESENT MEDICALTRANSPORTED 38 INTERLOCKYES�NOR INTERLOCK Y�EsI❑NOF YES ❑NO❑ 11 19� DRIVER'S STATE WA SEX M D.C.B. 07 15 _ 1999 39 LICENSE# MMDDYY HELMET I {NJURY NATURE OF INJURIES 40 20❑ ON DUTY STATUS AIRBAG 1 RESTR 4 EJECT 1 USE CLASS 1 ❑ 21❑ LICENSE I YAJK530 TAre OR v1N1 1XKZD49XXMJ463724 ❑ 41 PLATE# ❑ 42 22❑ TRAILER U935245 STATE MN TRAILER STATE PLATE# PLATE# 43 23❑ VIN# 1JJV532D5HL004832 IN VEH YEAR 2029 MAKE KEN MODEL TR STYLE VEHICLETOWED TO BLIN TOWEDBY GOV HI 44 L4❑ DAMAGE YES NO YES NO REGISTERED OWNER INFO PAPE TRUCK LEASING 550 NE COLOMBIA BLVD PORTLAND OR 97211 VEHICLE NO.2 SHADEDAMAGEDAREA 3 4 INAEFFITY ECTNSURANCE INSU&POLICY#E CO SAME I 9TOP 5 VE""LE ❑ ,J� CITATION# CHARGE to BOTTOM LEGALLY YES Nu 25 s � a OFFICER'S NAME(PRINT) OFFICER PHONE BADGE OR ID# 26 M.LEVERTON 2517 [V7�ENCY A0171300 PART A PAGE 01 OF 3000-345-159 OR 11/181 STATE OF POLICETRAFFICN CORRECTION REPORT NO. EF77874 COLLISION REPORT III III III III III 111 1591972 CASE# 25-2722 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 POS. 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. M.LEVERTON 03-26-25 02:26 PM INVESTIGATING OFFICER'S SIGNATURE UNIT OR DIST DET DATED PLACE SIGNED APPROVED BY E DAT M.LEVERTON 2517 312812025 3:21:23 PM BADGE OR ID# 2517 ORI# WA0171300 TIME POLICE DISPATCHED 1:31 PM TIME POLICE ARRIVED',1:36 PM PART I PAGE IT]OF 5� REPORT NO. EF77874 CASE# 25-2722 OF COLLISION 03/26/25 13:31 OF CbLLI510N NARRATIVE wht/1 lane change semi lane 3 CC Within the city limits of Renton/King/Wa I responded to a car vs semi crash near the 400 block of Sunset Blvd N. I located unit 2/semi stopped in the 2wcltl with is hazards flashing. Both him and unit 1 were standing in the parking lot of 7-11 near by. He told me he was southbound coming out of the Houser Way tunnel onto Sunset Blvd N lane 3 when unit 1 made an unsignalled lane change into the passenger side of his tractor. This was all captured on video which he showed me. He did not complain of injury and damages did not require a tow truck. I contacted the driver of unit 1 ID'd by her picture WADL. I noticed her tabs were expired in 2023/displayed on rear plate. A WACIC/DOL check via MDC revealed the tabs were expired 10-11- 2023. Unit 1 said she tried to change lanes and did not see unit 2 and referred to the video. She did not complain of injury and damages did not require a tow truck. Unit 1 told me she had auto insurance through BECU. I suggested it was probably loan insurance and Ive never heard of a bank covering an auto insurance policy. She did not provide any form or proof of valid insurance. I cited unit 1 ref RCW 46.16A.030 expired tabs more than 2 months, ref RCW 46.30.020 no insurance and ref RCW 46.61.140 improper lane use/lane change 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 3/26/2025 PAGE 3 OF 5 SUPPLEMENTAL REPORT NO. EF77874 r' POLICE TRAFFIC 1 27 COLLISION REPORT CASE# 25-2722 1 COMMERCIAL MOTOR CARRIER INTERSTATE INTRASTATE ✓ G UNIT# 2 USDOT 503394 ICC# VEHICLE TYPE 6 CARGO BODY 2 TYPE 2 ❑ 1 28 CARRIER NAME PAPE TRUCK LEASE ....... 3 CARRIER ADDRESS 550 NE COLOMBIA BLVD CITY PORTLAND ST OR ZIP 97211 4 ❑ NAME # PLACARD: :❑ NAME IF NO NUMBER SOURCE 3 AXLES 05 GI 80000 + 4a ❑ ADDITIONAL UNITS MOTOR PEDAL- PROPERTY DAMAGE THRESHOLD MET PHONE 5 ❑ UNIT# VEHICLE I_J CYCLE _) PEDESTRIAN � OWNER � YES NO i MIDDLE'... 29 LAST NAME FIRST NAME INITIAL STREET 30 NFW AnnRFSP CITY ST ZIP 6 2 CDL IGNITION REQUIRED IGNITION PRESENT MEDICAL TANSPORTED 1 31 INTERLOCK YES No zERLOCK YES E]NOE] vES N LLIICIENSE STATE I SEX M��DYRYY' 2 7 F-1 ON DUTYl STATUS AIRBAG' RESTR. EJECT HELMET INJURY NATURE OF INJURIES USE CLASS 8 ❑ ' 1 32 LICENSE+ rar VIN.# PLATE# 9 TRAILER TRAILER PLATE# STATE PLATE# STATE 10 ❑ TRLR TRLR VIN.#. VIN.#. 11 VEH.YEAR MAKE MODEL STYLE VEHICLE TOWS T SABLIN TOWED BY anvi vEHIC P FROM TO DAMAGE Y EES NO YES NO REGISTERED OWNER INFO. m 33 12 SHADE IN DAMAGED AREA FROM TO ((ABILITY INSURANCE❑ INSURANCE CO IN EFFECT &POLICY# tGQ EHILLE 34 13 ❑ LEGALLY YES[:] NO❑ CITATION# CHARGE STANDING } 8 7 6 14 ❑ UNIT Tr Vd 1RE O CYDCLE OWNERRTY YES AGE NOHRESHOLD MET PHONE ❑ 35 PEDESTRIAN 15 LAST NAME FIRST NAME MIDDLE': INITIAL ❑ 36 STREET 16 NFln+AnntxFs.� CITY'. ST SIP CDL IGNITION REQUIRED IGNITtGN PRESENT MEDICALTANSPORTED INTERLOCK YES No INTERLOCK YEs NO YEs N. El 17 37 LICENSE# STATE SEX MMDDDYBYY 18 ❑ ON DUTY� STATUS AIRBAG RESTR. ; EJECT HELMET INJURY NATURE of INJURIES 38 USE (CLASS 19 ❑ vIN 39 LICENSE # PLATE# rnr 20 ❑ TRAILER' TRAILER ❑ 40 PLATE# STATE PLATE# STATE 21 ❑ TRLR TRLR 41 VIN# YIN#i 42 22 VEH.YEAR MAKE I MODEL STYLE I VEHICLE TO DUET SABLIN TOWED BY GOVT.VEHICLE DAMAGE YES NO YES NO 23 REGISTERED OWNER INFO SHADE IN DAMAGED 3 4 4 AREA F 43 z LIABILITY INSURANCE INSURANCE CO ' VINE EFFECT &POLICY# i 970P - 4 E:l 44 24 LEwGLE YES❑ NO❑ CITATION# CHARGE iq 60TiOM C=DLv STANDING 8 7 6 1 CERTIFY(DECLARE)UNDER PENALTY OF PERJURY UNDER THE LAWS OF THE STATE OF WASHINGTON THAT THE FOREGOING IS TRUE AND CORRECT. X LEVERTON 03-26-25 02:26 PM 25 INVESTIGATING OFFICER'S SIGNATURE OFFICER'S PHONE UNIT OR DIST DET DATED: PLACE SIGNED 26 OI BADGE 2517 O#I',WA0171300 APPROVED BY 3%2E8/2025 PAGE F41 OF F 3000-345-013(R 11118) REPORT NO. EF77874 CASE# ' 25-2722 DATE AND TIME 03/26/25 13:31 OF COLLISION t a� 4 I Y 'I x PAGE 5 OF 5