HomeMy WebLinkAbout25-3863 IT si " II IIIII III IIIII II IIII IIIII I . 27c REPORT NO EF88285OLCERA
COLLISION REPORT 1591971
CASE#I 25-3863 2
INTERSTATE CITY STREET FIRE ❑RESULTED
1 STOLEN
STATE ROUTE ❑ OTHER ❑ VEHICLE ❑ LOCAL AGENCY 4200 3
COUNTY RD INVOLVED CODING
PRIVATE WAY TOTAL 1
2❑ TRIBAL UNITS#OF 02 SO BJECT TRUCK 1 8 28
RESERVATION 2
3� M M D D Y Y Y Y TIME(2400) COUNTY# MILES CITY#
DATE OF'. N E
coLLISION' 05 - 01 - 2025 1750 17 =.= S 8 W E OF IN M 1070 a
4❑ ON (PRIMARY TRAFFIC WAY) INTERSECTION ❑ NON INTERSECTION
AIRPORT WAY BLOCK NO. e 500 .�
4a❑ MILE POST
DISTANCE OF(REFERENCE OR CROSS STREET)
5❑ 320 00 FEET e✓ S 8 W e SHATTUCK AVE S
0 1 29
MOTOR ✓ PEDAL- DAM AG THRESHOLD MET PHONE
UNIT 01 VEHICLE ❑ CYCLE ❑ YEs Vl No D:2067352352 0 1 30
6 LAST NAME KEOWONGPHET FIRST NAME CASHOUS MIDDLE S 1 1 2 31
INITIAL
STREET ❑ 3628 S FINDLAY ST
NEW CITY, SEATTLE ST WA ZIP 98118 2
7 CDL IGNITION REQUIRED IGNITION PRESENT MEDICAL TRANSPORTED3
INTERLOCKYEs NO✓ INTERLOCKYEs NO✓ YES NO✓
8❑ LICIENS# STATE WA SEX M MMor YY' 05 1 2 32
9 ON DUTY STATUS AIRBAG 2 RESTR 4 EJECT 1 N USEET 2 1 INJURYCLASS 1 NAruRE of NJURIEs 2=
LICENSE, CFY3443 srArE WA vN# 1HGEJ814XVL109432 3
10� PI ATF#
TRAILER STATE TRAILER ,STATE
11 3 5 PLATE# PLATE# ROM TO
TRLR rRLR 7 3 33
1 3 5 VIN# vI.
( FROM TO
2
VEH.YEAR MAKE MODEL STYLE VEHICLE TOWED TO BLIN TOWED By GOVT VEHICLE
13 4 1997 HOND ClV/C P4 DAMAGE YES NO ✓ YEs_ No✓ 7 3 34
REGISTERED OWNER INFO CASHOUS KEOWONGPHET 3628 S FINDLAY ST SEATTLE WA 98118 D:2067352352 VEHICLE NO. 1 ❑
SHADE IN DAMAGED AREA 35
14 LIABILITY INSURANCE❑ NSURANCE CO NO INSURANCE 3 4
IN EFFECT &POLICY# 4TOP _
Lrg LNG ❑ ❑ 5AO437540 CHARGE OP MOT VEH W/OUT INSURANCE o ooTrob 36
Yes NO CITATION#
15
MOTOR PEDAL- PROPERTY DAM THR OLD MET PHONE
UNIT 02 Q ❑ PEDESTRIAN ❑ D:2065790576
VEHICLE CYCLE nWNPR YES✓ NO
16�
LAST NAME LEE FIRST NAME KEVIN MIDDLE' M
INITIAL
STREET ❑
17 ❑ 6317 S FOUNTAIN ST CITY SEATTLE ST, WA ZIP 98178 4 37
NEW ADORESS
18❑ CDL IGNITION REQUIRED IGNITION PRESENT MEDICALTRANSPORTED: 38
INTERLOCKYEs No✓ INTERLOCK YES NO✓ rEs No',✓
19� DRIVERS STATE WA SEX M D.O.B. 03 23 1966 39
LICENSE# MMDDYY —
20❑ ON DUTY STATUS AIRBAG 2 RESTR 4 EJECT 1 H UET 2 SE CLA1 Y NATURE OF INJURIES 40
SS
21 LICENSE I PATE# BNW0536 TATE WA YIN# 19UUA66277AO32864 41
22❑ [TILER TRAILER
PLATE# STATE PATE# STATE ❑ 42
23 TRLR kRLR 43
UIN#. 'IN#.
VEH.YEAR 2007 MAKE �QCUR MODEL TL STYLE $D VEHICLE TOWED TO BLIN
TOWED BY GOV HI 44
24 DAMAGE YES NO✓ YES NO✓
REGISTERED OWNER INFO KEVIN LEE 6317SFOUNTAlN ST SEATTLE WA 98178 D:2065790576 VEHICLE NO.2
SHADE IN DAMAGAREA
2 3
LIABILITY INSURANCE INSURANCE CO ALLSTATE 820900012
IN EFFECT &POLICY# I 9TOP
Ve — ❑ CITATION11 CHARGE tO BOTTOM
ALLY YES N J
25 a
OFFICER'S NAME(PRINT) OFFICER PHONE BADGE OR ID# AGENCY
26
RAYMOND WATSON 13127 WA0171300
PAGE 01 OF
PART A 3000-345-159(R 11/18)
POLIICFETRAFFICN CORRECTION REPORT NO. EF88285
COLLISION REPORT III III III III III 111
1591972 CASE# 25-3863
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.
RAYMOND WATSON 05-01-25 11:34 PM
INVESTIGATING OFFICER'S SIGNATURE UNIT OR DIST.DET DATED PLACE SIGNED
APPROVED BY DATE
P.SUMMERS 8887 51312025 10:53:45 PM
BADGE OR ID# 13127 ORI# ( WA0171300 TIME POLICE DISPATCHED'; 5:52 PM TIME POLICE ARRIVED 5:54 PM
PART B 3 Do-3mx-,ao(Rtrras) PAGE 27 OF 47
EAN
REPORT NO.` EF88285 CASE# 25-3863 OF COLLI COLLISION TIME 05/01/25 17:50
COLLI
NARRATIVE
25-3863
This report is a summary of events that occurred and is not an exact sequencing of events.
Statements have been paraphrased and summarized
On 05/01/2025 at approximately 1752 hours, myself, Officer R. Watson, was dispatched to an
Accident with Injuries, at the intersection of Logan AVE N and Airport Way, within the City Limits of
Renton, County of King, State of Washington.
Dispatch advised that two vehicles were involved in a collision and two people in the Acura were
reporting injuries.
I arrived on scene and noticed two vehicles had appeared to be involved in a collision on Airport Way
in the number three lane, facing eastbound. When asked if anyone was injured, both parties stated
they were not. After identifying that the vehicles could be moved safely off the roadway, both drivers
moved their vehicles to Logan AVE S and S Tillicum ST.
Unit#1, driven by Cashous S. Keowongphet (DOB 05/06/2001), later identified by WADOL photo,
was driving a 1997 Red Honda Civic, WA plate # CFY3443. Cashous stated that he was traveling
east bound on Airport Way, when the driver of Unit#2 applied his brakes and after applying his own
brakes, ended up skidding into Unit#2. When I asked Cashous for his documents, he provided his
WA license and expired registration (03/20/2024). Cashous stated that he did not have insurance on
the vehicle, nor has he transferred the title to his name because he had recently bought the vehicle
from a friend. Cashous provided me with his phone number for the exchange of information. Unit#1
had significant front-end damage and was unable to be safely driven from the scene. Cashous parked
Unit#1 in a parking lot nearby to coordinate for a private tow.
Unit#2 driven by Kevin M. Lee (DOB 03/23/1966), later identified by WADOL photo, was driving a
2007 White Acura TL, WA plate #BNW0536. Kevin stated that he was traveling east bound on Airport
Way, and when he went to stop for the traffic ahead of him, Unit#1 collided with the back of Unit#2.
Kevin was able to provide all documentation for his vehicle and provided a phone number for the
information exchange. Unit#2 had medium damage to the rear of his vehicle, but it was able to be
driven in a safe manner from the scene.
An exchange of information was given to both parties involved, and a citation was issued to Cashous
for driving without insurance, citation #5A0437540.
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 R. Watson #13127 05/01/2025, 2316 hours, Renton, King County,
WA.
PAGE 3 OF 4
REPORT NO. E F88285 CASE# 25-3863 DATE AND TIME i 05/01/25 17:50
OF COLLISION
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