HomeMy WebLinkAbout25-3962 iiTFiNII IIIII III IIIII II IIII IIIII I . 27c REPORT NO EF89265oc� RA
COLLISION REPORT 1591971
CASE# 25-3962 2
INTERSTATE CITY STREET FIRE I
RESULTEDSTOLENSTATE ROUTE OTHER VEHICLE LdCCODICENC'Y 4200 3
HIT&RUN CODING
COUNTY RD PRIVATE WAY INVOLVED
2 TOTAL#OF OBJECT 1 s 28
TRIBAL UNITS 02 STRUCK
RESERVATION : 1 1
2
3� M M D D Y Y Y Y TIME(2400) COUNTY# MILES CITY#
eDCL s o v' 05 - 05 - 2025 1021 17 =.= S 8 W e OF IN e 1070 s
4❑ ON (PRIMARY TRAFFIC WAY) INTERSECTION ❑✓ NON INTERSECTION ❑
BLOCK NO. e .�
4a
IN3RD ST MILE POST
❑
❑ DISTANCE OF(REFERENCE OR CROSS STREET)
5 1. FEET e S 8 W e SUNSET BLVD N
0 4 29
MOTOR ✓ PEDAL- DAM AG THRESHOLD MET PHONE
UNIT 01 VEHICLE ❑ CYCLE ❑ YEs Vl No D:2069150879 0 4 30
LAST NAME DOLORES MORALES FIRST NAME MARIA MIDDLE G
5 INITIAL 1 2 31
STREET ] 605 CAMAS AVE NE CITY; RENTON ST I WA Zip; 980563649 2
NEW ADDRESS
7 CDL IGN(TIUN REQUIRED IGNITION PRESENT MEDICAL TRANSPORTED 3
INTERLOCKYEs No INTERLOCKVEs NO YEs NO
8❑ DRIVER # STATE WA SEXI F MMDDYY' O6 - 02 - 1997 t 1 2 32
9 ON DUTY STATUS' AIRBAG 2 RESTR 4 EJECT 1 HELM
USEET 2 CLASSY 1 NATURE of INJURIES 2
LICENSE, CHM6643 STATE WA VIN#; 1B3LC56RX8N684384 3
10 as ATE rt
TRAILER STATE TRAILER STATE
11 3 5 PLATE# PLATE# ROM To
TRLR zRLR 7 1 33
12 3 5 VIN# vIN#
FROM TO
VEH.YEAR 2008 MAKE DODG MODEL AVENGE STYLE VEHICLE TOWED[n TO ZBLIN TOWEDBY GOVT VEHICLE 7 1 34
13� DAMAGE YES II_II NO YESII_I) NO
REGISTERED OWNER INFO VICENTE TORRES ROMA1.0 FERNDALE PL NE RENTON WA 98056 VEHICLE NO. 1
SHADE IN DAMAGED AREA 35
3 4
14 2 LIABILITY INSURANCE❑ NSURANCE CO
IN EFFECT &POLICY# i 9TOP 5
V""' CHARGE 10 BOTTOM 36
srnNowc YES[:]NO❑ CITATION# 5AO487350,5AO487350 OP MOT VEH W/OUT INSURANCE,
15 OLD MET PHONE
s 7 e
MOTOR PEDAL- PEDESTRIAN1:1 PROPERTY DAM THR
UNIT 02 VEHICLE CYCLE nWNFR YES f/ NO D:8052072398
16�
LAST NAME PEREZ FIRST NAME MARCOS MIDDLE A
INITIAL
17
STREET ❑ 37
NEW ADORE SS❑ 11241 NE 68TH ST UNIT A2 CITY' KIRKLAND ST, WA ZIP 980337178
18❑ CDL IGNITION REQUIRED IGNITION PRESENT MEDICAL TRANSPORTED' El
38
INTEtRLOCKYES No INTERLOCK YES NOF
19 DRIVER'S STATE WA SEX M D.O.e. 10 02 1997 � 39
LICENSE# MMDDYY —
HELMET INJURY: NATURE OF INJURIES 40
20❑ ON DUTY� STATUS AIRBAG 2 RESTR 4 EJECT 1 USE 2 CLASS 1 ❑
21 LICENSLATE E CLG1510 rare WA vIN# 4T4BF1FKXFR497678 41
22❑ PLATE# STATE PLATE# STATE 42
23 TRLR RLR 43
UIN#. 'IN#
VEH.YEAR 2015 MAKE TOYT MODEL CAMRY STYLE VEHICLE TOWED TO BLIN
TOWED BY GOV HI 44
24 DAMAGE YES NO�/ VES NO�/
REGISTERED OWNER INFO MARCOS PEREZ 11241 NE 68TH ST APT 2 KIRKLANDWA98033 VEHICLE NO.2
SHADE IN DAMAGED AREA
2 3 4
LIABILITY INSURANCE INSURANCE CO STATEFARM 523 0724-D28.47
IN EFFECT &POLICY# tUV
STOP
e—L ❑ ,.ICITATION# CHARGE o BOTTOM
HICL
EEGnEEY YES N`[
25 OFFICER'S NAME(PRINT) OFFICER PHONE BADGE OR ID# JAGENCY
26
C.CATALAN 12007 WA0171300
PAGE 01 OF
PART A 3000-345-189(R 11/18)
STATE OF
POLICETRAFFICN CORRECTION REPORT NO. EF89265
COLLISION REPORT III III III III III 111
1591972 CASE# 25-3962
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 CLASS 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 CLASS ----�
: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 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.
C.CATALAN 05-05-25 05:56 PM
INVESTIGATING OFFICER'S SIGNATURE UNIT OR DIST.DET DATED PLAGE SIGNED
APPROVED BY DATE
G.BARFIELD 6476 5/7/2025 9:17:17 AM
BADGE OR ID# 12007 ORI# WA0171300 TIME POLICE DISPATCHED 10:25 AM TIME POLICE ARRIVED i 10:43 AM
PAST B 3 Do-3mx—attar(t 1Mff) PAGE 2�OF 4
REPORT NO. EF89265 CASE# 25-3962 OF DATE AND r�N + 05/05/25 10:21
O�COLLISION
NARRATIVE
On May 5, 2025, at approximately 1021 hours, I was dispatched to a 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, Maria Dolores Morales, said she was making a left turn from N 3rd St to Sunset
Blvd N. Maria was making a left turn from lane 4 of 4 and Unit#2 was next to her in lane 3 of 4. While
turning left she failed to stay in her lane and swerved right. Both vehicles collided on Sunset Blvd N,
causing moderate damage to the passenger side bumper, fender, and quarter panel of Unit#1.
The driver of Unit#2, Marcos A. Perez, said he was the sole occupant of his vehicle and was also
turning left from N 3rd St to Sunset Blvd N. Marcos was in the lane 3 of 4. When the traffic signal
turned green, he proceeded to make his left turn to travel northbound on Sunset Blvd N. As he
proceeded north, Unit#1 struck his driver's side doors. Unit#2 suffered moderate damage to his
vehicle's driver side doors.
confirmed Marcos's story. He was able to provide a dash camera recording that confirmed his story.
Based on the above statements, 1 determined that the Driver of Unit#1 (Maria) is the proximate
cause for the cause of collision as Maria violated RCW 46.61.140(1) which states that a vehicle shall
be driven as nearly as practicable entirely within a single lane and shall not be moved from such lane
until the driver has first ascertained that such movement can be made with safety.
I cited Maria via mail for Improper Lane Usage causing a collision. Maria was unable to provide
insurance while being contacted. She was also issued a sector infraction for not having insurance.
Both vehicles were able to be driven away without further incident. An exchange of information was
provided to all involved parties.
I certify (declare) under penalty of perjury under the laws of the State of Washington that the
foregoing is true and correct.
C. Catalan 05/05/2025 Renton
PAGE 3 OF 4
REPORT NO. E F89265 CASE# 25-3962 DATE AND TIME 05/05/25 10:21
OF COLLISION
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