HomeMy WebLinkAbout25-4348 IT �i " II IIIII III IIIII II IIII IIIII I . 4 27c REPORT NO EF93555OLCERA
COLLISION REPORT 1591971
CASE# 25-4348 2
INTERSTATE CITY STREET FIRE I
RESULTED STOLENSTATE ROUTE OTHER VEHICLE LOCCODIGENC'Y 4200 3
HIT&RUN CODING
COUNTY RD PRIVATE WAY INVOLVED
2 3 TOTAL#OF OBJECT 1 28
TRIBAL UNITS OZ STRUCK FENCE
RESERVATION 1 1 2
3� M M D D Y Y Y Y TIME(2400) COUNTY# MILES CITY#
eaCL s o v' 05 - 17 - 2025 0632 17 =.[� S e W e OF e 1070 3
4❑ ON (PRIMARY TRAFFIC WAY) INTERSECTION ❑ NON INTERSECTION ❑✓
NE SUNSET BL BLOCK NO. e 3800 .�
4a❑ MILE POST
❑ DISTANCE OF(REFERENCE OR CROSS STREET)
5 800 00 FEET e✓ S 8 W e UNION AVE NE
0 1 29
MOTOR ✓ PEDAL- DAM AG THRESHOLD MET PHONE
UNIT 01 VEHICLE ❑ CYCLE ❑ YEs Vl No D:4252213863 30
LAST NAME FRANCISCO MARTIN FIRST NAME GUMERCINDO MIDDLE
5 INITIAL 1 2 31
STREET ❑ 4455 NE 12TH ST 27-2 CITY; RENTON ST WA ZIP; 98059 2
NEW ADDRESS
7 CDL IGNITION REQUIRED IGNITION PRESENT MEDICAL TRANSPORTED 3
INTERLOCK YES NO✓ INTERLOCK Yet Na✓ YES NO✓
8 DCIENSE# STATE WA SEXI M MMDDYY' 10 - 08 - 1992 32
9 ON DUTY STATUS' AIRBAG 2 RESTR 9 EJECT 1 N USEET 2 CLASSY 1 NATURE of INJURIES 2
LICENSE, CKTO622 STATE WA VIN#; 1NXBR12E41Z458739 3
10 F1 as ATP tt
TRAILER STATE TRAILER STATE
11 3 5 PLATE# PLATE# FROM To
TRLR TRLR 7 1 3 33
12 VIN#' VIN#
FROM TO
HICLE
13 4 VEH.YEAR 2001 MAKE TOYT MODEL COROL STYLE SD VEHICLE TO YED NO fiS46LIN diW9YMEYER GESr`-IVT ENp✓ m 34
DAMAGE IIII._IIII I_I
REGISTERED OWNER INFO GUMERCJNDO FRANCJSCO MARTIN 4455 NE 12TH ST 27-2 RENTON WA 98059 D:4252213863 VEHICLE NO. 1
SHADE IN DAMAGED AREA 35
14❑ LIABILITY INSURANCE❑ NSURANCE CO
IN EFFECT &POLICY#
❑ VE" ❑ ta BOTTOM
36
Le Ly ❑ CITATION
CHARGE
15 STM ING
�y MOTOR PEDAL PROPERTY DAM THR OLD MET PHONE
UNIT O2 PEDESTRIAN ✓
VEHICLE CYCLE' OWNER
YES✓ NO
16❑
LAST NAME CREEKSIDE CONDOS FIRST NAME MIDDLE
INITIAL
17 F1 STREET ❑
❑ 3800 NE SUNSET BL CITY RENTON ST, yyq ZIP 98059 4 37
NEW ADDRESS
18❑ CDL IGNITION REQUIRED (GNITION PRESENT MEDICALTRANSPORTED. ❑ 38
INTERLOCKYEs No INTERLOC(£YES NO YEs NO
19[ DRIVER'S
# STATE SEXj U M .O.B. —= E:= 39
HELMET INJURY NATURE OF INJURIES 4Q
20❑ ON DUTY STATUS AIRBAG RESTR EJECT USE CLASS ❑
21 PLATE# rare vIN# 41
22❑ [TILER TAILER
PLATE# STATE PLATE# STATE 42
23= TRLR RLR 43
UIN#. 'IN#
VEH.YEAR MAKE MODEL STYLE VEHICLE TOWED TO BLIN
TOWED BY GOV HI 44
24= DAMAGE YES NO YES NO
REGISTERED OWNER INFO VEHICLE NO.2
SHADE IN DAMAGED AREA
2 3 4
LIABILITY INSURANCE❑ INSURANCE CO
IN EFFECT &POLICY# 9TOP
1-1— ❑ ,.I—I CITATION# CHARGE to BOTTOM
EEGnEEY YES NC
25 a s
OFFICER'S NAME(PRINT) OFFICER PHONE BADGE OR ID# AGENCY
26
J.TRADER 4553 WA0171300
PAGE 01 OF
PART A 3000-345-189(R 11/18)
STATE OF
POLICETRAFFICN CORRECTION REPORT NO. EF93555
COLLISION REPORT III III III III III 111
1591972 CASE# 25-4348
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 NJURY 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 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 CLASS
NARRATIVE
On 05-17-2025 at approximately 0632 hours, I was dispatched to a one vehicle collision into a fence
at Creekside Condos located at 3800 NE Sunset BL, in the City of Renton, County of King.
I arrived and there were no reported injuries. Officer Lantagne arrived first and collected the driver's
WA State ID and vehicle registration. Officer Lantagne also spoke with the driver Francisco Martin,
Gumercindo 10-08-1992. The driver of Unit One was driving EB in the 3800 block of NE Sunset BL at
an estimated speed of 45-48 miles per hour on wet pavement. The driver claimed he was in the curb
lane as he rounded the corner and changed lanes to avoid a slower vehicle in front of him. The driver
said he lost control and spun out through WB lanes, up over the sidewalk, and crashed into the fence
at Creekside Condos.
The vehicle was not drivable as the rear wheel was broken off and it was stuck on a hillside next to a
tree. Gene Meyer Towing responded and towed the vehicle at the owners expense. The proximate
cause for the collision was Speed to Fast for Conditions. The driver did not have insurance for his
vehicle.
I CERTIFY(DECLARE)UNDER PENALTY OF PERJURY UNDER THE LAWS OF THE STATE OF WASHINGTON THAT THE FOREGOING IS TRUE AND CORRECT.
J.TRADER 05-17-25 07:26 AM
INVESTIGATING OFFICER'S SIGNATURE UNIT OR DIST.DET DATED PLACE SIGNED
APPROVED BY E
J.TRADER 4553 DAT 512112025 4:09:33 PM
BADGE OR ID# 4553 ORI# WA0171300 TIME POLICE DISPATCHED 6:34 AM TIME POLICE ARRIVED i 6:41 AM
PAST B a Da-3mx-attar(txIMR) PAGE 2�OF F3
REPORT NO. EF93555 CASE# 25-4348 DATE AND TIME 05/17/2506:32
OF COLLISION
i
N
ti
v x
{g
� 1
4;\
"NSF
4
i
PAGE 3 OF 3