HomeMy WebLinkAbout25-4482 iiTFiNII IIIII III IIIII II IIII IIIII I . 27c REPORT NO EF95173oc� RA
COLLISION REPORT 1591971
CASE# 25-4482 2
INTERSTATE CITY STREET FIRE I
RESULTEDSTOLENSTATE ROUTE OTHER VEHICLE LOCALANG 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#
EDGE s on' 05 - 22 - 2025 0750 17 =.[� S 8 W e OF IN e 1070 3
4❑ ON (PRIMARY TRAFFIC WAY) INTERSECTION ❑ NON INTERSECTION ❑✓
SGRADYWAY BLOCK NO. e 700 .�
4a❑ MILE POST
❑ DISTANCE OF(REFERENCE OR CROSS STREET)
5 MILES 1.1 FEET B S B W e
0 4 29
MOTOR ✓ PEDAL- DAM AG THRESHOLD MET PHONE
UNIT 01 VEHICLE ❑ CYCLE ❑ YEs Vl No D:9123478011 0 1 30
5 LAST NAME COLEMAN FIRST NAME TRESHAWN MIDDLE L 1 1 2 31
INITIAL
STREET ❑ 1617 E MAIN APT M206 CITY; PUYALLUP ST WA ZIP; 983727032 2
NEW ADDRESS
7❑ CDL IGNITION REQUIRED IGNITION PRESENT MEflIQAL TRANSPORTED 3
INTERLOCKYEs No INTERLOCKY NO YES NO
8❑ DCIENSE# STATE WA SEXI M MMDDYY' 07 - 26 - 1999 1 2 32
9 ON DUTY STATUS' AIRBAG 2 RESTR 4 EJECT 1 N USE ET CLASSY 1 [NATURE of INJURIES 2
LICENSE, CSG5722 STATE WA VIN# 2C3CDXCT5LH231917 3
10 Fq I as ATP rt
TRAILER STATE TRAILER STATE
11 3 5 PLATE# PLATE# ROM To
TRLR rRLR 7 1 1 33
12 3 5 VIN# VIN#
' FROM TO
VEH.YEAR 202D MAKE DODG MODEL CHARG STYLE VEHICLE TOWED[n TO ZBLIN TOWEDBY GOVT VEHICLE 3 7 34
13� DAMAGE YES II_II NO YESII_I) NO
REGISTERED OWNER INFO TRESHAWN COLEMAN 1617 E MAIN APT M206 PUYALLUP WA 983727032 D:9123478011 VEHICLE NO. 1
SHADE IN DAMAGED AREA 35
2 LIABILITY INSURANCE INSURANCE CO 4
14 PROGRESSIVE 996900734
IN EFFECT &POLICY# 9TOP
v""' CHARGE t 5 36
""ALLY yes❑NO❑ CITATION# t a 80TTOM
15❑ STANDING s 7 e
MOTOR PEDAL- PEDESTRIAN PROPERTY DAM THR OLD MET PHONE
UNIT 02 VEHICLE CYCLE nWNFR D:2067184448
16�
LAST NAME EDMONDS FIRST NAME RYAN MIDDLE G
INITIAL
17 STREET ❑❑ 5614 NE 2ND ST CITY RENTON ST, WA ZIP 980590000 37
NEW ADDRESS
18❑ CDL IGNITION REQUIRED IGNITION PRESENT MEDfCAL TRANSPORTED' 38
INTERLOCKYES NO INTERLOCK YES R No Yes No
19 DRIVER'S STATE WA SEX M D.O.e. 06 10 1977 39
LICENSE# MMDCSYY —
:
20❑ ON DUTY STATUS AIRBAG 2 RESTR 4 EJECT 1 HELMET INJURY NATURE OF INJURIES 40 USE CLASS 1 ❑
21 LICENSLATE E ATT6495 TATe WA VIN# WBAEV534X4KM05891 41
22❑ [TILER TAILER
PLATE# STATE PLATE# STATE 42
23 TRLR RLR 43
UIN#. 'IN#
VEH.YEAR 2004 MAKE BMW MODEL 330 STYLE VEHICLE TOWED TO BLIN
TOWED BY GOV HI 44
24 DAMAGE YES NO VES NO
REGISTERED OWNER INFO RYAN EDMONDS 5614 NE 2ND ST RENTON WA 980590000 D:2067184448 VEHICLE NO.2
SHADE DAMAGED AREA
3 4
LIABILITY INSURANCE INSURANCE CO ESSENTIA 9R17434
IN EFFECT &POLICY# 9TOP
VEHICLE ❑ ,J—I CITATION11 CHARGE t080TTOM
LEGALLY YES N
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. EF95173
COLLISION REPORT III III III III III 111
1591972 CASE# 25-4482
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.
M.LEVERTON 05-23-25 08:38 AM
INVESTIGATING OFFICER'S SIGNATURE UNIT OR DIST.DET DATED PLACE SIGNED
APPROVED BY DATE
C.JACOBS 1953 512712025 9:53:27 AM
BADGE OR ID# ; 2517 ORI# WA0171300 TIME POLICE DISPATCHED 7:52 AM TIME POLICE ARRIVED i 8:04 AM
PAST B 3 Do-3mx—attar(t 1Mff) PAGE 2�OF 4F
REPORT NO. EF95173 CASE# 25-4482 OF DATE AND r�N + 05/22/25 07:50
O�COLLISION
NARRATIVE
unitl/blk It to testa red/unit 2 lane 1 wb
RTF
Within the city limits of Renton/King/Wa I responded to a 2 vehicle crash at the 700 block of S Grady
Way.
I contacted the driver of unit 2 who told me he was westbound S Grady Way in lane 1 when unit 1
turned left in front of him with no way to avoid contact. He did not complain of injury and damages did
not require a tow truck. Minor damages.
I contacted the driver of unit 1 ID'd by picture WADL. Unit 1 told me he was in the turn lane to turn left
into the Tesla parking lot from eastbound S Grady Way. He told me that traffic was heavy and lane 2
westbound was stopped traffic with a vehicle that had left a large enough gap he could proceed with
his left turn. Unit 1 told me he thought it was clear and made his turn not seeing unit 2. Unit 1 said he
contacted unit 2 during his left turn. He did not complain of injury and damages did not require a tow
truck. Minor damages.
Information/Insurance only
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 5/23/2025
PAGE 3 OF 4
REPORT NO. E F95173 CASE# 25-4482 DATE AND TIME 05/22/25 07:50
OF COLLISION> '
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