HomeMy WebLinkAbout25-6016 IT si " II IIIII III IIIII II IIII IIIII I . 27c REPORT NO EG09345 STATE OF
COLLISION REPORT 1591971
CASE# 25-6016 2
INTERSTATE CITY STREET FIRE ❑
RESULTED
1 STOLEN
STATE ROUTE ❑ OTHER ❑ VEHICLE ❑ LOL`CO AGENCY 4100 3
COUNTY RD NVOLVED CODING
2❑ TOTAL 1
PRIVATE WAY
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
coulsloN' 07 - 12 - 2025 1210 17 =.= S 8 W e IN OF M 1070 a
4❑ ON (PRIMARY TRAFFIC WAY) INTERSECTION �✓ NON INTERSECTION ❑
BLOCK NO. e .�
4a
N 3RD ST MILE POST
❑
❑ DISTANCE OF(REFERENCE OR CROSS STREET)
5 FEET e S 8 W e MEADOWAVEN
2 0 29
MOTOR ✓ PEDAL- DAM AG THRESHOLD MET PHONE
UNIT 01 VEHICLE ❑ CYCLE' ❑ YES ✓NO D:4252468249 0 1 30
5 LAST NAME LE FIRST NAME TIMOTHY MIDDLE 1 1 2 31
INITIAL
STREET ❑ 14527 SE 243RD PL CITY KENT ST WA ZIP 98042 2
NEW ADDRESS
7 CDL IGNITION REQUIRED IGNITION PRESENT MEDICAL TRANSPORTED: 3
INTERLOCKYEs NO✓ INTERLOCKYEs NO✓ YES D NO✓
8❑ LICIENS# STATE WA SEX M MMor YY' 07 - 03 - 1970 1 2 32
9 ON DUTY STATUS AIRBAG 2 RESTR 4 EJECT 1 N USEET 2 1 INJURY
CLASS 1 NAruRE of INJURIES 2
10 LICENSE
ALA1773 STATE WA VN# 4T1BD1FK3EU122441 3
11[—j— TRAILER STATE TRAILER ,STATE ROM TO
11 2 5 PLATE# PLATE#
TRLR TRLR 3 3 33
12 2 5 VIN# VIN#
( FROM TO
VERYEAR MAKE MODEL STYLE VEHICLE TOWED TO BLIN �tpyEN�{"(g GOVT VEHICLE 3 3 34
13 1 2014 TOYT CAMRY P4 DAMAGE YES ONO I WI&RS YES❑ NO✓
REGISTERED OWNER INFO TIMOTHY LE 14527 SE 243RD PL KENT WA 98042 VEHICLE NO. 1 ❑
SHADE IN DAMAGED AREA 35
1 LIABILITY INSURANCE INSURANCE CO 3 4
14 ALLSTATE 964117135
IN EFFECT &POLICY# 4TOP
vEnic�E CHARGE 5 36
Lemur YES❑NO❑ CITATION# 7 0 80TTOM
15❑ sTnNowc e
MOTOR PEDAL- PROPERTY DAM THR OLD MET PHONE
UNIT 02 Q ❑ PEDESTRIAN ❑ D:2062318961
VEHICLE CYCLE (7WNFR YES✓ NO
16�
LAST NAME ESPANA FIRST NAME EMANUEL MIDDLE'
17 F1 INITIAL I
STREET 37
'NEW ADDRESS❑ 300 VUEMONT PL NE Q204 CITY I RENTON ST, WA ZIP 98056
18� CDL IGNITION REQUIRED3 IGNTION PRESENT MEDICALTRANSPORTEDI 38
INTERLOCKYEs X YES 11NO✓ vEs No;✓
19 DRIVER'S STATE WA SEXI M D.O.B. 01 29 1999 39
LICENSE# MMDDYY —
20❑ ON DUTY STATUS AIRBAG 2 RESTR 4 EJECT 1 HELMET 2 INJURY 7 NATURE OF INJURIES 40
USE CLASS HEAD AND NECK PAIN REPORTED
21 LICENSE I PLATE# CPB6884 TaTE I WA VIN# JT2AE94A6N0297482 41
22❑ [TILER AILER
PLATE# STATE PATE# STATE ❑ 42
23 TRLR kRLR 43
UIN#. 'IN#.
TOWED BY GOV HI 44
VEH.YEAR 1992 MAKE TOYT MODEL COROLL STYLE P4 IVE DAMIAGETowED�/ No BLIN BANKERS YES NO✓
24
REGISTERED OWNER INFO EMANUEL ESPANA 300 VUEMONT PL NE 0204 RENTONWA 98056 D:2062318961 VEHICLE NO.2
SHADE DAGED AREA
4
LIABILITY INSURANCE❑ INSURANCE CO NO INSURANCE NO INSURANCE
IN EFFECT &POLICY# 9TOP
VEH10LE YEs� NC❑ CITATION# 5AO571185 CHARGE OP MOT VEH W/OUT INSURANCE OQ�o BOTTOM
ecnLLr
25 s a
OFFICER'S NAME(PRINT)
26 OFFICER PHONE BADGE OR ID# AGENCY
RAYMOND WATSON 13127 WA0171300
PART A PAGE 01 OF
3000-345-159(R 11/181
POLIICFETRAFFICN CORRECTION REPORT NO. EG09345
COLLISION REPORT III III III III III 111
1591972 CASE# 25-6016
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 07-13-25 05:11 PM
INVESTIGATING OFFICER'S SIGNATURE UNIT OR DIST.DET DATED PLACE SIGNED
APPROVED BY DATE
J.TRADER 4553 7/13/2025 6:14:42 PM
BADGE OR ID# 13127 ORI# WA0171300 TIME POLICE DISPATCHED'; 12:11 PM TIME POLICE ARRIVED 12:16 PM
PART B 3 Do-3mx-,ao(Rtlras) PAGE 27 OF 47
REPORT NO.` EG09345 CASE# 25-6016 O COLLI COLLISION TIME
OF 07/12/25 12:10
COLLI
NARRATIVE
25-6018
This report is a summary of events that occurred and is not an exact sequencing of events.
Statements have been paraphrased and summarized.
On 07/12/2025 at approximately 1213 hours, myself, Officer R. Watson, was dispatched to accident
with injuries, at the intersection of N 3rd ST and Meadow AVE N, within the City Limits of Renton,
County of King, State of Washington.
Dispatch notes stated that there was a two vehicle MVA, and that the driver of the red vehicle was
having head pain.
I arrived on scene and saw a two-vehicle collision in the number two and three lanes of N 3rd ST at
the intersection of Meadow AVE N.
Unit#1 a Black 2014 Toyota Camry WA plate #ALA1773, driven by Timothy Le (DOB 07/03/1970)
verified by WADOL photo, had significant front-end damage. Timothy said that he was traveling
eastbound on N 3rd ST in the number 2 lane when he attempted to get into the number three lane
and collided with Unit#2. Timothy declined to have Renton Fire Department (RFD) assess him on
scene and said no one in his vehicle was hurt. Timothy provided his license, registration, and
insurance when asked.
Unit#2 a Red Toyota Corolla WA plate #CPB6884, driven by Emanuel Espana (01/29/1999) verified
by WADOL photo, had significant front-end damage. Emanuel said that he was traveling eastbound
on N 3rd ST in the number 3 lane when a vehicle collided with his. He was unable to recall further
details. Emanuel said that he had pain to his head and was assessed by RFD on scene but declined
to go to the hospital. Emanuel provided me with his license information and registration but said that
he did not have insurance on the vehicle.
An exchange of information was given to both parties. Both vehicles were also towed from the scene
by Banker's towing. Emanuel was cited for not having valid insurance on his vehicle at the time of the
collision.
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 07/13/2025 1701 hours, Renton, King County,
WA.
PAGE 3 OF 4
REPORT NO. EG09345 CASE# 25-6016 DATE AND TIME i 07/12/25 12:10
OF COLLISION
S((
4
�r
v�,ir,�z1s
n
t`tl�Ysv
F
S
u
5�1� 5Y
1
\
4
PAGE 4 OF 4