HomeMy WebLinkAbout25-5196 iiTGiNII IIIII III IIIII II IIII IIIII I . 27c REPORT NO EG10560oc� RA
COLLISION REPORT 1591971
INTERSTATE CITY STREET❑ FIRE I
CASE# 25-5196 2
RESULTEDSTOLENSTATE ROUTE OTHER VEHICLE LOCAI-A`NG 4200 3
HIT&RUN CODING
COUNTY RD PRIVATE WAY INVOLVED
2 TOTAL#OF OBJECT 1 s 28
TRIBAL UNITS 02 STRUCK
RESERVATION : 1
2
3� M M D D Y Y Y Y TIME(2400) COUNTY# MILES CITY#
eDCLsov' 06 - 14 - 2025 1721 17 =.= S 8 W e IN e 1070 s
4❑ ON (PRIMARY TRAFFIC WAY) INTERSECTION ❑ NON INTERSECTION ❑✓
BLOMAPLE VALLEYHW MILE POST
e 2400 .�
4a❑ MILE POST
❑ DISTANCE OF(REFERENCE OR CROSS STREET)
5 0 FEET e S 8 W e SE STH ST
2 0 29
MOTOR PEDAL- DAMAG THRESHOLD MET PHONE
UNIT 01 VEHICLE ❑ CYCLE ❑ YES No F/ D:2065334697 0 1 30
5 LAST NAME URREA-IBARRA FIRST NAME NORMA MIDDLE A 1 1 2 31
INITIAL
STREET ❑ 31924 36TH AVE SW CITY FEDERAL WAY ST WA ZIP; 98023 2
NEW ADDRESS
7 CDL IGNITION REQUIRED IGNITION PRESENT MEDICAL TRANSPORTED 3
INTERLOCKYES No✓ INTERLOCKYEe NO✓ YES NC ✓
8 DRIVER # STATE WA SEXI F MMDDYY' 01 - 05 - 1965 1 2 32
9 ON DUTY STATUS' AIRBAG 2 RESTR 4 EJECT 1 N USE ET CLASSY 1 [NATURE of INJURIES 2
LICENSE, CLF3947 STATE WA VIN# 5XYKWDA24DG376294 3
10 Fq I as ATP tt
TRAILER STATE TRAILER STATE
11 4 5 PLATE# PLATE# FROM To
TRLR TRLR. 7 1 3 33
12 4 5 VIN# vIN#
FROM TO
VEH.YEAR 2013 MAKE KIA MODEL SORENT STYLE V Y EHICLE TOWED TO BLIN TOWED By GOVT V 7 $EHICLE 34
13� DAMAGE YES II_II NO ✓ YESII_I) NO
REGISTERED OWNER INFO OWNEDBYDRIVER VEHICLE NO. 1
SHADE IN DAMAGED AREA 35
2 3
14 4 LIABILITY INSURANCE❑ NSURANCE CO
IN EFFECT &POLICY#
LEh'icLE CHARGE 7 0 80TTOM 36
15
STMG
yes❑NO❑ CITATION# 5A0593079,5AO593079 OP MOT VEH W/OUT INSURANCE, s 7 e
MOTOR ✓ PEDAL- PEDESTRIAN PROPERTY DAM THR OLD MET PHONE
UNIT 02 VEHICLE CYCLE nWNFR YES�/ NO D:2036285557
16�
LAST NAME OPPELAAR FIRST NAME TYLER MIDDLE' $
INITIAL
STREET ❑
17 ❑ 2501 NE MAGNOLIA ST CITY /SSAQUAH ST, WA ZIP 98029 37
NEW ADDRESS
18� IGNITION REQUIRED IGNITION PRESENT MEDICALTRANSPORTEff: 38
CDL INTERLOCKYEs Nb�/ INTERLOCK YES No✓ YES No✓
19 DRIVER'S ' STATE WA SEX M D.d.B, 1 06 10 2005 � 39
LICENSE# MMDOYY -
HELMET INJURY: NATURE OF INJURIES 4Q
20❑ ON DUTY STATUS AIRBAG 2 RESTR 4 EJECT 1 USE CLASS 1 ❑
21 LICENSEPLATE# CCL2730 rare WA VIN# YV1 MW390092461022 41
22❑ PLATE# STATE PLATE# STATE 42
23 TRLR RLR 43
UIN#. 'IN#
VEH.YEAR 2009 MAKE VDLV MODEL I/$Q STYLE VEHICLE TOWED TO BLIN
TOWED BY GOV HI 44
24 DAMAGE YES NO�/ VES NO✓
REGISTERED OWNER INFO JUSTINOPPELAAR 2501 NE MAGNOLIA ST ISSAQUAH INA 98029 VEHICLE NO.2
SHADE IN DAMAGED AREA
2 3 4
LIABILITY INSURANCE INSURANCE CO GEIC04108-10.12.31
IN EFFECT &POLICY# t 1—
Q
L,—L YES❑ No CITATION11 CHARGE U
LE
25
OFFICER'S NAME(PRINT) OFFICER PHONE BADGE OR ID# AGENCY
26
LACY SMITH 12613 WA0171300
PAGE 01 OF
PART A 3000-348-189(R 11/18)
STATE OF
POLICETRAFFICN CORRECTION REPORT NO. EG10560
COLLISION REPORT III III III III III 111
1591972 CASE# 25-5196
E NA ADDITIONAL PERSONS INVOLVED(PASSENGERS AND/OR WITNESSES ONLY)
M
(LAST,FIRST,MIDDLE INITIAL) OPPELAAR MADELEINE
ADDRESS&PHONE#
ISSAQUAH WA 2064300073 SEXi F MMDDD B. 06 — 11 — 2008
PASSENGER WITNESS UNIT# SEAT AIRBAG RESTR. EJECT HELMET INJURY NATURE OF INJURIES
2 POS. 3 2 9 1 USE 1 2 CLASS 1 ----�
:NAME
(LAST EIFS7 MIDDLE INITIAL)
ADDRESS R 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.
LACY SMITH 06-19-25 02:14 PM
INVESTIGATING OFFICER'S SIGNATURE UNIT OR DIST.DET DATED PLAGE SIGNED
APPROVED BY DATE
J.TRADER 4553 1 711712025 1:42:25 PM
BADGE OR ID# 12613 ORI# WA0171300 TIME POLICE DISPATCHED 5:25 PM TIME POLICE ARRIVED i 5:38 PM
PAST B 3DDo-345—attar(t 1Mff) PAGE 2�OF 4
REPORT NO. EG10560 CASE# 25-5196 OF COLLISION
r�N + 06/14/25 17:21
O�COLL1510N
NARRATIVE
On 06/14/2025, 1 was assigned to District 22 as the, 1 R22. At approximately 1729 hours I was
dispatched to the area of 2431 MAPLE VALLEY HWY for a two vehicle collision. This incident
occurred in the City of Renton, County of King, State of Washington.
Unit 1- WA/CLF3947
Unit 2-WA/ CCL2730
I contacted the driver of Unit 1 and positively identified her as, Norma Urrea-Ibarra, via her
Washington State Driver's license. Urrea-Ibarra stated that she was driving Eastbound on Maple
Valley Hwy in lane 2 and attempted to merge into lane 1. When Urrea-Ibarra merged she collided with
Unit 2. 1 asked Urrea-Ibarra for her license and proof of insurance. Urrea-Ibarra provided me with an
expired Washington State driver's license and stated she did not have insurance on the vehicle. Unit
1 had a scuff mark on the rear passenger side tire.
I contacted the driver of Unit 2 and positively identified him as, Justin Oppelaar, via his Washington
State Driver's license. Oppelaar stated he was driving Eastbound on Maple Valley Hwy in lane 1
when Unit 1 entered his lane and caused damage to his front bumper.
Both parties involved denied injuries.
Based on the statements made on scene and the damage to the vehicles, it appears Unit 1 attempted
to merge into lane 1, which was already occupied and collided into Unit 2.
1 cited the driver of Unit 1, Norma Urrea-Ibarra, for RCW 46.61.140 Driving on roadways laned for
traffic due to the fact she did not ascertain that she could merge safely before doing so, causing a
collision as well as R.C.W 46.30.020 operating a motor vehicle without insurance.
PAGE 3 OF 4
REPORT NO. EG 10560 CASE# 25-5196 DATE AND TIME 06/14/25 17:21
OF COLLISION
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