HomeMy WebLinkAbout25-6058 )STATE
TFC 0 3 27I
OICERAF EG11386
COLLISION REPRT 1591971
CASE# 25-6058 2
INTERSTATE CITY STREET FIRE ❑
RESULTED
1 STOLEN
STATE ROUTE ❑ OTHER ❑ VEHICLE ❑ LOCAL AGENCY 4200 3[--�
COUNTY RD NVOLVED CODING
PRIVATE WAY
2❑ TRIBAL UNITS#OF 02 TRUCK FENCE 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 - 13 - 2025 2212 17 =.�� S H W e OF 1070 3
4❑ ON (PRIMARY TRAFFIC WAY) INTERSECTION ❑ NONINTERSECTION
PARKAVEN BLOCK NO. e Y800 .�
4a❑ MILE POST
❑ DISTANCE OF(REFERENCE OR CROSS STREET)
5 C------�.� FEET e S B W
0 1 29
MOTtlR PEDAL- DAM AG THRESHOLD MET PHONE
UNIT 01 VEHICLE ❑ CYCLE ❑ YEs Vl No D:4257702730 1 4 30
5 LAST NAME SMIRNOVA FIRST NAME ALISA MIDDLE 1 1 2 31
INITIAL
STREET ❑ 116 211TH PL SW CITY BOTHELL ST WA ZIP 98021 2
NEW ADDRESS
7 CDL IGNITION REQUIRED IGNITION PRESENT MEDICAL TRANSPORTED 3
INTERLOCK YES NOW INTERLOCK YEs NO�/ YES D NOW
8 DRIVERS
STATE WA SEX F MMDaYY' 11 — 15 — 1988 32
9 ON DUTY STATUS AIRBAG 6 RESTR 4 EJECT 1 HELMET USE 2 CLASS 1 NAruRE of INJURIES 2
10❑ LICENSE
ti� BLB5996 STATE WA VN# WBA3X9C51FD868723 3
TRAILER STATE TRAILER ,STATE
11 0 0 PLATE# PLATE# ROM TO
TRLR TRLR 1 5 33
12 0 0 VIN# VIN#
FROM TO
VEH.YEAR MAKE MODEL STYLE VEHICLE TOWED TO NO
7 Y GOVT VEHICLE 34
13 4 2015 BMW 335 SD DAMAGE YES ✓ONo gMEYER Yes No
REGISTERED OWNER INFO OWNEDBYDRIVER VEHICLE NO. 1
SHADE IN DAMAGED AREA 35
LIABILITY INSURANCE INSURANCE CO 3 4
14 PROGRESSIVE 70016523
IN EFFECT &POLICY# 4TOP
vEnic�E CHARGE 7 o BOTTOM 36
LEGALLY YES❑NO❑ CITATION# 5
15❑ STANDING 7 e
UN# MOTOR PEDAL ❑ PEDESTRIAN PROPERTY DAM THR OLD MET PHONE
1 T 02 VEHICLE CYCLE. OWNER YES NO
16❑
LAST NAME UNKNOWN FIRST NAME MIDDLE'
INITIAL
17❑ STREET ❑ CITY ST ZIP 4❑ 37
NEW ADDRESS
1$❑ CDL IGNITION REQUIRED IGNITION PRESENT MEDICAL TRANSPORTED 38
INTERLOCKYEs No INTERLOCK YES0-001 Es NOi
19� LICIENSE# STATE SEk U MMDDYY -� 39
HELMET INJURY' NATURE OF INJURIES 40
20❑ ON DUTY STATUS' AIRBAG g RESTR g EJECT 1 USE 9 CLASS 0 ❑
21 LICENSLATE E CRU2496 TATE WA VIN# 2D8GP44L97R173023 41
22❑ PLTL ATE# STATE TILER PATE# STATE ❑ 42
23 TRLR kRLR 43
UIN#. 'IN#.
VEH.YEAR 2007 MAKE DDD(�' MODEL GRAND STYLE �/I1J VEHICLE TOWED TO BLIN
TOWED BY GOV HI 44
24 DAMAGE YES NO YES NO
REGISTERED OWNER INFO KEVINSIMPSON 2815 PARKAVE N RENTON WA 98056 D:4257360179 VEHICLE NO.2
SHADE IN DAMAGAREA
2 3
LIABILITY INSURANCE INSURANCE CO PROGRESSIVE 70648966
IN EFFECT &POLICY#VEHICLE
t 9TOP
EIAIL LEGALLY YES❑ N CL J CITATION# CHARGE tO BOTTOM
L
25
OFFICER'S NAME(PRINT) OFFICER PHONE BADGE OR ID# AGENCY
26
JUSTIN KAUPPILA 12883 WA0171300
PAGE 01 OF
PART A 3000-345-159(R 11/18)
POLIICFETRAFFICN CORRECTION REPORT NO. EG11386
COLLISION REPORT III III III III III 111
1591972 CASE# 25-6058
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.
JUSTIN KAUPPILA 07-13-25 11:40 PM
INVESTIGATING OFFICER'S SIGNATURE UNIT OR DIST.DET DATED PLACE SIGNED
APPROVED BY DATE
CASEY PROCTER 12123 7/20/2025 7:40:41 PM
BADGE OR ID# 12883 ORI# ( WA0171300 TIME POLICE DISPATCHED'; 10:23 PM TIME POLICE ARRIVED 10:29 PM
PART B 3 Do-3mx-,ao(Burls) PAGE 27 OF 47
REPORT NO.` EG11386 CASE# 25-6058 O COLLI COLLISION TIME
OF 07/13/25 22:12
COLLI
NARRATIVE
On 07/13/2025, 1 was working as a uniformed police officer for the city of Renton. At approximately
2223 hours, I was dispatched to a reported non-injury, non-blocking collision at 2815 Park Ave N.
Portions of my involvement in the incident were captured on my department-issued bodycam.
While enroute, dispatch relayed that a white BMW struck a parked vehicle and was rendered
inoperable because of the collision.
When I arrived on scene, I spoke with the driver of unit 1, who advised the following:
She was visiting a friend and is not from the area. She was lost and believed that the road she was on
would lead her to 1-405 so she could get back to her home in Bothell, WA. She was pulled off into a
side lot just before the collision to get navigation home from there. She could not describe what
happened in the moments leading up to the collision.
Unit 1 came to a rest in the middle of Park Ave N in the 2800 block. In speaking to the driver, I did not
observe anything that would have led me to believe the driver was under the influence of any
alcohol/drugs.
I spoke to the owner of unit 2, who informed me of the following:
He only heard the crash and did not witness it. He stated his vehicle was parked legally on the street
immediately in front of his residence at 2815 Park Ave N prior to the collision. His security camera(s)
did not capture the collision.
Unit 2 came to a rest in the fence line, immediately off the sidewalk, at the same residence it was
parked in front of.
I provided both parties an exchange of information form. Gene Meyers Towing arrived on scene and
towed unit 1. Prior to doing so, the tow driver removed unit 2 from its final resting point and put it back
on the street.
I believe the proximate cause for the collision was unit 1's excessive speed. Unit 2 was struck from its
parked position and forcibly removed approximately 50 feet from where it was reportedly parked
(estimation completed utilizing Google Maps).
captured photos at the scene and uploaded them to evidence.com.
PAGE 3 OF 4
REPORT NO. EG11386 CASE# 25-6058 DATE AND TIME i 07/13/25 22:12
OF COLLISION
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