HomeMy WebLinkAbout25-7429 )STATE
TFcN 5 6 27i t
Oc� RA EG24330
COLLISION REPRT 1591971
CASE# 25-7429 2
INTERSTATE CITY STREET FIRE ❑
RESULTED
1 STOLEN
STATE ROUTE ❑ OTHER ❑ VEHICLE ❑ LOCAL AGENC'Y 4200 3
COUNTY RD ❑ NVOLVED CODING
PRIVATE WAY
2❑ TRIBAL TOTAL 1
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
GDUISION' 08 - 25 - 2025 1356 17 =.�� S WE IN
OF 1070 3
4❑ ON (PRIMARY TRAFFIC WAY) INTERSECTION ❑ NON INTERSECTION
PARKAVEN BLOCK NO.
4a❑
MILE POST e
❑ DISTANCE OF(REFERENCE OR CROSS STREET)
5 30 00 FEET e✓ S 8 W e N 3RD ST
0 4 29
MOTtlR PEDAL- DAM AG THRESHOLD MET PHONE
UNIT 01 VEHICLE ❑ CYCLE ❑ YEs Vl No D:2534599701 0 1 30
6❑ LAST NAME OLIVER FIRST NAME MICHAEL MIDDLE S 1 2 31
INITIAL
STREET ❑ 18929 29TH AVE E CITY TACOMA ST WA ZIP 98445 2
NEW ADDRESS
7 CDL IGNITION REQUIRED IGNITION PRESENT MEDICAL TRANSPORTED 3
INTERLOCKYEs NL �/ INTERLOCKYEs Na�/ YEs NoF,/
8� LICIENS# STATE WA SEX M MMOCSYY' 07 — 25 — 1986 1 2 32
9 ON DUTY STATUS AIRBAG 2 RESTR 4 EJECT 1 N USEET 2 1 INJURY
CLASS 1 NAruRE of INJURIES 2
LICENSE, CGCO584 STATE WA VN# 7JRA22TK2KG014128 3
10[9� PI ATP rt
11[—j— TRAILER STATE TRAILER ,STATE ROM TO
11 0 0 PLATE# PLATE#
TRLR TRLR 7 1 33
12 0 0 VIN# VIN#
FROM TO
VEH.YEAR 2019 MAKE VOLV MODEL S60 STYLE SD VEHICLE TOWEDY ,DLt�TO BLIN TOWED By GOVT VEHICLE 1 5 34
13� DAMAGE YES II_II NO ✓ YESII_I) NO
REGISTERED OWNER INFO OWNEDBYDRIVER VEHICLE NO. 1 ❑
SHADE IN DAMAGED AREA 35
LIABILITY INSURANCE❑ INSURANCE CO 2 3 4
14 STATE FARM 584 4956-A30-47
IN EFFECT &POLICY# 4TOP
VEHICLE CHARGE t 5 36
Ec LgLLY YES❑NO❑ CITATION# BOTTOM
15❑ sTnNowc i e
MOTOR PEDAL- PEDESTRIAN PROPERTY DAM THR OLD MET PHONE
UNIT OZ VEHICLE ❑ cYDLE' ❑ ❑ PROPSnWNF YEs�/ No D:7867539650
16�
LAST NAME OLIVARES VALASQUEZ FIRST NAME JIMY MIDDLE I A
INITIAL
37
❑
17 STREET� NEW ADDRE SS'❑ 221 PARK AVE N,APT 4 CITY I RENTON ST, WA ZIP 98057 4
1 g❑ CDL IGNITION REQUIRED IGNITION PRESENT MEDICAL TRANSPORTED' 38
INTERLOCKYEs X YES Nio YES No;�
19 DRIVER'S STATE WA SEXI M D 0 B 08 15 1996 39
LICENSE# MMDDYY —
20❑ ON DUTY❑ STATUS AIRBAG 2 RESTR 4 EJECT 1 H UET 2 SE CLAY 1 NATURE OF INJURIES 40
SS
21 LICENSE I PATE# CTA4251 TATE I WA YIN# JT2BK12U110015092 41
22❑ PLATE# STATE TRAILERPATE# STATE ❑ 42
23 TRLR kRLR 43
UIN#. 'IN#.
VEH.YEAR 2001 MAKE TOYT MODEL PR/US STYLE $D VEHICLE TOWED TO BLIN
TOWED BY GOV HI 44
24 DAMAGE YES NO YES NO
REGISTERED OWNER INFO OWNEDBYDRIVER VEHICLE NO,2
SHADEDAMAGEDAREA
3 4
LIABILITY INSURANCE INSURANCE CO GEICO 6208-56.03.07
IN EFFECT &POLICY# 9TOP
veeiae ❑ ,J—I CITATION# CHARGE tO BOTTOM
LecALLY YES N`[
25 s ' e
OFFICER'S NAME(PRINT) OFFICER PHONE BADGE OR ID# AGENCY
26
PHILIP DAVIS 12018 WA0171300
PAGE 01 OF
PART A 3000-345-159(R 11/18)
POLIICFETRAFFICN CORRECTION REPORT NO. EG24330
COLLISION REPORT III III III III III 111
1591972 CASE# 25-7429
ADDITIONAL PERSONS INVOLVED(PASSENGERS AND/OR WITNESSES ONLY)
'NAME
(LAST,FIRST MIDDLE INITIAL)
ADDRESS&PHONE#
SEX' D.O.B. - [----------�
MMDDYYYY
PASSENGER WITNESS 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
25-7429
On 8-25-25 around 1401 hrs 1 dispatched to a blocking collision in the 400 block of Park Ave N,
Renton, King Co, WA. Initial information was the collision was non-injury, and one vehicle was
blocking Park Ave N southbound.
On arrival 1 observed vehicle, CTA4251/WA-Unit 2, blocking traffic. 1 asked the driver/RO, Jimy
Olivares Valasquez, to move the vehicle into the adjacent lot and he obliged. Vehicle, CGC0584/WA-
Unit 1, driven by RO, Michael S Oliver, was already in the lot.
Jimy advised the following. Unit 2 was traveling south in lane 2 of the 400 block of southbound Park
Ave N. Unit 1 pulled in front of Unit 2 from the adjacent lot attempting to go north on Park Ave N
initiating the collision.
Michael concurred with this telling of events.
I observed moderate damage to the front passenger corner of Unit 2 and the front driver corner of unit
1, which is consistent with the telling of events.
There were no injuries and unit 1 was privately towed.
I declare under penalty of perjury under the laws of the State of Washington that the foregoing is true
and correct.
Electronically signed by P Davis 12018 on August 26, 2025 at 06:31 hours in Renton, King Co, WA.
I CERTIFY(DECLARE)UNDER PENALTY OF PERJURY UNDER THE LAWS OF THE STATE OF WASHINGTON THAT THE FOREGOING IS TRUE AND CORRECT.
PHILIP DAVIS 08-26-25 01:28 PM
INVESTIGATING OFFICER'S SIGNATURE UNIT OR DIST.DET DATED PLACE SIGNED
APPROVED BY DATE
S.WOODWARD 11528 9/1/2025 4:33:37 AM
BADGE OR ID# 12018 ORI# ( WA0171300 TIME POLICE DISPATCHED'; 2:01 PM TIME POLICE ARRIVED 2:07 PM
PART B 3aaa-345-,aa(R11Y1s) PAGE 27OF 37
REPORT NO. EG24330 CASE# 25-7429 DATE AND TIME 08/25/25 13:56
OF COLLISION
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