HomeMy WebLinkAbout25-7504 iiTFiNII IIIII III IIIII II IIII IIIII I . 27c REPORT NO EG27216oc� RA
COLLISION REPORT 1591971
CASE# 25-7504 2
INTERSTATE CITY STREET FIRE ❑
RESULTED
1 STOLEN
STATE ROUTE ❑ OTHER ❑ VEHICLE ❑ LOCCODIGENC'Y 4200 3
HIT&RUN CODING
COUNTY RD PRIVATE WAY INVOLVED
87
2❑ TRIBAL i UNITS#OF 02 SOTRUCK METAL SIGN POST 28
i RESERVATION : 2
3� M M D D Y Y Y Y TIME(2400) COUNTY# MILES CITY#
eDCL s on' 08 - 26 - 2025 0605 17 =.= S 8 W e OF IN e 1070 s
4❑ ON (PRIMARY TRAFFIC WAY) INTERSECTION ❑✓ NON INTERSECTION ❑
E PERIMETER RD BLOCK NO. e 600 .�
4a❑ MILE POST
❑ DISTANCE OF(REFERENCE OR CROSS STREET)
5 MILES 1.1 FEET e S 8 W e N 6TH ST
0 3 29
MOTOR ✓ PEDAL- DAM AG THRESHOLD MET PHONE
UNIT 01 VEHICLE ❑ CYCLE ❑ YEs Vl No D:4255297833 30
6 LAST NAME TAYLOR FIRST NAME KEENAN MIDDLE L 1 1 2 31
INITIAL
STREET ] 4415 NE 5TH ST CITY; RENTON ST I WA ZIP 98059 2
NEW ADDRESS
7� +CDL IGN ✓ITION REQUIRED IGNITION PRESENT MEDICAL TRANSPORTED 3
INTERLOCKYEs NO INTERLOCKYEs No✓ YES NO✓
8 DCIENSE# STATE WA SEXI U MMDDYY' 07 - 19 - 1997 32
9 ON DUTY STATUS' AIRBAG 2 RESTR 9 EJECT 1 N USE ET CLASSY 1 [NATURE of INJURIES 2
LICENSE, CGK8016 STATE WA VIN# JTDEPRAE8LJ012265 3
10 F1 as ATP rt
TRAILER STATE TRAILER STATE ROM 11 0 0 PLATE# PLATE# T.
5
TRLR TRLR. 7 5 33
12 II
VIN#' VIN#
FROM TO
VEH.YEAR 2020 MAKE TOE. MODEL COROL STYLE 4D VEHICLE TOWED[n TO ZBLIN TOWEDBY GOVT VEHICLE m 34
13� DAMAGE YES II_II NO YESII_I) NO
REGISTERED OWNER INFO OWNEDBYDRIVER VEHICLE NO. 1
SHADE IN DAMAGED AREA 35
14❑ LIABILITY INSURANCE NSURANCE CO USAA 040279891 7104
IN EFFECT &POLICY# 9TOP
VEHICLE CHARGE t 5 36
LecnLLY YES[:]NO[:] CITATION# 70¢OTTOM
15❑ sTANowc s 7 e
MOTOR PEDAL-:. PROPERTY DAM THR OLD MET PHONE
UNIT 02 ❑ ❑ PEDESTRIAN ✓ D:4254306400
VEHICLE CYCLE OWNER YES NO ✓
16❑
LAST NAME RENTON FIRST NAME CITY OF MIDDLE
INITIAL
STREET ❑
17 ❑ 1055 S GRADY WAY CITY RENTON ST, WA ZIP 98057 37
NEW ADORE SS
1$❑ CDL IGNITION REQUIRED IGNITION PRESENT MEDICAL TRANSPORTED; ❑ 38
INTEtLOCKYES X YESFINOFYEs NO
19 LICENS# STATE SEXU MMDDYY � 39
HELMET I INJURY' NATURE OF INJURIES 40
20❑ ON DUTY STATUS AIRBAG RESTR EJECT USE CLASSLICENSE
❑
21 PLATE# TATE VIN# 41
22❑ PLATE# STATE PLATE# STATE 42
23= TRLR RLR 43
UIN#. 'IN#
VEH.YEAR MAKE MODEL STYLE VEHICLE TOWED TO BLIN
TOWED BY GOV HI 44
24 DAMAGE YES NO YES NO
REGISTERED OWNER INFO VEHICLE NO.2
SHADE IN DAMAGED AREA
2 3 4
LIABILITY INSURANCE❑ INSURANCE CO
IN EFFECT &POLICY# 9TOP
1-ICLE ❑ ,.I—I CITATION# CHARGE to BOTTOM
EEGAEEY YES NC
25 a s
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. EG27216
COLLISION REPORT III III III III III 111
1591972 CASE# 25-7504
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 NJURY 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
On 08/27/2025, 1 was assigned to District 22 as the, 1 R22. At approximately 1725 hours, I was
dispatched to Renton City Hall for an accident report that occurred at 600 E Perimeter RD. This
incident occurred in the City of Renton, County of King, State of Washington.
I arrived at Renton City Hall and contacted Keenan Taylor. I positively identified him as Taylor via his
Washington State Driver's License.
Taylor reported that yesterday, 08/26/2025, at approximately 0600 in the morning, he was leaving
work. As he was pulling out of the parking lot and making a right turn onto E Perimeter Road, he hit
the metal stop sign with the right side of his vehicle.
According to Taylor, he attempted to report this collision to Boeing, but they instructed him to report it
to the city. Taylor had damage to the passenger side of his vehicle. I located the metal sign, and it
was slightly bent.
No injuries were reported from this incident.
During this incident, I was equipped with a body-worn camera, which records both audio and video.
Portions of this incident were recorded. This report is merely a summary of the incident and is not
intended to be an exact transcription of the entire investigation or what may have been captured with
the recording system.
I CERTIFY(DECLARE)UNDER PENALTY OF PERJURY UNDER THE LAWS OF THE STATE OF WASHINGTON THAT THE FOREGOING IS TRUE AND CORRECT.
LACY SMITH 09-10-25 01:48 PM
INVESTIGATING OFFICER'S SIGNATURE UNIT OR DIST.DET DATED PLACE SIGNED
APPROVED BY DATE
J.TRADER 4553 9/11/2025 11:34:36 AM
BADGE OR ID# 12613 ORI# WA0171300 TIME POLICE DISPATCHED 1 5:10 PM TIME POLICE ARRIVED i 5:10 PM
PAST B 3 Da-3mx—attar(t 1Mff) PAGE 2�OF F3
REPORT NO. EG27216 CASE# 25-7504 DATE AND TIME 08/26/2506:05
OF COLLISION
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