HomeMy WebLinkAbout25-7624 ITFF' "POLCERA II I !�� I III I III I IIII III II I . 1 27c
COLLISION REP FIT 1591971
CASE 25-7624 z
INTERSTATE ❑ CITY STREET FIRE ❑
RESULTED
1 STOLEN
STATE ROUTE ❑ OTHER ❑ VFHICCI F ❑ LOCAL AGENCI 4250 3
HIT&RUN CODING
COUNTY RD PRIVATE WAY INVOLVED
2 TOTAL#OF OBJECT 1 1 8 28
TRIBAL UNITS 04 STRUCK
RESERVATION
z
3❑ DATE of M M D D Y Y Y Y TIME(2400) COUNTY# MILES N E IN CITY#
CtLLISION' 09 - 01 - 2025 1642 17 ❑-= S 8 IN e 1070 3
4❑ oN (PRIMARY TRAFFIC WAY) INTERSECTION ❑✓ NON INTERSECTION ❑
SUNSET BLVD NE BLOCK NO. e ❑
4a❑ MILEPOST
DISTANCE OF(REFERENCE OR CROSS STREET)
5❑ e S ❑❑ FEET VV e NB/405 RAMP
0 1 29
UNIT 01 VEHICLE
MOTZ PEDAL-ORCYCLE ElDESA✓NHORESHOLDMET PHONE 0 8 30
6� LAST NAME UNKNOWN FIRSTNAME MIDDLE 1 1 2 31
INITIAL
STREET ❑ CITY Sr WA zIP z
NEW ADDRESS
7❑ CDL IGNITION REQUIRED IGNIT{ON PRESENT MEDICAL TRANSPORTED 3
iNTERLOCKYEs NO INTERLOCK YES No YES No
8❑ LICIENSE#
SrA fE I
SEX u MMDOBYY '❑- 1 1 2 32
9 ON DUTY❑ STATUS I
AIRBAG 9 RESTR 9 EJECT 1 H U EEr 9 CLAY 0 NATURE OF INJURIES z❑
3
10[1-1Pi ATNE 14 C90105X STATE WA VIN# 1 C6RR7FTOJS252772
TRAILER STATE TRAILER STATE
11 0 0 PLATE# PLATE# FR.. ro
TRLR. TRLR 3 7 33
12 0 0 VIN#' VIN#
>; FROM TO
VEH.YEAR MAKE MODEL STYLE VEHICLE TOWED TO BLIN TOWED By GOVT.VEHICLE J 9 34
13 4 2018 RAM 1500 PK DAMAGE YES NO YES
❑ NO✓
REGISTERED OWNER INFO SCOTT FILBECK 308 ELDREDGE CT ORTING WA 98360 VEHICLE NO. 1
❑ ❑
SHADE IN DAMAGED AREA 35
14 LIABILITY INSURANCE❑ INSURANCE CO 3 4
IN EFFECT &POLICY# 9TOP
VEHICLE CHARGE 5 36
LEGALLv Yes❑NO❑ CITATION# 1 o BOTTOM
15❑ NDING 6
MOTOR PEDAL- PEDESTRIAN PROPERTY DAM THR OLD MET PHONE
UNIT VEHICLE ❑ CYCLE ❑ ❑ : OWNER ❑ YES 1/ No D:2533357813
16 a
LAST NAME CAO FIRST NAME LINH MIDDLE IT
INITIAL
17 STREET NEW ADOREs6❑' 2910 SE 3RD CT CITY RENTON ST WA ZIP 98056 37
18� CDL IGNITION REQUIRED IGNITION PRESENT MEDICAL t—T�RANSPORTED ❑ 38
INTERLOCK YEs❑No� INTERLOCKYYEESI I I NoF YES t l NO
19 LDIIVEW # STATE WA ]SEX IF M.C.B. 12 _ 21 1983 El 39
HELMET I {NJURY NATURE OF INJURIES 40
20❑ ON DUTY STATUS AIRBAG 2 RESTR 4 EJECT 1 USE CLASS 1 ❑
LICENSE I ❑21❑ PLA E# CKH8289 TATe WA VIN# 41
7SAYGDEE6PF886642 4
42
22 [TRAILER TILER
❑ PLATE# STATE PLATE# STATE
23❑ 43
TRLR RLR
VIN#. IN#.
TOWED BY Gov HI 44
VEH YEAR 2023 MAKE TESL MODEL Y STYLE $D DAMAGE TOWED NOO✓ BLIN YES
NO
24❑ ES
REGISTERED OWNER INFO OWNED SY DRIVER VEHICLE N0.2
SHADE IN DA GEbAREA
z Cdd
LIABILITY
INSURANCE &POINSURGY#E CO PROGRESSIVE 998071611IN 1 9TOP 5
VE""LE CITATION# CHARGE
LEG
25 i o BOTTOM
ALLY YES N�
❑ s
=DAVIS
ME(PRINT) OFFICER PHONE BADGE OR ID# AGENCY26 11476 WA0171300
PAGE 01 OF
PART A
3000-345-159 OR 11/181
STATE OF
POLICETRAFFICN CORRECTION REPORT NO. EG40620
COLLISION REPORT III III III III III 111
1591972 CASE# 25-7624
ADDITIONAL PERSONS INVOLVED PASSENGERS AND/OR WITNESSES ONLY)
NAME MIDDLE INITIAL) TRAN JULIE
(/AST FIRST,
ADDRESS&PHONE#
2910 SE 3RD CT RENTON WA 98056 SEX i U MMDDvyry 10 - 13 - 2014
PASSENGER Z WITNESS❑'1 UNIT# 1 2 SEA 3 AIRBAG 2 RESTR. 4 EJECT ? 1 HELMET INJURY : NATURE OF INJURIES
POS, USE CLASS '1
NAME
(LAST,FIRST,MIDDLE INITIAL) TRUBA ANASTASIIA
ADDRESS&PHONE# D O B
11816 SE 176TH CT RENTON WA 98058 SEX I F MMDDvvvv 03 _ 28 _ 2003
SEAT HELMET I INJURY NATURE of INJURIES
PASSENGER Z WITNESS UNIT# 3 pOS 3 AIRBAG 2 RESTR. 4 EJECT 1 USE CLASS 1
NAME
(LAST FIRST,MIDDLE INITIAL) ARJUEZA GIOVANNI
ADDREss&PHONE# RENTON U 03 21 - 2013
SEX.
MMDDYYYY
PASSENGER WITNESS UNIT# ! 4 SEAT poS. 10 AIRBAG 2 RESTR. 4 EJECT 1 HELMET NJURY 1 NATURE OF INJURIES
❑ SEAT 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.
CHARLES DAVIS 09-03-25 02:57 PM
INVESTIGATING OFFICER'S SIGNATURE UNIT OR DIST DET DATED PLACE SIGNED
APPROVED BY DATE
C.EDWARDS 9070 1 1012312025 5:46:25 AM
BADGE OR ID# 11476 OR]4f WA0171300 TIME POLICE DISPATCHED 4:49 Pry/ TIME POLICE ARRIVED',5:00 PM
PART I PAGE IT]OF 6�
STATE OF
POLICETRAFFICN CORRECTION REPORT NO. EG40620
COLLISION REPORT III III III III III 111
1591972 CASE# 25-7624
ADDITIONAL PERSONS INVOLVED PASSENGERS AND/OR WITNESSES ONLY)
NAME MIDDLE INITIAL) PLATERO YOLANDA
(/AST FIRST,
ADDRESS&PHONE#
RENTON SEX i U MMDDYYYY 06 - 07 - 1986
PASSENGER Z WITNESS❑'UNIT# q SEA 3 AIRBAG 2 RESTR. q EJECT ? HELMET INJURY NATURE OF INJURIES
USE CLASS 1
NAME
(LAST,FIRST,MIDDLE INITIAL) BISHOP BRIAN
ADDRESS&PHONE# D O B
2062256518 SEX U MMDDYYYY
PASSENGER WITNESS UNIT# SEAT AIRBAG RESTR. EJECT HELMET INJURY NATURE OF INJURIES
❑ POS. USE CLASS
NAME
(LAST FIRST,MIDDLE INITIAL) BRAR GURSEWAK
AppREss&PHONE# 4254782266 _
SEX U. M -❑
MDDYYYY
PASSENGER WITNESS UNIT# SEAT AIRBAG RESTR. EJECT HELMET NJURY NATURE OF INJURIES
❑ POS. 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.
CHARLES DAVIS 09-03-25 02:57 PM
INVESTIGATING OFFICER'S SIGNATURE UNIT OR DIST DET DATED PLACE SIGNED
APPROVED BY DATE
C.EDWARDS 9070 1 1012312025 5:46:25 AM
BADGE OR ID# 11476 OR]4f WA0171300 TIME POLICE DISPATCHED 4:49 Pry/ TIME POLICE ARRIVED',5:00 PM
PART I PAGE 3�OF 6�
REPORT NO. EG40620 CASE# 25-7624 OF COLLISION
09/01/25 16:42
OF CbLLI510N
NARRATIVE
On 9/1/2025 at about 1649 hours, I was dispatched to a hit and run collision that occurred at the
intersection of N Southport Dr and the on and off ramp for 1 405 North, in the City of Renton, King
County, WA.
Upon arrival I found three victim vehicles. After speaking to the drivers of each vehicle, as well as a
witness, I determined the following occurred: The suspect vehicle, Unit 1, was turning left to head
west on N Southport Rd after exiting 1405 N. Units 2, 3 and 4 were on N Southport Dr facing east,
waiting at the stoplight. Units 2 and 3 were in the second to most right lane and unit 4 was in the most
right lane. For some reason, as they turned, Unit 1 veered to the right and then overcorrected,
veering to the left, crossing the middle boundary line and colliding with the rear driver-side of Unit 2
and front driver-side corner of Unit 3. When Unit 2 was crashed into, the force pushed it right, into the
most right lane, causing it to collide with Unit 4.
Witnesses took photographs of Unit 1 as it was fleeing the scene, which were uploaded to
evidence.com.
The photos showed the suspect plate number, C90105X, which came back to a Scott Filbeck of
Orting. No one that I spoke to were able to provide a description of the driver. Due to the time of day
and large collision scene, I was unable to conduct any follow up with Scott.
Flock cameras showed the suspect vehicle continue west on N Southport Dr after the collision, then
eventually turning around and possibly going onto 1405 S. It shows there is damage to the vehicle on
the front driver side corner and the passenger side mirror. These images were also uploaded to
evidence.com.
I certify (declare) under penalty of perjury under the laws of the State of Washington that the
foregoing is true and correct.
This report was electronically signed by Officer C. Davis #11476, September 3, 2025 Renton, WA.
**** AUTO-POPULATED SECTION ****
THE FOLLOWING ARE DESCRIPTIONS ENTERED FOR ITEMS SELECTED AS "OTHER":
Motor Vehicle Unit 4
Seat Position (Passenger GIOVANNI ARJUEZA): BACK SEAT
**** END OF AUTO-POPULATED SECTION ****
PAGE 4 OF 6
SUPPLEMENTAL REPORT NO. EG40620
r`I POLICE TRAFFIC 1 1 8 27
COLLISION REPORT CASE# 25-7624
1 COMMERCIAL MOTOR CARRIER INTERSTATE INTRASTATE G
UNIT'# USL70r !CC# VEHICLE TYPE CARGO BODY
TYPE
2 ❑ 1 1 8 28
CARRIER
NAME
3 CARRIER
ADDRESS `❑
CITY ST' ZIP'
4 ❑ NAME # PLACARD: :❑
GWVR NAME IF NO NUMBER
SOURCE AXLES +
4a ❑ ADDITIONAL UNITS
MOTOR PEDAL- PROPERTY DAMAGE THRESHOLD MET PHONE
5 ❑ UNIT# 3 VEHICLE tSJ CYCLE I_) PEDESTRIAN OWNER YES✓ NO
D:2066279383
0 8 29
LAST NAME : TRUBA FIRST NAME : VICTORIIA MIDDLE
INITIAL
0 8 30
STREET
NFW AnnRFSP 11816 SE 176TH CT CITY RENTON ST WA ZIP 98058
6 ❑ 1 1 2 31
CDL IGNITIttN REQUIRED IGNITION PRESENT MEDICAL TANSPORTED
INTERLOCK YEs NO✓ zERLOCK YEs❑NO❑✓ YES N ✓
DRIVER'S
LICENSE STATE I WA SEX F MMDDYYv 03 - 31 - 1976
7 ❑ ON DUTY� STATUS AIRBAG' 2 RESTR. Q EJECT 1 HELMET I INJURY 1 1 NATURE OF INJURIES
USE CLASS
8 ❑ 1 1 2 32
LICENSE CLX5202 TAr WA VIN# 2T2BZMCA6GCO26432
PLATE#
9 TRAILER TRAILER
PLATE If STATE PLATE If STATE
10 TRLR TRLR
VIN.#. VIN.#.
11 O O VEH.YEAR2016 MAKE LEXS MODELRX 300 1 STYLE SD I VEHICLE TOWE E T SABLIN TOWED BY anvi vEHICi P FROM TO
DAMAGE YES NO ✓ YES NO ✓
33
REGISTERED OWNER INFOOWNED BY DRIVER J 9
SHADE IN DAMAGED AREA
12 2, 3 4 FROM TO
LIABILITY INSURANCE INSURANCE CO TRAVELERS 617179926.203.1 q"i"Olx
ECT &POLICY#
9 9
13 IN EFF 34
❑ VEHICLE
LEGALLY YESZ NO❑ CITATION# CHARGE 0 BOTTUM
STANDING 7 6
DAMAGE THRESHOLD MET PHONE ❑ 35
14 UNIT# 4 MdT{7R ❑✓ PEDAG ❑ PEDESTRIAN ❑ PROPERTY ❑ YES NO
VEHICLE CYCLE OWNER ✓ D:4254730212
36
15 ❑ LAST NAME MARTELL PLATERO FIRST NAME BRISEYDA MIDDLE E
❑
INITIAL
2 STREET
16 ❑ ❑ 4308 NE SUNSET BLVD UNIT W2 CITY RENTON ST WA Z!P 98059
NFW AnnRFSR
CDL IGNITION REdUiREE7 IGNITION PRESENT MEDICALTANSPORTED
17 ❑ INTERLOCK YEs No✓ INTERLOCK YEs NC7✓ YEs No�/ ❑
DRIVER'S STATE WA SEX F D.O.B 37
LICENSE# MMDDYYY` 08 - 23 - 2006
18 ❑ ❑ON DUTY STATUS AIRBAG 2 RESTR. 4 EJECT 1 HELMET INJURY 1 NATURE OF INJURIES 38
USE CLASS
19 ❑ LICENSE ❑
PLATE# CNH2431 TAr WA v!N# 2HGFA16518H534634 39
20 ❑ TRAILER' STATE TRAILER STATE ❑ 40
PLATE#< PLATE If
21 ❑ TRLR TRLR 41❑
ViN# YIN#i
42
22 VEH.YEAR MAKE MODEL STYLE VEHICLE TOWED DUET SABLIN TOWED BY GOVT.VEHICLE
2008 HOND CIVIC SD DAMAGE YES NO ✓ YES NO ✓
23 ❑ REGISTERED OWNER INFODIEGO ALVREZ MENJIVAR 4308 NE SUNSET BLVD UNIT W2RENTONWA98059 D:4254730212 SHADE IN DAMAGED AREA 43
2 3 4
LIABILITY INSURANCE= INSURANCE CO '
❑ IN VEHICLE
EFFECT &POLICY# i 970P-- 4 44
24 LE
YES NO❑ CITATION# CHARGE iq 60TiOM
LEGALLY
STANDING 8
I CERTIFY(DECLARE)UNDER PENALTY OF PERJURY UNDER THE LAWS OF THE STATE OF WASHINGTON THAT THE FOREGOING IS TRUE AND CORRECT.
CHARLES DAVIS 09-03-25 02:57 PM
25 INVESTIGATING OFFICER'S SIGNATURE OFFICER'S PHONE UNIT OR DIST DET DATED: PLACE SIGNED
26 ORID# 11476 O#I',WA0171300 APPROVED
10123/202 PAGE F51OF❑
3000-345-013(R 11118)
REPORT NO. EG40620 CASE# 25-7624 DATE AND TIME 09/01/2516:42
OF COLLISION
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PAGE 6 OF 6