HomeMy WebLinkAbout25-8989 IT si " II IIIII III IIIII II IIII IIIII I . 27c REPORT NO EG41008OLCERA
COLLISION REPORT 1591971
INTERSTATE ❑ CITY STREET FIRE I
CASE# 25-8989 2
RESULTEDSTOLENSTATE ROUTE OTHER VEHICLE LOCAI-AGENCY 4100 3
HIT&RUN CODING
COUNTY RD PRIVATE WAY INVOLVED
2 TOTAL#OF OBJECT 1 8 28
TRIBAL UNITS 02 STRUCK ❑
RESERVATION : 1 1
2
3I M M D D Y Y Y Y TIME(2400) COUNTY# MILES CITY#
eaCL s on' 10 - 17 - 2025 1433 17 =.= S 8 W❑ OF IN e 1070 s
4❑ ON (PRIMARY TRAFFIC WAY) INTERSECTION ❑✓ NON INTERSECTION ❑
J NE
BLOCK NO.
ERICHO AVE
4a❑ MILE POST
❑ DISTANCE OF(REFERENCE OR CROSS STREET)
5 1. FEET e S 8 W e NE 2ND ST
0 3 29
MOTOR ✓ PEDAL- DAM AG THRESHOLD MET PHONE
UNIT 01 VEHICLE ❑ CYCLE ❑ YEs Vl No D:4252698833 0 1 30
6 LAST NAME URESTI FIRST NAME ZO/LA MIDDLE R 1 1 2 31
INITIAL
STREET ] 375 UNION AVE SE UNIT 153 CITY; RENTON ST WA ZIP; 98059 2
NEW ADDRESS
7 COE IGNITION REQUIRED IGNITION PRESENT MEDICAL TRANSPORTED 3
INTERLOCKYEs No INTERLOCKVEs Na I YES F NO
8� DCIENSE# STATE WA SEXI U MMDDYY' 10 - 24 - 1963 1 2 32
9 ON DUTY STATUS' AIRBAG 6 RESTR 4 EJECT 1 N U EET L SY 1 NATURE of INJURIES 2❑
10 LI ENSE', BXE0754 STATE WA V # 7FART6H9XLE024126 3
TRAI STATE TRAILER LE STATE
11 2 5 PLATE# PLATE# 11ROM To
TRLR zRLR 3 1 33
12 2 5 VIN#' VIN#
FROM TO
13 2 VEH.YEAR 2020 MAKE HOND MODEL CR-V STYLE VEHICLE TO YED NO fj'4 IN TgAWIZLRS YES❑END 5 1 34
DAMAGE IIII._IIII HHttVVii((tt
REGISTERED OWNER INFO ZOILA URESTI 375 UNION AVE SE UNIT 153 RENTON WA 98059 VEHICLE NO. 1
SHADE IN DAMAGED AREA 35
14 LIABILITY INSURANCE[ NSURANCE CO GE/CO 6144-24-OS-92
IN EFFECT &POLICY# 9TOP _
VEs
srnALLY ❑NO❑ CITATION# 5A0608018,5A0608018 CHARGE FAIL STOP AT STOP s a oorrob s 36
15❑
UNIT 02 MOTOR PEDAL- ❑ PEDESTRIAN PROPERTY DAM THR OLD MET PHONE
VEHICLE CYCLE CIWNRR
16�
LAST NAME PEREZ HERNANDEZ FIRST NAME NESTOR MIDDLE D
INITIAL
STREET ❑ 37
17 ❑ 1150 UNION AVE NE APT 5-3 CITY RENTON ST, WA ZIP 980594453
NEW ADDRESS
18❑ IGNITION REQUIRED IGNITION PRESENT MEDICAL TRANSPORTED'. ❑ 38
CDL INTERLOCKYES No tNTERLOCKYES NO YES ND
19 DRIVER'S STATE WA SEX M I D.OB. 11 27 1993 39
LICENSE# MMDDYY —
20❑ ON DUTY STATUS AIRBAG 2 RESTR 9 EJECT 1 HELMET INJURY 6 NATURE OF INJURIES ❑ 40
USE CLASS CHEST
21 LICENSLATE E D65736D rare WA vIN# 2GCEK19T431211360 41
22❑ [TILER TAILER
PLATE# STATE PLATE# STATE 42
23 TRLR RLR 43
UIN It 'IN#
TOWED BY GOV HI 44
VEH.YEAR 2003 MAKE CHEV MODEL SIlVERA STYLE VEHICLE
TOWED✓ No BLIN BANKERS
24❑ REGISTERED OWNER INFO NESTOR PEREZ HERNANDEZ 1150 UNION AVE NE APT 5-3 RENTON WA 980594453 VEHICLE N0.2
SHADFjy DAMAGED AREA
3 4
LIABILITY INSURANCE❑ INSURANCE CO
IN EFFECT &POLICY# R
1-1— YES❑ NC❑ CITATION# 5A0608019,5A0608019 CHARGE NO VALID OPER LICENSE WITH VALIDis25
OFFICER'S NAME(PRINT) OFFICER PHONE BADGE OR ID# AGENCY
M.LEVERTON 2517 WA0171300
26❑
PART A PAGE 01 OF
3000-348-189(R 11/181
STATE OF
POLICETRAFFICN CORRECTION REPORT NO. EG41008
COLLISION REPORT III III III III III 111
1591972 CASE# 25-8989
E NA ADDITIONAL PERSONS INVOLVED(PASSENGERS AND/OR WITNESSES ONLY)
M
(LAST FIRST,MIDDLE IINITIAL) ARTEAGA ANGIE M
ADDRESS&PHONE#
818 WOODFORD AVE N 31 KENT WA 98031 SEXi F MMDDD B. 04 — 24 — 1982
SEAT HELMET INJURY NATURE OF INJURIES
PASSENGER z WITNESS "UNIT# 1 POS. 3 AIRBAG j 6 RESTR. 4 EJECT 1 USE GLASS ;7 LKNEE ---_�
NAME
(LAST EIRS7 MIDDLE INITIAL}
ADDRESS R PHONE#
SEX D.O.B. —
MMDDYYYY
PASSENGER❑WITNESS UNIT# SEAT AIRBAG RESTR. EJECT HELMET INJURY: NATURECFINJURIES
POS. USE 0,SS ----�
: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 GLASS
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.
M.LEVERTON 10-17-25 04:46 PM
INVESTIGATING OFFICER'S SIGNATURE UNIT OR DIST.DET DATED PLAGE SIGNED
APPROVED BY DATE
10/24/2025 7:37:12 AM
C.JACOBS 1953
BADGE OR ID# ; 2517 ORI# WA0171300 TIME POLICE DISPATCHED'; 2:34 PM TIME POLICE ARRIVED i 2:48 PM
PAST B 3 Do-3mx—attar(t 1Mff) PAGE 2�OF 4
REPORT NO. EG41008 CASE# 25-8989 DATE OF COLLI r�510NN + 10/17/25 14:33
L1
NARRATIVE
gry/1 rt eb to nb 2nd st blk nb both nvol
CC
Within the city limits of Renton/King/Wa I responded to a 2 car blocking crash at the intersection of
Jericho Ave NE and NE 2nd St.
I contacted the driver of unit 2 ID'd by his picture WA-ID. A WACIC/DOL check revealed he was ID
only with no valid license. He was unable to provide valid proof of insurance for his vehicle. He told
me he was north on Jericho when unit 1 pulled directly out in front of his truck. He could not avoid
unit 1. She ran the stop sign making a right turn from NE 2nd EB to NB Jericho. He was checked
and released by Renton Fire and damages required a tow truck.
I cited Unit 2 Ref RCW 46.20.015 NVOL 2nd With ID and ref RCW 46.30.020 no valid proof of
insurance via complaint.
I contacted the driver of unit 1 ID'd by picture WA-ID. A WACIC/DOL check revealed she was ID only
with no valid license. She told me she ran the stop sign making a right turn onto Jericho from EB NE
2nd St. She and her passenger were checked and released on scene by Renton Fire. Damages
required a tow truck.
I cited unit 1 Ref RCW 46.61.190.2 stop sign and Ref RCW 46.20.015 NVOL 2nd With ID via
complaint.
I certify (declare) under penalty of perjury under the laws of the State of Washington that the
foregoing is true and correct.
M.Leverton/2517 City of Renton/King/Wa 10/17/2025
PAGE 3 OF 4
REPORT NO. EG41008 CASE# 25-8989 DATE AND TIME 10/17/2514:33
OF COLLISION
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