HomeMy WebLinkAbout25-9160 IT si " II IIIII III IIIII II IIII IIIII I . 27c REPORT NO EG45840OLCERA
COLLISION REPORT 1591971
CASE# 25-9160 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
coulsloN' 10 - 22 - 2025 1700 17 =.�� S W e IN
OF 1070 3
4❑ ON (PRIMARY TRAFFIC WAY) INTERSECTION ❑ NON INTERSECTION
NE SUNSET BLVD BLOCK ST e 3200 .=
4a❑ MILE POST
❑ DISTANCE OF(REFERENCE OR CROSS STREET)
5 100 00 FEET e✓ S 8 W e MONROE AVE NE
OF 4 29
MOTtlR PEDAL- DAMAG THRESHOLD MET PHON
UNIT 01 E
VEHICLE ❑ CYCLE ❑ YES No �/ D:2533657037 0 4 30
6 LAST NAME SULLIVAN FIRST NAME BUD MIDDLE 1 1 2 31
INITIAL
STREET ❑ 3829 S 178TH ST
NEW ADDRESS CITY SEATAC ST WA ZIP 98188 2
7 CDL IGNITION REQUIRED IGNITION PRESENT MEDICAL TRANSPDRTED 3
INTERLOCK YES NO✓ INTERLOCKYEs Nb✓ YEs NO,✓
g DOIENSE STATE WA SEX M MMorYY' 09 1 2 32
9 ON DUTY STATUS AIRBAG 2 RESTR 4 EJECT 1 HELM
USEET 2 1 INJURYCLASS 1 NAruRE of INJURIES 2
10 LI ENSE' AFD2743 STATE WA VN# 1J4GW58N24C377793 3
11[-j- TRAILER STATE TRAILER ,STATE ROM TO
11 3 5 PLATE# PLATE#
rRLR TRLR 1 3 33
12 3 5 VIN# vN#
( FROM TO
VEH.YEAR MAKE MODEL STYLE VEHICLE TOWED TO BLIN TOWED By GOVT VEHICLE
13 4 2004 JEEP GRAND VT DAMAGE YES NO ✓ YEs_ No✓ 7 1 34
REGISTERED OWNER INFO BECKY MONROE 3829 S 178TH ST SEATAC WA 98188 VEHICLE NO. 1 ❑
SHADE IN DAMAGED AREA 35
14❑ LIABILITY INSURANCE ElNSURANCE CO 3 4
IN EFFECT &POLICY# 4TOP _
STANo'NG ❑ ❑ CHARGE OP MOT VEH W/OUT INSURANCE 10 BOTTOM z 36
ves NO CITATION#
15
III MOTOR ✓ PEDAL- PEDESTRIAN PROPERTY DAM THR OLD MET PHONE
UNIT VEHICLE CYCLE OWNER YES 1/ NO D:4252607175
16�
LAST NAME SANDOVAL VALDERRAMA FIRST NAME OMAR MIDDLE'
INITIAL
❑
17 F1 STREET' 4606 NE 18TH ST CITY RENTON ST, yyq ZIP 98059 4 37
NEW AbORESS❑
18❑ CDL IGNITION REQUIRED IGNITION PRESENT MEDICAL TRANSPORTED' 38
INTERLOCKYEs No✓ jNTERLOCKYEs 11NO✓ YES No;✓
19 DRIVER'S STATE WA SEXI M D.O.B. 08 17 1991 39
LICENSE# MMDDYY -
20❑ ON DUTY❑ STATUS AIRBAG 2 RESTR 4 EJECT 1 H UET 2 SE CLA 1 Y NATURE OF INJURIES 40
21 LICENSE I PLATE# CL WO949 TATE I WA YIN# JTHP9JBHOR2077321 41
22❑ PLATE# STATE PAAILER
TE# STATE ❑ 42
23 TRLR kRLR 43
UIN#. 'IN#.
VEH.YEAR 2024 MAKE LEXS MODEL UX STYLE UT VEHICLE TOWED TO BLIN TOWED BY GOV HI 44
24 DAMAGE YES
�/ No GENE MEYER ves No✓
REGISTERED OWNER INFO SAHARI GOMEZ DUARTE 4606 NE 18TH ST RENTON WA 98069 VEHICLE NO.2
SHADE IN DAMAGED AREA
2 3 4
LIABILITY INSURANCE INSURANCE CO NATIONWIDE 7246JO23401
IN EFFECT &POLICY# t
v 1—
LecALLr YES❑ N,.I—I CITATION CHARGE U�o
`.LJ
25 OFFICER'S NAME(PRINT) PHONE BADGE OR ID# AGENCY
26 T77
T.NELSON 12327 WA0171300
PAGE 01 OF
PART A 3000-345-159(R 11/18)
POLIICFETRAFFICN CORRECTION REPORT NO. EG45840
COLLISION REPORT III III III III III 111
1591972 CASE# 25-9160
ADDITIONAL PERSONS INVOLVED(PASSENGERS AND/OR WITNESSES ONLY)
NAME MIDDLE INITIAL} GOMEZ DUARTE SAHARI L
(LAST,FIRST,
ADDRESS&PHONE# DOB
4606 NE 18TH ST RENTON WA 98059 SEX' F MMDDYYYY 03 - 23 1- 1995
PASSENGER WITNESS UNIT# SEAT AIRBAG RESTR. EJECT HELMET INJURY NATURE OF INJURIES
z � 2 Sp EAT
1 2 4 1 USE 2 OLASS 1 ---�
'NAME
(LAST FIRS,MIDDLE INITIAL)
ADDRESS&PHONE#
S ' D.O
EX .B.MMDD -F L----------�
YYYY
EAT HELMETNJURY URE OF
PASSENGER ❑WITNESS UNIT# S AIRBAG RESTR. EJECT NAT INJURIES
POS. : USE CLASS ----�
'.NAME
(LAST,FIRST,MIDDLE INITIAL)
ADDRESS&PHONE#
SEX' D.O.B.M —F L----------�
MDDYYYY
PASSENGER WITNESS UNIT# SEAT AIRBAG RESTR. EJECT HELMET INJURY NATURE OF INJURIES
❑ Q' POS. USE CLASS r— ----�
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.
T.NELSON 10-23-25 09:37 AM
INVESTIGATING OFFICER'S SIGNATURE UNIT OR DIST.DET DATED PLACE SIGNED
APPROVED BY DATE
J.TRADER 4553 11/6/2025 3:32:31 PM
BADGE OR ID# 12327 ORI# ( WA0171300 TIME POLICE DISPATCHED'; 5:05 PM TIME POLICE ARRIVED 5:07 PM
PART B 3 Do-3mx-,ao(Rtrras) PAGE 27 OF 47
REPORT NO.` EG45840 CASE# 25-9160 O COLLI COLLISION TIME
OF 10/22/25 17:00
COLLI
NARRATIVE
25-9160
Unless otherwise noted, the following occurred in the City of Renton, County of King, WA.
On 10-22-2025 at approximately 1705 hours I was dispatched to Goodwill at 3210 NE Sunset Blvd for
a collision that occurred in the 3200 block of NE Sunset Blvd.
I arrived and observed unit 2 facing north, blocking the westbound lanes of NE Sunset Blvd. Unit 2
had significant driver side damage. I observed unit 1 just north of unit 2 and just north of NE Sunset
Blvd, in the entrance to the Goodwill parking lot. Unit 1 had front end damage.
I contacted the driver of unit 2, Omar, and front passenger, Sahari, were still seated in the vehicle
when I arrived. They advised that the vehicle was inoperable and were unable to move the vehicle
out of the roadway. I requested a tow for unit 2. Omar and Sahari did not advise of any injuries to
themselves, but I requested the Fire Department to respond due to the airbag deployment and they
were medically cleared.
The driver of unit 1, Bud, advised that he was not injured. Bud advised that he did not have insurance
on the vehicle. Officer Chang conducted a series of standardized field sobriety tests (SFSTs) on Bud.
Following the tests, Officer Chang advised that he did not have probable cause to arrest Bud for DUI.
Each party relayed a similar account of the collision advising that unit 2 was travelling east on NE
Sunset Blvd and was making a left turn into the Goodwill parking lot. Unit 1 was making a left turn out
of the Goodwill parking lot to travel east on NE Sunset Blvd when unit 1 stuck unit 2.
My observations of the damage was consistent with the involved parties account of the collision.
Based on my observations and what was relayed to me, I determined that unit 1's improper turn was
the proximate cause of the collision.
Bud was cited for operating a motor vehicle without insurance and was given a warning for making an
improper turn.
I declare under penalty of perjury under the laws of the State of Washington that the foregoing is true
and correct.
Electronically signed by T. Nelson 12327 on 10-23-2025 at 0848 hours in Renton, WA.
PAGE 3 OF 4
REPORT NO. EG45840 CASE# 25-9160 DATE AND TIME i 10/22/25 17:00
OF COLLISION
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