The URL can be used to link to this page

Home My WebLink About25-9625 iiTFiNII IIIII III IIIII II IIII IIIII I . 27c REPORT NO EG50756oc� RA COLLISION REPORT 1591971 INTERSTATE CITY STREET FIRE I CASE# 25-9625 2 RESULTED STOLENSTATE ROUTE OTHER VEHICLE LOCALANG 4100 3 HIT&RUN CODING COUNTY RD PRIVATE WAY INVOLVED 2 TOTAL#OF OBJECT 1 s 28 TRIBAL UNITS 02 STRUCK RESERVATION : 1 1 2 3� M M D D Y Y Y Y TIME(2400) COUNTY# MILES CITY# eDCLson' 11 - 06 - 2025 0807 17 =.= S 8 W e IN e 1070 s 4❑ ON (PRIMARY TRAFFIC WAY) INTERSECTION ❑ NON INTERSECTION ❑✓ DUVALL AVE NE BLOCK NO. e 1500 .� 4a❑ MILE POST ❑ DISTANCE OF(REFERENCE OR CROSS STREET) 5 50 00 FEET e✓ S 8 W e SUNSET BLVD NE 2 0 29 F MOTOR ✓ PEDAL- DAM AG THRESHOLD MET PHONE UNIT 01 VEHICLE ❑ CYCLE ❑ YEs Vl No D:3604605285 0 1 30 5 LAST NAME MACRAE FIRST NAME COYOTY MIDDLE N 1 1 2 31 INITIAL STREET ❑ 14911 CHAIN LAKE RD UNIT M320 CITY; MONROE ST WA ZIP; 982728766 2 NEW ADDRESS 7 CDL IGNITION REQUIRED IGNITION PRESENT MEDICAL TRANSPORTED 3 INTERLOCKYEs No✓ INTERLOCIKVEs NO✓ YEs No;✓ 8❑ DRIVER'CENS # STATE WA SEXI M MMDD YY' 01 — 13 — 1972 1 2 32 9 ON DUTY STATUS' AIRBAG 2 RESTR 4 EJECT 1 HELMET 2 INJURY 7 NATURE OF INJURIES 2 USE ,CLASS COMPLAINT OF BACK PAW 10 PI ENSttEI D83574A STATE WA VIN#, 1GCWGFCA2D1149278 3 TRAILER 11 3 5 STATE TRAILER STATE ROM To PLATE# PLATE# TRLR zRLR 1 5 33 12 3 5 VIN# vIN# FROM TO VEH.YEAR 2013 MAKE CHEV MODEL EXPRES STYLE VEHICLE TOWED fn TO ZBUN TOWEDBY GOVT VEHICLE 1 $ 34 13� DAMAGE YES II_II NO YESII_I) NO✓ REGISTERED OWNER INFO D.R.STRONGLLC6207THAVE KIRKLANDWA 98033 VEHICLE NO. 1 SHADE IN DAMAGED AREA 35 4 NSURANCECO 3 4 14 LIABILITY INSURANCE CINCINNATI INSURANCE EPP 0701015 IN EFFECT &POLICY# � 4TOP 5 VEHICLE CHARGE 7 0 80TTOM 36 srnNoiNc yes❑NO❑ CITATION# 5AO882633 FLD SIGNAL STOPS/TURNS-UNSAFE 15 s e MOTOR ✓ PEDAL- PEDESTRIAN PROPERTY DAM THR OLD MET PHONE UNIT VEHICLE CYCLE nWNFR D:4259775666 16� LAST NAME MATEO PEREZ FIRST NAME JAIME MIDDLE' A INITIAL STREET I�I ❑ 17 8733 196TH AVE NE CITY REDMOND ST, WA ZIP 98053 37 NEW ADDRESS : 18❑ CDL IGNITION REQUIRED IGNITION PRESENT MEDICAL TRANSPORTED ❑ 38 INTERLOCKYEs No✓ INTERLOCK YEs No✓ vEs No✓ 19 DRIVER'S STATE WA SEX M D. 06 04 2005 39 LICENSE# MMDDYY — HELMET INJURY: NATURE OF INJURIES 40 20❑ ON DUTY� STATUS AIRBAG 2 RESTR 4 EJECT 1 USE 2 CLASS 1 ❑ 21 LICENSE PLATE# CPH3957 rare WA vIN# 5N1AN08W76C542939 41 22❑ PLATE# STATE PLATE# STATE 42 43 23= VfN RLR UIN#. 'IN# VEH.YEAR 200g MAKE NISS MODEL XTERRA STYLE VEHICLE TOWED TO BLIN TOWED BY GOV HI 44 24 DAMAGE YES NO✓ VES NO✓ REGISTERED OWNER INFO JAIME MATEO PEREZ 15200 NE 16TH PL APT406 BELLEVUE WA 98007 VEHICLE NO.2 SHADFY DAMAGED AREA 3 4 LIABILITY INSURANCE❑ INSURANCE CO IN EFFECT &POLICY#VEH1CLE YES❑ NC❑ CITATION# 5AO882632 CHARGE OP MOT VEH W/OUT INSURANCE GQ EEILv 25 s ' e OFFICER'S NAME(PRINT) I OFFICER PHONE BADGE OR ID# AGENCY 26 D.NELSON 12421 WA0171300 PART A PAGE 01 OF 3000-345-189(R 11/18) STATE OF POLICETRAFFICN CORRECTION REPORT NO. EG50756 COLLISION REPORT III III III III III 111 1591972 CASE# 25-9625 E NA ADDITIONAL PERSONS INVOLVED(PASSENGERS AND/OR WITNESSES ONLY) M (LAST FIRST,MIDDLE INITIAL) BILLS SCOTT N ADDRESS&PHONE# 6517 NE 1ST ST RENTON WA 98059 4088875775 SEXi M MMDDD BYYY 09 — 30 — 1972 PASSENGER WITNESS UNIT# SEAT AIRBAG' RESTR. EJECT HELMET INJURY NATURE OF INJURIES 1 �; POS. USE CLASS ----� :NAME (LAST FIFS7 MIDDLE INITIAL) ADDRESS R PHONE# SEX MMDDYYYY D.O.B. — PASSENGER❑WITNESS UNIT# : SEAT AIRBAG RESTR. EJECT HELMET INJURY: NATURE CFINJURIES 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 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. D.NELSON 11-07-25 04:04 PM INVESTIGATING OFFICER'S SIGNATURE UNIT OR DIST.DET DATED PLACE SIGNED APPROVED BY DATE C.JACOBS 1953 11/20/2025 3:01:08 PM BADGE OR ID# 12421 ORI# WA0171300 TIME POLICE DISPATCHED 8:09 AM TIME POLICE ARRIVED i 8:28 AM PAST B 3 Do-3mx—attar(t 1Mff) PAGE 2�OF 4 REPORT NO. EG50756 CASE# 25-9625 O OF COLLI 510N TIME 11/06/25 08:07 COLLISION NARRATIVE 25-9625 ACC On 11/6/2025 1 was working as a uniformed patrol officer and driving a marked patrol vehicle for the City of Renton. I was dispatched to a report of a two-vehicle, non-injury, non-blocking collision that had occurred near the intersection of NE Sunset Blvd and Duvall Ave NE Renton/King/WA. The caller advised both vehicles had pulled off the roadway to a nearby gas station. I arrived on scene and located the driver of the 2013 Chevrolet Express WA/D83574A (Unit 1), identified by his WADL as Coyoty N Macrae DOB: 1/13/1972. Coyoty said that he was exiting the Arco AM PM parking lot and had turned south on Duvall Ave NE and was merging into the left-turn lane to head east on NE Sunset Blvd. Coyoty said that he believed he had cleared the roadway before changing lanes from the #2 lane and was about halfway into the turn lane (#3 lane) when Unit 2 collided with him. He said that he believed that Unit 2 was in the #2 lane. There was damage to the driver side section of the van directly behind the driver door. There was no airbag deployment in the Chevrolet. Coyoty advised that he did not need RRFA to respond, he said that he had a pre-existing condition of a herniated disk in his back, and it was beginning to hurt. He said that he would get someone to drive him to an urgent care. Due to Coyoty changing lanes into an occupied lane I cited him for Unsafe Lane Change RCW 46.61.305 under Sector citation #5A0882633. This citation should be mailed to his DOL address. The driver of the 2006 Nissan Xterra WA/CPH3957, was identified by his WADL As Jaime A Mateo Perez DOB: 6/4/2005. Jaime had a friend translate for him, he advised that he was driving south on Duvall Ave NE in the #2 lane when Unit 2 turned out of the Arco parking lot and crossed all southbound lanes to try and merge into the left-turn lane. There was damage to the passenger side front quarter panel of the Xterra, and there was no airbag deployment. Jaime said he was not injured. When I asked for his license, registration, and proof of insurance Jaime said that he did not have any insurance for the Xterra. I cited Jaime for Operating a Motor Vehicle Without Proof of Insurance RCW 46.30.020 under Sector citation #5A0882632. This citation should be mailed to Jaime's DOL address. A witness, identified as Scott G Bills DOB: 9/30/1972, called to report that he had witnessed the collision. Scott said that he was driving north on Duvall and saw the Chevrolet exit the Arco parking lot and drive across all southbound lanes to get into the turn lane. He said that the Nissan was driving south and collided with the Chevrolet as it changed lanes. Nothing further. I certify under penalty of perjury under the laws of the State of Washington that the foregoing is true and correct. D. Nelson #191 11/6/2025 Renton WA PAGE 3 OF 4 REPORT NO. EG50756 CASE# 25-9625 DATE AND TIME 11/06/25 08:07 OF COLLISION s s , n t at, sw �t i� 3s s v PAGE 4 OF 4