HomeMy WebLinkAbout25-9628 IT si " II IIIII III IIIII II IIII IIIII I . 27c REPORT NO EG50760OLCERA
COLLISION REPORT 1591971
INTERSTATE CITY STREET FIRE I
CASE# 25-9628 2
RESULTED STOLENSTATE ROUTE OTHER VEHICLE LOCAI-AGENCY 4200 3
HIT&RUN CODING
COUNTY RD PRIVATE WAY INVOLVED
2 TOTAL#OF OBJECT 1 8 28
TRIBAL UNITS 02 STRUCK
RESERVATION : 1 1
2
3� M M D D Y Y Y Y TIME(2400) COUNTY# MILES CITY#
eDCL s on' 11 - 06 - 2025 1059 17 =.= S 8 W e OF e 1070 s
4❑ ON (PRIMARY TRAFFIC WAY) INTERSECTION ❑✓ NON INTERSECTION ❑
NE SUNSET BLVD BLOCK ST e
4a MILE POST 5100 .�
❑
❑ DISTANCE OF(REFERENCE OR CROSS STREET)
5 1. FEET e S 8 W e HOQIUAM AVE NE
0 1 29
MOTOR PEDAL- DAM AG THRESHOLD MET PHONE
UNIT 01 VEHICLE ❑ CYCLE ❑ YEs Vl No D:4259991263 0 4 30
6 LAST NAME JUAREZ MORALES FIRST NAME RAFAEL MIDDLE N 1 1 2 31
INITIAL
STREET ] 16828 34TH AVE S
NEW ADDRESS CITY I $EATAC ST: WA ZIP: 981883137 2
7 CDL IGNITION REQUIRED IGNITION PRESENT MEDICAL TRANSPORTED 3
INTERLOCK YES NOW/ INTERLOCKYEs No�/ YES F No,/
8❑ DRIVERCENS # STATE WA SEXI M MMDDYY' 10 — 23 — 1977 1 2 32
9� ON DUTY STATUS' AIRBAG 2 RESTR 4 EJECT 1 N USEET 2 CLASSY 1 [NATURE of INJURIES 2
10 ENSrtEI D78231G STATE WA VIN# 1FTRE14252HB43959 3
1� PI
TRAILER STATE TRAILER STATE
11 3 5 PLATE# PLATE# ROM To
TRLR TRLR 3 7 33
12 2 5 VIN#' VIN#
FROM TO
VEH.YEAR MAKE MODEL STYLE VEHICLE TOWED TO BLIN T v GOVT VEHICLE 34
13 2002 FORD ECONO DAMAGE YES NO ajW MEYERSTOWIN I rj 7
G Yes❑ H
REGISTERED OWNER INFO MARTINSON PAINTING 1021032ND ST E EDGEWOOD WA 98372 D:2537776513 VEHICLE NO. 1
SHADE IN DAMAGED AREA 35
3 4
14❑ LIABILITY INSURANCE❑ NSURANCE CO
IN EFFECT &POLICY# 4TOP
LrA LNG ❑ ❑ 5AO882634 CHARGE VEH ENTER INTERSEC STEADY RED o oorrofi 36
Yes NO CITATION#
15
MOTOR PEDAL- PEDESTRIAN PROPERTY DAM THR OLD MET PHONE
UNIT VEHICLE CYCLE nWNFR D:2066188655
16�
LAST NAME DESTA FIRST NAME MIRUTS MIDDLE A
INITIAL
17 STREET ❑ 14550 NE 36TH ST APT K14 CITY BELLEVUE ST, WA ZIP 37
980073548
NEW ADDRESS I I I I I I [I
18❑ CDL IGNITION REQUIRED IGNITION PRESENT MEDICAL TRANSPORTED' El38
INTERLOCKYES NO INTERLOCK YES No YES NO
19[—] DRIVER'S ' STATE WA SEX M I D.O.B. 03 25 1986 � 39
LICENSE# MMDDYY —
HELMET INJURY: NATURE OF INJURIES 40
20❑ ON DUTY� STATUS AIRBAG 2 RESTR 4 EJECT 1 USE 2 CLASS 1 ❑
21 LIEN LATE SE
BSM7335 rare WA vIN# JTDL9RFUXL3015898 41
22❑ PLATE# STATE PLATE# STATE 42
23 TRLR RLR 43
UIN#. 'IN#
VEH.YEAR 2020 MAKE TOYT MODEL PRIUS STYLE $O VEHICLE TOWED TO BLIN
TOWED BY GOV HI 44
24 DAMAGE YES NO VES NO
REGISTERED OWNER INFO MIRUTS DESTA 14550 NE 36TH STAPT KI4 BELLEVUE WA 98007 VEHICLE NO.2
SHADE IN DAMAGED AREA
2 3 4
LIABILITY INSURANCE[Z INSURANCE CO STATE FARM 5814456 E16 47
IN EFFECT &POLICY# I STOP
YemaE ❑ N`.L J
,.I—I CITATION# CHARGE to BOTTOM
25 EEG—Y YES7DNE
'S NAME(PRINT) OFFICER PHONE BADGE OR ID# AGENCY
26
SON 12421 WA0171300
PAGE 01 OF
PART A 3000-348-189(R 11/18)
STATE OF
POLICETRAFFICN CORRECTION REPORT NO. EG50760
COLLISION REPORT III III III III III 111
1591972 CASE# 25-9628
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 INJURY NATURE OF INJURIES
POS. ' USE GLASS 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 CIASS ----�
: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.
D.NELSON 11-07-25 04:04 PM
INVESTIGATING OFFICER'S SIGNATURE UNIT OR DIST.DET DATED PLAGE SIGNED
APPROVED BY DATE
C.JACOBS 1953 1112012025 3:02:07 PM
BADGE OR ID# 12421 ORI# WA0171300 TIME POLICE DISPATCHED'; 11:04 AM TIME POLICE ARRIVED i 11:12 AM
PAST B 3 Do-3mx—attar(t 1Mff) PAGE 2�OF 4
REPORT NO. EG50760 CASE# 25-9628 O OF COLLI 510N TIME 11/06/25 10:59
COLLISION
NARRATIVE
25-9628 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 near
the intersection of Hoquiam Ave NE and NE Sunset Blvd Renton/King/WA.
I arrived on scene and located both vehicles, I confirmed there was no injury.
The driver of the 2002 Ford Econoline WA/D78231 G (Unit 1), was identified by his WADL as Rafael
Juarez Morales DOB: 10/23/1977. Rafael said that he was driving east on NE Sunset Blvd, he said
that he entered the intersection with Hoquiam Ave NE as Unit 2 was turning west from Hoquiam Ave
and collided with him. Rafael said that he did not know what color the traffic signal was when he
entered the intersection. There was damage to the driver side front bumper/quarter panel area of the
Ford. There was no airbag deployment in the Ford.
As Rafael left the scene his front axle broke, Gene Meyer Towing was called to the scene to remove
the vehicle from the roadway.
The driver of the 2020 Toyota Prius WA/BSM7335 (Unit 2), was identified by his WADL as Miruts A
Desta DOB: 3/25/1986. Miruts said that he was driving north on Hoquiam Ave NE and entered the
intersection with a green light to turn west on NE Sunset Blvd. He said that as he entered the
intersection, he was struck by Unit 1. There was damage to the front driver side quarter panel, driver
door, passenger door, and rear quarter panel of the Prius. There was no airbag deployment, and the
Prius was drivable.
Since Rafael did not know the color of his traffic signal when he entered the intersection, I cited him
for RCW 46.61.055.3A Vehicle Entering Intersection with Steady Red Circle under Sector citation
#5A0882634. This citation should be mailed to Rafael at his DOL address.
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. EG50760 CASE# 25-9628 DATE AND TIME 11/06/25 10:59
OF COLLISION
a
PAGE 4 OF 4