HomeMy WebLinkAbout25-80515 ITFF' "POLCERA II I !�� I III I III I IIII III II I . 0 27c
COLLISION REP FIT 1591971
CASE 25-80515 z
INTERSTATE ❑ CITY STREET FIRE ❑RESULTED
1 STOLEN
STATE ROUTE ❑ OTHER ❑ VFHIC;I F ❑ LOCAL AOENC 4Y00 3
HIT&RUN CODING
COUNTY RD PRIVATE WAY INVOLVED
2 3 TOTAL#OF OBJECT 1 1 8 28
TRIBAL UNITS OZ STRUCK
RESERVATION
z
3❑ DATE OF M M D D Y Y Y Y TIME(2400) COUNTY# MILES CITY# ❑
COLLISION.. 12 — 08 — 2025 1849 17 ❑.❑ N E IN S 8 W H OF e 1070 3
4❑ ON (PRIMARY TRAFFIC WAY) INTERSECTION ❑ NON INTERSECTION ❑✓
SE CARR RD BLOCK NO. e✓ 10600
4a❑ MILEPOST
DISTANCE OF(REFERENCE OR CROSS STREET)
5❑ 50 00 FMILES EET e S ❑ E e 106TH PL SE
0 4 29
MOTOR PEDAL- DAMAGE THRESHOLD MET PHONE
UNIT 01 VEHICLE ❑ CYCLE El
✓NO D:2063720674 0 11
30
6 LAST NAME VARGAS BELTRAN FIRST NAME CAMILO MIDDLE N 1 1 2 31
INITIAL
STREET ❑, 17514 151 ST AVE SE UNIT 1-18 CITY RENTON ST WA 2jp, 980588794 z
NEW ADDRESS
7❑ CDL IGNITION REQUIRED IGNITION PRESENT MEDICAL TRANSPORTED 3
iNTERLOCKYEs NO INTERLOCKYEs NO YES R NO
8❑ L IIER # STATE yyq SEX'M I ELMM D Y' 06 - 23 - 2006 1 1 2 32
9 ON DUTY❑ STATUS AIRBAG 2 RESTR 4 EJECT 1 HELMETU E 2 CLASS 1 NATURE OF INJURIES z❑
3
10� P1 aT�S� CS60262 sTATI WA vIN# 5TDZA23C16S432544
TRAILER STATE TRAILED STATE
11 0 0 PLATE# PLATE# ROM ro
TRLR. TRLR 1 3 33
12 0 0 VIN#' VIN#
>;. FROM TO
VEH.YEAR 2006 MAKE MODEL STYLE VEHICLE TOWED TO BLIN 3 7 TOWED BY GOVT.VEHICLE 34
13 4 TOYT SIENNA VN DAMAGE YES NO YES[:] No
✓
REGISTERED OWNER INFO FRANCISCO VARGAS SANCHEZ 17514151STAVE SE UNIT I-18 RENTON WA 98058 VEHICLE NO. 1
❑ ❑
SHADE IN DAMAGED AREA 35
14 LIABILITY INSURANCE INSURANCE CO STATE FARM 5783759C2447 3 4
IN EFFECT &POLICY# 9TOP
❑ LEGA LE CHARGE 1 5 36
15 2 VEH'C YES❑NO❑ CITATION# 5A0945658 FAIL YIELD LEFT TURN MOTOR s 1 o eorrom
MOTOR PEDAL- 'PEDESTRIAN PROPERTY DAM THR OLD MET PHONE
UNIT U2 VEHICLE ❑ CYCLE ❑ ❑ OWNER ❑ YES 1/ NO D:2068169530
16 a
LAST NAME TRAN FIRST NAME NGOC MIDDLE T
INITIAL
17 NEW STREETR 7' 16923 SE 182ND PL CITY RENTON ST WA ZIP 98058 37
18� CDL IGNITION REQUIRED IGNITION PtR-E-S1ENT MEDICAL TRANSPORTED 38
INTERLOCKYES�NOR INTERLOCK Y�EsI I I NOF YES t l NO❑
19 D IVERI # STATE WA SEX F MMDDW O6 _ 13 _ 2001 39
20❑ ON DUTY STATUS I
AIRBAG 2 RESTR 4 EJECT 1 H U EET 2 NJAURSY 1 NATURE OF INJURIES 40
LICENSE I ❑21❑ PLA E# CHP0436 TATE 41
WA VIN# KM8JBCA11PU126437 1
42
22❑ PLATE# STATE PLATE# STATE
TRLR
23❑ VIN#. IN#. 43
RLR
'
G HI 44
VEH YEAR 2023 MAKE yyUN MODEL TUCSON STYLE UT DAMAGE TOWED NOO✓ BLIN TOWED BY ov YES NO
24❑ ES
REGISTERED OWNER INFO OWNED SY DRIVER VEHICLE N0.2
SHADE IN DAMAGED AREA
2 3 4
LIABILITY
INSURANCE &POINSURGY#E CO STATE FARM 5515025FI247CIN STOP 5
0(
VEHICLE ❑ C[:] CITATION# CHARGE i o BOTTOM
LEGALLY YES N
25 ' a
OFFICER'S NAME(PRINT) OFFICER PHONE BADGE OR ID# JAGENCY
26
KEITH PETTY 12809 WA0171300
PAGE 01 OF
PART A
3000-345-159 OR 11/181
STATE OF
POLICETRAFFICN CORRECTION REPORT NO. EG58494
COLLISION REPORT III III III III III 111
1591972 CASE# 25-80515
ADDITIONAL PERSONS INVOLVED PASSENGERS AND/OR WITNESSES ONLY)
NAME
(LAST FIRST,MIDDLE INITIAL)_
ADDRESS&PHONE#
SEX D.O.B. - -
MMDDYYYY.
PASSENGER❑WITNESS UNIT# SEAT AIRBAG RESTR. EJECT ' HELMET INJURY NATURE OF INJURIES
PM USE CLASS
NAME
'(LAST,FIRST MIDDLE INITIAL)
ADDRESS&PHONE# D D B
SEX MMDDYYYY
PASSENGER ❑WITNESS UNIT# SEAT AIRBAG RESTR. EJECT HELMET INJURY NATURE OF INJURIES
POS. USE CLASS
NAME
(LAST FIR57 MIDDLE INITIAL)
AppRESS R PHONE#
SEX D.O.B.
MMDDYYYY. -
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.
KEITH PETTY 12-08-25 09:30 PM
INVESTIGATING OFFICER'S SIGNATURE UNIT OR DIST DET DATED PLACE SIGNED
APPROVED BY DATE
J.THIELMAN 11462 1 1211312025 10:37:44 PM
BADGE OR ID# ( 12809 ORI# WA0171300 TIME POLICE DISPATCHED; 6:49 PM TIME POLICE ARRIVED 6:49 PM
PART I PAGE IT]OF
REPORT NO. EG58494 CASE# 25-80515 OF COLLISION
12/08/25 18:49
OF CbLLI510N
NARRATIVE
25-80515
On 12/08/2025 at approximately 1849 hours, I was patrolling the 10600 block of SE Carr Rd in the
City of Renton, County of King, State of Washington when I observed 2 vehicle in the middle of the
road way stopped.
Unit 1 was a blue 2006 Toyota Sienna (CSB0262/WA) VIN/5TDZA23C16S432544, driven by Camilo
Vargas Beltran (DOB 06/23/2006)
Unit 2 was a gray 2023 Hyundai Tucson (CHP0436/WA) VIN/KM8JBCA11 PU126437 driven by Ngoc
Trang Nguyen Tran (DOB 06/13/2001)
Both drivers were identified by their WADL's
Unit 1 had been in a parking lot on the north side of SE Carr Rd attempting to make a left-hand turn
and head east on SE Carr Rd. He did not see any vehicles approaching and pulled into the oncoming
lane. As unit 1 entered the oncoming lane of travel unit 2 collided into the driver's side rear wheel of
unit 1.
Unit 2 stated she was heading west on SE Carr Rd approaching 106th pl SE. Before unit 2 could stop
or react unit 1 had pulled into her lane of travel, causing unit 2 to collide into unit 1. The damage was
estimated over$1000.
Based on the above statements, I determined that the Driver of Unit#1 (Vargas Beltran ) is the
proximate cause for the collision due to not granting the right of way during a left turn causing a
collision. The driver of Unit#1 violated RCW 46.61.185(1) by being the driver of a vehicle intending to
turn to the left within an intersection and not yielding the right-of-way to any vehicle approaching from
the opposite direction which is within the intersection or so close thereto as to constitute an
immediate hazard. The driver of Unit#1 (Vargas Beltran) did not grant the right of way to Unit#2
traveling in the roadway which had the right of way and was already underway. Due to Unit#1 having
to traverse across oncoming traffic, the driver of Unit#1 must wait until the intersection is clear of
hazard prior to proceeding.
A citation for the RCW 46.61.185.1 violation was mailed to unit 1 address.
I provided an exchange of information to both parties.
This incident was captured on my body worn camera. This report is a summary of the events that
occurred and is not an exact sequencing of events. Statements have been paraphrased and
summarized
"I certify (or declare) under penalty of perjury under the laws of the State of Washington that the
foregoing is true and correct."
Electronically signed: K.Petty, Date: 12/08/25at 2120 hours, Place: Renton, King County, WA
PAGE 3 OF 5
REPORT NO. EG58494 CASE# 25-80515 OF COLLISION
12/08/25 18:49
OF CbLLI510N
NARRATIVE
PAGE 4 OF 5
REPORT NO. EG58494 CASE# ' 25-80515 DATE AND TIME 12/08/25 18:49
OF COLLISION
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