HomeMy WebLinkAbout25-80728 POLICETRAFF'c" III !�� I IIIllI111IN II II I REPORT NO. EG60720 170
27
COLLISION REP FIT 1591971
CASE 25-80728 z
INTERSTATE ❑ CITY STREET FIRE ❑RESULTED
1 STOLEN
STATE ROUTE ❑ OTHER ❑ VFHIr.I F ❑ LOCAL AOENC 4200 3
HIT&RUN CODING
COUNTY RD PRIVATE WAY INVOLVED
2 2 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 N E IN CITY# ❑
cowsloN 12 - 1-- 2025 1714 17 ❑.= S 8 E IN e 1070 3
4❑ oN (PRIMARY TRAFFIC WAY) INTERSECTION ❑ NON INTERSECTION ❑✓
SUNSET BLVD N BLOCK NO. e✓ 404
4a❑ MILEPOST
DISTANCE OF(REFERENCE OR CROSS STREET)
5❑ ❑ FEET e S ❑ W e 0 4 29
MOTOR PEDAL- DAMAGE THRESHOLD MET PHONE
UNIT 01 VEHICLE ❑ CYCLE El
No ,/ I D:2534176489 0 11
30
6� LAST NAME HENRIQUEZ FIRSTNAME JOSHUA MIDDLE E 1 1 2 31
INITIAL
STREET El 1516 22ND ST NE CITY AUBURN ST I WA 2jp, 980023439 z
'NEW ADDRESS
7❑ CDL IGNITION REQUIRED IGNITION PRESENT MEDICAL TRANSPORTED 3
INTERLOCK YES[:]NO INTERLOCKYEs NO YES NO
8❑ LRIIVER # STATE WA SEX'M MI D Y' 08 - 08 - 1990 1 2 32
9 ON DUTY❑ STATUS AIRBAG 2 RESTR 4 EJECT 1 H USEET ICNLJAURY 1 NATURE OF INJURIES z❑
3
10� P1 aT�S� CTY7051 sTATI WAurN# 3N1CB51D91L448640
TRAILER STATE TRAILER STATE
11 3 0 PLATE# PLATE# ROM ro
TRLR. A'RLR. 1 3 33
12 3 0 VIN#' VIN#
>; FROM TO
❑ VEH.YEAR MAKE MODEL STYLE VEHICLE TOWED TO BLIN T Y GOVT.VEHICLE 1 $ 34
13 2 2001 NISS SENTRA DAMAGE vEs 0NO agW�MEYER ves❑ No
REGISTERED OWNER INFO MOISES PDXVILLALOBOS 1910 E 59TH ST TACOMA WA 98404 VEHICLE NO. 1 ❑
SHADE IN DAMAGED AREA 35
3 4
14 LIABILITY INSURANCE❑ INSURANCE CO
IN EFFECT &POLICY# 9TOP
VEHlcl.e CHARGE 5 36
LEGALLY YES❑NO❑ CITATION# 10 BOTTOM
15❑ STANDING 8 6
MOTOR PEDAL- PEDESTRIAN PROPERTY DAM THR OLD MET PHONE
UNIT 02 VEHICLE ❑ CYCLE ❑ ❑ OWNER ❑ YES,/ No D:2063130685
16 a
LAST NAME SHIMONO FIRST NAME CHRISTOPHER-LUKE MIDDLE I S
INITIAL
17❑ STREET ❑', 4121 NE 5TH CT CITY' RENTON ST WA ZIP 980595788 37
NEW ADDRESS ❑
18� CDL IGNITION REQUIRED IGNITION PtR—E—S1ENT MEDICAL TRANSPORTED 38
INTERLOCKYES�NOR INTERLOCK YEs I I NOF YEs t l NO❑
19 LDI IVER # STATE WA SEX M M .C... 09 _ 03 _ 1964 El 39
WELMET INJURY1 NATURE OF INJURIES 40
20❑ ON DUTY STATUS AIRBAG 2 RESTR 4 EJECT 1 USE CLASS ❑
21❑ LICENSE BVA7202 TATe WA VIN1t WBA5R7C53KAJ86560
❑ 41
PLATE#
42
22❑ PILER LATE# STATE PLATE# STATE
TRLR
23❑ VIN#. IN#. 43
RLR
'
VEH YEAR 2019 MAKE BMW MODEL 330X1 STYLE VEHICLETOWED TO BLIN TOWEDBY GOV H �44
24❑ DAMAGE YES NO,� YES N.7
REGISTERED OWNER INFO CHRISTOPHER-LUKE SHIMONO 4121 NE 5TH CT RENTON WA 980595788 D:2063130685 VEHICLE NO.2
SHADEDAMAGEDAREA
3 4
LIABILITY
INSURANCE INSU&POLICY#E CO GEICO 0767972409IN 1GQ'E""LE
❑ ,J� CITATION# CHARGE
LEGALLY YES N`L J
25
OFFICER'S NAME(PRINT) OFFICER PHONE BADGE OR ID# AGENCY
J
26
M.LEVERTON 2517 WA0171300
PART A PAGE 01 OF C7
3000-345-159 OR 11/181
STATE OF
POLICETRAFFICN CORRECTION REPORT NO. EG60720
COLLISION REPORT III III III III III 111
1591972 CASE# 25-80728
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.
M.LEVERTON 12-15-25 07:02 PM
INVESTIGATING OFFICER'S SIGNATURE UNIT OR DIST DET DATED PLACE SIGNED
APPROVED BY E
DAT
C.JACOBS 1953 12/19/2025 1:09:27 PM
BADGE OR ID# 2517 OR]#' WA0171300 TIME POLICE DISPATCHED; 5:14 PM TIME POLICE ARRIVED',5:22 PM
PART I PAGE IT]OF 4�
REPORT NO. EG60720 CASE# 25-80728 OF COLLISION
12/15/25 17:14
OF CbLLI510N
NARRATIVE
2/wht lane 3 1/slv lane 2 left turn
CC
dwls 3 no ins 61.140
On 12/15/2025 at about 1714 hours within the city limits of Renton/King/Wa I responded to a 2
vehicle crash near the 404 block of Sunset Blvd N.
I contacted the driver of unit 2 who told me he was southbound on Sunset in lane 3 when unit 1
turned left across his lane from lane 2 contacting his vehicle and causing damages. He told me he
sas not injured and damages did not require a tow truck.
I contacted the driver of unit 1 Id'd by his picture WA-ID as Joshua E Henriquez 080890. He told me
he did not know if he had a valid driver license. He told me it was punched with a hole in it but did not
have it with him. I asked for his insurance and registration. He could not provide either and confirmed
he did not have insurance on his vehicle.
A WACIC/DOL check via my MDC revealed Joshua did not have a valid license in fact it was showing
as suspended in the 3rd degree. A WACIC/DOL check via my MDC revealed the vehicle he was
driving was not registered to him and he had no other documentation for that vehicle.
Joshua told me he didnt realize he made a left turn from lane 2 across lane 3. Unit 2 was lawful upon
the roadway when unit 1 made an illegal lane change/turn crashing into unit 2. Unit 1 did not
complain of injury. Damages did not require a tow truck.
Unit 1 vehicle was impounded by Gene Meyer.
I cited unit 1 Joshua ref RCW 46.61.342.1.c for driving while license suspended 3rd degree, RCW
46.30.020 No valid operators insurance causing driver to a 2 vehicle crash and ref RCW 46.61.140
Improper lane usage 2 car crash. I provided his copies to him. I gave him instructions on how to
respond to his NOI and he promised to respond/appear if/when directed by the courts.
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 12/15/2025
PAGE 3 OF 4
REPORT NO. EG60720 CASE# ' 25-80728 DATE AND TIME 12/15/25 17:14
OF COLLISION
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