HomeMy WebLinkAbout25-81051 iiTFiNII IIIII III IIIII II IIII IIIII I . 27c REPORT NO EG63963oc� RA
COLLISION REPORT 1591971
CASE# 25-81051 2
INTERSTATE CITY STREET FIRE I
RESULTED STOLENSTATE ROUTE OTHER VEHICLE LdCAI-AGENCY 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#
ear soe' 12 - 26 - 2025 2228 17 =.[� S 8 W e OF e 1070 3
4❑ ON (PRIMARY TRAFFIC WAY) INTERSECTION ❑ NON INTERSECTION ❑✓
S PUGET DR BLOCK NO. e 1000 .�
4a❑ MILE POST
❑ DISTANCE OF(REFERENCE OR CROSS STREET)
5 75 00 FEET e✓ S 8✓ N e TALBOT RD S
2 0 29
MOTOR ✓ PEDAL- DAM AG THRESHOLD MET PHONE
UNIT 01 VEHICLE ❑ CYCLE ❑ YEs Vl No D:2068190555 0 1 30
6 LAST NAME KURTH FIRST NAME LORRI MIDDLE K 1 1 2 31
INITIAL
STREET ❑ 1327 S PUGET DR APT F36 CITY; RENTON ST WA ZIP' 980558816 2
NEW ADDRESS
7� +CDL IGNITION REQUIRED lIGNITION PRESENT MEDICAL TRANSPORTED. 3
INTERLOCKYEs ✓NO INTERLOCK YES NO✓ YES ND�/
8 DRIVER # STATE WA SEXI F MMDDYY' 10 - 31 - 1969 1 2 32
-NJUR
9 ON DUTY STATUS' AIRBAG 2 RESTR 4 EJECT 1 N USEET 2 CLASSY 1 NATURE of INJURIES 2
10 LI ENSE' AAM9266 STATE WA VIN# 2T3DF4DV1AW043613 3
TRAILER
11 3 5 STATE TRAILER STATE ROM To
PLATE# PLATE#
TRLR TRLR 8 1 4 33
12 3 5 VIN# vIN#
FROM TO
VEH.YEAR 2010 MAKE 7.01? MODEL RAV4 STYLE UT VEHICLE TOWED TO BLIN TOWED By GOVT VEHICLE $ ¢ 34
13� DAMAGE YES II_II NO ✓ YESII_I) NO✓
REGISTERED OWNER INFO LORRI KURTH 1327 S PUGET DR APT F36 RENTON WA 98055 D:2068190555 VEHICLE NO. 1
SHADE IN DAMAGED AREA 35
14� IN EFFECT
INSURANCE� INSURANCE CO AMER/CAN FAMILY CONNECTAI02932t22
IN EFFECT &POLICY#VEHICLE
9TOP _
srgNOLNG ❑NO❑ CITATION# 5AO877902 CHARGE INATTENTIVE DRIVING s Io¢orrofi 36
Yes
15
MOTCSR ✓ PEDAL- PEDESTRIAN PROPERTY DAM THR OLD MET PHONE
UNIT VEHICLE CYCLE nWNFR D:2817074381
16�
LAST NAME DOAN FIRST NAME QUOC MIDDLE' N
INITIAL
17 F1 STREET ❑❑ 9326 55TH AVE S CITY SEATTLE ST, yyq ZIP 981185519 37
NEW ADDRESS
18 —1CDL IGNITION REC3UJRED IGNITION PRESENT MEDICAL TRANSPORTED 38
INTERLOCKYES No✓ INTERLOCK YES yD✓ YES NO✓
19 DRIVERS ' STATE WA SEX M D.O.B. 12 15 1988 � 39
LICENSE# MMDC3YY -
HELMET NAT
INJURY: URE OF INJURIES 40
20❑ ON DUTY❑ STATUS AIRBAG 2 RESTR 4 EJECT 1 USE 2 CLASS 1 ❑
21 LICENSE I PLATE# CLH6622 rare WA vIN# JTJBCIBA5A2026558 41
22❑ PLATE# STATE PLAAILER
TE# STATE 42
23 TRLR RLR 43
UIN#. 'IN#
VEH.YEAR 2010 MAKE LEXS MODEL RJ( STYLE UT VEHICLE TOWED TO BLIN
TOWED GOV HI 44
24� DAMAGE YES NO✓ BY
VES NO✓
REGISTERED OWNER INFO NHATDOAN932655THAVES SEATTLEWA98118 D:2817074381 VEHICLE NO.2
SHADE IN DAMAGED AREA
2 3 4
LIABILITY INSURANCE INSURANCECO STATE FARM 555.5006-C10.47A-002
IN EFFECT &POLICY# t STOP
VEHICLE ❑ CITATION# CHARGE to BOTTOM
EEEILY YES N 6
25 OFFICER'S NAME(PRINT) OFFICER PHONE BADGE OR ID# JAGENCY
26
C.PAGET 8660 WA0171300
PART A PAGE 01 OF
3000-345-189(R 11/181
STATE OF
POLICETRAFFICN CORRECTION REPORT NO. EG63963
COLLISION REPORT III III III III III 111
1591972 CASE# 25-81051
E NA ADDITIONAL PERSONS INVOLVED(PASSENGERS AND/OR WITNESSES ONLY)
M
(LAST FIRST,MIDDLE INITIAL) DOAN ANSELM
ADDRESS&PHONE# DOB
9326 55TH AVE S SEATTLE WA 98118 2816965356 SEXi M MM DDYVYY 11 - 11 - 2024
PASSENGER WITNESS UNIT# SEAT AIRBAG RESTR. EJECT HELMET INJURY NATURE OF INJURIES
2 POS. 7 2 11 1 USE 2 CLASS 1 ----�
:NAME
(LAST EIRS7 MIDDLE INITIAL) { TRAN TRUC T
ADDRESS&PHONE# D B
9326 55TH AVE S SEATTLE WA 981185519 2817075357 SEX F MMDDYYYY 01 _ 01 _ 1993
SEAT HELMET INJURY NATURE OF INJURIES
PASSENGERaWITNESS� UNIT# ' 2 POS. ' 9 AIRBAG 2 RESTR. 4 EJECT 1 USE 2 CLASS 17 SORE BACK ----�
NAME MIDDLE INITIAL) DINH NGOC T
(LAST,FIRST,
ADDRESS&PHONE# 9326 55TH AVE S SEATTLE WA 981185519 2817075357 SEX' F D.O.B. 10 _ 08 _ 1959
MMDDYYYY
PASSENGER WITNESS UNIT# 2 SEAT 6 AIRBAG 2 RESTR. 4 EJECT 1 HELMET 2 INJURY 1 NATUREOFINJURIES
a POS. USE CLASS
NARRATIVE li
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.
C.PAGET 12-27-25 01:08 AM
INVESTIGATING OFFICER'S SIGNATURE UNIT OR DIST.DET DATED PLACE SIGNED
APPROVED BY DATE
CASEY PROCTER 12123 12/30/2025 2:43:52 AM
BADGE OR ID# 8660 ORI# WA0171300 TIME POLICE DISPATCHED 10:28 PM TIME POLICE ARRIVED i 10:32 PM
PAST B 3 Do-3mx-attar gt 1Mffp PAGE 2�OF F6
STATE OF
POLICETRAFFICN CORRECTION REPORT NO. EG63963
COLLISION REPORT III III III III III 111
1591972 CASE# 25-81051
E NA ADDITIONAL PERSONS INVOLVED(PASSENGERS AND/OR WITNESSES ONLY)
M
(LAST,FIRST,MIDDLE IINITIAL) ALBERTO RODRIGUEZ LUIS
ADDRESS&PHONE# DOB 11 — 22 16204 122 AVE SE RENTON WA 98058 4257738905 SEXi M MMDDYVYY — 2001
PASSENGER WITNESS UNIT# SEAT ' AIRBAG RESTR. EJECT HELMET INJURY NATURE OF INJURIES
�; POS. USE CLASS ----�
:NAME
Lnsr EIRST,MIDDLE INITIAL) GAYTAN RAMERIZ JOSS A
ADDRESS&PHONE# D 0 B
16533 BENSON RD S RENTON WA 98057 2069200545 SEX M MI MDDYYYr 01 - 12 _ 1982
PASSENGER WITNESS UNIT SEAT AIRBAG RESTR. EJECT HELMET INJURY NATURE OF INJURIES
❑ Z SOS. USE CLASS ----�
:NAME
(LOST,FIRST,MIDDLE INITIAL)
ADDRESS&PHONE#
SEX MMDDYY D.O.B.
YY
PASSENGER WITNESS UNIT# SEAT I 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.
C.PAGET 12-27-25 01:08 AM
INVESTIGATING OFFICER'S SIGNATURE UNIT OR DIST.DET DATED PLACE SIGNED
APPROVED BY DATE
CASEY PROCTER 12123 1213012025 2:43:52 AM
BADGE OR ID# ; 8660 ORI# WA0171300 TIME POLICE DISPATCHED 10:28 PM TIME POLICE ARRIVED i 10:32 PM
PAST B 3 Do-lmx—attar(t 1Mff) PAGE 0 OF F6
REPORT NO. EG63963 CASE# 25-81051 OATS OF COLLI r�510NN + 12/26/25 22:28
L1
NARRATIVE
25-81051 Collision with possible injury
Axon:
Axon car and body cam available
Narrative:
On 12.26.2025 at 2228 Witnesses Jose Gaytan Ramirez called 911 to report a collision. Gaytan
Ramirez suspected that one of the drivers (the driver of the white Toyota Rav 4) was impaired
because they had "brake" checked other vehicles prior to the collision. The involved vehicles were
described as a white Toyota Rav 4 WA/AAM9266 and a black Lexus RX (Suv) WA/CLH6622. Initially
the call came out at east of Benson Rd S and S Puget Dr. At 2228 hours, Officer Petty and I were
dispatched. We arrived in the area at 2232 hours and didn't locate the collision near Benson RD S so
we checked Talbot Rd (which becomes Benson Dr S) and S. Puget Drive. We located the collision in
about the 1000 block of S Puget Dr, just east of Talbot RD S.
Officer Petty and I spoke to both drivers. Initially Officer Petty spoke with Lorri Kurth the driver of the
2010 Toyota Rav 4 WA/AMM9266, Lorri Kurth. Officer Petty later told me that she was agitated but
he didn't find any sign of impairment.
I spoke with Quoc N Doan DOB/12.15.1988. the Doan provided me with his photo WADL, proof of
insurance, and registration. Doan is the registered and legal owner of the black 2010 Lexus RX SUV
WA/CLH6622. Doan has valid DOL status. Doan's first language is Vietnamese. Doan told me that
he made the turn from Talbot and was in the curb lane (headed SE) on S Puget DR. Doan didn't
know why the other car hit his car. In Doan's car were the following passengers: Dinh, Ngoc T
DOB/10.08.1959 in the front passenger seat; Truc T Tran DOB/01.01.1993 in rear right passenger
seat; Ansem D Doan DOB/11.11.2024 in the left rear passenger seat in a rear facing child seat. Tran
complained about a sore back but declined to have Renton Fire check her for injuries. Damage to
Doan's car was at front driver's door forward into the driver's side front quarter panel.
While I was speaking with Doan's family, I saw Lorri Kurth come around the back of the Doan's
vehicle. I asked her to speak with my partner. Officer Petty directed her to a safer location on the
sidewalk.
I spoke with witness Luis Alberto Rodriguez DOB/11.22.2001. Alberto Rodriguez didn't see the
collision, but told me that he saw the white Toyota "brake check" several vehicles as they exited from
southbound 405 onto Talbot RD S. Alberto Rodriguez was in front of the collision when it happened
but returned to show video. I sent Alberto Rodriguez an Axon link for video.
I spoke to Lorri K Kurth DOB/10.31.1969. 1 identified Kurth by photo WADL. Kurth provided her proof
of insurance and registration. Kurth has valid DOL status. By this time, Kurth was calm, and I found
no signs of impairment. I asked Kurth what happened. Kurth told me, "I hit them. I did not see them."
Kurth was uninjured. Damage to Kurth's car was at the rear passenger side door. This is consistent
with her merging into the lane to her right and into the driver's side of Doan's car.
Officer Petty sent Gaytan Ramirez an Axon request for video.
I facilitated Doan and Kurth taking pictures of the other person's vehicle. I told Kurth that I was
concerned about her anger behind the wheel and that two uninvolved witnesses told me that she was
"brake checking," others. I told Kurth that I would be sending her an infraction via the mail for
Inattention.
PAGE 4 OF 6
REPORT NO. EG63963 CASE# 25-81051 OATS OF COLLI r�510NN + 12/26/25 22:28
L1
NARRATIVE
Section Infraction #5a0877902 for Driver Inattention Issued to Kurth with a request that it be mailed
by the court.
This incident occurred in the City of Renton, King County, Washington unless otherwise specifically
noted. During this incident I was equipped with body-worn camera which records both audio and
video. Portions of the incident were recorded. This report is merely a summary of the incident and is
not intended to be an exact transcription of the entire investigation or what may have been captured
with the recording system. During this incident I was wearing a department issued uniform jump suit
was marked with "Police" both on the back, and department patches on each shoulder of the
jumpsuit, as well as a Renton Police Velcro badge on my left chest. It would be immediately obvious
to any reasonable person that I was a Police Officer.
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 by Officer C. Paget/8660 12:43 AM 12/27/2025 Renton, King County, WA.
PAGE 5 OF 6
REPORT NO. EG63963 CASE# 25-81051 DATE AND TIME 12/26/25 22:28
OF COLLISION
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