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HomeMy WebLinkAbout26-4850 STATE OF II I III 1 IIIllI111IN II II I REPORT NO. EH16382 170 27 COLLISION REP FIT 1591971 SASE 26-4850 2 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 1 TOTAL#OF OBJECT 1 1 8 28 TRIBAL UNITS 03 STRUCK RESERVATION z 3❑ DATE OF M M D D Y Y Y Y TIME(2400) COUNTY# MILES N E IN CITY# COLLISION' 06 - 1-- 2026 1347 17 ❑-= S 8 IN e 1070 3 4❑ ON (PRIMARY TRAFFIC WAY) INTERSECTION ❑✓ NON INTERSECTION ❑ PARK AVE N BLOCK NO. e✓ 200 ❑ 4a❑ MILEPOST DISTANCE OF(REFERENCE OR CROSS STREET) 5❑ ❑ FEET e S ❑ W e N 2ND ST 0 4 29 MOTOR PEDAL- DAMAGE THRESHOLD MET PHONE UNIT 01 VEHICLE ❑ CYCLE El NO D:2064030811 0 11 30 6� LAST NAME THAI FIRSTNAME KEVIN MIDDLE C 1 1 2 31 INITIAL STREET ❑ 18160 5TH AVE S CITY BURIEN ST WA 21p 98148 z NEW ADDRESS 7❑ CDL IGNITION REQUIRED IGNITION PRESENT MEDICAL TRANSPORTED 3 1/ I iNTERLOCKYEs NO NTERLOCKYEs NO�/ YES R No�/ 8❑ LRIIVER # ON DUTY❑ STATUS AIRBAG 6 RESTR 4 EJECT 1 HELMETU E 2 CLASS 1 NATURE OF INJURIES z❑ 3 10 9❑ Pi aT�S� CNV8154 sTArI WAvIN# 3MW49FF08R8E68916 TRAILER STATE TRAILER STATE 11 3 0 PLATE# PLATE# FROM TO TRLR. A'RLR. 1 3 33 12 3 0 VIN#' VIN# >; FROM TO VEH.YEAR 2024 BMW M340X1 SD MAKE MODEL STYLE VEHICLE TOWED TO BLIN T GOVT.VEHICLE 5 1 34 13 4 DAMAGE YES No �LII� RS YES[:] No REGISTERED OWNER INFO KEVIN.1181605TH AVE S BURIEN WA 98148 D:2064030811 VEHICLE NO. 1 ❑ ❑ SHADE IN DAMAGED AREA 35 14 LIABILITY INSURANCE INSURANCE CO PROGRESSIVE 911461841 IN EFFECT &POLICY# 9TOP 36 VE"'CLe CHARGE 1 5 LEGALLY YES❑NO❑ CITATION# 6A0298959 FAIL YIELD LEFT TURN MOTOR io sorrom 15❑ STANDING MOTOR PEDAL- PEDESTRIAN PROPERTY DAM THR OLD MET PHONE UNIT U2 VEHICLE ❑ CYCLE ❑ ❑ OWNER ❑ YES 1/ NO D:2066390907 16 a LAST NAME CARRILLO PORTILLO FIRST NAME LUIS MIDDLE F INITIAL 17 STREET❑ NEW ADOREss❑' 530 PELLY AVE N CITY RENTON ST WA ZIP 98057 37 18❑ CDL IGNITION REQUIRED IGNITION PRESENT MEDICAL—T�RANSPORTED � 38 INTERLOCK YEs❑No� INTERLOCK YEs I I NOF YEs t l NOF,/ 19 D IVERI # ❑ ON DUTY STATUS AIRBAG 2 RESTR 4 EJECT 1 H U EET 2 NJAURSY 1 NATURE OF INJURIES ❑ 40 LICENSE I ❑21❑ PLA E# CKU9864 TArE 41 WA VIN# JN1AZ34E03T010969 1 42 22❑ PLATE# STATE PLATE# STATE 23❑ UIN#. 43 TRLR RLR 'IN#. VEH YEAR 2003 MAKE NISs MODEL 350Z STYLE SD VEHICLE TOWED TO BLIN TOWEDBY GOV HI 44 24❑ DAMAGE YES NO BANKERS YES NO REGISTERED OWNER INFO LUIS CARRILLO PORTILLO 530 PELLYAVE N RENTON WA 98057 D:2066390907 VEHICLE NO.2 SHADEDAMAGEDAREA 3 4 LIABILITY INSURANCE INSU&PORGY#E CO STATEFARM 5815712-EO6-47IN 9TOP 5 VEHICLE YES[:] ,.I—I CITATION# CHARGE io BOTTOM LEGALLY N 25 e OFFICER'S NAME(PRINT) OFFICER PHONE BADGE OR ID# JAGENCY 26 RAYMOND WATSON 13127 WA0171300 PART A PAGE 01 OF C7 3000-345-159 OR 11/181 STATE OF POLICETRAFFICN CORRECTION REPORT NO. EH16382 COLLISION REPORT III III III III III 111 1591972 CASE# 26-4850 ADDITIONAL PERSONS INVOLVED PASSENGERS AND/OR WITNESSES ONLY) NAME MIDDLE INITIAL) STEIGER OPHELIA H (LAST FIRST, ADDRESS&PHONE# D O.B. ' 7659 S LAKER/DGE DR SEATTLE WA 98178 SEXi F MMDOYyry 08 - 09 - 2008 PASSENGER L�WITNESS❑ UNIT# 2 POST $ AIRBAG 6 RESTR. q EJECT ? HELMET INJURY NATURE OF INJURIES USE 1 2 CLASS '1 NAME (LAST,FIRST,MIDDLE INITIAL) ADDRESS&PHONE# D O B SEX' MMDDYYYY PASSENGER ❑WITNESS UNIT# SEAT AIRBAG RESTR. EJECT HELMET NJURY POS. NATURE OF INJURIES USE CLASS NAME (LAST FIR57 MIDDLE INITIAL) AppRESS&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. RAYMOND WATSON 06-21-26 04:13 PM INVESTIGATING OFFICER'S SIGNATURE UNIT OR DIST DET DATED PLACE SIGNED APPROVED BY DATE S.WOODWARD 11528 1 6/29/2026 9:24:20 AM BADGE OR ID# 13127 ORI#' WA0171300 TIME POLICE DISPATCHED 1:48 Pry] TIME POLICE ARRIVED]1:48 PM PART I PAGE IT]OF TIME REPORT NO. EH16382 CASE# 26-4850 OF COLLISION06/21/26 13:47 NARRATIVE 26-4850 This report is a summary of events that occurred and is not an exact sequencing of events. Statements have been paraphrased and summarized. On 06/21/2026 at approximately 1348 hours, myself, Officer R. Watson, was dispatched to a collision, at the intersection of N 2nd ST and Park AVE N, within the City Limits of Renton, County of King, State of Washington. Dispatch notes stated that it was a 2-vehicle collision with injuries and blocking. I arrived on scene and observed two vehicles with significant damage near the intersection, on the sidewalk. Unit# 1, driven by Kevin C. Thai (DOB 05/29/1996) verified by WA DOL photo, stated he was driving a White BMW M340XI, WA plate CNV8154. There were no other passengers in the vehicle. Kevin stated that he was turning left and unit#2 collided with his vehicle. Kevin said he had no injuries and declined aid. When I asked for Kevin's license, registration and insurance, he was able to provide me with all documents. Unit#1 had significant left and right-side damage, multiple airbag deployment, and was towed from the scene by Bankers Towing. Unit# 2, driven by Luis F. Carrilo-Portillo (DOB 12/19/2007) verified by WA DOL photo, stated he was driving a Maroon Nissan 305Z, WA plate CKU9864. There was one passenger in the vehicle, front right, Ophelia H. Steiger (DOB 08/09/2008) verified by WA DOL photo. Luis stated that he was traveling northbound on Park AVE N when unit#1 turned in front of him. Luis and Ophelia both said that they had no injuries and declined aid by fire on scene. When I asked for Luis' license, registration and insurance, he was able to provide me with all documents. Unit#1 had significant front end damage, multiple airbag deployment, and was towed from the scene by Bankers Towing. Unit# 3, a Gray 2025 Subaru Crosstrek, WA plate CTW5347, was legally parked on the northside of N 2nd ST, unoccupied. The registered owner's information was provided, Yolanda Barraza-Flores (DOB 12/17/1982). Unit#1 had spun around facing west after the impact with unit#2 and with the momentum, continued east when the left side of the vehicle struck unit#3 and went up on the curb before coming a rest. This caused minor damage to the front right side of unit#3. An exchange of information was given to all parties involved. The operator of unit#1 was cited for improper left turn. 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 R. Watson #13127 06/21/2026 1606 hours, Renton, King County, WA. PAGE 3 OF 5 SUPPLEMENTAL REPORT NO. EH16382 r`) POLICE TRAFFIC 1 1 8 27 COLLISION REPORT CASE# 26-4850 1 COMMERCIAL MOTOR CARRIER INTERSTATE INTRASTATE G UNIT'# USDOT ICC# VEHICLE TYPE CARGO BODY ;TYPE 2 ❑ 1 28 CARRIER NAME 3 CARRIER ADDRESS ` CITY ST ZIP—1 I ' 4 ❑ NAME # PLACARD: :❑ GI PLACARD IF NO NUMBER SOURCE AXLES + 4a ❑ ADDITIONAL UNITS MOTOR PEDAL- PROPERTY DAMAGETHRESHOLD MET PHONE 5 ❑ UNIT# 3 VEHICLE t_"J � PEDESTRIAN YES IN 1 4 29 LAST NAME : UNKNOWN FIRST NAME MIDDLE INITIAL STREET 30 NEW AnDRFS CITY KENT ST ZIP 6 1 CDL GNITIttN REQUIRED GNITION PRESENT MEDICAL TANSPORTED 1 31 INTERLOCK YES No NTERLOCK YES❑N0� vES N DRIVER'S STATE I SEX U M��DVSYv' -� 2 LICENSE 7 ON DUTY STATUS AIRBAG 9 RESTR. 9 EJECT 1 HELMET 9 INJURY 0 NATURE OF INJURIES F� USE CLASS 8 ❑ 1 32 LICENSE I CTW5347 [TAT WA VIN# JF2GUHDC3S8306041 PLATE# 9 TRAILER TRAILER PLATE# STATE PLATE# STATE 10 ❑ TRLR TRLR VIN.#. VIN.#. 11 0 0 VEH.YEAR MAKE MODEL STYLE VEHICLE TOWS E T SABLIN TOWED BY anvi vEH1C P FROM TO 2025 SUBA CROSST SD DAMAGE YES NO YES NO REGISTERED OWNER INFO.YOLANDA BARRAZA FLORES 12230 SE 206TH ST KENT WA 98031 D:2063029096 m 33 12 � SHADE IN DAMAGED AREA j 4 FROM TO ((ABILITY INSURANCE[] INSURANCE CO IN EFFECT &POLICY# t 9 1"01? vewcle 10 6QTTUM 34 13 ❑ LEGALLY YES[:] NO❑ CITATION# CHARGE STANDING } 8 7 6 14 ❑ UNIT Tr Vd 1 RE O : FEDDAL OWNERRTY YES AGE NOHRESHOLD MET PHONE ❑ 35 El PEDESTRIAN 15 LAST NAME FIRST NAME INITIALMIDDLE TIAL ❑ ET 16 STRETRE "F1' CITY ST ZIP NEW CDL IGNITION REdUiRED IGNITION PRESENT MEDICALTANSPORTED NTERLUCK YES NO NTERLOCK YES NO 'YES NO ❑ 17 5 37 LICENSE# STATE SEX MMDDDYBYY 18 ❑ ON DUTY� STATUS AIRBAG RESTR. ; EJECT HELMET INJURY NATURE of INJURIES 38 USE (CLASS 19 ❑ VIN# 39 LICENSE PLATE# rnr 20 ❑ TRAILER' TRAILER ❑ 40 PLATE# STATE PLATE# STATE 21 ❑ [441 TRLR TRLR VIN# YIN#i 42 22 VEH.YEAR MAKE I MODEL STYLE I VEHICLE TOWED DUET SABLIN TOWED BY GOVT.VEHICLE DAMAGE YES NO YES NO 23 REGISTERED OWNER INFO SHADE IN DAMAGED 3 4 4 AREA F 43 z LIABILITY INSURANCE INSURANCE CO ' VEHICLE EFFECT &POLICY# I 970P - 4 44 24 LEwcLE YES❑ NO❑ CITATION# CHARGE iq 60TiOM LeGAlly E:l STANDING 8 7 6 1 CERTIFY(DECLARE)UNDER PENALTY OF PERJURY UNDER THE LAWS OF THE STATE OF WASHINGTON THAT THE FOREGOING IS TRUE AND CORRECT. RAYMOND WATSON 06-21-26 04:13 PM 25 INVESTIGATING OFFICER'S SIGNATURE OFFICER'S PHONE UNIT OR DIST DET DATED: PLACE SIGNED 26 � OI BADGE 13127 O#I',WA0171300 APPROVED BY 6%2E9/2026 PAGE�OF F 3000-345-013(R 11118) REPORT NO.! EH 16382 CASE# 26-4850 DATE AND TIME 06/21/26 13:47 OF COLLISION \k<<v d ➢a { t S 1 } { 4 ti � 3 t S� t 3t l PAGE 5 OF 5