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
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