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Home My WebLink About23-5696 ITFF' "POLCERA II I !�� I III I III I IIII III II I . 0 27c COLLISION REP FIT 1591971 ❑ ❑ FIRE ❑ CASE$# 23-5696 z 674 INTERSTATE CITY STREET ✓ RESULTED 1 STOLEN STATE ROUTE ❑ OTHER ❑ VFHICCI F ❑ LOCAL AGENCI 4150 3 HIT 8 RUN ✓ CODING COUNTY RD PRIVATE WAY INVOLVED 2� 1 1 8 28 TOTAL#OF OBJECT TRIBAL UNITS 03 STRUCK' BUILDING RESERVATION 2 3❑ DATE OF M M D D Y Y Y Y TIME(2400) COUNTY# MILES N E IN CITY# ❑ cawsloN 05 - 1-- 2023 0015 17 ❑.= S 8 IN e 1070 3 4❑ ON (PRIMARY TRAFFIC WAY) INTERSECTION ❑ NON INTERSECTION ❑✓ 108 AVE SE BLOCK NO. e✓ 18600 4a❑ MILEPOST DISTANCE OF(REFERENCE OR CROSS STREET) 5❑ ❑ FEET e S ❑ W e 0 1 29 UNIT MOTOR VEHICL Z CYCLE ElDDAMYESA✓NOESHOLDMET PHONE O 11 30 6❑ LAST NAME UNKNOWN FIRSTNAME MIDDLE 1 2 31 INITIAL STREET ❑ CITY ST ZIP Z NEW ADDRESS 7❑ CDL IGNITION REQUIRED IGNITION PRESENT MEDICAL TRANSPORTED 3 :NTERLOCKYEs NO INTERLOCK YES NO YES No 8 DRIVER'S. STATE SEX.U D.O.B. 1 1 2 32 ❑ :LICENSE# MMDDYY —= 9 ON DUTY❑ STATUS I AIRBAG 9 RESTR 9 EJECT 1 H USEEr 9 CLAY 0 NATURE OF INJURIES z❑ 3 LICENSE sTATI urN#' 10[9 PI ATE# TRAILER TRAILER STATE STATE 11 0 0 PLATE# PLATE# ROM ro TRLR. TRLR 5 1 33 12 0 0 vIN#' VIN# FROM TO VEH.YEAR MAKE MODEL STYLE VEHICLE TOWED TO BLIN TOWED BY GOVT.VEHICLE 5 1 34 13❑ DAMAGE YES NO ✓ YES❑ NO✓ REGISTERED OWNER INFO UNKNOWN VEHICLE NO. 1 SHADE IN DAMAGED AREA ❑ 35 14 LIABILITY INSURANCE❑ INSURANCE CO 3 4 IN EFFECT &POLICY# 9TOP VENICLE CHARGE 5 36 LEGALLv res❑NO❑ CITATION# 1 o BOTTOM 15❑ STAIN,DIING 7 6 UNIT 02 MOTOOR CYCLE ❑ PEDESTRIAN ❑ PROPE OWNFRRTY ❑ DYES✓ NO OLD MET PHONE VEHIL16 a LAST NAME YUSUF FIRST NAME JAMA MIDDLE A INITIAL 17❑ STREET I 3240 S 152ND ST APT 5 CITY SEATAC ST WA ZIP 981882120 37 ADOREss❑' 18❑ CDL IGNITION REQUIRED IGNITION PRESENT MEDICAL t—T�RANSPORTED � 38 INTERLOCK YES❑No� INTERLOCK YES It1 I NoF t l YES NO 19 DRIVER'S STATE WA SEX M I D.O.B. 01 01 1982 39 LICENSE# MMDDYY 20❑ ON DUTY STATUS AIRBAG 2 RESTR 4 EJECT 1 H U EET 2 NJAURSY 1 NATURE OF INJURIES 40 ❑21❑ PLATE# CFA0434 TATE 41 WA vIN# 1HGCV3F29NA027838 4 42 22 [TRAILER TILER ❑ PLATE# STATE PLATE# STATE 23❑ 43 TRLR RLR UIN#. 'IN#. VEH YEAR 2022 MAKE HOND MODEL ACCORD STYLE VEHICLE TOWED TO BLIN TOWED eY GOV HI 44 24❑ DAMAGE YES✓ NO BANKERS YES NO✓ REGISTERED OWNER INFO FLEXDRIVE SERVICES LLC 4001 LEADENHALL RD MOUNT LAUREL NJ 08054 VEHICLE NO.2 SHADE DAGELLAREA LIABILITY INSURANCE INSU PORGY#E CO ALLSTATE 609901756IN STOP 'EwCLe ❑ ,J� CITATION# CHARGE to BOTTOM LEGALLY YES N`L J 25 OFFICER'S NAME(PRINT) OFFICER PHONE BADGE OR ID# JAGENCY 26 JAKE GALL 12617 WA0171300 PART A PAGE 01 OF C7 3000-345-159 OR 11/181 STATE OF POLICETRAFFICN CORRECTION REPORT NO. ED65013 COLLISION REPORT III III III III III 111 1591972 CASE# 23-5696 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 POS. 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. JAKE GALL 05-21-23 03:53 AM INVESTIGATING OFFICER'S SIGNATURE UNIT OR DIST DET DATED PLACE SIGNED APPROVED BY DATE C.TOLLIVER 10540 512912023 10:54:30 PM BADGE OR ID# 12617 OR]#' WA0171300 TIME POLICE DISPATCHED 12:23 AM TIME POLICE ARRIVED',12:35 AM PART I PAGE IT]OF 5� TIME REPORT NO. ED65013 CASE# 23-5696 OF COLLISION05/21/23 00:15 NARRATIVE The following occurred within the City of Renton, King County WA and was recorded on my Body Worn Camera. On 05/21/2023 at around 0020 hours, Renton Officers were dispatched to a hit and run collision located near the 18600 block of 108th Ave SE. I arrived on scene and contacted the driver (and sole occupant) of vehicle 2. Driver of vheicle 2 works as a Lyft driver. The driver informed me that he was traveling North on 108th Ave SE near the 18600 block. As he was driving in lane 1 of 2, an unknown vehicle (also traveling North) impacted his rear bumper at a high rate of speed. The impact caused vehicle 2 to skid out of control and slide into the South East side of a hair salon business located at 18665 108th Ave SE (on the West side of 108th). Vehicle 2 ended up underneath a chain link fence facing Westbound about 10 yard off the roadway. Vehicle 1 then fled the scene North bound on 108th Ave SE. Driver of vehicle 2 was checked out by Renton Fire. They cleared him of any injured and he declined to go to the hospital. Upon interviewing the driver for vehicle #2, he had no information on who hit him, or make/model of the suspect vehicle. There were no witnesses that observed the collision take place. I provided the driver with the case number. Bankers Towing eventually arrived on scene and took possession of vehicle #2. 1 spoke with the owner of the Hair salon business located at 18665 108th Ave SE (Jia Y. Ye 10/04/1965 206/335-8886). She has video cameras on the exterior of the building, but none caught the collision take place. The building took a slight impact on the South East corner. The integral structure of the building seemed to be okay. I also provided the owner with the case number to provide to their insurance. There is currently no suspect vehicle/suspect driver information. No video evidence or witnesses. Pictures of the scene were uplaoded to evidence.com I certify (declare) under penalty of perjury under the laws of the State of Washington that the foregoing is true and correct. Electronically signed by J. Gall/12617 05/21/23 at 0227 hours, Renton, Washington PAGE 3 OF 5 SUPPLEMENTAL REPORT NO. ED65013 r`) POLICE TRAFFIC 1 27 COLLISION REPORT CASE# 23-5696 1 COMMERCIAL MOTOR CARRIER INTERSTATE INTRASTATE G UNIT'# USDOT ICC# VEHICLE TYPE CARGO BODY ;TYPE 2 ❑ 1 28 CARRIER NAME 3 CARRIER L ADDRESS ` CITY ST ZIP—1 I ' 4 ❑ NAME # PLACARD: :❑ GI PLACARD IF NO NUMBER SOURCE AXLES + 4a ❑ ADDITIONAL UNITS MOTOR PEDAL- PROPERTY DAMAGE THRESHOLD MET PHONE 5 ❑ UNIT# 3 VEHICLE I_J CYCLE u PEDESTRIAN � OWNER � YEs� NO D:2063358886 MIDDLE.. 29 LAST NAME YE FIRST NAME JIA INITIAL Y STREET 30 ❑ NEW AnnRFrtP 25308 1221VD PL SE CITY KENT ST WA ZIP 1 98030 6 CDL GNITIttN REQUIRED GNITION PRESENT MEDICAL TANSPORTED 1 31 INTERLOCK YES[:]NO zERLOCK YES❑N0� vES N L DRIVER'S STATE I SEX F M�DDYBYv 10 - 04 - 1965 LICENSE 7 F-I ON DUTY STATUS AIRBAG RESTR. EJECT HELMET INJURY NATURE OF INJURIES USE cLASS 8 ❑ ' 1 32 LICENSE+ rar VIN.# PLATE# 9F-I TRAILER TRAILER PLATE# STATE PLATE# STATE 10 ❑ TRLR TRLR VIN.#. VIN.#. 11 VEH.YEAR MAKE I MODEL STYLE I VEHICLE TOWS E T SABLIN TOWED BY anvi vEHIG P FROM TO DAMAGE YES NO YES NO REGISTERED OWNER INFO. m 33 12 SHADE IN DAMAGED AREA FROM TO LIABILITY INSURANCE❑ INSURANCE CO IN EFFECT &POLICY# tGQ VEHICLE 34 13 ❑ LEGALLY YES[:] NO❑ CITATION# CHARGE STANDING S} 8 7 6 14 ❑ UNIT Tr Vd 1RE O CYDCLE OWNER YES AGE NOHRESHOLD MET PHONE El 35 PEDESTRIAN 15 LAST NAME FIRST NAME MIDDLE': INITIAL36 STREETIAL ❑ 16 NEn+AnnRFs.�' CITY'. ST ZIP CDL IGNITION REQUIRED IGNITION PRESENT MEDICALTANSPORTED INTERLOCK YES No INTERLOCK YEs NO YEs NO El 17 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 ❑ TRLR TRLR 41 VIN# YIN#i 42 22 VEH.YEAR MAKE I MODEL STYLE I VEHICLE TO DUET SABLIN TOWED BY GOVT.VEHICLE DAMAGE YES NO YES NO 23 REGISTERED OWNER INFO_ SHADE IN DAMAGED AREA 43 3 4 71 LIABILITY INSURANCE INSURANCE CO ' VE EFFECT &POLICY# i 970P - 4 E:l 44 24 VEHICLE YES❑ NO❑ CITATION# CHARGE iq 60TiOM C=DLv 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. JAKE GALL 05-21-23 03:53 AM 25 INVESTIGATING OFFICER'S SIGNATURE OFFICER'S PHONE UNIT OR DIST DET DATED: PLACE SIGNED 26 OI BADGE 12617 O#I',WA0171300 APPROVED BY 5%2E9/2023 PAGE�OF F 3000-345-013(R 11118) REPORT NO. ED65013 CASE# 23-5696 DATE AND TIME 05/21/23 00:15 OF COLLISION 18665 108th_Ave SE 18600 108TH AVE SE NOT TO SCALE PAGE 5 OF 5