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Home My WebLink About25-2726 IT si " II IIIII III IIIII II IIII IIIII I . 27c REPORT NO EF77875OLCERA COLLISION REPORT 1591971 INTERSTATE CITY STREET FIRE I CASE# 25-2726 2 RESULTEDSTOLENSTATE ROUTE OTHER VEHICLE LOCAI-A`NG 4100 3 HIT&RUN CODING COUNTY RD PRIVATE WAY INVOLVED 2 1 TOTAL#OF OBJECT 1 28 TRIBAL UNITS 03 STRUCK BUILDING RESERVATION 1 1 2 3� M M D D Y Y Y Y TIME(2400) COUNTY# MILES CITY# DATE OF N E eDL�ls[oN' 03 - 26 - 2025 1502 17 =.�� S W OF 1070 3 4❑ ON (PRIMARY TRAFFIC WAY) INTERSECTION ❑ NON INTERSECTION ❑✓ S 36TH PL BLOCK NO. e 1020 .� 4a❑ MILE POST ❑ DISTANCE OF(REFERENCE OR CROSS STREET) 5 MILES 1.1 FEET B S B W e 1 5 29 MOTOR ✓ PEDAL- DAM AG THRESHOLD MET PHONE UNIT 01 VEHICLE ❑ CYCLE ❑ YEs Vl No D:4252778708 30 6 LAST NAME WOODARD FIRST NAME YOSHIKO MIDDLE N 1 1 2 31 INITIAL STREET ❑ 1102 S 36TH PL CITY; RENTON ST WA ZIP 980555884 2 NEW ADDRESS 7 CDL IGN(TIUN REQUIRED IGNITION PRESENT MEDICAL TRANSPORTED 3 INTERLOCK YEs No INTERLOCKYEe Nb YES NO 8 DRIVER # STATE WA SEXI F MMDDYY' 07 - 17 - 1934 32 9 ON DUTY STATUS' AIRBAG 2 RESTR 4 EJECT 1 N USE ET LA SY 7 ARMRE OF INJURIES 2 10 LI ENSE 177XPP STATE WA VIN# JTJFHlOU610204536 3 TRAILER STATE TRAILER STATE 11 2 5 ,LATE# PLATE# FROM To TRLR zRLR 0 0 33 12 VIN#' VIN# FROM TO HICLE 13 2 VEH.YEAR 2001 MAKE LEXS MODEL RX300 STYLE VEHICLE TO YED NO fiS46LIN diW9YMEYER GESr`-IVT ENp✓ m 34 DAMAGE IIII._IIII I_I REGISTERED OWNER INFO YOSHIKO WOODARD 1f02S 36TH PL RENTON WA 980555884 D:4252778708 VEHICLE NO. 1 ❑ SHADE IN DAMAGED AREA 35 14 LIABILITY INSURANCE NSURANCE CO TBD. IN EFFECT &POLICY# VEHICLE 9TOP CHARGE fj yes❑NO❑ CITATION# 36 7 0¢OTTOM15 sAc MOTOR PEDAL-:. PROPERTY DAM THR OLD MET PHONE UNIT�' PEDESTRIAN ✓ D:5742795809 VEHICLE CYCLE CfWNFR YES✓ NO 16❑ LAST NAME LI FIRST NAME YU MIDDLE' INITIAL 17 F1 STREET ❑ ❑ 1020 S 36TH PL CITY RENTON ST, WA ZIP 98055 37 NEW ADDRESS 1$❑ IGNITION REQUIRED IGNITION PRESENT MEDICAL TRANSPORTED' ❑ 38 CDL INTERLOCK YES No INTERLOCK YESEl No YES NO 19[ DRIVER # STATE SEX M MMDDYY 01 06 199 9 39 ❑ ON DUTY STATUS AIRBAG RESTR EJECT HELMET INJURY NATURE OF INJURIES 40USE CLASS ❑ 21 ,LATE# TATE VIN#LICENSE 41 22❑ [TILER TAILER PLATE# STATE PLATE# STATE 42 23 TRLR RLR 43 UIN#. 'IN# VEH.YEAR MAKE MODEL STYLE VEHICLE TOWED TO BLIN TOWED BY GOV HI 44 24 DAMAGE YES NO YES NO REGISTERED OWNER INFO VEHICLE NO.2 SHADE IN DAMAGED AREA 2 3 4 LIABILITY INSURANCE❑ INSURANCE CO IN EFFECT &POLICY# 9TOP YemcLE ❑ ,.I—I CITATION# CHARGE to BOTTOM EEGAEEY YES NC 25 a s OFFICER'S NAME(PRINT) OFFICER PHONE BADGE OR ID# AGENCY 26 M.LEVERTON 2517 WA0171300 PART A PAGE 01 OF 3000-345-189(R 11/181 STATE OF POLICETRAFFICN CORRECTION REPORT NO. EF77875 COLLISION REPORT III III III III III 111 1591972 CASE# 25-2726 ADDITIONAL PERSONS INVOLVED(PASSENGERS AND/OR WITNESSES ONLY) '.NAME (LAST,FIRST,MIDDLE INITIAL) ADDRESS&PHONE# SEXi D.O.B. — MMDDYYYY PASSENGERQ WITNESS� UNIT SEAT AIRBAG RESTR. EJECT ; HELMET INJURY NATURE OF INJURIES POS. ' USE GLASS 1 ----� :NAME (LAST FIRST MIDDLE INITIAL) ADDRESS&PHONE# SEX D.O.B. — MMDDYYYY PASSENGER❑WITNESS UNIT# : SEAT AIRBAG RESTR. EJECT HELMET INJURY: NATURECFINJURIES POS. USE CIASS ----� :NAME (LOST,FIRST,MIDDLE INITIAL) ADDRESS&PHONE# SEX MMDDYY D.O.B. YY PASSENGER WITNESS UNIT# SEAT AIRBAG RESTR. EJECT HELMET NJURY NATURE OF INJURIES POS. I USE GLASS 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 03-26-25 04:34 PM INVESTIGATING OFFICER'S SIGNATURE UNIT OR DIST.DET DATED PLAGE SIGNED APPROVED BY DATE M.LEVERTON 2517 1 312812025 3:19:47 PM BADGE OR ID# ; 2517 ORI# WA0171300 TIME POLICE DISPATCHED 1 3:03 PM TIME POLICE ARRIVED i 3:12 PM PAST B 3 Do-3mx—attar(t 1Mff) PAGE 2�OF F5 REPORT NO. EF77875 CASE# 25-2726 OF DATE AND r�N + 03/26/25 15:02 O�COLLISION NARRATIVE wht/1 backed out of garage and hit 2 houses away RTF Within the city limits of Renton/King/Wa I responded to a car into a tree and house. I located a single vehicle/single occupant with her car backed into the front yard of a house and over a tree. A neighbor/unknown-he did not provide his information said he thinks unit 1 backed out of her driveway from the north side of S 36th PL, crossed over to the south side curb then turned and backed rapidly over the north curb across one yard and struck a tree and shoved the tree into a second house. The driver unit 1 was still inside her vehicle getting checked by Renton Fire on scene. She said she was backing out of driveway and accidently hit the accelerator rather than the brake pedal. She had an obvious right forearm injury and was bleeding from her right hand. She was transported to VMC- ED for additional treatment. Gene Meyer recovered the vehicle from the neighbors yard. I provided two copies to one of the home owners, who told me he would provide the additional copy to his neighbor who is out of town for several more days. Information/insurance only 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 3/26/2025 PAGE 3 OF 5 SUPPLEMENTAL REPORT No. EF77875 l�� NRCoI COLLISION TRAFFIC ! CASE# 25-2726 1 27 013197 1 COMMERCIAL MOTOR CARRIER INTERSTATE INTRASTATE UNIT# USDOT ICC# VEHICLE TYPE CARGO BODY TYPE 2 ❑ 1 28 CARRIER NAME 3 CARRIER L ADDRESS CITY ST ZIP 4 ❑ NAME # PLACARD GWVR NAME IF NO NUMBER SOURCE AXLES + 4a ❑ ADDITIONAL UNITS 5 ❑ UNIT# 3 MOTOR ❑ PEDAL- ❑ PEDESTRIAN � OWNER '..�'.. YES DAMAGE THRESHOLD MET PHONE W VEHICLE CYCLE LAST NAME UpJ/( FIRST NAME MIDDLE 29INITIAL STREET 30 NEW AnnREs'0 1026 S 36TH PL CITY RENTON ST WA ZiP gg055 6 PRESENT MEDICALTANSPORTED. 1 31 CDL I ONO[:] REQUIRED 1{iNi7ION INTERLOCK YES NO :INTERLOCK YES 0- YES N L DRIVER'S I STATE I SEX U MMDODYW -[-�- LICENSE 7 OENSE STATUS AIRBAG RESTR. EJECT HELMET INJURY' NATUREofINJURIFs USE CLASS 8 ❑ 1 32 LICENSE TAT VIN PLATE# 9 TRAILER TRAILER L PLATE# STATE PLATE# STATE 0 10 ❑ TRLR TRLR VIN.# VIN#. 11 VEIL YEAR MAKE MODEL STYLE VEHICLE TOWE E T ABLIN TOWED BY GOVT.VFHICI F FROM TO DAMAGE YES NO YES NO m 33 REGISTERED OWNER INFO.� SHADE IN DAMAGED AREA 12 LIABILITY INSURANCE❑ INSURANCE CO TOP 4 FROM TO IN EFFECT &POLICY# ""`-" S m 34 13 vewc�e YES NO CITATION# CHARGE 1080TTOM ecauY sTANoiNc MOTOR PEDAL_ ' 1:1PROPERTY : DAMAGE THRESHOLD MET PHONE 35 14 ❑ UNIT# VEHICLE CYCLE PEDESTRIAN OWNER YES NO 36 15 LAST NAME FIRST NAME IN L 16 ❑ STREET CITY ST' ZIP NEW ADDRESS" CDL IGNI7ft5N RE6UIRED IGNITION PRESENT MEDICALTANSPORTED INTERLOCK YES[]NO INTERLOCK YES NO YES NO 17 37 LICENSE#RIVERS — STATE SEX MMDOD�B 18 ❑ HELMET INJURY NATURE OF INJURIES 38 ON DUTY STATUS AIRBAG RESTR. EJECT USE CLASS. 19 ❑ ❑ 39 LICENSE TAT viN# PLATE# 20 TRAILER+ TRAILER 40 PLATE#.: STATE PLATE STATE ❑ 21 ❑ TRLR TRLR 41 VIN# VIN#:' 42 22 VEH.YEAR MAKE I MODEL I STYLE I VEHICLE TOWED DUET ABLIN TOWED BY GOVT.VEHICLE DAMAGE YES NO YES NO 23 REGISTERED OWNER INFO. SHADE IN DAMAC ED AREA 43 2 3 4 LIABILITY INSURANCE INSURANCE CO IN EFFECT &POLICY# ).c;Q E. 44 vewc�e ❑ ❑ CITATION# CHARGE 24 I..EGALLY YES NO STIWDING 8 3 G 1 CERTIFY(DECLARE)UNDER PENALTY OF PERJURY UNDER THE LAWS OF THE STATE OF WASHINGTON THAT THE FOREGOING IS TRUE AND CORRECT. M.LEVERTON 03-26-25 04:34 PM 25 INVESTIGATING OFFICER'S SIGNATURE OFFICER'S PHONE UNIT OR DIST DET DATED: PLACE SIGNED 26 OR Ib# 2517 O#RI WA0171300 APPROVED BY 3122812025 PAGE OF� 3000-345-013(R 11t18) REPORT NO. EF77875 CASE# 25-2726 DATE AND TIME 03/26/2515:02 OF COLLISION> ' s „ J m 1� � x3cry� } �a JJ � J31;3 e \S l�`' 33 , s � � e y a gi� 1f;I b y Kra 0. u PAGE 5 OF 5