The URL can be used to link to this page

Home My WebLink About25-3725 )STATE TFC 6 0 27I OCERAF EF86312 COLLISION REPRT 1591971 CASE# 25-3725 2 INTERSTATE CITY STREET FIRE ❑ RESULTED 1 STOLEN STATE ROUTE ❑ OTHER ❑ VEHICLE ❑ LOCAL AGENC'Y 4100 3[--� COUNTY RD NVOLVED CODING PRIVATE WAY 2❑ TRIBAL TOTAL 1 UNITS#OF 02 SO BJECT TRUCK 1 8 28 RESERVATION 2 3� M M D D Y Y Y Y TIME(2400) COUNTY# MILES CITY# DATE OF'. N E COLLISION'. 04 - 26 - 2025 1859 17 =.= S 8 W E IN OF M 1070 a 4❑ ON (PRIMARY TRAFFIC WAY) INTERSECTION �✓ NON INTERSECTION ❑ LAKE AVE S BLOCK NO. e 200 .� 4a❑ MILE POST ❑ DISTANCE OF(REFERENCE OR CROSS STREET) 5 C------�. FEET S 8 W e S TOB1N ST 0 1 29 MOTtlR PEDAL- DAM AG THRESHOLD MET PHONE UNIT 01 VEHICLE ❑ CYCLE ❑ YEs Vl No D:3609134750 0 1 30 6 LAST NAME WALTERS FIRST NAME BOBBY MIDDLE R 1 1 2 31 INITIAL STREET ❑ 184 BELVEDERE ST APT 3 CITY CAMANO ISLAND ST WA I ZIP 982828780 2 NEW ADDRESS 7 CDL IGNITION REQUIRED IGNITION PRESENT MEDICAL TRANSPORTED 3 INTERLOCKYEs NO Z/ INTERLOCK YEs NO�/ YES NOF,/ 8� LICIENSE# STATE WA SEX M MMOCSYY' O6 1 2 32 9 ON DUTY STATUS AIRBAG 6 RESTR 4 EJECT 1 HELMET 2 INJURY 7 NATURE of INJURIES 2 USE ;CLASS MINOR ABRAISON ON ELBOW LICENSE C81204W STATE WA VIN# 1FTFW1EF4EKF81901 3 10[9� PI ATF#' TRAILER STATE TRAILER ,STATE 11 3 0 PLATE# PLATE# FROM TO TRLR TRLR 5 1 33 12 3 0 VIN# VIN# FROM TO VER YEAR MAKE MODEL STYLE VEHICLE TOWED TO BLINJJA GO VEHICLE 34 13 4 2014 FORD F150 DAMAGE ves ✓ No {ZRS veS❑ 3 7 No REGISTERED OWNER INFO BOBBY WALTERS 1505 DANAWOOD DR WENATCHEE WA 98801 VEHICLE NO. 1 ❑ SHADE IN DAMAGED AREA 35 LIABILITY INSURANCE❑ INSURANCE CO 14 PROGRESSIVE 984071285 IN EFFECT &POLICY# vicLE CHARGE I S ❑ 36 ecnEnur yes❑NO❑ CITATION# 80TTOM 15❑ STM ING I s i e III MOTCYR PEDAL- PEDESTRIAN PROPERTY DAM THR OLD MET PHONE UNIT 02 VEHICLE CYCLE OWNER YES,/ NO D:4257937892 16� LAST NAME FERNANDO FIRST NAME NILAKSHI MIDDLE O INITIAL 1 17 STREET ❑'❑ 3866 131ST PL NE CITY KIRKLAND ST 37 , WA ZIP 980342319 4 NEW ADDRESS 1 g❑ CDL IGNITION REQUIRED IGNITION PRESENT MEDICAL TRANSPORTED' 38 INTERLOCKYEs No INIERLOCKYES NO rEs No;� 19 DRIVER'S STATE WA SEX F I D.O.B. 07 05 1991 39 LICENSE# MMDDYY — 20❑ ON DUTY STATUS AIRBAG'6 RESTR 4 EJECT 1 HELMET 2 INJURY' 6 NATURE OF INJURIES 40 USE CLASS INURY FROM SEATBELT 21 LICENSLATE E BIG0763 rarE WA vIN# 5TDDK3DC1GS135416 41 22❑ PLATE# STATE PATE# STATE ❑ 42 23 TRLR kRLR 43 UIN#. 'IN#. VEH.YEAR 2016 MAKE TOYT MODEL SIENNA STYLE $�/ VEHICLE TOWED TO BLIN TOWED BY GOV HI 44 24 DAMAGE YES NO YES NO REGISTERED OWNER INFO SIHANOOK FERNANDO 13866131ST PL NE KIRKLAND WA 98034 VEHICLE NO.2 SHADEDAMAGEDAREA 3 4 LIABILITY INSURANCE INSURANCE CO TRAVELERS 6146679042031 IN EFFECT &POLICY# C�TOP vewaE ❑ CITATION CHARGE �gOTTOM LECAIIy YES N,.I—I J � 25 OFFICER'S NAME(PRINT) OFFICER PHONE BADGE OR ID# JAGENCY JAMAAL KEARSE 26 12994 WA0171300 PART A PAGE 01 OF 3000-345-159(R 11/181 POLIICFETRAFFICN CORRECTION REPORT NO. EF86312 COLLISION REPORT III III III III III 111 1591972 CASE# 25-3725 ADDITIONAL PERSONS INVOLVED(PASSENGERS AND/OR WITNESSES ONLY) NAME MIDDLE INITIAL} FERNANDO SAVIRU K (LAST,FIRST ADDRESS&PHONE# 13866 131ST PL NE KIRKLAND WA 980342319 SEX U MMooYYYv 02 - 04 - 2016 SEAT HELMET INJURY NATURE OF INJURIES PASSENGER P/1 WITNESS UNIT# 1 2 POS. 7 AIRBAG±6 RESTR. 4 EJECT 1 USE 1 2 CLASS '6 INURY FROM SEATBELT 'NAME LAsr F RST,MIDDLE INITIAL) PERERA BULATHSINHALAGE G ADDRESS&PHONE# D O B 14930 81 ST AVE SE SNOHOMISH WA 982968699 SEX' F MMDDVVYv 04 _ 01 _ 1980 SEAT HELMET INJURY NATURE OF INJURIES PASSENGER F,-/1 SS� UNIT# i 2 POS 6 AIRBAG 6 RESTR. 4 EJECT 1 USE 2 CLASS 6 INJURY FROM SEATBELT NAME MIDDLE INITIAL) HERATH MUDIYANSELAGE DHARSHANI N ',(LAST,FIRST, AODREss a PHONE# 23716 17TH AVE W BOTHELL WA 980219292 SEX F D.O.B. 10 _ 03 _ 1980 MMDDYYYY PASSENGER WITNESS UNIT# 2 SEAT 4 AIRBAG 6 RESTR. 4 EJECT 1 HELMET 2 INJURY 6 NATURE OF INJURIES Q,. POS. USE 'ICLASS INJURY FROM SEA TBELT 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. JAMAAL KEARSE 04-27-25 08:02 PM INVESTIGATING OFFICER'S SIGNATURE UNIT OR DIST.DET DATED PLACE SIGNED APPROVED BY DATE QUINT TIBEAU 07691 4/28/2025 12:45:50 AM BADGE OR ID# 12994 ORI# ( WA0171300 TIME POLICE DISPATCHED'; 6:59 PM TIME POLICE ARRIVED 6:59 PM PART B 3oDo-345-,ao(Rtrras) PAGE 27 OF 57 POLIICFETRAFFICN CORRECTION REPORT NO. EF86312 COLLISION REPORT III III III III III 111 1591972 CASE# 25-3725 ADDITIONAL PERSONS INVOLVED(PASSENGERS AND/OR WITNESSES ONLY) NAME MIDDLE INITIAL} AMARAWARDHANA NIRUSHA S (LAST,FIRST ADDRESS&PHONE# 2301 220TH PL NE SAMMAMISH WA 980744069 SEX' F MMooYYYv 10 - 22 - 1976 SEAT HELMET INJURY NATURE OF INJURIES PASSENGER P/1 WITNESS ;UNIT It 1 2 POS. 9 AIRBAG 6 RESTR. 4 EJECT 1 USE 1 2 CLASS 6 INJURY FROM SEA TBELT 'NAME LAsr F RST,MIDDLE INITIAL) HERATH MUDIYANSELAGE IRANGANI H ADDRESS&PHONE# D C,B 7646 NE 125TH ST KIRKLAND WA 980345741 SEX' F MMDDVVYv 06 _ 18 _ 1975 SEAT HELMET INJURY NATURE OF INJURIES PASSENGER F,-/1 SS� UNIT i 2 POS. 3 AIRBAG 6 RESTR. 4 EJECT 1 USE 2 CLASS 6 INJURY FROM SEATBELT '.NAME (LAST,FIRST,MIDDLE INITIAL) ADDRESS&PHONE# SEX' D.O.B.M F L----------� MDDYYYY PASSENGER WITNESS UNIT# SEAT AIRBAG RESTR. EJECT HELMET INJURY NATURE OF INJURIES ❑ Q 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. JAMAAL KEARSE 04-27-25 08:02 PM INVESTIGATING OFFICER'S SIGNATURE UNIT OR DIST.DET DATED PLACE SIGNED APPROVED BY DATE QUINT TIBEAU 07691 1 4/28/2025 12:45:50 AM BADGE OR ID# 12994 ORI# ( WA0171300 TIME POLICE DISPATCHED'; 6:59 PM TIME POLICE ARRIVED 6:59 PM PART B 3oDo-3m5-,ao(R11YIs) PAGE 37 OF 57 REPORT NO.` EF86312 CASE# 25-3725 O COLLI COLLISION TIME OF 04/26/25 18:59 COLLI NARRATIVE Unless otherwise noted, all events took place in the City of Renton, in the County of King, in the State of Washington. This incident was captured on my body worn video camera and in-car cameras. This report is a summary of events that occurred and is not an exact sequencing of events. On 4/26/2025, at approximately 1900 hours I was dispatched to a report of an unknown injury collision at the intersection of Lake Ave S and S Tobin St. Dispatch advised an apple watch motor vehicle collision notification with subjects speaking in the background. At approximately 1902 hours I arrived on scene. I observed Unit 1 was over the curb/sidewalk and into the grass area of the northwest corner of the intersection. Unit 2 was just north of the intersection on in the grass area on the east side of Lake Ave S. There were 6 passengers from Unit 2 standing outside of the vehicle. I contacted them and they all stated they were okay. They all had complaints of pain consistent with injuries from the seatbelts. They reported no other injuries. I contacted the driver of Unit 1 and he stated that he was fine and had a minor abrasion on his elbow. He reported no other injuries. Renton Fire responded and evaluated all involved parties. I spoke with the driver of Unit 1 and he relayed the following information. He was driving northbound in lane 1 of 1 on Lake Ave S approaching the intersection of S Tobin St. He stated he didn't see the stop sign and failed to stop. He entered the intersection and saw Unit 2 driving westbound in lane 1 of 1 on S Tobin Street approaching the intersection of Lake Ave S. As he entered the intersection the entire front bumper of Unit 2 struck the front right bumper and wheel well of Unit 1 causing significant damage to both vehicles. All airbags in Unit 1 were deployed and the vehicle had to be towed. I spoke with the driver of Unit 2 and she relayed the following. She was driving westbound in lane 1 of 1 on S Tobin Street approaching the intersection of Lake Ave S. She saw unit 1 driving northbound in lane 1 of 1 on Lake Ave S approaching the intersection of S Tobin St. As she entered the intersection Unit 1 also entered the intersection without stopping. While in the intersection the entire front bumper of Unit 2 struck the front right bumper and wheel well of Unit 1 causing significant damage to both vehicles. All airbags in Unit 2 were deployed and the vehicle had to be towed. I spoke with the front right passenger of Unit 2 and she stated confirmed what the Driver of Unit 2 stated. No other passengers in Unit 2 saw what happened. 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 Officer J. Kearse #12994 4/27/2025 1923 Hours Renton, King County, Washington PAGE 4 OF 5 REPORT NO. EF86312 CASE# 25-3725 DATE AND TIME i 04/26/25 18:59 OF COLLISION : Y r , � 4hr u; Y� 4 h a. t !s r u� s" „ S} G %�bgyMu �Q t �s Y PAGE 5 OF 5