The URL can be used to link to this page

Home My WebLink About25-3380 iiTFiNII IIIII III IIIII II IIII IIIII I . 27c REPORT NO EF82587oc� RA COLLISION REPORT 1591971 CASE# 25-3380 2 INTERSTATE CITY STREET❑ FIRE I RESULTEDSTOLENSTATE ROUTE OTHER VEHICLE LOCAL ING 42QQ 3 HIT&RUN CODING ❑ COUNTY RD PRIVATE WAY ❑✓ INVOLVED 2 1 TOTAL#OF OBJECT 1 s 28 TRIBAL UNITS 02 STRUCK RESERVATION : 1 2 3� M M D D Y Y Y Y TIME(2400) COUNTY# MILES CITY# eaCL s on' 04 - 14 - 2025 1825 17 =.= S 8 W e OF IN e 1070 s 4❑ ON (PRIMARY TRAFFIC WAY) INTERSECTION ❑ NON INTERSECTION ❑✓ SGRADYWAY BLOCK NO. e 375 .� 4a❑ MILE POST ❑ DISTANCE OF(REFERENCE OR CROSS STREET) 5 60 00 FEET e✓ S 8 W e✓ LAKE AVE S 1 5 29 MOTOR ✓ PEDAL- DAM AG THRESHOLD MET PHONE UNIT 01 VEHICLE ❑ CYCLE ❑ YEs Vl No D:2068413037 0 9 30 5❑ LAST NAME BENARD FIRST NAME ALVERDA MIDDLE L 1 2 31 INITIAL STREET ❑ 2405 24TH AVE#522 NEW ADDRESS CITY I SEATTLE ST WA ZIP: 98122 2 7 CDL IGNITION REQUIRED IGNITION PRESENT MEDIQAL RTED 3 INTERLOCKYES NO✓ INTERLOCKY No✓ YES I TRANS!✓ 8❑ DRIVER' # STATE WA SEXI F MMDDYY' 05 — 25 — 1962 1 2 32 -NJUR 9 ON DUTY STATUS' AIRBAG 2 RESTR 4 EJECT 1 HELMET 2 CLASSY ? [NATURE of INJURIES 2 LICENSE, CPY9117 STATE WA VIN# WAUUPBFFlHA052177 3 10 Fq I PI ATP rt TRAILER 11 0 0 STATE TRAILER STATE ROM To PLATE# PLATE# TRLR zRLR 0 0 33 12 0 Q VIN#' VIN# FROM TO VEH.YEAR 2017 MAKE AUDI MODEL A3 STYLE SD VEHICLE TOWED TO BLIN TOWED By GES VEHICLE 9 9 34 13 DAMAGE YES ✓ YES) NO✓ REGISTERED OWNER INFO ALVERDA BENARD 240524TH AVE#522 SEATTLE WA 98122 D:2068413037 VEHICLE NO. 1 SHADE IN DAMAGED AREA 35 LIABILITY INSURANCE❑ INSURANCE CO 2 3 14 ✓ STATE FARM 576-8497-624-47 IN EFFECT &POLICY# i 4TOP VEHICLE CHARGE 7 0 80TTOM 36 LecALLr yes❑NO❑ CITATION# 4 15❑ EFFECT s 7 MOTOR ✓ PEDAL- PEDESTRIAN PROPERTY DAM THR OLD MET PHONE UNIT VEHICLE CYCLE nWNFR YES NO �/ D:4252769500 16� LAST NAME HAWKINS FIRST NAME DANIEL MIDDLE ,/ INITIAL 17 F1 STREET ❑ ❑ 18002 108TH AVE SE CITY' RENTON ST, yyq ZIP 98055 4 37 NEW ADDRESS 1$ IGNITION REQUIRED IGNITION PRESENT MEDfCAL TRANSPORTED': 38 CDL INTERLOCKYES No✓ INTERLOCI£YES NO✓ YEs NO'✓ 19 DRIVERS STATE WA SEXI M D-O-e- 11 18 ?986 � 39 LICENSE# MMDDYY — 20❑ ON DUTY STATUS AIRBAG 2 RESTR 4 EJECT 1 R U ET 2 INJURY ? NATURE OF INJURIES 40 21 LICENSEC0467C TATE WA VIN# 1GC1KUEG4JF253168 41 22❑ [TILER TAILER PLATE# STATE PLATE# STATE 42 23 TRLR RLR 43 UIN#. 'IN# VEH.YEAR 201$ MAKE CHEV MODEL SIlVERA STYLE 4C VEHICLE TOWED TO BLIN TOWED BY GOV HI 44 24 DAMAGE YES NO✓ VES NO✓ REGISTERED OWNER INFO DANIEL HAWKINS 18002108TH AVE SE RENTONWA98055 D:4252769500 VEHICLE NO.2 SHADE IN DAMAGED AREA 2 3 4 LIABILITY INSURANCE INSURANCE CO ENDURIS 2025.625-P-001 IN EFFECT &POLICY# 9TOP veHICLE ,.I—I CITATION11 CHARGE to BOTTOM LEGALLY YESZ N 25 a s OFFICER'S NAME(PRINT) OFFICER PHONE BADGE OR ID# AGENCY 26 JAREN JOKELA 12805 WA0171300 PAGE 01 OF PART A 3000-348-189(R 11/18) STATE OF POLICETRAFFICN CORRECTION REPORT NO. EF82587 COLLISION REPORT III III III III III 111 1591972 CASE# 25-3380 E NA ADDITIONAL PERSONS INVOLVED(PASSENGERS AND/OR WITNESSES ONLY) M (LAST,FIRST,MIDDLE INITIAL) SHAW LORA A ADDRESS&PHONE# 8113 S 121ST ST SEATTLE WA 98178 SEXi F MMDDD BYYY 05 — 25 — 1962 PASSENGER WITNESS UNIT# SEAT AIRBAG RESTR. EJECT HELMET INJURY NATURE OF INJURIES z � 1 POS. 3 2 4 1 USE 2 CLASS 1 ----� :NAME (LAST EIFS7 MIDDLE INITIAL) ADDRESS R PHONE# SEX D.O.B. — MMDDYYYY PASSENGER❑WITNESS UNIT# : SEAT AIRBAG RESTR. EJECT HELMET INJURY: NATURECFINJURIES POS. USE CLASS ----� :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 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. JAREN JOKELA 04-14-25 07:38 PM INVESTIGATING OFFICER'S SIGNATURE UNIT OR DIST.DET DATED PLAGE SIGNED APPROVED BY DATE MICAELA CASTAIN 12573 1 411512025 1:22:05 AM BADGE OR ID# 12805 ORI# WA0171300 TIME POLICE DISPATCHED 6:27 Pry] TIME POLICE ARRIVED i 6:35 PM PAST B 3 aDo-3mx—attar(t 1Mff) PAGE 2�OF F5 REPORT NO. EF82587 CASE# 25-3380 OF DATE AND r�N + 04/14/25 18:25 O�COLLISION NARRATIVE Renton Case #25-3380 On 04/14/2025 at 1830 hours I was dispatched to Applebees, located at 375 S Grady Way, in the City of Renton, King County, Washington. I was responding to a call of a non-injury, non-blocking accident. This incident was captured on my body worn video camera. This report is a summation of events that occurred and is not an exact sequence of events. While en route, dispatch advised the following: Minor motor vehicle in accident in parking lot involving fire department vehicle. At approximately 1835 hours, I arrived on scene located the two involved vehicles. Both vehicles were on the north side of the business, in the parking lot. I identified Unit 1 as a white 2017 Audi A3 (WA LIC# CPY9117) being driven by unit 1 driver, identified via her WA DL as Alverda L Benard (DOB 05/25/1962). Located in the front passenger seat at the time of the collision, was the vehicles registered owner, Lora A Shaw (DOB 05/25/1962). Both unit 1 driver and passenger were uninjured. I asked Unit 1 driver what happened, she stated that as she attempted to back out of her parking spot (just west of the Applebees main entrance), she collided with Unit 2 vehicle which was stopped in the middle of the parking lot behind her. I observed significant damage to the rear bumper of Unit 1 vehicle. Unit 1 driver provided me with her WADL, vehicle registration and proof of insurance. I identified Unit 2 as a fully marked Renton Fire Department 2017 Chevy Silverado (WA LIC # C0467C) being driven by Unit 2 driver, identified by his WA DL as Daniel J Hawkins (DOB 11/18/1986). Unit 2 vehicle was at location for a dispatched fire related call, was fully marked, and had its emergency lights activated at time of collision. Unit 2 driver told me he was at location for an emergency Renton Fire dispatched call. Unit 2 driver said at the time of collision, his vehicle was fully stopped in the parking lot with the emergency lights activated. Unit 2 driver said that as a Renton Fire Department fire engine was clearing the scene, and just prior to the collision, he backed Unit 2 up slightly to make room for the fire engine. I did not observe any damage to Unit 2 vehicle. I took photographs of both vehicles at the scene along with the sustained vehicle damage. All photos were later uploaded to Axon Evidence. All observed damage was consistent with the version of events provided both Unit 1 and Unit 2 drivers. provided each involved unit with a business card, case number and answered their remaining questions. I then cleared the scene. This ends my report. I certify under penalty of perjury under the laws of the State of Washington that the foregoing is true and correct. PAGE 3 OF 5 REPORT NO. EF82587 CASE# 25-3380 OF DATE AND r�N + 04/14/25 18:25 O�COLLISION NARRATIVE Electronically signed by Ofc. Jaren Jokela #12805, 04/14/2025 at 1935 hours in Renton, Washington. PAGE 4 OF 5 REPORT NO. EF82587 CASE# 25-3380 DATE AND TIME 04/14/2518:25 OF COLLISION ,a 1 1 � a � zy a ^+J 2 of a � 10" t.n PAGE 5 OF 5