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25--3939
ITFF' "POLCERA II I !�� I III I III I IIII III II I . 1 27c COLLISION REP FIT 1591971 CASE 25--3939 z INTERSTATE ❑ CITY STREET FIRE ❑RESULTED 1 STOLEN STATE ROUTE ❑ OTHER ❑ VFHICI F ❑ LOCAL AOENC 4Y00 3 HIT&RUN CODING COUNTY RD PRIVATE WAY INVOLVED 2 TOTAL#OF OBJECT 2$ iTRIBAL �: UNITS 02 STRUCK UTl!ITYPOlE RESERVATION z 3❑ DATE OF M M D D Y Y Y Y TIME(2400) COUNTY# MILES N E IN CITY# ❑ cawsloN 05 - 1-- 2025 1311 17 ❑.= S 8 IN e 1070 3 4❑ ON (PRIMARY TRAFFIC WAY) INTERSECTION ❑ NON INTERSECTION ❑✓ RENTON AVE S BLOCK NO. e✓ 300 4a❑ MILEPOST DISTANCE OF(REFERENCE OR CROSS STREET) 5❑ ❑ FEET e S ❑ W e 1 5 29 MOTOR PEDAL- DAMAHRESHOLD MET PHONE UNIT 01 VEHICLE ❑ CYCLE ElYES GE THRESHOLD D:2064019000 30 6 LAST NAME HO FIRSTNAME NU MIDDLE D 1 0 1 31 INITIAL STREET ❑✓ 422 RENTON AVE S CITY RENTON ST WA ZIP 98057 z 1 1 NEW ADDRESS 7❑ CDL IGNITION REQUIRED IGNITION PRESENT MEDICAL TRANSPORTED 3 iNTERLOCKYEs NO 1/ INTERLOCKYEs NO Z/ YES R No�/ 8❑ LRIIVER # ON DUTY❑ STATUS AIRBAG 2 RESTR 9 EJECT 1 HELMET USE 2 CLASS 1 NATURE OF INJURIES z❑ 3 10❑ P1 aT�S� C17319P sTArI WAvIN# JAlE561 U5L3001358 TRAILER STATE TRAILER STATE 11 2 5 PLATE# PLATE# FROM TO TRLR. TRLR 5 0 33 2❑ 1 VIN#' VIN# 1990 !SU FlATBE FB pL FROM 34 VEH.YEAR MAKE MODEL STYLE VEHICLE TOWED TO u BLIN TOWED BY GOVT.VEHICLE 13 5 DAMAGE YES NO �/ YES[:] NO REGISTERED OWNER INFO OWNEDBYDRIVER VEHICLE NO. 1 ❑ SHADE IN DAMAGED AREA 35 14❑ LIABILITY INSURANCE❑ INSURANCE CO IN EFFECT &POLICY# VEI"LL CHARGE 36 LEGALLv res❑NO❑ CITATION# K�;O 15❑ STANDING 7 MOTOR PEDAL- PEDESTRIAN PROPERTY DAM THR OLD MET PHONE UNIT 02 VEHICLE ❑ CYCLE ❑ ❑ OWNFR ❑ YES 1/ NO D:2069720020 16❑ LAST NAME HANSEN FIRST NAME STEVE MIDDLE INITIAL STREET 17❑ NEW ADDRESS❑' CITY ST ZIP ❑ 37 18❑ CDL IGNITION REQUIRED IGNITION PtR—E—S1ENT MEDICAL—T�RANSPORTED ❑ 38 INTERLOCKYES�NOR INTERLOCK YEs I I NOF YEs t l NO❑ 19 LLIICENS RIVERIS# STATE SEX M MMDDYY 39 HELMET INJURY NATURE OF INJURIES 40 20❑ ON DUTY STATUS' AIRBAG RESTR EJECT USE CLASS ❑ ❑21❑ LICENSE TArE VIN# 41 PLATE# 42 22❑ PLATE# STATE PLATE# STATE 23❑ 43 TRLR RLR UIN It 'IN#. VEH YEAR MAKE MODEL STYLE VEHICLE TOWED TO BLIN TOWEDBY 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 #E CO IN EFFECT &PO I STOP 5 VEHICLE ❑ ,.I—I CITATION# CHARGE i o BOTTOM LEGALLY YES N`LJ 25 s a OFFICER'S NAME(PRINT) OFFICER PHONE BADGE OR ID# AGENCY 26 JAMES ELFER/NG 13002 WA0171300 PAGE 01 OF PART A 3000-345-159 OR 11/181 STATE OF POLICETRAFFICN CORRECTION REPORT NO. EF90487 COLLISION REPORT III III III III III 111 1591972 CASE# 25--3939 ADDITIONAL PERSONS INVOLVED PASSENGERS AND/OR WITNESSES ONLY) NAME MIDDLE INITIAL) BOISSONNEAU ANDREW N (I.P.ST FIRST, ADDRESS&PHONE# 424 RENTON AVE S RENTON WA 98057 2064094396 SEX i M MMDOYyry 07 - 14 - 1966 PASSENGER WITNESS UNIT# ' SEAT AIRBAG RESTR. EJECT ' HELMET INJURY NATURE OF INJURIES POS. USE CLASS NAME (LAST,FIRST,MIDDLE INITIAL) ADDRESS&PHONE# D O B SEXI MMDDYYYY - PASSENGER ❑WITNESS UNIT# SEAT I AIRBAG RESTR. EJECT HELMET NJURY 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. JAMES ELFER/NG 05-04-25 03:08 PM INVESTIGATING OFFICER'S SIGNATURE UNIT OR DIST DET DATED PLACE SIGNED APPROVED BY DATE D.SKELTON 9139 1 511212025 4:09:36 AM BADGE OR ID# 13002 ORI# WA0171300 TIME POLICE DISPATCHED 1:12 Pry] TIME POLICE ARRIVED i 1:21 PM PART B PAGE IT]OF 4� REPORT NO. EF90487 CASE# 25--3939 OF LNa 05/04/25 13:11 F coy�isI©�ON u NARRATIVE CASE NO. 25-3939 Narrative Unless otherwise noted the following events occurred within the City of Renton, County of King, State of Washington while I was working uniformed patrol. This report is not an exact sequencing of events and statements have been paraphrased and summarized. On 05/04/2025 at approximately 1312 hours I was dispatched to an unknown injury accident located at 333 Renton Ave S. Dispatch noted that a vehicle had backed into a power pole and hit a house, with no smoke or fire seen from the wires. While enroute Officer Vanderhoek aired that there were wires over the roadway and provided an updated address of 343 Renton Ave S. No injuries were reported, and the Fire Department responded as well and determined that there was not an active risk for a fire from the downed wires. Upon my arrival I contacted the driver of the vehicle, identified via WADL as Nu D Ho (DOB 12/04/1976 verified via WA DOL photo). Nu does not speak English well, so a neighbor and witness provided an account of events. Verbally identified as Andy N Boissonneau (DOB 07/14/1996 verified via WA DOL photo), he stated the following: He and Nu share a driveway in the 400 block of Renton Ave S, approximately half a block from the site of the accident. Nu was driving up the hill towards their driveway and paused near the entrance to allow Andy to pull his vehicle out. While waiting, Nu's vehicle began to slowly roll backwards down the hill. Nu turned to the side to attempt to stop the vehicle but ended up jumping the curb on the west side of the roadway and knocked down a power pole and struck the residence located at 343 Renton Ave S. Andy saw Nu's face during this and described him as looking panicked. I asked Nu for a statement, and he provided the following: He was headed up the hill when he got to his driveway and asked Andy to pull his vehicle out so he could park. When he went to shift his vehicle into gear, something went wrong, and he began sliding backwards. He pressed on the brake, but his vehicle did not slow down so he turned to the side to try to stop his vehicle manually. Based on the results of my investigation, this collision occurred due to a mechanical failure. Nu does not have active insurance on his vehicle. The property owner of 343 Renton Ave S was unavailable for contact, so I left him a voicemail with the case number. Officer Vanderhoek took photos and uploaded them to the case. PSE responded and dispatched a crew to begin repairs. The road was taped up and road closure signs were placed. 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. ELFERING R13002 05/04/2025, 1425 HOURS, RENTON WA PAGE 3 OF 4 REPORT NO. EF90487 CASE# 25--3939 DATE AND TIME 05/04/2513:11 OF COLLISION zxh. a fti y" l A ti ti 'ta i za l i t gy � z zzz qm tz �z PAGE 4 OF 4