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Home My WebLink About25-4748 ("7— STATE.w,-" .:.. TcN s 27cRaFFi O EG02865 ,one COLLISION REP F 1591971 CASE# 25-4748 2 INTERSTATE CITY STREET FIRE ❑ RESULTED STOLEN 1 1 STATE ROUTE OTHER VFHICIF LOCAL AGENCY 41UD 3[� HIT 8 RUN CODING COUNTY RD PRIVATE WAY INVOLVED 2❑ TRIBAL UNITS#OF 02 STRUCK', BUILDING TOTAL OBJECT 1 2$ RESERVATION ", 2 3 M M D D Y Y Y Y TIME I2400) COUNTY# MILES CITY# coAT sloN 05 - 31 - 2025 2104 17 a. e W 8 OF IN 8 1070 3 S 4❑ ON (PRIMARY TRAFFIC WAY) INTERSECTION ❑ NONINTERSECTION ❑✓ 108THAVESE BLOCK NO. 8 17800 . 4a❑ MILEPOST DISTANCE OF(REFERENCE OR CROSS STREET) 5❑ 0 ,O FMILES NEET e S e E 8 SE PETROVITSKYRD 0 3 29 MOTOR PEDAL- DAM ETHRESHOLD MET PHONE UNIT 01 VEHICLE CYCLE YEs ,/NO D:3475490988 30 6 LAST NAMEDONG FIRST NAME HAWING MIDDLE'' 1 2 31 INITIAL STREET E:1' 1201 S 18TH ST,APT 1 CITY RENTON WA NEW ADDRESS S7 ZIP 98055 z 7❑ COL IGNITION REQUIRED IGNITION PRESENT MEDICAL TRANSPORTED 3 INTERLOCK YES LINOZ I INTERLOCK YES No W YES NOW LICENSE# STATE WA SEX'F MMDDW 07 - 01 - 1980 32 9 ON DUTY STATUS AIRBAG 6 NATURE OF INJURIES RESTR 4 EJECT 1 H U5 E7 2 1 INJURY CLASS 6 CHEST,HEAD PAW 2 LICn NSE CES1735 srArE WA WIN# JF2SKAPCXNH496038 3 10❑ 11 3 5 PLATE# STATE PLATE#TRAILER STATE FROM TO TRAILER TRLR TRLR. 1 7 33 12 vIN#' uIN# : FROM TO 13 4 VEH.YEAR2O22 MAKE TOYT MODEL FOREST STYLE 4D DAMIAGETOWED NOni�ABLIN TOY�2Ry GOVT,VENOCL✓ m34 ❑ REGISTERED OWNER INFO OWNEDBYDRIVER II1I._IIII SS1I ��tt VEHICLENJO..'II 1 SHADE IN DAMAGED AREA � 35 14❑ LIABILITY INSURANCE &NSURANCE CO STATE FARM 5343542BI847 4 IN EFFECT POLICY# STOP VEHICLE 5 ❑ 36 EGnu v YES❑NO❑ CITATION# CHARGE 10 ftOTTOM 15❑ GT—N. 6 UNIT ❑MOTOR PEDAL- PEDESTRIAN PROPERTY DAM THR OLD MET PHONE 02 VEHICLE CYCLE OWNER YEs�/ NO D:3175775600 16❑ LAST NAME KITE REALTY GROUP FIRST NAME MIDDLE INITIAL 17 STREET El 30 S MERIDIAN ST SUITE 1100 CITY INDIANAPOLIS ST I IN ZIP 46204 4 NEW ADDRESS ❑ 37 1$❑ CDL IGNITION REQUIRED IGNITION pRESEIJT MEDICAL TRANSPORTED ❑ 3$ 1NTERLOCKvEs NO INTERLOCK YEs N- YES NOR I 19❑ LICENSE# STATE SEX U MMDDYY - _ 3❑ 39 20❑ ON DUTY STATUS AIRBAG RESTR EJECT HELMET INJURY NATURE OF INJURIES ❑ 40 USE CLASS 21 LICENSE❑ PLATE# rArE' VtN# 41 TRAILER TRAILER ❑22 PLATE# STATE PLATE STATE 42 23 43 TRLR RLR VIN# IN# VEH.YEAR MAKE MODEL STYLE VEHICLE TOWED TO BLIN TOWED BY GO HI 44 24 DAMAGE YES NO YES NO REGISTERED OWNER INFO VEHICLE NO.2 SHADE IN DAMAGED AREA LIABILITY INSURANCE INSURANCE CO E 3 4 IN EFFECT1:1 &POLICY# t 4TOP 5 venue ❑ .1-1 CITATION# CHARGE tOBOTTQM LEGALLY YES N`E J 25 s e OFFICER'S NAME(PRINT) OFFICER PHONE BADGE OR ID# AGENCY 26 MATTHEW MOLLENBERG 13031 WA0171300 PART A . PAGE 01 OF 9000-345-159(R 11(181 STATE OF POLICETRAFFICN CORRECTION REPORT NO. EG02865 COLLISION REPORT III III III III III 111 1591972 CASE# 25-4748 E NA ADDITIONAL PERSONS INVOLVED(PASSENGERS AND/OR WITNESSES ONLY) M (LAST,FIRST,MIDDLE INITIAL) LIN TIFFANY ADDRESS&PHONE N, D� 1331 LAKE YOUNGS WAY SE RENTON WA 98058 3477128138 SEXi F M D,O B.Y 10 - 04 - 2005 SEAT HELMET INJURY NATURE OF INJURIES PASSENGERWITNESS❑ UNIT# 1 POS. 1 3 AIRBAG 6 RESTR. 4 EJECT 1 USE 2 CLASS ;6 cHEsr,HEaDPaIN :NAME (LAST FIRST MIDDLE INITIAL) { LIN CRYSTAL ADDRESS R PHONE# 1331 LAKE YOUNGS WAY SE RENTON WA 98058 SEX' U MI MDD 03 _ 23 _ 2007 SEAT HELMET INJURY NATURE OF INJURIES PASSENGER a WITNESS❑!UNIT# 1 POS. j 4 AIRBAG 6 RESTR. 4 EJECT 1 USE 2 CLASS 6 CHEST,HEAD PAIN NAME(LOST,FIRST,MIDDLE INITIAL) CHEN CODY AooREss a PHONE# RENTON SEXU 02 _ 13 _ 2012 D.O.B. MMDDYYYY PASSENGER Z WITNESS UNIT# I SEAT 5 AIRBAG 6 RESTR. 4 EJECT 1 HELMET 2 NJURY 6 NATURE OF INJURIES POS. USE CLASS CHEST,LEG PAIN 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. MATTHEW MOLLENBERG 05-31-25 11:37 PM INVESTIGATING OFFICER'S SIGNATURE UNIT OR DIST.DET DATED PLACE SIGNED APPROVED BY DATE QUINT TIBEAU 7691 1 6/22/2025 12:53:26 AM BADGE OR ID# j 13031 ORI# WA0171300 TIME POLICE DISPATCHED; 9:05 PM TIME POLICE ARRIVED i 9:12 PM PART B 3000-345.160(R1Vt8) PAGE F2 --]OF 57 STATE OF POLICETRAFFICN CORRECTION REPORT NO. EG02865 COLLISION REPORT III III III III III 111 1591972 CASE# 25-4748 E NA ADDITIONAL PERSONS INVOLVED(PASSENGERS AND/OR WITNESSES ONLY) M :.(LAST,FIRST,MIDDLE INITIAL) CHEN LEAH ADDRESS&PHONE N, RENTON SEX: U MMDooYBYYv 02 - 06 - 2010 SEAT HELMET INJURY NATURE OF INJURIES PASSENGER z WITNESS❑ UNIT 1 POS. 6 AIRBAG j 6 RESTR. 4 EJECT ( 1 USE 2 CLASS 7 NAUSEA ---- 1 :NAME (LAST FIRST MIDDLE INITIAL) { EATON PAUL B ADDRESS&PHONE* D B 18142 145TH AVE SE RENTON WA 98058 2066120668 SEX' U MMDDvvvr 01 _ 19 _ 1986 PASSENGER WITNE UNIT# SEAT AIRBAG RESTR. EJECT HELMET INJURY NATURE OF INJURIES ❑ SS❑✓ 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. MATTHEW MOLLENBERG 05-31-25 11:37 PM INVESTIGATING OFFICER'S SIGNATURE UNIT OR DIST.DET DATED PLACE SIGNED APPROVED BY DATE QUINT TIBEAU 7691 6/22/2025 12:53:26 AM BADGE OR ID# j 13031 ORI# WA0171300 TIME POLICE DISPATCHED; 9:05 PM TIME POLICE ARRIVED i 9:12 PM PART B 3000-345.160(R1Vt8) PAGE 3�OF 57 TIM REPORT NO. EG02865 CASE# 25-4748 OF COLLI ION 05/31/25 21:04 OF COLLISION NARRATIVE Renton Case #25-4748 Unless otherwise noted, the following occurred in the City of Renton, County of King, WA. On 05-31-2025 at approximately 2105 hours I was dispatched to an unknown circumstance vehicle collision at Bank of America located at 17803 108th Ave SE. Dispatch advised that a Subaru Outback bearing WA/CES1735 had driven off 108th Ave SE into the parking lot of the Bank of America. I arrived on scene at 2112 hours and observed the Outback had collided with the drive through pillar of the Bank of America located at 17803 108th Ave SE. It appeared that the vehicle had driven down the embankment from the roadway of 108th Ave SE and crashed into the building. There was also visible damage to the sign base in the planter between the roadway and the building. All airbags had been deployed and all occupants were out of the vehicle at my time of arrival. Due to the nature of the incident, I requested Renton Fire Department to come to the scene to assess injuries to involved parties. I contacted the driver who identified herself as Haiying Dong (07-01-1980), she had obvious redness on her chest and left side of face from the collision. She stated she pulled onto 108th Ave SE from the Fred Meyer parking lot, when she entered the roadway, a vehicle honked their horn, and it scared her. She nervously accelerated and lost control of her vehicle. She then left the roadway, went down the embankment and hit the Bank of America. She stated the vehicle never hit them, the horn just scared her. The vehicle was occupied by four other individuals. The front passenger identified herself as Tiffany Lin (DOB 10-04-2005), she had a large abrasion on her forehead from the collision. There were three other occupants in the back seat, none had any obvious injury but complained of soreness. They were identified as Crystal Lin (DOB 03-23-2007), Leah Chen (DOB 02-06-2010), and Cody Chen (DOB 02-13-2012). Haiying can be contacted by phone at 347-549-0988, Tiffany can be contacted by phone at 347-712-8138. The reporting party was also on scene. He identified himself as Paul B. Eaton (DOB 01-19-1986), he stated he was traveling southbound on 108th Ave SE when the Outback pulled out of the Fred Meyer parking lot onto 108th Ave SE in front of him. He was driving the vehicle bearing WA/D93742F. He pressed his horn to inform the vehicle that they had pulled in front of them. He then observed the vehicle accelerate at a high rate of speed and turn right, going down the embankment into the Bank of America parking lot. No contact was made between the vehicles. He called 911 and drove to the scene to be contacted regarding the incident. He can be contacted by phone at 206-612-0668. There is not probable cause for any involved parties. The proximate cause of the collision was Haiying losing control of her vehicle and driving off the roadway, colliding with the Bank of America. This concludes my involvement in Renton case #25-4748. 1 declare under penalty of perjury under the laws of the State of Washington that the foregoing is true and correct. Electronically signed by M. Mollenberg on 05-31-2025 at 2330 hours in Renton, WA. **** AUTO-POPULATED SECTION **** THE FOLLOWING ARE DESCRIPTIONS ENTERED FOR ITEMS SELECTED AS "OTHER": Location Character: LEFT ROADWAY AND HIT BUILDING **** END OF AUTO-POPULATED SECTION **** PAGE 4 OF 5 REPORT NO. EG02865 CASE# 25-4748 DATE AND TIME 05/31/25 21:04 OF COLLISION s�, Otis wa, { S t n c X io l } t r � j ae v ht S e� 4 t f J yi{ h t � ti ks m � PAGE 5 OF 5