HomeMy WebLinkAbout25-6731 ("7—
STATETFF' "CERA II I ��� III I I III I IIII III II I 0 27c .
COLLISION REP F 1591971
FIRE CASE# 25-6731 2 5 1
INTERSTATE CITY STREET RESULTED
STOLEN
1 1 STATE ROUTE OTHER VEHICLE ❑ LOCAL AGENCY 4250 3
HIT&RUN ✓ CODING
COUNTY RD PRIVATE WAY INVOLVED
Lz-
2 TOTAL OBJECT
TRIBAL UNITS#OF05 STRUCK 1 8 28
RESERVATION 1 ", z
3 M M D D Y Y Y Y TIME I2400) COUNTY# MILES CITY#
coAT sloN 08 - 03 - 2025 2313 17 a. e W 8 OF IN 8 1070 3
S
4❑ ON (PRIMARY TRAFFIC WAY) INTERSECTION ❑ NON INTERSECTION ❑✓
GLENNWOOD AV NE BLOCK ST 8 1100 .�
4a❑ MILEPOST
DISTANCE OF(REFERENCE OR CROSS STREET)
5❑ 100 00 FEET e✓ S e W 8 HARR/NGTON AV NE
0 1 29
♦� MOTOR PEDAL- DAM ETHRESHOLD MET PHONE
UNIT 01 VEHICLE CYCLE YES NO 1 4 30
6 LAST NAME : UNKNOWN FIRST NAME MIDDLE 1 2 31
INITIAL
STREET
NEW ADDRESS CITY RENTON S7 ZIP 2
7❑ CDL IGNITION REQUIRED IGNITION PRESENT MEDICAL TRANSPORTED 3
INTERLOCK YES LINOZINTERLOCK YES No YES NO
8❑ LLIICENSE# STATE SEX'U MMDDW -�-[----------� 1 32
9 RY NATURE OF I
ON DUTY STATUS AIRBAG 9 RESTR 9 EJECT 9 HELMET
9 CLASS 0 UNKNOWN JURIES 2
10❑ LIC NSE VIN UNK 3
STATE #:
FTRAILER TRAILER
11 # STATE
2 5 PLATE PLATE# STATE FROM To
rRLR TRLR 5 1 33
12 0 0 VIN#' ulN#
FROM TO
VEH,YEAR MAKE LNDR MODEL UNK STYLE VEHICLE TOWED TO BLIN TOWED BY GOVT,VEHICLE m 34
13 DAMAGE YES NO ✓ YES❑ NO
REGISTERED OWNER INFO UNKNOWN RENTON VEHICLE NO. 1
SHADE 1N DAMAGED AREA ❑ 35
14❑ LIABILITY INSURANCE❑ NSURANCE CO 4
IN EFFECT &POLICY# 9TOP
VEHICLECHARGE 5 ❑ 36
EGnu v YES❑NO❑ CITATION# 10 BOTTOM
15❑ GT—NG 6
UNIT . MOTOR PEDAL- PEDESTRIAN PROPERTY DAM THR OLD MET PHONE
VEHICLE CYCLE: OWNER YES NO
16❑
LAST NAME NONE FIRST NAME MIDDLE
INITIAL
STREET {I��I CITY RENTON ST' ZIP 37
17 NEW ADDRESS
18❑ CDL IGNITION REQUIRED IGNITION PRESENT MEDICAL TRANSPORTED � 38
INTERLOCK YES No INTERLOCKYEs NO✓ YES NO,,/
19 LICENSE# S1A7E SEX U MMDDYY _ 39
20 ON DUTY STATUS AIRBAG 9 RESTR 9 EJECT 1 H ELM g Ct�ASS 0 NATURE OF INJURIES 40
21❑ LICENSE,BAJ0906 rare,WA v1N1€ WMWMF735X9TW81096
❑ 41
PLATE#
42
22 PRLATE# STATE PLATE#AILER TRAILER STATE
23 TRLR 43
RLR
VIN# IN#
VEH.YEAR 2009 MAKE MNNI MODEL COOPER STYLE HB DAMAGE TOWED YES NO✓O BLIN TOWED BY YES N GO HIO 44
24
REGISTERED OWNER INFO NICOOL DUENAS JAlMES 1131 GLENNWOOD AVE NE RENTON WA 980563015 D:4255258448 VEHICLE NO.2
SHADE IN DAMAGAREA
LIABILITY INSURANCE INSURANCE CO USAA 0089763157104 E B
IN EFFECT � &POLICY# 4TOP
venue ❑ .1-1 CITATION# CHARGE tOBOTTQM
LEG
YES N J
25 e
OFFICER'S NAME(PRINT) OFFICER PHONE BADGE OR ID# AGENCY
26
HANSEN HSU 12651 WA0171300
PART A . PAGE 01 OF
9000-345-159(R 11(181
STATE OF
POLICETRAFFICN CORRECTION REPORT NO. EG16955
COLLISION REPORT III III III III III 111
1591972 CASE# 25-6731
ADDITIONAL PERSONS INVOLVED(PASSENGERS AND/OR WITNESSES ONLY)
'.NAME
(LAST,FIRST,MIDDLE INITIAL)
ADDRESS&PHONE#
SEXi D.O.B. -
MMDDYYYY
PASSENGER❑WITNESS❑;UNIT# SEAT AIRBAG RESTR. EJECT HELMET INJURY NATURECFINJURIES
POS. ' USE CLASS 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 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
Unit 1 causes two separate but related collisions along Glennwood Av NE, the first in front of 1133
Glennwood Av NE, careering into Units 2 and 3, as they were parked along the west side of the street
as Unit 1 traveled northbound causing non disabling reportable front end damage to Unit 1, disabling
reportable front end damage to Unit 2, and non disabling non reportable damage to Unit 3 from the
secondary impact of Unit 2.
Unit 1 continued north on Glennwood Av NE and then crashed into Units 4 and 5 adjacent to 1167
Glennwood Av NE, causing further reportable non disabling front end damage to Unit 1 and disabling
reportable front end damage to Units 4, which then collided with Unit 5, causing secondary reportable
disabling rear end damage to Unit 4 and reportable disabling front end damage to Unit 5. No injuries
reported.
Several residents in the area reported hearing the collisions and observe at a distance Unit 1 drive
north on Harrington Av NE and believed that Unit 1 was a silver, possibly white Land Rover/Range
Rover type SUV, unknown plate, unknown driver. A check of FLOCK cameras within the vicinity
yielded no such matches.
No further actionable leads at this time for the suspect or suspect vehicle, Unit 1.
I CERTIFY(DECLARE)UNDER PENALTY OF PERJURY UNDER THE LAWS OF THE STATE OF WASHINGTON THAT THE FOREGOING IS TRUE AND CORRECT.
HANSEN HSU 08-04-25 02:02 AM
INVESTIGATING OFFICER'S SIGNATURE UNIT OR DIST.DET DATED PLACE SIGNED
APPROVED BY DATE
J.CHRISTIANSEN 10437 1 81712025 5:37:05 PM
BADGE OR ID# 12651 ORI#' i WA0171300 TIME POLICE DISPATCHED 11:18 PM TIME POLICE ARRIVED 11:22 PM
PART B 3000-345.160(R1Vt8) PAGE F2 --]OF F5
4( � SUPPLEMENTAL REPORT No. EG16955POLICE TRAFFIC
1 $ 27
}_ COLLISION REPORT CASE#+ 25-6731
1 COMMERCIAL MOTOR CARRIERT INTERSTATE INTRASTATE L
UNIT# USDOT ICC# VEHICLE TYPE CARGO BODY
TYPE
2 ❑ 1 1 8 28
CARRIER
NAME
3 CARRIER
ADDRESS
CITY ST ZIP
4 NAME ?# .PLACARD.
GWVR ❑ NAME IF NO NUMBER
SOURCE AXLES +
4a ❑ ADDITIONAL UNITS
5 ❑ UNIT# 3 MOTOR r`il PEDAL- PEDESTRIAN PROPERTY YE SAGE THRESHOLD MET PHONE
VEHICLE �I CYCLE OWNER
M l 4 29
DDLE
LAST NAME NONE FIRST NAME INITIALI
1 4 30
STREET RENTON
CITY ST ZIP
NFwAnneF�
6 1 PRESENT MEDICAL TANSPORTED 1 31
COIL IGNITION RECSUIRED IGNITION
INTERLOCK YES NO '.INTERLOCK YES NO IEs N'
DRIVER'S STATE SEX,U MMD DYYY -� C
LICENSE;
7
ONDUTY� STATUS AIRBAG 9 RESTR. g EJECT 1 HELMET 9 INJURY 0 NATURE OF INJURIES
USE CLASS
8 ❑ 1 32
LICENSE D994006 TAT WA WIN 5TETX62N55ZO15010
PLATE#
9 TRAILER TRAILER L
PLATE# STATE PLATE<# :STATE
10 ❑ TRLR TRLR
VIN..#. VIN.#.
11 0 0 VEH.YEAR2005 MAKE TOYT- MODELTACOMA S� VEHICLE TOWE E T ABLIN TOWED BY G01 VFHICI F FROM r0
DAMAGE YES NO YES NO
LUIS DUENAS FLORES 1133 GLENNWOOD AVE NE RENTON WA 980563015 D:2064076433 m 33
REGISTERED OWNER INFO. SHADE DAMAGED AREA
12
4 ROM TO
LIABILITY INSURANCE❑ INSURANCE CO J,O.
IN EFFECT &POLICY# 34
13 VEHICLE
YHO NOEll CITATION# CHARGE
'ftI BC)Ttl'7M
IFGALIY
STANDING r—� 7 �
14 ❑ UNIT 4 MOTOR I,/I PEDAL- PEDESTRIAN'. El PROPERTY ❑ DAMAGE THRESHOLD MET PHONE ❑ 35
VEHICLE '- CYCLE OWNER YES NO
36
15 ❑ NONE MIDDLE
LAST NAME FIRST NAME INITIAL
16 NFW AnDR
❑ STREET F�s CITY RENTON ST'.. ZIP
CDL IGNITION RFOUIRED IGNITION PRESENT MEDICAL 7ANSPGRTED
17 INTERLOCK YES N INTERLOCK YES NO YEs NO'M
5 37
DRIVER'S STATE I SEX U M O.B
18 ❑ LICENSE;# MDDYYY
e g 1 HELMET g INJURY 0 NATURE OF INJURIES ❑ 38
ON DUTY STATUS: AIRBAG. RESTR. g : EJECT USE ..CLASS.:`
19 ❑ LICENSE ❑ 39
PLATE#`. CFC1184 TAT WA vIN# 1FADP3K28GL356319
20 TRAILER TRAILER 40
PLATE# STATE PLATE# STATE
21 ❑ ❑ 41
TRLR TRLR
VIN#: U[N#;
42
22 VEH.YEAR2016 MAKE FORD MODEL FOCUS STYLE HB VEHICLE TOWED DUET ABLIN TOWED BY GOVT.VEHICLE 4
DAMAGE YES NO YES NO
23 REGISTERED OWNER INFO.SAMWISEMAJCHRZAK 1177 HARRINGTON AVNE 208 RENTON WA 98056 D:8134538319 SHADE IN DAMAGED AREA 43
3
LIABILITY INSURANCE INSURANCE CO
IN EFFECT � &POLICY# _4 T()F' _ o 44
vewc`, ❑ ❑ CITATION# CHARGE 7(7 HC)TT061
24 EANH y YES NO
srnNDlNc
I CERTIFY(DECLARE)UNDER PENALTY OF PERJURY UNDER THE LAWS OF THE STATE OF WASHINGTON THAT THE FOREGOING IS TRUE AND CORRECT,
HANSEN HSU 08-04-25 02:02 AM
25 INVESTIGATING OFFICER'S SIGNATURE OFFICER'S PHONE UNIT OR DIST DET DATED: PLACE SIGNED
[-� BADGE AP 8 ORID# WA0171300 APPROVED
n/2 PAGE F326 12651 # 025 OF
3000-345-013(R 11/181
4( � SUPPLEMENTAL REPORT No. EG16955POLICE TRAFFIC
1 1 $ 27
}_ COLLISION REPORT CASE#+ 25-6731
1 COMMERCIAL MOTOR CARRIERT '.. INTERSTATE INTRASTATE L
UNIT# USDOT ICC# VEHICLE TYPE CARGO BODY
'TYPE
2 ❑ 1 28
CARRIER
NAME
3 CARRIER
ADDRESS 1 7
CITY ST ZIP
4 NAME # PLACARD
GWVR ❑ NAME IF NO NUMBER
SOURCE AXLES +
4a ❑ ADDITIONAL UNITS
MOTOR PEDAL- PROPERTY IDAMAGE THRESHOLD MET PHONE
U N IT# 5 PEDESTRIAN YES NO
5 ❑ VEHICLE CYCLE OWNER V/
1 4 LAST NAME NONE FIRST NAME MIDDLE 29
INITIAL
STREET 30
NFW ArmRF.s. CITY RENTON ST ZIP
6 1
COIL IGNITION RFOUIRED IGNITION PRESENT MEDICALTANSFORTED 1 31
INTERLOCK YES NO�/ NTERLOCK YESL_j NO�/ YES N...1I
DRIVER'S STATE I SEXU MMD DWY -� C
LICENSE;
7
ONDUTY� STATUS AIRBAG 9 RESTR. g EJECT 9 HELMET 9 INJURY 0 NATUREOFINJURIES
USE CLASS
8 ❑ 1 32
LICENSE CDW5884 FTATJ WA VIN 3N1AB7AP3HY223706
PLATE#
9 TRAILER TRAILER L
PLATE# STATE PLATE# STATE
10 ❑ TRLR TRLR
VIN.#. VIN.II
11 0 0 VEH.YEAR2017 MAKE NISS MODELSENTRA STYLE SD VEHICLE TOWE E T ABLIN TOWED BY G0 VFHIC!F FROM rO
DAMAGE Y 1 ES NO YES NO
SOPHIE WYNE 1177 HARRINGTON AV NE 205 RENTON WA 98056 D:4252871190 m 33
REGISTERED OWNER INFO. SHADE.IN DAMAGED AREA
12
4 FROM TO
LIABILITY INSURANCE❑ INSURANCE CO J,O.
IN EFFECT &POLICY#
m 34
13 ewcLe YES NOEll CITATION# CHARGE
'ft)BOT0.'TM
IFGALIY
STANDING 7 5
14 ❑ UNIT MO?€7R PEDAL- pEDE5?RIAN. El PROPERTY ❑ DAMAGE THRESHOLD MET PHONE 1:1
35
VEHICLE CYCLE OWNER YES NO
15 LAST NAME FIRST NAME NlIT AL
❑ 30
15 ❑ STREET CITY! ST'.. ZIP
NEW A019RFSS
CDL IGjf
NITION RE.CJUIRE.D IGNITION PRESENT MEDICAL TANSPORTED
INTERLOCK YEs N INTERLOCK YES NO YE5 NO
17 5 37
DRIVER'S STATE I SEX D.O.B
18 ❑ LICENSE.# MMDDVYY
ON DUTY STATUS AIRBAG RESTR. EJECT HELMET NJURY 38
NATURE OF INJURIES ❑
USE CLASS
19 ❑ ❑ 39
LICENSE. TAT VIN#
PLATE#
20 TRAILER TRAILER 40
PLATE# STATE PLATE# STATE
21 ❑ ❑ 41
TRLR TRLR
VIN# U[N#'.
42
22 VEH.YEAR MAKE I MODEL STYLE VEHICLE TOWED DUET ABLIN TOWED BY GOVT.VEHICLE
DAMAGE YES NO YES NO
23 REGISTERED OWNER INFO. SHADE IN DAMAGED AREA 43
2 3 4
LIABILITY INSURANCE
INSURANCE CO
IN EFFECT � &POLICY# 1 _4 T()P_ _ 5. 44
vewcLe ❑ ❑ CITATION# CHARGE 70 k3CITT061
24 SIAND y YES NO
srnNOlNc S L 6
I CERTIFY(DECLARE)UNDER PENALTY OF PERJURY UNDER THE LAWS OF THE STATE OF WASHINGTON THAT THE FOREGOING IS TRUE AND CORRECT,
HANSEN HSU 08-04-25 02:02 AM
25 INVESTIGATING OFFICER'S SIGNATURE OFFICER'S PHONE UNIT OR DIST DET DATED: PLACE SIGNED
26 [-� BADGE OR ID# 12651 #I:WA0171300 APPROVED BY
8n/2025 PAGE F4 OF
3000-345-013(R 11/181
REPORT NO. EG 16955 CASE# 25-6731 DATE AND TIME 08/03/25 23:13
OF COLLISION
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