Loading...
HomeMy WebLinkAbout25-8835 ITFF' "POLCERA II I !�� I III I III I IIII III II I . 4 27c COLLISION REP FIT 1591971 CASE 25-8835 z INTERSTATE ❑ CITY STREET FIRE ❑RESULTED 1 STOLEN STATE ROUTE ❑ OTHER ❑ VFHIr.I F ❑ LOCAL AOENC 4Y00 3 HIT&RUN CODING COUNTY RD PRIVATE WAY INVOLVED 2 2 TOTAL#OF OBJECT 1 1 8 28 TRIBAL UNITS 03 STRUCK RESERVATION z 3❑ DATE of M M D D Y Y Y Y TIME(2400) COUNTY# MILES N E IN CITY# ❑ cowsloN 10 - 1-- 2025 1445 17 ❑.= S 8 IN e 1070 3 4❑ ON (PRIMARY TRAFFIC WAY) INTERSECTION ❑ NON INTERSECTION ❑✓ BLOCK NE SUNSET BLVD MILEPOST ST e✓ 3200 4a❑ DISTANCE OF(REFERENCE OR CROSS STREET) 5❑ ❑ FEET e S ❑ W e 0 6 29 MOTOR PEDAL- DAMAGE THRESHOLDHONE UNIT 01 VEHICLE ❑ CYCLE El MET P YEs �/No D:3603485519 0 7 30 6� LAST NAME TORREY FIRSTNAME SAGE MIDDLE E 1 1 2 31 INITIAL STREET ❑ 950 HARRINGTON AVE NE APT S41 CITY RENTON ST WA ZIP 980563480 z NEW ADDRESS 7❑ CDL IGNITION REQUIRED IGNITION PRESENT MEDICAL TRANSPORTED 3 INTERLOCK YES[:]NO INTERLOCKYEs NO YES R NO 8❑ LRIIVER # ON DUTY❑ STATUS AIRBAG 3 RESTR 4 EJECT 1 H USEET ICNLJAURY 1 NATURE OF INJURIES z❑ 3 LICENSE CLW3606 STATE WA uN# 3GNAXSEV5JL358139 10 9❑ Pr ATE� TRAILER STATE TRAILER STATE 11 3 5 PLATE# PLATE# FROM To TRLR. TRLR 3 7 33 12 3 5 VIN#j VIN# :: FROM TO VEH.YEAR MAKE MODEL STYLE VEHICLE TOWED TO BLIN TOWED By GOVT.VEHICLE g 9 34 13 2018 CHEV EQU/NO UT DAMAGE YES NO YES[:] No REGISTERED OWNER INFO SCHANAKIESOW 950 HARRINGTON AVE NE APT S41 RENTONWA98056 VEHICLE NO. 1 ❑ SHADE IN DAMAGED AREA 35 14 LIABILITY INSURANCE INSURANCE CO STATE FARM 5580478DI647A 4 LI EFFECT I SUR N# TOPVEHICLE CHARGE 36 LEGALLYYES NO CITATION# 5AO487896 INATTENTIVE DRIVING <1�3 orrom 15❑ STANDING 7 6 MOTOR PEDAL-: :.PEDESTRIAN PROPERTY DAM THR OLD MET PHONE UNIT 02 VEHICLE ❑ CYCLE ❑ ❑ OWNER ❑ YES 1/ NO D.2532758191 16 a LAST NAME AGUINALDO FIRST NAME JESSIE MIDDLE INITIAL 17❑ STREET ❑' 133 4TH AVE N CITY ALGONA ST' WA ZIP 98001 37 NEW ADDRESS ❑ 18� CDL IGNITION REQUIRED IGNITION PR—E-1SENT MEDICAL TRANSPORTED 38 INTERLOCKYES�NOR INTERLOCK yEs It I NOF YES t t— l NO❑ 19 D IVEW # INJURY1 NATURE OF INJURIES 40 20❑ ON DUTY STATUS AIRBAG 2 RESTR 4 EJECT 1 USE CLASS ❑ 21❑ LICENSE BVL2155 TATe WA vIN# 19UU61F33JA006262 ❑ 41 PLATE# 42 22❑ PLATE# STATE PLATE# STATE 23❑ VIN#. 43 TRLR RLR 'IN#. GoI VEH YEAR 2018 MAKE /a C(fR MODEL TLX STYLE $D DAMAGE TOWED NOO✓ BLIN TOWED BY v HyES NO 44 24❑ ES REGISTERED OWNER INFO OWNED SY DRIVER VEHICLE N0.2 SHADEDAMAGEbAREA s Cd LIABILITY INSURANCE 8 POINSURGY#E CO STATE FARM 522213OA0647AIN STOP 'E""LE CITATION# CHARGE 25 to BOTTOM LEGALLY YES N� ❑ OFFICER'S NAME(PRINT) OFFICER PHONE BADGE OR ID# AGENCY 26 J.W/SNIEWSK/ 12598 WA0171300 PAGE 01 OF PART A 3000-345-159 OR 11/181 STATE OF POLICETRAFFICN CORRECTION REPORT NO. EG39389 COLLISION REPORT III III III III III 111 1591972 CASE# 25-8835 ADDITIONAL PERSONS INVOLVED PASSENGERS AND/OR WITNESSES ONLY) NAME MIDDLE INITIAL) PENA DIVINE G (IAST FIRST, ADDRESS&PHONE# D O.B. RENTON SEX F MMDOYyry 10 - 14 - 1993 PASSENGER Z WITNESS 'UNIT# j 3 POS USE CLASS 8 AIRBAG 2 RESTR. 4 EJECT ? 1 HELMET LASS NATURE OF INJURIES ' 1 NAME (LAST,FIRST,MIDDLE INITIAL) PENA AMELIA G ADDRESS&PHONE# D Q B RENTON SEX F MMDDYyvv 10 _ 20 _ 2024 SEAT HELMET INJURY NATURE OF INJURIES PASSENGER WITNESS UNIT# 3 POS 9 AIRBAG 2 RESTR. 11 EJECT 1 USE CLASS 1 NAME (LAST FIR57 MIDDLE INITIAL) AppRESS&PHONE# SEX D.Q.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. J.WISN/EWSKI 10-12-25 04:23 PM INVESTIGATING OFFICER'S SIGNATURE UNIT OR DIST DET DATED PLACE SIGNED APPROVED BY DATE s.wooDWARD 11528 10/20/2025 8:50:00 AM BADGE OR ID# 12598 OR]4f WA0171300 TIME POLICE DISPATCHED 3:08 PM TIME POLICE ARRIVED',3:17 PM PART I PAGE IT]OF REPORT NO. EG39389 CASE# 25-8835 OF COLLISION 10/12/25 14:45 OF CbLLI510N NARRATIVE On Sunday, October 12, 2025, at 1508 hours, I was dispatched to a three-vehicle collision in the area of the NE Sunset Blvd and NE 12th St. The following occurred within the City of Renton, King County; Unit 1 -WA/CLW3606 was being driven by Sage Torrey and headed west on NE Sunset Blvd in the 3200 block. Unit 2 - WA/BVL2155 was being driven by Jessie Aguinaldo and was stopped in traffic on NE Sunset Blvd in the 3200 block. Unit 3 -WA/B88928H was being driven by Ronald Pena and was stopped in traffic on NE Sunset Blvd in the 3200 block. Sage stated she was driving westbound and her mom messaged her on her phone, and she grabbed it and was reading the message and was unable to stop resulting in a collision. The front bumper collided with the rear bumper of Unit 2. The force of the impact caused the front bumper of Unit 2 to collide with the rear bumper of Unit 3. Jessie stated he was stopped in traffic, when he was struck from behind by Unit 1. Ronald stated he was stopped in traffic, when he was struck from behind by Unit 2. Based on the statements, Unit 1 was responsible for the collision. All vehicles involved sustained significant damage. The driver of Unit 1 was also issued Traffic Infraction 5A0487896, for inattentive driving since she was not paying attention to the roadway while using a device and reading. I 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. Wisniewski/#12598 on 10/12/25 at 1616 in Renton, WA PAGE 3 OF 5 SUPPLEMENTAL REPORT NO. EG39389 r`) POLICE TRAFFIC 1 1 8 27 COLLISION REPORT CASE# 25-8835 1 COMMERCIAL MOTOR CARRIER INTERSTATE INTRASTATE G UNIT'# USDOT ICC# VEHICLE TYPE CARGO BODY ;TYPE 2 ❑ 1 28 CARRIER NAME 3 CARRIER ADDRESS ` CITY ST ZIP—1 I ' 4 ❑ NAME # PLACARD: :❑ GWVR NAME IF NO NUMBER SOURCE AXLES + 4a ❑ ADDITIONAL UNITS MOTOR PEDAL- PROPERTY DAMAGE THRESHOLD MET PHONE 5 ❑ UNIT# 3 VEHICLE tSJ CYCLE I_) PEDESTRIAN � OWNER � YES� NO D:2068548809 0 7 29 LAST NAME PENA FIRST NAME RONALD MIDDLE' E INITIAL STREET 30 NEW AnDRFSP' 11914 SE 246TH PL CITY KENT ST WA ZIP 1 98030 6 CDL IGNITIttN REQUIRED IGNITION PRESENT MEDICAL TANSPORTED 1 1 2 31 INTERLOCK YEs No zERLOCK YES[:]NO[:] YES N DRIVER'S LICENSE STATE I WA SEX M MMDDYYv 11 - 20 - 1985 7 ON DUTY� STATUS AIRBAG' 2 RESTR. Q EJECT 1 HELMET I INJURY 1 1 NATURE OF INJURIES USE CLASS 8 ❑ 1 32 LICENSE B88928H [TAT WA VIN# 2HJYK16528H527353 PLATE# 9 9] TRAILER TRAILER PLATE# STATE PLATE# STATE 10 ❑ TRLR TRLR VIN.It VIN.#. 11 3 5 VEH.YEAR200$ MAKE HOND MODELRIDGELIN STYLE 4C VEHICLE TOME E T SABLIN TOWED BY anvi vFH1C P FROM TO DAMAGE YES NO YES NO REGISTERED OWNER INFO OWNED BY DRIVER J 9 33 12 � SHADE IN DAMAGED AREA 7 j FROM TO LIABILITY INSURANCE INSURANCE CO PEMCO CA1834232 RTOp IN EFFECT &POLICY# 1 EHICLE 34 13 4 LEGALLY YESZ NO❑ CITATION# CHARGE 0 BOTTOM STANDING } 7 14 ❑ UNIT Tr Vd IRE O CYDCLE OWNERRTY YES AGE NOHRESHOLD MET PHONE ❑ 35 PEDESTRIAN 15 LAST NAME FIRST NAME MIDDLE ❑ 36 STREET 16Fl TEETFs.�' CITY ST ZIP CDL IGNITION REdUiR rD IGNITION PRESENT MEDICALTANSPORTED INTERLOCK YES No INTERLOCK YEs NO YEs NO El 17 37 LICENSE# STATE SEX MMDDDYBYY 18 ❑ ON DUTY� STATUS AIRBAG RESTR. ; EJECT HELMET INJURY NATURE of INJURIES 38 USE (CLASS 19 ❑ 39 LICENSE rnr vIN# PLATE# 20 ❑ TRAILER' TRAILER El40 PLATE#< STATE PLATE# STATE 21 ❑ TRLR TRLR 41 VIN# YIN#i 42 22 VEH.YEAR MAKE I MODEL STYLE I VEHICLE TO DUET SABLIN TOWED BY GOVT.VEHICLE DAMAGE YES NO YES NO 23 REGISTERED OWNER INFO_ SHADE IN DAMAGED 3 4 4 AREA F 43 z LIABILITY INSURANCE INSURANCE CO ' VINE EFFECT &POLICY# i 970P - 4 E:l 44 24 LEwcLE YES❑ NO❑ CITATION# CHARGE iq 60TiOM LECALLv STANDING 8 7 6 1 CERTIFY(DECLARE)UNDER PENALTY OF PERJURY UNDER THE LAWS OF THE STATE OF WASHINGTON THAT THE FOREGOING IS TRUE AND CORRECT. J,WISNIEWSKI 10-12-25 04:23 PM 25 INVESTIGATING OFFICER'S SIGNATURE OFFICER'S PHONE UNIT OR DIST DET DATED: PLACE SIGNED APPROVED 026 � BADGE O#IIWA0171300 OA 12 PAGE FOFOI 3000-345-013(R 11118) REPORT NO. EG39389 CASE# 25-8835 DATE AND TIME 10/12/2514:45 OF COLLISION r i 1. Y V t 1 �s Lia } a~, lg � O M 4 3, t2: � Yl �t4 { " PAGE 5 OF 5