HomeMy WebLinkAbout25-9002 ITFF' "POLCERA II I !�� I III I III I IIII III II I . 1 27c
COLLISION REP FIT 1591971
SASE 25-9002 2
INTERSTATE ❑ CITY STREET FIRE ❑
RESULTED
1 STOLEN
STATE ROUTE ❑ OTHER ❑ VFHICI F ❑ LOCAL AOENC 4200 3
HIT&RUN CODING
COUNTY RD PRIVATE WAY INVOLVED
2 1 TOTAL#OF OBJECT 1 1 8 28
TRIBAL UNITS OZ 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 1849 17 ❑-= S 8 IN e 1070 3
4❑ ON (PRIMARY TRAFFIC WAY) INTERSECTION ❑✓ NON INTERSECTION ❑
BRONSON WAYS
BLOCK NO. e✓ --- ----� ❑
4a❑ MILEPOST
DISTANCE OF(REFERENCE OR CROSS STREET)
5❑ e S ❑❑ FEET VV a MI!!AVE S
0 4 29
MOTOR PEDAL- DAMAGE THRESHOLD MET PHONE
UNIT 01 VEHICLE ❑ CYCLE El
,/No D:8132151432 0 11
30
6� LAST NAME EVANS FIRSTNAME NICHOLAS MIDDLE S 1 1 2 31
INITIAL
STREET ❑, 17409 156TH PL SE CITY RENTON ST WA ZIP 980589164 z
NEW ADDRESS
7❑ CDL IGNITION REQUIRED IGNITION PRESENT MEDICAL TRANSPORTED 3
INTERLOCK YES[:]NO 1/ INTERLOCKYEs NO�/ YES R No�/
8❑ LRIIVER #
ON DUTY❑ STATUS AIRBAG 2 RESTR 4 EJECT 1 HELMETU E 2 CLASS 1 NATURE OF INJURIES z❑
3
10 9❑ Pi aT�S� AYT4957 sTArI WAurN# 4S46SANC6G3280040
TRAILER STATE TRAILER STATE
11 2 5 PLATE# PLATE# FROM TO
TRLR. TRLR. 3 5 33
12 2 5 VIN#' VIN#
>; FROM TO
VEH.YEAR ZO16 MAKE MODEL STYLE VEHICLE TOWED TO BLIN TOWED BY GOVT.VEHICLE 7 3 34
13 $USA OUTBA $V DAMAGE YES NO YES[:] No
✓
REGISTERED OWNER INFO NICHOLAS EVANS 17409156THPL SE RENTONWA 98058 D:8132151432 VEHICLE NO. 1 ❑
SHADE IN DAMAGED AREA 35
14 LIABILI INSURANCE INSURANCE CO PROGRESSIVE 915674714 3 4
IN EFFECT &POLICY# 9TOP
vErIICLE CHARGE 5 36
LEGALLv YES❑NO❑ CITATION# 10 BOTTOM
15❑ STANDING 7 6
MOTOR PEDAL- PEDESTRIAN PROPERTY DAM THR OLD MET PHONE
UNIT VEHICLE ❑ CYCLE ❑ ❑
16 a OWNER ❑ YES 1/ NO D:2067931555
LAST NAME POLANCO FIRST NAME JOAQUIN MIDDLE I E
INITIAL
17 STREET I❑ 77 S WASHINGTON ST CITY SEATTLE ST WA ZIP 981042519 37
NEW ADOREss❑'
18❑ CDL IGNITION REQUIRED IGNITION PR-E-1SENT MEDICAL-T�RANSPORTED � 38
INTERLOCK YEs❑No� INTERLOCK YEs It I NOF YES
t l NOF,/
19 DRIVER'S STATE WA SEX M D.C.B. 12 _ 17 1970 39
LICENSE# MMDDYY
20❑ ON DUTY STATUS AIRBAG 2 RESTR 4 EJECT 1 H U EET 2 NJAURSY 1 NATURE OF INJURIES ❑ 40
❑LICENSE I 21❑ PLA E# CSB4438 TArE 41
WA vIN# JTHBF30G930115785 1
42
22❑ PLATE# STATE PLATE# STATE
TRLR
23❑ VIN#. IN#. 43
RLR
'
VEH YEAR 2003 MAKE LEX$ MODEL ES STYLE 4D VEHICLETOWED TO BLIN TOWEDBY GOV HI 44
L4❑ DAMAGE YES NO YES NO
REGISTERED OWNER INFO JOAQUIN POLANCO PO BOX 762 ISSAQUAH WA 98027 D:2067931555 VEHICLE NO.2
SHADE IN DAMAGED AREA
2 3 4
LIABILITY INSURANCE❑ INSURANCE CO
IN EFFECT &POLICY# IUQ,
5VEHICLE YEs N(� CITATION# CHARGE OP MOT VEH W/OUT INSURANCELecALLv `LJ25
OFFICER'S NAME(PRINT) OFFICER PHONE BADGE OR ID# AGENCY
26
ROBIN SMITH 12986 WA0171300
PART A PAGE 01 OF C7
3000-345-159 OR 11/181
STATE OF
POLICETRAFFICN CORRECTION REPORT NO. EG39784
COLLISION REPORT III III III III III 111
1591972 CASE# 25-9002
ADDITIONAL PERSONS INVOLVED PASSENGERS AND/OR WITNESSES ONLY)
NAME MIDDLE INITIAL) EVANS AMBER N
(LAST FIRST,
ADDRESS&PHONE# D O.B.
17409 156TH PL SE RENTON WA 980589164 SEX F MMDDvyvv 01 - 17 - 1986
PASSENGER WITNESS UNIT# SEAT AIRBAG RESTR. EJECT ' HELMET NJURY NATURE OF INJURIES
❑✓ ❑ 1 SOS. 3 2 4 1 USE 2 CLASS 1
NAME
(LAST,FIRST,MIDDLE INITIAL) MEJ1A GOMEZ LAURA 1
ADDRESS&PHONE# D O B
21858 184TH AVE SE RENTON WA 98058 4253736473 SEX: F MMDDvvvv 08 _ 04 _ 1984
PASSENGER WITNESS UNIT# SEAT AIRBAG RESTR. EJECT HELMET INJURY NATURE OF INJURIES
❑ POS. USE CLASS
NAME
(LAST FIR57 MIDDLE INITIAL)
AppRESS&PHONE#
SEX D.O.B.MMDD -❑
YYYY.
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.
ROBIN SMITH 10-18-25 02:39 AM
INVESTIGATING OFFICER'S SIGNATURE UNIT OR DIST DET DATED PLACE SIGNED
APPROVED BY DATE
QUINT TIBEAU 7691 1 10/20/2025 9:37:59 PM
BADGE OR ID# 9Y988 OR]# WA0171300 TIME POLICE DISPATCHED! 6:56 PM TIME POLICE ARRIVED',6:59 PM
FART I PAGE IT]OF 5�
REPORT NO. EG39784 CASE# 25-9002 OF COLLISION
10/17/25 18:49
OF CbLLI510N
NARRATIVE
25-9002
Unless otherwise stated, the following occurred in the City of Renton, County of King, State of
Washington.
On 10-17-2025 at approximately 1856 hours I was dispatched to a report of a non-injury and non-
blocking collision that occurred on Bronson Way S at Mill AVE S.
Upon arrival, I contacted the involved parties and determined that no one was complaining of injuries
and they declined to be evaluated by the Renton Regional Fire Authority (RRFA). While on scene, I
collected the involved parties driving documents and their independent recollection of events leading
up to the collision.
The driver of Unit#1 said he had a passenger in his vehicle. He was facing westbound on Bronson
Way S waiting to turn southbound onto Mill AVE S. A vehicle traveling eastbound on Bronson Way S
stopped just west of Mill AVE S and waved at the driver of Unit#1 indicating he could safely pass
through. As the driver of Unit#1 made the left turn to proceed southbound on Mill AVE S, the driver of
Unit#2 proceeded eastbound on Bronson Way S through Mill AVE S, causing Unit#1 to collide with
Unit#2. The driver of the vehicle that had waved Unit#1 through the intersection was not involved in
the collision and did not stay on scene. It is unknown who they are. Unit#1 sustained damage to the
driver side front corner of the vehicle around the bumper.
The driver of Unit#2 said he was traveling eastbound on Bronson Way S at Mill AVE S and had
positioned himself to be in lane 2 of 2. As he traveled through the intersection, Unit#1 collided with
him when they attempted to turn southbound on Mill AVE S from westbound Bronson Way S. The
driver of Unit#2 was unable to stop in time. Unit#2 sustained damage to the front of the vehicle,
primarily around the driver side front headlight and bumper.
The passenger of Unit#1 pointed out the following:
Eastbound traffic on Bronson Way S only has one lane of travel between S 2nd ST and Mill AVE S.
Although there is only one lane of travel, there is an unusually large shoulder that does give enough
space for two cars to be side-by-side. There are no marked lines separating the lane of travel from
the shoulder. On the west side of Mill AVE S, eastbound traffic on Bronson Way S extends to two
lanes and it is clearly marked. The driver of Unit#2 was in position to proceed through lane 2 once he
crossed over from the east side of Mill AVE S to the west side.
A witness on scene provided video of the collision that was recorded from her business located at
Stereo Central, 1023 Bronson Way S. 1 viewed the video and it shows what the involved parties
described. I sent the witness an Axon link to upload the video.
The driver of Unit#2 did not have insurance. I cited him for RCW 46.30.020 operating motor vehicle
without insurance. The RCW states, "No person may operate a motor vehicle subject to registration in
this state unless the person is insured under a motor vehicle liability policy." The driver of Unit#2
violated this by operating a vehicle without insurance.
I am unable to determine the proximate cause of the collision because I do not know if the roadway is
marked properly since there are no lines indicating a shoulder is present. I do not think it is
unreasonable for the driver of Unit#2 to position himself to be in the correct lane of travel once he is
on the west side of Mill AVE S when the shoulder is not marked.
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 Robin Smith #12986 on 10/18/2025 @ 0132 hours in Renton, WA.
PAGE 3 OF 5
REPORT NO. EG39784 CASE# 25-9002 OF COLLISION
10/17/25 18:49
OF CbLLI510N
NARRATIVE
PAGE 4 OF 5
REPORT NO. EG39784 CASE# 25-9002 DATE AND TIME 10/17/2518:49
OF COLLISION
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