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HomeMy WebLinkAbout25-9646 IT �i " II IIIII III IIIII II IIII IIIII I . Q 27c REPORT NO EG54935OLCERA COLLISION REPORT 1591971 INTERSTATE CITY STREET FIRE I CASE# 25-9646 2 RESULTED STOLENSTATE ROUTE OTHER VEHICLE LOCAI-AGENCY 4200 3 HIT&RUN CODING COUNTY RD PRIVATE WAY INVOLVED 2 TOTAL#OF OBJECT 1 s 28 TRIBAL UNITS 04 STRUCK RESERVATION : 1 1 2 3� M M D D Y Y Y Y TIME(2400) COUNTY# MILES CITY# DATE OF N E COLLISION' 11 - 06 - 2025 1610 17 =.= S 8 W e OF M 1070 a 4❑ ON (PRIMARY TRAFFIC WAY) INTERSECTION ❑ NON INTERSECTION ❑✓ NE SUNSET BLVD BLOCK ST e 4600 .= 4a❑ MILE POST ❑ DISTANCE OF(REFERENCE OR CROSS STREET) 5 75 00 FEET e✓ S 8 W e DUVALt AVE NE OF 4 29 MOTOR PEDAL- DAMAG THRESHOLD MET PHONE UNIT 01 VEHICLE ❑ CYCLE ❑ YES No �/ D:4255917716 0 1 30 5 LAST NAME SHAW FIRST NAME CHERYL MIDDLE A 1 1 2 31 INITIAL STREET ❑ 3800 NE SUNSET BLVD,APT B102 CITY; RENTON ST WA ZIP; 98056 2 NEW ADDRESS 7 CDL IGNITION REQUIRED IGNITION PRESENT MEDICAL TRANSPORTED 3 INTERLOCKYEs No✓ INTERON Km Na✓ IYESCA NO[✓ 8 DRIVER # STATE WA SEXI F MMDDYY' 07 - 22 - 1955 1 2 32 -NJUR 9 ON DUTY STATUS' AIRBAG 2 RESTR 4 EJECT 1 HELMET 2 CLASSY 1 [NATURE of INJURIES 2 10 LI ENSE' ASG6666 STATE WA VIN# 3HGGK5G88FM720588 3 TRAILER STATE TRAILER STATE ROM To 11 3 5 PLATE# PLATE# TRLR TRLR. 7 1 1 33 12 3 5 VIN# vIN# FROM TO VEH.YEAR 2015 MAKE HOND MODEL FIT STYLE V Y EHICLE TOWED TO BLIN TOWED By GOVT VEHICLE 3 7 13� DAMAGE YES II_II NO ✓ YESII_] N 34O✓ REGISTERED OWNER INFO OWNEDBYDRIVER VEHICLE NO. 1 SHADE IN DAMAGED AREA 35 3 4 14❑ LIABILITY INSURANCE NSURANCE CO UNK UNK IN EFFECT &POLICY# GQ, VEHICLE G ❑ ❑ SA0882635 CHARGE FA►L YIELD LEFT TURN MOTOR ❑ 36 Yes NO CITATION# 15 MOTOR ✓ PEDAL- PEDESTRIAN PROPERTY DAM THR OLD MET PHONE UNIT VEHICLE CYCLE nWNFR D:2064980553 16� LAST NAME BLAIR FIRST NAME CHARLES MIDDLE' E INITIAL 17 F1 STREET ❑ ❑ 579 PASCO PL NE CITY RENTON ST, WA ZIP 98059 37 NEW ADDRESS 18 —1CDL IGNITION REQUIRED tGNi"t'ION PRESENT MEDICAL TRANSPORTED') ❑ 38 INTERLOCKYES NO✓ (NTERLOCKYES NO✓ YES Nol✓ 19 DRIVERS STATE WA SEX M I D.Os. 01 25 1979 � 39 LICENSE# MMDDYY — HELMET INJURY: NATURE OF INJURIES 40 20❑ ON DUTY❑ STATUS AIRBAG 2 RESTR 4 EJECT 1 USE 2 CLASS 1 ❑ 21 LICENSE CCX9492 TATe WA VIN# 4T1C31AK8NUO39067 I El 41 22❑ PLATE# STATE PLATE# STATE E 42 23 TRLR r RLR 43 UIN#. 'IN# VEH.YEAR 2022 MAKE TOyT MODEL CAMRY STYLE $D VEHICLE TOWED TO BLIN TOWED BY GOV HI 44 24 DAMAGE YES NO NO✓ REGISTERED OWNER INFO OWNED BY DRIVER VEHICLE N0.2 SHADFY DAMAGED AREA 3 4 LIABILITY INSURANCE INSURANCE CO GEICO 1912 72 10 06 IN EFFECT &POLICY# 9TOP HICL LEEIL YES❑ NJ—I, CITATION# CHARGE t080TTOM VEE 25 s e OFFICER'S NAME(PRINT) OFFICER PHONE BADGE OR ID# AGENCY J 26 D.NELSON 12421 WA0171300 PAGE 01 OF PART A 3000-348-189(R 11/18) STATE OF POLICETRAFFICN CORRECTION REPORT NO. EG54935 COLLISION REPORT III III III III III 111 1591972 CASE# 25-9646 E NA ADDITIONAL PERSONS INVOLVED(PASSENGERS AND/OR WITNESSES ONLY) M (LAST,FIRST,MIDDLE INITIAL) BOYD JARROD W ADDRESS&PHONE# D O 15328 SE MAY VALLEY RD RENTON WA 98059 4154175381 SE,( M MM, B. PASSENGEyY R WITNESS UNIT# SEAT AIRBAG: RESTR. EJECT HELMET INJURY NRE OF INJURIES �; POS. USE :GLASS � ATU ----� :NAME (LAST EIRS7 MIDDLE INITIAL} ADDRESS R PHONE# SEX MMDDYYYY D.D.B. — PASSENGER❑WITNESS UNIT# : SEAT AIRBAG RESTR. EJECT HELMET INJURY: NATURE CFINJURIES POS. USE 0,SS ----� :NAME (LOST,FIRST,MIDDLE INITIAL) ADDRESS&PHONE# SEX MMDDYY D.D.B. YY PASSENGER WITNESS UNIT# SEAT AIRBAG RESTR. EJECT HELMET NJURY NATURE OF INJURIES POS. I USE GLASS 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. D.NELSON 11-07-25 04:04 PM INVESTIGATING OFFICER'S SIGNATURE UNIT OR DIST.DET DATED PLAGE SIGNED APPROVED BY DATE C.JACOBS 1953 121312025 3:50:32 PM BADGE OR ID# 12421 ORI# WA0171300 TIME POLICE DISPATCHED'; 4:23 Pry TIME POLICE ARRIVED i 4:40 PM PAST B 3 aDo-3mx—attar(t 1Mff) PAGE 2�OF F5 REPORT NO. EG54935 CASE# 25-9646 O OF COLLI 510N TIME 11/06/25 16:10 COLLISION NARRATIVE 25-9646 ACC On 11/6/2025 1 was working as a uniformed patrol officer and driving a marked patrol vehicle for the City of Renton. I was dispatched to a report of a multi-vehicle, non-injury, non-blocking collision that had occurred in the 4600 block of NE Sunset Blvd Renton/King/WA. The caller was reporting that he had swerved off the roadway to avoid hitting a vehicle that had turned in front of him and hit a parked vehicle. I arrived on scene and located all four involved vehicles; two vehicles were parked and unoccupied at the time of the collision. The driver of the 2015 Honda Fit WA/ASG6666 (Unit 1), was identified as Cheryl A Shaw DOB: 7/22/1955. Cheryl stayed on scene to speak with me, she advised that she was in the eastbound #4 lane turning left into the parking lot of Boyd's Clocks. She said that she did not see any vehicles when she began her turn and as she entered the westbound lanes of travel, Unit 2 swerved out of the way and collided with the two parked vehicles. Cheryl believed that Unit 2 was speeding. There was no collision with the Honda and Cheryl left the scene. I called her later to try and get her insurance information, but she did not answer. The driver of the 2022 Toyota Camry WA/CCX9492 (Unit 2), was identified by his WADL as Charles E Blair DOB: 1/25/1979. Charles said that he was driving westbound on NE Sunset Blvd in the #2 lane when Unit 1 turned in front of him. He said that he swerved to avoid hitting Unit 1 and jumped the curb and collided with a parked and unoccupied vehicle (Unit 3) in the parking lot of Boyd's Clocks. There was damage to the passenger side front bumper/quarter panel and wheel well of the Camry. Charles was not injured, and his vehicle was drivable, no airbags had deployed. The owner of the 2021 Kia K5 WA/BYW7629 (Unit 3), was identified by his WADL as Brian K Gunderson DOB: 10/18/1958. Brian said that he was inside the store at the time o the collision and his vehicle was parked and unoccupied. The Camry struck the Kia on the driver side front wheel well and pushed it into Unit 4 which was parked directly next to it. There was damage to the driver side front quarter panel and wheel well, the front axle appeared to be broken in the Kia, and it was not drivable. There was also damage to the passenger side front bumper/wheel well where it was pushed into Unit 4. Bankers Towing was called to remove the Kia. The owner of the 2015 Toyota Tundra WA/C08032E (Unit 4), was identified by WADOL return as Donald E Boyd. The Tundra was parked and unoccupied at the time of the collision. There was damage the driver side front bumper, the Tundra was drivable. Jarrod E Boyd, the driver of Unit 4, advised he had witnessed the collision. He said that he witnessed the Honda turn in front of the Camry and cut it off which caused the Camry to swerve to avoid a collision. This caused the Camry to jump the curb and collide with the parked vehicles. Based on involved party and witness statements I cited Cheryl for Failure to Yield Left Turn RCW 46.61.185.1 under Sector citation #5A0882635. This citation should be mailed to her DOL address. Nothing further. I certify under penalty of perjury under the laws of the State of Washington that the foregoing is true and correct. D. Nelson #191 11/7/2025 Rento WA PAGE 3 OF 5 SUPPLEMENTAL REPORT No. EG54935 POLICE TRAFFIC 1 1 8 27 µ ^'� COLLISION REPORT CASE# 25-9646 013197 1 COMMERCIAL MOTOR CARRIER INTERSTATE INTRASTATE UNIT# USDOT ICC# VEHICLE TYPE CARGO BODY TYPE 2 ❑ 1 1 $ 28 CARRIER NAME 3 CARRIER L ADDRESS CITY ST ZIP 4 ❑ NAME # PLACARD GWVR NAME IF NO NUMBER SOURCE AXLES + 4a ❑ ADDITIONAL UNITS MOTOR PEDAL- PROPERTY DAMAGE THRESHOLD MET PHONE UNIT# 3 �✓ PEDESTRIAN1:1 �', YES� NO D:2068183486 5 VEHICLE CYCLE OWNER 1 4 29 LAST NAME GUNDERSON FIRST NAME , BRIAN MIDDLE' INITIAL 1 4 30 STREET NF ADnRFfi 28109 305TH AVE SE CITY RAVENSDALE ST Wq ZIP 98051 6 CDL IGNITION REQUIRED IIGMTION PRESENT MECiICALTAN�PORTED'. 1 31 IN7ERl.00K vES NO�/ _:INTERLOCK ves Noy/ L DRIVER'S wq SEX (/ D-O`8 10 18 LICENSE MMDD - - 1958 ON DUTY STATUS AIRBAG 9 RESTR. g EJECT g HELMET 9 INJURY 0 NATUREOFINJURIES 7 USE CLASS 8 ❑ 1 32 LICENSE BYW7629 TAT WA VIN 5XXG14J27MG041121 PLATE# 9 L TRAILER TRAILER PLATE# STATE PLATE# STATE 0 10 TRLR TRLR VIN.# VIN#. 11 0 0 VEIL YEAR2021 MAKE KIA MODELK5 STYLE SD VEHICLE TOWE E T ABLI ✓ TOWING GOVT.VFHICI F FROM TO DAMAGE YES V NO YES NO REGISTERED OWNER INFOBRIAN GUNDERSON 28109305TH AVE SERAVENSDALEWA98051 D:2068183486 SHADE IN DAMAGED AREA m 33 12 z 3 4 FROM TO LIABILITY INSURANCE INSURANCE CO COUNTRY FINANCIAL P46A4287733 IN EFFECT � &POLICY# � J7t1P S m 34 13 vewcEe YES NO[jj CITATION# CHARGE 108OTTOM ecauv sTANOINc 4 MOTOR PEDAL- P1:1F20pERTY DAMAGE THRESHOLD MET PHONE 35 14 ❑ UNIT# VEHICLE CYCLE PEDESTRIAN OWNER YES NO 15 ❑ UNKNOWN MIDDLE' El 36 LAST NAME FIRST NAME INITIAL 16 ❑ STREET NEW ADDRESS" CITY RENTON ST ZIP CDL IGNITION REQUIRED IGNITION PRESENT MEDICALTANSPORTED 17 F] INTERLOCK YES NO INTERLOCK YES NO 'YES NO DRIVER'S STATE SEX U D.O.B 37 18 ❑ LICENSE:# MMbD, g 1 HELMET g INJURY NATURE OF INJURIES 38 ON DUTY STATUS AIRBAG RESTR. g EJECT USE CLASS. 19 ❑ LICENSE' C0803 WA ❑ PLATE# 2E TAT vIN# STFCY5F15FX018965 39 20 TRAILER+ TRAILER 40 PLATE# STATE PLATE# STATE ❑ 21 ❑ TRLR TRLR 41 VIN# VIN#:: 42 22 VEH.YEAR2015 MAKE TOYT MODEL TUNDR STYLE PK VEHICLE TOWED DUET ABLIN TOWED BY GOVT.VEHICLE 4 DAMAGE YES NO YES NO 11/1 23 REGISTERED OWNER INFODONALD BOYD 15328 SEMAY VALLEYRD RENTON WA 98059 D:4254175381 SHADE IN DAMAC ED AREA 43 2 3 4 LIABILITY INSURANCE INSURANCE CO IN EFFECT I &POLICY# t.. 1�TOP F. = 44 24 VES NO vewcEe ❑ ❑ CITATION# CHARGE 70 BOTiC?M I..EGALLY STIWDING 3 G 1 CERTIFY(DECLARE)UNDER PENALTY OF PERJURY UNDER THE LAWS OF THE STATE OF WASHINGTON THAT THE FOREGOING IS TRUE AND CORRECT. D.NELSON 11-07-25 04:04 PM 25 INVESTIGATING OFFICER'S SIGNATURE OFFICER'S PHONE UNIT OR DIST DET DATED: PLACE SIGNED 26 BADGE 1 OR ID# 12421 O#RI WA0171300 APJACOBS 121312025 PAGE OF � 3000-345-013(R 11t18) REPORT NO. EG54935 CASE# 25-9646 DATE AND TIME 11/06/25 16:10 OF COLLISION ti aa, s� v�:a 1 r�- t{ f 1}C 1 t� 5 4 tt t �t ti �8 i , .�t. t � PAGE 5 OF 5