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
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