HomeMy WebLinkAbout25-80005 iiTFiNII IIIII III IIIII II IIII IIIII I . 27c REPORT NO EG61538oc� RA
COLLISION REPORT 1591971
INTERSTATE CITY STREET❑ FIRE I
CASE# 25-80005 2
RESULTEDSTOLENSTATE ROUTE OTHER VEHICLE LOCAI-AGENCY 42QQ 3
HIT&RUN CODING
❑ COUNTY RD PRIVATE WAY ❑✓ INVOLVED
2 1 TOTAL#OF OBJECT 1 s 28
TRIBAL UNITS 02 STRUCK
RESERVATION : 1
2
3� M M D D Y Y Y Y TIME(2400) COUNTY# MILES CITY#
DATE OF N E IN
cDLLISION' 11 - 19 - 2025 1128 17 =.�� S W e OF 1070 3
4❑ ON (PRIMARY TRAFFIC WAY) INTERSECTION ❑ NON INTERSECTION ❑✓
NE SUNSET BLVD BLOCK POST
e
4a MILE POST 4411 .�
❑
DISTANCE OF(REFERENCE OR CROSS STREET)
5 1❑ 2001.1 00 FEET MILES e✓ S 8✓ W e✓ `�NACORTES AVE NE
0 4 29
MOTOR ✓ PEDAL- DAM AG THRESHOLD MET PHONE
UNIT 01 VEHICLE ❑ CYCLE ❑ YEs Vl No D:2538805891 0 3 30
5 LAST NAME SHARP FIRST NAME MADEE MIDDLE K 1 1 2 31
INITIAL
STREET ❑ 15706 SE LAKE HOLM RD CITY;AUBURN ST WA ZIP; 980925928 2
NEW ADDRESS
7 CDL IGNITION REQUIRED IGNITION PRESENT MEDICAL TRANSPORTED 3
INTERLOCKYES NO✓ INTERLOCK VEs Nd✓ YEs No;✓
8 DRIVER # STATE WA SEXI F MMDDYY' 11 — 11 — 2007 1 2 32
9 ON DUTY STATUS' AIRBAG 2 RESTR 4 EJECT 1 N USEET 2 CLASSY 1 NATURE of INJURIES 2
10 LI ENSE' AXL6902 STATE WA VIN# 3MZBM1J76GM237949 3
TRAILER
11 0 0 STATE TRAILER STATE PLATE# PLATE# ROM To
TRLR zRLR 1 1 3 33
12 0 0 VIN#' VIN#
FROM TO
VEH.YEAR 2016 MAKE MAZD MODEL 3 STYLE V Y EHICLE TOWED TO BLIN TOWED By GOVT VEHICLE 3 1
13� DAMAGE YES II_II NO ✓ YESII_I) N 34
O✓
REGISTERED OWNER INFO GEORGE FRWKS PO BOX 33 UNIONTOWN WA 99179 VEHICLE NO. 1
SHADE IN DAMAGED AREA 35
2 LIABILITY INSURANCE INSURANCE CO 2 3 4
14 USAA 02005 87 41 R
IN EFFECT &POLICY# 4TOP
V""' CHARGE t 5 36
LEGALLY YES❑NO❑ CITATION# 7 0 80TTOM
15❑ STANDING 7 e
MOTCYR ✓ PEDAL- PEDESTRIAN PROPERTY DAM THR OLD MET PHONE
UNIT 02 VEHICLE CYCLE nWNFR YES�/ NO D:2065381352
16�
LAST NAME WALKER FIRST NAME TERRY MIDDLE N
INITIAL
17
STREET ❑ 37
NEW ADORE SS❑ 12123 SE 96TH PL CITY RENTON ST, WA ZIP 980562441
1$❑ CDL IGNITION REQUIRED IGNITION PRESENT MEDICAL TRANSPORTED ❑ 38
INTERLOCK YEs No✓ INTERLOCK YES NO✓ YES NO✓
19 DRIVER'S STATE IJ
WA SEX M D.O.B. 03 24 1954 � 39
LICENSE# MMDCSYY -
HELMET INJURY: NATURE OF INJURIES 4Q
20❑ ON DUTY STATUS AIRBAG 2 RESTR 4 EJECT 1 USE 2 CLASS 1 ❑
21 ILICENSEPLATE# ANF4036 raTE WA vIN# 1 USE
41
22❑ PLATE# STATE[TILER I PLATE# STATE 42
23 TRLR RLR 43
UIN#. 'IN#
VEH.YEAR 2013 MAKE HOND MODEL ACCORD STYLE VEHICLE TOWED TO BLIN
TOWED BY GOV HI 44
24 DAMAGE YES NO✓ VES NO✓
REGISTERED OWNER INFO TERRY WALKER 12123 SE 96TH PL RENTON WA 98056 VEHICLE NO.2
SHADE IN DAMAGED AREA
2 3 4
LIABILITY INSURANCE[Z INSURANCE CO ALLSTATE 920 689 913
IN EFFECT &POLICY# t9VE—L
Q
❑ , CITATION# CHARGE LEY YES N`[
25
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. EG61538
COLLISION REPORT III III III III III 111
1591972 CASE# 25-80005
ADDITIONAL PERSONS INVOLVED(PASSENGERS AND/OR WITNESSES ONLY)
'.NAME
(LAST,FIRST,MIDDLE INITIAL)
ADDRESS&PHONE
SEXi D.O.B. —
MMDDYYYY
PASSENGERQ WITNESS� UNIT SEAT AIRBAG RESTR. EJECT ; HELMET INJURY NATURE OF INJURIES
POS. ' USE GLASS 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 0,SS ----�
: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 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 11-21-25 04:12 PM
INVESTIGATING OFFICER'S SIGNATURE UNIT OR DIST.DET DATED PLAGE SIGNED
APPROVED BY DATE
C.JACOBS 1953 1212212025 10:23:38 AM
BADGE OR ID# 12421 ORI# WA0171300 TIME POLICE DISPATCHED 11:28 AM TIME POLICE ARRIVED i 11:31 AM
PAST B 3 Do-3mx—attar(t 1Mff) PAGE 2�OF 4
REPORT NO. EG61538 CASE# 25-80005 O OF COLLI 510N TIME 11/19/25 11:28
COLLISION
NARRATIVE
25-80005 ACC
On 11/19/2025 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 non-injury, non-blocking collision that had occurred in
the parking lot of McDonalds located at 4411 NE Sunset Blvd Renton/King/WA. An involved party
was calling to report that both vehicles had pulled to the side.
I arrived on scene and located both vehicles and drivers, I confirmed there was no injury.
The driver of the 2016 Mazda 3 WA/AXL6902 was identified by her WADL as Madee K Sharp DOB:
11/11/2007. Madee said that she was driving south through the parking lot and was making a left turn
when she struck the front of Unit 2. There was damage to the front driver side bumper, quarter panel,
and headlight on the Mazda. There was no airbag deployment, and the Mazda was drivable. Madee
advised that there was insurance on the vehicle through the prior owner but that she did not have
insurance.
The driver of the 2013 Honda Accord WA/ANF4036 was identified by his WADL as Terry Walker
DOB: 3/24/1954. Terry said that he was driving west through the parking lot and was preparing to
make a right turn to head north when Unit 1 cut the corner and collided with him. There was damage
to the front driver side bumper and quarter panel of the Honda. There was no airbag deployment, and
the Honda was drivable.
The roadway where the collision occurred is an undivided roadway in the McDonalds parking lot. The
roadway has no road markings and makes a sharp 90-degree turn.
There was some debris in the middle of the roadway, but I was not able to determine who had made
an improper turn.
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 11/19/2025 Renton WA
PAGE 3 OF 4
REPORT NO. EG61538 CASE# 25-80005 DATE AND TIME 11/19/2511:28
OF COLLISION
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