HomeMy WebLinkAbout26-33 ITFF' "POLCERA II I !�� I III I III I IIII III II I . 1 27c
COLLISION REP FIT 1591971
❑ ❑ FIRE RESULTED ❑ CASE# 26-33 z
INTERSTATE CITY STREET FIRE
1 STOLEN
STATE ROUTE ❑ OTHER ❑ VFHIC;I F ❑ LOCAL AGENCI 4200 3
HIT&RUN CODING
COUNTY RD PRIVATE WAY INVOLVED
2� 1 1 8 28
TOTAL#OF OBJECT
TRIBAL UNITS 03 STRUCK STREET LIGHT POLE
RESERVATION
z
3❑ DATE OF M M D D Y Y Y Y TIME(2400) COUNTY# MILES N E IN CITY# ❑
COLLISION.. 01 - 1-— 2026 1144 17 ❑.= S 8 IN e 1070 3
4❑ ON (PRIMARY TRAFFIC WAY) INTERSECTION ❑✓ NON INTERSECTION ❑
BENSON DR S BLOCK NO. e✓ 2100
4a❑ MILE POST
DISTANCE OF(REFERENCE OR CROSS STREET)
5❑ ❑ FEET e S ❑ W e S 21ST ST
0 1 29
MOTOR PEDAL- DAMAGE THRESHOLD MET PHONE
UNIT 01 VEHICLE ❑ CYCLE El
�/No D:2065359943 0 4 30
6� LASTNAMEj JACK FIRSTNAME AKARI MIDDLE L 0 1 31
INITIAL
STREET ❑, 10824 SE 170TH ST,UNIT A107 CITY RENTON ST WA 2jp, 98055 z=
'NEWADDRESS
7❑ CDL IGNITION REQUIRED I IGNITION PRESENT MEDICAL TRANSPORTED 3
iNTERLOCKYEs 1/ I NO NTERLOCKYEs NO Z YEs No�/
LRIIVER # STATE WA SEX'M MM D Y' 03 — 31 — 2005 1 2 32
8❑
9 ON DUTY❑ STATUS AIRBAG 2 RESTR 4 EJECT 1 HELMETU E 2 CLASS 1 NATURE OF INJURIES z❑
3
10❑ P1 aT�S� AUH5117 sTAT� WAurN# 1GNEC13FX4J120226
TRAILER STATE TRAILER STATE
11 4 0 PLATE# PLATE# FROM TO
TRLR. TRLR. 5 1 33
12 4 0 VIN#' VIN#
>; FROM TO
VEH.YEAR MAKE MODEL STYLE VEHICLE TOWED TO BLIN T Y GOVT.VEHICLE 34
13 2 2004 CHEV TAHOE UT DAMAGE YES 0NO agW�MEYERS YES[:] No 7 1
REGISTERED OWNER INFO AARON JACK 10715 SE 232ND ST KENT WA 98031 VEHICLE NO. 1 ❑
SHADE IN DAMAGED AREA 35
14 LIABILITY INSURANCE❑ INSURANCE CO IN EFFECT &POLICV#❑ LEGA LE CHARGE 36
15 2 VE-LLNGYES❑NO CITATION# 6AO044125 OP MOT VEH W/OUT INSURANCE,FL CIO
MOTOR PEDAL- PROPERTY DAM THR OLD MET PHONE
UNIT U2 ❑✓ ❑ PEDESTRIAN ❑ ❑ YES 1/ NO D:7738182041
VEHICLE CYCLE OWNER
16 a
LAST NAME HOPPE FIRST NAME ELIZABETH MIDDLE I A
INITIAL
17 NEW STREETREs7' 4539 N WHIPPLE ST APT 3W CITY CHICAGO ST ►L ZIP 60625 37
18� CDL IGNITION REQUIRED IGNITION PRESENT MEDICALTRANSPORTED 38
INERLOCKYEs❑No� INTERLOCK ves No� YEs NOF
19CENS STATE IL SEX F MMorw 10 _ 14 1963 39
20❑ ON DUTY STATUS I
AIRBAG 2 RESTR 4 EJECT 1 H U EET 2 NJAURSY 1 NATURE OF INJURIES 40
❑ 41
21❑ ILICENSE PLA E# AFK1424 TATE WA VIN1 SAJWAOFB66LR82183 1
42
22❑ PILER LATE# STATE PLATE# STATE
23❑ VIN#. 43
TRLR RLR
'IN#.
VEH YEAR 2011 MAKE ,/AGU MODEL XF STYLE SD VEHICLE TOWED TO BLIN TOWEDBv GOV HI 44
24 DAMAGE YES�/ NO GENE MEYERS YES NO
REGISTERED OWNER INFO MARY HOPPE 532590TH AVE SE MERCER ISLAND WA 98040 VEHICLE NO.2
SHADEDAMAGEDAREA
3 4
LIABILITY
INSURANCE INSU PORGY#E CO ALLSTATE 987149224IN 970E 5
vLEeGALLY YESwGLE ❑ N u CITATION# CHARGE to BOTTOM
25 s � a
OFFICER'S NAME(PRINT) OFFICER PHONE BADGE OR ID# AGENCY
26
GREGORY BILLS 12495 WA0171300
- I
PART A PAGE 01 OF C7
3000-345-159 OR 11/181
STATE OF
POLICETRAFFICN CORRECTION REPORT NO. EG65173
COLLISION REPORT III III III III III 111
1591972 CASE# 26-33
ADDITIONAL PERSONS INVOLVED PASSENGERS AND/(OR WITNESSES ONLY)
NAME
(LAST FIRST,MIDDLE INITIAL)_
ADDRESS&PHONE#
SEX D.O.B. - -
MMDDYYYY.
PASSENGER❑WITNESS UNIT# SEAT AIRBAG RESTR. EJECT ' HELMET INJURY NATURE OF INJURIES
PM USE CLASS
NAME
'(LAST,FIRST MIDDLE INITIAL)
ADDRESS&PHONE# D D B
SEX MMDDYYYY
PASSENGER ❑WITNESS UNIT# SEAT AIRBAG RESTR. EJECT HELMET INJURY NATURE OF INJURIES
POS. USE CLASS
NAME
(LAST FIR57 MIDDLE INITIAL)
AppRESS R PHONE#
SEX D.O.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.
GREGORYB/LLS 01-02-26 02:09 PM
INVESTIGATING OFFICER'S SIGNATURE UNIT OR DIST DET DATED PLACE SIGNED
APPROVED BY DATE
P.KORDEL 9676 1/2/2026 2:24:33 PM
BADGE OR ID# 12495 OR]# WA0171300 TIME POLICE DISPATCHED 11:44 AM TIME POLICE ARRIVED',11:46 AM
PART I PAGE IT]OF 5�
REPORT NO. EG65173 CASE# 26-33 OF COLLISION
01/02/26 11:44
OF CbLLI510N
NARRATIVE
On 01/02/2026 at 1144 hours I was dispatched to Benson Dr S / S 21st St, in the City of Renton, King
County, Washington. I was responding to a report of a vehicle collision.
While en route, dispatch advised the following: two vehicle crash, one vehicle into a light pole.
In this report, Unit 1 refers to a white 2004 Chevrolet Tahoe (WA/AUH5117), driven by A'Kari L. Jack
(DOB 03/31/2005, WA DL). Unit 2 refers to a silver 2011 Jaguar XF (WA/AFK1424), driven by
Elizabeth A. Hoppe (DOB 10/14/1963, IL DL).
At approximately 1146 hours, I arrived on scene. I observed Unit 1 stopped in the right lane of
southbound Benson Dr S with damage on the front and back. It came to a stop perpendicular to the
traffic lane, and the rear end of the vehicle struck a light pole (#2598D). The light pole was snapped
from its base, and fell to the ground away from the road. Unit 2 was stopped in the right lane of
northbound Benson Dr S and sustained front end damage.
Officers on scene interviewed the involved drivers, whose accounts were corroborated by each other
and the evidence. The investigation determined the following:
Unit 1 was driving northbound down Benson Dr S. The vehicle's brakes failed so he couldn't stop. He
was honking his horn, trying to alert other drivers to get out of the way. As he approached the
intersection with S 21st St, Unit 2 was making a left turn onto northbound Benson Dr S. Unit 1 had a
red light, Unit 2 had a green left turn arrow. Unit 1 was unable to stop due to the brake failure, and
collided with the front end of Unit 2. Unit 1 then spun across the lanes of traffic, coming to a rest when
it struck the light pole, knocking it over.
Renton Fire responded to evaluate both drivers and found no injuries.
Unit 1 had no insurance and vehicle registration that expired 01/24/2025.
Both vehicles were towed by Gene Meyers.
I authored Jack a citation for operating a motor vehicle without insurance and expired tabs over two
months. The citation will be sent in the mail. I confirmed his mailing address.
I completed a City of Renton property damage report for the light pole.
Ofc. Phillips interviewed a witness he identified as Evans Tomassini (206-370-9858). Ofc. Phillips told
me if I sent Evans an evidence.com link, he would send video from his dash cam that might have
captured the incident. Evans did not himself witness the accident. He is the owner of a vehicle driven
by someone else that was in the area. The driver of the car was not a witness either, as she saw the
aftermath but not the crash itself. As of this report, Evans has not submitted video.
This concludes my involvement in this case.
I certify under penalty of perjury under the laws of the State of Washington that the foregoing is true
and correct.
Electronically signed by Ofc. Gregory Bills #12495, 01/02/2026 at 1357 hours in Renton, Washington.
PAGE 3 OF 5
SUPPLEMENTAL REPORT NO. EG65173
r`I POLICE TRAFFIC 1 27
COLLISION REPORT CASE# 26-33
1 COMMERCIAL MOTOR CARRIER INTERSTATE INTRASTATE G
UNIT'# USL70r ICC# VEHICLE TYPE CARGO BODY
TYPE
2 ❑ 1 28
CARRIER
NAME
3 CARRIER
ADDRESS `
CITY ST' ZIP'
4 ❑ NAME # PLACARD: :❑
GWVR NAME IF NO NUMBER
SOURCE AXLES +
4a ❑ ADDITIONAL UNITS
MOTOR PEDAL- PROPERTY DAMAGE THRESHOLD MET PHONE
5 ❑ UNIT# 3 VEHICLE I_J CYCLE u PEDESTRIAN � OWNER � YEs� IN
MIDDLE 29
LAST NAME RENTON FIRST NAME CITY OF INITIAL
STREET 30
NEW AnDRFSP' 1055 S GRADY WAY CITY RENTON ST WA ZIP 98057
6
CDL IGNITIttN REQUIRED IGNITION PRESENT MEDICAL TANSPORTED 1 31
INTERLOCK YEs No INTERLOCK YES❑N0� YES N
DRIVER'S STATE I SEX U M��DYSYv' -� 2
LICENSE
7F-ION DUTY STATUS AIRBAG RESTR. EJECT HELMET INJURY NATURE OF INJURIES
F�
USE CLASS
8 ❑ ' 1 32
LICENSE+ rar V1N.#
PLATE#
9 TRAILER TRAILER
PLATE# STATE PLATE# STATE
10 ❑ TRLR TRLR
VIN.#. VIN.#.
11 VEH.YEAR MAKE I MODEL STYLE I VEHICLE TOWS E T SABLIN TOWED BY anvi vEHIG P FROM TO
DAMAGE YES NO YES NO
REGISTERED OWNER INFO. m 33
12 SHADE IN DAMAGED AREA
FROM TO
IIABiLITY INSURANCE❑ INSURANCE CO
IN EFFECT &POLICY# tGQ
VEHICLE 34
13 ❑ LEGALLY YES[:] NO❑ CITATION# CHARGE
STANDING S} 8 7 6
14 ❑ UNIT Tr Vd IRE O CYDCLE OWNER
YES AGE NOHRESHOLD MET PHONE El
35
PEDESTRIAN
15 LAST NAME FIRST NAME MIDDLE': INITIAL36
STREET"[—]
❑
16 NEn+AnnRFs.�' CITY'. ST ZIP
CDL IGNITION REdUiRED 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 ICLASS
19 ❑ vIN# 39
LICENSE
PLATE# rnr
20 ❑ TRAILER' TRAILER ❑ 40
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 AREA 43
3 4 71
LIABILITY INSURANCE INSURANCE CO '
VEHICLE
EFFECT &POLICY# I 970P - 4 44
24 VEHICLE YES NO❑ CITATION# CHARGE iq 60TiOM
E:l
C=DLv
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.
GREGORY BILLS 01-02-26 02:09 PM
25 INVESTIGATING OFFICER'S SIGNATURE OFFICER'S PHONE UNIT OR DIST DET DATED: PLACE SIGNED
26 � OI BADGE 12495 O#I',WA0171300 APPROVED BY
1/2/2026 PAGE F41 OF F
3000-345-013(R 11118)
REPORT NO. EG65173 CASE# ' 26-33 DATE AND TIME 01/02/26 11:44
OF COLLISION
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PAGE 5 OF 5