HomeMy WebLinkAbout25-81143 POLICETRAFF'c" III !�� I IIIllI111IN II II I REPORT NO. EG69025 170
27
COLLISION REP FIT 1591971
CASE 25-81143 z
INTERSTATE ❑ CITY STREET ❑ FIRE ❑
RESULTED
1 STOLEN
STATE ROUTE ❑ OTHER ❑ VFHIC;I F ❑ LOCAL AGENCI 4150 3
HIT&RUN CODING
COUNTY RD PRIVATE WAY INVOLVED
2 TOTAL#OF OBJECT 1 8 2$
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# ❑
CawsloN 12 - 27 - 2025 0900 17 ❑.= S 8 IN e 1070 3
4❑ ON (PRIMARY TRAFFIC WAY) INTERSECTION ❑ NON INTERSECTION ❑✓
N LANDING WAY BLOCK NO. e✓ 715
4a❑ MILEPOST
DISTANCE OF(REFERENCE OR CROSS STREET)
5 100 00 FEET MILES ❑ S ❑ W e LOGAN AVE N
0 4 29
MOTOR PEDAL- DAM THRESHOLD MET PHONE
UNIT 01 VEHICLE ❑ CYCLE El YEs NO ,/ D:4255451652 1 4 30
6� LAST NAME PHAM FIRSTNAME THI MIDDLE N 1 1 2 31
INITIAL
STREET ❑ 4116 NE 5TH ST CITY RENTON ST WA ZIP 98056 z
NEW ADDRESS
7❑ CDL IGNITION REQUIRED IGNITION : PRESENT MEDICAL TRANSPORTED 3
1/ I INTERLOCK YES[:]NO NTERLOCKYEs NO�/ YES R No�/
8❑ LRIIVER #
ON DUTY❑ STATUS AIRBAG 2 RESTR 4 EJECT 1 HELMET USE 2 1 CLASS NATURE OF INJURIES 2❑
❑LICENSE CNZ9686 sTAT1 WWAVIN# 2T3A1RFV8RC487077 3
10❑ PI ATE 14
TRAILER STATE TRAILER STATE
11 0 0 PLATE# PLATE# FROM ro
TRLR. TRLR 5 7 33
12 0 0 VIN#' VIN#'
2024 TOYT RAV4 SD ❑ FROM
34
VEH.YEAR MAKE MODEL STYLE VEHICLE TOWED TO BLIN TOWED BY GOVT.VEHICLE
13 2 DAMAGE YES NO YES NO✓
REGISTERED OWNER INFO UYEN NGUYEN 4116 NE 5TH ST RENTON WA 98056 D:4255451652 VEHICLE NO. 1 ❑
SHADE IN DAMAGED AREA 35
14❑ UABILI INSURANCE INSURANCE CO FARMERS J748943868 4
IN EFFECT &POLICY# 9TOP
LEwoLe CHARGE 1 5 36
LEGALLY YES❑NO❑ CITATION# 5AO946047 HIT/RUN UNATTENDED VEHICLE o aorroM
15❑ �STA""
G 8 6
MOTOR PEDAL PROPERTY DAM THR OLD MET PHONE
UNIT U2 ❑ ❑ PEDESTRIAN ❑ ❑ D:2063554055
VEHICLE CYCLE OWNER YES�/ NO
16❑
LAST NAME LUU FIRST NAME JEFF MIDDLE L
INITIAL
17❑ STREET ❑', 3402 NE 23RD PL CITY' RENTON ST Wq ZIP 98056 37
NEW ADDRESS ❑
18� CDL IGNITION REQUIRED IGNITION PRESENT MEDICALTRANSPORTED 38
INTERLOCK YEs❑NO� INTERLOCK YEs❑NOF YES
❑NOF,/
19 F] LICENSE# STATE SEX U M D.O.B. 05 _ 14 1974 39
WELMET INJURY NATURE OF INJURIES 40
20❑ ON DUTY STATUS' AIRBAG 9 RESTR 9 EJECT ''9 USE 9 CLASS 0 ❑
21❑ LICENSE I W6369A TATe WA VIN# 5YJYGDEFOMF211970
❑ 41
PLATE#
42
22❑ PLATE# STATE PLATE# STATE
23❑ UIN#. 43
TRLR RLR
'IN#.
VEH YEAR 2021 MAKE TESL MODEL MODEL Y STYLE SD VEHICLE TO TO BLIN TOWEDeY GOV HI 44
24❑ DAMAGE YES NO YES NO
REGISTERED OWNER INFO JEFFLUU3402NE23RDPL RENTONWA98056 D:2063554055 VEHICLE NO.2
SHADEDAMAGEDAREA
3 4
LIABILITY
INSURANCE &POINSURGY#E CO STATE FARM 5567532DO147BIN STOP 5
VE""LE ❑ N`L J
,J� CITATION# CHARGE
LEG
25 io BOTTOM
ALLY YES s � a
OFFICER'S OQ
NAME(PRINT) OFFICER PHONE BADGE OR ID# AGENCY
J
26
D.NELSON 12421 WA0171300
PART A PAGE 01 OF
3000-345-159 fR 11/181
STATE OF
POLICETRAFFICN CORRECTION REPORT NO. EG69025
COLLISION REPORT III III III III III 111
1591972 CASE# 25-81143
ADDITIONAL PERSONS INVOLVED PASSENGERS AND/OR WITNESSES ONLY)
NAME MIDDLE INITIAL) KARATYZ BRANDON L
(LAST FIRST,
ADDRESS&PHONE# D O.B. '
7756244381 SEX M MMDOYyry 09 - 21 - 1994
----------------------------
PASSENGER WITNESS IT# SEAT AIRBAG RESTR. EJECT ' HELMET INJURY NATURE OF INJURIES
❑ ❑✓ UN POS. USE CLASS
NAME
(LAST,FIRST,MIDDLE INITIAL)
ADDRESS&PHONE# D O B
SEX MMDDYYYY
PASSENGER ❑WITNESS❑ UNIT# SEAT I AIRBAG RESTR. EJECT HELMET NJURY 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.
D.NELSON 12-31-25 01:32 PM
INVESTIGATING OFFICER'S SIGNATURE UNIT OR DIST DET DATED PLACE SIGNED
APPROVED BY DATE
C.JACOBS 1953 1/15/2026 11:10:33 AM
BADGE OR ID# 12421 ORI# WA0171300 TIME POLICE DISPATCHED; 9:00 AM TIME POLICE ARRIVED',9:00 AM
PART I PAGE IT]OF 5�
REPORT NO. EG69025 CASE# 25-81143 OF COLLISION
12/27/25 09:00
OF CbLLI510N
NARRATIVE
25-81143 HR
On 12/30/2025 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 hit and run collision that had occurred in the parking
lot of LA Fitness at 715 N Landing Way Renton/King/WA on 12/27/2025.
The victim, Jeff L Luu DOB: 5/14/1974 was calling to report that someone had hit his parked 2021
Tesla Model Y WA/W6369A. I called Jeff and he explained that he had parked his vehicle in the
parking lot and gone inside the gym, when he returned, he noticed damage to his passenger side
front bumper. He said that there was a note on his vehicle from a witness that said they had video of
the suspect driver.
Jeff said that his vehicle was backed into the spot, and he believed the other vehicle had hit his
vehicle while pulling into or out of the spot directly next to him. He believed damage would be to the
passenger side of the suspect vehicle.
Jeff sent me the video via Axon and provided me with the witness information.
The short video shows a charcoal gray Toyota Rav4 WA/CNZ9686 leaving the scene. It does not
show damage, the collision, or the driver. Jeff said that the witness only provided him with a
description of an Asian female, 50-60 years old. The plate returned to a gray 2024 Toyota Rav4
which was registered to a Uyen L Nguyen DOB: 11/23/1979 at 4116 NE 5th St Renton WA.
The DOL photograph for Uyen showed her as an Asian female, 46 years old, 5-02 tall, 115 lbs.,
brown eyes, and black hair.
I asked Jeff if he was willing to assist with prosecution and he said yes since the damage was more
considerable that simple paint transfer.
I went to the DOL address for Uyen and a male answered the door, he called his sister to translate.
When he dialed his phone, 1 noticed that he was calling "Sister Uyen". When the female answered the
phone, I asked if a Uyen Nguyen lived at this location, she advised she was Uyen, and this was her
home. I asked her if she owned a gray Toyota Rav4 and she said yes and it was a 2024.
1 asked Uyen if she had been involved a minor collision in the parking lot of LA Fitness. She denied
being in an accident but did say she was driving her vehicle in the LA Fitness parking lot around 0900
hours on 12/27/2025. 1 asked if there was any damage to her vehicle and she said there was no
damage and was adamant that she was not involved in any collision. I clarified that she was driving in
the LA Fitness parking lot, on the date and time of the collision, but was denying being involved in any
collision and she said yes.
I asked Uyen if she could provide me with insurance information for the collision report and she
declined saying that she did not know who I am. I asked her if her brother, who was holding the
phone, could vouch for me, and she said no. Uyen then said that I could look at her vehicle, but she
was at work in Seattle. I advised her that I would be at the Renton Police Department if she wished to
come by. 1 asked her again if she would provide me with her insurance information and she declined.
I called the witness, who was identified verbally as Brandon L Karatyz DOB: 9/21/1994. Brandon said
that he was walking through the parking lot when he saw the Rav4 hit the parked Tesla. He said that
it appeared as if the driver of the Rav4 was attempting to park and cut the corner too sharp. He said
the driver, hit the Tesla, backed out and parked in a spot a few rows over, got out and looked at her
vehicle then walked over and looked at the Tesla before getting back into her vehicle and leaving.
Brandon said that he watched and did not see the other driver put a note on the Tesla before leaving
the scene. He described the other driver as a middle-aged Asian female, 5-5 tall, thin build, with dark
hair. He said that he would not be able to identify her again if he saw her.
I met Uyen at the police department and she was driving a white Rav4 with a different license plate. I
asked her about the gray one and she said it was actually her aunt's vehicle, and she identified her as
Ngoc Lan. She said that Ngoc would be home from work at 1600 hours, and I could see her then.
At 1600 hours I went back to 4116 NE 5th St and was able to speak with a female who identified
herself by her WADL as Thi Ngoc Pham DOB: 3/16/1979. Thi said that she was driving the Rav4 on
12/27/2025 in the LA Fitness parking lot. She said that she was attempting to park and tried to park
between a black car and curb. She said that as she pulled into the parking spot, she felt her car slow
PAGE 3 OF 5
REPORT NO. EG69025 CASE# 25-81143 OF COLLISION
12/27/25 09:00
OF CbLLI510N
NARRATIVE
down. She said she felt as if the spot was too small for her car, so she backed out and parked in a
space with no cars nearby. She said that she did not know that she hit anything.
This provided me with a valid WADL and insurance.
I looked at the Rav4 and was able to locate some small dents, scrapes, and paint transfer on the
passenger side doors near the running board.
I took photographs of the damage and uploaded it to Axon Evidence.
I completed Sector citation #5A0946047 for Hit and Run Unattended Vehicle RCW 46.52.010.1 for
Thi. 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 12/30/2025 Renton WA
PAGE 4 OF 5
REPORT NO. EG69025 CASE# 25-81143 DATE AND TIME 12/27/25 09:00
OF COLLISION
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