HomeMy WebLinkAbout25-81197 IT si " II IIIII III IIIII II IIII IIIII I . 27c REPORT NO EG6769OLCERA
COLLISION REPORT 1591971
CASE# 25-81197 2
INTERSTATE CITY STREET FIRE I
RESULTEDSTOLENSTATE ROUTE OTHER VEHICLE LQCAI-AGENCY 4250 3
HIT&RUN CODING
COUNTY RD PRIVATE WAY INVOLVED
2 TOTAL#OF OBJECT 1 s 28
TRIBAL UNITS 03 STRUCK
RESERVATION : 1 1
2
3� M M D D Y Y Y Y TIME(2400) COUNTY# MILES CITY#
DATE OF N E E IN
eDL�ISION' 12 - 31 - 2025 2225 17 �.�� S W OF 1070 3
4❑ ON (PRIMARY TRAFFIC WAY) INTERSECTION ❑ NON INTERSECTION ❑✓
BLOHARDIEAVESW MILE POST
e 600 .�
4a❑ MILE POST
❑ DISTANCE OF(REFERENCE OR CROSS STREET)
5 2001.1 00 FEET e✓ S 8✓ W e SW 5TH PL
0 1 29
MOTOR ✓ PEDAL- DAM AG THRESHOLD MET PHONE
UNIT 01 VEHICLE ❑ CYCLE ❑ YEs Vl No D:5595307250 0 1 30
5 LAST NAME CALHOUN FIRST NAME JOSHUA MIDDLE M 1 1 2 31
INITIAL
STREET ❑ 600 SW 5TH CT,APT K306 CITY; RENTON ST WA ZIP; 98057 2
NEW ADDRESS
7 CDL IGNITION REQUIRED IGNITION PRESENT MEDICAL TRANSPORTED 3
INTERLOCK YES No INTERON KYES Eq YEs No
8❑ DCIENSE# STATE WA SEXI M MMDDYY' 07 — 26 — 1994 1 2 32
-NJUR
9 ON DUTY STATUS' AIRBAG 6 RESTR 4 EJECT 1 HELMET
2 CLASSY 1 [NATURE of INJURIES 2
10 PI ENSrtEI BOS1718 STATE WA VIN# 2TIBURHE4HC938604 3
TRAILER STATE TRAILER STATE
11 0 0 PLATE# PLATE# ROM To
TRLR TRLR 1 1 5 33
12 0 0 VIN#' vIN#
FROM TO
LE
13 4 VER YEAR 2017 MAKE TOYT MODEL COROL STYLE 4D VEHICLE TO YED NOIyS46LIN Tv49WEBYMEYER YESr`-IVT ENp 5 1 34
DAMAGE IIII._IIII I_I
REGISTERED OWNER INFO ,/pSHUA CALHOUN 500 SW 5TH CT,APT K308 RENTON WA 98057 D:5595307250 VEHICLE NO. 1
SHADE IN DAMAGED AREA 35
14 LIABILITY INSURANCE❑ NSURANCE CO 11
IN EFFECT &POLICY# C_T_TO_P_
LEnic�e CHARGE ❑ 36
""' yES❑NO❑ CITATION# BOTTOM
15❑ STM ING
MOTOR PEDAL- PEDESTRIAN PROPERTY DAM THR OLD MET PHONE
UNIT VEHICLE CYCLE nWNFR YES�/ NO D:4255241288
16�
LAST NAME KUMAR FIRST NAME SUBHASHNI MIDDLE L
INITIAL
17 F1 STREET ❑ 607 H ST NE CITY AUBURN ST, WA ZIP 98002 37
NEW ADDRESS I I I I I I
❑
18❑ CDL IGNITION REQUIRED IGNITION PRESENT MEDICAL TRANSPORTED 38
INTERLOCKYEs No INTERLOCK YES NO vEs No
19[—] DRIVER'S ' STATE WA SEX F D-OB. 05 14 1970 � 39
LICENSE# MMDDYY —
20❑ ON DUTY STATUS AIRBAG 2 RESTR 4 EJECT 1 HELMET 2 INJURY 7 NATURE OF INJURIES 40
USE CLASS HEAD AND LEG PAIN
21 LICENSE I PLATE# CSD9910 rare WA vIN# USE
41
22❑ PLATE# STATE PLATE# STATE 42
23 TRLR r RLR 43
UIN#. 'IN#
VEH,YEAR 2018 MAKE TOYT MODEL CAMRY STYLE SD VEHICLE TOWED TO BLIN TOWED BY GOV HI 44
24 DAMAGE YES �/ No GENE MEYER E
REGISTERED OWNER INFO OWNED BY DRIVER VEHICLE NQ.2
SHADE IN DAMAGE,O,AREA
2 3 �k
LIABILITY INSURANCE INSURANCECO STATE FARM 5788240DO147
IN EFFECT &POLICY# 9TOP
HICL
LE— YES❑ N.I,—I CITATION11 CHARGE to BOTTOM
VEE
25 a s
OFFICER'S NAME(PRINT) OFFICER PHONE BADGE OR ID# AGENCY
J
26
KEITH PETTY 12809 WA0171300
PAGE 01 OF
PART A 3000-345-189(R 11/18)
STATE OF
POLICETRAFFICN CORRECTION REPORT NO. EG67659
COLLISION REPORT III III III III III 111
1591972 CASE# 25-81197
E NA ADDITIONAL PERSONS INVOLVED(PASSENGERS AND/OR WITNESSES ONLY)
M
(LAST,FIRST,MIDDLE INITIAL) DEROCHE JERROLDA
ADDRESS&PHONE#
420 W SMITH ST KENT WA 98032 2536830755 SEXi U MmOoovBVYy 12 IT
25 - 1993
PASSENGER WITNESS UNIT# SEAT AIRBAG RESTR. EJECT HELMET INJURY NATURE OF INJURIES
Q' 1 POS. 3 6 4 1 USE 1 2 CLASS 1 ----�
:NAME
(LAST EIFS7 MIDDLE INITIAL) { BUNDY MARIN M
ADDRESS&PHONE# D�B
160 SW NORMANDY RD NORMANDY PARK WA 98166 2069727993 SEX F MMDavvvy 03 _ OS _ 1998
SEAT HELMET INJURY NATURE OF INJURIES
PASSENGER a WITNESS UNIT# 1 POS. ' 7 AIRBAG 6 RESTR. 4 EJECT 1 USE 2 CLASS 1 ----�
NAME MIDDLE INITIAL) MARTENSON KELSIE C
(LAST,FIRST,
ADDRESS&PHONE# M MD 17411 INLAKE DESIRE DR SE RENTON WA 98354 2069229427 SEx} U D,O.B. 04 _ 21 _ 1999
DYYYY
PASSENGER WITNESS UNIT# 1 SEAT g AIRBAG 6 RESTR. 4 EJECT 1 HELMET 2 NJURY' 7 NATURE OF INJURIES
a �: PO USE :CLASS : LEG LASERA T/ON
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.
KEITH PETTY 01-01-26 03:57 PM
INVESTIGATING OFFICER'S SIGNATURE UNIT OR DIST.DET DATED PLACE SIGNED
APPROVEDRY E
J.TRADER 4553 DAT 111012026 2:02:37 PM
BADGE OR ID# 1Y809 ORI# WA0171300 TIME POLICE DISPATCHED 10:25 PM TIME POLICE ARRIVED i 10:29 PM
PART B 3 aDo-3mx-attar(t 1Mff) PAGE F2 --]OF 7�
REPORT NO. EG67659 CASE# 25-81197 O OF COLLISION TIME 12/31/25 22:25
NARRATIVE
25-81197
On 12/31/2025 at approximately 2225 hours, I was dispatched to the 600 block of Hardie Ave SW in
the City of Renton, County of King, State of Washington, for a collision with unknown injuries.
Upon arrival I contacted the following:
Unit 1 a black 2017 Toyota Corolla (BOS1718/WA) VIN/2T1 BURHE4HC938604, driven by Joshua
Marcel Calhoun (DOB 07/26/1994). Front passenger Jerrold Anthony Deroche (DOB 12/25/1993),
rear driver side passenger Marin Makenna Bundy (DOB 03/05/1998), and rear passenger side Kelsie
Caitlyn Martenson DOB 04/21/1999).
Unit 2 was a red 2018 Toyota Camry (CSD9910/WA) VIN/4T1 B11 HKOJU667237 driven by
Subhashini Lata Kumar (DOB 05/14/1970).
Unit 3 was a black 2023 Chevy Malibu (CSJ5831/WA) VIN/1 G1ZD5ST0PF1 39349 driven by the
registered owner, Precious Sinaalesaufaiga Aumua (DOB 01/20/1996).
Unit 1 driver stated he was heading south on Hardie Ave SW near the 600 block. As he approached
the railroad bridge crossing, he lost sight of the dividing line due to the foggy conditions. Before he
realized he was over the line he collided into unit 2 then bounce over and collided into unit 3. The
damage was over $1000.
Unit 2 stated she was heading north on Hardie Ave SW. As she crossed under the railroad bridge in
the 600 block, she viewed a vehicle coming head on in her lane. Unit 2 attempted to avoid getting hit
head on and swerved to the left. Unit 1 collided into the rear passenger tire causing the tire to come
off. The damage is estimated to be over $1000.
Unit 3 stated that she was heading north on Hardie Ave SW when she viewed unit 2 swerve out of the
way of an oncoming vehicle. Unit 1 bounced off unit 2 and then collided into the passenger side doors
of unit 3. The damage is estimated over $1000.
Unit 1 occupant, Kelsie, had a minor cut on her left leg. RRFA treated her on scene. Kelsie did not
want to be transported for further medical treatment. Unit 2 was treated for head pain and right leg
pain. She did not go to the hospital for further treatment. Unit 3 had no complaint of injuries but was
shaken up from the collision.
All vehicles were towed from the scene.
Unit 1 1 cited the driver of Unit#1 for violating RCW 46.30.020 -Liability Insurance as no person may
operate a motor vehicle subject to registration under chapter 46.16A RCW in this state unless the
person is insured under a motor vehicle liability policy with liability limits of at least the amounts
provided in RCW 46.29.090, is self-insured as provided in RCW 46.29.630, is covered by a certificate
of deposit in conformance with RCW 46.29.550, or is covered by a liability bond of at least the
amounts provided in RCW 46.29.090. Proof of financial responsibility for motor vehicle operation
must be provided on the request of a law enforcement officer in the format specified under RCW
46.30.030.
Failing to maintain lane of travel (RCW 46.61.140) which states: A vehicle shall be driven as nearly
as practicable entirely within a single lane and shall not be moved from such lane until the driver has
PAGE 3 OF 7
REPORT NO. EG67659 CASE# 25-81197 O OF COLLISION TIME 12/31/25 22:25
NARRATIVE
first ascertained that such movement can be made with safety. Unit 1 failed to stay within his lane.
I cited the driver of Unit#3 (Aumua) for violating RCW 46.30.020 -Liability Insurance as no person
may operate a motor vehicle subject to registration under chapter 46.16A RCW in this state unless
the person is insured under a motor vehicle liability policy with liability limits of at least the amounts
provided in RCW 46.29.090, is self-insured as provided in RCW 46.29.630, is covered by a certificate
of deposit in conformance with RCW 46.29.550, or is covered by a liability bond of at least the
amounts provided in RCW 46.29.090. Proof of financial responsibility for motor vehicle operation
must be provided on the request of a law enforcement officer in the format specified under RCW
46.30.030.
All citations were mailed to Joshua and Aumua at their provided address.
All involved were provided with the case number.
This incident was captured on my body worn camera. This report is a summary of the events that
occurred and is not an exact sequencing of events. Statements have been paraphrased and
summarized
"I certify (or declare) under penalty of perjury under the laws of the State of Washington that the
foregoing is true and correct."
Electronically signed: K.Petty, Date: 12/31/25at 2350 hours, Place: Renton, King County, WA
PAGE 4 OF 7
REPORT NO. EG67659 CASE# 25-81197 O OF COLLISION TIME 12/31/25 22:25
NARRATIVE
PAGE 5 OF 7
SUPPLEMENTAL REPORT NO. EG67659
POLICE TRAFFIC
1 1 8 27
COLLISION REPORT CASE# 25-81197
t113197
1 COMMERCIAL MOTOR CARRIER INTERSTATE INTRASTATE
UNIT# USDOT ICC# VEHICLE TYPE CARGO BODY
TYPE
2 ❑ 1 28
CARRIER
NAME
3 CARRIER L
ADDRESS
CITY ST ZIP
4 ❑ NAME # PLACARD
AME I
GWVR NF NO NUMBER
SOURCE AXLES ' +
4a ❑ ADDITIONAL UNITS
MOTOR PEDAL- PROPERTY DAMAGE THRESHOLD MET PHONE
UNIT# 3 �✓ PEDESTRIAN1:1 ❑', YES� NO D:6192519969
5 VEHICLE CYCLE OWNER
0 1 29
LAST NAME AUMUA FIRST NAME PRECIOUS MIDDLE; S
INITIAL
STREET 30
NFw AnnRFs 510 STEVENS AVE SW APT Q203 CITY RENTON ST Wq ZIP 98057
6 PRESENT MEDICALTANSPORTED. 1 1 2 31
CDL IGNITION REQUIRED IGNITION
INTERLOCK YES NO .:INTERLOCK YES N1 .YES N
L
DRIVER'S STATE WA SEX F D.O,B 01
7
LICENSE i MMDDY - 20 - 1996
ON DUTY STATUS AIRBAG 6 RESTR. ¢ EJECT 1 HELMET 2 INJURY 1 NATUREDFINJURIES
USE ;CLASS
8 ❑ 1 32
LICENSE CSJ5831 TAT WA uIN 1G1ZD5STOPF139349
PLATE#
9 [9] TRAILER I TRAILER 2
PLATE# STATE PLATE# STATE
0
10 ❑ TRLR TRLR
VIN.# VIN#.
11 0 0 VEH.YEAR2023 MAKE CHEV MODELMALIBU STYLE SID VEHICLE TOWE E T ABLI WWWV'ER Go
YESvT.vEHICI E FROM To
DAMAGE YES�/ NO NO
REGISTERED OWNER INFOOWNED BYDRIVER § 1 33
12 SHADE IN DAMAGED AREA
LIABILITY INSURANCE❑ FROM TO
INSURANCE CO )TOF'
IN EFFECT &POLICY# I ________.`S m 34
13 vewc�e YES NO[jI CITATION# CHARGE
10 E#OTTOM
ecauv
s-rnNoiNc 8 7 t+
MOTOR PEDAL_ ' 1:1PROPERTYDAMAGE THRESHOLD MET PHONE 35
14 ❑ UNIT# VEHICLE CYCLE PEDESTRIAN OWNER YES NO
36
15 LAST NAME FIRST NAME NIT AL
16 ❑ STREET �' CITY ST' ZIP
NEW ADDRESS
CDL IGNITION REQUIRED IGNITION PRESENT MEDICAL TANSPORTED
INTERLOCK YES NO INTERLOCK YES N6 :YES NO
17 q 37
RIVER'SLLIICENSE# STATE SEX MMDbW
18 ❑
HELMET 'INJURY NATURE OF INJURIES 38
ON DUTY STATUS AIRBAG RESTR. EJECT USE CLASS.:
19 ❑ LICENSE TAT viN# 39
PLATE#
20 TRAILER I I TRAILER 40
PLATE#. STATE PLATE# - STATE ❑
21 ❑ TRLR TRLR ❑ 41
VIN# VIN#:'
42
22 VEH.YEAR MAKE I MODEL I STYLE I VEHICLE TOWED DUET ABLIN TOWED BY GOVT.VEHICLE
DAMAGE YES NO YES NO
23 REGISTERED OWNER INFO. SHADE IN DAMAC ED AREA 43
2 3 4
LIABILITY INSURANCE INSURANCE CO
IN EFFECT I &POLICY# 7c;Q
y. 44
vewc�e ❑ ❑ CITATION# CHARGE
24 I..EG_ YES NO
STIWDING 8 3 G
1 CERTIFY(DECLARE)UNDER PENALTY OF PERJURY UNDER THE LAWS OF THE STATE OF WASHINGTON THAT THE FOREGOING IS TRUE AND CORRECT.
KEITH PETTY 01-01-26 03:57 PM
25 INVESTIGATING OFFICER'S SIGNATURE OFFICER'S PHONE UNIT OR DIST DET DATED: PLACE SIGNED
26 OR Ib# 12809 O#RI WA0171300 APTRADER 1/110/2026
PAGE OF 7�
3000-345-013(R 11/18)
REPORT NO. EG67659 CASE# 25-81197 DATE AND TIME 12/31/25 22:25
OF COLLISION
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