HomeMy WebLinkAbout26-202 IT si " II IIIII III IIIII II IIII IIIII I . 27c REPORT NO EG6856OLCERA
COLLISION REPORT 1591971
❑ 0 RESULTED I
$ 26-202 2
INTERSTATE CITY STREET FIRESTOLENSTATE ROUTE OTHER VEHICLE LOCAI-A`NG 4200 3
HIT&RUN CODING
COUNTY RD PRIVATE WAY INVOLVED
2 TOTAL#OF OBJECT 1 s 28
TRIBAL UNITS 02 STRUCK
RESERVATION : 1 1
2
3� M M D D Y Y Y Y TIME(2400) COUNTY# MILES CITY#
DATE OF N E IN eDLLISION' 01 - 07 - 2026 1642 17 =.= S 8 W E OF M 1070 a
4❑ ON (PRIMARY TRAFFIC WAY) INTERSECTION ❑ NON INTERSECTION ❑✓
SE CARR RD BLOCK NO. e 10600 .�
4a❑ MILE POST
❑ DISTANCE OF(REFERENCE OR CROSS STREET)
5 1301.1 00 FEET e✓ S 8 W e 106TH PL SE
0 1 29
MOTOR PEDAL- DAMAG THRESHOLD MET PHONE
UNIT 01 VEHICLE ❑ CYCLE ❑ YES No �/ D:2017802302 0 7 30
5 LAST NAME JUAREZ FIRST NAME BRYAN MIDDLE E 1 1 2 31
INITIAL
STREET ❑ 12114 SE 175TH LN APT EE301 CITY; RENTON ST WA ZIP; 980585972 2
NEW ADDRESS
7 CDL IGNITION REQUIRED IGNITION PRESENT MEDICAL TRANSPORTED 3
INTERLOCKYEs NO✓ INTERLOCKVEs NO✓ YES NO✓
8 DRIVER # STATE WA SEXI M MMDDYY' 04 - 05 - 2004 1 2 32
-NJUR
9 ON DUTY STATUS' AIRBAG 2 RESTR 4 EJECT 1 HELMET
2 CLASSY 1 [NATURE of INJURIES 2
10 1� aiCENSE' D09106H STATE WA VIN# 1GTCT19W618106764 3�
TRAILER
11 3 5 STATE TRAILER STATE PLATE# PLATE# ROM TO
TRLR TRLR 7 1 3 33
12 3 5 VIN# vIN#
FROM TO
VEH.YEAR 2001 MAKE GMC MODEL SONOM STYLE PK VEHICLE TOWED TO BLIN TOWEDBY GOVT VEHICLE g 9 34
13 DAMAGE YES NO ✓ YESE] NO✓
REGISTERED OWNER INFO BRYAN JUAREZ 12114 SE 175TH LN APT EE301 RENTON WA 98058 D:2017802302 VEHICLE NO. 1
SHADE IN DAMAGED AREA 35
14❑ LIABILITY INSURANCE❑ INSURANCE CO 3 4
IN EFFECT &POLICY# CDQLrg LNG ❑ ❑ 6AO041030 CHARGE OP MOT VEH W/OUT INSURANCE 36
Yes NO CITATION#
15
MOTOR ✓ PEDAL- PEDESTRIAN PROPERTY DAM OLD MET PHONE
UNIT 02 VEHICLE CYCLE nWNFR YES�/ THR NO D:2068837074
16�
LAST NAME BING FIRST NAME PHILLIP MIDDLE' G
INITIAL
17 F1 STREET ❑❑ 25942 SE 39TH PL CITY /SSAQUAH ST, WA ZIP 980297768 4 37
NEW ADDRESS
1$� IGNITION REQUIRED IGNITION PRESENT MEDICALTRANSPORTED 38
CDL INTERLOCKYEs NO✓ INTERLOCK YES No✓ YES No✓
19 DRIVER'S STATE Ij
WA SEX M D.O.e. 08 01 1986 39
LICENSE# MMOCSYY -
20❑ ON DUTY STATUS AIRBAG 2 RESTR 4 EJECT 1 R USE 2 CLASSY 1 NATURE OF INJURIES 40
21 LICENSLATE E CKY8519 rare WA vIN# KNDRJDLH5N5109111 41
22❑ STATE PLAAILER TE# STATE 42
PLATE#
23 TRLR RLR 43
UIN#. 'IN#
VEH.YEAR 2022 MAKE /(IA MODEL SORENT STYLE $V VEHICLE TOWED TO BLIN
TOWED BY GOV HI 44
24� DAMAGE YES NO✓ VES NO✓
REGISTERED OWNER INFO PHILLIP BING 1618 LAKEWOOD RD ARLINGTON WA 98223 D:2068837074 VEHICLE NO.2
SHADE IN DAMAGE,�,AREA
2 3 �k
LIABILITY INSURANCE INSURANCE CO SAFECO H2413296
IN EFFECT &POLICY# t STOP
veeiaEIY N,J—I CITATION11 CHARGE to BOTTOM
LEGnI YES
25
OFFICER'S NAME(PRINT)
26 OFFICER PHONE BADGE OR ID# JAGENCY
MATTHEW NUGENT 11498 WA0171300
PART A PAGE 01 OF
3000-345-189(R 11/18)
STATE OF
POLICETRAFFICN CORRECTION REPORT NO. EG68565
COLLISION REPORT III III III III III 111
1591972 CASE# 26-202
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 CLASS 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 CLASS ----�
: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 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.
MATTHEW N JGENT 01-07-26 06:18 PM
INVESTIGATING OFFICER'S SIGNATURE UNIT OR DIST.DET DATED PLAGE SIGNED
APPROVED BY DATE
P.KORDEL 9676 111312026 5:24:33 PM
BADGE OR ID# j 11498 ORI# WA0171300 TIME POLICE DISPATCHED 1 4:52 Pry] TIME POLICE ARRIVED i 5:07 PM
PAST B 3 Do-3m5—attar(t 1Mff) PAGE 2�OF 4
REPORT NO. EG68565 CASE# 26-202 O OF COLLI 510N TIME 01/07/26 16:42
COLLISION
NARRATIVE
26-202
On 01/07/2026 at approximately 1652 hours, I was dispatched to a two-vehicle collision which had
occurred near the intersection of Southeast Carr Road and 106th PI SE, within the City Limits of
Renton, County of King, State of Washington.
Upon arrival, I contacted the involved parties and confirmed no injuries had occurred requiring
immediate medical response at the time of report. There, I collected the involved parties driving
documents and their independent recollection of events leading up to the collision.
The driver of Unit#1 said he was the sole occupant of his vehicle and was traveling eastbound in
about the 10600 block of SE Carr Rd just east of the intersection of 106th PL SE. The driver of Unit
#1 stated he was traveling directly behind Unit#2 and saw as Unit#2 had come to a stop for queued
traffic at the upcoming intersection. The driver of Unit#1 stated that he attempted to stop but that his
foot slipped off of the brake and he inadvertently pressed the gas pedal. Unit#1 subsequently
collided with the rear of Unit#2 causing minor damage to the front of Unit#1.
The driver of Unit#2 said he was the sole occupant of his vehicle and was also traveling eastbound in
about the 10600 block of SE Carr Rd just east of the intersection of 106th PL SE. While Unit#2 was
stopped for queued traffic, Unit #1 collided with the rear of Unit #2 causing moderate damage to the
rear tailgate and bumper of Unit#2.
Based on the above statements, I determined that the Driver of Unit#1 (Juarez) is the proximate
cause for the collision due to inattention causing a collision. Juarez should have been paying closer
attention to the movement of traffic in front of him and appropriately applied the brakes in time to
bring his vehicle to a stop.
I cited the driver of Unit#1 (Juarez) via mail 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.
Both involved vehicles were able to be driven away without further incident. An exchange of
information was provided to all involved parties.
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 by Officer M. Nugent#11498 1/7/2026 6:05 PM Renton, King County, WA.
PAGE 3 OF 4
REPORT No• EG68565 CASE# 26-202 DATE AND TIME 01/07/26 16:42
OF COLLISION
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