HomeMy WebLinkAbout26-186 IT si " II IIIII III IIIII II IIII IIIII I . 27c REPORT NO EG68745 STATE OF
COLLISION REPORT 1591971
❑ 0 RESULTED I
CASE# 26-186 2
INTERSTATE CITY STREET FIRE STOLENSTATE ROUTE OTHER VEHICLE LOL'AI-A`GENC'Y 4200 3
HIT&RUN CODING
COUNTY RD PRIVATE WAY INVOLVED
2❑ TOTAL#OF OBJECT 1 28
TRIBAL UNITS OZ STRUCK FENCE
RESERVATION 1 1
2❑3� M M D D Y Y Y Y TIME(2400) COUNTY# MILES CITY#
eDCL s on' 01 - 07 - 2026 1145 17 =.[� S e W❑ OF e 1070 3
4❑ ON (PRIMARY TRAFFIC WAY) INTERSECTION ❑ NON INTERSECTION ❑✓
133RD AVE SE BLOCK NO. e 14904 .�
4a❑ MILE POST
❑ DISTANCE OF(REFERENCE OR CROSS STREET)
5 50 00 FEET e✓ S 8✓ W e SE 149TH AVE
0 4 29
MOTOR ✓ PEDAL- DAM AG THRESHOLD MET PHONE
UNIT 01 VEHICLE ❑ CYCLE ❑ YEs Vl No D:4254453318 30
5 LAST NAME LEE FIRST NAME HUNG MIDDLE C 1 1 2 31
INITIAL
STREET ❑ 14909134THAVESE CITY; RENTON ST WA ZIP; 980582845 2
NEW ADDRESS
7� +CDL RES IGN W/ITION REQUIRED IGNITION PENT MEDICAL TRANSPORTED. 3
INTERLOCKYEs NO INTERLOCKYEs Nb✓ YES F NOr,/
8 DRIVERCENS # STATE WA SEXI M MMDDYY' 05 — 11 — 1949 ❑32
9 ON DUTY STATUS' AIRBAG 2 RESTR 4 EJECT 1 N USEET 2 CLASSY 1 NATURE of INJURIES 2❑
LICENSE, CLY7218 STATE WA VIN# KNAFX4A62F5429567 3
10 F1 as ATP tt
TRAILER TRAILER
11 2 5 STATE STATE PLATE# PLATE# 5 ROM
TRLR zRLR. 3 5 33
12 VIN#' IN
#
: FROM TO
VEH.YEAR MAKE MODEL STYLE VEHICLE TOWED TO BLIN T v GOVT VEHICLE m 34
13 2015 KlA FORTE SD DAMAGE YES NO ajW MEYERSTOWIN
G Yes❑ H ✓
REGISTERED OWNER INFO HO LEE 14909114TH AVE SE RENTON WA 980582845 D:4254453318 VEHICLE NO. 1
SHADE IN DAMAGED AREA 35
14❑ UABILITYINSURANCE[%/] I INSU&POLIRANCECY# CO STATE FARM 5625278 A0247A 3 4
IN EFFECT 9TOP _
Lrn Lyc ❑ ❑ 6AO092287 CHARGE DRIVING WITH WHEELS OFF taoorrob z 36
Yes NO CITATION#
15❑
MOTOR PEDAL-:. PROPERTY DAM THR OLD MET PHONE
UNIT 02 PEDESTRIAN ✓ D:4257538069
VEHICLE CYCLE OWNER YES✓ NO
16❑
LAST NAME KUMAR FIRST NAME SUBHASHNI MIDDLE D
INITIAL
17 F1 STREET ❑❑ 14904 133RD AVE SE CITY RENTON ST, yyq ZIP 980582861 4 37
NEW ADDRESS
18❑ IGNITION REQUIRED IGNITION PRESENT MEDICAL TRANSPORTED ❑ 38
CDL INTERLOCKYEs No IN'('ERLOCK YES No YES No
19❑ DRIVE # STATE SEX F MDn-02v 08 15 196 2 39
❑ ON DUTY STATUS AIRBAG RESTR EJECT HELMET INJURY NATURE OF INJURIES 40USE CLASS ❑
21❑ PLATE# TATE VIN#LICENSE 41
22❑ [TILER TRAILER
PLATE# STATE PLATE# STATE 42
23 TRLR RLR 43
UIN#. 'IN#
VEH.YEAR MAKE MODEL STYLE VEHICLE TOWED TO BLIN
TOWED BY GOV HI 44
24❑ DAMAGE YES NO YES NO
REGISTERED OWNER INFO VEHICLE NO.2
SHADE IN DAMAGED AREA
2 3 4
LIABILITY INSURANCE❑ INSURANCE CO
IN EFFECT &POLICY# 9TOP
1-1— ❑ ,.I—I CITATION# CHARGE to BOTTOM
LEGnLLY YES NC
25 a s
OFFICER'S NAME(PRINT) OFFICER PHONE BADGE OR ID# AGENCY
WA0171300
26
D.NELSON 12421❑
PAGE 01 OF
PART A 3000-345-189(R 11/18)
STATE OF
POLICETRAFFICN CORRECTION REPORT NO. EG68745
COLLISION REPORT III III III III III 111
1591972 CASE# 26-186
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 NJURY 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 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
26-186 ACC
On 1/7/2026 1 was working as a uniformed patrol officer and driving a marked patrol vehicle for the
City of Renton. 1 was dispatched to a report of a single vehicle collision in the yard of 14904 133rd
Ave SE Renton/King/WA. A vehicle had gone off the roadway, struck a fence, and then struck a tree.
RRFA was dispatched to the scene to evaluate the driver.
I arrived on scene and RRFA advised they had evaluated the driver, and he was cleared at the
scene. He did not report any injuries.
The driver of the 2015 Kia Forte WA/CLY7218 was identified by his WADL as Hung C Lee DOB:
5/11/1949. Hung said that he was driving west on SE 149th St when his vehicle suddenly lost all
power. He said that he turned south onto 133rd Ave SE and saw a large tree, he said that sine he did
not have any power he turned into the yard and struck the tree head-on. The Kia struck a fence
before hitting the stump. Hung said the collision was at a very low speed.
Gene Meyer Towing removed the Forte from the scene. The tow driver indicated that the vehicle
turned on and appeared to have power as he was trying to remove it from the yard.
The homeowner arrived and was provided with a copy of the exchange of information.
I completed a traffic citation for RCW 46.61.670 Driving with Wheels Off Roadway under Sector
citation #6A0092287. This citation should be mailed to Hung's 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 1/7/2026 Renton WA
I CERTIFY(DECLARE)UNDER PENALTY OF PERJURY UNDER THE LAWS OF THE STATE OF WASHINGTON THAT THE FOREGOING IS TRUE AND CORRECT.
D.NELSON 01-09-26 01:02 PM
INVESTIGATING OFFICER'S SIGNATURE UNIT OR DIST.DET DATED PLACE SIGNED
APPROVED BY DATE
C.JACOBS 1953 1/14/2026 11:45:04 AM
BADGE OR ID# 12421 ORI# WA0171300 TIME POLICE DISPATCHED 11:46 AM TIME POLICE ARRIVED i 11:54 AM
PAST B 3 Da-3mx—attar(txIMR) PAGE 2�OF F3
REPORT NO. EG68745 CASE# 26-186 DATE AND TIME 01/07/26 11:45
OF COLLISION
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