HomeMy WebLinkAbout25-80826 POLICETRAFF'c" III !�� I IIIllI111IN II II I REPORT NO. EG72208 170
27
COLLISION REP FIT 1591971
SASE 25-80826 2
INTERSTATE ❑ CITY STREET FIRE ❑
RESULTED
1 STOLEN
STATE ROUTE ❑ OTHER ❑ VFHIl.I F ❑ LOCAL AOENC 4100 3
HIT 8 RUN CODING
COUNTY RD PRIVATE WAY INVOLVED
2 2 TOTAL#OF OBJECT 1 1 8 28
TRIBAL UNITS 02 RESERVATION STRUCK
z
3 DATE OF M M D D Y Y Y Y TIME(2400) COUNTY# MILES N E IN CITY#
cowsloN 12 - 1-- 2025 0758 17 ❑.= S IN 1070 3
4❑ ON (PRIMARY TRAFFIC WAY) INTERSECTION ❑✓ NON INTERSECTION ❑
BLOCK
NE SUNSET BLVD MILEPOST ST e✓ 3400 ❑
4a❑
DISTANCE OF(REFERENCE OR CROSS STREET)
5❑ MILES❑ FEET e S ❑ E e NEWPORTAVENE
0 4 29
MOTOR PEDAL- DAMETHRESHOLD MET PHONE
UNIT 01 VEHICLE ❑ CYCLE ElYES AG,/NO D:3605201932 0 1 30
g LAST NAME HIGBEE FIRSTNAME DIANE MIDDLE L 1 1 2 31
INITIAL
STREET ❑ 3400 NE 17TH PL CITY RENTON ST WA 2jp, 980563227 z
'NEW ADDRESS
7❑ CDL IGNITION REQUIRED IGNITION PRESENT MEDICAL TRANSPORTED 3
1/ I iNTERLOCKYEs NO NTERLOCKYEs NO Z/ YES R No�/
8❑ LRIIVER #
❑ ON DUTY❑ STATUS AIRBAG 2 RESTR 2 EJECT 1 HELMET USE 2 1 CLASS NATURE OF INJURIES 2❑
3
10 9❑ P1 ATNFS14 CBL2641 STATE WA VIN# 1FMZU74E03UC22282
TRAILER STATE TRAILER STATE
11 3 5 PLATE# PLATE# FROM TO
TRLR. TRLR. 1 3 33
12 3 5 VIN#' VIN#
FROM TO
❑ VEH.YEAR MAKE MODEL STYLE VEHICLE TOWED TO BLIN TOWED BY GOVT.VEHICLE 3 7 34
13 4 2003 FORD EXPLOR BAMAGE YES NO ves❑ No✓
REGISTEREDOWNERINFO DIANE HIGBEE 3400 NE 17TH PL RENTONWA98056 VEHICLE NO. 1 ❑
SHADE IN DAMAGED AREA 35
14� LIABILITY INSURANCE� INSURANCE CO HARP 55PH1266773 <1�3 4
IN EFFECT &POLICY# TOPLEGA LE CHARGE 36
LEGALLY YEs No clTAnoN# 5AO159139 INATTENTIVE DRIVING orrom
15❑ STANDING 7 6
MOTOR PEDAL- PEDESTRIAN PROPERTY DAM THR OLD MET PHONE
UNIT 02 VEHICLE ❑ CYCLE ❑ ❑ OWNER ❑ YES 1/ NO D:2063079599
16 a
LAST NAME VO FIRST NAME MY MIDDLE I P
INITIAL
17 STREET I❑ S❑' 4515 NE 18TH CIR CITY' RENTON ST WA ZIP 980593998 ❑ 37
NEW ADDRES
18❑ CDL IGNITION REQUIRED IGNITION PtR-E-S1ENT MEDICAL-T�RANSPORTED � 38
INTERLOCK YEs❑No� INTERLOCK YEs I I NOF YEs t l NOF,/
19 LICENSE# STATE WA ]SEX IF M .C... 01 22 _ 1965 39
20❑ ON DUTY STATUS AIRBAG,6 RESTR 4 EJECT 1 HE 2 INJURY 7 NATURE of INJURIES ❑ 40
USE CLASS SHOOK UP
21❑ LICENSE BYR5024 TATE I WA VIN# 1N4AZ16V9MC553801
❑ 41
PLATE#
42
22❑ PLATE# STATE PLATE# STATE
23❑ UIN#. 43
TRLR RLR
'IN#.
VEH YEAR 2021 MAKE NISS MODEL LEAF STYLE 5D VEHICLETOWED TO BLIN TOWEDBY GOV HI 44
L4❑ DAMAGE YES NO,/ YES NO
REGISTERED OWNER INFO THIEN NGUYEN 4515 NE 18TH CIR RENTON WA 98059 VEHICLE NO.2
SHADE IN DAMAGED AREA
2 U 4
LIABILITY
INSURANCE INSU8 PORGY#E CO STATE FARM 4902217DI247IN IGQVE""LE
❑ ,J� CITATION# CHARGE
LEGALLY YES N`L J
25
OFFICER'S NAME(PRINT) OFFICER PHONE BADGE OR ID# AGENCY
J
26
C.JACOBS 1953 WA0171300
PART A PAGE 01 OF C7
3000-345-159 OR 11/181
STATE OF
POLICETRAFFICN CORRECTION REPORT NO. EG72208
COLLISION REPORT III III III III III 111
1591972 CASE# 25-80826
ADDITIONAL PERSONS INVOLVED PASSENGERS AND/OR WITNESSES ONLY)
NAME MIDDLE INITIAL) HARDY NICOLE
(LAST FIRST,
ADDRESS&PHONE#
RENTON 4255243751 SEX i U MMDDYyry - -
PASSENGER WITNESS UNIT# SEAT AIRBAG RESTR. EJECT ' HELMET NJURY NATURE OF INJURIES
❑ POS. USE CLASS
NAME
(LAST,FIRST,MIDDLE INITIAL)
ADDRESS&PHONE# DOB
SEX MMDDYYYV
PASSENGER ❑WITNESS❑ UNIT# SEAT AIRBAG RESTR. EJECT HELMET INJURY 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'
On 12-18-26 at about 0818 1 arrived in the 3400 block of Sunset Blvd NE for a 2-vehicle collision.
Both vehicles were still in the roadway. Both drivers identified themselves via WADS.
Driver 2 appeared shook up although she said she was ok. 1 called Renton Fire Authority to check
her out (RFA). Driver 1, Diane Higbee told me;
She was exiting Newport Ave NE. She did not see unit 2 coming and pulled out to turn left onto NE
Sunset Blvd, colliding with unit 2 in the process.
She was uninjured.
She was the sole occupant of unit 1.
Driver 2 told me;
She was westbound on NE Sunset Blvd when unit 1 suddenly pulled from Newport Ave NE and
collided with the passenger's side of unit 2.
Her car spun around and ended up in eastbound lanes, facing eastbound
The collision scared her.
Unit 2 had to be towed due to disabling damage. Unit 1 was driven from the scene. Unit 1 was the
proximate cause of the collision due to failing to yield the right of way when entering traffic. I cited
driver 1, Diane Higbee via complaint for inattention with collision.
This incident occurred in the city of Renton, County of King.
I declare under penalty of perjury under the laws of Washington state that the foregoing is true and
correct.
C. Jacobs/1953
I CERTIFY(DECLARE)UNDER PENALTY OF PERJURY UNDER THE LAWS OF THE STATE OF WASHINGTON THAT THE FOREGOING IS TRUE AND CORRECT.
C.JACOBS 12-24-25 01:18 PM
INVESTIGATING OFFICER'S SIGNATURE UNIT OR DIST DET DATED PLACE SIGNED
APPROVED BY DATE
C.JACOBS 1953 1 1/26/2026 2:38:43 PM
BADGE OR ID# 1953 ORI#' WA0171300 TIME POLICE DISPATCHED; 7:89 AM TIME POLICE ARRIVED';8:08 AM
PART B PAGE IT]OF 3�
REPORT NO. EG72208 CASE# 25-80826 DATE AND TIME 12/18/25 07:58
OF COLLISION
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