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HomeMy WebLinkAbout26-791 iiTFiNII IIIII III IIIII II IIII IIIII I . 27c REPORT NO EG74233oc� RA COLLISION REPORT 1591971 Ell CASE# 26-791 2 INTERSTATE CITY STREET STATE ROUTE OTHER LOL'AI-A`GENC'Y 42QQ C©DIN6 COUNTY RD PRIVATE WAY 2� TOTAL#OF OBJECT 1 1 s 28 TRIBAL UNITS 02 STRUCK RESERVATION : 2 3� M M D D Y Y Y Y TIME(2400) COUNTY# MILES CITY# DATE OF N E eDL�ISION' 01 - 28 - 2026 0831 17 =.�� S W OF 1070 3 4❑ ON (PRIMARY TRAFFIC WAY) INTERSECTION ❑✓ NON INTERSECTION ❑ BLOCK NO. MAPLE VALLEY HIGHWAY 4a❑ MILE POST ❑ DISTANCE OF(REFERENCE OR CROSS STREET) 5 �. FEET e S 8 W e 154TH AVE SE 2 0 29 MOTOR PEDAL- DAMAG THRESHOLD MET PHONE UNIT 01 VEHICLE ❑ CYCLE ❑ YES No �/ D:2066656150 0 1 30 5 LAST NAME BERMUDEZ FIRST NAME TRINITY MIDDLE L 1 1 2 31 INITIAL STREET ] 15645 42ND AVE S APT 3 CITY; TUKWILA ST WA ZIP; 981882685 2 NEW ADDRESS 7 CDL IGNITION REQUIRED IGNITION PRESENT MEDICAL TRANSPORTED 3 INTERLOCKYES No INTERLOCKVEs NO YES NO $ RIVER # STATE WA SEXI F MMDDYY' 02 — 12 — 1981 1 2 32 9 ON DUTY STATUS' AIRBAG 2 RESTR 4 EJECT 1 N USEET CLASSYI 1 NATURE of INJURIES 2 10 PI ENSttEI BBU5946 STATE WA VIN# 5XXGM4A78FG458351 3 TRAILER STATE TRAILER STATE 11 5 0 PLATE# PLATE# ROM To TRLR TRLR 7 1 3 33 12 5 0 VIN#' VIN# FROM TO VEH.YEAR 2015 MAKE KIA MODEL OPTIMA STYLE V Y EHICLE TOWED TO BLIN TOWED By GES 7 $VEHICLE 34 13� DAMAGE YES II_II NO `/ YESII_I) NO REGISTERED OWNER INFO ANABEL BERMUDEZ 1743 CASCADE LOOP SUNNYSIDE WA 98944 VEHICLE NO. 1 SHADE IN DAMAGED AREA 35 14 LIABILITY INSURANCE[ NSURANCE CO PATRIOT GENERAL 11409694946 3 4 IN EFFECT &POLICY# 4TOP Lrg LNG ❑ ❑ 6AO158404 CHARGE IMPROPER LANE USAGE s o ooTrom z 36 Yes NO CITATION# 15 MOTCSR PEDAL- PEDESTRIAN PROPERTY DAM THR OLD MET PHONE UNIT VEHICLE CYCLE nWNFR YES NO f/ D:2069397965 16� LAST NAME POWELL FIRST NAME M KAYLA MIDDLE R INITIAL 17 STREET ❑ 37 NEW ADORE SS❑ 1123 23RD AVE S APT 106 APT 1 CITY SEATTLE ST, WA ZIP 981442960 18❑ IGNITION REQUIRED (GNITION PRESENT MEDICALTRANSPORTED; ❑ 38 CDL INTERLOCKYES NO INTERLOGKYES No No' 19� DRIVER'S STATE WA SEXIF I D.O.B. 08 09 1996 39 LICENSE# MMDDYY — HELMET INJURY NATURE of INJURIES 40 20❑ ON DUTY STATUS AIRBAG 2 RESTR 4 EJECT 1 USE CLASS 1 ❑ 21 LICEN E LATEICGJ8532 rare WA vIN# 1GNEVHKW9KJ162916 41 22❑ STATE PLAAILER TE# STATE 42 PLATE# 23 TRLR RLR 43 UIN#. 'IN# VEH.YEAR 2019 MAKE CHEV MODEL TRAVERS STYLE VEHICLE TOWED TO BLIN TOWED BY GOV HI 44 24 DAMAGE YES NO VES NO REGISTERED OWNER INFO MWAYLA POWELL 1092 NE LUPINE ST ISSAQUAH WA 98029 VEHICLE NO.2 SHADE DAMAGED AREA 3 4 LIABILITY INSURANCE[Z INSURANCE CO PROGRESSIVE 998830116 IN EFFECT &POLICY# 9TOP w1— CHARGE Lv,e—LY YES❑ NL] CITATION 11 t080TTOM 25 a e OFFICER'S NAME(PRINT) OFFICER PHONE BADGE OR ID# AGENCY 26 C.ARNOLD 12509 WA0171300 PAGE 01 OF PART A 3000-348-189(R 11/18) STATE OF POLICETRAFFICN CORRECTION REPORT NO. EG74233 COLLISION REPORT III III III III III 111 1591972 CASE# 26-791 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. C.ARNOLD 01-28-26 10:23 AM INVESTIGATING OFFICER'S SIGNATURE UNIT OR DIST.DET DATED PLAGE SIGNED APPROVED BY DATE C.JACOBS 1953 1 2/2/2026 2:52:45 PM BADGE OR ID# 12509 ORI# WA0171300 TIME POLICE DISPATCHED; 8:33 AM TIME POLICE ARRIVED'',8:40 AM PAST B 3 Do-3mx—attar(t 1Mff) PAGE 2�OF 4 REPORT NO. EG74233 CASE# 26-791 O OF COLLI 510N TIME 01/28/26 08:31 COLLISION NARRATIVE CC 26-791 On 1/28/2026 at 0833 hours I was dispatched to a motor vehicle collision at the intersection of Maple Valley Highway and 154th Ave SE in the City of Renton, King County, Washington. Pre-Collision Driver 2 stated that she was in the lefthand turn lane facing East on Maple Valley Highway at 154th Ave Se preparing to perform a lefthand turn. Driver 2 stated that she was stopped for traffic. Driver 1 stated that she was facing East on Maple Valley Highway at 154th Ave SE in the #2 lane. Driver 1 stated that she had her turn signal on and was preparing to merge from the #2 lane to the lefthand turn lane in front of Unit 2. Collision Driver 2 stated that as she was moving forward with traffic, Unit 1 merged from the #2 lane to the lefthand turn lane where Unit 2 was located. Driver 2 stated that rear drivers side quarter panel of Unit 1 collided with the front passenger side bumper of Unit 2. Driver 1 stated that he had her turn signal on and thought she had room to merge. Driver 1 stated that when she attempted to merge from lane #2 to the lefthand turn lane the rear drivers side quarter panel of Unit 1 collided with the front passenger side bumper of Unit 2. Injuries None reported. Vehicle Disposition Both vehicles were operational. Proximate Cause I determined that Driver 1 is the proximate cause of this collision because 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 first ascertained that such movement can be made with safety. Driver 1 was cited reference RCW 46.61.140. 1 certify (declare) under penalty of perjury under the laws of the State of Washington that the foregoing is true and correct. Electronically signed by Officer C. Arnold #12509 at 09:42 on 1/28/2026 in the City of Renton, King County, Washington. PAGE 3 OF 4 REPORT NO. EG74233 CASE# 26-791 DATE AND TIME 01/28/26 08:31 OF COLLISION> ' ti; 3 a e t t�(} 1 � 1 Y � J } tij r �a a t t � PAGE 4 OF 4