HomeMy WebLinkAbout26-1560 ITFF' "POLCERA II I !�� I III I III I IIII III II I . 5 27c
COLLISION REP FIT 1591971
SASE 26-1560 z
INTERSTATE ❑ CITY STREET FIRE ❑
RESULTED
1 STOLEN
STATE ROUTE ❑ OTHER ❑ VFHIr.I F ❑ LOCAL AOENC 4Y00 3
HIT&RUN CODING
COUNTY RD PRIVATE WAY INVOLVED
2 2 TOTAL#OF OBJECT 1 1 8 28
TRIBAL UNITS OZ STRUCK
RESERVATION
z
3❑ DATE of M M D D Y Y Y Y TIME(2400) COUNTY# MILES N E IN CITY#
COLLISION' 02 - 1-- 2026 0841 17 ❑.❑ S 8 W e IN e 1070 3
4❑ ON (PRIMARY TRAFFIC WAY) INTERSECTION ❑✓ NON INTERSECTION ❑
BLOCK NO. e✓ --- ----� ❑
NE 4TH ST MILEPOST
4a❑
DISTANCE OF(REFERENCE OR CROSS STREET)
5❑ ❑ FEET e S ❑ VV a MONROE AVE NE
0 1 29
MOTOR PEDAL- DAMAGE THRESHOLD MET PHONE
UNIT 01 VEHICLE ❑ CYCLE El
�/NO D:2067999968 0 7 30
6� LAST NAME ANCHETA FIRSTNAME CARLOS MIDDLE C 1 2 31
INITIAL
STREET ❑✓ 2307 NE 4TH ST APT G207 CITY RENTON ST WA ZIP' 98056 z
NEW ADDRESS
7❑ CDL IGNITION REQUIRED IGNITION PRESENT MEDICAL TRANSPORTED 3
iNTERLOCKYEs NO INTERLOCKYEs NO YES R NO
8❑ LRIIVER #
ON DUTY❑ STATUS AIRBAG 2 RESTR 4 EJECT 1 H USEET ICNLJAURY 1 NATURE OF INJURIES z❑
3
10 1❑ P1 ATE 14 DV25747 STATE WA uN# 2TIBURHE8HC960914
TRAILER STATE TRAILER STATE
11 3 5 PLATE# PLATE# FROM To
TRLR. TRLR 7 3 33
12 0 0 VIN#' VIN#
ROM TO
VEH.YEAR MAKE MODEL STYLE VEHICLE TOWED TO BLIN TOWED BY GOVT.VEHICLE J 9 34
13 4 2017 TOYT COROL DAMAGE YES NO YYES[:] NO✓
REGISTERED OWNER INFO OWNEDBYDRIVER VEHICLE NO. 1
❑
SHADE IN DAMAGED AREA ❑ 35
14 LIABILI INSURANCE INSURANCE CO USAA 0149144 35U 3 4
IN EFFECT &POLICY# STOP
15❑ LE
vEGALLv HIa.E 5 36
YES�No D CITATION# 6A0190236 CHARGE FOLLOW VEHICLE TOO CLOSELY Io eorrom
STANDING 8 7 6
MOTOR PEDAL- PROPERTY DAM THR OLD MET PHONE
UN�T 0' ❑✓ ❑ PEDESTRIAN ❑ ❑ YES NO ,/ D:4066979154
VEHICLE CYCLE OWNER
16 a
LAST NAME MAXWELL FIRST NAME STEPHANIE MIDDLE I,I
INITIAL
17❑ STREET ❑', 315 KIRKLAND PL SE CITY' RENTON ST WA ZIP 980564074 37
NEW ADDRESS ❑
18� CDL IGNITION REQUIRED IGNITION PR—E-1SENT MEDICAL TRANSPORTED ❑ 38
INTERLOCK YEs❑NOR INTERLOCK YEs It I NOF YES t t— l No❑
19 DRIVER'S STATE WA ]SEX IF D.C.B. 11 10 _ 1986 39
LICENSE# MMDDYY
WELMET INJURY1 NATURE OF INJURIES 40
20❑ ON DUTY STATUS AIRBAG 2 RESTR 4 EJECT 1 USE CLASS ❑
21❑ LICENSE D01706C TATe WA vIN# 7FCTGAAA2PN018058
❑ 41
PLATE#
42
22❑ PILER LATE# STATE PLATE# STATE
23❑ VIN#. 43
TRLR RLR
'IN#.
GI
VEH D
YEAR 2023 MAKE OTH MODEL RIVIAN/R STYLE PK AMAGE TOWED ES NOO✓ BLIN TOWED BY ovYES NO 44
H
24❑ REGISTERED OWNER INFO OWNED SY DRIVER VEHICLE N0.2
SHADE IN DAMAGED AREA
2 3 4
LIABILITY
INSURANCE INSU&PORGY#E CO GEIC04566113959IN I GD
vE""LE CITATION# CHARGE
LEGALL
25
Y YES Nu
❑ s a
OFFICER'S NAME(PRINT) OFFICER PHONE BADGE OR ID# AGENCY
J
26
C.ARNOLD 12509 WA0171300
PART A PAGE 01 OF C7
3000-345-159 OR 11/181
STATE OF
POLICETRAFFICN CORRECTION REPORT NO. EG82508
COLLISION REPORT III III III III III 111
1591972 CASE# 26-1560
ADDITIONAL PERSONS INVOLVED PASSENGERS AND/OR WITNESSES ONLY)
NAME MIDDLE INITIAL) MAXWELL STELLA R
(LAST FIRST,
ADDRESS&PHONE# D.0.B.
315 KIRKLAND PL SE RENTON WA 980564074 SEX F MMDDYYYY 04
PASSENGER WITNESS UNIT# SEAT AIRBAG RESTR. EJECT ' HELMET INJURY NATURE OF INJURIES
❑✓ ❑ 2 POS, 7 2 10 1 USE CLASS 1
NAME
(LAST,FIRST,MIDDLE INITIAL)
ADDRESS&PHONE# DOB
SEX MMDDYYYY
PASSENGER ❑WITNESS❑ UNIT# SEAT AIRBAG RESTR. EJECT HELMET NJURY 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'
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 02-26-26 09:16 AM
INVESTIGATING OFFICER'S SIGNATURE UNIT OR DIST DET DATED PLACE SIGNED
APPROVED BY DATE
C.JACOSS 1953 1 3/3/2026 10:19:25 AM
BADGE OR ID# 12509 ORI# WA0171300 TIME POLICE DISPATCHED 8:43 AM TIME POLICE ARRIVED 8:47 AM
PART I PAGE ❑OF 4❑
REPORT NO. EG82508 CASE# 26-1560 OF COLLISION
02/26/26 08:41
OF CbLLI510N
NARRATIVE
CC 26-1560
On 2/26/2026 at 0843 hours I was dispatched to a motor vehicle collision at the intersection of NE 4th
St and Monroe Ave NE in the City of Renton, King County, Washington.
Pre-Collision
Driver 2 stated that she was in the #1 lane of Eastbound NE 4th St at Monroe Ave NE. Driver 2 stated
that she was stopped because there was a metro bus that was stopped and receiving passengers at
a bus stop just East of the intersection. Driver 2 stated that she was stopped prior to Monroe Ave NE
so as to not block the intersection.
Driver 1 stated that he was traveling East on NE 4th St in the #1 lane behind Unit 2.
Collision
Driver 2 stated that while stopped, Unit 1 approached from behind and the front bumper of Unit 1
collided with the rear bumper of Unit 2.
Driver 1 stated that he was talking to his wife and did not realize that traffic had stopped. Driver 1
stated that when he looked forward again, he did not have time to react to stop and avoid a collision
and the front bumper of Unit 1 collided with the rear 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 the driver of a motor
vehicle shall not follow another vehicle more closely than is reasonable and prudent, having due
regard for the speed of such vehicles and the traffic upon and the condition of the highway.
Driver 1 was cited reference RCW 46.61.145.
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 09:10 on 2/26/2026 in the City of Renton, King
County, Washington.
PAGE 3 OF 4
REPORT NO. EG82508 CASE# 26-1560 DATE AND TIME 02/26/26 08:41
OF COLLISION
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PAGE 4 OF 4