HomeMy WebLinkAbout26-1536 ITFF' "POLCERA II I !�� I III I III I IIII III II I . 5 27c
COLLISION REP FIT 1591971
CASE 26-1536 z
INTERSTATE ❑ CITY STREET FIRE ❑RESULTED
1 STOLEN
STATE ROUTE ❑ OTHER ❑ VFHIr.I F ❑ LOCAL AOENC 4900 3
HIT 8 RUN CODING
COUNTY RD PRIVATE WAY INVOLVED
2 1 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 0827 17 ❑.❑ S 8 W e IN e 1070 3
4❑ ON (PRIMARY TRAFFIC WAY) INTERSECTION ❑ NON INTERSECTION ❑✓
BLOCK
NE SUNSET BLVD MILEPOST ST e✓ Y800
4a❑
DISTANCE OF(REFERENCE OR CROSS STREET)
5❑ 100 00 FMILES EET e S ❑ E e KIRKLAND AVE NE
0 1 29
MOTOR PEDAL- DAMAGE THRESHOLD MET PHONE
UNIT 01 VEHICLE ❑ CYCLE El
NO D:2539998392 0 81
30
6� LAST NAME YOUNG FIRSTNAME GWENDOLINE MIDDLE A 1 1 2 31
INITIAL
STREET ❑, 1436 S 124TH ST CITY BURIEN ST WA Zjp, 981682262 z
NEW ADDRESS
7❑ CDL IGNITION REQUIRED IGNITION PRESENT MEDICAL TRANSPORTED 3
iNTERLOCKYEs NO INTERLOCKYEs NO YES R NO
8❑ LRIIVERS STATE WA SEXI F MM DAY' 10 1— 20 — 1969 2 32
CENSE 9 ON DUTY❑ STATUS AIRBAG 2 RESTR 4 EJECT 1 H USEET ICNLJAURY 1 NATURE OF INJURIES 2❑
3
10 5❑ PI AT 14 CS60487 STATE WA VIN# 5NPEC4ABXCH477790
TRAILER STATE TRAILER STATE
11 3 5 PLATE# PLATE# ROM To
TRLR. TRLR. 7 3 33
12 0 0 VIN#' VIN#
FROM TO
VEH.YEAR MAKE MODEL STYLE VEHICLE TOWED TO BLIN TOWED BY GOVT.VEHICLE J 9 34
13 2012 HYUN SONATA DAMAGE YES NO YES[:] No✓
REGISTERED OWNER INFO GWENDOLINE YOUNG 1436 S 124TH ST SURIEN WA 981682262 D:2539998392 VEHICLE NO. 1 ❑
SHADE IN DAMAGED AREA 35
14 LIABILITY INSURANCE INSURANCE CO GENERAL WA-8560877 4
LI EFFECT I SUR N# TOPVEHICLE CHARGE 36
LEGALLYYES NO CITATION# 6AO095355 INATTENTIVE DRIVING <1�3
orrom
15❑ STANDING 7 6
MOTOR PEDAL- PEDESTRIAN PROPERTY DAM THR OLD MET PHONE
UNIT VEHICLE ❑ CYCLE ❑ ❑ OWNER ❑ YES V NO D:2067934600
16 a
LAST NAME WARREN FIRST NAME TIFFANI MIDDLE I E
INITIAL
17❑ STREET ❑', 2955 NE 11 TH ST APT 654 CITY RENTON ST WA ZIP 980563571 37
NEW ADDRESS ❑
18� CDL IGNITION REQUIRED IGNITION PR—E-1SENT MEDICAL TRANSPORTED 38
INTERLOCKYES�NOR INTERLOCK YEs It I NOF YES
t t— l NO❑
19 DRIVER'S STATE WA ]SEX IF D.C.B. 08 _ 04 1987 39
LICENSE# MMDDYY
WELMET INJURY1 NATURE OF INJURIES 40
20❑ ON DUTY STATUS AIRBAG 2 RESTR 4 EJECT 1 USE CLASS ❑
21❑ LICENSE I CPY8644 TATe WA VIN# 3FA6POLU2DR371578
❑ 41
PLATE#
42
22❑ PLATE# STATE PLATE# STATE
TRLR
23❑ UIN#. IN#.
43
RLR
'
VEH YEAR 2013 MAKE FORD MODEL FUSION STYLE VEHICLETOWED TO BLIN TOWED BY GOV HI 44
24❑ DAMAGE YES NO BANKERS YES NO
REGISTERED OWNER INFO TIFFANI WARREN 2955NE 11THSTAPT654 RENTON WA 980563571 D:2067934600 VEHICLE NO.2
SHADE IN DAMAGEbAREA
2 3 Cd
LIABILITY
INSURANCE 8 POINSURGY#E CO GENERAL 53-WA9151751IN 1 9TOP
'E""LE CITATION# CHARGE
LEG
25 i o BOTTOM
ALLY YES Nu
❑ JAGENCY
s
OFFICER'S NAME(PRINT) OFFICER PHONE BADGE OR ID#
26
M.LEVERTON 2517 WA0171300
PART A PAGE 01 OF C7
3000-345-159 OR 11/181
STATE OF
POLICETRAFFICN CORRECTION REPORT NO. EG82513
COLLISION REPORT III III III III III 111
1591972 CASE# 26-1536
ADDITIONAL PERSONS INVOLVED PASSENGERS AND/OR WITNESSES ONLY)
NAME MIDDLE INITIAL) WARREN JAN/A L
(LAST FIRST,
ADDRESS&PHONE#
2955 NE 11TH ST APT 654 RENTON WA 980563571 SEXi F MMDOYyry 07 - 02 - 2007
{� SEAT HELMET INJURY NATURE OF INJURIES
PASSENGER Z WITNESS UNIT# ', 2 POS i 3 AIRBAG 2 RESTR. 4 EJECT I USE CLASS 7 NECK
NAME
(LAST,FIRST,MIDDLE INITIAL)
ADDRESS&PHONE# D O B
SEX' MMDD%YYY
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.
MMDDYYYY. -
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.
M.LEVERTON 02-25-26 09:11 AM
INVESTIGATING OFFICER'S SIGNATURE UNIT OR DIST DET DATED PLACE SIGNED
APPROVED BY DATE
C.JACOSS 1953 3/3/2026 10:23:42 AM
BADGE OR ID# 2517 OR]#' WA0171300 TIME POLICE DISPATCHED 8:27 AM TIME POLICE ARRIVED]8:34 AM
PART I PAGE IT]OF 4�
REPORT NO. EG82513 CASE# 26-1536 O COLLOTINIE
OFF CbLLI510N 02/25/26 08:27
NARRATIVE
burg/2 stop ped lane 2 blu 1 rear
CC
Within the city limits of Renton/King/Wa I responded to a 2 vehicle blocking crash at the 2800 block of
NE Sunset Blvd.
I contacted the driver of unit 2 who told me she was stopped eastbound lane 2 for the light and
occupied marked crosswalk when she was hit from behind by unit 1. She did not complain of injury
but her passenger did. Passenger was treated and released on scene by Renton Fire. He vehicle
was towed by Bankers for damages.
I contacted the driver of unit 1 ID'd by her matching picture WADL. Unit 1 told me she had bad
brakes and couldn't get stopped and crashed into unit 2. 1 checked the brakes for unit 1 and they felt
like normal functioning brakes. She did not complain of injury and damages did not require a tow
truck.
I cited unit 1 ref RMC Driver Inattention for not paying attention to stopped traffic yielding at a marked
and occupied crosswalk causing a 2 vehicle injury crash via complaint.
I certify (declare) under penalty of perjury under the laws of the State of Washington that the
foregoing is true and correct.
M.Leverton/2517 City of Renton/King/Wa 2/25/2026
PAGE 3 OF 4
REPORT NO. EG82513 CASE# 26-1536 DATE AND TIME 02/25/26 08:27
OF COLLISION
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