HomeMy WebLinkAbout26-1705 IT si " II IIIII III IIIII II IIII IIIII I . 27c REPORT NO EG82633OLCERA
COLLISION REPORT 1591971
CASE�# 26-1705 2
INTERSTATE CITY STREET FIRE ❑RESULTED
1 STOLEN
STATE ROUTE ❑ OTHER ❑ VEHICLE ❑ LOCAL AGENCY 4200 3
COUNTY RD INVOLVED CODING
PRIVATE WAY TOTAL 1
2❑ TRIBAL UNITS#OF 02 SO BJECT TRUCK 1 8 28
RESERVATION 2
3� M M D D Y Y Y Y TIME(2400) COUNTY# MILES CITY#
DATE OF'. N E
COLLISION'. 03 - 03 - 2026 0806 17 =.= S 8 W E IN OF M 1070 a
4❑ ON (PRIMARY TRAFFIC WAY) INTERSECTION �✓ NON INTERSECTION ❑
SW 43RD ST BLOCK NO. e 500 .�
4a❑ MILE POST
DISTANCE OF(REFERENCE OR CROSS STREET)
5❑ C------�. FEET e S 8 W e LIND AVE SW
0 1 29
MOTtlR PEDAL- DAM AG THRESHOLD MET PHONE
UNIT 01 VEHICLE ❑ CYCLE' ❑ YES ✓NO D:9862099465 0 7 30
5 LAST NAME YOUNGER FIRST NAME KAI MIDDLE M 1 2 31
INITIAL
STREET ❑ 111 W HIGHLAND DR APT 6E CITY SEATTLE ST WA ZIP 981193587 2
NEW ADDRESS
7 CDL IGNITION REQUIRED IGNITION PRESENT MEDICAL TRANSPORTED 3
INTERLOCKYES NO INTERLOCKYES Nt3 YES
ND
8� LICIENS# STATE WA SEX M MMor YY' 07 — 24 — 2000 1 2 32
9 ON DUTY STATUS AIRBAG 2 RESTR 4 EJECT 1 N USEET INJURY
CLASS 1 NAruRE of INJURIES 2
LICENSE, CKU8590 STATE WA VN# JF2SJAHC5GH563729 3
10[9� PI ATF#
11[-j- TRAILER STATE TRAILER ,STATE ROM TO
11 3 5 PLATE# PLATE#
TRLR TRLR 3 7 33
12 0 Q VIN# VIN#
( FROM TO
VEH.YEAR MAKE MODEL STYLE VEHICLE TOWED TO BLIN TOWEDBv GOVT VEHICLE 9 9 34
13 2 2018 SUBA FOREST DAMAGE YES DNO YES❑ NO
REGISTERED OWNER INFO KAI YOUNGER 111 W HIGHLAND DR APT 6E SEA TTLE WA 981193587 D:9862099465 VEHICLE NO. 1 ❑
SHADE IN DAMAGED AREA 35
3 4
14❑ LIABILITY INSURANCE NSURANCE CO AIG PCG 0019914311
IN EFFECT &POLICY#VEHICLE
4TOP _
srgNOLNG ❑ CITATION# 6AO095361 CHARGE FOLLOW VEHICLE TOO CLOSELY B o ooTrofi 36
Yes NO
15
III MOTOR PEDAL- PEDESTRIAN PROPERTY DAM THR OLD MET PHONE
UNIT VEHICLE CYCLE nWNFR YES 1/ NO D:2068327578
16�
LAST NAME KAKISSA FIRST NAME TADELE MIDDLE' D
INITIAL
STREET ❑ 37
17 '❑ 17218 130TH AVE SE CITY RENTON ST, WA ZIP 980586141
NEW AbORESS
18❑ CDL IGNITION REQUIRED IGNTION PRESENT MEDICALTRANSPORTED' ❑ 38
INTERLOCKYES NO INTERLO XYEs N.Fj YES NO
19 DRIVER'S STATE WA SEXI M D.o.B. 04 15 1977 39
LICENSE# MMDI7YY -
HELMET INJURY' NATURE OF INJURIES 4p
20❑ ON DUTY❑ STATUS' AIRBAG 2 RESTR 4 EJECT 1 USE CLASS 1 ❑
21 LICENSLATE E CJU9047 TATE WA VINII 3FA6PORU1LR132738 41
22❑ PLATE# STATE PATE# STATE ❑ 42
23 TRLR kRLR 43
UIN#. 'IN#.
VEH.YEAR 2Q2Q MAKE FORD MODEL FUSION STYLE VEHICLE TOWED TO BLIN
TOWED BY GOV HI 44
24 DAMAGE YES NO YES NO
REGISTERED OWNER INFO TADELE..SA17218130THAVESE RENTONWA980586141 D:2068327578 VEHICLE NO.2
SHADE IN DAMAGED AREA
2 3 4
LIABILITY INSURANCE INSURANCE CO TRAVELERS 616604093 203 1
IN EFFECT &POLICY# I 9TOP
veeiae ,J—I CITATION# CHARGE tO BOTTOM
LecnLLr YES N`[
25 s 7
OFFICER'S NAME(PRINT) OFFICER PHONE BADGE OR ID# AGENCY
26
M.LEVERTON 2517 WA0171300
PAGE 01 OF
PART A 3000-345-159(R 11/18)
POLIICFETRAFFICN CORRECTION REPORT NO. EG82633
COLLISION REPORT III III III III III 111
1591972 CASE# 26-1705
ADDITIONAL PERSONS INVOLVED(PASSENGERS AND/OR WITNESSES ONLY)
'NAME
(LAST,FIRST MIDDLE INITIAL)
ADDRESS&PHONE#
SEX' D.O.B. - [----------�
MMDDYYYY
PASSENGER F-1 WITNESS El UNIT# SEAT AIRBAG RESTR. EJECT HELMET INJURY NATURE OF INJURIES--�
POS. USE CLASS
'NAME
(LAST FIRS,MIDDLE INITIAL)
ADDRESS&PHONE#
SEX' D.O.B. - L----------�
MMDDYYYY
PASSENGER DWITNESSD UNIT# SEAT AIRBAG RESTR. EJECT HELMET NJURY NATURE OF INJURIES
POS. : USE CLASS ----�
'.NAME
(LAST,FIRST,MIDDLE INITIAL)
ADDRESS&PHONE#
SEX D.O.B. - L----------�
MMDDYYYY
PASSENGER WITNESS UNIT# SEAT AIRBAG RESTR. EJECT HELMET INJURY NATURE OF INJURIES
❑ Q POS. USE CLASS �____ ----j
NARRATIVE
gm/1 lane 2 rear gry/2 stop for trfc
CC
Within the city limits of Renton/King/Wa I responded to a 2 vehicle crash near the 500 block of SW
43rd St.
I contacted the driver of unit 2 in the parking lot of Ikea who told me he was stopped for heavy traffic
lane 2 when unit 1 rear ended him. He did not complain of injury and damages did not require a tow
truck.
I contacted the driver of unit 1 ID'd by picture WADL. He told me he was just clearing in intersection
of Lind Ave SW on SW 43rd St in lane 2 when heavy traffic in front of him slowed to a stop. He told
me he attempted to stop but slid into the back of unit 2. He did not complain of injury and damages
did not require a tow truck.
I cited unit 1 Ref RCW 46.61.145 Following too close 2 vehicle 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 3/3/2026
I CERTIFY(DECLARE)UNDER PENALTY OF PERJURY UNDER THE LAWS OF THE STATE OF WASHINGTON THAT THE FOREGOING IS TRUE AND CORRECT.
M.LEVERTON 03-03-26 09:59 AM
INVESTIGATING OFFICER'S SIGNATURE UNIT OR DIST.DET DATED PLACE SIGNED
APPROVED BY DATE
M.LEVERTON 2517 3/3/2026 2:49:20 PM
BADGE OR ID# Y517 ORI#' f WA0171300 TIME POLICE DISPATCHED'; 6:08 AM TIME POLICE ARRIVED 8:14 AM
PART B 3aaa-345-,aa(R11Y1s) PAGE 27OF 37
REPORT NO. EG82633 CASE# 26-1705 DATE AND TIME 03/03/26 08:06
OF COLLISION
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