HomeMy WebLinkAbout26-1660 iiTFiNII IIIII III IIIII II IIII IIIII I . 27c REPORT NO EG86321oc� RA
COLLISION REPORT 1591971
CASE# 26-1660 2
INTERSTATE CITY STREET FIRE I
RESULTEDLVED
STOLENSTATE ROUTE OTHER VEHICLE LOCAI-AGENCY 4100 3
COUNTY RD NT&RUN CODING
PRIVATE WAY
2 TOTAL#OF OBJECT 1 s 28
TRIBAL UNITS 02 STRUCK
RESERVATION : 1 1
2
3� M M D D Y Y Y Y TIME(2400) COUNTY# MILES CITY#
eaCL s on' 03 - 01 - 2026 1430 17 =.= S 8 W e OF e 1070 s
4❑ ON (PRIMARY TRAFFIC WAY) INTERSECTION ❑✓ NON INTERSECTION ❑
SE PETROVITSKY RD BLOCK NO. e 11800 .�
4a❑ MILE POST
❑ DISTANCE OF(REFERENCE OR CROSS STREET)
5 1. FEET e S 8 W e 118TH AVE SE
0 4 29
MOTOR ✓ PEDAL- DAM AG THRESHOLD MET PHONE
UNIT 01 VEHICLE ❑ CYCLE ❑ YEs Vl No D:2534867177 0 1 30
5 LAST NAME ABEYTA FIRST NAME LEO MARK MIDDLE J 1 1 2 31
INITIAL
STREET ❑ 17521 118TH AVE SE APT 9 CITY; RENTON I ST WA ZIP; 98058 2
NEW ADDRESS
7 CDL IGNITION REQUIRED IGNITION PRESENT MEDICAL TRANSPORTED' 3
INTERLOCK YES No✓ INTERLOCKvEs Nd✓ YES NO✓
8 DCIENSE# STATE WA SEXI M MMDDYY' 09 - 02 - 1962 1 2 32
9 ON DUTY STATUS' AIRBAG 2 RESTR 4 EJECT 1 HE USEET 2 CLASSY 1 NATURE of INJURIES 2=
10 LI ENSE'tI,' BFS9432 STATE WA V 1G1PF5S93B7119038 3
TRAILER STATE TRAILER STATE
11 3 5 ,LATE# PLATE# FROM To
TRLR TRLR 7 1 33
12 3 5 VIN# vIN#
FROM TO
VERYEAR 2011 MAKE CHEV MODEL CRUZE STYLE SD VEHICLE TOWED TO BLIN TOWED By GOVT VEHICLE 7 $ 34
13� DAMAGE YES II_II NO ✓ YESII_I) NO
REGISTERED OWNER INFO LEO MARK ABEYTA 17511118TH AVE SE APT 9 RENTON WA 98058 D:2534867177 VEHICLE NO. 1
SHADE IN DAMAGED AREA 35
2 3 4
14 4 LIABILITY INSURANCE❑ NSURANCE CO 11
IN EFFECT &POLICY# 4TOP
VEn" CHARGE 70 BOTTOM 5 36
15
Lrn Lyc YES❑NO❑ CITATION# 6A0116700,6A0116700 OP MOT VEH W/OUT INSURANCE, 7 e
MOTCYR ✓ PEDAL- PEDESTRIAN PROPERTY DAM THR OLD MET PHONE
UNIT 02 VEHICLE CYCLE nWNFR YES✓ NO D:2067341851
16�
LAST NAME KUMARAN FIRST NAME SHIWAN SITAL MIDDLE' L
INITIAL
STREET ❑
17 ❑ 3603 SHATTUCK AVE S CITY RENTON ST, WA ZIP 98055 q 37
NEW ADORE SS
18❑ CDL IGNITION REQUIRED IGNITION PRESENT MEDICAL TRANSPORTED 38
INTERLOCKYES No�/ INTERLOCK YES No�/ vEs No✓
19 DRIVER'S ' STATE WA SEX F I D.O.B. 09 19 1987 � 39
LICENSE# MMDDYY —
20❑ ON DUTY STATUS AIRBAG 2 RESTR 4 EJECT 1 HELMET 2 INJURY 6 1
NATURE OF INJURIES 40
USE CLASS COMPLAINT OF MINOR PAIN TO ARM
21 ILICENSE PLATE# AQD0536 TAT E WA VIN# JTDBR32EX70131942 41
22❑ PLAILER TE# STATE TAILER PLATE# STATE 42
23 TRLR RLR 43
UIN#. 'IN#
TOWED BY GOV HI 44
VEH.YEAR 2007 MAKE TOYT MODEL COROLL STYLE SD DAMIAGE TOWED V/ No BLIN BANKERS ves No✓
24
REGISTERED OWNER INFO OWNED BY DRIVER VEHICLE NQ.2
SHADE IN DAMAGED AREA
2 3 4
LIABILITY INSURANCE INSURANCECO STATE FARM 0999802-D23.47A
IN EFFECT &POLICY# t a
Y 1-
LEGALLY YES❑ N,JI CIT25 �2ATION# CHARGE
`.LJ
25 s
OFFICER'S NAME(PRINT) OFFICER PHONE BADGE OR ID# AGENCY
26
T.NELSON 12327 WA0171300
PAGE 01 OF
PART A 3000-345-189(R 11/18)
STATE OF
POLICETRAFFICN CORRECTION REPORT NO. EG86321
COLLISION REPORT III III III III III 111
1591972 CASE# 26-1660
E NA ADDITIONAL PERSONS INVOLVED(PASSENGERS AND/OR WITNESSES ONLY)
M
(LAST,FIRST,MIDDLE INITIAL) KUMAR PRATEEK V
ADDRESS&PHONE
RENTON SEXi M MMDooYBYYY 06 — 26 — 2013
PASSENGER WITNESS UNIT# SEAT AIRBAG RESTR. EJECT HELMET INJURY NATURE OF INJURIES
2 PCs. 13 2 4 1 USE 1 2 CLASS 1 ----�
:NAME
(LAST EIFS7 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
PC& 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.
T.NELSON 03-01-26 04:04 PM
INVESTIGATING OFFICER'S SIGNATURE UNIT OR DIST.DET DATED PLACE SIGNED
APPROVED BY DATE
J.TRADER 4553 3/16/2026 2:14:01 PM
BADGE OR ID# 12327 ORI#s WA0171300 TIME POLICE DISPATCHED 1 2:33 PM TIME POLICE ARRIVED i 2:35 PM
PAST B 3 Do-3m5-attar(t 1Mff) PAGE 2�OF 4
REPORT NO. EG86321 CASE# 26-1660 O OF COLLISION TIME 03/01/26 14:30
NARRATIVE
26-1660
Unless otherwise noted, the following occurred in the City of Renton, County of King, WA.
On 03-01-2026 at approximately 1435 hours I arrived on scene of a blocking collision at 118th AVE
SE and SE Petrovitsky Rd.
I observed unit 2 was blocking westbound lane 1 of SE Petrovitsky Rd, facing east. The driver's side
tires of unit 2 were on the sidewalk and both driver's side tires were flat. I observed unit 2 had
significant driver's side damage.
Unit 1 had pulled off the roadway and parked nearby. I observed unit 1 had significant front driver
side damage.
The driver of unit 1, Abeyta, advised he was travelling east on SE Petrovitsky Rd and was making a
left turn to travel north on 118th AVE SE when he struck unit 2 who was travelling west on SE
Petrovitsky Rd in lane 1. Abeyta advised that he did not see unit 2 until it was too late to stop.
The driver of unit 2, Kumaran, relayed a similar account of the incident and advised that her vehicle
rotated approximately 180 degrees after impact. I was led to believe that the driver's side tires were
flat from striking the curb after being struck by unit 1.
My observations of the collision were consistent with what each party relayed.
Abeyta advised that he was not injured. Kumaran advised that she had minor pain to her elbow, but
did not need medical attention.
Abeyta stated he had insurance, but failed to provide proof of insurance. I advised Abeyta to
communicate with Kumaran if he is able to locate his insurance information.
Based on the information gathered, I determined that unit 1's improper turn was the proximate cause
of the collision.
Abeyta was cited for failing to provide proof of insurance and making an improper turn.
I declare under penalty of perjury under the laws of the State of Washington that the foregoing is true
and correct.
Electronically signed by T. Nelson 12327 on 03-01-2026 at 1553 hours in Renton, WA.
PAGE 3 OF 4
REPORT NO. EG86321 CASE# 26-1660 DATE AND TIME 03/01/2614:30
OF COLLISION> '
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