HomeMy WebLinkAbout26-1751 iiTFiNII IIIII III IIIII II IIII IIIII I . 27c REPORT NO EG87211oc� RA
COLLISION REPORT 1591971
CASE# 26-1751 2
INTERSTATE CITY STREET FIRE I
RESULTED
1 STOLEN
STATE ROUTE ❑ OTHER ❑ VEHICLE LOCAI-A`NG 4200 3
HIT&RUN CODING
COUNTY RD PRIVATE WAY INVOLVED
2 TOTAL#OF OBJECT 1 8 28
TRIBAL UNITS 02 STRUCK
RESERVATION : 1 1
2
3� M M D D Y Y Y Y TIME(2400) COUNTY# MILES CITY#
DATE OF N E IN eDL�ISION' 03 - 04 - 2026 1535 17 =.= S 8 W E OF M 1070 a
4❑ ON (PRIMARY TRAFFIC WAY) INTERSECTION ❑ NON INTERSECTION �✓
BLOFERNDALEAVESE MILE POST
e 1806 .�
4a❑ MILE POST
❑ DISTANCE OF(REFERENCE OR CROSS STREET)
5 MILES 1.1 FEET B S B W e
0 1 29
MOTOR ✓ PEDAL- DAM AG THRESHOLD MET PHONE
UNIT 01 VEHICLE CYCLE YES ✓NO 1 4 30
5 LAST NAME HARRIS FIRST NAME JAMES MIDDLE F 1 1 2 31
INITIAL
STREET Q 20308 72ND ST E CITY; BONNEY LAKE ST WA ZIP; 983916117 2
NEW ADDRESS
7 CDL IGNITION REQUIRED IGNITION PRESENT MEDICAL TRANSPORTED' 3
INTERLOCKYES NO INTERLOCKYES NO YES F NO
DRIVERS# STATE WA SEX M MM0,13. 05 - 28 - 1982 t 32
8❑
9 ON DUTY STATUS' AIRBAG 2 RESTR 4 EJECT 1 HELM
USEET CLASSY 1 NAruRE of INJURIES 2
LICENSE, 62409D STATE WA VIN#; 1GB3CYCGXGZ387260 3
10 F1 as ATP rt
TRAILER STATE TRAILER STATE ROM To 11 0 0 PLATE# PLATE#
TRLR zRLR 5 1 33
12 0 0 VIN#' vIN#
FROM TO
VEH.YEAR ZOI6 MAKE CHEV MODEL 3500 STYLE VEHICLE TOWED[n TO ZBLIN TOWEDBY GOVT VEHICLE m 34
13� DAMAGE YES II_II NO YESII_I) NO
REGISTERED OWNER INFO CIIYOFRENTON3155 NE2NDST RENTON WA 98056 D:4254306600 VEHICLE NO. 1
❑ SHADE IN DAMAGED AREA 35
14 LIABILITY INSURANCE NSURANCE CO SAME 4
IN EFFECT &POLICY# 9TOP
VEHICLE CHARGE t 5 36
Lemur YES❑NO❑ CITATION# 70¢OTTOM
15❑ srnNowc s 7 e
UNIT 02 MOTOR PEDAL- ❑ PEDESTRIAN PROPERTY DAM THR OLD MET PHONE
VEHICLE CYCLE nWNRR YES�/ NO
16❑
LAST NAME UNKNOWN FIRST NAME MIDDLE'
INITIAL
17 F1 STREET ❑SS CITY BONNEYLAKE ST ZIP 37
NEW ADDRESS
18� CDL IGNITION REQUIRED IGNITION PRESENT MED[CALTRANSPORTED: 38
INTERLOCKYEs ND INTERLOCK YES No vEs NQ
19 LICENSE# SEX'U MMDOTSYY -�_ 39
HELMET INJURY: NATURE OF INJURIES 4Q
20❑ ON DUTY STATUS AIRBAG 9 RESTR 9 EJECT 1 USE 9 CLASS 0 ❑
21 PLAT# CVU4912 rare WA vIN# USE
41
22❑ PLATE# STATE[TILER I PLATE# STATE 42
23 TRLR RLR 43
UIN#. 'IN#
VEH.YEAR 2014 MAKE CHEV MODEL CRUZE STYLE VEHICLE TOWED TO BLIN
TOWED BY GOV HI 44
24 DAMAGE YES NO VES NO
REGISTERED OWNER INFO SANITNIA PARKER 1806 FERNDALE AVE SE RENTON WA 98058 D:2063315815 VEHICLE NO.2
SHADE IN DAMAGED AREA
2 3 4
LIABILITY INSURANCE INSURANCE CO SAFECO M1766006
IN EFFECT &POLICY# t STOP
VEHICLE ❑ CITATION11 CHARGE to BOTTOM
EEEILY YES N
25 s
OFFICER'S NAME(PRINT) OFFICER PHONE BADGE OR ID# AGENCY
J
26
M.LEVERTON 2517 WA0171300
PAGE 01 OF
PART A 3000-348-189(R 11/18)
STATE OF
POLICETRAFFICN CORRECTION REPORT NO. EG87211
COLLISION REPORT III III III III III 111
1591972 CASE# 26-1751
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 GLASS 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.
M.LEVERTON 03-10-26 11:36 AM
INVESTIGATING OFFICER'S SIGNATURE UNIT OR DIST.DET DATED PLAGE SIGNED
APPROVED BY DATE
C.JACOBS 1953 1 3/19/2026 3:24:56 PM
BADGE OR ID# ; 2517 ORI# WA0171300 TIME POLICE DISPATCHED 1 3:36 PM TIME POLICE ARRIVED i 3:42 PM
PAST B 3 Do-3mx—attar(t 1Mff) PAGE 2�OF 4
REPORT NO. EG87211 CASE# 26-1751 DATE OF COLLI r�510NN + 03/04/26 15:35
L1
NARRATIVE
red/1 nb tools blk/2 parked unoc
RTF
Information/Insurance only
Within the city limits of Renton/King/Wa I responded to a 2 vehicle crash at 1806 Ferndale Ave SE.
I contacted the driver of unit 1 who told me while driving his city vehicle northbound on Ferndale Ave
SE to adjusted some equipment that had shifted inside his truck and while doing so struck an
unoccupied parked vehicle causing damage to both his truck and the parked vehicle. He did not
complain of injury and damages did not require a tow truck.
I was able to locate the R/O of unit 2 who provided her insurance and registration to her vehicle. It
was lawfully parked in front of her home and unoccupied. She heard a bang and thought construction
near by was taking place. She was contacted by unit 1 first. Damages to her vehicle would not
require a tow truck.
A copy of the information exchange was provided to those involved. Unit 1 supervisor was notified
and onscene. Photographs were uploaded and internal report forms should have been completed at
the time of this report.
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 3/4/2026
PAGE 3 OF 4
REPORT NO. EG87211 CASE# 26-1751 DATE AND TIME 03/04/2615:35
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