HomeMy WebLinkAbout26-2209 j ITFC II IIIII III IIIII II IIII IIIII I . 27I
OOLCERAF EG88849
COLLISION REPRT 1591971
CASE# 26-2209 2
INTERSTATE CITY STREET FIRE ❑
RESULTED
1 STOLEN
STATE ROUTE ❑ OTHER ❑ VEHICLE ❑ LOCAL AGENC'Y 4200 3
COUNTY RD NVOLVED CODING
PRIVATE WAY
2❑ TRIBAL TOTAL 1
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 - 20 - 2026 1412 17 =.�� S WE IN
OF 1070 3
4❑ ON (PRIMARY TRAFFIC WAY) INTERSECTION ❑ NON INTERSECTION
LOGAN AVE N BLOCK NO. e 400 .�
4a❑ MILE POST
❑ DISTANCE OF(REFERENCE OR CROSS STREET)
5 100 00-1 MILES N E FEET e✓ S 8 W e N 4TH ST
2 0 29
F
MOTOR PEDAL- DAM AG THRESHOLD MET PHONE
UNIT 01 VEHICLE ❑ CYCLE ❑ YEs Vl No D:2067751052 0 1 30
6 LAST NAME ANDERSON FIRST NAME MARK MIDDLE Q 1 2 31
INITIAL
STREET ❑ 7900 48TH AVE S
NEW ADDRESS CITY SEATTLE ST WA ZIP 981184402 2
7 CDL IGNITION REQUIRED IGNITION PRESENT MEDICAL TRANSPORTED 3
INTERLOCKYEs NOR] INTERLOCKYEs No�/ vEs NOR
g❑ DOIENSE STATE WA SEX M MMOCSYY' 02 — 21 — 1977 1 2 32
9 ON DUTY STATUS AIRBAG 2 RESTR 9 EJECT 1 HELMET USE 2 1 INJURY
CLASS 1 NAruRE of INJURIES 2
LICENSE, CGK4183 STATE WA VN# JA4AD3A30KZ044141 3
10[9� PI ATP tt
11[—j— TRAILER STATE TRAILER ,STATE ROM TO
11 3 5 PLATE# PLATE#
TRLR TRLR 1 5 33
12 3 5 VIN# vI.
( FROM TO
VEH.YEAR MAKE MODEL STYLE VEHICLE TOWED TO BLIN TOWED By GOVT VEHICLE
13 4 2019 MITS OUTLAN UT DAMAGE YES�No ✓� ves_ No� 1 5 34
REGISTERED OWNER INFO SHONNA BRUNETTE 2828 NE 3RD STAPTA102 RENTON WA 98056 VEHICLE NO. 1
SHADE IN DAMAGED AREA 35
4
14 4 LIABILITY INSURANCE❑ NSURANCE CO
IN EFFECT &POLICY# 9TOP
vEnicLe CHARGE
STAGNDIN Yes❑NO❑ CITATION# 6A0191246 OP MOT VEH W/OUT INSURANCE 8 o ooTrob 5 36
15
MOTOR PEDAL- PROPERTY DAM THR OLD MET PHONE
VEHICLE
UNIT 02 CYCLE OWNER Q ❑ PEDESTRIAN ❑ D:2063846669
YES NO
16�
LAST NAME ANDRES FIRST NAME ANDREW MIDDLEI q
INITIAL
37
❑
17 STREET' 12465 BEACON AVE S CITY SEATTLE ST, WA ZIP 981783638 4
NEW AbbRESS❑
1g❑ CDL IGNITION REQUIRED IGNITION PRESENT MEDICALTRANSPORTED 38
INTERLOCKYES No INTERLOCK YES No,/ YEs NO
19[ DRIVER'S STATE WA SEXI M I D.O.B. 01 31 2005 39
LICENSE# MMDDYY -
20❑ ON DUTY STATUS AIRBAG 2 RESTR 9 EJECT 1 H UET 2 SE CLA 1 Y NATURE OF INJURIES 40
21 LICENSLATE E CLJ3806 TATE WA VIN# 2HGFE2F54RH558826 41
22❑ PLATE# STATE PAAILER
TE# STATE ❑ 42
23 TRLR kRLR 43
UIN#. 'IN#.
VEH.YEAR 2024 MAKE HOND MODEL CIVIC STYLE 4p VEHICLE TOWED TO BLIN
TOWED BY GOV HI 44
24 DAMAGE YES NO,/ YES NO
REGISTERED OWNER INFO RONALDANDRES124658EACONAVES SEATTLEWA98178 VEHICLE NO.2
SHADE IN DAMAGED AREA
2 3 4
LIABILITY INSURANCE INSURANCE CO ALLSTATE 064184450
IN EFFECT &POLICY# tU�o
vewae ❑ ,.I—I CITATION11 CHARGE
Le 1— YES N J
25 OFFICER'S NAME(PRINT) OFFICER PHONE BADGE OR ID# JAGENCY
26
MATTHEW MOLLENBERG 13031 WA0171300
PAGE 01 OF
PART A 3000-345-159(R 11/18)
POLIICFETRAFFICN CORRECTION REPORT NO. EG88849
COLLISION REPORT III III III III III 111
1591972 CASE# 26-2209
ADDITIONAL PERSONS INVOLVED(PASSENGERS AND/OR WITNESSES ONLY)
'NAME
(LAST,FIRST MIDDLE INTTIAL)
ADDRESS&PHONE#
SEX' D.O.B. — [----------�
MMDDYYYY
PASSENGER F-1 WITNESS Ej 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
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.
MATTHEW MOLLENBERG 03-20-26 03:22 PM
INVESTIGATING OFFICER'S SIGNATURE UNIT OR DIST.DET DATED PLACE SIGNED
APPROVED BY DATE
J.TRADER 4553 3/25/2026 2:51:46 PM
BADGE OR ID# 13031 ORI# ( WA0171300 TIME POLICE DISPATCHED'; 2:19 Pry TIME POLICE ARRIVED 2:24 PM
PART B 3 Do-3mx-,ao(Rtrras) PAGE 27 OF 47
REPORT NO.` EG88849 CASE# 26-2209 O COLLI COLLISION TIME
OF 03/20/26 14:12
COLLI
NARRATIVE
Renton Case #26-2209
Unless otherwise noted, the following occurred in the City of Renton, County of King, WA.
On 03/20/2026 at approximately 1418 hours I was dispatched to a non-injury/non-blocking collision
located near 405 Logan Ave N. While enroute dispatch advised one of the parties involved was
unable to provide the other driver with insurance information.
I arrived on scene and was flagged down by the involved parties who were now located in the parking
lot of Renton Memorial Stadium located at 405 N Logan St.
I spoke with the driver of unit 1 (WA/CGK4183) who identified himself as Mark Q. Anderson (DOB 02-
21-1977) who advised me of the following:
He was driving southbound in lane 2 of Logan Ave N in the 400-block approaching the intersection.
He attempted to merge to his right into lane 1, which was occupied by unit 2. While merging he
collided with unit 2. Both vehicles then pulled off the roadway into the parking lot of Renton Memorial
Stadium. Mark produced a driver's license and registration for the vehicle. Upon running Marks DOL
was advised he was eligible but not license at this time. Mark was also unable to provide insurance
for the vehicle. He contacted the registered owner of the vehicle, Shanna D. Brunette (DOB 11-04-
1981), who also does not have insurance for the vehicle.
Due to Mark providing a Washington State Driver's License but not currently being licensed he was
cited for RCW 46.20.015 (Driving without a license). Also, due to Mark being unable to provide
insurance for the vehicle he was cited for RCW 46.30.020. 1 completed Sector Citation #6A0191246
for Mark Q. Anderson (DOB 02-21-1977).
1 spoke with the driver of unit 2 (WA/CLJ3806) who identified himself as Andrew A. Andres (DOB 01-
31-2005) who advised me of the following:
He was driving southbound in lane 1 of Logan Ave N in the 400-block approaching the intersection.
He was continuing straight in lane 1 when unit 2 merged into his lane and collided with his vehicle.
Both vehicles then pulled off the roadway into the parking lot of Renton Memorial Stadium. Andrew
produced a valid driver's license, valid insurance, and registration for the vehicle.
Based on the information gathered from involved parties and observations of the collision, the
proximate cause of the collision was the driver of unit 1 failing to grant the right of way to unit 2 by
merging into lane 1 and colliding with unit 2.
1 provided both drivers with an exchange of information. I took photographs of the vehicles and
uploaded them to evidence.com under Renton Case #26-2209.
This concludes my involvement with case #26-2209.
1 declare under penalty of perjury under the laws of the State of Washington that the foregoing is true
and correct. Electronically signed by M. Mollenberg 13031 on 03-20-2026 at 1520 hours in Renton,
WA.
PAGE 3 OF 4
REPORT NO. EG88849 CASE# 26-2209 DATE AND TIME i 03/20/26 14:12
OF COLLISION
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