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HomeMy WebLinkAbout26-2402 POLICETRAFF'c" III !�� I IIIllI111IN II II I REPORT NO. EG90708 170 27 COLLISION REP FIT 1591971 CASE 26-2402 z INTERSTATE ❑ CITY STREET FIRE ❑RESULTED 1 STOLEN STATE ROUTE ❑ OTHER ❑ VFHIC;I F ❑ LOCAL AOENC 4200 3 HIT 8 RUN CODING COUNTY RD PRIVATE WAY INVOLVED 2 TOTAL#TRIBAL OF 02 OBJECT 1 1 8 28 UNITS RESERVATION I STRUCK z 3 DATE OF M M D D Y Y Y Y TIME(2400) COUNTY# MILES N E IN CITY# ❑ cawsloN 03 - 1-- 2026 1522 17 ❑.❑ S E IN 1070 3 4❑ ON (PRIMARY TRAFFIC WAY) INTERSECTION ❑ NON INTERSECTION ❑✓ S 2ND ST BLOCK e✓ 100 4a❑ MILEPOST DISTANCE OF(REFERENCE OR CROSS STREET) 5❑ 150 00 FMILES EET e S ❑ E e RAINIER AVE S 1 2 29 MOTOR PEDAL- DAMETHRESHOLD MET PHONE UNIT 01 VEHICLE ❑ CYCLE ElYES AG,/NO D:2063994852 0 1 30 6 LAST NAME MORA-LARA FIRSTNAME JORGE MIDDLE E 1 1 2 31 INITIAL STREET ❑ 22921 30TH AVE S APT 309 CITY DES MOINES ST WA 2jp, 981987215 z NEW ADDRESS 7❑ CDL IGNITION REQUIRED I IGNITION PRESENT MEDICAL TRANSPORTED 3 iNTERLOCKYEs 1/ I NO NTERLOCKYEs NO Z YES No�/ 8❑ LRIIVER # ON DUTY❑ STATUS AIRBAG 2 RESTR 4 EJECT 1 H USE 2 1 CLASS NATURE OF INJURIES z❑ 3 10 9❑ PI ATF 14 C97952Y STATE WA VIN# 3TMCZ5AN6LM368128 TRAILER STATE TRAILER STATE 11 0 0 PLATE# PLATE# FROM ro TRLR. TRLR 5 8 33 12 2 5 VIN#' VIN# FROM TO VEH.YEAR MAKE MODEL STYLE VEHICLE TOWED TO BLIN TOWED BY GOVT.VEHICLE 3 7 34 13Fol 2020 TOYT TACOM PK DAMAGE YES NO YES❑ NO✓ REGISTEREDOWNERINFO JESUS MORA TORRES 22921 30TH AVE S APT 309 DES MOINES WA 98198 VEHICLE NO. 1 ❑ SHADE IN DAMAGED AREA 35 14� ABILI INSURANCEU INSURANCE CO STATE FARM5945336E1847 4 IN EFFECT &POLICY# TOPVEHICLE CHARGE36 LEGALLv YES❑NO CITATION# <1�3 OTTOM 15❑ STANDING 7 6 MOTOR PEDAL- PEDESTRIAN PROPERTY DAM THR OLD MET PHONE UNIT 02 VEHICLE ❑ CYCLE ❑ ❑ OWNFR ❑ YES 1/ NO D:2063994852 16 a LAST NAME OLSSON FIRST NAME ZACHARY MIDDLE I S INITIAL 17❑ STREET ❑', 7236 S RYAN ST CITY SEATTLE ST WA ZIP 981782618 37 NEW ADDRESS ❑ 18� CDL IGNITION REQUIRED IGNITION PR-E-1SENT MEDICAL TRANSPORTED 38 INTERLOCK YEs❑No� INTERLOCK YEs It I NOF YES t l NOF,/ 19 LDI IVER # STATE WA SEX M M D.O.B. 12 _ 23 _ 2005 El 39 WELMET {NJURy 7 NATURE OF INJURIES 40 20 ON DUTY STATUS AIRBAG 2 RESTR 4 EJECT 1 USE 2 CLASS LEFT KNEE/HIP PAIN 21❑ LICENSE I B58406Z TATe WA VIN# 5TFUU4EN5EX084364 ❑ 41 PLATE# 42 22❑ PLATE# STATE PLATE# STATE 23❑ VIN#. 43 TRLR RLR 'IN#. VEH YEAR 2014 MAKE TOYT MODEL TACOMA STYLE PK VEHICLETOWED TO BLIN TOWEDBY GOV HI 44 L4❑ DAMAGE YES NO,/ YES NO REGISTERED OWNER INFO ZACHARY OLSSON 7236 S RYAN ST SEATTLE WA 981782618 D:2063994852 VEHICLE NO.2 SHADE IN DAMAGED AREA 2 3 4 LIABILITY INSURANCE INSU8 PORGY#E CO USAA 022561288 7101IN 1 9TOP 5 VEHICLE ,.I—I CITATION# CHARGE 25 i o BOTTOM LEGALLY YES❑ N s 6 OFFICER'S NAME(PRINT) OFFICER PHONE BADGE OR ID# AGENCY J 26 QUINT TIBEAU 7691 WA0171300 PAGE 01 OF PART A 3000-345-159 OR 11/181 STATE OF POLICETRAFFICN CORRECTION REPORT NO. EG90708 COLLISION REPORT III III III III III 111 1591972 CASE# 26-2402 ADDITIONAL PERSONS INVOLVED PASSENGERS AND/OR WITNESSES ONLY) NAME MIDDLE INITIAL) ORFANEL NIKOLAI A (LAST FIRST, ADDRESS&PHONE# 206 OAKESDALE AVE SW RENTON WA 980572279 2064808909 SEX i M MMDOYyry 03 - 03 - 2006 PASSENGER WITNESS UNIT# SEAT AIRBAG RESTR. EJECT ' HELMET INJURY NATURE OF INJURIES ❑ ❑✓ POS. I USE CLASS NAME '(LAST,FIRST MIDDLE INITIAL) ADDRESS&PHONE# DOB SEX' MMDDYVYY PASSENGER ❑WITNESS❑ UNIT# SEAT AIRBAG RESTR. EJECT HELMET NJURY NATURE OF INJURIES POS. USE CLASS NAME (LAST FIR57 MIDDLE INITIAL) AppRESS R PHONE# SEX D.O.B.MMDD -❑ YYYY. 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. QUINT TIBEAU 03-28-26 01:35 AM INVESTIGATING OFFICER'S SIGNATURE UNIT OR DIST DET DATED PLACE SIGNED APPROVED BY E DAT M.LEVERTON 2517 4/1/2026 12:33:49 PM BADGE OR ID# 7699 OR]# WA0171300 TIME POLICE DISPATCHED; 3:35 PM TIME POLICE ARRIVED',3:37 PM PART B PAGE IT]OF 4� REPORT NO. EG90708 CASE# 26-2402 FC LNaoy L isI©�ON O 03/27/26 15:22 F cu NARRATIVE 26-2402 Narrative The following occurred in the City of Renton, County of King, State of Washington. On 03/27/26 at about 1535 hours I was dispatched to the 100 block of S 2nd St for a two-vehicle collision. I contacted the driver and sole occupant of vehicle #2 who identified himself as the registered owner, Samuel Zachary with his WADL. Zachary stated that he was in the #4 of 4 lane west bound on S 2nd St, which is a one-way, westbound only. As he approached Rainier Ave S vehicle #1 pulled out of the Taco Time parking lot and struck the driver's side of his vehicle. Zachary stated that his left hip/knee hurt, but he was not injured. I contacted the driver and sole occupant of vehicle #1 who identified himself as Jorge Mora-Lars with his WADL. Mora-Lars stated that he was leaving the parking lot from the Wendy's, intending on merging into traffic westbound on S 2nd St. The witness in lane #3 stopped, leaving space for him and waving him out. Mora-Lara said he started to pull out then struck vehicle #2 which was west bound in lane #4. He did not see the vehicle prior and does not know where it came from. He stated he was not injured. Witness Orfanel stated that he was stopped in traffic in the #3 lane. He left room for vehicle #1 and indicated such to Mora-Lara. Vehicle #1 then went to pull out and struck vehicle #2. This incident was captured on my Axon body worn video camera. This report is a summary of events that occurred and is not an exact sequencing of events. Statements have been paraphrased and summarized. Nothing further at this time. I certify (declare) under penalty of perjury under the laws of the State of Washington that the foregoing is true and correct. Electronically signed by Sgt. Q. Tibeau #07691 03/28/2026 0054 hours, Renton, WA. PAGE 3 OF 4 REPORT NO. EG90708 CASE# 26-2402 DATE AND TIME 03/27/2615:22 OF COLLISION t � t ti a, t zv� r j , 1 Y M c z� aa' 4 r 1 PAGE 4 OF 4